Feasibility of a Telephone Intervention for HIV Patients and Their Informal Caregivers

Objectives: To assess the feasibility of a telephone intervention for HIV-positive patients and their caregivers. Methods: HIV-positive participants, some co-enrolled with their informal caregiver, enrolled in this randomized study. Intervention-arm participants (124 patients and 76 caregivers; dyads assigned to same arm) received up to 12 scheduled calls from an interventionist over 6 months. Results: An average of 7.6 (SD = 3.0) calls to each participant was completed; 66.5% received at least 6 calls; 43.0% received more than 75% of the intervention (defined as ‘study adherent’). Having a higher T-cell count was associated with call adherence (p = .014); cocaine use was associated with reduced call adherence for both patients (p = .019) and caregivers (p = .083). Common telephone themes included problems with mood, relationships, finances, housing, and work; interventions (e.g., referral for mental health care) were initiated in response to these. Participant satisfaction was high, and many reported benefits from the intervention. Conclusions: Using a telephone intervention with HIV-positive patients and their caregivers is a feasible and potentially beneficial intervention.     

A developmental perspective on bullying

In this paper, we examined the forms and relationship contexts of bullying in adolescence. Using cross‐sectional data, we assessed grade and sex differences in self‐reports of bullying and sexually harassing peers, as well as reports of dating aggression from1896 students from early to late adolescence. Reports of bullying others were highest around the school transition, with lowest levels at the end of high school. Boys reported more bullying and sexual harassment than girls. Sexual harassment of same‐ and opposite‐sex peers increased over the early adolescent years and leveled off in later high‐school years. There were no sex differences in the prevalence of indirect or physical aggression with a dating partner. Adolescents who bullied were at increased risk for the other forms of relationship aggression. These data highlight bullying as a relationship problem and point to the need for prevention programs to curtail the use of power and aggression in adolescent relationships. Aggr. Behav. 32:376–384, 2006. © 2006 Wiley‐Liss, Inc.     

Parents and carers of young people with mental ill-health: What factors mediate the effect of burden on stress?

A substantial body of research has reported negative outcomes due to caregiving, however, little is known about how caring for a young person with mental ill-health impacts on parents and carers. This study aims to examine whether, like carers of older people, they experience elevated levels of caregiver burden and stress. It expands on earlier studies by examining potential mediators of burden and stress, with a specific focus on how activity restriction affects this association. There were 226 Australian parents and carers of young people (12–25 years) experiencing mental ill-health who voluntarily completed a self-report questionnaire reflecting how their young person’s ill-health had affected them over the past month. Hierarchical regression and multiple mediation analyses were conducted to examine the relationship between caregiver burden and stress, and whether adaptive coping, self-efficacy and activity restriction mediated this relationship. Caregiver burden and stress were strongly related, and both activity restriction and self-efficacy mediated their association, with activity restriction having the stronger effect. Strategies aimed at increasing awareness of the impact of activity restriction and encouraging parents and carers to find ways to maintain essential activity may reduce stress, improving mental health and well-being in parents and carers.     

What’s in a Purse? Maybe a Woman’s Reputation

Does a woman’s reputation suffer when others discover condoms in her possession? Fifty-two male and female predominantly white undergraduates from a small, private, Catholic university in the northeast USA examined the contents of a purse to formulate an impression of its owner. Unflattering inferences were drawn about the character of the target when her purse contained condoms. A follow-up study with 55 comparable participants confirmed that these inferences were indeed uncomplimentary. The results are discussed in terms of the multi-dimensional price women pay when assuming responsibility for their sexual health.     

Do difficulties with emotions inhibit help-seeking in adolescence? The role of age and emotional competence in predicting help-seeking intentions

We examined whether adolescents who are poor at identifying, describing, and managing their emotions (emotional competence) have lower intentions to seek help for their personal-emotional problems and suicidal ideation, as observed in adult studies. We also examined whether age moderated the relationship between competence and help-seeking. Two hundred and seventeen adolescents completed measures of emotional competence, help-seeking, hopelessness, and social support. Results indicated that adolescents who were low in emotional competence had the lowest intentions to seek help from informal sources (i.e., family and friends) and from some formal sources (e.g., mental health professionals), and the highest intentions to seek help from no-one. There was one important age-related qualification: difficulty in identifying and describing emotions was associated with higher help-seeking intentions amongst young adolescents but lower intentions among older adolescents. Social support, hopelessness, and sex could not entirely explain these relationships. Thus, even those who had high quality social support had less intention to use it if they were low in emotional competence.     

