Effects of Testosterone Treatment and Chest Reconstruction Surgery on Mental Health and Sexuality in Female-To-Male Transgender People

ABSTRACT. Objectives: This study examined the effects of testosterone treatment with or without chest reconstruction surgery (CRS) on mental health in female-to-male transgender people (FTMs). Methods: More than 200 FTMs completed a written survey including quantitative scales to measure symptoms of anxiety and depression, feelings of anger, and body dissatisfaction, as well as qualitative questions assessing shifts in sexuality after the initiation of testosterone. Fifty-seven percent of participants were taking testosterone and 40% had undergone CRS. Results: Cross-sectional analysis using a between-subjects multivariate analysis of variance showed that participants who were receiving testosterone endorsed fewer symptoms of anxiety and depression as well as less anger than the untreated group. Participants who had CRS in addition to testosterone reported less body dissatisfaction than both the testosterone-only or the untreated groups. Furthermore, participants who were injecting testosterone on a weekly basis showed significantly less anger compared with those injecting every other week. In qualitative reports, more than 50% of participants described increased sexual attraction to nontransgender men after taking testosterone. Conclusions: Results indicate that testosterone treatment in FTMs is associated with a positive effect on mental health on measures of depression, anxiety, and anger, while CRS appears to be more important for the alleviation of body dissatisfaction. The findings have particular relevance for counselors and health care providers serving FTM and gender-variant people considering medical gender transition.     

Theoretical Factors Influencing Adolescent Sexual Behavior: Evidence from a Rural Sample Living in Poverty

ABSTRACT

This study of 414 adolescents who resided in rural Arkansas families receiving AFDC was designed to investigate what theoretical factors predicted frequency of sexual intercourse in the past year prior to the study and number of lifetime sexual partners among males and females. Multivariate analyses indicated that elements of bonding were important to the sexual behavior of females, but not males. On the other hand, feelings of frustration influenced male sexual behavior only. The number of sex partners was increased by associations with sexually active peers for both genders while only females made excuses. The only factor which was associated with both sexual behaviors among both genders was having sex to have a baby to love or to draw a partner closer. The family social work implications of these findings were discussed.     

Individual interviews or focus groups? Interview format and women’s self-disclosure

Individual interviews have traditionally been an important method of data collection in multiple disciplines, including psychology. However, research comparing individual interviews with focus groups has generated mixed results regarding which method is more effective in investigating sensitive topics. The purpose of the present study was to directly compare the two methods with respect to young women’s verbalizations on a sensitive topic, namely their thoughts and feelings related to body image. Female undergraduate students were randomly assigned to an individual interview (n = 32) or focus group (n = 33). Participants in the individual interviews disclosed more personal thoughts and feelings about body image and had more positive perceptions of the interpersonal climate of their sessions than participants in the focus groups. These findings suggest that individual interviews may provide women with a more supportive environment in which to discuss sensitive topics.     

Bystander interventions for sexual assault and dating violence on college campuses: Are we putting bystanders in harm's way?

Objective: The present study investigated the well-being of bystanders who witness and intervene in sexual assault and dating violence situations on campus. Participants: Participants were 321 young men and women from a large university in the southeastern United States. Methods: Participants completed a survey at the end of the Spring semester of 2015 about risky situations they had witnessed, with follow-up questions about their responses to the situations (eg, whether they intervened or not) and feelings about their responses. Participants also completed standardized measures of posttraumatic stress disorder and depression. Results: Over 90% of the participants reported witnessing at least 1 of the risky events presented to them, and approximately 50% reported intervening in events. Intervening was associated with positive feelings, but traumatic stress symptoms were related to witnessing events and intervening. Conclusions: Results have direct implications for developing appropriate training programs for bystander intervention programs on college campuses.     

The Use of Common Humanity Scenarios to Promote Compassion in Healthcare Workers

ABSTRACT

The importance of compassion in healthcare is universally acknowledged. However, the factors that enhance compassion are not well understood. The perception of common humanity has been proposed as a prosocial perspective that leads to unbiased universal compassion. There has been a lack of research into the relationship between common humanity and compassion. This study examined the use of common humanity scenarios to promote compassion in healthcare workers. Seventy-five healthcare workers were randomly assigned to two groups and shown a different common humanity scenario. The healthcare workers were asked what effect viewing the videos had on their perception of common humanity and compassion. Thematic analysis was used to identify themes. Four main themes emerged: (a) common bonds; (b) people have the same needs; (c) no one wants to suffer; (d) seeing strangers helping others is motivating. Healthcare workers reported feelings of care, concern, and compassion after viewing common humanity scenarios.

