Subtyping Non-treatment-seeking Problem Gamblers Using the Pathways Model

This study examined whether distinct subgroups could be identified among a sample of non-treatment-seeking problem and pathological/disordered gamblers (PG) using Blaszczynski and Nower’s (Addiction 97:487–499, 2002) pathways model (N = 150, 50% female). We examined coping motives for gambling, childhood trauma, boredom proneness, risk-taking, impulsivity, attention-deficit/hyperactivity disorder (ADHD), and antisocial personality disorder as defining variables in a hierarchical cluster analysis to identify subgroups. Subgroup differences in gambling, psychiatric, and demographic variables were also assessed to establish concurrent validity. Consistent with the pathways model, our analyses identified three gambling subgroups: (1) behaviorally conditioned (BC), (2) emotionally vulnerable (EV), and (3) antisocial-impulsivist (AI) gamblers. BC gamblers (n = 47) reported the lowest levels of lifetime depression, anxiety, gambling severity, and interest in problem gambling treatment. EV gamblers (n = 53) reported the highest levels of childhood trauma, motivation to gamble to cope with negative emotions, gambling-related suicidal ideation, and family history of gambling problems. AI gamblers (n = 50) reported the highest levels of antisocial personality disorder and ADHD symptoms, as well as higher rates of impulsivity and risk-taking than EV gamblers. The findings provide evidence for the validity of the pathways model as a framework for conceptualizing PG subtypes in a non-treatment-seeking sample, and underscore the importance of tailoring treatment approaches to meet the respective clinical needs of these subtypes.     

Exploring the Relationship Between Adverse Childhood Experiences and Hope

ABSTRACT

To explore the relationship between adverse childhood experiences and hope, a convenience sample of caregivers bringing in children for medical investigation of child abuse at a regional child advocacy center were surveyed for adverse childhood experiences and dispositional hope. Hope in this sample had a significant negative correlation to the adverse childhood experiences subscale “abuse” (r = –.19; p < .05). The relationship between hope and the other adverse childhood experiences subscales “neglect” (r = –.14) and “dysfunctional family” (r = –.16) was not statistically significant. An analysis of variance was performed to determine if caregivers who have experienced both sexual and physical abuse (M = 29.67; SD = 15.96) have lower hope scores compared to those caregivers who have experienced neither physical nor sexual abuse (M = 42.64; SD = 18.44). This analysis (F (1, 84) = 5.28; p < 0.05) showed that caregivers who experienced both physical and sexual abuse scored significantly lower on hope compared to their counterparts who experienced no adverse events, with an estimated effect size of moderate strength (d = 0.70). Higher adverse childhood experiences scores are associated with lower hope. This result was especially true for those adult caregivers who reported experiencing both physical and sexual abuse when compared to adults who did not experience either form of child trauma. While the empirical literature continues to demonstrate the negative consequences of adverse childhood experiences across the life span, hope offers a compelling new line of inquiry in child maltreatment research especially for studies targeting prevention or intervention.     

A Dyadic Perspective on Childhood Maltreatment for Women With Provoked Vestibulodynia and Their Partners: Associations With Pain and Sexual and Psychosocial Functioning

Childhood maltreatment is robustly associated with adult-onset vulvodynia, a common form of female genito-pelvic pain/penetration disorder. However, little is known about the impact of childhood maltreatment on current sexual, psychological, and relationship adaptation for couples with provoked vestibulodynia (PVD). This study examined the associations between childhood maltreatment and sexual and psychosocial functioning and pain in women with PVD, the most common subtype of vulvodynia, and their partners. A total of 49 couples (M_age women = 27.80, SD = 6.05; M_age men = 30.04; SD = 6.48) with PVD completed the Childhood Trauma Questionnaire (CTQ), as well as measures of sexual functioning, couple satisfaction, and anxiety. Women also reported on their pain during intercourse. Analyses were guided by the actor–partner interdependence model. Women’s higher reports of childhood maltreatment were associated with their lower sexual functioning and higher anxiety. Partners’ higher reports of childhood maltreatment were associated with their lower sexual functioning, lower couple satisfaction, and higher anxiety, as well as women’s lower couple satisfaction and higher anxiety. Both women’s and partners’ higher reports of childhood maltreatment were associated with higher affective pain for women. Findings suggest childhood maltreatment experienced by women with PVD and their partners should be considered as part of treatment planning.     

