Perceived Support Protects Against Negative Affective Experiences of Momentary Solitude: An Ecological Momentary Assessment Study.

OBJECTIVES: Momentary solitude (the objective state of being alone) has a strong association with negative affective experiences in older people, but little is known about how the role of social relationship characteristics on relationship between momentary solitude and affect. We examined the momentary association between momentary solitude and negative affect (NA), and whether such association was moderated by the structural and functional aspects of social relationships. METHODS: A sample of 153 late-middle-aged and older adults were recruited and provided a total of 6,742 ecological momentary assessment surveys, of which momentary solitudes were reported for 1,885 (28%) surveys. Hierarchical linear model was used to examine how social networks and social support moderated the association of momentary solitude with NA experiences. RESULTS: The association of momentary solitude with NA experiences was significant among middle-aged and older adults (b = 0.025, SE = 0.008, p < .01). Family networks had the main effect on NA. Perceived social support buffered against increased NA in momentary solitude: Individuals with a higher level of perceived support reported fewer increases in NA during momentary solitude than those perceiving a lower level of support. DISCUSSION: Momentary solitude was experienced less negatively for middle-aged and older persons embedded in a context of higher levels of perceived social support. Practitioners need to pay more attention to the promotion of social resources when delivering programs to improve the subjective well-being of late-middle-aged and older adults.

Prevalence of overweight and obesity among Kuwaiti adolescents and the perception of body weight by parents or friends.

OBJECTIVE: Recently, the State of Kuwait has witnessed a steady rise in the prevalence of obesity among children and adolescents. The present study aims to provide an update on the rate of overweight or obesity among Kuwaiti adolescents and examines the associations between adolescents' overweight/obesity levels and their perception of body weight as seen by parents or friends. METHODS: A cross-sectional study was conducted in Kuwaiti secondary schools and included adolescents between the ages of 15 and 18 years, using a multistage stratified random sampling method. Body weight and height were measured. A specifically designed self-report questionnaire was used to assess parents' and friends' perceptions of an adolescent's body weight. RESULTS: A total of 706 adolescents were included the study. The prevalence of overweight or obesity among Kuwaiti adolescents reached nearly 50%, with males (54.3%) having a significantly higher overweight or obesity percentage than females (44.6%). No significant difference in the prevalence of obesity relative to age, from 15 to 18 years, was found. In addition, logistic regression analysis, adjusted for age and gender, revealed that adolescents perceived their parents (p = 0.011 and p < 0.001) or friends (p = 0.002 and p < 0.001) as more likely to classify their weight as overweight or obese, respectively. CONCLUSION: Overweight or obesity levels appear to be high among Kuwaiti adolescents, and appears to have reached a plateau recently. Efforts to combat obesity and promote physical activity and healthy nutrition are needed. Future studies should seek to identify important moderators of parental and social underestimation/overestimation of children's overweight or obesity.

Nursing students' experience of learning cultural competence.

INTRODUCTION: European societies are rapidly becoming multicultural. Cultural diversity presents new challenges and opportunities to communities that receive immigrants and migrants, and highlights the need for culturally safe healthcare. Universities share a responsibility to build a fair and equitable society by integrating cultural content in the nursing curricula. This paper aims to analyze European student nurses´ experience of learning cultural competence and of working with patients from diverse cultural backgrounds. MATERIALS AND METHODS: A phenomenological approach was selected through a qualitative research method. 7 semi-structured focus groups with 5-7 students took place at the participants' respective universities in Spain, Belgium, Turkey and Portugal. RESULTS: 5 themes and 16 subthemes emerged from thematic analysis. Theme 1, concept of culture/cultural diversity, describes the participants' concept of culture; ethnocentricity emerged as a frequent element in the students' discourse. Theme 2, personal awareness, integrates the students' self-perception of cultural competence and their learning needs. Theme 3, impact of culture, delves on the participants' perceived impact of cultural on both nursing care and patient outcomes. Theme 4, learning cultural competence, integrates the participants' learning experiences as part of their nursing curricula, as part of other academic learning opportunities and as part of extra-academic activities. Theme 5, learning cultural competence during practice placements, addresses some important issues including witnessing unequal care, racism, prejudice and conflict, communication and language barriers, tools and resources and positive attitudes and behaviors witnesses or displayed during clinical practice. CONCLUSION: The participants' perceived level of cultural competence was variable. All the participants agreed that transcultural nursing content should be integrated in the nursing curricula, and suggested different strategies to improve their knowledge, skills and attitudes. It is important to listen to the students and take their opinion into account when designing cultural teaching and learning activities.

Measuring happiness under interpersonal comparison: An advanced theoretical framework and implications.

