Transgender and Gender Diverse Patients in Intensive Mood Disorder Treatment: A Comparative Examination of Clinical Presentation and Treatment Outcomes

Individuals who are transgender and gender diverse (TGD) are more likely to suffer from and to seek mental health services for mood disorders. Some literature suggests that TGD individuals, because of pervasive and systemic minority stress, may have more complex clinical presentations (i.e., psychiatric conditions and severity of symptoms) and may benefit from empirically based treatments to a lesser degree than their cisgender peers. However, research has yet to examine individuals who are TGD receiving treatment in specialized, intensive mood disorder treatment despite the propensity for them to be diagnosed with and treated for mood disorders. Using a sample of 1,326 adult patients in intensive mood disorder treatment (3.8% TGD), the clinical presentation and treatment outcomes were compared between patients who are TGD and cisgender. Contrary to previous research, TGD patients were largely similar if not healthier than their cisgender counterparts, including similar depression severity, quality of life, emotion dysregulation, and behavioral activation, and less severe rumination at admission. Despite similar to better reported mental health symptoms, TGD patients were diagnosed with more psychiatric conditions overall, including greater prevalence of social anxiety and neurodevelopmental diagnoses. Those who are TGD did not experience attenuated treatment response as predicted. Findings suggest that patients in intensive mood disorder treatment who are TGD may be more resilient than previously assumed, or supports may have increased to buffer effects of stigma on mental health, and emphasize the need to exercise discretion and sensitivity in diagnostic practices to prevent over-diagnosis and pathologizing of TGD individuals.     

从父母教育卷入到学业成就:自主支持与自主学习力的链式中介

家长教育卷入是为了提升学生的学业成就,但能否支持学生的自主学习从而提升其自主学习力,可能是提升学业成就的关键环节。研究将与自主学习相关的多种个人内部因素整合为自主学习力,对12万余名中小学生及其家长进行了大规模调查,建构了一个链式中介模型,分析显示父母教育卷入对学生学业成就的影响体现为两条路径:(1)父母主导路径:父母投入通过其自我报告的自主支持对学生学业成就产生显著影响;(2)学生发展路径:学生通过其所感知的父母自主支持提升其自主学习力,进而自主地促进其学业发展。研究提示,如何提高家长对学生“自主学习”的认识和支持能力,是家校协同促进学业发展的一个重要话题,也是保障“双减”不降学业成绩的一项关键举措。     

注意缺陷多动障碍儿童教育康复线上模式的构建

注意缺陷多动障碍(简称ADHD)是一种常见的儿童神经发育性障碍。当前用于儿童ADHD的传统(线下)教育康复模式存在缺少学业实效、教师低参与、学校管理经验不足以及遇到特殊情况(如疫情)无法服务等问题。本研究在脑电生物反馈认知训练的基础上, 以解决问题和循证研究为设计思路, 为中国ADHD患儿构建教育康复线上模式并进行初步应用。本研究分为3个子研究：研究1采用访谈法和问卷调查法对中国儿童ADHD教育康复的现状调查并分析患儿及关键相关人(家长和教师)需求; 研究2采用随机对照单盲试验(干预组和对照组各为50人), 评价基于脑电生物反馈认知训练(NCT)的教育康复线上模式的有效性; 研究3采用一个更大被试样本量(每组n = 100)的(家长为中介人干预组/教师为中介人干预组/对照组)×(诊断组/亚诊断组)随机对照研究评价由干预中介人(家长或教师)参与的线上模式的有效性, 以及一个纵向质性研究发现关键相关人对于线上模式的接受情况。研究旨在为中国ADHD患儿提供一个有效且好用的教育康复形式。     

Developing research‐informed practitioners – an organisational perspective

Background: Two current trends are making it increasingly important for counsellors and psychotherapists to be more engaged with research. Evidence of effectiveness is being increasingly demanded by those who fund our therapies and also by our clients. Meanwhile therapy research is offering practicable ways for therapists to improve their practice. Therapy organisations have an opportunity, perhaps even a duty, to meet the research needs of their members. Methods: This paper reports on a survey conducted by the UK Council for Psychotherapy (UKCP) to help it plan the activities of its Research Faculty. Findings: Key findings from the survey were that the most common ways of UKCP practitioners engaging with research were through reading, discussions with colleagues and doing research. Engaging with research collaboratively with other therapists, having more time, and access to user‐friendly web‐based research resources and updates, were the factors most commonly cited as supporting practitioner engagement with research. Conversely, lack of time, difficulties accessing resources and materials and feeling not competent were the major barriers to practitioner engagement with research. Discussion: Implications for therapists, for training, and for therapy organisations are considered.     

