Considering J.Lo and Ugly Betty: a qualitative examination of risk factors and prevention targets for body dissatisfaction, eating disorders, and obesity in young Latina women

Latina women are vulnerable to poor body image, eating disorders, and obesity, particularly during the college years. This study sought to identify common cultural antecedents of these concerns in order to inform the development of prevention programs for this population. Six groups of university students who identified as Latina (N=27) discussed cultural aspects of body image, eating disorders, and obesity. Thematic analysis identified four main themes: (a) cultural disparities in body-ideal, including the influence of the media and acculturation issues; (b) messages about body shape and weight received by family, peers, and society; (c) difficulties making healthy eating and physical activity choices as a function of college life; and (d) the influence of peers and potential male partners on body satisfaction and body-ideals. These results have implications for the development of programs targeting body dissatisfaction and risk for eating disorders and obesity in Latina college women.     

Age-related influences on lexical selection and orthographic encoding during homophone spelling

Two experiments investigated age differences in how semantic, syntactic, and orthographic factors influence the production of homophone spelling errors in sentence contexts. Younger and older adults typed auditorily presented sentences containing homophone targets (e.g., blew) that were categorized as having a regular spelling (EW) or an irregular spelling (UE). In Experiment 1, homophones were preceded by an unrelated word, a semantic prime that was congruent with the target's meaning in the sentence (e.g., wind), or a semantic prime incongruent with the target's meaning (e.g., sky) and instead related to the competitor homophone. Experiment 2 manipulated the target's part of speech, where target and competitor homophones shared or differed in part of speech. For both age groups, significant semantic priming occurred, where homophone errors decreased following congruent semantic primes and increased following incongruent primes. However, priming only occurred when homophones shared part of speech. Further, both age groups made more errors on homophones with an irregular than a regular spelling, and this regularity effect was smaller for older adults when homophones shared part of speech. Contrary to many spoken production tasks, older adults made fewer errors overall than younger adults. These findings demonstrate age preservation in lexical selection but age differences in orthographic encoding, resulting in older adults producing fewer errors because of reduced activation to competitor homophones. These findings also illustrate that syntactic factors, such as part of speech, can influence the spellings of individual words.     

Establishing a Valid,Reliable, and Efficient Chart Review Process for Research in Pediatric Integrated Primary Care Psychology

Journal of Clinical Psychology in Medical Settings - Retrospective chart review is an accessible form of research that is commonly used across medical fields but is underutilized in behavioral...     

The Relationship between Mindfulness and Subjective Well-Being: Examining the Indirect Effects of Self-Connection and Meaning in Life

Over the past decade, support for the relationship between mindfulness and happiness has increased dramatically. The consensus is that people who are mindful also experience greater happiness. However, little is still known about how and why greater mindfulness leads one to be happier. The current research calls on recent theorizing to help understand the process by which this occurs. In particular, we studied the indirect effects of both self-connection and meaning in life on the relationship between mindfulness and subjective well-being. To this end, we compiled data collected in our lab over the past 3 years. A total of 2,929 participants provided cross-sectional data while 465 participated in longitudinal studies. Across both samples, the data supported our proposed model. Self-connection and meaning in life combined to mediate the relationship between mindfulness and the various aspects of subjective well-being. In all, it is clear that, although mindfulness is important, self-connection and meaning in life play key roles in one’s subjective well-being. This suggests that more research and interventions should focus on ways to increase self-connection and meaning in life as ways to help people experience greater happiness.

     

An Exploratory Study Comparing Goal-Oriented Mental Imagery with Daily To-Do Lists: Supporting College Student Success

Although to-do lists are a ubiquitous daily planning tool there is limited information on users’ perceptions of this method. Another resource to support goal-oriented planning is mental imagery. A substantial body of research shows the utility of mental imagery in the domains of healthcare, sports, business and education. Imagery has been shown to enhance goal-oriented behavior, and along with primed positive affect, to enhance persistence and coping. For the purpose of comparison, a sample of 214 college students practiced either a goal-oriented mental imagery technique or a to-do list technique on alternate days for two weeks. On mental imagery days students were significantly more likely to report a sense of accomplishment, ease, coping, and positive affect, compared with to-do list days. Qualitative comments provided additional informative detail showing to-do list days to be associated with a task orientation, greater dissatisfaction with underachievement, and higher levels of perceived stress and negative affect. While the study shows benefit for both mental imagery and to-do lists, a tenable conclusion from the results is that a combination of the two methods may actually yield the greatest benefit. Used in tandem the methods provide a synergistic orientation to daily tasks with a heightened sense of positive affect and expectancy.     

