Utility of the Millon Behavioral Medicine Diagnostic (MBMD) to predict adherence to highly active antiretroviral therapy (HAART) medication regimens among HIV-positive men and women

Psychosocial and behavioral factors may be strong predictors of adherence to medications in a wide variety of diseases. Newly emerging antiretroviral medications for HIV have been shown to be effective but require near perfect adherence to offer clinically significant benefits. There is currently great interest in deriving patient factors that may predict optimal medication adherence in HIV-positive persons. In this study, we examined the association of psychosocial and behavioral characteristics using the Millon Behavioral Medicine Diagnostic (MBMD; Millon, Antoni, Millon, Meagher, & Grossman, 2001) and adherence to highly active antiretroviral therapy (HAART) among 117 HIV-positive individuals on HAART regimens. Specific indexes of the MBMD were associated with HAART adherence as assessed through patient interview, at baseline assessment, and at 3-month follow-up at a point after which participants had received medication adherence training. As hypothesized, the Medication Abuse scale of the MBMD was uniquely associated with overall adherence at baseline assessment and also predictive of adherence at 3-month follow-up. Additional MBMD scales were also related to overall adherence as well as specific adherence behaviors such as missed doses, following specific instructions, and overmedicating, although the Medication Abuse scale emerged as the most consistent predictor of adherence in the study. These results suggest that the MBMD can be used to predict adherence to HAART medication in a sample of HIV-positive men and women and may subsequently be used to identify those in need of adherence counseling at the point when medications are initiated.     

Comparing mathematics interventions: Does initial level of fluency predict intervention effectiveness?

A paucity of research has directly compared empirically supported interventions to examine their effectiveness among students with different mathematics fluency skills. The purpose of this study was to compare the effects of two empirically supported interventions and a control condition on the mathematics fluency of 98 second and third grade students. Specifically, effects of explicit timing and cover-copy-compare on subtraction fluency were examined each session, which occurred twice weekly for a total of six weeks. HLM was used to examine progress during the intervention sessions and determine the effect of initial fluency level on intervention effectiveness. Results suggested students' initial level of fluency impacted intervention effectiveness. That is, for students whose fluency levels fell within the frustrational range CCC and control conditions resulted in the best performance over time but for children whose fluency was in the instructional range explicit timing was the most effective treatment.     

Familiar other-race faces show normal holistic processing and are robust to perceptual stress

Other-race individuals are remembered more poorly and receive less holistic/configural processing than same-race individuals, at least when faces are novel. Here, we examine the amelioration of these effects with familiarity, using distinctiveness-matched Caucasian and Asian stimulus sets. We confirmed a cross-race deficit for upright faces following a single encoding trial, which disappeared rapidly with practice on a small set of other-race 'friends' and did not re-emerge when perceptual processing was put under stress (presentation in the periphery). We also examined holistic/configural processing for familiarised faces using the peripheral inversion effect (McKone, 2004 Journal of Experimental Psychology: Learning, Memory, and Cognition 30 181 - 197). A test for faces and nonface objects (dogs) confirmed the validity of this technique as providing a direct measure of holistic processing; we then showed that, after 1 h of training, holistic processing was as strong for other-race as same-race faces. We conclude that practice with other-race individuals can rapidly engage normal face-processing mechanisms.     

Interethnic Differences (or Similarities?) in the Relative Individuation of Women and Men

What roles do ethnicity, gender, and attitudes play in determining whether a person will be perceived as a unique individual versus a homogenized group member? Attitudes toward women’s roles have been found to predict Whites’ relative individuation of women and men; however, African Americans were found to individuate women and men equally, regardless of attitude (Stewart et al. 2000). Using a name–trait matching paradigm, the present research found that when targets were identified as African American, African American participants’ (18 male and 35 female college students) attitudes toward women’s roles predicted their individuation of men and women. These results suggest that an ethnic out-group homogeneity effect, rather than gender-egalitarian attitudes, contributed to the previous finding of equivalent individuation.     

