Childhood Maltreatment,Bullying Victimization,and Psychological Distress Among Gay and Bisexual Men

Sexual minority men report higher psychological distress than heterosexual men, including depression and anxiety. Research suggests that these health disparities may be due to the heightened stressors that gay, lesbian, and bisexual individuals experience. Some of these stressors occur early on in life, such as childhood abuse and bullying, and may include stressors that are topically related to sexual minority status, such as anti-gay bullying and teasing for gender nonconformity to masculine gender norms. We tested a structural equation model on the association between negative childhood experiences and adult psychological distress among 304 gay and bisexual men. The model fit the data well, and demonstrated an indirect effect of negative childhood experiences on adult psychological distress via dysfunctional thoughts toward oneself. The results integrate the childhood abuse and anti-gay bullying victimization literatures by showing that both forms of adverse childhood experiences are associated with adult psychological distress. The findings suggest the benefit of treatments to reduce negative, dysfunctional thoughts among gay and bisexual men who have experienced adverse childhood events.     

Researching the Social Impact of Arts and Disability: Applying a New Empirical Tool and Method

This paper has a twofold focus: to establish a method of assessing the potential social impact of arts and disability projects and to apply this method to ten such projects. It does so by using a newly developed ‘ripple’ model that conceptualises social impact in terms of the development of active citizenship on the part of all participants over time. The model identifies ten factors (programme activity, welcoming, belonging, programme social values, individual social values, programme networks, individual networks, skills and creativity, programme wider social impact, and individual wider social impact) which evolve through four progressive stages. The original model is empirically adapted for application to arts and disability projects. Qualitative data were collected in the form of interviews, surveys and media reports across ten case studies, each representing a major arts and disability project offering a professional outcome for an external audience. The qualitative data were coded to provide a simple scoring tool for each case. The results support the application of the model in this context. Furthermore, findings indicate three critical conditions which enable projects to generate considerable positive social impact beyond the individual; ensemble in nature; project embeddedness; and networks and partnerships.     

A researcher's journey: Exploring a sensitive topic with vulnerable women

Background

The conduct of research regardless of the subject or methods employed brings responsibilities and challenges. These are greater when dealing with sensitive topics and vulnerable groups and therefore researchers must navigate a range of complex issues and make choices in relation to practical, ethical and philosophical concerns. While literature dealing with research methodologies and research design may assist to some degree, it cannot provide a clear pathway or template as each research project must respond to a unique set of circumstances. We can however, also learn from sharing our stories and critical reflections on our research processes.

Responses to birth trauma and prevalence of posttraumatic stress among Australian midwives

Background

Midwives frequently witness traumatic birth events. Little is known about responses to birth trauma and prevalence of posttraumatic stress among Australian midwives.

Ergonomics in the operating room

Surgical staff is considered to have several ergonomic risk factors, but their physical workload and musculoskeletal health have seldom been evaluated. Clinical examinations of neck and upper extremities were performed in 99 theatre nurses and 93 assisting nurses, all females. Their physical workload was assessed by questionnaire, and by technical measurements of postures, movements and muscular load in subgroups of both categories. The prevalences of diagnoses in neck/shoulders were not remarkably high in the nurses, compared to other occupational groups. In elbows/hands though, the prevalence was rather high among assistant nurses, 13 vs. 5 % in theatre nurses; POR 3.0 (CI 95 % 1.0 - 8.9). Theatre nurses experienced prolonged static postures in the questionnaire, whilst assistant nurses reported high physical load. Accordingly, the technical measurements showed more strenuous working postures in the theatre nurses, but lower wrist angular velocities. The time proportion of muscular rest in m.trapezius was rather high in both groups. Although both groups had some stressful loads they had relatively low prevalence of diagnoses in neck/shoulders. The high proportion of muscular rest may be protective. The elevated risk of elbows/hands diagnoses among assistant nurses may be explained by strenuous work tasks of short duration.     

The experiences of university students with a mood disorder

Mood disorders typically materialise in young adulthood, a life-stage when many enter university. However, Padron notes that few studies have examined the experiences of students with a mood disorder. The current study offers a thematic analysis of semi-structured interviews with five university students who had personal experience of such a disorder. Participants described how symptoms affected their academic and social experiences of university based around the themes of: Social and family support, Powerful symptoms, Stigma and labelling, and Inter-professional dynamic. It was concluded that stigma and lack of information prevented students from obtaining sufficient support, whilst the addition of key staff such as a university-wide mental health trainer is identified as a potential way forward to help such students negotiate the higher education environment.     

Special considerations in conducting bereavement focus groups

Focus groups conducted with grieving people pose special challenges. However, this method can be successfully used in bereavement research especially when group interaction is central to the research aim. This article builds on key articles discussing ethical, methodological, logistical, and analytical issues in conducting focus groups with vulnerable populations (Owen, 2001; Seymour, Bellamy, Gott, Ahmedzai, & Clark, 2002). For bereaved people, vulnerability stems from heightened potential for harm by virtue of participation in sensitive, personal exploration of death-related experiences. We discuss reasons for selecting focus group methods and our experiences with planning and implementing focus groups with bereaved people. Issues found to be highly salient in our work include: team composition, participant recruitment, creating the environment, starting and ending the group, language and listening, managing emotional discussions and time, and analytic considerations. Recommendations are made for effectively using focus groups to generate new knowledge in bereavement research.