Wearable Activity Technology And Action-Planning (WATAAP) to promote physical activity in cancer survivors: Randomised controlled trial protocol

Background/Objective: Colorectal and gynecologic cancer survivors are at cardiovascular risk due to comorbidities and sedentary behaviour, warranting a feasible intervention to increase physical activity. The Health Action Process Approach (HAPA) is a promising theoretical framework for health behaviour change, and wearable physical activity trackers offer a novel means of self-monitoring physical activity for cancer survivors. Method: Sixty-eight survivors of colorectal and gynecologic cancer will be randomised into 12-week intervention and control groups. Intervention group participants will receive: a Fitbit Alta? to monitor physical activity, HAPA-based group sessions, booklet, and support phone-call. Participants in the control group will only receive the HAPA-based booklet. Physical activity (using accelerometers), blood pressure, BMI, and HAPA constructs will be assessed at baseline, 12-weeks (post-intervention) and 24-weeks (follow-up). Data analysis will use the Group x Time interaction from a General Linear Mixed Model analysis. Conclusions: Physical activity interventions that are acceptable and have robust theoretical underpinnings show promise for improving the health of cancer survivors.     

Physical fitness and prior physical activity are both associated with less cortisol secretion during psychosocial stress

Background: Evidence linking fitness and decreased psychosocial stress comes from studies of athletes and typically relies upon self-report measures. Furthermore, there is little evidence regarding the impact of physical activity (PA) prior to a stressor. The aims of this study were to determine whether fitness and prior PA influence cortisol concentrations during psychosocial stress.

Methods: Seventy-five non-athletic participants took part in a submaximal walk prior to the Trier Social Stress Test for Groups (TSST-G). During the walk, fitness was assessed using heart rate (HR). A further 89 participants took part in the TSST-G without the walk. Stress responsiveness was assessed using salivary cortisol collected at 10-min intervals on seven occasions.

Results: Hierarchical multiple regression revealed that average walking HR accounted for 9% of the variance in cortisol secretion (P?=?.016), where a higher HR was associated with higher cortisol secretion. Between-subjects ANCOVA revealed that the walking group had a significantly lower cortisol secretion than the non-walking group (P?=?.009).

Conclusions: These findings indicate that fitter individuals have reduced cortisol secretion during psychosocial stress. They also indicate that prior PA can reduce cortisol concentrations during psychosocial stress and are suggestive of a role of PA in reducing the impact of stress on health.     

White Female Bystanders’ Responses to a Black Woman at Risk for Sexual Assault: Associations With Attitudes About Sexism and Racial Injustice

Women of color are affected by both sexism and racism. We examined White women’s attitudes about sexism (hostile and benevolent sexism) and racial injustice (White empathic responses to racism) as correlates of their responses to a Black woman at risk for an alcohol-related sexual assault. White undergraduate women (N = 172) reported on their attitudes and then completed measures of blame and willingness to intervene in response to a scenario in which a woman named “LaToya” is at risk. All 3 types of attitudes were directly related to victim blame, whereas only hostile sexism was directly, negatively related to willingness to intervene. White empathic responses to racism moderated the associations between benevolent sexism and both victim blame and willingness to intervene. Results suggest that among White female bystanders, both hostile and benevolent sexist attitudes were related to increased blame and reduced willingness to intervene to help Black women at risk. The adverse effects of benevolent sexism, however, were reduced for those with greater concerns about racial injustice.     

Evaluating public posting,goal setting,and rewards to increase physical activity during school recess

We evaluated a pedometer‐based intervention consisting of public posting between two teams of students, with additional self‐monitoring, goal setting, and reinforcement components, to increase physical activity during school recess. In the absence of self‐monitoring, performance feedback alone did not increase physical activity levels above those observed during baseline. Additionally, higher levels of physical activity were observed when goal‐setting was introduced, with the highest levels of activity observed when raffle tickets could be earned for exceeding a specified step‐total goal.     

