A stress and coping model of medication adherence and viral load in HIV-positive men and women on highly active antiretroviral therapy (HAART).

The authors tested a structural model that incorporated age, time since diagnosis, social support, coping, and negative mood as predictors of medication adherence and HIV viral load on 188 men and 134 women on highly active antiretroviral therapy (HAART). The authors used psychosocial latent factors formed from baseline measures to predict latent factors of adherence, as assessed by electronic monitoring and self-report, and viral load defined by indicators assessed over a 15-month period. Results from the model indicate that greater negative mood and lower social support are related to greater use of avoidance-oriented coping strategies. Use of these coping strategies by patients on HAART is related to poorer medication adherence and, subsequently, higher viral load. This model advances researchers' understanding of the contribution of psychosocial variables in predicting treatment adherence and disease progression in HIV-positive men and women.     

Dimensions of Perfectionism,Hopelessness, and Attempted Suicide in a Sample of Alcoholics

This study assessed whether specific dimensions of perfectionism and hopelessness were elevated in individuals who had made a serious suicide attempt in comparison to individuals with no history of suicide attempts. A sample of 39 inpatients with alcoholism who had made a serious suicide attempt and a matched sample of 39 inpatients with alcoholism but no history of suicide attempts completed the Multidimensional Perfectionism Scale, the Hopelessness Scale, ratings of achievement and social hopelessness, and the Beck Depression Inventory. The attempter group had higher scores on socially prescribed perfectionism, generalized hopelessness, achievement hopelessness, social hopelessness, and depression. A discriminant function analysis revealed that depression, social hopelessness, socially prescribed perfectionism, and other-oriented perfectionism were unique discriminators of the suicide groups. The results are discussed in terms of the importance of social personality variables in attempted suicide.     

Physical Activity and Social Cognitive Theory: A Test in a Population Sample of Adults with Type 1 or Type 2 Diabetes

The purpose of the study was to test the Social Cognitive Theory (SCT; Bandura, 2004 ) for explaining physical activity (PA) in a large population sample of adults with type 1 or type 2 diabetes. Study objectives: (1) test the fit of the SCT structure in the total sample, and the diabetes sub-types; (2) determine the SCT structural invariance between the type 1 and type 2 groups; and (3) report explained variance and compare strength of association for the SCT constructs in predicting PA for both type 1 and type 2 groups. In all, 2,311 individuals with type 1 or type 2 diabetes were assessed on their self-efficacy, outcome expectancies, impediments, social support, goals, and physical activity at baseline and 1,717 (74.5%) completed these assessments again at 6 months. Multi-group Structural Equation Modeling was conducted. The findings provide evidence for the utility of the SCT in the diabetes samples. The SCT fits individuals with type 1 and type 2 diabetes except for SCT impediments, which appear to be obstructing goal-setting in individuals with type 2 diabetes only. Promotion of health behavior should target self-efficacy to set goals and change behavior. Outcome expectancies and social support are also important factors for setting goals and behavior performance.     

The Contribution of Group Supervision Processes to the Formation of Professional Identity among Novice Psychotherapists

ABSTRACT

Group supervision is a commonly employed method in graduate psychology training. The present study examines the role of group processes in the formation of professional identity among 129 Israeli graduate students following the conclusion of their supervision process. The following three identity statuses were identified: achievement, diffusion, and moratorium. Working alliance and group engagement were significantly higher for achievement students and differentiated between achievement and moratorium students. Cohesion was significantly lower for moratorium students than for students at each of the other two identity statuses. All differences were maintained when controlling for anxiety. Finally, working alliance was found to be the dominant process in predicting committed professional identity status. The findings stress the links between group processes in group supervision and a committed professional identity.