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BACKGROUND: Spirituality/religion is an important factor in health and illness, but more work is needed to determine its link to quality of life in patients with HIV/AIDS. OBJECTIVE: To estimate the direct and indirect effects of spirituality/religion on patients' perceptions of living with HIV/AIDS. DESIGN: In 2002 and 2003, as part of a multicenter longitudinal study of patients with HIV/AIDS, we collected extensive demographic, clinical, and behavioral data from chart review and patient interviews. We used logistic regression and path analysis combining logistic and ordinary least squares regression. SUBJECTS: Four hundred and fifty outpatients with HIV/AIDS from 4 sites in 3 cities. MEASURES: The dependent variable was whether patients felt that life had improved since being diagnosed with HIV/AIDS. Spirituality/religion was assessed by using the Duke Religion Index, Functional Assessment of Chronic Illness Therapy—Spiritual Well‐Being—Expanded, and Brief RCOPE measures. Mediating factors included social support, self‐esteem, healthy beliefs, and health status/health concerns. RESULTS: Approximately one‐third of the patients felt that their life was better now than it was before being diagnosed with HIV/AIDS. A 1‐SD increase in spirituality/religion was associated with a 68.50% increase in odds of feeling that life has improved—29.97% due to a direct effect, and 38.54% due to indirect effects through healthy beliefs (29.15%) and health status/health concerns (9.39%). Healthy beliefs had the largest effect on feeling that life had improved; a 1‐SD increase in healthy beliefs resulted in a 109.75% improvement in feeling that life changed. CONCLUSIONS: In patients with HIV/AIDS, the level of spirituality/religion is associated, both directly and indirectly, with feeling that life is better now than previously. Future research should validate our new conceptual model using other samples and longitudinal studies. Clinical education interventions should focus on raising awareness among clinicians about the importance of spirituality/religion in HIV/AIDS.

This study explored the similarity of underlying personality traits of workplace bullying and discrimination. University students self-reported the frequency of bullying others in the workplace and discriminating against African Americans, homosexuals, and the obese. They completed questionnaires measuring prejudice and personality traits. The major findings were that social dominance orientation, low social desirability scores, and being male affected bullying and discrimination. Perspective taking affected bullying; and right-wing authoritarianism, anxiety, and being White affected discrimination. Prejudice influenced relations between personality and discrimination, but not bullying. It was concluded that despite strong behavioral similarities, bullying and discrimination have somewhat different underlying determinants. Certain traits make them distinct, increasing the likelihood of one choosing either a prejudice-based target or a non-prejudice-based target.The central question that the present research addresses is as follows: Are the personality traits underlying workplace bullying and prejudiced-based discrimination in non-workplace settings identical or different? The answer to this question has important theoretical and practical implications, which will be addressed. The thesis that the traits underlying workplace bullying and discrimination are identical suggests that discrimination and bullying are essentially the same. Should the determinants of the two be somewhat different suggests a connection between the degree of target specificity and some of the underlying personality traits. To explore our central research question, we used a group of traits previously examined in relation to bullying or discrimination, and assessed their relationship to workplace bullying and discrimination by young adults.Bullying is defined as physical, verbal, or psychological intimidation that is intended to cause fear, distress, or harm to the victim (Baldry & Farrington, 2000). Bullying behavior often occurs without apparent

The extent to which measures of working memory, cognitive speed, and verbal retrieval are associated with performance on tests of olfaction was evaluated in a sample of 138 older adults. Structural equation modeling techniques indicated that verbal retrieval difficulties significantly affect performance on the University of Pennsylvania Smell Identification Test (UPSIT). Further, poor working memory and slow cognitive speed significantly affect performance on the UPSIT and the phenyl ethyl alcohol threshold test. The Sniff Magnitude Test was not influenced by any of the cognitive variables. Odor threshold and identification tasks may overestimate olfactory loss when cognitive impairment is not taken into account.