Support for an expanded tripartite influence model with gay men

This study investigated whether an expanded tripartite influence model would represent gay men's experiences. This model was extended by adding partners and gay community involvement as sources of social influence and considering dual body image pathways (muscularity and body fat dissatisfaction) to muscularity enhancement and disordered eating behaviors. Latent variable structural equation modeling analyses upheld this model for 346 gay men. Dual body image pathways to body change behaviors were supported, although three unanticipated interrelationships emerged, suggesting that muscularity and body fat concerns and behaviors may be more integrated for gay men. Internalization of the mesomorphic ideal, appearance comparison, muscularity dissatisfaction, and body fat dissatisfaction were key mediators in the model. Of the sources of social influence, friend and media pressure to be lean, gay community involvement, and partner, friend, media, and family pressures to be muscular made incremental contributions. Unexpectedly, certain sources were directly connected to body change behaviors.     

Associations among depressive symptoms,well-being,patient involvement,provider cultural competency,and treatment nonadherence: An exploratory study among university student-patients

Many students on US university campuses are underserved and undertreated for common mental health and medical conditions. The limited extent to which university students seek psychological and medical care when they need it has long been a problem. Among those who do seek care, treatment adherence appears to be an issue as well. However, few studies have examined factors that may be related to treatment nonadherence in university student-patients. The present survey study examined often-understudied constructs (i.e. patient involvement, treatment nonadherence, and provider cultural competency) in 243 university student-patients. Specifically, using a correlational research design, we examined the relations among depressive symptoms, well-being, patient involvement, cultural competency, and treatment nonadherence. Using multiple linear regression analysis, we also explored the extent to which the exploratory variables predicted treatment nonadherence separately and jointly. The current study revealed two important findings. First, all four factors – depressive symptoms, well-being, patient involvement, and cultural competency – were related to nonadherence to treatment. Second, depressive symptoms and patient involvement explained unique variance in nonadherence to treatment. The findings suggest that increased awareness of and attention to depressive symptoms and patient involvement may have important relevance for engendering healthy campuses and for reducing nonadherence in student-patients. Implications and directions for future research are proffered.     

Development of a Multi-Disciplinary Intervention for the Treatment of Childhood Obesity Based on Cognitive Behavioral Therapy

Along the lines of the evidence-based recommendations, we developed a multi-disciplinary intervention for overweight children 7- to 12-years-old, primarily aiming at helping children to adopt healthier eating habits and a physically active lifestyle. The program combined nutrition intervention, based on a non-dieting approach, with physical activity intervention, implemented through the basic principles of Cognitive Behavioral Therapy (CBT), along with parental support. The program was conducted by dieticians with the collaboration of child psychiatrists and pediatricians. Training and regular supervision upon CBT priniciples application was intended to enhance dieticians' efficiency. The intervention is currently being evaluated to determine its effectiveness in treating childhood obesity.     

Considering class-based values related to guardian involvement and the development of self-regulated learning

Conceptions of self-regulated learning are often considered neutral and value-free. As a result, researchers tend to ignore issues of social class. In this analysis, a sociological lens is used to examine some of the class-based values embedded in the literature related to guardian involvement and the development of children’s self-regulated learning. It is well documented that qualities and quantities of guardian involvement differ across class backgrounds. Considering these differences, the kinds of guardian involvement that have been identified for supporting self-regulated learning align with middle-class culture. By endorsing this alignment, the discourse of self-regulated learning can be implicated in the reproduction of class-based normative values. In order to ensure that research and pedagogy related to self-regulated learning are not part of the reproduction of inequality and discrimination in schools, it is important to consider ways this construct is entangled in class politics and power.     

