Nurses' attitudes and behavioral intentions concerning AIDS care

The problem of the rapidly growing AIDS epidemic is compounded by negative attitudes and unwillingness to care for such patients by reportedly high percentages of nurses. On the basis of the literature, an exploratory interactive model predicting willingness to provide care is derived and tested. Results suggest that attitude is positively related to the behavioral intention to provide AIDS care. This relationship is more pronounced for nurses who score low on the variable of conservative views.     

Reply to Patrick Hopkins

Patrick Hopkins has claimed that SM is compatible with feminist principles. I argue that his account relies on both mistaken analogies and an untenable account of the allegedly changed meaning of SM scenes. ¹ 1 The publication of this reply has not changed my view that Hypatia is ableist and is to that degree anti-feminist.
     

Psychological Distress Among Religious Nonbelievers: A Systematic Review

Studies of religious belief and psychological health are on the rise, but most overlook atheists and agnostics. We review 14 articles that examine differences between nonbelievers and believers in levels of psychological distress, and potential sources of distress among nonbelievers. Various forms of psychological distress are experienced by nonbelievers, and greater certainty in one’s belief system is associated with greater psychological health. We found one well-documented source of distress for nonbelievers: negative perceptions by others. We provide recommendations for improving research on nonbelievers and suggest a model analogous to Pargament’s tripartite spiritual struggle to understand the stresses of nonbelief.     

Integrating Religion and Spirituality Into Treatment for Late-Life Anxiety: Three Case Studies

Generalized anxiety disorder (GAD) is common in older adults and, although cognitive behavioral therapy (CBT) is an efficacious treatment for late-life GAD, effect sizes are only moderate and attrition rates are high. One way to increase treatment acceptability and enhance current cognitive behavioral treatments for GAD in older adults might be to incorporate religion/spirituality (R/S). The cases presented here illustrate the use of a 12-week modular CBT intervention for late-life anxiety, designed to allow incorporation of R/S elements in accordance with patient preferences. The three women treated using this protocol chose different levels and methods of R/S integration into therapy. All three women showed substantial improvement in worry symptoms, as well as a variety of secondary outcomes following treatment; these gains were maintained at 6-month follow-up. These preliminary results suggest that the incorporation of R/S into CBT might be beneficial for older adults with GAD. Strengths, limitations, and future directions are discussed.     

Midlife Women's Negotiations of Barriers to and Facilitators of Physical Activity: Implications for Counselors

The authors investigated barriers to exercise and facilitators that enable midlife women to engage in an active lifestyle. Findings provide counselors with insight into the meanings that women ascribe to physical activity so they can better assist clients in making choices that enhance their overall health and wellness.     

Why do People Disagree? Explaining and Endorsing the Possibility of Partiality in Judgments

The current study examines developing changes in children's intuitions about why disagreements about decisions might occur, focusing on what children understand about partiality and how it may vary depending on the context. Eighty children ages 6 to 13 years old and 20 adults were presented with stories in which there was a disagreement with the judge about who the winner of a contest should be. Participants were asked to generate their own explanations for why the disagreement may have occurred and to evaluate the plausibility of different explanations provided by the experimenter. Even 6-year-olds generated and endorsed partiality as a possible explanation for disagreement, although they did so at a lower rate than older children. A richer understanding of how context influences both the reasons for disagreement and the likelihood of partiality seems to develop over childhood.     

The Roles of Social Support and Self-Efficacy in Physical Health’s Impact on Depressive and Anxiety Symptoms in Older Adults

Physical illness may precipitate psychological distress among older adults. This study examines whether social support and self-efficacy moderate the associations between physical health and depression and anxiety. Predictions were tested in 222 individuals age 60 or older presenting for help with worry. Physical health was assessed through self-report (subjective) and physical diagnoses (objective). Objective physical health did not have a significant association with depression or anxiety. Worse subjective physical health was associated with increased somatic anxiety, but not with depression or worry. The relationship between subjective physical health and depressive symptoms was moderated by self-efficacy and social support. As predicted, when self-efficacy was low, physical health had its strongest negative association with depressive symptoms such that as physical health improved, depressive symptoms also improved. However, the moderation effect was not as expected for social support; at high levels of social support, worse physical health was associated with increased depressive affect.     

Promoting School Students’ Physical Activity: A Social Ecological Perspective

Guided by a social ecological perspective, the aim of this study was to investigate the predictive strength of individual (barrier self-efficacy), social environmental (support from parents, friends, physical education teachers), and physical environmental variables (equipment accessibility, neighborhood safety) toward physical activity among school students. Participants were 285 students enrolled in a suburban public school. Hierarchical linear regression analysis highlighted the influence of self-efficacy, social support from parents, friends, physical education teachers, and accessible equipment on students’ physical activity. The findings indicated that physical educators and health promoters need to consider multiple factors as they design effective interventions to promote physical activity and prevent physical inactivity among school students. This study also supported the use of a social ecological perspective to investigate students’ physical activity.