Psychosocial Considerations in Sickle Cell Disease (SCD): The Transition from Adolescence to Young Adulthood

Sickle cell disease (SCD) occurs in 1 of every 400 to 500 African American births. Despite its prevalence, there has been a relative dearth of attention paid to SCD in the psychological literature. African American SCD adolescents and young adults, individuals at an already vulnerable developmental stage, are at increased risk for psychological distress and psychosocial impairments (e.g., depression and low self-esteem, poor social and academic/vocational functioning). Such difficulties often result in problematic adherence to medical regimens, and thus represent a potentially serious clinical and public health problem that merits the attention of psychologists working in medical settings. This article (1) reviews the psychosocial needs peculiar to SCD patients transitioning from adolescence to young adulthood; (2) applies a culturally informed stress-coping-adjustment framework to assess and address the psychological status, psychosocial functioning, and disease outcomes of these individuals; and (3) describes a culturally and developmentally sensitive, psychoeducational group intervention.     

Evaluation of social competence training in the schools

A social competence program for high risk children is described and evaluated in this paper. Advanced undergraduates majoring in psychology used interpersonal problem-solving techniques to work with 32 maladapting first through third graders who were seen on a small group basis. The intervention program was conducted for 14 weeks. Compared to a control group of 32 children, results indicated that children in the program made siginficantly greater gains in classroom adjustment as rated by teachers. Additionally, socimetric status served as a criterion for evaluating program effectiveness. Results demonstrated that children who participated in the social competence training made significantly greater gains in peer acceptance as measured by a brief sociometric questionnaire than the controls. The implications of these findings and the methodological limitations of the study are discussed.     

Challenges and Potential Solutions to Implementing Phone Coaching in Dialectical Behavior Therapy

Dialectical Behavioral Therapy (DBT) is an effective treatment for borderline personality disorder (BPD), yet many health care facilities struggle to implement one of the modes of DBT, phone coaching. The aims of this study were to present barriers and reported solutions regarding the implementation of DBT phone coaching. We conducted a sequential mixed methods national program evaluation that included a quantitative self-report survey completed by Department of Veterans Affairs (VA) facilities (N = 59) offering any of the four modes of DBT. Subsequent qualitative interviews using a semistructured interview guide informed by the Promoting Action on Research Implementation in Health Services (PARIHS) were completed with DBT providers and administrators from a subset (n = 16) of these VA sites. Four themes—the lack of tools and policies, compensation for phone coaching, clinician willingness to conduct phone coaching, and consistent program and leadership support—were identified and illustrated in a case study. This study also offered concrete recommendations for those health care organizations, managers, administrators, and clinicians who may be interested in implementing phone coaching at their health care facilities.     

Analyzing student motivation at the confluence of achievement goals and their underlying reasons: an investigation of goal complexes

This research investigated the interrelations among achievement goals and the underlying reasons for pursuing them. To do so, it utilized the framework of goal complexes, which are regulatory constructs defined at the intersection of aims and reasons. Data from two independent large samples of New Zealand university students showed that across types of reasons, namely development versus demonstration of competence/ability, and approach-avoidance tendencies pertaining to aims and reasons, respectively, participants rated lowest items mapping normative aims. Additionally, for most non-normative achievement goals, which in this study were related to task and own past performance, students endorsed more strongly items pertaining to the development rather than the demonstration of competence/ability. This pattern of results was reversed for approach—but not avoidance—related reasons associated with normative aims. These findings are largely consistent with the tenets of cognitive dissonance theory and have important implications for pedagogical practice, policy development, and the study of self-evaluation and cognitive processes. In addition, they delineate new directions for fruitful future research.     

Men Should Be Competent,Women Should Have it All: Multiple Criteria in the Evaluation of Female Job Candidates

Sex Roles - The present research investigated whether evaluations of female and male job candidates rely on different dimensions. Going beyond previous studies on the role of gender stereotypes, we...     

Women's Spiritualities: Resource for Mission

What are the distinguishing features of women's spiritualities, what informs women's spiritualities and practice? This paper attends to the transformative elements that women's spiritualities potentially offer to the task of mission. Mary and her song in Luke 1 are explored in order to plumb something of the depth of the spirituality of Mary and her song and Mary in her role as woman, as co‐worker with God to redeem and transform the world.     

Growing up Faster, Feeling Older: Hardship in Childhood and Adolescence

We examine whether hardship while growing up shapes subjective age identity, as well as three types of experiences through which it may occur. Drawing on data from the National Longitudinal Study of Adolescent Health, we find that hardship in several domains during childhood and adolescence is associated with feeling relatively older and self-identifying as an adult in the late teens and twenties. Specifically, young people who as adolescents felt unsafe in their schools or neighborhoods, witnessed or were victims of violence, had fewer economic resources in the household, and lived in certain family structures, reported older subjective ages (by one or both measures). We find no evidence that hardship's association with subjective age is mediated by work responsibilities in adolescence or by anticipating a very curtailed life span, but entering adult roles earlier mediates or partially mediates many of these relationships.     

Enhanced cognitive activity--over and above social or physical activity--is required to protect Alzheimer's mice against cognitive impairment, reduce Abeta deposition, and increase synaptic immunoreactivity

Although social, physical, and cognitive activities have each been suggested to reduce the risk of Alzheimer's disease (AD), epidemiologic studies cannot determine which activity or combination of activities is most important. To address this question, mutant APP transgenic AD mice were reared long-term in one of four housing conditions (impoverished, social, social+physical, or complete enrichment) from 1(1/2) through 9 months of age. Thus, a stepwise layering of social, physical, and enhanced cognitive activity was created. Behavioral evaluation in a full battery of sensorimotor, anxiety, and cognitive tasks was carried out during the final 5 weeks of housing. Only AD mice raised in complete enrichment (i.e., enhanced cognitive activity) showed: (1) protection against cognitive impairment, (2) decreased brain beta-amyloid deposition, and (3) increased hippocampal synaptic immunoreactivity. The protection provided by enhanced cognitive activity spanned multiple cognitive domains (working memory, reference learning, and recognition/identification). Cognitive and neurohistologic benefits of complete enrichment occurred without any changes in blood cytokine or corticosterone levels, suggesting that enrichment-dependent mechanisms do not involve changes in the inflammatory response or stress levels, respectively. These results indicate that the enhanced cognitive activity of complete enrichment is required for cognitive and neurologic benefit to AD mice-physical and/or social activity are insufficient. Thus, our data suggest that humans who emphasize a high lifelong level of cognitive activity (over and above social and physical activities) will attain the maximal environmental protection against AD.     

The Unmet Information and Support Needs of Women with a Family History of Breast Cancer: A Descriptive Survey

This study aims to survey the unmet support needs of women at increased risk of developing breast cancer. In total, 173 unaffected women with a family history of breast cancer completed a 28-item purposely-designed mailed survey. The majority of participants did not report a high level of unmet need for support. Receiving further information about cancer genetics was the most commonly reported area of unmet need. Only about 20% of participants reported a moderate to high degree of interest in attending a hypothetical support group. However, a higher degree of interest was expressed in internet-based information and supportive interventions. Amongst those interested in attending a support group, discussion, and receiving further information were the most preferred activities. Higher levels of unmet support needs were significantly associated with interest in attending groups. No demographic variables were found to predict interest in attending a support group. Implications for those considering establishing support groups are discussed.