Is it acceptable for a physician to break confidentiality in the case of sexually transmitted diseases? A mapping of young Kuwaiti's views

IntroductionConfidentiality is essential for the establishment of trust between physicians and their patients.ObjectivesThe circumstances under which it is acceptable to young Kuwaiti for a physician to break confidentiality to protect the spouse of a patient with a sexually transmitted disease (STD) were examined.MethodA sample of 263 young Kuwaiti indicated the acceptability of breaking confidentiality in 48 scenarios that were all possible combinations of five factors: disease severity, time taken by the physician to discuss with the patient, the patient's intent to inform the spouse about the disease, the patient's intent to adopt protective behaviors, and the decision to seek the advice of an expert in infectious diseases before breaking confidentiality.ResultsThrough cluster analysis, four qualitatively different positions were found: Quite never acceptable (6% of the sample, mostly males), Depends on husband's willingness to inform (3%), Depends on husband's protective behavior (29%, mostly females), and Quite always acceptable (32%). The remaining participants did not express any clear view.ConclusionIn Kuwait, students’ trust in the medical profession is, therefore, not likely to be seriously undermined if, from time to time, and in well-specified cases, individual physicians decide to break confidentiality when facing dilemmas of the kind examined in the current study.     

社会评价影响错误后调整效应

现有研究主要采用结果评价或结果反馈的方式考察评价对错误后调整效应的影响,但是任务前的社会评价怎样影响错误后调整效应尚不清楚。本研究采用社会评价任务,以错误后反应时和错误后正确率为指标,在两个实验中考察正性和负性评价对错误后调整效应的影响。结果发现,实验1和实验2中正性和负性评价条件下错误后减慢效应差异均不显著,说明正性和负性评价对错误后调整的作用是一致的,且不受实验任务的影响。在实验1中通过和无评价条件比较发现,评价条件下的正确后反应显著慢于无评价条件,但是评价条件下的错误后反应与无评价条件无差异,说明社会评价加速了个体错误后调整。而且在实验2中发现高低自我效能组个体错误后调整效应差异不显著,说明当前结果不受个体自我效能感的影响。因此,当前研究说明任务前的社会评价促进了个体错误后行为调整,但是错误后调整效应不受社会评价效价的影响。     

Comparison of Maternal Perceptions of Preterm and Fullterm Infants

We compared maternal attitudes and feelings in two groups of mother–infant dyads: 25 mothers with preterm newborns (M=30.9 weeks of gestational age) and 25 mothers with fullterm newborns (M=39.7 weeks of gestational age). Both groups were matched for infant sex, age (corrected in preterms) and birth order as well as for maternal age and education. Semi-structured interviews were used to collect data on maternal attitudes and feelings about pregnancy and the first contacts with the newborn. Mothers completed rating scales to indicate the specific behavioural problems they perceived in their infants at 6 weeks and 3 months of (corrected) age. Observations of infant responses to visual and/or auditory stimuli were made at 6 weeks and 3 months in a laboratory setting. At 3 months, each infant was administered the Bayley Scale of Mental Development. There were no differences in maternal attitudes and feelings between the two groups of mothers prior to the birth. However, significant differences appeared after birth and indicated increased anxiety in mothers of preterm infants. Significantly more 6-week-old preterm infants were perceived by their mothers as irritable and to cry more than fullterm infants. At the age of 3 months, both groups of infants differed only in terms of irritability. Differences between the two groups of mother–infant dyads, age-related changes in these differences and relationships between maternal evaluations and the laboratory-based assessments are discussed in the context of contrasts in the stability of behavioural regulation in preterm and fullterm infants.     

