Mediation analysis of decisional balance,sun avoidance and sunscreen use in the precontemplation and preparation stages for sun protection

Objective: Mediation analyses of sun protection were conducted testing structural equation models using longitudinal data with three waves. An effect was said to be mediated if the standardised path between processes of change, decisional balance and sun protection outcomes was significant.

Design: Longitudinal models of sun protection using data from individuals in the precontemplation (N = 964) and preparation (N = 463) stages who participated of an expert system intervention.

Main outcome measures: Nine processes of change for sun protection, decisional balance constructs of sun protection (pros and cons), sun avoidance behaviour and sunscreen use.

Results: With the exception of two processes in the preparation stage, processes of change predicted the pros (r = .126–.614), and the pros predicted the outcomes (r = .181–.272). Three models with the cons as mediator in the preparation stage, and none in the precontemplation stage, showed a mediated relationship between processes and outcomes.

Conclusion: In general, mediation analyses found both the process of change-to-pros and pros-to-behaviour paths significant for both precontemplation and preparation stages, and for both sun avoidance and sunscreen use outcomes. Findings provide support for the importance of assessing the role of underlying risk cognitions in improving sun protection adherence.     

Randomized,placebo-controlled trial of cognitive-behavioral therapy alone or combined with sertraline in the treatment of pediatric obsessive–compulsive disorder

Background

To examine the efficacy of sequential sertraline and cognitive-behavioral therapy (CBT) treatment relative to CBT with pill placebo over 18 weeks in children and adolescents with obsessive–compulsive disorder (OCD).

Methods

Forty-seven children and adolescents with OCD (Range = 7–17 years) were randomized to 18-weeks of treatment in one of three arms: 1) sertraline at standard dosing + CBT (RegSert + CBT); 2) sertraline titrated slowly but achieving at least 8 weeks on the maximally tolerated daily dose + CBT (SloSert + CBT); or 3) pill placebo + CBT (PBO + CBT). Assessments were conducted at screening, baseline, weeks 1–9, 13, and 17, and post-treatment. Raters and clinicians were blinded to sertraline (but not CBT) randomization status. Primary outcomes included the Children's Yale-Brown Obsessive–Compulsive Scale, and response and remission status. Secondary outcomes included the Child Obsessive Compulsive Impact Scale–Parent/Child, Children's Depression Rating Scale-Revised, Multidimensional Anxiety Scale for Children, and Clinical-Global Impressions-Severity.

Results

All groups exhibited large within-group effects across outcomes. There was no group by time interaction across all outcomes suggesting that group changes over time were comparable.

Conclusions

Among youth with OCD, there was no evidence that sequentially provided sertraline with CBT differed from those receiving placebo with CBT.

ClinicalTrials.gov Identifier

NCT00382291.     

The Influence of Legitimacy Appraisals on the Determinants of Entitlement Beliefs

We conducted a laboratory experiment to determine whether legitimacy appraisals (i.e., the extent to which an outcome distribution is thought to be fair and just) would influence the extent to which entitlement beliefs about wages were based on in-group wage comparison information and perceptions of one's own performance. To manipulate legitimacy appraisals, participants were led to believe that the wage allocation procedure was unbiased, potentially biased, or biased. In addition, they were exposed to wage comparison information, indicating that in-group members had earned more than out-group members in the past or vice versa. Results show that, when procedures were thought to be unbiased, participants' beliefs about the amounts they deserved to be paid were influenced more by in-group wage comparison information than perceptions of their own performance. In contrast, when participants perceived allocation procedures to be biased, entitlement beliefs were influenced more by perceptions of their own performance than by in-group wage comparison information. These findings are presented in terms of the paradoxical contentment often observed among members of objectively disadvantaged groups.     