Partner Violence Victimization Among Lesbian,Gay, Bisexual,Transgender, and Queer Youth: Associations Among Risk Factors

Literature shows that youth who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ) experience high rates of victimization across various contexts, though there is little research specific to partner violence victimization. Given the deleterious effects of partner violence seen in both youth generally and LGBTQ adults, it is imperative to investigate partner violence among LGBTQ youth. The authors investigated the prevalence of partner violence among a community sample of LGBTQ youth (N = 140) and examined potential correlates of said violence. Approximately half of the participants had ever experienced some form of partner violence. Rates of ever experiencing partner violence were approximately 2.5 times higher for youth who had binge drank in the past month or ever experienced familial abuse and nearly three times higher for youth who had experienced an episode of homelessness in the past year. Implications for professionals who serve LGBTQ youth are discussed.     

Effectiveness of a Self Help Cognitive Behavioural Treatment Program for Problem Gamblers: A Randomised Controlled Trial

The study aimed to strengthen the scarce literature on self-help treatments for Problem Gambling (PG) by comparing the effectiveness of a Self-Help Cognitive Behavioral Treatment (SHCBT) program (n = 23) with a 6-week Waitlist condition (n = 32) in problem gamblers. Participants were community volunteers with gambling problems and were randomly allocated to the Waitlist and treatment conditions. Results showed significant improvements at post-treatment in gambling behaviors including frequency of gambling, average amount gambled per day and PG symptoms as well as a number of gambling correlates including psychological states (e.g., depression, anxiety and stress), gambling cognitions, gambling urges, gambling related self-efficacy, satisfaction with life, and quality of life among those who completed the SHCBT program, when compared with the waitlist condition. The effect size (partial η ²) ranged from .25 to .57 for all assessed outcomes that showed significant improvement from pre- to post-treatment. It was concluded that a self-help CBT program can be beneficial for treating community problem gamblers.     

Pediatric Emergency Department Visits for Mental Health Crisis: Prevalence of Cyber-Bullying in Suicidal Youth

The objective of this work is to (1) study the prevalence of cyber-bullying amongst adolescents referred by Pediatric Emergency Department (PED) for urgent psychiatric assessment and (2) to examine the association between cyber-bullying and suicidal behavior to assist emergency department professionals in screening for risk and triage. This is a retrospective study of patients referred by PED to an urgent psychiatric clinic. Data was extracted for those with bullying victimization. Clinical variables included demographics, reason for referral, type of bullying, substance use, abuse, past psychiatric history, diagnosis and outcome. The cyber-bullying group was compared to those with traditional bullying and a group with no-bullying. Data analysis was conducted using Chi squares, multinomial and bimodal logistic regression. The urgent psychiatric clinic assessed 805 patients in 24 months, the prevalence of bullying was 26.9 % (n = 217). The prevalence of Cyber-bullying was 13.5 % (n = 109) and traditional bullying was 13.4 % (n = 108). Cyber-bullying victims have more suicidal ideation (χ² = 7.82, p = .005; 85.3  vs. 69.4 %), more sexual abuse (χ² = 5.75, p = .02; 29.4  vs. 15.7 %), more emotional abuse (χ² = 10.8, p = .01; 30.3  vs. 12.0 %) and physical abuse (χ² = 6.13, p = .01; 27.5  vs. 13.9 %) and a higher inpatient admission rate. Suicidal ideation is the presenting problem in more than two-thirds of patients, especially females, with history of cyber-bullying who present to the PED. Screening questions about cyber-bullying could assist emergency room professionals in establishing risk and making triage decisions.     

