Growing numbers of students in college or graduate school experience high stress, resulting in adverse emotional, academic, and health outcomes. A variety of stress reduction interventions have been used with students, but their effectiveness has not been systematically examined. We used meta-analysis to evaluate the efficacy of stress reduction interventions for undergraduate and graduate students. Studies (k ϭ 43) that used an appropriate control group and assessed distress before and after intervention were aggregated using a random-effects model. Most studies were conducted in the United States; others were from Asia, Europe, and Australia. Standardized mean gain difference effect sizes were calculated for anxiety and perceived stress for six intervention techniques. Moderators examined included student type (undergraduate and graduate) and duration of intervention. Results indicate that most interventions are effective in decreasing both outcomes in students. Cognitive-behavioral therapy, coping skills, and social support interventions were more effective in reducing perceived stress, whereas relaxation training, mindfulness-based stress reduction, and psychoeducation were more effective in reducing anxiety. Graduate students experienced greater reduction in anxiety than did undergraduates for relaxation training and psychoeducation interventions. Participants in both long-and short-term interventions showed significant reduction in anxiety and perceived stress relative to control groups, but for relaxation training, long-term interventions were more effective in reducing anxiety than were short-term interventions. Although all six techniques were effective in reducing at least one of the stress-related outcomes, the few differences in effectiveness suggest there is value in tailoring interventions toward the particular group and outcome being targeted.

The mean age of the samples poses a limitation in determining the influence of diet on AD; given that AD has a long prodromal phase prior to the manifestation of symptoms and decline. Further studies are necessary to determine whether diet is a risk or protective factor for AD, foster translation of research into clinical practice and elucidate dietary recommendations. Despite the methodological limitations, the finding that 50 of the 64 reviewed studies revealed an association between diet and AD incidence offers promising implications for diet as a modifiable risk factor for AD.

BACKGROUND: Little is known about medical cannabis (MC)-related care for patients with cancer using MC. Methods: Semistructured telephone interviews were conducted in a convenience sample of individuals (n = 24) with physician-confirmed oncologic diagnoses and state/district authorization to use MC

No abstract

ED clinicians can deliver a BNI intervention to increase advance care planning conversations with high fidelity. Future research is needed to study the intervention's efficacy in a wider patient population.

The current study sought to examine how heavy-drinking college men describe communication of sexual interest and sexual consent. Thematic analysis of semi-structured interviews with 12 heavy-drinking college men identified three themes. Themes included: (a) expectations about parties and sexual activity, (b) observing and communicating sexual interest, and (c) communication of sexual consent. Men reported visiting drinking environments to locate women who they assumed would be open to sexual advances. In these environments, sexual interest was inferred indirectly through shared alcohol use. Anticipating token resistance men reported “trying and trying again” to pursue escalating types of sexual activity. Consent was inferred when participants did not hear “no” from a sexual partner, highlighting the importance of continued education on verbal consent in the context of sexual assault prevention programs.

Objective Insomnia is commonly associated with cancer treatment. Cancer treatments increase risk for numerous psychological and medical late effects, thus making cancer survivors psychologically and medically vulnerable. Prior research examined psychometric properties of the Insomnia Severity Index (ISI) with various populations, including the French version of the ISI, with participants undergoing active cancer treatment. However, no prior studies examined insomnia exclusively with cancer survivors, using the English version of the ISI. Methods This study examined internal consistency and factor structure of an English version of the ISI in 100 cancer survivors (Mage = 51.1; SD = 14.92). This final analytic sample was composed of participants from three different insomnia interventions. Survivors ranged from less than 1 year off treatment (17%) to 21+ years off treatment (6%), with most participants off treatment for 1 to 2 years (24%). Results The mean ISI score for the total sample was 16.69 (SD = 4.47), indicating clinical insomnia, with moderate severity. Principal Components Analysis (PCA) indicated two factors (five items loading on Factor I and two items loading on Factor II) and acceptable reliability (α = .73). Item‐total correlations ranged from .15 to .63. Conclusions Findings support the reliability of the ISI in cancer survivors. However, its factor structure warrants additional research with larger samples of cancer survivors. Results suggest inconsistency across participant responses and that ISI items may be functioning differently with this unique population of cancer survivors. Findings indicate that sleep maintenance problems are central to the experience of insomnia in our survivor sample.

This study examined longitudinal differences in use of transtheoretical model (TTM) behavior change constructs in maintainers (who reached and maintained exercise guidelines), relapsers (who reached guidelines, then regressed), and nonchangers (who did not reach guidelines). Data from two population-based TTM-tailored randomized trial intervention groups targeting exercise behavior (N = 1050) were pooled, and analyses assessed differences in TTM constructs between the three groups at baseline, 12 months, and 24 months. Findings indicated that relapsers tended to use TTM variables similarly to maintainers with the exception of self-efficacy, consciousness raising, and most behavioral processes of change, at 24 months. Nonchangers, however, used all TTM variables less than maintainers at nearly every time point. Findings suggest that relapsers remain more active than nonchangers in terms of use of change processes. Poor response to interventions (nonchangers) may be predicted by low baseline engagement in change processes. Although relapsers reverted to physical inactivity, their overall greater use of TTM constructs suggests that their efforts to change remain better than those of the stable nonchanger group. Future research can focus on treatment engagement strategies to help the stable nonchangers initiate change and to help relapsers to maintain treatment gains.