Recruiting and Assessing Recent Young Adult Latina Immigrants in Health Disparities Research

The authors interviewed 4 researchers to identify facilitators in recruiting and assessing Latina immigrants. The 4 researchers recruited 530 recent Latina immigrants (ages 18–23 years) for a study of social and cultural determinants of health. Consensual qualitative research methods revealed that respondent‐driven sampling was an effective recruitment method. Fear of deportation was a barrier. Stigma about sensitive topics (e.g., sex, drug use) did not affect participation. Findings can help counselors conduct health disparities research. Los autores entrevistaron a 4 investigadores para identificar facilitadores para el reclutamiento y evaluación de inmigrantes latinas. Los 4 investigadores reclutaron a 530 mujeres latinas que habían inmigrado recientemente (edades entre 18 y 23 años) para un estudio de los factores sociales y culturales determinantes de la salud. Los métodos de investigación cuantitativa consensuados revelaron que el muestreo dirigido por las encuestadas fue un método efectivo de reclutamiento. El miedo a la deportación fue un obstáculo. El estigma asociado a temas delicados (p. ej., el sexo, el uso de drogas) no afectó a la participación. Los hallazgos pueden ayudar a los consejeros a realizar estudios sobre disparidades en la salud.     

Gendered Patterns of Interaction: A Foucauldian Discourse Analysis of Couple Therapy

In recent years, there has been a rapid increase in attention to gender and gender-based inequalities in family therapy. Despite this, there is a dearth of empirical work that examines how gendered inequalities intersecting with other axes of privilege/oppression are maintained within families, including in the therapeutic context. In this study, we used Foucauldian discourse analysis to examine how gendered power is produced and reproduced circularly or through recurrent patterns of interaction in couple therapy. We identified gendered discourses and assumptions informing partners’ constructions of their gendered selves and relationships. We highlight the complexity and intersectionality of gendered subjectivities and relations in contemporary Canadian couples involved in heterosexual relationships. Although women in this study contest their oppression and exhibit agency to negotiate who they are in general and in relation to men, they simultaneously continue to occupy subordinate positions in a gender order that is culturally and interactionally allocated to them. We discuss implications for family therapy practice.     

Intentional control of visual processing benefits from referential objects

Arguments have been made that enhanced visual processing occurs in the area of the palms of the hands due to greater density of bimodal neurons. An alternative is that the hands serve as reference objects relative to which attentional resources are allocated. Two experiments were conducted to determine whether the palms are unique in speeding responses in an Eriksen flanker-type task compared with other parts of the hands and objects used as barriers. In Experiment 1, the hands were crossed and positioned so that the palms faced outward toward letters located in the outer positions. Trial blocks differed in whether the centrally located letter or outer letters were designated as the target for responding. Results yielded reductions in flanker interference much as obtained when the palms face inward. This reduction occurred regardless of whether the center or outer positions of the letters were designated as the target. Experiment 2 replicated these results using as reference objects wooden blocks that mimicked the hands' physical contours, positioned with a curve-edge facing outwards. The results lend support to the referential coding account of the reduction of flanker interference.     

Understanding time use,stress and recovery practices among early career physicians: an exploratory study

Early career physicians (ECPs) work an average of 80 h per week, and at times may approach 24 continuous hours working. These hours, combined with a stressful work environment, and an inability to physically and psychologically detach from work make ECPs likely to experience burnout and other negative health-related consequences. This study provides insight into the stress and recovery challenges faced by ECPs in a typical hospital environment. Rich qualitative and quantitative data were gathered from participants regarding daily time usage, and recovery practices and needs. ECPs report longer working hours, less leisure time and shorter amounts of sleep than average working adults. ECPs do not participate in many resource-replenishing activities while at work, and when out of work, they tend to participate in more passive than active forms of recovery. Resource-draining activities were identified as requiring much of ECP’s nonwork time, further limiting recovery. The prevention of burnout and other negative health consequences among ECPs requires the building of a workplace and educational culture that supports regular resource replenishment. This includes the need for a curriculum of medical education that teaches ECPs to identify the signs of stress and recovery needs, and how to effectively address these needs.     

Household hunger,standard of living and satisfaction with life in Alice,South Africa

The objective of this study was to investigate the relationships between household hunger, standard of living and satisfaction with life in a rural South African setting. Respondents were 442 randomly selected community dwellers from Alice, in the Eastern Cape (Xhosa speaking = 89.32%, females = 67%; age range 40–49 years). Multiple regression analysis was utilised to predict satisfaction with life from household hunger and standard of living. Low levels of household hunger, and low to moderate living standards predicted satisfaction with life. Resource support interventions with vulnerable communities should focus on poverty alleviation measures aimed at improving subjective satisfaction levels.     

