Caregiving for children through conflict and displacement: a pilot study testing the feasibility of delivering and evaluating a light touch parenting intervention for caregivers in the West Bank

A child's adjustment to wartime stress is reliant not only on individual responses and qualities, but very significantly on the availability of support that they may receive from their parent or caregivers and quality of relationships. Strengthening parental support has the potential to be valuable. A pilot two-arm randomised controlled trial investigated the feasibility of delivering and evaluating the “Caring for Children Through Conflict and Displacement” intervention with caregivers in the West Bank. Feasibility to recruit and train non-specialist staff on-the-ground to screen families for eligibility, collect outcome data, deliver the intervention and to recruit and retain families in the study were examined. Research staff and intervention facilitators were successfully appointed in the field, screened participants and delivered the intervention to 120 caregivers, collecting outcome measures pre-and post-delivery. All families completed the outcome measures, with very little missing data. This indicated that the intervention can be delivered feasibly and evaluated with families in this humanitarian context. Preliminary outcome data showed promise that the intervention may have the potential to both improve family functioning and reduce children's problem behaviour. Implications of family-focused initiatives, particularly within a conflict/post-conflict context for the prevention of several negative health and social outcomes directions, are discussed.     

Depressed mood and environmental mastery as potential pathways linking family relationship quality and disease self-management for African Americans with hypertension

African Americans are at significantly greater risk of hypertension and worse cardiovascular outcomes than other racialized groups, yet hypertension intervention effects remain limited. Thus, it is necessary to understand the potential mechanisms whereby interventions may be more effectively targeted to improve health. Supported by prior research evidence and guided by the Biobehavioral Family Model, this study examined associations between family relationship quality, psychological wellbeing, and self-management behaviors for African Americans with hypertension. Data were pooled from three Midlife Development in the U.S. projects, resulting in a sample of 317 African Americans (63.4% female, M_age = 53.32) with self-reported high blood pressure in the past 12 months. We tested four cross-sectional multiple mediator models, with depressed mood and environmental mastery mediating associations between family strain and exercise, smoking, problematic alcohol use, and stress-eating. Environmental mastery mediated the association between greater family strain and decreased odds of achieving recommended exercise levels; greater odds of reporting problematic alcohol use; and greater stress-eating. Though family strain was associated with depressed mood in each model, this variable did not serve as an indirect pathway to self-management behaviors. Family strain, and the potential pathway identified via environmental mastery, may be a meaningful predictor of disease self-management for African Americans with hypertension. Longitudinal studies are needed to examine directionality and to support intervention trials for improving self-management and hypertension outcomes.     

Young Women’s Experience of Sexuality: A Battle of Pleasure and Sexual Purity in the Context of Malaysian Society

Little is known regarding the ways in which Malaysian women’s sexuality is constructed, and how their personal experiences, culture, religion and society influence their feeling, attitude and sexual behaviours. This study explored the sexual experiences of young adult women in the developing context of the country. A qualitative phenomenological approach was adopted. Purposive sampling was employed, and a total of 20 participants were recruited, comprised of the major ethnic groups in Malaysia. Four main themes emerged through the phenomenological analysis of the data, including: conditional pleasure; social honour and women’s purity; risk and responsibility; and transcendence of love and emotion. The findings of this study revealed that sexuality was experienced under the control of religion and society with the concern of conserving a woman’s purity and social honour; and imposing risks and responsibility on women. Despite the awareness of women’s right to experience sexual pleasure, it was commonly perceived that sexual activities beyond the social norms will result in social shaming and guilt. The authors recommend appropriate sexuality education regarding sexual assertiveness and communication, safe-sex practices, and improving sexual decision-making skills.     

Happiness vs. mindfulness exercises for individuals vulnerable to depression

An online ‘positivity’ exercise involving the practice of discrete positive emotions was pitted against a mindfulness meditation exercise and an active placebo control. The effects of positivity and meditation were examined in relationship to personality variables known to entail vulnerability to depression. Participants (N = 741) were randomly assigned to the positivity, mindfulness, or control condition. They completed their exercise for three weeks and were assessed on measures of subjective well-being at baseline, post-test, and one, and two months later. Results indicated that all groups showed significant decreases in depressive symptoms from baseline to two months. The positivity exercise uniquely predicted increases in meaning, pleasure, engagement, and satisfaction in life across follow-ups. Dependent individuals responded favorably to the positivity intervention in the short run, but worsened in the long run for pleasure-related happiness. Self-criticism was associated with significantly greater gains in life satisfaction following exercise completion.     

