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Adverse effects of social pressure to be thin on young women: an experimental investigation of the effects of "fat talk".

OBJECTIVE: Experiments have found that pressure to be thin from the media promotes body dissatisfaction and negative affect, but the effects of social pressure to be thin have not been examined experimentally. Thus, this study tested whether social pressure to be thin fosters body dissatisfaction and negative affect. METHOD: Young women (N = 120) were randomly assigned to a condition wherein an ultra-thin confederate complained about how fat she felt and voiced intentions to lose weight or a control condition wherein she discussed a neutral topic. RESULTS: Exposure to social pressure to be thin resulted in increased body dissatisfaction but not negative affect. The effects were not moderated by initial thin-ideal internalization, body dissatisfaction, or social support. DISCUSSION: Results support the assertion that peer pressure to be thin promotes body dissatisfaction but suggest that this factor may not contribute to negative affect.

Adolescent↗

An inquiry into the different perspectives that can be used when eliciting preferences in health.

There are a number of perspectives that an individual could be asked to adopt in studies designed to elicit preferences for use in informing resource allocation decisions in health care. This paper develops a conceptual framework that clearly distinguishes between six different perspectives. It is argued that the appropriate perspective to use depends on normative considerations and the particular policy context to which it will be applied. We suggest a future research agenda that explicitly addresses these considerations and which involves direct empirical investigation into the effect of perspective on preferences.

Decision Making↗

Social support among persons with multiple sclerosis.

The source and magnitude of perceived social support functions and structure were examined in relation to illness duration, gender, and presence or absence of spouses among 200 persons with multiple sclerosis. The associations between social support variables and a health index, ADL level of functioning, also were examined. Significant gender differences were shown for perceived availability of affect, affirmation, and aid functions. A significant change in the network property, average frequency of relationships, occurred over the chronic illness trajectory. Low to moderate correlations were observed between a number of activities of daily living and both perceived social support functions and network size, particularly for women. Implications for professional staff who provide health services for persons with MS are presented. Further study regarding lower levels of perceived social support in women than men and low levels of informational support in both men and women is suggested.

Activities of Daily Living↗

Promotion of ego-identity development: can short-term intervention facilitate growth?

In this article, the results of two experimental studies are presented in which perspective-taking training strategies were assessed for their effectiveness in promoting ego-identity formation among older adolescents. Utilizing analysis of covariance, advances in ideological achievement among experimental groups were found. However, further significant findings were absent. Given the limited findings of both studies, it was concluded that it may be very difficult to create substantial changes in identity formation through short-term training. Nonetheless, the present findings and findings of other research teams are promising enough to warrant further investigation on this topic.

Adolescent↗

Involuntary hospitalization: the social construction of danger.

Petitions for 50 consecutive patients committed involuntarily to a western state hospital were examined to determine whether statements supporting such commitment reflected explicit or residual rule-breaking behaviors. In 46 cases, involuntary hospitalization was based upon residual rule breaking. Additionally, in only 5 cases did the petitioner perceive the patient as dangerous, while in all 50 cases, the two examining physicians certified him to be such. Results are discussed in the context of the psychiatrist's personality characteristics and his role as a social control agent.

Commitment of Persons with Psychiatric Disorders↗

Social network interactions: a buffer or a stress.

Forty-four caregivers to spouses with a diagnosis of Alzheimer's disease provided a stressed subject population considered at high risk for depression. Unlike more typical unidirectional measures of perceived social support quality, subject ratings were elicited separately as to how helpful as well as how upsetting each network member was in five different support categories. Correlations between perceived network "upset" and depression (Beck Depression Inventory) were highly significant, while in no case did perceived "helpfulness" relate to depression. Using stepwise multiple regression, the set of five support category Upset ratings predicted depression better than did helpful/upset ratios, which in turn predicted depression better than the Helpfulness ratings as a group. The implications of these findings for the conceptualization of social support and its measurement are discussed.

Adjustment Disorders↗

Behavioral disordered children's conceptions of moral, conventional, and personal issues.

This study employed a series of sorting tasks with 22 normal and 20 children with behavioral disorders (BD) to determine whether BD children discriminate among three classes of social actions viewed by normal children as distinct. These categories are (1) the moral (actions having intrinsic effects upon the rights or well-being of others), (2) the conventional (actions whose propriety is determined by social consensus), and (3) the personal (actions whose propriety is a matter of individual prerogative). Findings were that although BD children distinguished among the three forms of behavior, they differed with normals in the classifications of specific acts and in the reasons given for act classifications. Chief among these differences was the finding that BD children were less likely than normals to identify acts as within their personal domain.

Child↗

The Perceived Support Network Inventory.

The development and psychometric investigation of the Perceived Support Network Inventory (PSNI), a measure of perceived social support, is described. A group of 146 introductory psychology students participated in a test-retest study design that collected reliability, internal consistency, and construct, convergent, and discriminant validity data on the scale. In addition, a contrast group of 28 Counseling Center clients was administered the PSNI. Test-retest reliability of the PSNI total score and subscale scores ranged from .72 to .88. Internal consistency for the PSNI was .77. Construct validity estimates ranged from .21 to .57. Convergent validity estimates varied from -.25 to .20. Discriminant validity estimates varied from -.11 to .19. Sample differences between introductory psychology student mean PSNI total and subscale scores and Counseling Center client mean PSNI total and subscale scores proved significant. Recommendations for subsequent research and future application are offered.

