Dismantling Anti-Black Racism with Unapologetic Boldness: Redefining our Values and Living them Out Loud

The Counseling Psychologist, Ahead of Print.
In her 2023 Society of Counseling Psychology (SCP) Presidential Address, Dr. Shavonne Moore-Lobban reflects on the work of the division to continue dismantling anti-Black racism. Through personal reflections of societal oppression and harm toward Black people, she calls on the SCP to engage in critical consciousness and center the liberation of Black people for the liberation of all people. Central to her message are redefined SCP values which she reviews and challenges SCP to boldly live out loud.

Social participation, positive affect, and negative affect in postoperative patients with hip fractures: A cross-sectional study

Journal of Health Psychology, Ahead of Print.
This study investigated the social participation, positive affect (PA), and negative affect (NA) of patients with hip fractures after surgery and determined their possible predictive factors. We used a cross-sectional study design to recruit 154 participants with hip fractures post-surgery. Assessment tools included the Barthel Index, the Automatic Thoughts Questionnaire, the Assessment of Life Habits, and the Positive and Negative Affect Schedule. Patients with better functioning in daily living activities experienced more social participation, higher PA, and lower NA. Patients with more positive automatic thoughts experienced more social participation and higher PA. Patients with more negative automatic thoughts experienced more social participation, lower PA, and higher NA. Early rehabilitation and psychosocial interventions should be provided for postoperative hip fracture patients to improve their activities of daily living and emotional well-being.

#HealthyLifestyle: A Q methodology analysis of why young adults like to use social media to access health information

Journal of Health Psychology, Ahead of Print.
Social media has become an integral part of modern society. Many people now turn to social media platforms to share or gain knowledge about best practices for personal health. This new form of health information dissemination has greatly increased in popularity especially among young adults. Currently, more research is needed to identify why so many individuals choose to turn to social media for health information. Using Q methodology, this study aimed to uncover the attitudes, opinions, and beliefs of young adults who engage with social media as a means of obtaining health and fitness information. Results revealed four primary factors: the Health Connoisseurs, the Health Enthusiasts, the Loyalists, and the Virtual Befrienders. Each group possessed different motivations for accessing health-related content on social media. The insights gained from this study can benefit public health institutions, advertisers, and social media content creators as they disseminate health information on social media platforms.

Issues of identity, perceptions and isolation: An interpretative phenomenological analysis of women’s experience of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome

Journal of Health Psychology, Ahead of Print.
The objective of this study was to explore the personal experience of women with MRKH, a rare condition characterised by congenital abnormalities of the genital tract. There are very few qualitative studies into the lived experiences of women with MRKH. Interviews were conducted with 13 women with MRKH and analysed using interpretative phenomenological analysis. Four superordinate themes are discovered: maintaining a viable female identity; acceptance and coping; normality, secrecy and shame and the isolating impact of a lack of knowledge amongst the medical profession. This study also suggests that societal ideals of a ‘normal woman’ are influencing how MRKH impacts on the self-experienced psychological health. It is suggested that the psychological wellbeing of women with MRKH could be improved with continued multidisciplinary support beyond the initial diagnosis and alongside any vaginal correction.

“I Need A Break or I Might Quit”: STEM Academics’ Pandemic Experiences

The Counseling Psychologist, Ahead of Print.
This research highlights the voices of 103 STEM (science, technology, engineering, and math) women in academia who responded to a series of open-ended questions regarding the impact of COVID-19 on their work and tenure. The current study also sought to compare these responses to similar questions that were collected a year prior (n = 84) during the earliest months of the pandemic (Dunn et al., 2022). Consensual qualitative research-modified (CQR-M; Spangler et al., 2011) was utilized to analyze the data. The main findings reveal substantial concerns about the pandemic’s negative impact on academic work, highlighting research disruptions, difficulty balancing demands on time (e.g., extra responsibilities at work, navigating work and family conflicts), impacts on mental health and burnout for women faculty in STEM, and an increase in negative effects from 2020 to 2021. Clinical implications, future research directions, and social advocacy interventions in the context of COVID-19 will be discussed.

Technology Acceptance of Socially Assistive Robots Among Older Adults and the Factors Influencing It: A Meta-Analysis

Journal of Applied Gerontology, Ahead of Print.
The purpose of this study was to deeply understand older adults’ acceptance of socially assistive robots and their influencing factors and to compare the strength of the correlation between each influencing factor variable and the acceptance. The literature search was performed in five databases from their inception to January 17, 2023. The meta-analysis was performed using Review Manager 5.4 and Stata 16.0 software. Thirteen papers were included in this study. The mean value of acceptability after using the inverse variance method was 3.68. Education level is strongly related to technology acceptance; perceived ease of use, perceived usefulness, technology experience, technology attitude, perceived hedonism, and convenience are moderately related; anxiety is only weakly related.