IMPLICATIONS

• Viewing common humanity scenarios appears to lead to enhanced feelings of connection to others and compassion in healthcare workers.

• Using common humanity scenarios may be a useful compassion training strategy in healthcare.

• Further research is necessary to gain a better understanding of how viewing common humanity material influences compassion.

     

International Women's Day: Art project for young women

Abstract

The primary aim of the project was to provide the opportunity for a marginalised group of young women to participate in International Women's Day with other women and members of the community and to have the opportunity to express themselves and aspects of their lives in art work on ceramic platters. The target group were ‘homeless, transient and at risk young women from 18 to 25 years of age, including Koori women’, engaged mainly through local homeless youth agencies in the Port Phillip area in Victoria. It was thought that many of this target group had been left out of formal support service provision. The project was evidently a success, both in terms of its modest aims and, most importantly, as evaluated by the participants themselves. Those interviewed expressed greater feelings of social connectedness - particularly with other women, raised self esteem and optimism and a new found enjoyment in the creative process.     

The Experience of Formerly Battered Women with Divorce

Abstract

The study measured the feelings about their parents' divorce reported by early adolescent children at the time of the divorce, three and ten years later, and retrospectively, at the ten-year mark. Sadness, shock and disbelief were the most common feelings at the time of the divorce, but relief, anger at one parent, gladness and a desire for parental reunion were also quite usual. Three years later, sadness, shock, disbelief and desire for parental re-union had declined sharply, and relief and gladness had increased. Ten years on, most feelings except gladness and relief were at a low level; but anger at one parent continued to be reported by more than one-fifth of the sample. Principal components analysis suggested the presence of two rather different groupings of feelings. The first described shock and upset, and had a relatively limited life span; the second centred on anger at one parent and relief and gladness at their departure, and these feelings continued into adulthood. At all three times, this latter group of feelings was associated with poorer relations with fathers. Stronger feelings about the divorce were not generally associated with poorer psychological adjustment, although at Time 3 bad feelings about the divorce were reflected in bad feelings about the self. The retrospective reports made at Time 3 substantially over-estimated the intensity of the negative emotions reported at the time of the divorce.     

Perceptions of Resistance to Unwanted Sexual Advances

Abstract

In this study we investigated which response strategies used by females against unwanted sexual advances were more likely to be interpreted as token resistance. Male and female participants were given one of seven brief scenarios which varied the type of response to an unwanted sexual advance. The participants were asked to indicate the extent to which they thought the female wanted the male to stop his advances. Also, they were asked to attribute positive and negative feelings to the female. Finally, the participants were given the Rape Myth Acceptance Scale. As predicted, the results indicated that for both males and females, the more salient and direct responses were less likely to be interpreted as token resistance. These responses also resulted in less positive feelings and more negative feelings being attributed to the female in that situation. Also, male participants whose scores on the Rape Myth Acceptance Scale indicated beliefs consistent with rape myths were more likely to interpret a female's response as token resistance.     

Evaluation of a Resilience Intervention to Enhance Coping Strategies and Protective Factors and Decrease Symptomatology

Objective: In this pilot study, the authors examined the effectiveness of a 4-week resilience intervention to enhance resilience, coping strategies, and protective factors, as well as decrease symptomatology during a period of increased academic stress. Participants and Methods: College students were randomly assigned to experimental (n = 30) and wait-list control (n = 27) groups. The experimental group received a psychoeducational intervention in 4 two-hour weekly sessions. Measures of resilience, coping strategies, protective factors, and symptomatology were administered pre- and postintervention to both groups. Results: Analyses indicated that the experimental group had significantly higher resilience scores, more effective coping strategies (ie, higher problem solving, lower avoidant), higher scores on protective factors (ie, positive affect, self-esteem, self-leadership), and lower scores on symptomatology (ie, depressive symptoms, negative affect, perceived stress) postintervention than did the wait-list control group. Conclusions: These findings indicate that this resilience program may be useful as a stress-management and stress-prevention intervention for college students.     

Consent requires a relationship: rethinking group consent and its timing in ethnographic research

ABSTRACT

Activist groups in ethnographic research re-negotiated our Ethics Committee’s expected order of securing consent before data collection, demonstrating the importance of researchers taking time to build relationships first. Although the Ethics Committee expected us to obtain group consent, the literature provides little guidance on how to do this. We developed a Memorandum of Understanding to summarize what forms of participant observation each group agreed to and how we would reciprocate. In this article, we (re)conceptualize consent, using analogies to consent in social contract theory and sexual relations to offer a critical perspective on what constitutes consent. We argue that taking time to build relationships before expecting research participants to consent and replacing informed consent with a negotiated agreement is a more ethical approach. We advocate for Ethics Committees to expand the meaning of ‘informed consent’ and review its timing, especially for ethnographic research with groups.     

