Relationship between respiratory mortality and self-perceptions of aging

Although there is growing evidence that psychological factors affect an individual's susceptibility to respiratory illnesses, psychological predictors of respiratory mortality have received little attention. This study investigated whether an age-specific psychological factor, older individuals’ beliefs about their own aging, predicted the likelihood of their dying from respiratory causes (ICD-9: 460–519). The sample was composed of 620 individuals, aged 50–87 years at baseline, who participated in a longitudinal study with six waves. Our research found that individuals with higher baseline positive self-perceptions of aging were significantly less likely to die of respiratory causes over the next 23 years, after controlling for age, functional health, gender, loneliness, marital status, self-rated health, and socioeconomic status (hazard ratio?=?0.695; p?<?0.005). This is the first study to link individual beliefs about aging to cause-specific mortality. Future research is warranted to further elucidate the relationship between self-perceptions of aging and resistance to respiratory mortality.     

Non-Violent Survival Strategies in the Face of Intimate Partner Violence and Economic Discrimination

Intimate partner violence (IPV) theory often locates violence equitably between women and men. Women, however, sustain greater degrees of injury than men and often use violence as a measure of protection rather than as an act of aggression. Yet measures of protection must be viewed in multiple contexts. In this case, the context is poverty, which reveals that violence by women in response to IPV is not the only way that women deal with the violence in their lives. This article explicates four strategies that battered women in poverty deploy in their protective trajectory and highlight alternative resistance strategies women use to overcome multiple structural barriers.     

Promoting parent use of empirically supported reading interventions: two experimental investigations of child outcomes

Two experimental investigations of the effects of parent delivered reading interventions were conducted. Tutoring packages consisting of empirically supported intervention components were delivered by parents for at least several weeks after initial parent training. Both experiments used single‐case experimental designs and measured participants' oral reading fluency in passages. Experiment 1 used a multiple‐probe design across tasks (passages) to evaluate tutoring effects for two students with learning disabilities. Results indicate that both students increased their reading fluency and maintained those increases over time. Experiment 2 used a brief experimental analysis that included both experimenter and parent delivered instructional trials to validate the treatment package. Next, the treatment package was evaluated using an alternating treatments design. Results were uniformly positive. An interesting but not surprising correlation was also found between treatment integrity and student outcomes. Results are discussed in terms of the framework and skills that behavior analysts have for working with parents and schools to improve their children's academic responding. Copyright © 2006 John Wiley & Sons, Ltd.     

The role of religion in heart-transplant recipients' long-term health and well-being

While religion has long been recognized clinically to provide important coping strategies in the face of serious health problems, there has been little systematic consideration of its role in organ transplant recipients' long-term reactions and adjustment to this experience. This study examines these issues through qualitative and quantitative evaluation of longitudinal data collected from 40 adult heart recipients followed during their first year post-transplant. Large proportions of recipients expressed strong beliefs and were able to increase religious participation over the 12-month study period. They delineated specific ways in which their faith had provided them support, as well as ways in which the transplant experience itself further strengthened their beliefs. We found empirical evidence that recipients with strong beliefs who participated in religious activities had better physical and emotional well-being, fewer health worries, and better medical compliance by the final 12-month assessment. The findings suggest the development of specific nursing, social-service, or pastoral-involvement strategies, continuing staff education about the role of religion in patient care. The implications of such interventions for maximizing quality of life in transplant recipients are discussed.This study was funded by grants from the National Institute of Mental Health.     

Chain of Care for Patients with Intentional Self‐Harm: An Effective Strategy to Reduce Suicide Rates?

Chain of care for patients with intentional self‐harm was important in the Norwegian national action plan to prevent suicide. In this study there were two aims: (1) to calculate the potential effects of chain of care on reducing suicide rates, and (2) to assess whether suicide rates decreased more in areas where chain of care had been implemented than in other areas. We observed no differences in changes in suicide rates between areas with and without the intervention. The calculated potential effects of chain of care on national suicide rates were very small, even under unrealistically favorable conditions.     

The Ecology of Intimate Partner Violence: Theorized Impacts on Women's Use of Violence

The aim of this paper is to describe the multiple factors associated with intimate partner violence (IPV) using the social-ecological framework developed by Heise (1998). This framework is used to categorize research findings from multiple disciplines according to the level of social organization at which they operate. Evidence-based strategies are then reviewed according to the sphere of influence in the social ecological model, as well as their place on the prevention continuum. Along the way, possible effects on women's use of IPV, and battered women's use of violence in particular, will be noted.     

Using the Theory of Gender and Power to Examine Experiences of Partner Violence,Sexual Negotiation,and Risk of HIV/AIDS Among Economically Disadvantaged Women in Southern India

This article uses the Theory of Gender and Power to examine women's vulnerability to HIV/AIDS in order to: understand the vulnerability of female sex workers/poor women due to poverty and lack of educational resources; explore women's vulnerability in the context of client/partner violence, alcohol use, male partner's high-risk behaviors, and women's lack of control in their intimate relationships; and explore the role of traditional heterosexual gender norms in the outcomes of sexual negotiation. Ethnographic data were collected from 32 women and 38 men in India as part of an ongoing National Institute of Mental Health study. Results highlighted women's vulnerability to HIV/AIDS stemming from partner violence, alcohol use, poverty, dangers of sex work environments, and tacit acceptance of cultural/gender norms.     

Use of Brief Instructional Trials to Identify Small Group Reading Strategies: A Two Experiment Study

The Instructional Hierarchy (IH) has proven useful for understanding the functional properties of empirically valid instructional strategies. Investigators have relied heavily on the IH as a heuristic in conceptualizing instructional components used in brief experimental analyses. To date, only one investigation has applied brief experimental analysis results to small group reading interventions. The purpose of this paper is to describe two studies which used single session instructional trials to identify interventions that were subsequently applied to small group reading instruction. In both studies, individualized instructional trials that probed for skill and performance deficits were carried out and results suggested that all students benefited from the instructional intervention. Next, the intervention was implemented in a small group format. In Experiment 2, however, validation of the instructional package was carried out by the classroom teacher who delivered the instructional package to the small group. In both cases, extended experimental analyses suggested that the intervention was effective at improving all participants’ generalized reading fluency. Results of both studies are discussed in terms of how future studies can refine procedures for validating instructional and motivational components before classroom applications.     

Helping Callers to the National Suicide Prevention Lifeline Who Are at Imminent Risk of Suicide: The Importance of Active Engagement,Active Rescue,and Collaboration Between Crisis and Emergency Services

In 2012, the SAMHSA‐funded National Suicide Prevention Lifeline (Lifeline) completed implementation of the first national Policy for Helping Callers at Imminent Risk of Suicide across its network of crisis centers. The policy sought to: (1) provide a clear definition of imminent risk; (2) reflect the state of evidence, field experience, and promising practices related to reducing imminent risk through hotline interventions; and (3) provide a uniform policy and approach that could be applied across crisis center settings. The resulting policy established three essential principles: active engagement, active rescue, and collaboration between crisis and emergency services. A sample of the research and rationale that underpinned the development of this policy is provided here. In addition, policy implementation, challenges and successes, and implications for interventions to help Lifeline callers at imminent risk of suicide are detailed.