Community Informant Explanations for Unusual Neighborhood Rates of Child Maltreatment Reports

This study explored perceptions of community informants on socioenvironmental factors that explain why rates of child maltreatment reporting are different in neighborhoods with similar population characteristics. This study used data from the SoCal Neighborhoods and Child Welfare study, a multiphase, mixed-methods study of neighborhoods in Los Angeles and San Diego counties. Semistructured qualitative interviews with key informants (N = 28) in 22 census tracts explored factors that account for differences in maltreatment rates among sociodemographically similar neighborhoods. Thematic content analysis revealed three themes regarding neighborhood contributors to maltreatment behaviors and reporting: (a) community norms and values, (b) community resources and providers, and (c) housing dynamics and built environment. Findings indicate complexity in forces that affect maltreatment behavior and reporting. Adding to research on neighborhood social dynamics and child maltreatment, findings suggest that composite indicators of maltreatment within neighborhoods are affected by maltreatment behaviors and the definition, recognition, and reporting of maltreatment.     

Body Disapproval Among Adolescent Male Sexual Offenders: Prevalence and Links to Treatment

Using a large sample of male youth adjudicated for sexual crimes (N = 306), we examined the relationship between body disapproval, childhood sexual abuse, and sexually aggressive behaviors using four different linear regression models. In the models we explored different aspects of sexually aggressive behavior including victim age, level of sexual perpetration, use of threats, and total number of victims. We found a clinically significant statistical trend of the effect of body disapproval on victim age (p = .067). In addition, childhood sexual abuse was significantly related to all aspects of sexually aggressive behaviors (p < .05). Overall, 19.6 % of the sample youth self-reported at least clinically concerning levels of body disapproval. These clinically important results indicate that the incorporation of body disapproval treatment may be useful in the overall treatment of some male youth who have perpetrated sexual crimes. The prevalence of concerning body disapproval among this vulnerable population of youth makes further research on body disapproval treatment of the upmost importance.     

Topiramate Combined with Cognitive Restructuring for the Treatment of Gambling Disorder: A Two-Center,Randomized, Double-Blind Clinical Trial

Gambling disorder (GD) is a prevalent condition for which no pharmacological treatment has yet been approved, although there is evidence that topiramate can reduce impulsivity in GD and craving in various addictive behaviors. The goal of this study was to investigate the effectiveness of topiramate combined with cognitive restructuring for GD in a two-center, randomized, double-blind clinical trial. Participants were individuals seeking outpatient treatment for GD (n = 30), treated with either topiramate or placebo combined with a brief cognitive intervention, over a 12-week period, the dose of topiramate being tapered up during the first 8 weeks. The main outcome measures were gambling craving, behavior, and cognitive distortions; impulsivity; depression and social adjustment. Topiramate proved superior to placebo in reducing gambling craving (P = 0.017); time and money spent gambling (P = 0.007 and P = 0.047, respectively); cognitive distortions related to gambling (P = 0.003); and social adjustment (P = 0.040). We found no significant effects on impulsivity or depression. These findings are in contrast with data from a previous clinical trial with topiramate for GD. In the current study, we found that topiramate affects features specifically related to gambling addiction and had no significant effect on associated phenomena such as impulsiveness and depression. We believe that this response could be due to synergistic interaction between topiramate and the cognitive intervention.     

The effects of scatter-hoarding rodents on Mongolian oak (<Emphasis Type="Italic">Quercus mongolica</Emphasis>) acorn dispersal and seedling distribution in urban woodland

Scatter-hoarding by animals is an effective mechanism for seed dispersal and plant regeneration in natural ecosystems, however, studies on the interaction between hoarding animals and urban forest are insufficient. By methods of acorn placement experiment, cache and seedling survey, the relationship between acorn dispersal and seedlings distribution of Mongolian oak (Quercus mongolica) and scatter hoarding rodents was investigated at the Northeast Forestry University Woodland of Harbin, China. Results indicated that main scatter hoarding rodents of acorns were squirrels (Sciurus vulgaris) and chipmunks (Eutamias sibiricus). Mongolian oak seedlings were distributed primarily in Mongolian Scotch pine, birch and larch parcels (df = 3, χ ² = 1502.77, P < 0.01). Most seedlings were 4 ~ 6 years (df = 3, χ ² = 408.23, P < 0.01) and mainly dispersed within range of 100 m from the parent trees. The activity frequency and cache habitats of squirrels coincided with the distribution pattern of Mongolian oak seedlings, which meant scatter hoarding rodents had important effects on acorn dispersal and seedling establishment of urban Mongolian oaks.     

