Potential strategies to avoid progestogen-induced premenstrual disorders

Non-hormonal approaches to premenstrual syndrome (PMS) treatment such as selective serotonin reuptake inhibitors are by no means effective for all women and frequently we must resort to endocrine therapy. During many of the hormonal approaches, PMS-like symptoms can be introduced or re-introduced during the necessary cyclical or continuous progestogen component of the therapy. This is seen with combined oral contraception, progestogen only contraception, progestogen therapy for heavy menstrual bleeding and endometriosis, sequential hormone replacement therapy and any therapeutic strategy for premenstrual syndrome where it is necessary to provide endometrial protection, including estrogen suppression of ovulation or add-back during gonadotrophin releasing hormone suppression. The link to progestogen is very often missed by health professionals. When the pattern of symptoms mimics the cyclicity of PMS, it is termed progestogen-induced premenstrual disorder. The need to use progestogen to protect the endometrium from the proliferative actions of estrogen can pose insurmountable difficulties in managing premenstrual disorders. In the absence of any really useful evidence, nearly all practice in this area depends on clinician experience. We cannot afford to wait for adequate research evidence to be produced - it never will - and so we must rely on empirical findings, clinical experience, theoretical strategies and common sense.     

An Overview of and Rationale for Changes Proposed for Pathological Gambling in DSM-5

The fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is scheduled for publication in 2013. It will include several changes to the diagnosis of pathological gambling: the name of the disorder will be altered, the threshold for diagnosis will decrease, and one criterion will be removed. This paper reviews the rationale for these changes and addresses how they may impact diagnosis and treatment of the disorder, as well as potential for future research in the field.     

Expressing Gambling-Related Cognitive Biases in Motor Behaviour: Rolling Dice to Win Prizes

Cognitive perspectives on gambling propose that biased thinking plays a significant role in sustaining gambling participation and, in vulnerable individuals, gambling problems. One prominent set of cognitive biases include illusions of control involving beliefs that it is possible to influence random gaming events. Sociologists have reported that (some) gamblers believe that it is possible to throw dice in different ways to achieve gaming outcomes (e.g., ‘dice-setting’ in craps). However, experimental demonstrations of these phenomena are lacking. Here, we asked regular gamblers to roll a computer-simulated, but fair, 6 sided die for monetary prizes. Gamblers allowed the die to roll for longer when attempting to win higher value bets, and when attempting to hit high winning numbers. This behaviour was exaggerated in gamblers motivated to keep gambling following the experience of almost-winning in gambling games. These results suggest that gambling cognitive biases find expression in the motor behaviour of rolling dice for monetary prizes, possibly reflecting embodied substrates.     

Marital Status,Spousal Characteristics,and the Use of Preventive Care

In this article, we investigated the effects of marriage and spousal characteristics on the use of preventive care. We accounted for the endogeneity of marriage by combining propensity score estimation techniques with marriage transitions observed in longitudinal data. Results indicated that marriage increases the probability of dental check-ups and physical examinations for both sexes and mammograms and Pap smears for women. Next, we examined whether spousal characteristics affect the use of preventive care. Spousal education, income, health conditions, and preferences for risk and health care all affected use of preventive care in expected directions. Taken together, we conclude that marriage increases the use of preventive care; however, the net marital effect masks a heterogeneity that results from the characteristics of the spouse an individual marries.     

Pollen specialization by solitary bees in an urban landscape

Many polylectic bee species are known to specialize locally on one or a few pollen types to increase foraging efficiency. What is relatively unknown is how different landscapes influence foraging decisions, and whether habitat alteration, such as that resulting from urbanization, influences broad-scale foraging activities of bees. This study evaluates the type and diversity of pollen collected by two solitary bees that are common in Toronto, Ontario, Canada, the native Osmia pumila and the exotic O. caerulescens, sampled in trap nests set up in urban parks and gardens. We found that the dominant pollen in every successful brood cell was either of one widespread, cosmopolitan lawn-invasive plant species (Trifolium repens) or one of two wind-pollinated tree genera (Quercus spp. and Betula spp.). In combination, these three represented more than 90 % of all pollen collected by each bee species. Despite considerable overlap in the dominant pollen types collected by each bee species, the exotic O. caerulescens was significantly more specialized than the native O. pumila. Brood cells with Betula as the dominant pollen type were more pollen species-rich than those cells having Trifolium or Quercus as dominant, perhaps a result of the comparatively low protein content in Betula pollen.     

Continuity of Mental Health Care Across Military Transitions

Multiple deployments, a prominent characteristic of operations Enduring Freedom, Iraqi Freedom, and New Dawn, have been linked to increased risk for various mental health conditions. It is also well known that military transitions, such as a change of duty station or discharge, are an inevitable part of military life. While military transitions can be stressful for any service member or veteran, those with mental health conditions face additional challenges. Transition stress can exacerbate a mental health condition that in turn hinders ability to manage the transition, resulting in a cycle of stress. As a result, those receiving mental health care while transitioning often experience difficulty continuing treatment post-transition. This article describes a unique and innovative transition coaching program designed to address this emerging issue.     

Grandparental Involvement and South African Adolescents’ Psychological Well-Being

This study was designed to explore the grandparent-grandchild relationship from the perspective of South African adolescents, and to investigate whether grandparental involvement is independently associated with adolescents’ psychological well-being. Data were collected from 204 adolescents (mean age = 13.69) using a school-based survey. Results revealed high levels of contact between grandparents and grandchildren, although involvement varied depending on grandparent, grandchild, and family characteristics. Grandparental involvement was significantly associated with more adolescent prosocial behavior, independent of parental involvement. The findings suggest a unique association between grandparental involvement and prosocial behavior that is robust across different cultural contexts.     

Market hours,household work,child care,and wage rates of partners: an empirical analysis

The aim of this paper is to provide new evidence on the effect of partners’ wages on partners’ allocation of time. Earlier studies concluded that wage rates are an important determinant of partners’ hours of market and non-market work and also that house work may lower married women’s wage rates. However, the bulk of earlier literature in this area failed to account for the endogeneity of wages or the simultaneity of partners’ time allocation choices. Here we take a reduced form approach and specify a ten simultaneous equations model of wage rates, employment and hours of market work, house work and childcare of parents. Non-participants are included in the model. We exploit a rich time use dataset for France to estimate the model. We find that the own wage affects positively own market hours and negatively own house work and childcare hours. The wage of the father has a significantly negative effect on the mother’s market hours while her wage rate has a significantly positive effect on his house work hours.     

A Qualitative Study of Middle Eastern/Arab American Sexual Minority Identity Development

The development of one's sexual minority identity is often stunted by a heterosexist society. For individuals with multiple minority oppressions, this process becomes even more complicated. As such, there has been a call among researchers for more empirical research on the experiences of lesbian, gay, bisexual (LGB) individuals from racial/ethnic minority groups. This study uses qualitative methods to fill gaps in the literature related to identity development among same-gender attracted Middle Eastern/Arab individuals living in the United States. From 12 interviews, 13 themes associated with intersectionality, race/ethnicity, sexual identity development, discrimination, stigma, oppression, and invisibility. Themes, subthemes, and their implications are discussed.