Parental involvement and health risk behaviours among school-going adolescents in six African countries

The aim of this study was to assess the association between parental involvement (support and monitoring) and health risk behaviours among adolescents in six African countries. Data were from the cross-sectional Global School-Based Student Health Survey (GSHS) which sampled a total of 16 587 adolescents (mean age 14.6 years, SD = 1.6) from 2009 to 2013. In multivariable regression analyses, adjusted for relevant variables, higher levels of parental involvement were negatively associated with substance use (smoking, other tobacco use, drunkenness and illicit drug use) and violence (being bullied, in a physical fight), injury and truancy. Only high-level parental involvement was associated with use of contraception at most recent sex. Interventions for reducing various health risk behaviours should consider the positive impact of parental involvement.     

Personal and socio-ecological resilience resources among school-going teenage mothers: An exploratory study

This qualitative study explored the self-perceived personal and socio-ecological resilience resources that enabled teenage mothers to cope with early parenthood and school in a South African school. Participants were a convenient sample of ten school-going teenage mothers in the Gauteng Province of South Africa. Their ages ranged from 16–19 years and they were in grades 10 to 12. Four teenage mothers took part in individual semi-structured interviews while six took part in a focus group interview. The interviews focused on personal and socio-ecological resilience resources that enabled their resilience as early mothers and learners. Thematic analysis of the data suggested personal resilience resources of the teenage mothers that include a positive outlook on life, a sense of humour, tenacity, toughness, determination, religiosity, and prayerfulness. Regarding social-ecological resilience resources, the teen mothers self-reported social capital from biological parents, partners, peers, teachers and pastors.     

Knowing when to hold ‘em: regret and the relation between missed opportunities and risk taking in children,adolescents and adults

Regret over missed opportunities leads adults to take more risks. Given recent evidence that the ability to experience regret impacts decisions made by 6-year-olds, and pronounced interest in the antecedents to risk taking in adolescence, we investigated the age at which a relationship between missed opportunities and risky decision-making emerges, and whether that relationship changes at different points in development. Six- and 8-year-olds, adolescents and adults completed a sequential risky decision-making task on which information about missed opportunities was available. Children also completed a task designed to measure their ability to report regret when explicitly prompted to do so. The relationship between missed opportunities and risky decision-making did not emerge until 8 years, at which age it was associated with the ability to explicitly report regret, and was stronger in adults than in adolescents. These novel results highlight the potential importance of the ability to experience regret in children and adolescents’ risky decision-making.     

戒烟社会支持与吸烟者戒烟意向的关系：亲友认同的调节作用和吸烟危害认识的中介作用

研究旨在考察吸烟者的亲友认同和吸烟危害认识在亲友戒烟社会支持与戒烟意向关系中的作用。对340名吸烟者被试进行问卷调查,结果表明：（1）戒烟社会支持显著正向预测戒烟意向;（2）吸烟危害认识对社会支持和戒烟意向的关系起完全中介作用;（3）亲友认同对戒烟社会支持和戒烟意向的关系起显著调节作用。研究拓展了压力缓冲模型,说明了戒烟社会支持的认知功能,且支持了社会认同在社会支持发挥作用过程中的重要性。     

Retrospective coping strategies during sexual identity formation and current biopsychosocial stress

Background: Lesbian, gay men, and bisexual individuals (LGBs) often experience distress related to the recognition, self-acceptance, and disclosure of their sexual orientation. Objectives and Design: Retrospectively reported coping strategies enacted during sexual identity formation among LGBs were assessed in relation to current stress indices measured using environmental (frequency of perceived daily hassles), psychological (perceived distress), and biological (allostatic load [AL] levels representing physiological dysregulations) perspectives. Methods: Forty-six healthy LGBs between the ages of 18 and 45 (M = 23.91, SE = .80) participated. Questionnaires included the Ways of Coping Checklist adapted to disclosure milestones, Daily Hassles Inventory, and Perceived Stress Scale. AL was calculated using 21 biomarkers of neuroendocrine, immune, cardiovascular, and metabolic functioning. Results: Avoidance coping during sexual identity formation was positively associated with frequency of daily hassles (β = .598, p < .001), perceived stress (β = .361, p = .015), and AL (β = .405, p = .006). By contrast, seeking social support was negatively associated with perceived stress (β = –.598, p = .048). Conclusions: Emotion-focused coping strategies during LGB sexual identity development are associated with current indices of biopsychosocial stress.     