Predation of artificial bird nests in suburban gardens of KwaZulu-Natal,South Africa

As urbanization increases, the identification of nest predators becomes important for avian conservation and management of urban wildlife communities. We investigated bird nest predation using artificial nests in urban areas of the KwaZulu-Natal (KZN) Province of South Africa. From June 2013 through February 2014 we installed seventy-five artificial nests in 25 suburban gardens in the Ethekwini and Msunduzi municipalities of KZN. Euplectes spp. nests were used and baited with two quail-sized, hand-made, silicon eggs. These were placed in residential gardens and monitored by camera traps for 2-weeks in winter, spring and summer respectively. Generally bird nesting occurs throughout the year in KZN’s subtropical climate, with some avoidance during the autumn season. Therefore, experiments were not conducted during autumn, as fresh nests were not available for use. Overall the rate of predation on artificial nests was 25 % (n = 19), with vervet monkeys Ceropithecus aethiops pygerythrus predating 20 % (n = 17) of the nests while domestic cats Felis catus predated 3 % (n = 2) of nests. Nest predation was significantly higher in the winter season, with 79 % of depredations occurring in winter (n = 15), 16 % in spring (n = 3) and 5 % in summer (n = 1), and in areas with less canopy cover. Our results suggest that vervet monkeys may have a negative impact on nesting birds in urban environments, however, in order to assess the rate of predation experiments on natural nests coupled with information on fledgling success is deemed necessary to investigate avian population declines.     

Potential nitrogen mineralization responses of urban and rural forest soils to elevated temperature in Louisville,KY

Soil nitrogen (N) mineralization is an important process determining terrestrial N availability, and evidence suggests elevated temperatures will enhance N mineralization rates. Along a 40 km urban-rural gradient of chestnut oak forest stands in Louisville, KY, we expected N mineralization rates would be higher in urban than in rural forests in part due to increased temperatures caused by the urban heat island. However, a 12-month field study along this Louisville gradient showed that annual N mineralization rates were lower in urban than in rural stands. Since variation in precipitation inputs and other factors across this land-use gradient may be influencing soil N mineralization rates, we conducted a three-month soil incubation experiment in the lab to determine the extent to which a + 2 °C temperature difference could affect soil N mineralization in urban and rural soils. Across the range of temperatures tested, rural soils mineralized N at twice the rate of urban soils under base (7.86 vs. 3.65 mg N kg^?1 AFDW soil d^?1) and elevated (9.08 vs. 4.76 mg N kg^?1 AFDW soil d^?1) temperatures (p < 0.01). A 2 °C temperature difference, did not significantly alter total inorganic N production in urban (p = 0.272) or rural soils (p = 0.293). The proportion of nitrate produced was lower in the urban (15.1 %) than in the rural soils (72.3 %; p < 0.01). These results suggest that differences in soil organic matter quality and potentially decomposer community composition are the primary explanatory factors for forests along this Louisville gradient.     

Risky Sexual Behaviors and Pregnancy Outcomes in Young Adulthood Following Substantiated Childhood Maltreatment: Findings From a Prospective Birth Cohort Study