Athletic Participation, Fraternity Membership, and Sexual Aggression Among College Men: A Meta-analytic Review

A meta-analysis of the data relating either college athletic participation or fraternity membership to attitudes and behaviors associated with sexual aggression was conducted with 29 studies which yielded 57 effect sizes. Membership in each male group was associated to a moderate extent with rape-supportive attitudes, and to a smaller extent with self-report of sexually aggressive behavior. There was much variability in the data that could be partially predicted by variables such as the size of the college, the validity of the study, and the age of the research participants. The involvement of these all-male groups in the perpetuation of hypermasculine attitudes (Mosher and Sirkin 1984) in a patriarchal culture was discussed.     

Utah youth suicide study: barriers to mental health treatment for adolescents

Forty-nine suicide cases were drawn from an original sample of 151 consecutive youth suicide deaths. We used information from 270 interviews with parents and other survivors to evaluate mental health treatment sought for and by the decedent and barriers to mental health treatment. Participants reported the same primary barriers for the decedent: belief that nothing could help, seeking help is a sign of weakness or failure, reluctance to admit to having mental health problems, denial of problems, and too embarrassed to seek help. It is suggested that the stigma of mental illness is a considerable barrier to mental health treatment.     

Gender, Internalization of Expressive Traits, and Expectations of Parenting

This study examined parental role salience, expectations and intentions, and the extent to which the internalization of gender associated traits may be related to these parenting variables within emerging adults. Childless undergraduates at a western Canadian university (N?=?236; 119 women) completed a self-report questionnaire. As predicted, role salience and expectations were positively correlated with intentions. Internalization of expressive/feminine traits, but not instrumental/masculine traits, was positively correlated with all three parenting variables, although gender moderated this relation. While femininity was unrelated to the expectations of women, men possessing more expressive traits held more positive views than their less expressive male counterparts. The implications of these findings are discussed in terms of the parental roles anticipated by young women and men.     

An Examination of Post-Traumatic Stress Symptoms and Aggression among Children with a History of Adverse Childhood Experiences

Childhood aggression is associated with many deleterious outcomes and is a common reason for psychiatric referral (Card & Little, 2006; Gurnani et al., 2016). One factor associated with childhood aggression is Adverse Childhood Experiences (ACEs; Felitti et al., 1998). However, existing research remains equivocal on which characteristics of ACEs (e.g., cumulative impact, typology, etc.) are significantly elated to aggression, especially when considering differential effects of ACEs on proactive aggression (PA) and reactive aggression (RA; Dodge & Coie, 1987). Post-traumatic stress symptoms (PTSS) are a common negative sequalae of ACEs and are characterized by disruptions in several cognitive, emotional, and behavioral processes similar to those associated with both RA and PA (e.g., Marsee, 2008). As such, the examination of PTSS as an underlying mechanism of influence on the relation between ACEs, PA, and RA is warranted. The present study fills several gaps in the literature by examining ACE characteristics that might be related to PTSS, PA, and RA while also examining direct and indirect effects on the relation between ACEs, PTSS and PA and RA. Results indicated the type of ACE, specifically child maltreatment ACEs (CM-ACEs), was most strongly related to all outcome variables. Therefore, CM-ACEs were included in a path analysis with PTSS, PA, and RA. Results indicated a significant indirect effect for PTSS on the relation between CM-ACEs and RA (β?=?.18, p?<?.01) but not PA. Findings have several implications for future research and clinical practice, especially for children with an extensive history of CM-ACEs.

     

Cool and hot executive function as predictors of aggression in early childhood: Differentiating between the function and form of aggression

Executive function (EF) has been implicated in childhood aggression. Understanding of the role of EF in aggression has been hindered, however, by the lack of research taking into account the function and form of aggression and the almost exclusive focus on cool EF. This study examined the role of cool and hot EF in teacher reported aggression, differentiating between reactive and proactive as well as physical and relational aggression. Children (N = 106) completed laboratory tasks measuring cool (inhibition, planning, working memory) and hot EF (affective decision‐making, delay of gratification). Cool, but not hot, EF significantly contributed to understanding of childhood aggression. Inhibition was a central predictor of childhood aggression. Planning and working memory, in contrast, were significant independent predictors of proactive relational aggression only. Added to this, prosocial behaviour moderated the relationship between working memory and reactive relational aggression. This study therefore suggests that cool EF, particularly inhibition, is associated with childhood aggression across the different functions and forms.