A Comparison of Homeless Male Veterans in Metropolitan and Micropolitan Areas in Nebraska: A Methodological Caveat

This study explored differences between homeless male veterans in metropolitan and micropolitan cities in Nebraska on sociodemographic, housing, clinical, and psychosocial characteristics as well as health service use. A convenience sample of 151 homeless male veterans (112 metropolitan, 39 micropolitan) were recruited from Veterans Affairs facilities and area shelters in Omaha, Lincoln, Grand Island, and Hastings in Nebraska. Research staff conducted structured interviews with homeless veterans. Results showed that compared to homeless veterans in metropolitans, those in micropolitans were more likely to be White, unmarried, living in transitional settings, and were far more transient but reported greater social support and housing satisfaction. Veterans in micropolitans also reported more medical problems, diagnoses of anxiety and personality disorders, and unexpectedly, were more likely to report using various health services and less travel time for services. Together, these findings suggest access to homeless and health services for veterans in micropolitan areas may be facilitated through Veterans Affairs facilities and community providers that work in close proximity to one another. Many homeless veterans in these areas are transient, making them a difficult population to study and serve. Innovative ways to provide outreach to homeless veterans in micropolitan and more rural areas are needed.     

Increasing Awareness of Potentially Helpful Motivations and Techniques for Forgiveness

The authors examined 3 motives and 3 techniques for forgiveness to assess differences between people high or low in dispositional forgiveness (HDF and LDF, respectively). HDF participants rated all motives as more compelling and familiar than did LDF participants. Forgiveness being the right thing to do was rated as more persuasive and familiar; however, mental and physical health benefits were rated as compelling but less familiar forgiveness motives. LDF participants rated the various techniques as less familiar and more difficult compared with HDF participants. Overall, participants rated forgive and forget as the most familiar but most difficult technique to implement.     

The German TEIQue-SF: Factorial structure and relations to agentic and communal traits and mental health

Recent research illuminated the links between Agency, Communion, trait emotional intelligence (TEI), and internalizing mental health difficulties (IMHDs). However, for a more complete picture, unmitigated Agency and Communion have also to be considered. Drawing on a sample of N = 405 female occupational therapists, the present study examined (a) the factorial validity of the German TEI Questionnaire Short Form, (b) the relations of TEI to Agency, Communion, and their unmitigated variants, and (c) a multiple predictor-TEI-IMHDs mediation model. The factor structure suggested by TEI theory fitted approximately to the data. Agency and Communion related positively and both unmitigated traits related negatively to TEI. Indirect effects via TEI on IMHDs emerged for all four traits. The results help to integrate TEI within the Agency–Communion framework and suggest that TEI is an important intervening variable that helps to clarify the links of agentic and communal traits to mental health.     

Panning for the gold in health research: Incorporating studies’ methodological quality in meta-analysis

Background: Systematic reviews now routinely assess methodological quality to gauge the validity of the included studies and of the synthesis as a whole. Although trends from higher quality studies should be clearer, it is uncertain how often meta-analyses incorporate methodological quality in models of study results either as predictors, or, more interestingly, in interactions with theoretical moderators.

Objective and methods: We survey 200 meta-analyses in three health promotion domains to examine when and how meta-analyses incorporate methodological quality.

Results: Although methodological quality assessments commonly appear in contemporary meta-analyses (usually as scales), they are rarely incorporated in analyses, and still more rarely analysed in interaction with theoretical determinants of the success of health promotions. The few meta-analyses (2.5%) that did include such an interaction analysis showed that moderator results remained significant in higher quality studies or were present only among higher quality studies. We describe how to model quality interactively with theoretically derived moderators and discuss strengths and weaknesses of this approach and in relation to current meta-analytic practice.

Conclusions: In large literatures exhibiting heterogeneous effects, meta-analyses can incorporate methodological quality and generate conclusions that enable greater confidence not only about the substantive phenomenon but also about the role that methodological quality itself plays.     

The impact of job demands,climate, and optimism on well-being and distress at work: What are the mediating effects of basic psychological need satisfaction?

IntroductionPsychological health at work, a multidimensional concept grasped by the absence of negative states and by the presence of positive states, is here approximated in terms of distress and well-being.ObjectiveThis study was aimed at examining the extent to which job demands, individual resources (optimism), and organizational resources (climate) are linked to well-being and distress at work. We looked at whether these links are mediated in satisfaction of the three basic psychological needs posited in self-determination theory (competence, relatedness, and autonomy).MethodThe participants were 298 French elementary, middle, and high school teachers who were asked to answer a questionnaire. The data was analyzed using Hayes and Preacher's method for testing multiple mediations.ResultsSatisfaction of the psychological needs for competence and relatedness fully mediated the links between job climate and psychological health at work (well-being and distress). Optimism turned out to be an important factor of health, not only because it had a strong impact on well-being and distress, but also because its effects were partially mediated by satisfaction of the need for competence.ConclusionThe present results confirm the relevance of the variables used to predict psychological health (particularly optimism). Job demands directly affected well-being and distress levels. The climate — by way of satisfaction of the need for competence and for relatedness — plays a critical role in matters of occupational health.     

Conceptualising mental health in the United Arab Emirates: the perspective of traditional healers

Substantial investments in health-care have ensured the widespread availability of allopathic medical services across the United Arab Emirates (UAE). However, in spite of this accessibility traditional healers (Mutawa) continue to play a significant, albeit, unofficial role in the UAE's health sector. Citizens routinely consult traditional healers for problems that might, from a western biomedical perspective, be considered psychiatric conditions. This qualitative study explores traditional healers' conceptualisations of mental health problems, discussing their perspectives on phenomenology, aetiology, intervention and outcome. Notably, traditional healers distinguished between biomedical illness and states they attributed to demonological or metaphysical causes. The Islamic spiritual narrative was central to discussions of aetiology, intervention and outcome. Greater integration of traditional healers within the UAE's mental health-care services would, in many cases, improve patient experience and outcomes.     

Reconciling sexual orientation and Christianity: Black same-gender loving men's experiences

This qualitative study examined the methods that Black same-gender loving (SGL) men used to reconcile their sexual orientation and Christianity. Specifically, the study sought to answer two questions: (1) What does it mean to Black SGL men to have reconciled their Christian beliefs and participation with their sexual orientation? and (2) What specific methods do Black SGL men use to reconcile their Christian beliefs and participation with their sexual orientation? Seven Black Christian SGL men participated in the study. Interpretative Phenomenological Analysis was conducted and yielded eight themes: happiness with and acceptance of self; sense of integrity; geographically distancing self from family and home church; personal interpretation of Biblical text; educating self about same-sex sexual orientation; seeking interpersonal support from and providing interpersonal support for other Black SGL people; use of lived experiences to guide actions; and reconciliation as a practice. The implications of these findings are discussed.     

The Effects of Stress on the Lives of Emerging Adult College Students: An Exploratory Analysis

This study systematically analyzed the personal reports of 20 emerging adult college students with regard to how stress affects their lives. Qualitative analyses revealed that stress influenced students' lives in both positive and negative ways. Implications of these findings for physical and mental health are discussed. Recommendations for counseling practice are provided.