Culture at the Heart of Coping with HIV/AIDS

This study explored the manner in which a South African informal community coped with living with HIV/AIDS by relying on existing assets and local resources. A case study research design applying participatory reflection and action principles was used. Focus group/workshop sessions were conducted with ten selected female educators from the community. In addition, individual interviews with stakeholders and other members of the community (n=31, males=6, females=25) were also carried out. Supplemental data collection methods included observation, visual techniques, field notes and a reflective journal. The study found that community members coped with HIV/AIDS by relying on culture and family, faith in God, religiosity and prayer. Inner strength, hope, optimism and expectancy appeared to be key resources for informal settlement residents.     

Regulatory Focus and Subjective Well-Being: The Mediating Role of Coping Styles and the Moderating Role of Gender

Abstract

Although previous research has suggested that regulatory focus may exert considerable impacts on individuals’ subjective well-being (SWB), little research has explored the mechanism for this relation and the potential gender difference. The current study investigated the potential mediating effects of coping styles on the relationship between regulatory focus and three aspects of SWB (indicated by life satisfaction, positive affect, and negative affect) among Chinese adolescents. Total of 2943 Chinese adolescents participated in this cross-sectional survey and completed self-reported questionnaires (M_age = 14.47, SD?=?1.59, 44.50% boys). Hypothesized pathways were tested by structural equation models. Results showed that regulatory foci were significantly associated with SWB. Promotion focus predicted SWB mainly through problem-focused coping, and the mediating effects of emotion-focused coping were also observed; Prevention focus predicted SWB mainly through emotion-focused coping, and the mediating effects of problem-focused coping were observed. Furthermore, relative to boys, the prediction of problem-focused coping on life satisfaction was stronger and the prediction of promotion focus on life satisfaction was weaker for girls. These findings provide a new approach to understand the mechanism for the relationship between regulatory foci and SWB, and indicate the gender differences of this process.     

The Accuracy of Human Decisions and Objective Measurements in Psychophysiological Detection of Knowledge

I examined the relative detection efficiency of three measurements—skin resistance response (SRR) amplitude, respiration line length (RLL), and human respiration response evaluation (RRE)—in a guilty knowledge experiment. Thirty-two subjects were presented with lists of personal information in which only one of five items was correct. Subjects were instructed to try to avoid detection of the relevant items in the polygraph test. All three measurements discriminated better than chance between relevant and neutral items, with the objectively measured SRR and RLL superior to the subjective RRE. When SRR and RLL were compared for their relative efficiency, the former yielded better detection. The differentiation was even better with a measure that combined the SRR and the RLL. The results are discussed with respect to previous findings and practical implications.     

Internet-Based Therapy for Mild to Moderate Depression in Swedish Primary Care: Short Term Results from the PRIM-NET Randomized Controlled Trial

Depression presents a serious condition for the individual and a major challenge to health care and society. Internet-based cognitive behavior therapy (ICBT) is a treatment option supported in several trials, but there is as yet a lack of effective studies of ICBT in “real world” primary care settings. We examined whether ICBT differed from treatment-as-usual (TAU) in reducing depressive symptoms after 3 months. TAU comprised of visits to general practitioner, registered nurse, antidepressant drugs, waiting list for, or psychotherapy, or combinations of these alternatives. Patients, aged ≥ 18 years, who tentatively met criteria for mild to moderate depression at 16 primary care centers in the south-western region of Sweden were recruited and then assessed in a diagnostic interview. A total of 90 patients were randomized to either TAU or ICBT. The ICBT treatment included interactive elements online, a workbook, a CD with mindfulness and acceptance exercises, and minimal therapist contact. The treatment period lasted for 12 weeks after which both groups were assessed. The main outcome measure was Beck Depression Inventory-II (BDI-II). Additional measures were Montgomery Åsberg Depression Rating Scale – self rating version (MADRS-S) and Beck Anxiety Inventory (BAI). The analyses revealed no significant difference between the two groups at post treatment, neither on BDI-II, MADRS-S, nor BAI. Twenty patients (56%) in the ICBT treatment completed all seven modules. Our findings suggest that ICBT may be successfully delivered in primary care and that the effectiveness, after 3 months, is at par with TAU.     

Coping with loneliness in childhood

The aim of this study was to examine coping with loneliness during early, middle, and late childhood, which is a highly neglected research issue. Children's perceptions of coping with loneliness and coping with real loneliness experiences in the past were investigated. Interviews were conducted with 180 second, fourth, and sixth graders from Athens, Greece. Qualitative analyses of children's responses were done on the basis of a recent conceptualization of coping with stress in childhood and adolescence (Skinner & Zimmer-Gembeck, 2007 Skinner, E. A. and Zimmer-Gembeck, M. J. 2007. The development of coping. Annual Review of Psychology, 58: 119–144. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]), which was supported by the data. Statistically significant age and gender differences were found. Results are discussed from the viewpoint of the two literatures—coping and loneliness—that this study attempted to bring together, and suggestions for future research are made.     