The origin of happiness arouses people's curiosity for a long time. Recent research introduces a utility theory for measuring subjective happiness in a social context. The past recent monetary conditions influence the present subjective happiness through two distinct channels: interpersonal comparison and self-adaptation. In this paper, we develop this theory to analyze behavioral patterns. Together with prospect theory's gain-loss utility function, we exploit the theory in predicting psychological phenomena of craving. We explore the relationships between happiness and earnings. Under certain conditions, a high payoff disappoints you immediately and even leads to continuous disappointment across periods. We extend the explanations of the scenarios of New York cabdrivers' labor-supply decisions. The effect of social comparisons may trigger workers' behaviors of quit-working, which deepen related understandings of the literature.

Composition of place, minority vs. majority group-status, & contextualized experience: The role of level of group representation, perceiving place in group-based terms, and sense of belonging in shaping collective behavior.

The current studies (N = 1,709) explore why demographic composition of place matters. First, this work demonstrates that relative level of group representation affects one's experience of place in the form of self-definition (self-categorization), perceptions of place being representative or characteristic of factors that distinguish the group from others (place-prototypicality), and sense of belonging (place-identification; Studies 1a-1e; Studies 2a & 2b). Second, the studies illustrate that group representation within place shapes the way group member's approach (i.e., expectations of group-based treatment and procedural justice; Studies 2a-2c), understand (i.e., attribution for group-based events, Study 2b; responsiveness to bias-reduction intervention, Study 4a; sense of solidarity, Study 4b), and behave (i.e., prejudice, Studies 3a & 3b; collective action, Study 4c). More broadly, I present a Social identity Paradigm for Contextualized Experience (SPACE) that provides an organizing framework for the study of the impact of characteristics of place on social identity-based contextualized experience and (in turn) collective behavior. Taken together, the findings provide evidence of distinct psychological experience and orientation as a function of minority versus majority-group status within place, as well as for a group-based approach to place. Implications for the study of collective and intergroup behavior are discussed.

Analysis of residential satisfaction: An empirical evidence from neighbouring communities of Rohingya camps in Cox's Bazar, Bangladesh.

This study aims to understand the level of residential satisfaction of the host communities' aftermath of the influx of Rohingya in Bangladesh. A total of 151 household heads were randomly interviewed from Ukhiya and Ramu Upazila of Cox's Bazar district, Bangladesh. A residential satisfaction index is developed with a total of twenty-two variables comprised of four components- social environment (SE), neighbourhood environment (NE), public services and facilities (PS&F), and dwelling units (DU). The coefficients of the components indicate that the PS&F, SE, and NE impact much on the overall residential satisfaction compare to the DU. The analysis demonstrates that the people who have tertiary level education, who is Muslim and whose work opportunities remain the same as before, are more satisfied, but older people are less satisfied than younger. Besides, the degradation of social harmony, livestock and agricultural land losses, and decreased wages were the significant causes of dissatisfaction. These findings may contribute to taking appropriate policies and programs for the host communities taken by the government and non-government organizations.

Are biased interpretations of ambiguous social and non-social situations a precursor, consequence or maintenance factor of youth loneliness?

Loneliness is common in youth, with suggestions that these negative emotions confer vulnerability for anxiety and depression. Here, we investigated for the first time whether, consistent with psychological models of loneliness, biased interpretations of social situations could prospectively predict loneliness in youth. 104 young people completed measures of loneliness and interpretations of ambiguous social and non-social (bodily or health-related) situations at three time-points with intervals of three months between each. As government-imposed social distancing measures (to control the COVID-19 outbreak) occurred between Times 2 and 3 (but not between Times 1 and 2), this enabled us to assess whether restricted social activity could provoke greater predictive power of biased interpretational styles on loneliness. Using cross-lagged panel models, we showed that after estimating paths representing within-time across-variable ("concurrent") paths and across-time within-variable ("stability") paths, there were no significant cross-lag 'causal' paths between earlier interpretational style and later loneliness. Between Time 2 and 3, we demonstrated a significant cross-lag 'consequential' path between earlier loneliness and later threatening interpretations of social situations, but this became non-significant after controlling for concurrent anxiety and depression. Biased interpretational style may reflect a concurrent maintenance factor of youth loneliness.

Perceived racial discrimination and healthy behavior among African Americans.

