Explosive Population Growth in Tropical Africa: Crucial Omission in Development Forecasts—Emerging Risks and Way Out

Our article draws attention to a crucial factor frequently omitted from the global development agenda, namely the explosive population growth inevitably expected in Tropical Africa in the nearest decades as a result of the region's laggardness in fertility transition. Population doubling (or even tripling) in the next decades can seriously undermine the development prospects of Tropical African countries and lead to sociopolitical destabilization or even large-scale violent conflicts with possibly global consequences. Bringing down the population growth rates (mainly through substantially reducing the fertility rates) appears to be crucial for the achievement of the 1977 “Goals for Mankind,” as well as the Millennium Development Goals, and, as we proceed to show, can be most effectively achieved through substantially increasing female secondary education, which, in turn, should be achieved by introducing compulsory secondary education and making it the first-rate development priority.     

Adolescent Dating Violence: Application of a U.S. Primary Prevention Program in St. Lucia

The purpose of this study was to examine the Choose Respect dating violence prevention program (Centers for Disease Control and Prevention, 2006b , n.d.‐a) with secondary students in St. Lucia. Multivariate analysis of variance results indicated that the Choose Respect program had a positive influence on participants’ attitudes about control in relationships. Significant gender and school effects were found. Implications of these findings for primary prevention efforts targeting dating violence in St. Lucia and limitations of the study are discussed.     

Illicit Drug Use,Cognitive Distortions,and Suicidal Ideation Among Homeless Youth: Results From a Randomized Controlled Trial

Illicit drug use and cognitive distortions confer significant risks to youth suicidal thoughts and behaviors. However, there has been limited evidence regarding the efficacy of suicide prevention interventions with homeless youth, especially studies testing whether such interventions can reduce the risk for suicidal ideation associated with illicit drug use. Suicidal homeless youth (N = 150) between the ages of 18 to 24 years were recruited from a drop-in center. Youth were randomly assigned to Cognitive Therapy for Suicide Prevention (CTSP) + Treatment as Usual (TAU) or TAU alone. Youth reported their illicit drug use, cognitive distortions, and suicidal ideation 4 times over 9 months. A multiple-group multilevel structural equation model showed that higher illicit drug use at baseline predicted a slower reduction in cognitive distortions and suicidal ideation in the TAU group. These associations were not found in the CTSP + TAU group, suggesting an interruption of such risk from illicit drug use. Findings suggest that CTSP can reduce the risk of illicit drug use as a treatment barrier towards cognitive distortions and suicidal ideation among homeless youth, with implications to improve treatment efforts and to reduce premature mortality in a vulnerable population.     

Call to Action: Recommendations for Justice-Based Treatment of Obsessive-Compulsive Disorder With Sexual Orientation and Gender Themes

Gender and sexual minorities are subjected to minority stress in the form of discrimination and violence that leads to vigilance; identity concealment and discomfort; and internalized homophobia, biphobia, and transphobia. These experiences are related to increased susceptibility to mental health concerns in this population. Historically, the behavioral treatment of sexual orientation (SO) and gender-themed obsessive-compulsive disorder (OCD) has inadvertently reinforced anti-lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+) stigma and contributed to minority stress in clients, treatment providers, and society at large. We present updated recommendations for treatment of SO- and gender-themed OCD through a more equitable, justice-based lens, primarily through eliminating exposures that contribute to minority stress and replacing them with psychoeducation about LGBTQ+ identities, and exposures to neutral and positive stimuli, uncertainty, and core fears. We also present recommendations for equitable research on SO- and gender-themed OCD.     

灾后中小学生创伤后应激障碍和抑郁症状的共存模式

为揭示灾后中小学生创伤后应激障碍(PTSD)和抑郁在症状层面的共存模式, 本研究分别在汶川地震和雅安地震1年后, 对灾区的中小学生进行问卷调查, 并基于高斯图形模型和贝叶斯爬山算法构建了二者的共存症状网络。结果发现, 在DSM-IV的框架下, PTSD和抑郁的重叠症状以及情绪麻木症状在二者的共存网络中起到了桥接作用; 子网络探测结果与DSM-IV划分的症状边界不同, PTSD中的闯入性症状和回避性症状是其区别于抑郁的特异性症状, 且多为闯入性症状激发回避性症状; 在二者的共存模式中, 多为抑郁症状激发PTSD症状。上述结果在汶川和雅安两个样本中均得到了交叉验证, 具有一定的可推广性。     

Unsafety on two wheels,or social prejudice? Proxying behavioral reports on bicycle and e-scooter riding safety – A mixed-methods study

