The effectiveness of a brief video-based intervention in reducing gender bias in Korea.

Introduction: Gender bias deepens gender disparities by fueling gender conflicts. Thus, effective interventions for gender bias are necessary. Understanding gender discrimination experienced by another gender, both emotionally and logically, may contribute to reducing gender bias in Korean society. Hence, we conducted an online experiment using Video Interventions for Diversity in Science, Technology, Engineering, and Mathematics (VIDS) to examine the effectiveness of shortened VIDS intervention through perspective taking in reducing gender bias. Methods: A sample of Korean adults aged 19-39 (n = 160, 61.8% women, 38.2% men) were recruited. In the treatment group, male participants watched VIDS videos that portrayed a woman getting gender prejudiced and female participants watched VIDS videos showing a man receiving gender biased treatment in the society. The videos presented to treatment group consisted of one narrative and one expert video from VIDS, which stimulate emotional and logical understanding of the another gender, respectively. Participants in the control group watched a control video that was irrelevant to gender bias. All participants then answered gender bias questionnaire, as well as cultural orientation questionnaire. Results: Cultural orientation as a covariance, ANCOVA (Analysis of Covariance) revealed participants in the treatment group showed significantly lower gender bias than the control group. Within the treatment group, a moderation analysis showed that logical thinking moderated the relationship between emotional immersion and decreased gender bias, meaning stimulated logical thinking from watching the videos affected how engaging emotionally to the another gender's situation lowers gender bias. Discussion: Our findings suggest that VIDS, a video-based gender bias intervention tool, can still be effective when edited briefly. Furthermore, one's perspective-taking strategy can be considered when trying to decrease gender bias through videos that promote perspective-taking. The findings highlight the possibility of utilizing short video intervention that enhances perspective taking on decreasing gender bias.

Perfectionism, Prolonged Stress Reactivity, and Depression: A Two-Wave Cross-Lagged Analysis.

Perfectionism is a vulnerability factor for a wide array of psychopathology. Despite much evidence suggesting dysregulated stress response as an intermediary process that links perfectionism to psychopathology, the lack of a cross-lagged examination deterred researchers from making causal interpretations. This study examined the directionality of effects among perfectionism dimensions, stress reactivity, and depression. A total of 189 participants at time 1 and 94 at time 2 completed an online survey that consisted of measures of perfectionism, stress reactivity, and depression, one month apart. Cross-lagged analysis results showed that personal standards perfectionism predicted later prolonged stress reactivity but not depression at time 2. Self-critical perfectionism predicted later depression but not prolonged stress reactivity at time 2. Rather, prolonged stress reactivity at time 1 predicted self-critical perfectionism at time 2. Findings suggest that perfectionism dimensions are distinct in creating a dysregulated stress process. Future studies could incorporate other stress-related variables (e.g., coping) to further explicate the stress-generation process, in conjunction with stress reactivity.

Association of Self-Compassion With Suicidal Thoughts and Behaviors and Non-suicidal Self Injury: A Meta-Analysis.

Objectives: Self-compassion functions as a psychological buffer in the face of negative life experiences. Considering that suicidal thoughts and behaviors (STBs) and non-suicidal self-injury (NSSI) are often accompanied by intense negative feelings about the self (e.g., self-loathing, self-isolation), self-compassion may have the potential to alleviate these negative attitudes and feelings toward oneself. This meta-analysis investigated the associations of self-compassion with STBs and NSSI. Methods: A literature search finalized in August 2020 identified 18 eligible studies (13 STB effect sizes and seven NSSI effect sizes), including 8,058 participants. Two studies were longitudinal studies, and the remainder were cross-sectional studies. A random-effects meta-analysis was conducted using CMA 3.0. Subgroup analyses, meta-regression, and publication bias analyses were conducted to probe potential sources of heterogeneity. Results: With regard to STBs, a moderate effect size was found for self-compassion (r = -0.34, k = 13). Positively worded subscales exhibited statistically significant effect sizes: self-kindness (r = -0.21, k = 4), common humanity (r = -0.20, k = 4), and mindfulness (r = -0.15, k = 4). For NSSI, a small effect size was found for self-compassion (r = -0.29, k = 7). There was a large heterogeneity (I 2 = 80.92% for STBs, I 2 = 86.25% for NSSI), and publication bias was minimal. Subgroup analysis results showed that sample characteristic was a moderator, such that a larger effect size was witnessed in clinical patients than sexually/racially marginalized individuals, college students, and healthy-functioning community adolescents. Conclusions: Self-compassion was negatively associated with STBs and NSSI, and the effect size of self-compassion was larger for STBs than NSSI. More evidence is necessary to gauge a clinically significant protective role that self-compassion may play by soliciting results from future longitudinal studies or intervention studies.