Childhood maltreatment is associated with a range of adverse mental and physical health outcomes, including increased rates of sexually transmitted infections (STIs) later in life. However, the impact on risky sexual behaviors and pregnancy outcomes has not been adequately studied. This is particularly true for physical abuse, emotional abuse, and neglect. We examined associations between prospectively substantiated childhood maltreatment and reports of risky sexual behaviors by men and women, as well as selected pregnancy outcomes in women. We followed up 3,081 (45.7% female) participants from the Mater-University of Queensland Study of Pregnancy, a prospective Australian birth cohort study. Using logistic regression, we examined the association between substantiated childhood maltreatment from birth to 14 years, and self-reported risky sexual behaviors and youth pregnancy outcomes at the 21-year follow-up. In adjusted analyses, children who had experienced multiple childhood maltreatment exhibited more risky sexual behaviors than their nonmaltreated counterparts. In specific models, those exposed to each form of childhood maltreatment, independent of co-occurring forms of childhood maltreatment, had an increased likelihood of risky sexual behaviors, particularly an early sexual debut and, for women, youth pregnancy. Neglect was also associated with multiple sexual partners, and emotional abuse with higher rates of miscarriage. There was no difference between men and women in how different forms of childhood maltreatment predicted risky sexual behaviors in young adulthood. All forms of substantiated childhood maltreatment, including multiple substantiations, were associated with risky sexual behavior in both sexes as well as higher rates of youth pregnancy in women. Moreover, emotional abuse persistently predicted miscarriages in young adult women. Understanding the association between childhood maltreatment and risky sexual behaviors and youth pregnancy outcomes may help suggest preventive strategies.     

Casino Self- and Forced Excluders’ Gambling Behavior Before and After Exclusion

Casino exclusion programs are intended to prevent or limit gambling-related harm. Although previous research showed that self-exclusion is associated with reduced gambling, it remains unknown whether self- and forced excluded subjects show different patterns of gambling behavior and if exclusion from casino gambling affects all gambling activities. The present study retrospectively investigated (1) the role of voluntariness of exclusion for the first time, and (2) general gambling behavior of excluded individuals before and after exclusion. A total of N = 215 casino excluders (self-excluders: n = 187, forced excluders: n = 28) completed an online survey or a face-to-face interview up to 8 years after enrollment. Self- and forced excluders showed similar rates of abstinence (self-excluders: 19.3%, forced excluders: 28.6%) and reduction (self-excluders: 67.4%, forced excluders: 60.7%), even though forced excluders reported a significantly greater initial gambling intensity compared to self-excluders (e.g., pre-exclusion gambling time; self-excluders: 3.2 days/week, forced excluders: 4.3 days/week). Overall, results indicated that 20.5% of excluders stopped all gambling activities and another 66.5% reduced their gambling. Those who continued gambling significantly reduced this behavior in every segment, except for gambling halls. Findings indicate that self- and forced exclusion are associated with similarly reduced gambling behavior, even in non-excluded segments. However, unchanged gambling in gambling halls emphasizes the importance to implement consistent exclusion programs over all gambling segments.     

Rainfall interception capacity of tree species used in urban afforestation

Afforestation is inserted in the urban environment and interferes directly in the surface runoff. In order to quantify the rainfall interception by tree species, an experiment was carried out in the city of Uruaçu, Goiás, Brazil, with the four most common tree species in the urban afforestation of the region. The species chosen were the Mangifera indica (mango tree), the Caesalpinia peltophoroides (sibipiruna tree), the Pachira aquatica (munguba tree) and the Licania tomentosa (oiti). In order to register precipitation, ten pluviographs were used. They are capable of measuring precipitation over time in terms of duration, volume, and intensity. For events with a mean cumulative precipitation of 16.7 mm, the mean values of interception found in each species were: Mangifera indica - 8.0 mm; Pachira aquatica - 7.4 mm; Licania tomentosa - 7.2 mm; and Caesalpinia peltophoroides - 4.8 mm. The research confirms the importance of studies related to the identification of the species’ individual characteristics that interfere in the rainfall interception capacity and that can consequently contribute to urban drainage actions. In addition, it proves the existence of variations of rainfall interception in relation to rainfall events and during their occurrences and emphasizes the need for a careful definition of the species that will compose the urban afforestation.     

Relationships between muscle strength and multi-channel surface EMG parameters in eighty-eight elderly

Background

Since age-related muscle strength loss cannot be explained solely by muscle atrophy, other determinants would also contribute to muscle strength in elderly. The present study aimed to clarify contribution of neuromuscular activation pattern to muscle strength in elderly group. From 88 elderlies (age: 61~?83 years), multi-channel surface electromyography (EMG) of the vastus lateralis muscle was recorded with two-dimensional 64 electrodes during isometric submaximal ramp-up knee extension to assess neuromuscular activation pattern. Correlation analysis and stepwise regression analysis were performed between muscle strength and the parameters for signal amplitude and spatial distribution pattern, i.e., root mean square (RMS), correlation coefficient, and modified entropy of multi-channel surface EMG.