Interpersonal Trauma,Posttraumatic Stress Disorder Symptoms,and the Interpersonal Theory of Suicide in Women Seeking Shelter from Intimate Partner Violence

This study examined how trauma exposure and posttraumatic stress disorder symptoms of reexperiencing, avoidance, numbing, dysphoric arousal, and anxious arousal relate to the major components of the interpersonal theory of suicide; namely, thwarted belongingness, perceived burdensomeness, and the acquired capability for suicide. A sample of 137 women seeking shelter from intimate partner violence completed self-report assessments. Symptoms of dysphoric arousal and numbing were uniquely and positively associated with thwarted belongingness. Numbing symptoms were uniquely and positively associated with perceived burdensomeness. Reexperiencing and anxious arousal symptoms were uniquely but negatively associated with the acquired capability for suicide. Interpersonal trauma was also positively associated with acquired capability, but only when examined independently. Posttraumatic stress disorder symptoms of dysphoric arousal and numbing symptoms might complement brief screenings for acute suicide risk and can help inform in-shelter activities as well as postshelter treatment recommendations to decrease suicide risk for shelter-seeking women.     

Depression and anxiety symptoms following cancer diagnosis: a cross-sectional study

Introduction: The aims of the present study were to assess demographic and clinical characteristics of patients after receiving a cancer diagnosis, and to determine possible risk factors for anxiety and depression. Methods: All consecutive patients aged 18 or above, were assessed before starting intravenous chemotherapy for the first time with the Hospital Anxiety and Depression Scale (HADS), the Distress Thermometer, and a Visual Analog Scale for pain. Demographic and clinical data were also collected. Results: The patients assessed (n = 270) had a mean age of 59.4 (SD = 11.8) years, and 50.7% were women. Tumours were more frequently colorectal (27.2%), lung (18.8%) and breast (17.6%), and 68.9% were stages 3 or 4. A HADS Anxiety score ≥8 was present in 30% of the patients, a Depression score ≥8 in 24.1%, and a Distress score ≥4 in 44.4%. Independent risk factors for HADS Depression score ≥8 were being a woman (OR = 2.45; p = 0.004), being older (OR = 1.04; p = 0.005), and cancer stage 3–4 (OR = 2.24; p = 0.023) in the multivariable analysis; for Anxiety ≥8 they were being a woman (OR = 2.47; p = 0.002), having a past psychiatric consultation (OR = 2.83; p = 0.029), and cancer stage 3–4 (OR = 1.90; p = 0.047). Conclusion: These results suggest the need for greater awareness and a differentiated approach to patients at increased risk of anxiety and depression in the early stages of treatment and before starting chemotherapy.     

The role of executive function,personality and attitudes to risks in explaining self-reported driving behaviour in adolescent and adult male drivers

Young drivers show high levels of risky driving and are over-represented in motor vehicle crash statistics world-wide. As well as personality and attitudinal factors, high rates of risk taking during adolescence may be due to poorly developed executive functions, a result of the slow maturation of the pre-frontal cortex of the brain. This study was undertaken to investigate the roles of executive function, personality, attitudes to risk in relation to self-reported driving behaviour. Adolescent (n = 46, age 16–18 years) and adult (n = 32, 25 years and over) male drivers completed a battery of neuropsychological tests to assess general cognitive ability and executive function, and questionnaires to assess driving history, personality, attitudes to physical and psychological risk as well as questionnaires of self-reported driving behaviour (Driver risk taking and Driver Attitude Questionnaire, DAQ). The adolescent drivers showed poorer executive function, higher levels of impulsivity and risk-taking, lower levels of agreeableness and conscientiousness compared to adult drivers. Regression analyses revealed that attitudes to risk, agreeableness and working memory made unique significant contributions in explaining self-reported driving behaviour. Interestingly though, better working memory was associated with higher levels of self-reported risky driving and more accepting attitudes to risky driving. Together the findings suggest that some aspects of executive function, personality, and attitudes to risk may help to explain self-reported driving behaviour. Whether these findings are relevant to female drivers and apply to on-road driving behaviour should be the focus of future studies.     

Enhanced happiness and stress alleviation upon insight meditation retreat: mindfulness,a part of traditional Buddhist meditation

This research aims to examine how traditional insight meditation in Thailand is trained and to investigate the impact of this practice on happiness and perceived stress. The fuller meaning of mindfulness and how to interweave mindfulness in daily practice is discussed. The intervention was a seven-day traditional insight meditation retreat in Thailand. The final sample included 656 participants, n?=?330 and 326 in experimental group and control group, respectively. Validated versions of happiness and perceived stress scales for Thai people were used. The magnitude of happiness and stress changes following the intervention, determined by effect sizes were used as a benchmark for interpreting the health status change between baseline and post-test. The effect sizes for happiness and perceived stress were .379 and ?.428 in the meditation group, which is much greater, compared to the effect sizes of ?.045 and ?.003, respectively, in the control group.