Changing behaviors: Using norms to promote physical activity for type 2 diabetes patients

IntroductionGiven that diabetes is a major public heath issue around the world, it is vital that we find effective means to change behaviors, especially levels of physical activity among type 2 diabetes patients.ObjectiveThis study aims to provide proof of the effectiveness of programs promoting physical activity, based on cognitive dissonance and normative focus theories which are designed to produce behavioral changes in persons with type 2 diabetes.MethodNinety-six type 2 diabetes patients were assigned to one of three programs: a traditional information program, a norm-based program, and a dissonance-based program. The participants filled out a short French version of the International Physical Activity Questionnaire (IPAQ) one week before and one week after the program.ResultsThe results showed that the participants in the norm-based program made progress compared to those in the traditional information program. No significant difference was observed between the traditional information program and dissonance-based program.ConclusionsThese findings are consistent with both the focus normative theory and previous studies showing that recalling the norm increases compliance. The procedure to be used in diabetes prevention programs should focus on the normative dimensions of the desired behaviors in order to improve patients’ quality of life.     

Measuring and Reducing Religious Bias in Post‐Conflict Zones: Evidence from Côte d'Ivoire

This article explores how religious bias, once it has been cultivated through politicization and violence, can be reduced. Using foundations from social identity theory and superordinate goal theory, I develop post‐conflict bias reduction strategies that include competing types of superordinate messages, economic and theological, as well as different sources of those messages. To test these strategies, I use video‐based information treatments coupled with Implicit Association Tests in Bouaké, Côte d'Ivoire. The experimental findings point to three conclusions. First, implicit Muslim‐Christian bias in the study area remains high. Second, Christians in the study tend to be more biased against Muslims than Muslims are against Christians. Third, the effectiveness of treatments depends on the subjects who receive those treatments: theological messages are most effective in reducing bias among Muslims, regardless of their source, and strategies that rely on political leaders to deliver messages perform best among Christians, regardless of the content.     

The end of mental illness thinking?

Mental health theory and practice are in a state of significant flux. This theoretical article places the position taken by the British Psychological Society Division of Clinical Psychology (DCP) in the context of current practice and seeks to critically examine some of the key factors that are driving these transformations. The impetus for a complete overhaul of existing thinking comes from the manifestly poor performance of mental health services in which those with serious mental health problems have reduced life expectancy. It advocates using the advances in our understanding of the psychological, social and physical mechanisms that underpin psychological wellbeing and mental distress, and rejecting the disease model of mental distress as part of an outdated paradigm. Innovative research in genetics, neuroscience, psychological and social theory provide the platform for changing the way we conceptualise, formulate and respond to psychological distress at both community and individual levels.     

Psychological and socio-demographic variables associated with sexual risk behavior for sexually transmitted infections/HIV

New diagnoses of sexually transmitted infections (STIs) and HIV are rising in the adult population. The main objective of this study was to analyze whether knowledge of STIs/HIV, worry about STIs/HIV and pregnancy, and self-efficacy to refuse sex are predictors of sexual risk behaviors among Spanish young and adults. The study sample was composed of 1,106 young and adults of both sexes aged between 17 and 55 years. Results showed that being single, homosexual, having been tested for HIV, having previously contracted an STI, having a college education and earning a monthly income of €900 or more were the characteristics associated with higher scores in knowledge of STIs/HIV. Self-efficacy to refuse sex predicted most vaginal and anal sexual behaviors (i.e., age at vaginal and anal sex initiation and the number of couples that have remained vaginal sex). We also found that participants with greater knowledge of STIs/HIV reported older age at vaginal sex initiation and higher condom use in the first vaginal sexual contact. We consider that these findings can be useful for the development of STI/HIV prevention programs.     

Moderating role of family and friends’ factors between disocial behavior and consumption in adolescents

This study analyzes the relation between dissocial behaviors and substances consumption in adolescents, and tests the moderating role of social risk factors from family and peers in this relation. 1,239 adolescents of Secondary school, 612 boys and 627 girls, from 11-18 (M = 14.39; SD = 1.43) from state and private schools completed an adapted questionnaire from the State survey on risk activities for health in adolescents (ESTUDES) and the FRIDA questionnaire about social risk factors. We found that disocial behaviors and consumption are common and are closely related. MHMR analysis confirm the moderate role of two risk family factors (indifference family reaction against drugs consumption and a permissive and tolerant parental educative style) besides tolerant attitude towards consumption on friends and easily access to drugs. That moderation is higher for girls than for boys. The results of this work highlight the influence of family and friends’ factors between dissocial behaviors and drug consumption and contribute to the knowledge of an operational model for the development of preventing programs.     