Neurolymphomatosis: a single-center experience of neuromuscular manifestations, treatments, and outcomes.

OBJECTIVES: Neurolymphomatosis (NL) is a disease characterized by the infiltration of malignant lymphocytes into the peripheral nervous system. We report clinical features, radiographic findings, modes of treatment, and outcomes of patients with NL. METHODS: We retrospectively investigated patients with NL. We extracted data, including clinical features, magnetic resolution imaging (MRI), 18F-fludeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) scans, cerebrospinal fluid cytology findings, the results of electrodiagnostic studies, as well as patient treatments and outcomes. RESULTS: Ten NL patients were identified. All patients reported pain/paresthesia and weakness in the affected area. The MRI scans were abnormal in eight out of nine patients with an enhancement of the spinal nerve root, plexus, peripheral nerve trunk, and cranial nerve. The FDG PET/CT scans were positive in all patients. Radiculopathy or radiculoplexopathy was the most common electrodiagnostic finding. Neurological improvement was observed in only three patients. The condition of the nine patients who underwent multimodality treatments for cancer eventually deteriorated and the patients died. CONCLUSIONS: NL should be considered in the differential diagnosis of any type of neuropathy in patients with lymphoma. Because it could be confused with other neuropathies in lymphoma and various musculoskeletal diseases, a high index of suspicion and familiarity with clinical manifestation of NL are key. FDG PET/CT was the most sensitive diagnostic imaging modality to detect relevant neural invasion. The root within the spinal neural foramen was the most frequently affected neural structure. Early diagnosis of this rare neurologic manifestation of lymphoma may improve treatment outcomes.

Compression stockings reduce the incidence of hypotension but not that of cerebral desaturation events in the beach-chair position: a randomized controlled trial.

BACKGROUND: The beach-chair position (BCP) results in decreases in venous return, cardiac output, and cerebral perfusion pressure. In this randomized, prospective study, we investigated whether applying thigh-high compression stockings affected the maintenance of regional cerebral tissue oxygen saturation (rSO2) in the BCP. METHODS: Patients undergoing orthopedic surgery in the BCP under general anesthesia were included and assigned randomly to the control or the compression stocking group. Appropriately sized thigh-high compression stockings were applied to the patients in the stockings group. All patients were tilted, up to 45°, throughout the operation. Non-invasive blood pressure, invasive arterial blood pressure zeroed at the external auditory meatus, and rSO2 were recorded. RESULTS: Data were analyzed from 19 patients per group. In the BCP, the values of rSO2 and blood pressure decreased significantly compared with those at baseline, with no significant difference between the groups. The incidences of cerebral desaturation events (CDEs) were similar between the groups; however, that of hypotension was significantly lower in the compression stocking group. During 36 CDEs, the levels of rSO2 and blood pressure decreased significantly compared with those at baseline in both groups. No significant correlation was found between rSO2 and blood pressure. CONCLUSIONS: Thigh-high compression stockings reduced the incidence of hypotension but not that of CDEs. Our results suggest that other factors, beyond hypotension itself, contribute to CDEs and in other words, efforts just to reduce the incidence of hypotension may not mainly contribute to a reduction of CDEs occurrence in the BCP under general anesthesia.

Meta-analysis of client attachment to therapist: associations with working alliance and client pretherapy attachment.

A review was conducted of 14 studies published from 1995 to 2013 and 2 thus far unpublished studies that have used the Client Attachment to Therapist Scale (CATS) in research with help-seeking clients. Of these, meta-analyses were conducted for studies that examined the CATS subscales (Secure, Avoidant, Preoccupied) as correlates of client-rated working alliance, client pretherapy general adult attachment, or both (Total k = 13; k = 9 for each specific analysis). With regard to pretherapy adult attachment, CATS Secure was negatively associated with client Anxiety and Avoidance. For CATS Avoidant, clients' attachment avoidance and anxiety were positively associated. For CATS Preoccupied, client adult attachment Anxiety was significantly positively associated. CATS Secure was strongly positively correlated with total working alliance, CATS Avoidant was negatively correlated with total working alliance, and CATS Preoccupied was not significantly associated with working alliance. Implications for models of therapeutic change based on client gains in social competencies and capacity for secure attachment are discussed.