Upbeat and happy: Arousal as an important factor in studying attention

The present study examined the effects of music-induced mood changes on different components of visual attention. Affective valence (positive vs. negative) and arousal (high vs. low) were manipulated by having participants listen to one of four versions of a Mozart Sonata that varied in mode (major or minor) and tempo (fast or slow). Attention was measured in three domains—alerting, orienting, and executive control. Affective valence and arousal had an effect on executive control, but not on alerting or orienting. Individuals who experienced positive valence had less efficient control over their responses than those who experienced negative valence, but only when arousal levels were high. Positive and negative valence did not influence executive control measures when arousal levels were low. These findings demonstrate that affective valence and arousal interact with one another to influence the processing of items in visual attention.     

Illness representations predict adherence in adolescents and young adults with type 1 diabetes

Objective: Most adolescents and young adults (AYAs) with type 1 diabetes struggle with diabetes self-management and exhibit suboptimal glycemic control. This study examined two models of association between illness representations, a modifiable predictor of suboptimal outcomes, and adherence and glycemic control in AYAs with type 1 diabetes.

Design and main outcome measures: Ninety-nine AYAs (ages 15–20?years) completed measures of illness representations and adherence at two visits. Blood glucose monitoring frequency and haemoglobin A1c were obtained via chart review. Relationships were examined using structural equation modelling.

Results: Illness representations accounted for a significant proportion of the variance in blood glucose monitoring frequency (ΔR^2?=?.23, p?<?.01) and adherence to emergency precautions at Time 1 (ΔR^2?=?.07, p?=?.03). Illness representations also accounted for significant variance in blood glucose monitoring frequency (ΔR^2?=?.08, p?=?.01), adherence to recommendations for insulin and food (ΔR²?=?.08, p?=?.02) and exercise (ΔR^2?=?.10, p?<?.01), and adherence to emergency precautions (ΔR^2?=?.16, p?<?.01) at Time 2.

Conclusion: Illness representations are salient predictors of adherence in this population. Interventions targeting adherence promotion and glycemic control in AYAs with type 1 diabetes may be enhanced by efforts to modify illness representations.     

The Relationship Between Postdeployment Factors and PTSD Severity in Recent Combat Veterans

Combat traumas precipitate posttraumatic stress disorder (PTSD); however, nontraumatic deployment and postdeployment factors may also contribute to PTSD severity. The Deployment Risk and Resilience Inventory (DRRI) was used to investigate pre-, peri-, and postdeployment factors associated with current PTSD severity in 150 recent combat veterans with PTSD and hazardous alcohol use. Hierarchal linear regression analyzed what factors independently predicted PTSD severity when controlling for sociodemographic characteristics and combat specific variables. Four postdeployment factors independently predicted PTSD severity: unemployment, alcohol use, social support, and stressful (nontraumatic) life events. The centrality of trauma in the maintenance of PTSD and clinical implications for treatment providers are discussed.     

Therapeutic Assessment With Child Inpatients

Growing evidence supports Therapeutic Assessment (TA), a collaborative and therapeutic approach to psychological assessment, as an effective method for enhancing motivation for and engagement with psychotherapy across a variety of clinical populations and treatment settings. However, to date there are no known studies assessing the use of TA in child psychiatric inpatient settings. This article briefly reviews the structure of child and family TA, enumerates the challenges and risks associated with short-term inpatient stays, and proposes a path for integrating TA into these units as a way to enhance the quality of care and reduce the risk of rapid rehospitalization. The authors provide three case examples from a child psychiatric inpatient unit, each using a modified version of TA and each integrating assessments into brief family interventions. The authors conclude with suggestions for best practice for child psychiatric inpatient TAs.     

Coping with stress through decisional control: Quantification of negotiating the environment

Coping with stress through ‘decisional control’ – positioning oneself in a multifaceted stressing situation so as to minimize the likelihood of an untoward event – is modelled within a tree‐structure scenario, whose architecture hierarchically nests elements of varying threat. Analytic and simulation platforms quantify the game‐like interplay of cognitive demands and threat reduction. When elements of uncertainty enter the theoretical structure, specifically at more subordinate levels of the hierarchy, the mathematical expectation of threat is particularly exacerbated. As quantified in this model, the exercise of decisional control is demonstrably related to reduction in expected threat (the minimum correlation across comprehensive parameter settings being .55). Disclosure of otherwise intractable stress‐coping subtleties, endowed by the quantitative translation of verbal premises, is underscored. Formalization of decisional stress control is seen to usher in linkages to augmenting formal developments from fields of cognitive science, preference and choice modelling, and nonlinear dynamical systems theory. Model‐prescribed empirical consequences are stipulated.