Conflict of interest in medical research in Estonia

An area where conflicts of interest can take place in Estonia is in the conduct of clinical trials. The paper lists the main areas where such conflicts of interest can occur. The author also briefly discusses Estonia’s current position with regard to regulating genetic information and the commencement of the Estonian Genome Project. An earlier version of this paper was presented at an International Conference on “Conflict of Interest and its Significance in Science and Medicine” held in Warsaw, Poland on 5–6 April, 2002.     

LGBT Community, Social Network Characteristics, and Smoking Behaviors in Young Sexual Minority Women

Smoking rates among young sexual minority women (YSMW) are disproportionately high as compared to heterosexual populations. While this disparity has commonly been attributed to the sexual minority stress process, little empirical work has explored what may protect YSMW from high rates of smoking. Using data (N = 471) from a cross-sectional study designed to investigate YSMW’s (age 18–24) smoking behaviors and correlates; we explore the relationship of LGBT community connections, YSMW’s social network characteristics, and stress to smoking behaviors (i.e., status, frequency, amount). Through this analysis, we find support for LGBT community connection as well as friendships with other sexual minorities as protective in relation to YSMW’s smoking behaviors. We discuss the implications of our results, highlighting the need for future longitudinal research and interventions designed to bolster YSMW’s connections to the LGBT community and their social networks.     

Positive expectancies and perceived impaired control mediate the influence of reward drive and rash impulsiveness on alcohol use

Recent factor analytic studies indicate that the broad trait of impulsivity comprises at least two distinct dimensions with regard to substance use. Thus, a two-factor model of impulsivity, comprising reward drive (i.e., sensitivity to rewarding stimuli) and rash impulsiveness (i.e., rash behaviour devoid of forethought), has been proposed. It is argued that distinct cognitive processes may mediate the association of these impulsivity factors with alcohol use. Specifically, it was hypothesised that drinking expectancies would mediate the association between reward drive and alcohol use, and that perceived impaired control would mediate the effect of rash impulsiveness on alcohol. Utilising established scales, 132 participants aged 18 to 70 years were surveyed in order to assess the capacity of the two-factor model to differentially predict alcohol use through distinct cognitive mediators. The hypotheses were supported, providing support for a two-factor approach. Thus, reward drive and rash impulsiveness appear to influence alcohol use through distinct cognitive processes.     

Time perspective as a predictor of problematic Internet use: A study of Facebook users

Time perspective (TP) has been related to different problematic human behaviors. The work presented in this paper assesses the role of time perspective in predicting problematic Internet use (PIU) by studying a sample (n = 149) of Facebook users. Participants (79 male, 70 female, mean age = 32.40, SD = 11.80) completed electronic versions of the Zimbardo Time Perspective Inventory (ZTPI) to assess their TP, and the Generalized Problematic Internet Use Scale 2 (GPIUS2) to assess their PIU. Results show that Past Negative and Present Fatalistic temporal frames are predictors of problematic Internet use, suggesting that time perspective is an individual difference construct that should be taken into consideration in the context of PIU.     

Factors of Cognitive Complaints in Adults With HIV: A Structural Equation Model Analysis

The objective of this study was to use structural equation modeling (SEM) to examine the relationships between factors of cognitive complaints in 427 adults with HIV receiving care from an AIDS service organization (ASO) in Alabama. A face-to-face interview assessed cognitive complaints, mood, self-perceived health status, and substance use. Direct and indirect paths were specified between years with HIV (chronicity) age, education, stress, self-perceived health status, substance use, and cognitive complaints. The final model fit the data well (GFI = .95; AGFI = .92), revealing that age, education, substance use, self-perceived health status, and stress contributed directly or indirectly to cognitive complaints. Chronicity was only related to age, suggesting that duration of HIV may be of limited value in predicting cognitive complaints. These results demonstrate the complexity between the factors that influence cognitive complaints and offer possible solutions that health professionals can use to mitigate cognitive complaints in this population.     

Women–Focused Treatment Agencies and Process Improvement: Strategies to Increase Client Engagement

Behavioral health treatment agencies often struggle to keep clients engaged in treatment. Women clients often have additional factors such as family responsibilities, financial difficulties, or abuse histories that provide extra challenges to remaining in care. As part of a national initiative, four women-focused drug treatment agencies used process improvement to address treatment engagement. Interviews and focus groups with staff assessed the nature and extent of interventions. Women-focused drug treatment agencies selected relational-based interventions to engage clients in treatment and improved four-week treatment retention from 66% to 76%. Process improvement interventions in women-focused treatment may be useful to improve engagement.     

Tool-use and the left hemisphere: What is lost in ideomotor apraxia?

Impaired tool related action in ideomotor apraxia is normally ascribed to loss of sensorimotor memories for habitual actions (engrams), but this account has not been tested against a hypothesis of a general deficit in representation of hand-object spatial relationships. Rapid reaching for familiar tools was compared with reaching for abstract objects in apraxic patients (N = 9) and in a control group with right hemisphere posterior stroke. The apraxic patients alone showed an impairment in rotating the wrist to correctly grasp an inverted tool but not when inverting the hand to avoid a barrier and grasp an abstract object, and the severity of the impairment in tool reaching correlated with pantomime of tool-use. A second experiment with two apraxic patients tested whether barrier avoidance was simply less spatially demanding than reaching for a tool. However, the patient with damage limited to the inferior parietal lobe still showed a selective problem for tools. These results demonstrate that some apraxic patients are selectively impaired in their interaction with familiar tools, and this cannot be explained by the demands of the task on postural or spatial representation. However, traditional engram theory cannot account for associated problems with imitation of novel actions nor the absence of any correlated deficit in recognition of the methods of grasp of common tools. A revised theory is presented which follows the dorsal and ventral streams model ( Milner & Goodale, 2008) and proposes preservation of motor control by the dorsal stream but impaired modulating input to it from the conceptual systems of the left temporal lobe.     

2008 Revision of the Chinese Code of Ethical Use of Psychological Tests and Its Implementation Status

In response to the rapidly increasing application and abuse of psychological tests in China, the Psychometrics Division of the Chinese Psychological Society published the 2008 revisions of the Chinese Code of Ethical Use of Psychological Tests. We investigated the implementation status of the code 2½ years after its promulgation. Sample included 284 psychological professionals and psychology graduate students. The average accuracy rate for the appropriate use of psychological tests was 67.1% (range = 25.5–97.5%), with 10 items having accuracy rates below 45%. Participants remained uncertain about the clients' rights to information about the purpose, psychometric properties, and scores of the tests. The most frequent violations involved “using psychological tests without psychometric information for entertainment purposes” and “using SCL-90 to measure mental health of normal people.”     

Victim-Defendants in Mandated Treatment: An Ethical Quandary

Battered women are being arrested and convicted of domestic violence-related crimes in higher numbers than ever before. In addition, battered women are being sentenced to treatment as primary perpetrators even though their aggression was in response to the violence perpetrated against them. Many service providers are presently ill-equipped to offer treatment and/or other services that will effectively serve these women in a manner that will truly reduce violence and is not re-victimizing. This article will present key issues surrounding the problem, and provide suggestions for effective advocacy and intervention approaches.     

Parental Bonding and Its Effect on Adolescent Substance Use and Sexual Debut

The purpose of this study was to examine associations among parental bonding factors and the early onset of sexual behaviors and substance use. Significant differences were found in the levels of care among the parental status groups and among the ages of onset for alcohol use.