Effects of tobacco use on non-adherence to antiretroviral therapy among HIV-positive patients in South Africa

This study aimed to estimate the relationship between tobacco use and non-adherence to antiretroviral therapy (ART) in a South African sample. Participants were 1 963 HIV patients who attended a primary care clinic in Pretoria (female = 68.5%; black African = 99.5%; median age = 37.0 years; tobacco users only = 8.6%, problem drinkers only = 14.9%, and tobacco users and problem drinkers = 10.5%). In adjusted logistic regression analysis, tobacco use only was not significantly associated with non-adherence to ART. Alcohol use only (OR: 1.72; CI: 1.26, 2.36) and tobacco use and problem drinking (OR: 2.31; CI: 1.60, 3.33) were highly associated with non-adherence to ART.     

儿童网络使用与学业成就：有调节的中介模型

摘 要 为探讨网络使用对学业成就的影响及其作用机制,从自我效能感理论的角度使用问卷对425名小学生进行调查。结果表明：（1）网络使用完全通过学习效能感的中介作用正向预测学业成就;（2）学习效能感中介作用受到开放性的调节,即在开放性高的个体中,学习效能感在网络使用与学业成就之间的中介效应不显著;在开放性低的个体中,学习效能在网络使用与学业成就之间有显著的中介效应。研究结果揭示了网络使用对学业成就的影响与作用机制,对家长、教育工作者根据儿童的个人特质对网络使用进行适度引导有启示意义。     

Translation of the 12-step alcoholic anonymous from English language to Yoruba language and its application within the Yoruba culture among patients with alcohol use disorder in Nigeria

ABSTRACT

The aims of this study were to translate the English version of the 12-step alcoholic anonymous (AA) to the Yoruba version and to compare among patients with alcohol use disorders (AUDs), which version would be associated with a higher participation in AA. After an initial translation of the English version of the AA to Yoruba version, 200 participants with AUDs were randomised into either group, matched by age and gender and enrolled in the 12-step programme for six months. Compared to the Yoruba group, the proportion of participants retained in treatment in the English AA group was significantly lower between baseline and at six months, OR?=?.45, 95% CI (.26–.83). The Yoruba 12-step AA has the potential of mitigating the language barrier the English version poses to individuals with limited ability in the English language because participants felt more connected with God.     

Perceived control effects on religiosity and quality of life among young adults

The study investigated the mediating role of perceived control in the association between religiosity and quality of life among young adults in south-west Nigeria. Data were collected from a sample of 1 050 young adults (mean age = 29.8, SD = 4.61; female = 38.7%). Regression analysis was utilised to predict quality of life from religiosity, partialling out perceived control. Findings suggest internal religiosity to predict an environmental domain of quality of life through perceived control. Perceived constraints appear to explain the association between internal religiosity and the environmental domain of quality of life.     

Identity Status,Gender, and Social Comparison Among Young Adults

The aim of this study was to investigate identity status globally and across identity domains among young Swedish adult women and men. Also, potential differences in social comparison among identity statuses were evaluated. The results showed that most of the 124 participants (50% women, M_age 33.29 years) were assigned to an achieved global identity and had made identity-defining commitments across domains. Gender differences in identity status were found in the occupational and parenthood domains. In addition, differences in social comparison orientation were found only in the parenthood domain, whereas those assigned to moratorium scored higher in social comparison than did those assigned to foreclosure and diffusion. These results bring important knowledge to our understanding of identity during young adulthood.     

Barriers and facilitators of physical activity and sport participation among young transgender adults who are medically transitioning

Background: Transgender people (those who feel incongruence between the gender they were assigned at birth and their gender identity) engage in lower levels of physical activity compared to cisgender (non-transgender) people. Several factors have been shown to affect physical activity engagement in the cisgender population; however, the physical activity experiences of young transgender adults have not been explored. It is therefore the aim of the current study to understand what factors are associated with physical activity and sport engagement in young transgender adults who are medically transitioning.

Method: Semi-structured interviews were conducted with 14 young transgender adults (18–36 years) who had initiated their medical transition at a transgender health service in the United Kingdom. The data were analyzed using thematic analysis.

Results: Two main themes were identified: (1) barriers and (2) facilitators to physical activity and sport. Overall, the young transgender adults were insufficiently active due to inadequate changing facilities, body dissatisfaction, fears surrounding “passing” and not being accepted by others. At the same time, participants were motivated to engage in physical activity to increase their body satisfaction and gender congruence. However, participants felt there was a lack of safe and comfortable spaces to engage in physical activity and sport.

