Perceptions of U.S. Medical Residents Regarding Amount and Usefulness of Sexual Health Instruction in Preparation for Clinical Practice

Despite patient demand for sexual health discussions with their physicians, sexuality instruction in residency is often lacking. This exploratory quantitative study assessed the amount and usefulness of sexuality instruction received by a sample of medical residents, as well as the residents' self-perceived readiness regarding addressing sexuality issues. Data were obtained through a self-administered survey with 130 resident respondents. The majority reported receiving little/no formal sexuality instruction. Many indicated that additional sexuality instruction would be useful in their practice. Although the majority reported comfort discussing sexuality, they reported rarely/never initiating these discussions. Recommendations for changes in graduate medical education programming are provided.     

Changing thoughts,changing practice: examining the delivery of a group CBT-based intervention in a school setting

Promoting mental health and well-being for children and young people in the UK has attracted increasing prominence in recent years and has been a focus for government strategy within health and education. Training and practice in educational psychology has increasingly focused on developing skills and expertise to provide therapeutic support within school contexts, at an early stage of need. One approach, Cognitive Behaviour Therapy (CBT), has been heralded as an effective, evidence-based intervention for anxiety. This research examines the factors influencing the outcomes of a group CBT-based intervention, run by an Educational Psychologist (EP), in a school setting. The findings suggest that influential variables included pupil identification, measures of change applied and the role of school staff. It is concluded that EPs can play a key role in increasing access to psychological therapies, alongside considering due caution in relation to the application of traditional clinical approaches in school contexts.     

Explaining sex-related differences in mathematics: Theoretical models

This set of papers synthesizes contemporary psychological research to identify and operationally specify major influences on abilities, interests, and skills in mathematics. Three models are then presented which hypothesize causation of the sex-related differences in mathematics that exist: (1) a four-factor model which explores mediating factors of autonomous learning behaviors which exist between socialization influences and learning; (2) a detailed socialization model of election of mathematics courses; and (3) a model of internal barriers which prevent females from fully developing mathematical skills. The models all suggest that causation of sex-related differences in mathematics are complex and multivariate. Social conditions affect the educational environment of a female as well as the personal belief system of each learner. Directions for research built on these models are indicated.     

The Effect of Group Orientated Classroom Management Procedures on Individual Pupils

Summary This study was designed to test the hypothesis that group orientated classroom management procedures may achieve their apparent success merely by raising still further the on‐task behaviour of non‐troublesome pupils. To this end, 1812‐13 year old pupils in a secondary school remedial class were observed and their individual levels of on‐task behaviour recorded. The class teacher's use of approval and disapproval was also noted.

Following the collection of baseline data, a modified, simple ‘rules, praise and ignoring’ intervention strategy was implemented, followed by a partial reversal to baseline conditions. Mean class on‐task behaviour was clearly shown to increase from 77% at baseline to 91% during intervention and this was maintained during the partial reversal. Moreover, it was shown that every pupil's on‐task behaviour increased, these increases varying between 3 and 33%, the pupils with the lowest baseline levels making the biggest gains.     

Progress report on the development of child abuse prevention, identification, and treatment systems in Eastern Europe

PROBLEM: After the Soviet Union dissolved in 1989, it became apparent that there was little recognition of the problems of child abuse and neglect, professionally, legally, or societally. There were no effective systems or laws in place to deal with these problems. METHOD: Beginning in 1995 the Children's Mental Health Alliance, in conjunction with the Open Society Institute began conducting trainings in Eastern Europe [Journal of the American Academy of Child Adolescent Psychiatry 39 (2000) 660]. Originally 18 countries from the Baltics to the Balkans participated. A program was elaborated which would proceed in several stages: (1) training mental health professionals to deal with child abuse and neglect (CAN); (2) teaching multidisciplinary team work and fostering the development of multidisciplinary NGOs focused on CAN; (3) promoting the self-sufficiency of these NGO's which would then facilitate social and legal reform and increase public awareness of the problem. Specific methods included multi-national trainings, assignment of mentors to the developing teams who maintained weekly contact with the teams and made yearly site visits to their countries, and overseeing project grants from OSI. RESULTS: NGO's had been established and registered in 11 countries, many establishing a network of programs within their countries. By 2000, over 3800 mental health professional had been trained, either directly by the program or by the trainees of the program. By the end of 2000, over 17,000 other professionals (lawyers, police, judges, educators, other physicians, etc.) had been trained by the network. CONCLUSION: While more work needs to be in this region, the teams in 11 countries have made solid starts.     

Physical Activity and School Engagement in Youth: A Systematic Review and Meta-Analysis

Physical activity is associated with numerous health benefits in youth; however, these benefits could extend further than health, into education. Our aim was to systematically review and combine in meta-analyses evidence concerning the association between physical activity and the dimensions of school engagement, including behavior (e.g., time-on-task), emotions (e.g., lesson enjoyment), and cognition (e.g., self-regulated learning). We conducted meta-analyses using structural equation modeling on results from 38 studies. Overall, physical activity had a small, positive association with school engagement (d = .28, I² = .86), 95% confidence interval [.12, .46]. This association was moderated by study design, with significant associations shown in randomized controlled trials but not in studies employing other designs. Risk of bias was also a significant effect moderator, as studies with a low risk of bias showed significant associations but not high risk of bias studies. Altogether, these results suggest that physical activity could improve school engagement.     

A Longitudinal Person-Centered Examination of Affinity for Aloneness Among Children and Adolescents

Affinity for aloneness among youth often is viewed negatively. However, some youth may enjoy solitude for positive reasons, rather than because of social anxiety. The prevalence and adjustment over time of youth with high affinity for aloneness is unclear. Groups of children (N = 605, M_age = 9.29) and adolescents (N = 596, M_age = 12.20) were identified using affinity for aloneness and social anxiety scores, and group differences in adjustment were assessed. Latent class analyses revealed four groups at T1 and T2 for both samples. Among these were Normative (Low.affinity_for_aloneness-Low.social_anxiety) and Affinity for Aloneness (High.affinity_for_aloneness-LowMod.social_anxiety) groups. These groups did not differ longitudinally in adjustment. Having elevated levels of affinity for aloneness without high social anxiety is relatively benign.