A preliminary study of a traumatic injury prevention program

Abstract

This study examined the long-term impact of a five component spinal cord injury prevention program presented to adolescents. A sample of 445 teenagers who attended a junior high school in which an educational intervention was presented three years earlier and a control group of 379 students who had not been exposed to the intervention completed a questionnaire assessing their safety knowledge, attitudes, and self-reported behaviors. Total scores on the questionnaire between treatment and control groups differed significantly. Students in the treatment group reported significantly more frequent seat belt use, stronger belief that seat belts were important to their safety, lower likelihood of riding with friends who had been drinking, higher rates of friends' use of seat belts, greater awareness of the age group most likely to be injured, and increased knowledge that they could prevent spinal cord injury.     

Measurement issues in health-related quality of life: Challenges for health psychology

Abstract

Quality of life assessment is a central element of clinical trials and related forms of evaluative research. Early efforts to establish appropriate methods of measuring quality of life drew on psychometric principles and emphasised the need for validated measures. However, it is increasingly clear that, whilst still a central requirement of quality of life measures, validity needs to be emphasised alongside a number of other essential properties that have become clearer as the field has developed. Moreover formal psychometric methodology has to be adapted to take account of the specific needs of evaluative research. Research is beginning to develop more appropriate methods of outcome assessment in this area. Further lines of research are suggested to examine psychometric with other approaches to measurement of health-related quality of life.     

Home-School Communication in the Treatment of Childhood Behavior Problems

There is a shortage of intervention strategies for children with behavior disorders which incorporate both home and school influences. To address this need, a service delivery model was evaluated for public school children (Pre-K through G2) who were at risk for educational failure on account of behavior problems, family dysfunction, and poverty and social disadvantage. Interventions based on eco-behavioral principles were delivered by home-visitors in consultation with clinical child psychologists. A primary goal of all treatment plans was to enhance parent-teacher communication. Children in the experimental group (N = 34) showed overall improvement (as judged by parents) and decreases in targeted problems (as reported by teachers and parents), relative to control students (N = 15). The program decreased the number of children placed in special education. There was indication that better communication between home and school related to academic improvement. The protocol provides a possible behavioral consultation model of early intervention for behavior disorders and demonstrates how clinical services can be integrated with systems-wide dropout prevention efforts.     

Effects of Gender,Ethnicity and Educational Status on Exposure to Community Violence and Psychological Distress in Adolescence

ABSTRACT

A study of 1,142 older adolescents living in the central city of a large urban area found a complex set of relationships among exposure to community violence, psychological distress, gender, ethnicity, and educational status. Although males and school dropouts had higher levels of exposure and females had higher levels of psychological distress, the relationshipbetween exposure to community violence and psychological distress did not differ by gender, ethnicity or educational status. The findings are interpreted in terms of the theory of protective and vulnerability processes. The authors conclude that the relationship between exposure to community violence and psychological distress is robust.     

Sexual Harassment: Prevalence,Outcomes, and Gender Differences Assessed by Three Different Estimation Methods

This study investigates gender differences in prevalence and effects of sexual harassment using three different estimation methods. In a representative sample of 2,349 Norwegian employees, 1.1% self-labeled as targets of sexual harassment, whereas 18.4% reported exposure to sexually harassing behaviors during the last six months. When employing latent class cluster analysis as a method for estimating prevalence of sexual harassment, 2.2% could be classified as targets of frequent harassment and 19.1% could be classified as targets of unwanted sexual attention. Although more women than men self-labeled as targets of sexual harassment, men reported the same number of sexually harassing behaviors as women. Sexual harassment was found to be significantly related to mental health problems and low job satisfaction among men and women.     

Book Reviews

Abstract

Johnson, J.V., & Hohansson, G. (Eds.)- (1991). The psychosocial work environment: Work organization, democratization and health. Essays in memory of Bertil Gar dell. New York: Baywood. pp. 335. ISBN 0-89503-078-0 (hardback). ISBN 0-89503-077-2 (paperback).

Shackel, B., & Richardson, S. (Eds.) (1991). Human factors of informatics usability. Cambridge: Cambridge University Press. Pp. 438. ISBN 0-521-36570-8. Hardback £35.00

Frese, M., & Brodbeck, F.C. (1989). Computer in Büro und Verwaltung. Berlin: Springer. Pp. 237. ISBN: 3-540-50774-4. DM 88. Published in German.