Medical Students’ Gender Awareness

Gender awareness in medicine consists of two attitudinal components: gender sensitivity and gender-role ideology. In this article, the development of a scale to measure these attitudes in Dutch medical students is described. After a pilot study and a feasibility study, 393 medical students in The Netherlands responded to a preliminary instrument consisting of 82 items (response rate 61.3%). Reliability and validity were established. A gender awareness scale containing a gender sensitivity subscale (14 items), and gender stereotypes towards patients (11 items) as well as towards doctors (7 items) was developed. The instrument may be used for research purposes to evaluate gender awareness raising courses.     

Enhancing Interpersonal Psychotherapy for Mothers and Expectant Mothers on Low Incomes: Adaptations and Additions

Intervening with depressed women during their childbearing years, especially with those on low incomes, is critically important. Not only do mothers and expectant mothers suffer unnecessarily, but their untreated depression has critical negative consequences for their families. Despite this, these women have proven especially difficult to engage in psychotherapy. In this paper we describe several adaptations and additions we have made to a brief form of Interpersonal Psychotherapy (IPT) to meet the needs of mothers and expectant mothers living on low incomes in the community who suffer from depression, but face significant practical, psychological, and cultural barriers to engaging in and staying in treatment. In addition, we present some preliminary data on the extent to which our enhanced, brief IPT approach promotes improvements in treatment engagement and retention relative to usual care for expectant mothers on low incomes.     

Optimal Strategies in Couple Therapy: Treating Couples Dealing with the Trauma of Infidelity

Infidelity is one of the most difficult problems to address in couple therapy, most likely because it involves a traumatic relationship event that alters the ways in which couples process information about each other and established behavioral patterns. This article presents a three-stage treatment designed to address the cognitive, behavioral, and emotional sequelae of affairs that integrates cognitive-behavioral and insight-oriented strategies with the literatures on traumatic response and forgiveness. Critical and unique features of this treatment are discussed and a case study is presented to illustrate the treatment methods.     

Incorporating family therapy into asthma group intervention: a randomized waitlist-controlled trial

Asthma psychoeducational programs have been found to be effective in terms of symptom-related outcome. They are mostly illness-focused, and pay minimal attention to systemic/familial factors. This study evaluated a novel asthma psychoeducation program that adopted a parallel group design and incorporated family therapy. A randomized waitlist-controlled crossover clinical trial design was adopted. Children with stable asthma and their parents were recruited from a pediatric chest clinic. Outcome measures included, for the patients: exhaled nitric oxide (eNO), spirometry, and adjustment to asthma; and for the parents: perceived efficacy in asthma management, Hospital Anxiety and Depression Scale anxiety subscale, Body Mind Spirit Well-being Inventory emotion subscale, and Short Form 12 health-related quality of life scale. Forty-six patients participated in the study. Attrition rates were 13.0% and 26.0% for the active and control groups, respectively. Repeated-measures ANOVA revealed a significant decrease in airway inflammation, as indicated by eNO levels, and an increase in patient's adjustment to asthma and parents' perceived efficacy in asthma management. Serial trend analysis revealed that most psychosocial measures continued to progress steadily after intervention. Significant improvements in both symptom-related measures and mental health and relationship measures were observed. The findings supported the value of incorporating family therapy into asthma psychoeducation programs.     

Narrative, identity and mental health: How men with serious mental illness re-story their lives through sport and exercise

ObjectivesIt has been suggested that mental illness threatens identity and sense of self when one's personal story is displaced by dominant illness narratives focussing on deficit and dysfunction. One role of therapy, therefore, is to allow individuals to re-story their life in a more positive way which facilitates the reconstruction of a meaningful identity and sense of self. This research explores the ways in which involvement in sport and exercise may play a part in this process.DesignQualitative analysis of narrative.MethodWe used an interpretive approach which included semi-structured interviews and participant observation with 11 men with serious mental illness to gather stories of participants’ sport and exercise experiences. We conducted an analysis of narrative to explore the more general narrative types which were evident in participants’ accounts.FindingsWe identified three narrative types underlying participants’ talk about sport and exercise: (a) an action narrative about “going places and doing stuff”; (b) an achievement narrative about accomplishment through effort, skill or courage; (c) a relationship narrative of shared experiences to talk about combined with opportunities to talk about those experiences. We note that these narrative types differ significantly from—and may be considered alternatives to—dominant illness narratives.ConclusionThis study provides an alternative perspective on how sport and exercise can help men with serious mental illness by providing the narrative resources which enabled participants to re-story aspects of their lives through creating and sharing personal stories through which they rebuilt or maintained a positive sense of self and identity.     