Results

There was a significant correlation between muscle strength and RMS (r =?0.361, p =?0.001) in the elderly. Muscle thickness (r =?0.519, p <?0.001), RMS (r =?0.288, p?=?0.001), and normalized RMS (r =?0.177, p =?0.047) were selected as major determinants of muscle strength in stepwise regression analysis (r?=?0.664 in the selected model).

Conclusion

These results suggest that inter-individual difference in muscle strength in elderly can be partly explained by surface EMG amplitude. We concluded that neuromuscular activation pattern is also major determinants of muscle strength on elderly in addition to indicator of muscle volume.

     

Influence of urbanization on the occurrence and activity of aerial insectivorous bats

Activity and species-specific responses of insectivorous bats in different urban-forest conditions provides a general perspective on the adaptability and vulnerability of bat species towards urbanization intensity. Here we evaluated species richness and activity patterns of aerial insectivorous bats across an urbanized landscape in the highlands of Chiapas, in Mexico. Acoustic monitoring of echolocation calls was conducted for 27 nights over a period of four months. Species richness and relative activity of insectivorous bats were estimated in a landscape with different conditions of urbanization intensity: urban areas, non-urban and forest areas. We identified a total of 14 bat species and three phonotypes. Bat species richness and relative activity was similar (X² = 0.568, gl = 2, p > 0.05), but species composition differed among conditions. We observed a significant higher occurrence of Bauerus dubiaquercus, Eptesicus brasiliensis and Myotis californicus in forest sites. Urban sites presented higher occurrence of Molossus rufus and phonotype Molossidae 2, while non-urban sites presented a higher occurrence of Eptesicus furinalis and phonotype Molossidae 2. We were able to identify bat species according to their relative activity in relation todifferent landscape conditions. Species of the Molossidae family presented the highest activity in urban sites, which was positively affected by the number of streetlights, while species of the Vespertilionidae presented the highest activity in forest sites, which was positively related totree density. While urbanization tends to diminish native biodiversity and alter faunal communities, our results show a similar richness and relative activity of aerial insectivorous bats along the urban ecosystem. The effect of urbanization intensity becomes more apparent in species-specific bat activity; the response of species towards particular habitat conditions depends on local habitat quality and characteristics (i.e., presence of streetlights, vegetation cover and tree density).     

Effects of Affective and Anxiety Disorders on Outcome in Problem Gamblers Attending Routine Cognitive–Behavioural Treatment in South Australia

This study evaluated the influence of 12-month affective and anxiety disorders on treatment outcomes for adult problem gamblers in routine cognitive–behavioural therapy. A cohort study at a state-wide gambling therapy service in South Australia. Primary outcome measure was rated by participants using victorian gambling screen (VGS) ‘harm to self’ sub-scale with validated cut score 21+ (score range 0–60) indicative of problem gambling behaviour. Secondary outcome measure was Work and Social Adjustment Scale (WSAS). Independent variable was severity of affective and anxiety disorders based on Kessler 10 scale. We used propensity score adjusted random-effects models to estimate treatment outcomes for sub-populations of individuals from baseline to 12 month follow-up. Between July, 2010 and December, 2012, 380 participants were eligible for inclusion in the final analysis. Mean age was 44.1 (SD = 13.6) years and 211 (56 %) were males. At baseline, 353 (92.9 %) were diagnosed with a gambling disorder using VGS. For exposure, 175 (46 %) had a very high probability of a 12-month affective or anxiety disorder, 103 (27 %) in the high range and 102 (27 %) in the low to moderate range. For the main analysis, individuals experienced similar clinically significant reductions (improvement) in gambling related outcomes across time (p < 0.001). Individuals with co-varying patterns of problem gambling and 12 month affective and anxiety disorders who present to a gambling help service for treatment in metropolitan South Australia gain similar significant reductions in gambling behaviours from routine cognitive–behavioural therapy in the mid-term.