Randomized controlled trial of an intervention to prevent adherence failure among HIV-infected patients initiating antiretroviral therapy.

OBJECTIVE: Compare the efficacy of a multicomponent social support intervention to standard-of-care counseling on medication adherence among HIV-infected patients initiating antiretroviral therapy. DESIGN: Randomized controlled trial. Generalized estimating equations tested for differences in the percentage of participants achieving 90% adherence. MAIN OUTCOME MEASURES: Pill-taking, electronically monitored over 6 consecutive months; plasma viral load (VL), assessed at 3 and 6 months following initiation of therapy. RESULTS: Of 226 participants who were randomized and began the trial, 87 (38%) were lost to the study by 6 months. The proportion of adherent participants declined steadily over time, with no time by group interaction. Sustained adherence was associated with increased odds of achieving an undetectable VL (OR=1.78; 95% CI=1.01, 3.13). In intention-to-treat analyses, a larger proportion of the intervention group than the control group was adherent (40.15% vs. 27.59%, p=.02) and achieved an undetectable VL p=.04). However, the majority of participants who remained on study experienced some reduction in VL (>or=1-log drop or undetectable), regardless of experimental condition. CONCLUSION: The multicomponent social support intervention significantly improved medication adherence over standard-of-care counseling; evidence for improved virologic outcomes was inconsistent. Early discontinuation of care and treatment may be a greater threat to the health of HIV patients than imperfect medication-taking.     

The valuing process: A study of favorite songs and the inner experience of persons diagnosed with schizophrenia

Since valuing is a process grounded in the organizational tendency of human behavior, the characteristics of a highly valued object should reflect the experience of the individual who selects it. This research compared the favorite songs of fourteen individuals diagnosed with schizophrenia to their inner experience as assessed in a standard interview. Many relationships were revealed between the two, often pertaining to important issues identified in theories of schizophrenia. Results may have therapeutic applications and shed light on processes through which psychological difficulties persist.     

As If Your Life Depended on It: Promoting Cognitive Development to Promote Wellness

In this article the authors discuss key elements of the cognitive-developmental perspective and the need to integrate it as an important component of the wellness model. Each speaks to the personal empowerment of every person to live a rewarding and responsible life. Each also emphasizes the ongoing promotion of growth rather than secondary prevention or remediation.     

Locus of control,choice, and satisfaction with an assigned task

P. E. Spector's (1982, Psychological Bulletin, 91, 482–497) hypothesis that under conditions of freedom of choice persons characterized by an internal locus of control will experience greater satisfaction with an undesirable task than persons characterized by an external locus of control is considered in light of distinctions between perceived control and perceived choice. Perceived choice is proposed as an intervening variable implicit in Spector's argument. This reasoning was tested with 46 male and female college student participants in a 2 (Choice) × 2 (Locus of Control) factorial design experiment. An interaction of Choice × Locus of Control on task satisfaction was obtained such that internals tended to be more satisfied when given a choice while externals experienced greater satisfaction when not given a choice. The implications of this result for Spector' hypothesis and for the manner in which undesirable work is assigned are discussed.     

A systematic review of relationship sacrifices from 2002 to 2021: Moving toward inclusivity

We conducted a systematic review of research on relational sacrifices in romantic relationships from 2002 to 2021 [N = 115 studies] to answer three questions: Q1: Whose voices and vantage points are represented in the research?; Q2: What types of questions are valued?; Q3: What are the reflections and connections about relational sacrifices that were learned during the review? To address Q1, we coded sample demographics of study participants on geographical location, race/ethnicity, education/income/SES, gender (i.e., gender differences explored and beyond gender binaries), sexual orientation, age, and disability, using a coding system of 1 (exclusion/absence) to 5 (focus on context-relevant experiences for underrepresented samples). Results for Q1 showed that the most frequent codes were 1 (exclusion/absence) for information about the samples' disability status, education/income/SES, and both codes for gender (i.e., gender differences explored and beyond gender binaries); when demographic information was reported, the most frequent codes were 2 (compensatory addition) for age, sexual orientation, geographical location, and race/ethnicity. To address Q2, we coded for aspects of the study designs and conceptual dimensions of sacrifice. Results for Q2 showed that a majority of the studies in our review used quantitative and close-ended measures emphasizing behavioral frequency of sacrifice. For Q3, we include our own reflections and connections about relational sacrifices, questioning research methods, and challenging assumptions drawn from existing research to move toward a more inclusive science.     

Susceptibility to prosocial and antisocial influence in adolescence following mindfulness training

Mindfulness training programmes have shown to encourage prosocial behaviours and reduce antisocial tendencies in adolescents. However, less is known about whether training affects susceptibility to prosocial and antisocial influence. The current study investigated the effect of mindfulness training (compared with an active control) on self-reported prosocial and antisocial tendencies and susceptibility to prosocial and antisocial influence. 465 adolescents aged 11–16 years were randomly allocated to one of two training programmes. Pre- and post-training, participants completed a social influence task. Self-reported likelihood of engaging in prosocial and antisocial behaviours did not change post-training, and regardless of training group, participants showed a higher propensity for prosocial influence than for antisocial influence. Finally, participants were less influenced by antisocial ratings following both training programmes.     

Critical flicker fusion in normal elderly subjects; a cross-sectional community study

Critical Flicker Fusion Thresholds (CFFTs) were measured in 644 elderly people identified from community-based general practice records, and the relationship of CFFT with age was investigated. The CFFT was measured using the method of limits with mean scores for three ascending (flicker/fusion) and three descending (fusion/flicker) presentations being recorded. The difference between the ascending and descending means was found to be significantly correlated with age (r=−0.131,P<0.001) and may reflect a reduced sensitivity of the Central Nervous System to suprathreshold flicker with increasing age. The results suggest that CFFT measurement has an important role to play in gerontological research as an objective measure of cognitive aspects of the ageing process.