OBJECTIVE: Numerous studies have found evidence of a link between perceived discrimination and unhealthy behavior, especially substance use. Within this body of literature, however, several studies have found unexpected evidence of a positive relation between perceived racial discrimination among African Americans-mostly women-and certain types of healthy behavior, primarily exercise and healthy eating. The current study further examined this positive relation, including an anticipated moderator: optimism. It also examined the relation between perceived racial discrimination and a correlate of unhealthy behavior: BMI. METHOD: Six waves of data were collected over 14 years in three related samples of African Americans from families participating in the Family and Community Health Study. Each family included an adolescent (Mage = 10.5 at Wave 1), the adolescent's primary caregiver (Mage = 37), and, in some cases, an older sibling of that adolescent (Mage = 13). Wave 1 Ns were 889, 889, and 295, respectively. Healthy behavior was defined as diet and exercise. RESULTS: There was very little evidence of a long-term relation between perceived racial discrimination and BMI in any sample, and no evidence of a relation between discrimination and healthy behavior among the males. However, correlational analyses revealed a positive prospective relation between discrimination and healthy behavior among all three groups of females; structural equation modeling indicated that this relation was stronger among women who were high in optimism. CONCLUSIONS: Perceived racial discrimination does not appear to be related to BMI among African Americans, but it is related to healthy behavior among Black females who are high in dispositional optimism. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Observational study of parental opinion of deferred consent for neonatal research.

OBJECTIVE: To evaluate the opinions of parents of newborns following their infant's enrolment into a neonatal research study through the process of deferred consent. DESIGN: Mixed-methods, observational study, interviewing 100 parents recently approached for deferred consent. SETTING: Tertiary-level neonatal intensive care unit, Melbourne, Australia. RESULTS: All 100 parents interviewed had consented to the study/studies using deferred consent; 62% had also experienced a prospective neonatal consent process. Eighty-nine per cent were 'satisfied' with the deferred consent process. The most common reason given for consenting was 'to help future babies'. Negative comments regarding deferred consent mostly related to the timing of the consent approach, and some related to a perceived loss of parental rights. A deferred approach was preferred by 51%, 24% preferred a prospective approach and 25% were unsure. Those who thought prospective consent would not have been preferable cited impaired decision-making, inappropriate timing of an approach before birth and their preference for removal of the decision-making burden via deferred consent. Seventy-seven per cent thought they would have given the same response if approached prospectively; those who would have declined reported that a prospective approach under stressful conditions was unwelcome and too overwhelming. CONCLUSION: In our sample, 89% of parents of infants enrolled in neonatal research using deferred consent considered it acceptable and half would not have preferred prospective consent. The ability to make a more considered decision under less stressful circumstances was key to the acceptability of deferred consent.

Adults delay conversations about race because they underestimate children's processing of race.

To help children navigate their social environments, adults must understand what children know about race, and when they acquire this knowledge. Across three preregistered studies, we tested United States adults' knowledge of when children first use race to categorize and ascribe traits to others. Participants wildly-and uniquely-misjudged children's abilities to process race. This inaccuracy was consequential: it was a stronger predictor of the preference to delay conversations about race with children than other factors previously theorized to underlie adults' reluctance to talk about race. And, this relation was causal. Our data suggest that fundamental misunderstandings about children's capacities to process race are pervasive in the United States population and may delay when adults engage children in important conversations about race. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Attitudes, Knowledge, and Social Perceptions toward Organ Donation and Transplantation in Eastern Morocco.

The study is aimed to assess attitudes, knowledge, and social perceptions toward organ donation and transplantation in Eastern Morocco and therefore understand what sets back this activity's expansion and progression. We conducted a cross-sectional study involving three groups of persons that are theoretically involved in the process of organ donation (medical students, law students, and nurses). Data were collected using an anonymous questionnaire related to the cultural, religious, medical, and legal aspects of organ donation and transplantation. Six hundred questionnaires were distributed. The participation rate in the study was 71%, with female predominance and participants were mainly from an average socioeconomic level. Fifty- one percent of the participants were medical students. About 87.1% had already heard about organ transplantation in Morocco, but most of them felt that they were not sufficiently informed. 57.9% of the participants were favorable with some reluctance to organ donation, 28.7% were unconditionally favorable, and 5.9% were totally unfavorable. Only 46% of the participants accepted living organ donation, whereas 47.1% did not. Moreover, 64.7% of the participants accepted organ donation after their death, evoking the desire to help others and save lives. According to our survey, 55.1% of our participants considered that the decision to donate their organs after death belongs to them. About 44.9% think they should discuss this decision with their relatives and 50% said their culture and religion influence their decisions. Our work did reveal an insufficient level of awareness about various aspects of the topic. Moreover, a high pro-portion of the participants did not have positive attitudes toward donating, mainly driven by religious, cultural beliefs and perceived risks to the donor. The reasons of refusal should be analyzed carefully to improve acceptability toward organ donation and transplantation.

Cost-Related Non-Utilization of Health Services and Self-Perceived Reactions to Race.