Humans↗

Successful parents of in vitro fertilization (IVF): the social repercussions.

A matched comparison was made of 157 parents of preschool twins conceived by one of the following: in vitro fertilization (IVF), infertility workup combined with infertility drug treatment, or spontaneously. The Interview Schedule for Social Interaction was used to examine systematically a comprehensive range of social relationships and the asymmetries therein. Overall, IVF parents reported having deficient social relationships compared with non-IVF parents, and this deficiency was both in size and in affective quality of their available relationships. As anticipated, mothers reported less adequate and available social relationships when compared with their spouses. In the event of a significant finding, mothers from the three groups always had lower mean scores than the fathers. The finding of the extent to which IVF parents were not as socially integrated, compared with the other families of preschool twins, highlights the need to strengthen through mutual aid IVF parents' social networks. The data also suggest the need for ongoing patient care by IVF teams and for support groups to be established exclusively for IVF parents of twins.

Adult↗

AIDS in the public eye: is the epidemic viewed as a crisis?

To determine public opinion about the importance of AIDS as a social and policy issue, we conducted a telephone survey of a nationwide random probability sample of adults in the United States, summer 1991. Thirteen hundred and fifty adults completed the survey. The response rate was 63%. We found that 93% of respondents believe that AIDS is a crisis, and 90% believe that AIDS in the US is out of control. In addition, most people reported believing that the government should spend as much as necessary to solve the AIDS epidemic and that AIDS is a problem for everyone in society, not just those who have the disease. Respondents who had a personal connection to the AIDS epidemic (e.g., knew someone infected with HIV) and those who did not have such a connection equally believe that AIDS is an important social and political issue. In conclusion, we found that AIDS is being accorded great importance by the majority of the US public, regardless of demographic group membership and individual personal connection to the epidemic. However, AIDS scientists must be mindful of potential shifts in public opinion when considering strategies to disseminate research findings.

Acquired Immunodeficiency Syndrome↗

Are autistic children "behaviorists"? An examination of their mental-physical and appearance-reality distinctions.

This paper continues our earlier investigation of autistic children's deficit in attributing beliefs to others--in their "theory of mind." Three experiments are reported. The first tests the prediction that autistic children will fail to distinguish mental and physical entities. The second tests the prediction that they will also be unaware of the mental function of the brain. The third tests the prediction that they will be unable to take into account their own mental states. This latter prediction was tested using Appearance-Reality (A-R) tasks. All three predictions were supported. Deficits in these areas were not found among mentally handicapped or normal children of the same or lower mental and chronological age, suggesting that they may be autism-specific and independent of general developmental delay. It is argued that autistic children's failure to make A-R distinctions is consistent with Leslie's (1987) metarepresentation theory of autism.

Adolescent↗

Social status of the rural girl child in Tamil Nadu.

OBJECTIVE: The social status of the girl child in school age was assessed in a village in Tamil Nadu applying both qualitative and quantitative methods. METHODS: The home milieu was taken as the social context for the study purpose since home is the first societal unit a child comes into contact with. The various issues considered to study the social status were (1) Gender preference in having children (2) Nutrition and health care given to them (3) Importance given to their education (4) Activity pattern in daily life (5) Attitude of the community towards (a) girl child after menarche and (b) marriage. RESULT: In the study village, although there was desire to have sons, a girl child is not ignored. The value of having a girl in the family was appreciated. There was no gender discrimination in giving nutrition and health care. However the workload in girls was found to be marginally higher than in boys. The educational status of girls was lower than that of boys in terms of school enrollment and attendance. But menarche, was not an important cause of the lower educational status of girls. In the sociocultural context of the study village the priority in a girl's life during school going age was marriage. Soon after attaining puberty in a girl's life during school going age was marriage, not education and this perhaps reveals the lesser importance given to a girl's education by the community. CONCLUSION: The need of the hour is to improve her educational status by changing the attitude of the community so that a girl child's priority in her school age is not marriage but education.

Child↗

Psychological impact of thrombosis in the young.

OBJECTIVE: Thrombosis is rare in the young, but can cause severe psychological distress that influences the quality of life and the coping capacities of these patients. This study was meant to increase the understanding of self-perception, social and family functioning and ways of coping with the disease in young patients after an episode of thrombosis. METHODS: Seven questionnaires spanning social and family functioning and ways of coping with disease were completed by 50 patients < or = 45 years of age after a first episode of venous or arterial thrombosis. Data were compared with those of 39 healthy individuals with similar age, sex and level of education. RESULTS: Compared to healthy controls, young patients with thrombosis had lower self-esteem, showed higher impairment in social activities and in familial relationships, and used more frequently coping strategies. Most patients used all coping strategies, preferring the more active ones, but more patients than controls used the passive ones, particularly "avoidance" and "religiosity". A correlation was found between the frequency of use of passive or negative coping strategies and some of the psychological, social and familial dimensions that scored more negatively. Greater psychological impairment and differences in coping styles were found in women compared with men and in individuals < 34 years compared with those > or = 34 years. CONCLUSIONS: Young individuals with thrombosis develop psychological changes that influence their behaviour, quality of life and coping. This is particularly evident in women and in young patients. Physicians dealing with thrombosis should be aware of this situation and offer psychological support.

Adaptation, Psychological↗