Coping with transphobia in employment: Strategies used by transgender and gender-diverse people in the United States

Background: Transgender and gender-diverse (TGD) individuals face stigma in the general public and in the workplace. Research has suggested that TGD individuals may demonstrate unique coping strategies in the workplace in order to manage transphobia in that setting; however, further research is needed to identify the specific strategies that transgender individuals use to deal with transphobia at work.

Method: The present qualitative study utilized the grounded theory methodology to identify the specific coping strategies utilized to deal with transphobia at work. Participants included 45 TGD participants from the northeastern United States.

Results: The results of the study include the identification of eight coping-strategy themes including gender-presentation strategies, gender detachment, relationship navigating, resource utilization, job-performance strategies, maladaptive coping strategies, structural strategies, and power-acquisition strategies.

Conclusions: Implications of the present study suggest the resilience and diverse coping strategies that mental health providers can help TGD workers draw from in dealing with transphobia at work. In addition, there is a need for greater remediation and prevention of employment-related transphobia, including leadership within employment settings, greater legal protections, and enforcement of these laws in the United States.     

Transdiagnostic group CBT for anxiety disorders: the unified protocol in mental health services

Comorbidity among the anxiety disorders is common and may negatively impact treatment outcome. Potentially, transdiagnostic cognitive-behavioral treatments (CBT) deal more effectively with comorbidity than standard CBT. The present study tested the effectiveness of The Unified Protocol (UP) applied to Mental Health Services. Pre-post-treatment effects were examined for psychiatric outpatients with anxiety disorders receiving UP treatment in groups. Forty-seven patients (mean-age = 34.1 (SD = 9.92), 77% females) with a principal diagnosis of anxiety were included. We found significant and clinically meaningful changes in the primary outcomes Clinical Global Impression Severity Scale (CGI-S; d = 1.36), Hamilton Anxiety Scale (HARS; d = .71), and WHO-5 Well-being Index (WHO-5; d = .54). Also, comorbid depressive symptoms and levels of positive and negative affect changed significantly after treatment. Patients with high levels of comorbidity profited as much as patients with less comorbidity; however, these patients had higher scores after treatment due to higher symptom burden at onset. Patients with comorbid depression profited more from treatment than patients without comorbid depression. The treatment effects found in the present study correspond to treatment effects of other TCBT studies, other UP group studies, and effectiveness studies on standard CBT for outpatients. The results indicate that the UP can be successfully applied to a MHS group setting, demonstrating positive effects on anxiety and depressive symptoms for even highly comorbid cases.     

Caution! Warnings as a Useless Countermeasure to Reduce Overconfidence? An Experimental Evaluation in Light of Enhanced and Dynamic Warning Designs

People often display excessive overconfidence when providing interval estimates, which biases decision‐making. Research has investigated the various measures to effectively reduce overconfidence, and the use of warnings has subsequently been considered to have a negligible reduction effect. We demonstrate with two separate experiments that the impact of warnings has to be reviewed in light of dynamic warning designs and cognitive warning process models. In experiment 1, in contrast to previous studies that only used unstructured warnings, we implement a warning incorporating some core elements of a structured warning design based on research in the fields of human factors and ergonomics. Furthermore, accounting for recent developments in the warning literature, we distinguish between static and dynamic warning design. In experiment 2, we examine the effectiveness of different elements of dynamic warnings. We show that a significantly higher reduction of overconfidence can be achieved by combining a structured warning content with a dynamic stimulus change to increase the warning's noticeability. Copyright © 2016 John Wiley & Sons, Ltd.     

The role of formal information sharing in key account team effectiveness: does informal control matter and when

Team selling is a useful approach for retaining strategically important accounts in business-to-business markets. For key account sales teams, ensuring adequate access to information about customer needs offers sustainable competitive advantages. However, the internal alignment of market information remains a recurring managerial issue in key account team selling. This study develops a moderated mediation model to identify management strategies that encourage team members' formal information sharing, which in turn improves team effectiveness. Analysis of a multilevel data set comprising 37 fluid key account teams reveals that customer orientation and task interdependence increase formal information sharing among team members. Managers' exercise of professional control strengthens the positive impact that formal information sharing has on team satisfaction. However, the practice has a dysfunctional influence on the positive effect of task interdependence on formal information sharing. Firms with key account management (KAM) programs must decide whether the marginal benefits attained by advocating such professional control outweigh the possible drawbacks.