Psychotropic Medication Management Within Residential Treatment Centers: Physician Opinions About Difficulties and Barriers

Research has shown that between 40 and 98 % of youth entering residential treatment are taking at least one psychotropic medication and that psychotropic medication management is often an integral component of treatment in residential settings. To determine physician opinion about the difficulty of managing psychotropic medications for youth in residential treatment and to determine the resources that are used in the process, a survey study was conducted. Overall, physicians indicated that youth involved in residential settings were much more complex than those in traditional outpatient settings, due to multiple mental health diagnoses, polypharmacy, and unknown treatment histories. They also reported that many existing resources are not applicable to youth, particularly those in residential settings, and that they are difficult to read and interpret.     

Evaluation of Affect in Mexico and Spain: Psychometric Properties and Usefulness of an Abbreviated Version of the Day Reconstruction Method

The aims of the present study were to assess the psychometric properties of the Spanish-language version of the abbreviated Day Reconstruction Method (DRM), and to investigate differences in affective experience in Mexico and Spain. A total of 2,629 adults from Mexico and 4,583 from Spain were interviewed. Information was obtained using an abbreviated version of the DRM, which had been translated into Spanish. Reliability, validity, and the structure of affect were assessed and compared between countries. The diurnal variation of affect, the changes in affect along the life span, time use, and the relationship between affect and socio-demographic characteristics were also analysed. Adequate psychometric properties for the Spanish-language version of the abbreviated DRM were found in both the Mexican and the Spanish samples, and affect tended to improve along the life span in both countries. However, net affect did not have the same distribution function (Kolmogorov–Smirnov statistic = 0.25, p < 0.001) in both countries, being higher in Spain. Moreover, both samples showed opposite patterns in the diurnal variation of affect. The results showed that the Spanish-language version of the DRM is a feasible and valid method to measure affect, its diurnal rhythms, and time use in large-scale surveys.     

Presence of meaning and search for meaning as mediators between spirituality and psychological well-being in a South African sample

Spirituality and meaning in life are important pathways to well-being. Research has conceptually and empirically linked spirituality, religiousness and meaning in life. The present study was concerned with investigating presence of meaning (MLQ-P) and search for meaning (MLQ-S) as mediators between spirituality (religious and existential well-being) and hedonic and eudaimonic well-being. A multi-cultural sample of 326 South African students completed the Meaning in Life Questionnaire (MLQ), Spiritual Well-Being Scale (SWBS), Questionnaire for Eudaimonic Well-Being (QEWB) and the Mental Health Continuum Short-Form (MHC-SF). Structural equation modelling in Mplus was used to study direct and indirect effects. Findings show that the presence of meaning in life explains more paths between spirituality and psychological well-being than search for meaning. MLQ-P mediated the paths between existential well-being and four of the five indices of psychological well-being. MLQ-S did not mediate any path between spirituality (existential and religious well-being) and psychological well-being outcomes.     

Filial Piety,Generativity and Older Adults’ Wellbeing and Loneliness in Denmark and China

The article considers the potential of intergenerational encounters and family and social ties for alleviating loneliness and promoting older adults’ wellbeing. Loneliness has been widely recognized as one of the factors that are most deeply and pervasively detrimental to older adults’ wellbeing. We combine theoretical reflections with a comparative study of older adults in Denmark and China. Both countries have to deal with an aging population and growing number of cases of isolation and loneliness in an increasingly individualized society. They differ, however, with regard to how far they have developed a system of institutionalized care, as well as with regard to their culture-specific views of family life and parent-child relationships. We apply the notions of filial piety, known from Confucian philosophy but often misinterpreted as conservative and conformist, and generativity, to qualitative studies of older adults in Denmark and China. The great potential of intergenerational ties is confirmed. Our study also shows that filial piety is still highly valued, in both China and Denmark, and can be maintained even in a highly individualized society. There is, however, considerable uncertainty among both older adults and their younger relatives as to what is required and what can be expected; realism, and an emphasis on the quality, rather than the quantity of interaction, may be sensible coping strategies, but can also lead to unnecessary acquiescence and self-abnegation. Our study also serves to distinguish different aspects and effects on wellbeing of intergenerational relationships.

     

Estimation of the predictive power of the model in mixed‐effects meta‐regression: A simulation study

Several methods are available to estimate the total and residual amount of heterogeneity in meta‐analysis, leading to different alternatives when estimating the predictive power in mixed‐effects meta‐regression models using the formula proposed by Raudenbush (1994, 2009). In this paper, a simulation study was conducted to compare the performance of seven estimators of these parameters under various realistic scenarios in psychology and related fields. Our results suggest that the number of studies (k) exerts the most important influence on the accuracy of the results, and that precise estimates of the heterogeneity variances and the model predictive power can only be expected with at least 20 and 40 studies, respectively. Increases in the average within‐study sample size () also improved the results for all estimators. Some differences among the accuracy of the estimators were observed, especially under adverse (small k and ) conditions, while the results for the different methods tended to convergence for more optimal scenarios.     

The mark of adaptive memory in healthy and cognitively impaired older adults and elderly

The survival processing paradigm has recently drawn attention to the functional aspects of memory functioning. The survival effect, characterized by better memory performance when information is processed in a survival context, as compared with a variety of controls, is now well established in healthy populations. The main goal of this study was to test this paradigm in a group of cognitively impaired older adults and elderly; their data were compared to the data obtained in a group of healthy older adults and elderly. Seventeen cognitively impaired and 17 healthy participants performed a typical survival task using a blocked within‐subject design procedure and free recall as the memory test. The healthy older adults and elderly performed better on this memory task as well as on other tests included in a neuropsychological evaluation protocol. Importantly, both groups benefited from survival processing. These results provide further support for the power of survival processing, extending this phenomenon to cognitively impaired aging participants. The data also suggest that the survival effect is not simply a form of deep processing. Potential applied considerations are presented.