Conclusion: Young transgender adults who are medically transitioning experience several barriers to physical activity and sport, despite being motivated to be physically active. Initiatives to facilitate young transgender adults' ability to put their motivations into practice (i.e. to be more physically active) are needed.     

Rapid proportion comparison with spatial arrays of frequently used meaningful visual symbols

It has been shown that when two arrays of Arabic numerals were briefly presented, observers could accurately indicate which array contained the larger number of a target numeral. This study investigated whether this rapid proportion comparison can be extended to other meaningful symbols that share some of notable properties of Arabic numerals. We tested mainly several Japanese Kanji letters, each of which represents a meaning and can work as a word. Using physically identical stimulus sets that could be interpreted as different types of letters, Experiment 1 first confirmed the rapid proportion comparison with Arabic numerals for Japanese participants. Experiment 2 showed that the rapid proportion comparison can be extended to Kanji numerals. Experiment 3 successfully demonstrated that rapid proportion judgments can be found with non-quantitative Kanji letters that are used frequently. Experiment 4 further demonstrated the rapid proportion comparison with frequently used meaningful non-letter symbols (gender icons). The rapid processing cannot be attributed to fluent processing of familiar items, because it was not found with familiar phonograms (Japanese Kana letters). These findings suggest that the rapid proportion comparison can be commonly found with frequently used meaningful symbols, even though their meaning is not relevant to the task.     

Sensitivity to criticism and theory of mind: A cross cultural study on Japanese and Italian children

Although recent studies have shown cross-cultural differences in theory of mind (ToM) between children in Western and Eastern cultures, little is known about cross-cultural differences pertaining to social correlates. The present research investigated cultural variations in the relationship between sensitivity to criticism and ToM. Japanese (n = 76) and Italian (n = 76) 6-year-olds completed a sensitivity-to-criticism task (either the teacher condition or the peer condition), second-order false-belief tasks, and a verbal ability test. The results replicated previous findings of an association between ability rating after teacher criticism and ToM in both countries. Cultural variation was found in emotional response and motivation after teacher, but nor peer, criticism. Japanese children responded to teacher criticism more positively than did Italian children. Moreover, Japanese children who failed the second-order false-belief task were more motivated after teacher criticism than were Italian children. These results are discussed in relation to differences in cultural factors.     

Impulsivity as a precedent factor for problematic Internet use: How can we be sure?

Previous research has suggested that problematic Internet use (PIU) is associated with impulse control disorder. Although researchers have suggested that impulsivity is a risk factor for PIU, the literature lacks longitudinal evidence on the relationship between impulsivity and PIU. We aimed to use a cross‐lagged analytic framework to identify temporal order effects and hypothesised that impulsivity was the precedent factor for PIU. In a panel sample of college students (N = 367), trait impulsivity and PIU were measured in the spring of freshman year and in their junior year. The measures included a self‐developed PIU Scale and the revised Impulsiveness Scale based on Barratt's concept. We found that “non‐planning impulsivity” was not associated with PIU. The “motor impulsivity” subfactor was thus adopted in the cross‐lagged model. The results suggest that motor impulsivity and PIU were stable across time. Motor impulsivity at Time 1 positively predicted PIU at Time 2, but PIU at Time 1 did not predict motor impulsivity at Time 2. A further investigation using gender as a moderator found a gender difference in the temporal relationship. Because motor impulsivity is a risk factor for PIU, potential prevention strategies based on this result are suggested.     

Planting the seeds of change: Directionality in the narrative construction of recovery from addiction

Objective: The dominant theoretical perspective that guides treatment evaluations in addiction assumes linearity in the relationship between treatment and outcomes, viewing behaviour change as a ‘before and after event’. In this study we aim to examine how the direction of the trajectory of the process from addiction to recovery is constructed in personal narratives of active and recovering users.

Design: 21 life stories from individuals at different stages of recovery and active use were collected and analysed following the principles of narrative analysis.

Results: Personal trajectories were constructed in discontinuous, non-linear and long lasting patterns of repeated, and interchangeable, episodes of relapse and abstinence. Relapse appeared to be described as an integral part of a learning process through which knowledge leading to recovery was gradually obtained.

Conclusion: The findings show that long-term recovery is represented as being preceded by periods of discontinuity before change is stabilised. Such periods are presented to be lasting longer than most short-term pre-post intervention designs can capture and suggest the need to rethink how change is defined and measured.