Relationships between personality traits and positive/negative sexual cognitions

In this study we examined the relationship between gender, age, religion, neuroticism, extraversion, openness to experience, and obsessiveness on one side and the frequency and content of sexual cognitions experienced as being positive/pleasant or negative/unpleasant on the other. The sample was made up of 1,500 individuals (42.8% men and 57.2% women) aged between 18 and 72 years. Results indicated that all the socio-demographic variables as well as the traits neuroticism, openness to experience, and obsessiveness were important in the prediction of the overall frequency of positive sexual cognitions. Age and neuroticism, openness to experience, and obsessiveness were found to be significant in the prediction of the overall frequency of negative sexual cognitions. When considering the content of sexual cognitions (i.e., intimate, exploratory, sadomasochistic, and impersonal), all the socio-demographic variables and the trait openness to experience were found to be significantly related to all types of positive sexual cognitions. Neither socio-demographic variables nor personality traits were significantly associated with the content of negative sexual cognitions. Overall, this study highlights the weakness of the predictive value of personality traits on sexual cognitions, especially those experienced as being negative. We discuss the usefulness of classic personality traits in predicting sexual aspects.     

Emotional intelligence and depressed mood in adolescence: A multilevel approach

The aim of the study was to analyze the relationship between individual emotional intelligence, group emotional intelligence and depressed mood in adolescence from a multilevel approach. The study sample comprised 2,182 adolescents (1,127 female and 1,055 male) aged between 12 and 18 years (M = 14.51, SD = 1.55). They attended 14 secondary schools in the Basque Country (northern Spain) and were grouped into 118 different classes. A two-level model (students nested in classes) with three predictor variables of level 1 (attention, clarity and repair of emotions) and one predictor variable of level 2 (class emotional intelligence) was used to examine their influence on depressed mood. The results indicated that clarity and the ability to regulate emotions at the individual level and emotional intelligence at the class level are important for explaining depressed mood. In this way, the study provides an integrative approach to research on the psychosocial well-being of adolescents that takes into account emotional variables located at different levels.     

Validating the Beck Depression Inventory-II in Indonesia's general population and coronary heart disease patients

This study assesses the validity and determines the cut-off point for the Beck Depression Inventory-II (the BDI-II) among Indonesians. The Indonesian version of the BDI-II (the Indo BDI-II) was administered to 720 healthy individuals from the general population, 215 Coronary Heart Disease (CHD) patients, and 102 depressed patients. Confirmatory factor analysis indicated factorial similarity across the three samples. Significant correlations between the Indo BDI-II and other self-report measures related to depression demonstrated construct validity of the Indo BDI-II. Furthermore, there was a highly significant difference in the Indo BDI-II scores between depressed patients and non-depressed participants. Internal consistency and re-test reliability of the Indo BDI-II were acceptable. The receiver operating characteristic (ROC) curve indicated that the cut-off point of the Indo BDI-II for a mild severity of depression in Indonesian population should be 17. We conclude that the Indo BDI-II is a valid measure of depression, both in the Indonesian general population and in CHD patients.     

Problematic eating behaviors and nutritional status in 7 to 12 year-old Chilean children

Overweight and obesity are medical conditions that require a multidisciplinary analysis of their causes and treatment. In Chile a sustained increase in the presence of obesity and excess weight has been observed in children. However, the amount and the dynamics of the aforementioned problematic eating behaviours in Chilean children are unknown. The aim of this study was to assess the relationship between restrained, external, and emotional eating, and variations in body mass index (BMI) in Chilean children. Consequently, 453 children from 7 to 12 years of age responded to the Children's Dutch Eating Behaviour Questionnaire, Spanish version. In addition, their anthropometric data were obtained. A positive association was found between restrained eating and BMI, and a negative correlation between external eating and BMI. Emotional eating demonstrated a modest inverse relationship with BMI. A significant interaction between problematic behaviour and nutritional status (normal-weight, overweight, obese) was revealed. Restrained eating was characteristic of obese children whereas external eating of normal-weight children. These results suggest that problematic eating behaviours and their relationship with body weight are similar to those described in studies in Europe.     

The lure technique: Generalization and moderating effects

IntroductionThe lure technique, first studied by Joule, Gouilloux and Weber (1989), involves three stages: (1) an individual is led to make a rewarding decision to realize a given behavior; (2) he is informed of the impossibility of realizing this behavior; (3) we propose making a new less rewarding decision based on another behavior (target-request).ObjectiveFive experiments are presented in this paper that tested the effect of the delay between the two requests, whether the same experimenter or a further made the second request and whether the two requests concerned or not the same specific goal.Method and resultsIn the experiments, the rewarding decision deals with participating in a paid and interesting research project (viewing a video before answering a questionnaire) and the target-request concerns participating in an unpaid and more tedious research project (copying symbols). As expected, the participants subjected to the lure technique were significantly more numerous to accept the target-request than the participants in the control group. This effect was obtained independently of the sex of the experimenter and the participants (Experiment 1), whether the same experimenter successively makes the first and second request or the two requests are made by two different experimenters (Experiment 2). It was also obtained when the initial request and the target-request do not concern the same specific goal (Experiment 3), but it is no longer obtained when a delay separates the target-request from the announcement of the impossibility of carrying out the first decision (Experiments 4 and 5).ConclusionThe discomfort aroused by the fact of not being able to carry out the first request and pressure to reduce such discomfort was used to explain the lure technique effect.