Family Members’ Abuse of Older Adults, Psychological Well-Being, and Sleep Quality Among Older Women and Men in China

Journal of Applied Gerontology, Ahead of Print.
Despite the well-documented detrimental health effects of elder abuse, scholars have rarely considered whether and how family members’ abuse of older adults is associated with sleep. Data from the 2018 China Longitudinal Aging Social Survey (N = 8110) were used to assess the association between elder abuse committed by family members and sleep quality, and how psychological well-being (depression and loneliness) mediates and gender moderates the above association. Results indicated that those who experienced family members’ abuse were more likely to report poor sleep quality than their non-abused counterparts. Depression and loneliness partially mediated the elder abuse–sleep relationship. Furthermore, among those who experienced one elder abuse, older women had a higher risk of poor sleep quality than their male counterparts. However, two or more elder abuse experiences had similar negative effects on older women and men. Preventing elder abuse and improving psychological well-being is critical to promoting late-life sleep.

Family Carers’ Experiences of Goals of Care Conversations in Acute Hospital Settings

Journal of Applied Gerontology, Ahead of Print.
End-of-life Goals of Care (GoC) discussions aim to support care that is consistent with patients’ preferences and values. This study uses an exploratory qualitative design drawing upon a social constructivist epistemology to examine family carers’ perspectives on GoC within acute Australian hospital settings. Twenty-five family carers of aging inpatients were recruited from six Australian hospitals to participate in recorded, semi-structured interviews. Data were transcribed and analyzed using reflexive thematic analysis. Three main themes were developed. Theme 1 explored carers’ experiences of GoC discussions—identifying varying levels of preparedness and carers' hopes for open, two-way discussions initiated by empathic Health Care Professionals (HCPs). Theme 2 examined carers’ unmet needs for time, space, consistency, and support to make careful decisions. Theme 3 identified carers advocating for patients' needs when they could not do it themselves. Preparing carers and normalizing GoC discussions relating to end-of-life care maximizes benefits for patients, carers, and HCPs involved.

Effectiveness of psychosocial interventions for post-traumatic stress disorder in refugees and asylum seekers resettled in low- and middle-income countries: A systematic review and meta-analysis

Journal of Health Psychology, Ahead of Print.
Refugees and asylum seekers are more prone to posttraumatic stress disorder (PTSD) than the general population. This systematic review aims to determine which psychosocial interventions effectively treat PTSD among refugees and asylum seekers in low- and middle-income countries (LMIC). Relevant papers were retrieved from the bibliographic databases. PTSD symptoms post-intervention was the primary outcome. Ten studies were selected with 1981 participants. In meta-analyses of Randomised control trials (RCTs), psychosocial interventions for PTSD (SMD −0.60, 95% CI −0.96 to −0.23; I2 = 91%; 95% CI 75–100; nine studies, 1789 participants) were shown to be clinically effective. Also, in case of depression (SMD −0.59, 95% CI −0.95 to −0.22; I2 = 84%; 95% CI 50–90; seven studies, 1248 participants). Eye Movement Desensitization and Reprocessing (EMDR) had the greatest effect size among psychosocial therapies for this demographic. However, the number of studies is small, and their methodological rigour is limited, thus future study should concentrate on performing more rigorous trials.

Kaleidoscope of emotions in hospital childbirth: A phenomenological study

Journal of Health Psychology, Ahead of Print.
The childbirth process represents a moment of transition in the life of each woman, and is a source of complex and dynamic emotions. The aim of this study was to describe the emotions women experience during hospital childbirth and to determine the conditioning factors. A qualitative prospective study with a phenomenological approach was conducted using semi-structured interviews with 42 women. The negative emotions the women highlighted were fear, anguish, suffering, concern and nervousness, and they were related to factors such as: the evolution of childbirth, the appearance of complications, pain, the doubt about the ability to give birth and poor communication. The positive emotions highlighted were joy, satisfaction, security, confidence and tranquillity, and they were related to the first skin-to-skin contact, effective communication, partner support and participation in decisions. The findings may contribute to the development of policies aimed at achieving the women and newborns’ maximum health and life potential.