Examining the Panic Attack Specifier in Social Anxiety Disorder

Panic attacks (PAs) are characterized by overwhelming surges of fear and discomfort and are one of the most frequently occurring symptoms in psychiatric populations. The most recent version of the Diagnostic and Statistical Manual of Mental Disorders (i.e. DSM-5) allows for a panic attack (PA) specifier for all disorders, including social anxiety disorder (SAD). However, there is little research examining differences between individuals diagnosed with SAD with the PA specifier versus individuals diagnosed with SAD without the PA specifier. The current study examined social anxiety, mood, anxiety, and anxiety sensitivity social concerns, a risk factor for social anxiety in SAD-diagnosed individuals without (N = 52) and with (N = 14) the PA specifier. The groups differed only in somatic symptoms of anxiety. Result of the current study provides preliminary evidence that the presence of the PA specifier in social anxiety does not result in elevated levels of comorbidity or a more severe presentation of social anxiety.     

Volunteerism in a Community‐Based Sample of Women Aged 50 to 80 Years1

This paper has 2 purposes: (a) to present the differences in demographic and health characteristics of older women volunteers and nonvolunteers in a community‐based sample; (b) to identify the motivations of current and past volunteers, as contrasted with those who have never volunteered. A population‐based survey was conducted with a sample of 1,104 women aged 50 to 80 years in the state of Washington. Nonvolunteers were less likely to be married and were slightly less likely to be White than were current or past volunteers. Demographic variables (e. g., age) and health status predicted level of reported motivation for volunteering. These data provide us with population‐based estimates of volunteering and motivations for older women.     

Correlates of Depressive Disorders in the Quebec General Population 6 to 14 Years of Age

There are relatively few community-based epidemiological studies in which correlates of depressive disorders were identified through multivariate analyses in children and adolescents aged 6--14 years. Moreover, several family characteristics (e.g., parent-child relationship) have never been explored in this regard. The purpose of this study was twofold. Using data from the Quebec Child Mental Health Survey, it sought: (1) to identify psychosocial correlates associated with depressive disorder in two age-groups (6--11 and 12-14 years) according to informant (child/adolescent, parent); and (2) to interpret the relative importance of correlates by ranking variables according to strength and consistency of association across age-groups. Logistic regression models show correlates to be inconsistent across informants. The ranking of correlates indicates a major contribution of only-child status/ordinal position, parent's major depressive disorder, stressful family events, and parent-child relationship, thereby supporting the hypothesis of the relevance of family context in the development of depression.     

Reproducibility of distance and direction errors associated with forward, backward, and sideway walking in the context of blind navigation

The ability to navigate without vision towards a previously seen target has been extensively studied, but its reliability over time has yet to be established. Our aims were to determine distance and direction errors made during blind navigation across four different directions involving three different gait patterns (stepping forward, stepping sideway, and stepping backward), and to establish the test-retest reproducibility of these errors. Twenty young healthy adults participated in two testing sessions separated by 7 days. They were shown targets located, respectively, 8 m ahead, 8 m behind, and 8 m to their right and left. With vision occluded by opaque goggles, they walked forward (target ahead), backward (target behind), and sideway (right and left targets) until they perceived to be on the target. Subjects were not provided with feedback about their performance. Walked distance, angular deviation, and body rotation were measured. The mean estimated distance error was similar across the four walking directions and ranged from 16 to 80 cm with respect to the 8 m target. In contrast, direction errors were significantly larger during sideway navigation (walking in the frontal plane: leftward, 10 degrees +/- 15 degrees deviation; rightward, 18 degrees +/- 13 degrees) than during forward and backward navigation (walking in the sagittal plane). In general, distance and direction errors were only moderately reproducible between the two sessions [intraclass correlation coefficients (ICCs) ranging from 0.682 to 0.705]. Among the four directions, rightward navigation showed the best reproducibility with ICCs ranging from 0.607 to 0.726, and backward navigation had the worst reliability with ICCs ranging from 0.094 to 0.554. These findings indicate that errors associated with blind navigation across different walking directions and involving different gait patterns are only moderately to poorly reproducible on repeated testing, especially for walking backward. The biomechanical constraints and increased cognitive loading imposed by changing the walking pattern to backward stepping may underlie the poor performance in this direction.