Evaluating a novel intervention to reduce trauma symptoms and sexual risk taking: qualitative exit interviews with sexual minority men with childhood sexual abuse

Childhood sexual abuse (CSA) continues to affect sexual minority men (SMM) at disproportionate levels and contributes to multiple negative health outcomes, including sexual-risk taking and HIV acquisition. This paper presents qualitative evaluative feedback from SMM (N = 9) who participated in a 10-session Cognitive Behavioral Therapy-Trauma and Sexual Health (CBT-TSH) intervention to reduce CSA-related posttraumatic stress reaction and distress. The treatment was designed to increase accurate sexual risk appraisals and to improve self-care health behaviors related to HIV/STI acquisition. The researchers identified four emerging themes: (1) motivation to participate, (2) response to cognitive therapy, (3) process of change, and (4) considerations for intervention improvement. These qualitative findings provide useful feedback on the acceptability of an innovative program that integrates CBT for trauma related to CSA with sexual risk-reduction counseling.     

“God is the creator of all life and the energy of this world”: German intersex Christians’ reflection on the image of God and being created in God’s image

ABSTRACT

Intersex individuals are often told they are not human beings because they do not neatly fit into the categories of “female” and “male.” Many are made to feel like monsters. Christianity enforces this model of sexual dimorphism with the notion that to be a human being means to be created clearly “female” or clearly “male” in the image of God. This paper draws on interviews with German intersex Christians to explore their diverse images of God and what it means to be created in God’s image with the goal of creating new “conditions of possibility” that represent the full range of human sex/gender.     

“Make no provision for the flesh”: recognizing the incarnation in and after Augustine

This article argues for the importance of the intelligibility of the sexed body to incarnational theology. Building on Mark Jordan's reading of Augustine, I focus on the paradox of the incarnation as both the bodily sign (signa) of God and God Godself as the thing that the sign signifies (res). Through an analysis of the debates around Leo Steinberg's work on the meaning of Christ's genitals in Renaissance art, I explore the ways in which depicting the incarnation is a paradoxical exercise of depicting God's fully human body. I argue that attention to the paradox of the incarnation as both sign and thing can disrupt ideologies of sexual difference that force bodies to be intelligible as unambiguously sexed, while the question of sexual difference can work within incarnational theology to disturb the equivalence of full humanity and unambiguous maleness.     

Using physiological and behavioral measurements in a picture-based road hazard perception experiment to classify risky and safe drivers

Every year, a considerable number of people got injured or even lost their lives in road traffic accidents. To decrease the number of fatalities and injuries, researchers are seeking methods to identify and restrain drivers before the happening of actual traffic accidents, who possess dangerous driving behaviors and may cause road traffic accidents. Such methods are usually exploited to decide drivers’ fitness to drive—an indicator to describe whether they are fit for driving. The aim of this study is to measure drivers’ physiological and behavioral responses to road hazards and to extract features from measurements for further classification of risky and safe drivers. 42 drivers participated in a picture-based road hazard perception experiment, where electroencephalography (EEG), electrodermal activity (EDA), behavioral responses to road hazards, multidimensional driving style inventory (MDSI) questionnaire, and demographic information were recorded. Results indicated that 5 specific physiological features regarding to road hazard perception showed significant differences between risky and safe drivers. Subsequently, participants were classified into risky or safe drivers group by applying only the 5 features. 81.82% and 77.78% accuracy of classification were attained for risky and safe drivers, respectively. It was evidenced that using physiological and behavioral responses to evaluate drivers’ road hazard perception might be utilized as a tool to measure drivers’ fitness to drive. For further studies, improvements to future experiment design were discussed.     

Childhood sexual abuse trauma-causing dynamics experienced by women survivors: A scoping literature review

This scoping literature review reports on the major themes to emerge from 23 retrospective studies on the trauma-causing dynamics experienced by women survivors of a historical childhood sexual abuse (CSA) trauma. We identified the studies from searching the following data bases for the period 1983–2016: EbscoHost (Academic Search Premiere, Africa-Wide Information, E-Journals, ERIC, PsycARTICLES, PsycINFO, SocINDEX), SAePublications, Science Direct, CrossRef (APA PsycNET), Google scholar (ResearchGate), PubMed Central, and Cochrane Reviews. For the selection criteria, we included empirical studies on self-reported trauma-causing dynamics experienced by women survivors, without restriction on method of study. Results from the thematic analysis of findings suggest the women survivors appear to be living with historical traumatic sexualisation, betrayal of trust, social stigmatisation, powerlessness, developmental arrest, and revictimisation. Historical traumas should be considered in counselling support interventions with women self-reporting CSA.