基于六省会城市居民的主观幸福感研究

本研究在全国省会城市范围内取样,对中国城市居民主观幸福感量表的心理测量学特性进行了检验,并以此为线索对该量表进行了修订和完善,形成了由40个项目组成的中国城市居民主观幸福感量表(修订版);并将常模样组扩展到全国,取得了中国城市居民主观幸福感量表(修订版)的全国参考常模;同时,尝试对构成中国城市居民主观幸福感各个评价维度的权重进行考察,以使量表分数的合成更为科学.     

German translation and psychometric evaluation of the Body Appreciation Scale

This paper examined the psychometric properties of the German version of the Body Appreciation Scale (BAS), a novel scale for the assessment of positive body image. Based on a community sample of 156 women and 144 men in Austria, results showed good internal reliability and construct validity for the BAS scores, as well as a unidimensional factor structure for both women and men. Specifically, Cronbach's alpha was high for both women ( = .90) and men ( = .85), and the BAS was correlated with the body esteem scale and self-esteem. In addition, women with lower BMIs reported greater body appreciation, but no such association was found for men. Finally, there were small sex differences in BAS scores, with men scoring more positively than women (Cohen's d = 0.26). The German BAS, a useful indicator of positive body image among Austrian adults, should prove valuable for the assessment of body image in German-speaking countries.     

The measurement of body-image dissatisfaction–satisfaction: Is rating importance important?

Some researchers have argued that evaluative body image may be better assessed by measures that weight dissatisfaction–satisfaction ratings by their subjective importance to individuals. The Body Areas Satisfaction Scale (BASS) is a frequently used, standardized assessment of evaluative body image, albeit one that does not use differential item weights. This investigation, with 410 female and male college students, examined whether an importance-weighted revision of the BASS would have incremental validity relative to the original version in the prediction of multiple criterion variables. Results confirmed the reliability and validity of unweighted and weighted versions. However, the validity of weighted versions did not surpass that of the original BASS. The extremity of individuals’ satisfaction and dissatisfaction ratings appears inherently to reflect the importance placed on physical attributes for self-evaluation. Moderated regression analyses offered only weak support for the interaction of average satisfaction and average importance ratings beyond their main effects. The simpler, unweighted BASS is an acceptable assessment of evaluative body image.     

Personality and individual difference correlates of positive body image

In the present study, 101 women and 106 men from a community sample of British adults completed the Body Appreciation Scale (BAS), along with a battery of individual difference measures and demographics. Contrary to previous findings, there were no sex differences in BAS scores, either before or after controlling for individual differences in other measures. The results also showed that, moderating for participants’ sex, self-assessed attractiveness, educational qualifications, neuroticism, extraversion, and BMI were all significant predictors of body appreciation. In addition, higher media consumption and higher (male-stereotypic) instrumentality were associated with, but did not predict, higher body appreciation. These results are discussed in relation to the extant work on body image.     

Development and initial validation of public domain Basic Interest Markers

Goldberg (Goldberg, L. R. (1999). A broad-bandwidth, public-domain, personality inventory measuring the lower-level facets of several five-factor models. In: I. Mervielde, I. Deary, F. De Fruyt, & F. Ostendorf (Eds.), Personality psychology in Europe (Vol. 7, pp. 7-28). Tilburg, The Netherlands: Tilburg University Press) has argued that the commercialization of personality measures limits the range of questions investigated in empirical research. We propose that the commercialization of interest measures has had a similar effect on research in vocational psychology. Following Goldberg’s example of developing public-domain personality markers, we also propose that the development of public-domain interest markers would facilitate new directions in career-related research. The present study outlines the development and validation of a set of public-domain Basic Interest Markers (BIMs) that are freely available on a website. Using Day and Rounds’ (Day, Susan. X, & Rounds, J. (1997). A little more than kin, and less than kind: Basic interests in vocational research and career counseling. Career Development Quarterly, 45, 207-220) basic interest taxonomy, 343 items and 31 BIM scales were generated. Validity evidence is presented from correlations with the General Occupational Themes and Basic Interest Scales of the Strong Interest Inventory (Harmon, L. W., Hansen, J. C., Borgen, F. H., & Hammer, A. L. (1994). Strong Interest Inventory applications and technical guide. Stanford, CA: Stanford University Press). Discriminant validity is demonstrated by the capacity for the BIMs to differentiate major field of education or training. Implications for research and use in applied settings are discussed.