No abstract

Fear of falling and other fall-related psychological concerns (FRPCs), such as falls-efficacy and balance confidence, are highly prevalent among community-dwelling older adults. Anxiety and FRPCs have frequently, but inconsistently, been found to be associated in the literature. The purpose of this study is to clarify those inconsistencies with a systematic review and meta-analysis and to evaluate if the strength of this relationship varies based on the different FRPC constructs used (e.g., fear of falling, falls-efficacy or balance confidence). A systematic review was conducted through multiple databases (e.g., MEDLINE, PsycINFO) to include all articles published before June 10th 2015 that measured anxiety and FRPCs in community-dwelling older adults. Active researchers in the field were also contacted in an effort to include unpublished studies. The systematic review led to the inclusion of twenty relevant articles (n = 4738). A random-effect meta-analysis revealed that the mean effect size for fear of falling and anxiety is r = 0.32 (95% CI: 0.22–0.40), Z = 6.49, p < 0.001 and the mean effect size for falls-efficacy or balance confidence and anxiety is r = 0.31 (95% CI: 0.23–0.40), Z = 6.72, p < 0.001. A Q-test for heterogeneity revealed that the two effect sizes are not significantly different (Q(19) = 0.13, p = n.s.). This study is the first meta-analysis on the relationship between anxiety and FRPCs among community-dwelling older adults. It demonstrates the importance of considering anxiety when treating older adults with FRPCs.

Provoked vestibulodynia (PVD) is a prevalent women's sexual pain disorder, which is associated with sexual function difficulties. Attachment theory has been used to understand adult sexual outcomes, providing a useful framework for examining sexual

The shelfbreak current over the Beaufort Sea continental slope is known to be one of the most energetic features of the Beaufort Sea hydrography. In January 2005, three oceanographic moorings deployed over the Canadian (eastern) Beaufort Sea continental slope simultaneously recorded two consecutive shelfbreak current events with along‐slope eastward bottom‐intensified flow up to 120 cm s−1. Both events were generated by the local wind forcing associated with two Pacific‐born cyclones passing north of the Beaufort Sea continental slope toward the Canadian Archipelago. Over the mooring array, the associated westerly wind exceeded 15 m s−1. These two cyclones generated storm surges along the Beaufort Sea coast with sea surface height (SSH) rising up to 1.4 m following the two westerly wind maxima. We suggest that the westerly along‐slope wind generated a surface Ekman onshore transport. The associated SSH increase over the shelf produced a cross‐slope pressure gradient that drove an along‐slope eastward geostrophic current, in the same direction as the wind. This wind‐driven barotropic flow was superimposed on the background baroclinic bottom‐intensified shelfbreak current that consequently amplified. Summer‐fall satellite altimetry data for 1992–2013 show that the SSH gradient in the southeastern Beaufort Sea is enhanced over the upper continental slope in response to frequent storm surge events. Because the local wind forcing and/or sea‐ice drift could not explain the reduction of sea‐ice concentration over the Beaufort Sea continental slope in January 2005, we speculate that wind‐driven sea level fluctuations may impact the sea‐ice cover in winter.

In patients with diabetes, problematic eating behaviors and symptoms should be assessed routinely. When an eating disorder is detected, diabetes management needs to be adapted, binge eating or medication misuse needs to be addressed, and eating disorder specialists should be included in the multidisciplinary team.

No abstract

Variables potentially influencing the development of EDs in people with diabetes differ according to the type of diabetes, body mass indexes, coping styles and depressive symptoms; they should be more systematically evaluated and closely monitored. In the context of diabetes management, prevention strategies for ED onset based on increased knowledge of the risk factors associated with EDs are necessary and could help decrease the risk for the health complications of diabetes.

The objectives of this study were to evaluate perceived unmet need for mental healthcare, determinants of unmet need, and barriers to care in individuals with social anxiety (SA) or panic disorder with agoraphobia (PDA) in Quebec. Data from 206 participants diagnosed with SA or PDA were collected using an online questionnaire. Correlational analyses and binary stepwise logistic regressions were conducted to explore determinants of perceived unmet need. Of the 206 participants, 144 (69.9%) reported instances of unmet need for treatment. Perceived unmet need was correlated with variables related to the severity of the disorder, such as comorbid depression, avoidance, duration of worry, interference with functioning, and time lapsed between the appearance of first symptoms and first consultation. Depression and avoidance emerged as predictors for perceived unmet need in the regression analysis. The most common barriers to treatment reported were concern about the cost of services (63.9%), not knowing where to go to get help (63.2%), lack of health insurance coverage (52.4%), and appointment wait times (52.1%). The results of this study demonstrate the need to overcome barriers to treatment engendered by avoidance behaviors associated with anxiety. Potential methods for achieving this objective include Internet outreach, support groups, and increased accessibility to public services.