Guilty feelings, targeted actions

Early investigations of guilt cast it as an emotion that prompts broad reparative behaviors that help guilty individuals feel better about themselves or about their transgressions. The current investigation found support for a more recent representation of guilt as an emotion designed to identify and correct specific social offenses. Across five experiments, guilt influenced behavior in a targeted and strategic way. Guilt prompted participants to share resources more generously with others, but only did so when those others were persons whom the participant had wronged and only when those wronged individuals could notice the gesture. Rather than trigger broad reparative behaviors that remediate one's general reputation or self-perception, guilt triggers targeted behaviors intended to remediate specific social transgressions.     

Developing Culturally Responsive Evidence-Based Practice: A Game-Based Group Therapy Program for Child Sexual Abuse (CSA)

The American Psychological Association has called for the development and dissemination of evidence-based practices (EBPs) that are culturally responsive to ethnically and socioeconomically diverse groups. Delivering culturally responsive EBPs is essential for mental health practitioners working within racially, culturally, and ethnically diverse settings and across a variety of disorders. Child sexual abuse (CSA) affects people from diverse backgrounds and results in a myriad of difficulties impacting children and families. Therefore, effective treatment for CSA must take cultural factors into consideration. The authors describe the culturally congruent elements of a Game-Based Cognitive-Behavioral Group Therapy (GB-CBT) model for CSA, which was developed within a center serving predominantly urban, economically disadvantaged, African-American and Latino families. Lessons learned from families served through the GB-CBT program are incorporated and illustrate the ongoing and dynamic process of improving cultural competence in clinical practice. Cultural and socioeconomic considerations and obstacles to treatment are discussed along with strategies and recommendations for delivering EBPs for CSA in a culturally informed manner.     

Adolescents' knowledge and beliefs about pregnancy: the impact of "ENABL"

Finding effective ways to prevent adolescent pregnancy is a concern of public health officials, educators, social workers, parents, and legislators. Numerous programs exist, but there is debate as to whether it is the specific program itself or other factors that are responsible for participants' successful outcomes. Using a quasi-experimental design, this study sought to determine which factors predicted changes in knowledge and beliefs among middle school students (N = 1,450) after exposure to Postponing Sexual Involvement (PSI), the curricular component of Education Now and Babies Later (ENABL), a pregnancy prevention program. It was found that the single most important predictor of improvement in knowledge and beliefs about pregnancy prevention was PSI itself, not background variables. The findings contradict some of the previous studies on factors impacting teenage pregnancy and lend support for the continued examination of ENABL as a promising component of pregnancy prevention efforts.     

Spirituality, depression, and loneliness among Jewish seniors residing in New York City

This article reports the results of research that examined a randomized group of 118 Jewish seniors who were clients of one of three Jewish social service agencies in New York City. They were interviewed by four Clinical Pastoral Education residents at the Jewish Institute for Pastoral Care. During the interview, participants were asked to respond to the questions contained in the Brief Depression Scale, Version 3 of the UCLA Loneliness Scale, and the Index of Core Spiritual Experience--INSPIRIT. A statistically significant positive correlation was found between the depression and loneliness scores, r(116) = .56, p < .001. Spirituality was not correlated with either of these scales. Both depression and loneliness were significantly higher among women, among people who had physical impairments and those who had been victims of Nazi persecution. Depression and loneliness were inversely related to participants' ability to venture out of their house and to their relationship with their families. Having a sense of meaning or purpose in life was also inversely related to depression and loneliness. Spirituality tended to be higher among women, those participants, with more years of religious education, and those with physical impairments, but only the gender effect was statistically significant.     

Process Evaluation of a Faith-Based Multicomponent Behavioral Intervention to Reduce Stroke Risk in Mexican Americans in a Catholic Church Setting: The SHARE (Stroke Health and Risk Education) Project

Journal of Religion and Health - Church-based stroke prevention programs for Hispanics are underutilized. The Stroke Health and Risk Education (SHARE) project, a multicomponent cluster-randomized...     

Post-Exercise Affect: The Effect of Mode Preference

It has been suggested that the performance of preferred modes of exercise will serve to maximize the affective response to exercise. Support has come from work that has shown the effect of exercise on affect to be mediated by enjoyment. However, there is a need to compare modes of exercise that differ in preference and enjoyment, yet are similar in intensity, duration and muscle group. This experiment was designed to achieve this aim. Thirty-four college-aged women completed 20 minutes of exercise on high and low preference modes of continuous exercise. Intensity was maintained at 65–75% of HRR. Affect was measured by the PANAS, collected prior to and at 5, 20, and 40 min post exercise. Results provided partial support for the hypothesis as mode preference moderated the improvement in positive affect, with no effect on the reduction in negative affect. Interestingly, regardless of mode preference, enjoyment ratings were found to mediate the change in both positive and negative affect.     

Pathogen spectrum in bacterial meningitis in childhood and subsequent therapeutic strategy

In a total of 223 children over one month old suffering from purulent meningitis, there was a predominance (n = 96) of meningococci over hemophilus influenzae (n = 68) and pneumococci (n = 59). Crucial to therapeutic strategy for purulent meningitis is early diagnosis, in our laboratory covering both liquor and blood cultures. Initial therapy has to take account of these three chief causal agents. We have not as yet observed any resistance to penicillin from meningococci or pneumococci, and none of the liquor-cultivated hemophilus influenzae stock has been resistant to ampicillin. In the first two years of life, initial therapy for bacterial meningitis should include ampicillin, a liberal (300-400 mg/kg KM/d) dosage continuing to be important after the onset of improvement. In view of the lack of resistance of the causal agents cultivated, we had hitherto no cell to deploy modern cephalosporins in cases of bacterial meningitis in children.     

Hemispheric specialization for speech opposed,by contralateral noise

Twenty right-handed Ss listened to a dichotic tape in which one of six consonant-vowel syllables was paired with a burst of white noise on each trial. Eight blocks of 40 trials were presented, with the syllables within a block presented to, the same ear. On each trial, Ss decided if/ ba/ was presented. Mean RT to right-ear items was 440.0 msec, while mean left-ear RT was 453.6 msec. Responses indicating the presence of /ba/ were made significantly more quickly than responses indicating its absence, with no significant interaction of ear and type of decision. This study demonstrated a right-ear advantage in the perception of spoken syllables when noise is presented to the opposite ear. An interpretation of the RT differences between ears in terms of callosal transmission time is discussed, and implications of this study for the perceptual origins of the ear advantage effect are considered.     

Measuring Parental Treatment Adherence in a Multimodal Treatment Program for Children with ADHD: A Preliminary Investigation

This study evaluated the clinical significance of measuring between session parental adherence on child and parent outcomes for 51 children (age 4 to 8.5 years) with attention deficit/hyperactivity disorder (ADHD) in a multimodal group training program. Three group treatment conditions: (a) child-only treatment (C1), (c) child and parent training (C2), and (c) C2 + Parent Adherence Measure [PAM (C3)] were compared to assess the clinical significance of measuring parental adherence on child behavioral problems, socialization skills, and parental efficacy. Parents administered the PAM (C3) displayed, in general, better outcomes on child and parent measures than the other two conditions. Results suggest that a multimodal group training program for young children with ADHD is favorable to child group training only. This study offers preliminary support for the clinical utility of measuring parental adherence in a child ADHD multimodal group training program.