The Experience of Intimate Relationships Among Homosexual Men in Malaysia

Malaysia is relatively conservative regarding topics like sex, and, especially, research on homosexual relationships is scarce. The current study aims to understand the experience of intimate relationships among homosexual men in Malaysia using a phenomenological qualitative approach. A total of 12 participants of various ethnic backgrounds (between 21 and 35 years of age) were recruited through purposive and snowball sampling via the Malaysian-based LGBT-friendly Facebook group. Thematic analysis was applied for data analysis, and themes emerged through looking into the perception and practice of intimate relationships. The findings of the current study reflect that the hetero-normative perception of intimate relationships is common among the participants, and is compatible with the cultural norms. However, in terms of sexual practices, the findings show similarities with more liberal parts of the world, as open relationships and casual sex is common among homosexual men. Hence, open relationships are being adopted as a strategy to improve the survivability of the relationship instead of just to satisfy sexual needs. The findings highlight the lack of a frame of reference for homosexual relationships in Malaysia. The current study adds to the scarce research on homosexuality in this country, which could assist professional helpers to better understand the different dynamics and beliefs of relationships among homosexual men and the challenges they may face.     

Introducing a new age-and-cognition-sensitive measurement for assessing spatial orientation using a landmark-less virtual reality navigational task

Age-related impairments during spatial navigation have been widely reported in egocentric and allocentric paradigms. However, the effect of age on more specific navigational components such as the ability to drive or update directional information has not received enough attention. In this study we investigated the effect of age on spatial updating of a visual target after a series of whole–body rotations and transitions using a novel landmark-less virtual reality (VR) environment. Moreover, a significant number of previous studies focused on measures susceptible to a general decline in motor skills such as the spent time navigating, the distance traversed. The current paper proposes a new compound spatial measure to assess navigational performance, examines its reliability and compares its power with those of the measures of duration and traversed distance in predicting participants' age and cognitive groups assessed by Montreal Cognitive Assessment (MoCA) scores. Using data from 319 adults (20–83 years), our results confirm the reliability, the age sensitivity, and the cognitive validity of the designed spatial measure as well as its superiority to the measures of duration and traversed distance in predicting age and MoCA score. In addition, the results show the significant effect of age cognitive status on spatial updating.     

In‐group relevance facilitates learning across existing and new associations

Studies have shown that attention prioritizes stimuli associated with the in‐group. However, the extent to which this so‐called in‐group favoritism is driven by relevance is not clear. Here, we investigated this issue in a group of university rowers using a novel perceptual matching task based on the team label–color associations. Across three experiments, participants showed enhanced performance for the in‐group stimulus regardless of its familiarity level. These findings confirmed the role of relevance in in‐group favoritism. In a further control study, the advantage for certain stimuli was not found in an independent sample of participants who were not identified with the teams but were familiar with the label–color associations, indicating that in‐group relevance was necessary for the in‐group favoritism. Together, these findings suggest that in‐group relevance facilitates learning across existing and new associations. The consequences of these findings for understanding in‐group effects on perceptual processing are discussed.     

Decisions Regarding Pregnancy Termination Due to β-Thalassemia Major: a Mixed-Methods Study in Sistan and Baluchestan,Iran

In the present study, an embedded design was applied in order to conduct a one-year cross-sectional audit of chorionic villus sampling (CVS) and foetal outcomes affected by β-thalassemia major (β-TM) in a prenatal diagnosis (PND) setting. In addition, we explored the decisions regarding pregnancy termination among women whose pregnancy (or child) was affected by β-TM. In the quantitative phase, the available data in the clients’ medical records were analysed, while the qualitative phase was performed using a grounded theory method. Interviews were performed with nine pregnant women who had decided against pregnancy termination despite positive CVS results, 11 mothers who had admitted their child to the thalassemia ward for blood transfusion, and 19 mothers who had received positive CVS results and had decided against pregnancy termination in the preceding year. Over one year, 18.6 % of women decided against pregnancy termination despite positive CVS results. Two main themes related to decisions against pregnancy termination emerged from the qualitative data: 1) Cognitive factors (questioning the reliability of the tests or doubts about the accuracy of the results, understanding disease recurrence, curability, perceived severity of the disease, and lack of “real-life experiences”); and 2) Sociocultural responsiveness (family opposition, responsibility before God, and self-responsiveness). All of the mentioned factors could intensify fear of abortion in couples due to possible regret, and encourage a decision against pregnancy termination.