Sources of Social Support: Examining Congregational Involvement,Private Devotional Activities,and Congregational Context

Previous studies examining the relationship between religion and providing social support have claimed that religious involvement and social networks explain the higher levels of social support among religious Americans. By limiting its focus to attenders of religious congregations, this study seeks to understand if private devotional activities and congregational context also matter for predicting the provision of social support in a highly religious sample. Utilizing a sample of attenders and their congregations from the 2008/2009 U.S. Congregational Life Survey, a national survey representative of American congregations, this study uses multilevel models to examine the relationships that congregational involvement, private devotional activities, and congregational context have with providing social support. Results suggest that, among attenders of religious congregations, congregational involvement and private devotional activities matter for predicting the provision of social support, but two aspects of congregational context—size and theology—do not.     

Child Support Enforcement and Father Involvement Among Victims of Intimate Partner Violence

The focus of this article will be intimate partner violence among custodial parents receiving welfare benefits and their required cooperation with the child support enforcement system to encourage the financial involvement of the noncustodial parent. The majority of the mothers in the study encouraged the father's continued emotional involvement with their child despite the violence. This article will illustrate through the use of a case study the desire of these mothers to encourage both a financial and emotional relationship with their child's father, with safety always a priority.     

Nature contact and mood benefits: contact duration and mood type

ABSTRACT

There is robust evidence that contact with the natural world improves human health, including emotional well-being. However, the specific conditions of emotional benefits of nature contact are sparsely understood. Two studies were conducted with university students to examine whether the duration of nature contact influences the magnitude of benefits for both hedonic (positive and negative affect) and self-transcendent emotions. Study 1 investigated whether 5 minutes of sedentary nature contact influenced both emotion types, and Study 2 examined whether mood improvements are sensitive to the duration of nature contact (5 vs. 15 minutes). Results indicate that brief nature contact reliably improved both hedonic and self-transcendent emotions, and that the duration of contact in the range tested had no impact on this improvement.     

Reducing obstacles to the provision of quality diabetic care

Abstract

High quality diabetic care is seen as influenced by the organisation of care, health care workers' involvement in diabetes-specific areas, co-operation among staff members, the availability of resources, and the competence of medical staff (including both physicians and nurses). In a prospective study we have tested a programme for improvements of the quality of diabetes services which combined organisational development and continuing medical education (CME) measures. The study involved 34 primary health care centres over an 18 month period and was based on the responses to questionnaires answered by 123 general practitioners and 247 registered nurses at the 34 PHCCs.

The combined programme had a considerable influence on inter-group co-operation, staff members' perceptions of resources available, and nurses' involvement in diabetic care (54 versus 30% seeing diabetic patients for regular check-ups).

The results show that, in order to diminish obstacles to high quality care, organisation of care as well as care workers' theoretical knowledge has to be focused.     

Parental involvement and mental health among school-going adolescents in five Caribbean countries

The aim of this study was to assess the association between parental involvement and mental health among adolescents in five Caribbean countries: Antigua and Barbuda, Bahamas, Saint Kitts and Nevis, Jamaica and Trinidad, and Tobago. Data were from the cross-sectional Global School-Based Student Health Survey (GSHS) which sampled 10 063 adolescents (mean age 14.3 years, SD = 1.3) from 2009 to 2013. In multivariable logistic regression analyses (adjusted for age, sex, and socioeconomic status), bullied, having close friends and peer support, and higher levels of parental involvement were negatively associated with loneliness, anxiety, and suicidal ideation in all five countries. In Jamaica, parental involvement was not associated with suicide attempt. Parental involvement interventions for improving mental health among the Caribbean adolescents should consider peer influences.     

A green Augustine: On learning to love nature well

Augustine of Hippo has expressed a vision of beauty in nature that could, if better known, encourage traditional Christians and secular ecologists to affirm the ground they have in common. For Augustine the ideal would be to see nature as God sees it, feeling deeply both its beauty and its impermanence, loving nature without clinging to it. With such clear seeing would come love and the motivation for sustained and skillful action. This paper discusses Augustine's paradigm and what blocks us from seeing it, and then frames principles for an authentically Augustinian response.