Best friends forever?: High school best friendships and the transition to college

The transition from high school to college is an important phase for adolescents in social as well as academic aspects. This study examined the changes that occur in high school best friendships during the first year of college. Results revealed that during the first year in college high school best friendships declined in satisfaction, commitment, rewards, and investments. During this period there was also an increase in costs and alternatives to best friend relationships. Proximity did not influence the friendships; however, level of communication did moderate friendship deterioration. Furthermore, individuals who continued their best friendship reported engaging in more maintenance behaviors of positivity, supportiveness, self‐disclosure, and interaction than individuals who reported a change in the relationship to close or casual friendship. Maintaining the best friendship also appeared to buffer adolescents from social loneliness. The results are discussed in terms of the implications of transitions on adolescent friendships.     

Physical health and social network characteristics as determinants of mental health across cultures

This study examines cross-cultural differences in the etiology of depression and anxiety, two common indicators of mental health problems. Using an ethnically diverse sample of 162 college students, we found that chronic physical symptoms and social network characteristics, particularly network quality, were predictive of both depression and anxiety, yet their effects were mediated by ethnicity. Multiple regression analyses showed that social network quality, compared to physical health, was a much stronger predictor of mental health in Caucasian students, whereas among students of Asian/Pacific descent, physical health was a much stronger predictor of mental health than the social network characteristics. The observed differences were particularly strong for anxiety, which was not significantly associated with physical health in Caucasian students or social network size and quality in the Asian/Pacific group. Theoretical and clinical implications of the results are discussed.     

Physical health and social network characteristics as determinants of mental health across cultures

This study examines cross-cultural differences in the etiology of depression and anxiety, two common indicators of mental health problems. Using an ethnically diverse sample of 162 college students, we found that chronic physical symptoms and social network characteristics, particularly network quality, were predictive of both depression and anxiety, yet their effects were mediated by ethnicity. Multiple regression analyses showed that social network quality, compared to physical health, was a much stronger predictor of mental health in Caucasian students, whereas among students of Asian/Pacific descent, physical health was a much stronger predictor of mental health than the social network characteristics. The observed differences were particularly strong for anxiety, which was not significantly associated with physical health in Caucasian students or social network size and quality in the Asian/Pacific group. Theoretical and clinical implications of the results are discussed.     

Race,Class, and Gender: A Constellation of Positionalities With Implications for Counseling

Race, class, and gender are social, political, economic, and cultural constructs that describe the positionalities of people. How these constructs are defined depends on the status occupied by individuals and the individual, institutional, and societal status of the individuals who have the power to construct hierarchies. The authors examine the intersection of race, class, and gender and the dimensions of oppression and discrimination in counseling. Historical and contemporary dimensions of racism, misogyny, and classism are presented. La Raza, clase social, y el género son construcciones sociales, políticas, económicas, y culturales que describen las posicionalidades de la gente. La definición de éstas construcciones depende de la posición social ocupada por los individuos e instituciones que tienen el poder de construir estas jerarquías. Los autores examinan el cruce de la raza, la clase, y el género y las dimensiones de la opresión y la discriminación en la consejería. Las dimensiones históricas y contemporáneas del racismo, la misoginia, y el clasismo se presentan.     

The Association between Positive Parenting and Externalizing Behavior

The present study examined the role of positive parenting on externalizing behaviors in a longitudinal, genetically informative sample. It often is assumed that positive parenting prevents behavior problems in children via an environmentally mediated process. Alternatively, the association may be due to either an evocative gene-environment correlation, in which parents react to children's genetically-influenced behavior in a positive way, or a passive gene-environment correlation, where parents passively transmit a risk environment and the genetic risk factor for the behavioral outcome to their children. The present study estimated the contribution of these processes in the association between positive parenting and children's externalizing behavior. Positive parenting was assessed via observations at ages 7, 9, 14, 24, and 36 months and externalizing behaviors were assessed through parent report at ages 4, 5, 7, 9, 10, 11, and 12 years. The significant association between positive parenting and externalizing behavior was negative, with children of mothers who showed significantly more positive parenting during toddlerhood having lower levels of externalizing behavior in childhood; however, there was not adequate power to distinguish whether this covariation was due to genetic, shared environmental, or nonshared environmental influences.