The use of non-motorized transportation and micro-mobility is increasing in many cities. Bicycle riding and e-scooter use are now more common and affordable than ever. However, users of these devices face certain key issues. These include their own risky behaviors as well as involvement in conflicts with other road users. Self-report data may not adequately capture these behaviors and interactions. Despite this, more objective data (i.e., how third parties perceive these users’ road behaviors) is scarce. Aims: This study aimed to understand whether e-scooter riders have comparable or different riding behaviors than cyclists. This was investigated using a mixed-method study. Methods: This paper is divided into two sub-studies. In Study 1, 950 Spanish non-cyclists and non-e-scooter riders (mean age 31.98 ± 13.27 years; 55.3% female) provided external ratings (proxies) regarding the perceived behaviors of bicycle and e-scooter riders. In Study 2, collective Rapid Assessment Processes (RAPs; n = 23) were used to develop qualitative configurations of some of the key risky behaviors highlighted in Study 1. Results: There were significant differences in the perceived errors and violations rated by proxies for both types of riders (with e-scooter riders perceived as having higher rates of risky behaviors). However, there were also structural differences in the effects of external raters’ risk perceptions, traffic rule knowledge, and traffic incidents with two-wheeled riders on how they rated the behaviors. Conclusion: The results of both studies suggest that external raters’ perceptions provide further understanding of the causes, dynamics, and conflicts related to road behaviors performed by certain groups of road users. This is particularly apparent when there is no clear legislation and information on safe riding in urban areas. In this sense, improving infrastructure could promote safer interactions. Finally, road safety education could focus on promoting safer practices and interactions in order to improve how others perceive riders’ behavior.     

Body image and disordered eating prevention in girls’ sport: A partner-driven and stakeholder-informed scoping review of interventions

Despite the evidenced benefits of participating in organized sport, adolescent girls consistently report lower rates of sport participation, worse sport experiences, and higher dropout rates, compared to boys. Body image concerns have been linked to this gender disparity and established as a critical predictor of disordered eating, thus necessitating effective prevention efforts to mitigate the negative impacts of body image concerns and disordered eating for adolescent girls. In partnership with the National Eating Disorder Information Centre (NEDIC; Canada), the present scoping review was conducted to examine the nature and characteristics of sport-specific body image and disordered eating interventions for adolescent girls. Fourteen studies were identified through various search strategies. Over half of the studies demonstrated modest yet worthwhile effects on various body image and disordered eating outcomes. Intervention characteristics (i.e., frequency, modes of delivery, topics, material, outcomes measured) varied across initiatives. Fifty-nine national, provincial, and local sport system representatives were consulted as stakeholders and provided practical input to the results of the scoping review. Sport stakeholders favoured the delivery of a multidimensional, multicomponent program, with a combination of evidence-based techniques. This synthesis of knowledge will shape the development and dissemination of future programs, and contribute to the development of equitable sport participation opportunities for Canadian girls.     

广东省中职生生涯规划问题研究

本研究以广东省中等职业学校学生为研究对象,考察一直走在全国职业教育前沿的广东省中职生的生涯规划现状。通过自编的生涯规划测量量表对广州地区近800名中职学生的调查结果显示(1)积极方面:对专业的接受度较高、中职生的就业准备时间较早和对工作的薪酬较为理性;(2)消极方面:缺乏生涯规划意识、学习动力不足,学习动机复杂、中职生的就业地点较为局限等。     

Obsessive compulsive personality disorder as a predictor of exposure and ritual prevention outcome for obsessive compulsive disorder

Despite elevated rates of obsessive compulsive personality disorder (OCPD) in patients with obsessive compulsive disorder (OCD), no study has specifically examined comorbid OCPD as a predictor of exposure and ritual prevention (EX/RP) outcome. Participants were adult outpatients (n = 49) with primary OCD and a Yale-Brown Obsessive Compulsive Scale (YBOCS) total score ≥ 16 despite a therapeutic serotonin reuptake inhibitor dose for at least 12 weeks prior to entry. Participants received 17 sessions of EX/RP over 8 weeks. OCD severity was assessed with the YBOCS pre- and post-treatment by independent evaluators. At baseline, 34.7% of the OCD sample met criteria for comorbid DSM-IV OCPD, assessed by structured interview. OCPD was tested as a predictor of outcome both as a diagnostic category and as a dimensional score (severity) based on the total number of OCPD symptoms coded as present and clinically significant at baseline. Both OCPD diagnosis and greater OCPD severity predicted worse EX/RP outcome, controlling for baseline OCD severity, Axis I and II comorbidity, prior treatment, quality of life, and gender. When the individual OCPD criteria were tested separately, only perfectionism predicted worse treatment outcome, over and above the previously mentioned covariates. These findings highlight the importance of assessing OCPD and suggest a need to directly address OCPD-related traits, especially perfectionism, in the context of EX/RP to minimize their interference in outcome.     

Greater than the Sum of their Parts: The benefits of Youth Violence Prevention Centers

Academic Centers for Excellence on Youth Violence Prevention (ACE), which support a broad range of activities over and above RO1-type research projects, can add significantly to a community's capacity to respond to youth violence. We use the example of the Harvard Youth Violence Prevention Center to describe the types of research-practice collaborations these centers can promote, as well as the ways in which these collaborations can foster adoption of program planning, development, implementation and evaluation practices consistent with evidence-based approaches to youth violence prevention. Throughout, we describe the ways in which the existence of a center led, under the ACE format, to research, policy and practice opportunities that would not have existed in the absence of a center.