Purpose: There is limited information regarding the prevalence and predictors of cost-related non-utilization (CRNU), while there is increasing attention to the rising out-of-pocket cost of health services including prescription medications. Prior studies have not quantified the role of perceived racism despite its documented relationship with health services utilization. We examine perceptions of reactions to race and quantify their relationship with CRNU. Methods: This retrospective cross-sectional study utilized data from the 2014 Behavioral Risk Factor Surveillance System (BRFSS) public use file, an annual, state-based telephone survey of US adults aged 18 and older. We utilized data for four states that provided responses to five Reactions to Race items, including information about the self-perceived quality of the respondent's health care experience compared with people of other races (worse vs same or better) and whether the respondent experienced physical symptoms because of treatment due to their race. The three binary outcomes were: 1) did not visit a physician; 2) did not visit a physician due to cost; 3) did not fill a prescription due to cost. We estimated covariate-adjusted odds ratios associated with each outcome using logistic regression models. Results: The BRFSS sample consisted of 20,366 respondents of whom 8% were African American non-Hispanic, 12% were Hispanic and 73% were White. Three percent of respondents considered their experience to be worse than people of other races. Three percent of individuals reported physical symptoms because of treatment due to their race while 5% of respondents reported becoming emotionally upset because of treatment due to their race. The proportions for the three study outcomes were 11%, 13% and 7%, respectively. In covariate-adjusted models, a worse experience with the health care system was statistically significantly associated with CRNU (physician visit: 2.6 [95% CI: 1.6 - 4.3]). The experience of physical symptoms because of treatment due to race was statistically significantly associated with CRNU (physician visit: 2.6 [95% CI: 1.7 - 4]; prescription fills: 2.1 [1.2 - 3.6]). No Reactions to Race items were associated with general non-utilization. Conclusions: Negative perceptions of reactions to race during the time of health services utilization is positively associated with CRNU, ie, foregoing physician visits and prescription fills due to cost.

A ratio scale for social distance.

Choosing a larger-later reward over a smaller-sooner reward may be thought of as altruism toward one's future self. A question that arises in this connection is: What is the relation between delay and social discounting? To begin to answer this question, social and delay discount functions need to be comparable. Delay is ordinarily measured on a ratio scale (time), which allows for meaningful division and addition. Social distance is ordinarily measured on an ordinal scale (rank order of social closeness). To convert social distance to a ratio scale we use a psychophysical distance function obtained via magnitude estimation (Stevens, 1956). The distance functions obtained are well described by a power function (median exponent = 1.9); we show how they may be used to rescale ordinal to ratio social discount functions.

Factors Predicting Intent to Intervene with a Potentially Suicidal Peer.

The current study examined how the theory of planned behavior (TPB) constructs predict college students' intent to ask about suicide and refer a potentially suicidal peer to support. Using an experimental design, 420 college students (Mage = 19.61, SD = 1.50 yrs) were randomly assigned to read one of four vignettes depicting a peer in distress that varied suicide risk severity (low vs. high) and perceived causes of the distress (internal vs. external). Participants read their vignette and answered questions measuring TPB constructs and items assessing intent to ask about suicide and intent to refer the peer to services. Results indicated that subjective norms were associated with intent to ask about suicide and attitudes impact intent to refer. Only the interaction between risk severity and perceived behavioral control in predicting intent to refer and intent to ask were significant. Peers who perceive risk to be high are more likely to refer peers regardless of perceived behavioral control and are increasingly more likely to ask about suicide as perceived behavioral control increases. When risk severity is low and perceived behavioral control is low, peers are less likely to refer or ask about suicide. The theory of planned behavior has relevance to understanding peer intent to intervene with an at-risk peer and may be beneficial to guiding the development of effective suicide prevention programs.

Justice Agents: Discriminated Group Members Are Perceived to be Highly Committed to Social Justice.

We propose that because members of discriminated (vs. advantaged) groups have a history of dealing with injustice, majority group members expect them to be more committed to social justice. By commitment to social justice, we mean supporting, and caring for, the basic rights of virtually any marginalized group. Studies 1a (N = 145) and 1b (N = 120) revealed that members of discriminated (vs. relatively advantaged) groups were seen as having a stronger commitment to social justice. This was explained by participants' perception of discriminated groups as having a tradition of fighting injustice (Study 2; N = 174). Demonstrating implications of these perceptions, discriminated (relative to advantaged) group members were assigned more justice-related roles in the workplace (Study 3a: N = 120; Study 3b: N = 126; Study 4: N = 133), and their justice-related initiatives were rated more negatively (Study 5: N = 259). Theoretical and practical implications regarding minority-majority relations and minorities' ability to advance in workplace hierarchies are discussed.