Personality Comparisons of College Students Reporting Previous Sexually Transmissible Disease Infection and Students Never Infected

Abstract

This study determined if college students reporting previous sexually transmissible disease infection can be identified as possessing particular personality characteristics. The Cattell Sixteen Personality Factor questionnaire was administered to students in health education classes at seven U.S.A. universities. Students indicated if they had ever contracted an STD through sexual contact outside of marriage. The data were analyzed by the discriminant function analysis. Previously infected females (N = 47) and males (N = 49) were differentiated by personality from their counterparts reporting no previous infection. Six personality factors were the major discriminators between the female groups, with previously infected females being more sober, placid, trusting, affected by feelings, experimenting, and forthright. Five factors differentiated the two male groups, with previously infected males being more tender-minded, assertive, relaxed, practical, and expedient than never infected males. All of the personality factors for the STD groups were within the “average” range for college students. Therefore, the STD groups apparently had no greater psychological difficulties/deviations than other college students. Focusing control efforts on population groups with particular personality characteristics would appear not to be appropriate.     

Trial and Lifetime Smoking Risks Among African American College Students

Abstract

The authors surveyed 614 African American university students to determine the magnitude of cigarette use, identify risk factors, and develop models to predict smoking. More than half (58.3%) of the participants had smoked at least once, and 9.3% of that group were lifetime smokers. Among the lifetime smokers, 71.3% had smoked during the 30 days preceding the survey. More women (66.8%) than men (56.1%) had tried smoking and were classed as lifetime smokers. Residence, parental, and peer smoking (current and childhood) were associated with trying smoking; age, race/ethnicity, and marital status were additional factors for becoming a lifetime smoker. The risk of being a lifetime smoker was reduced when neither friends nor parents of the student smoked and the student viewed spirituality as important. The results of this study add to the growing understanding of health risk behaviors among African Americans and can be useful in reducing smoking.     

The prevalence and severity of varicocele in adult population over the age of forty years old: a cross-sectional study

Objectives: To investigate the prevalence and severity of varicocele in adult population over the age of 40. We also measured testicular size, consistency, and total testosterone levels with an aim to observe the effect of varicocele on testis as men age.

Methods: Two hundred twenty-four patients with varicocele, 241 patients without varicocele who admitted to our clinic were enrolled in the study. We stratified participants by four age groups (40–49, 50–59, 60–69, >70?yr). Patients were grouped according to varicocele grade and laterality. The morning testosterone level was drawn. The subgroups were compared with each other.

Results: Overall, varicocele prevalence was 48%. Of the patients, 104 had unilateral, 120 had bilateral varicocele. Of the patients with varicocele, 62 (13.30%) were found as grade 3, 99 (21.10%) were grade 2, and 63 (13.60%) were grade 1. The percentages of smaller testes in grade 1, grade 2, and grade 3 varicocele group were 20.60, 79.80, and 88.70 and a significant association was detected. Age stratification of the data revealed the smaller and soft testis prevalence as well as higher grade varicocele prevalance increased in older age groups.

Conclusions: Varicocele presence is associated with lower testicular size, softer testicular consistency, and lower testosterone levels, especially in older patients with bilateral and high-grade varicocele.     

Risk Factors Associated With Overweight and Obesity in College Students

College obesity is increasing, but to the authors' knowledge, no researchers to date have evaluated risk factors in this population. Objective: The authors assessed whether abnormal eating perceptions and behaviors were associated with overweight in college students. Participants and Methods: A sample of undergraduates (N = 4,201) completed an online survey containing demographic questions and the Eating Attitudes Test-26 (EAT-26) questionnaire. The authors stratified participants into normal-weight and overweight/obese groups and evaluated physical activity, EAT-26 score, purging behaviors, and answers to selected overweight screening questions on the basis of body mass index. A modified EAT-26 score of ≥ 11 was associated with overweight (p = .016). Results: Compared with normal-weight peers, overweight participants displayed an increased fear of bingeing, preoccupation with food, desire to be thinner, and engagement in dieting behavior. Mean body mass index also increased with age and physical inactivity (p < .001). Conclusions: Because physical inactivity, disordered eating perceptions, and disordered behaviors are associated with increased rates of overweight and obesity, identification of these risk factors in obese youths may increase understanding of weight loss barriers and facilitate the treatment of adolescent obesity.     