Parents’ postnatal depressive symptoms and their children's academic attainment at 16 years: Pathways of risk transmission

The aim of the study was to examine whether parents’ increased postnatal depressive symptoms predicted children's academic attainment over time and whether the parent–child relationship, children's prior academic attainment, and mental health mediated this association. We conducted secondary analyses on the Avon Longitudinal Study of Parents and Children data (12,607 mothers, 9,456 fathers). Each parent completed the Edinburgh-Postnatal Depression Scale at 8 weeks after the child's birth (predictor) and a questionnaire about the mother–child and father–child relationship at 7 years and 1 month (mediator). The children's mental health problems were assessed with the teacher version of the Strengths and Difficulties Questionnaire at 10–11 years (mediator). We used data on the children's academic attainment on UK Key Stage 1 (5–7 years; mediator) and Key Stage 4 (General Certificate of Secondary Education 16 years) (outcome). We adjusted for the parents’ education, and child gender and cognitive ability. The results revealed that parents’ depressive symptoms at 8 weeks predicted lower academic performance in children at 16 years. Mothers’ postnatal depressive symptoms had an indirect effect through children's mental health problems on academic outcomes at 16 years via negative mother–child relationship, and prior academic attainment. There was a significant negative indirect effect of fathers’ postnatal depressive symptoms on academic attainment at 16 years via negative father–child relationship on child mental health. The findings suggest that the family environment (parental mental health and parent–child relationship) and children's mental health should be potential targets for support programmes for children of depressed parents.     

A bias of self-reports among repressors: Examining the evidence for the validity of self-relevant and health-relevant personal reports

Studies have shown that repressors tend to respond to self-report tools in a positive fashion which distorts the findings of studies based on questionnaires. The present study aimed to examine the way repressors respond to “Self-relevant” scales (which assess variables related to adaptive self-function) in comparison to “Health-relevant” scales (which assess physical and psychological health). Iranian university students (N = 271) responded to the Weinberger Adjustment Inventory (to differentiate between repressors and self-assured individuals), Mindful Attention and Awareness Scale, Self-control Scale, Integrative Self-knowledge Scale and Self-compassion Scale (to measure self-relevant variables), Bartone Symptoms checklist and the Depression and Anxiety Subscales of Depression, Anxiety and Stress Subscale (DASS-21) (to measure health-relevant variables). Based on responses to the Weinberger Adjustment Inventory, 101 participants fell into two groups, including repressors and self-assured individuals, and their data were further analysed. Multivariate analysis of variance showed no difference in repressors' scores in health-relevant scales compared to the self-assured group (healthy individuals), but they reported higher scores in adaptive self-relevant scales compared to the self-assured individuals. This study provides new evidence that compared to self-assured individuals, repressors differ in the way they respond to self-relevant versus health-relevant scales.     

Aggressive Behavior and Peer Social Status of Elementary School Children

The relation between aggression and peer social status was investigated in a group of 238 third-through fifth-grade children. Peer social status refers to the degree to which a child is accepted by his or her peer group. By asking children to nominate peers they “like most” and “like least,” one can identify children who are popular, rejected, neglected, or viewed as average within their peer group. Results indicated low to moderate correlations between peer-nominated aggression and global indices of social acceptance. More specifically, it was found that aggressive children largely comprised the rejected and average social status groups, but not the popular or neglected groups. Furthermore, analyses indicated that according to both peers and teachers, aggressive/rejected children showed academic and social-skill deficits, whereas aggressive children of average peer status exhibited adequate adjustment similar to that of nonaggressive/average-status children. These results suggest the importance of considering peer social status when identifying aggressive children in need of intervention and in determining which skill deficits to address. In addition, knowledge of an aggressive child's peer status might be useful in enhancing the predictability of adult adjustment.     

Early childhood mental health consultation: Care providers’ experiences of the consultative relationship

This article presents findings from a qualitative research study exploring child care teachers’ experiences receiving early childhood mental health consultation (ECMHC). As an emerging intervention in early childhood education, ECMHC is already yielding promising results, namely in helping teachers better address challenging behaviors in their classroom and promote a more nurturing classroom environment. However, there remains a lack of personal testimony from teachers who receive this intervention. Considering that teachers are the primary focus of most ECMHC interventions, the purpose of this study was to examine child care teachers’ personal experiences receiving consultation. Eight child care teachers were interviewed for this study. Results from this study illuminate key interpersonal processes in the development of the consultant–consultee relationship, indicate what teachers consider to be the most helpful components of consultation, and speak to the challenges that teachers experience in consultation. By examining the personal testimony of child care teachers who have received ECMHC services, consultants and researchers can consider ways to expand and improve future implementation of ECMHC.