NEO PI-R Normative Personality Data That Distinguish U.S. Air Force Female Pilots

Female U.S. Air Force (USAF) pilots represent a unique group of women in a challenging, high-risk, and male-dominated profession. Aside from ability and motivation, personality characteristics are considered to play a key role in succeeding as a military pilot (Paullin, Katz, Bruskiewicz, Houston, & Damos, 2006 Paullin, C., Katz, L., Bruskeiwicz, K. T., Houston, J. and Damos, D. 2006. Review of aviator selection (Tech. Rep. No. 1183) Arlington, VA: United States Army Research Institute for the Behavioral Sciences.  [Google Scholar]). This study evaluated psychological baseline test scores from the NEO Personality Inventory–Revised (NEO PI-R) on the current inventory of rated USAF female (n = 512) and male (n = 9630) pilots in an effort to (a) provide modern normative data on the personality traits of current USAF female pilots, (b) identify personality traits that distinguish female pilots from male pilots and non-pilot females in the civilian normative sample, and (c) assess for meaningful personality differences within female pilots across specific airframes (e.g., fighter/bomber, reconnaissance/surveillance, tanker/transport, and helicopter). The results of the study aim to shed light on objective personality traits and differences and assist clinical psychologists with the interpretation of NEO PI-R psychological test scores when evaluating USAF female pilots. A case vignette is provided to illustrate practical application of study findings.     

The political pluralisation of American evangelicals: how old media built a movement,and why the Internet is poised to change it

Although religious movements are a powerful force in politics, there has been relatively little work that adequately analyses the relationship between communication technologies and Christian political mobilisation in the United States. In addressing this deficit, this article has three interrelated objectives. First, it traces the impact of media technology on the evangelical project, paying specific attention to radio and television, and argues that these two media have had a largely unifying influence. Second, it seeks a better understanding of the impact of the Internet upon evangelical organisations by reviewing relevant academic literature in the context of on-the-ground developments. In doing so, the authors argue that instead of working to facilitate greater unity among evangelicals, as radio and television did in the past, the Internet is instead fragmenting and polarising them. Third, and more speculatively, they discuss implications for a fragmented evangelical community, and call upon scholars to conduct more research into recent developments in communications technology as it relates to Christian political mobilisation in the United States. Combined, these goals work to illustrate the complex relationship between media, religious organisations, and mass political mobilisation.     

The Relationships Among Grief Experience,Problem-Solving Appraisal,and Depression: An Exploratory Study

Abstract

Research has consistently shown a relationship between problem-solving appraisal and depressive symptoms. This study expands that research by including grief symptomatology as a variable. A college student sample completed the Problem-Solving inventory, the Beck Depression Inventory, and the Revised Grief Experience Inventory. Consistent with hypotheses, those individuals who had experienced the death of a close loved one within the previous 5 years reported significantly higher levels of grief and depression than those who had not experienced such a loss. However, the group that had experienced the death of a close loved one did not report significantly worse problem-solving scores than the group that did not. This study also examined the relationships among problem-solving appraisal, depressive symptoms, and grief symptoms within the subsample that had experienced the loss of a close loved one within the previous 5 years. Consistent with predictions, grief symptoms were associated with depressive symptoms and self-appraised ineffective problem solving. The results of this study extend the research on grief and mourning. Also, the results expand our understanding of the grief process by providing preliminary evidence for the role of problem solving in this process     

The Greensboro Child Response Initiative: A Trauma-Informed,Mental Health–Law Enforcement Model for Children Exposed to Violence

This article evaluates a trauma-informed, mental health–law enforcement intervention model called the Greensboro Child Response Initiative (CRI). CRI is a community-coordinated response to mitigate the development of traumatic stress symptoms in children exposed to violence, with the goals of decreasing mental health symptoms and other negative outcomes. Results from a quasi-experimental study indicated that caregivers appreciate the quick follow-up and support by CRI advocates and police reported seeing CRI as a critical component of their responses to calls for service related to families and children. Police line-ups and training provided by CRI increased levels of empathy and awareness of child trauma. Monthly stakeholder meetings promoted an informed victim response and increased communication and networking opportunities among community providers and law enforcement. Results suggest that CRI is a promising community-based early intervention, and implications and suggestions are provided for replicability.