Explaining how unexploded ordnance clearance enhances livelihoods in the Lao PDR

BackgroundFollowing violent conflict, the continued presence of landmines and unexploded ordnance pose a barrier to rebuilding livelihoods. Mine action removes these explosive remnants of conflict to enable communities to safely return contaminated land to productive use. There is limited understanding, however, of how, why, in what context and in what respects mine action contributes to livelihoods. Yet, such information is required for effective resource allocation, checking underlying program assumptions, understanding benefits and potential harms.MethodsThe evaluation was undertaken in the Lao People's Democratic Republic. It used an interpretive case study design and applied the principles of realist evaluation. Program staff and local government authorities were interviewed (N = 37) and program beneficiaries. In total, 38 individual interviews with program beneficiaries were conducted and eighteen focus group interviews (9 with males, 9 with females), each with 6–9 participants.ResultsThe evaluation identified two main mechanisms through which the program ‘worked’: (1) communication pre- and post-clearance and (2) the delivery of the product (cleared land).ConclusionThe realist approach helped to refine the program theory, highlighted the role of self- and task-efficacy and community communication, assisted in identifying contextual factors that influence outcomes and suggested a revision of expected outcomes.     

Comparing the effectiveness of individual and group therapy for students with symptoms of anxiety and depression: A randomized pilot study

Abstract

Objective: To examine the effectiveness of individual versus group therapy for anxiety and depression among university students. Participants: Forty-one university students experiencing moderate to severe symptoms of anxiety and/or depression participated during one of three academic semesters from 2015 to 2016. Methods: Participants were randomly assigned to either 6-weeks of individual or group therapy and completed outcome measures at pre-and-post-treatment. Results: Significant reductions in both depression and anxiety scores were found across time, with no significant difference between group and individual therapy outcomes. Exploratory analysis of attitudes toward therapy found that while individual therapy was rated more favorably than group therapy overall, attitudes toward therapy became more favorable from pre to post-treatment for all participants. An interaction showed differences in attitudes toward individual and group therapy according to participants’ randomly assigned treatment. Conclusions: These findings support the increased usage of group therapy within university counseling centers, with implications for stepped care discussed.     

A Pseudofolliculitis Barbae Clinic for the Black Male who Has to Shave

Abstract

We conducted focus group interviews with students who were current peer health educators at a mid-sized university to determine what factors motivate individuals to volunteer for a peer health education program. Specifically, we asked the participants questions designed to explore their life experiences, their expectations of the peer education program, and their motivations. Constructs from social learning theory were used to categorize and contribute to our understanding of the responses. Many participants specified experiences with family members or friends, such as alcoholism or other illnesses, that had influenced their decisions. Participants' expectation of the program varied greatly and did not indicate a strong link to the decision to volunteer. The peer health educators' motivations for volunteering were altruistic, such as wanting to help others; egoistic, such as wanting job training; or related to self-efficacy beliefs, such as satisfying a personal need for health education. This study indicated that life experiences, a belief in the effectiveness of peer health education programs, and positive reinforcement to join influence the decision to volunteer. Implications for coordinating peer education programs are discussed.     

Experiences of adolescent mothers in Costa Rica and the role of parental support

ABSTRACT

Adolescent pregnancy is often thought of as a social problem, one that can cause the adolescent mother hardship, including poverty, low-educational attainment, and housing instability. Although much research has been conducted about adolescent pregnancy in the developed world, less has considered adolescent pregnancy in the developing world. This qualitative study focuses on women who were impoverished in Costa Rica who had been pregnant in adolescence. The goal of the study was to gain a better understanding of the lived experiences of the mothers, as well as the kinds of support they received during and after the pregnancy. The research sample consisted of 22 female participants who were impoverished and had experienced an unintended pregnancy in adolescence. The key finding from this study was that parental support was the most important factor in mitigating adolescent experiences of stress and negative feelings about their choices related to the pregnancy. The study has implications for the understanding of the experiences of women who are vulnerable with respect to adolescent pregnancies in Latin America and for Latina migrants to the United States.     

Midlife Lesbian Parenting

Summary

This study explores the experience of nine midlife lesbian mothers parenting young children. The participants live in the greater Bay Area of San Francisco.

The participants reported positive feelings about their parenting experience. They felt confident and secure in midlife, and this enhanced their parenting. Their own maturation issues, whether they were coming out or other developmental concerns, seem successfully traversed, leaving them more inner resources for mothering.

Participants experienced acceptance from the larger culture, as well as discrimination and ignorance. Participants experienced little conflict regarding nurturing with their partner and little conflict with respect to their identities as mothers.