This study examines (a) relations among technology use during sleep time, sleep quality, and depression/anxiety and (b) time awake due to technology use. Two hundred thirty-six college students completed self-report questionnaires and week-long sleep diaries. Results revealed that 47 percent of students reported night-time waking to answer text messages and 40 percent to answer phone calls. Regression analyses indicated that higher levels of technology use after the onset of sleep predicted poorer sleep quality, and poorer sleep quality predicted symptoms of depression/anxiety. Finally, sleep quality is a mediator between technology use after the onset of sleep and depression/anxiety. College students who have difficulty setting boundaries around technology use may be at increased risk for psychological health concerns.
Although low-income children are at greater risk for overweight and obesity than their higher income counterparts, the majority of poor children are not overweight. The current study examined why such variation exists among diverse young children in poor families. Cross-sectional data were collected on 164 low-income, preschool aged children and their mothers living in two Rhode Island cities. Over half of the sample was Hispanic (55%). Mothers completed measures of family food behaviors and depression while trained assistants collected anthropometric data from children at seven day care centers and a Supplemental Nutrition Assistance Program outreach project. Multivariate analysis of covariance revealed that higher maternal depression scores were associated with lower scores on maternal presence when child eats (P < .05), maternal control of child’s eating routines (P < .03), and food resource management skills (P < .01), and with higher scores on child control of snacking (P < .03) and negative mealtime practices (P < .05). Multiple regression results revealed that greater maternal presence whenever the child ate was significantly associated with lower child BMI z scores (β = .166, P < .05). Logistic regression analyses indicated that higher scores on food resource management skills reduced the odds of child overweight (odds ratios = .72 – .95, P < .01). Maternal depression did not modify the relationship between family food behaviors and child weight. Overall, caregiver presence whenever a child eats, not just at meals, and better parental food resource management skills may promote healthier weights in low-income preschoolers. Further research is needed to identify the mechanisms that connect caregiver presence and food resource management skills to healthier weights for this age group.
The AAMFT Task Force on Core Competencies (Nelson et al., 2007) proposed that marriage and family therapy (MFT) educators teach and provide evidence of trainee competence beyond coursework and accrued clinical hours. This article describes the integration of a systematic client feedback protocol into an MFT-accredited program's curricula to address the call for outcome-based learning. Outcome management (OM) provides a framework for teaching and assessing trainee effectiveness. Continuous incorporation of client feedback embodies collaborative, strengths-based, integrative, and diversity-centered program values. Students learn a system for being accountable to clients, the profession, and service communities.
Objective Examine how income-related challenges around food and health are associated with variation in self-reported maternal body weight among low-income mothers. Design Cross-sectional, correlational design. Convenience sample recruited from 7 daycare centers and a Supplemental Nutrition Assistance Program outreach project. Maternal self-report data collected between October 2009 and May 2011. Setting Two Northeastern cities. Participants Sample of 166 mothers; 67% overweight or obese, 55% Hispanic, 42% reporting household food insecurity (HFI). Main Outcome Measures Maternal self-reported height and weight to calculate Body Mass Index (BMI). Independent variables: food program participation, supermarket use, 8-item food shopping practices scale, HFI, maternal depressive symptoms, self-rated health (SRH). Analysis Hierarchical multiple regression analysis tested relationships between maternal BMI with the independent variables of interest, adjusting for demographic confounds. Results Shopping practices to stretch food dollars (P = .04), using community food assistance programs (P < .05), and HFI (P < .04) correlated with heavier maternal BMIs; higher SRH corresponded to lower BMIs (P =.004). Conclusions and Implications Some strategies low-income mothers use to manage food resources are associated with heavier BMIs. Nutrition educators, public health practitioners, and researchers need to collaboratively address the associations between these strategies, food insecurity, poor health, and unhealthy weight.
We surveyed 499 young, single adult heterosexuals in order to test a social exchange-based model where sexual satisfaction mediated the association between individuals' judgments about their sexually-related exchanges and their relationship satisfaction. Path analysis, using structural equation modeling, supported the hypothesized model. Moreover, invariance tests revealed that gender moderated the model. The association between balance of sexual rewards to costs and sexual satisfaction was stronger for single women as compared to single men. The discussion explores the implications of the model and role of gender as a moderator.
Background Household food insecurity is associated with health and behavior risk. Much less is known about how food insecurity is related to strategies that adults use in accessing food: how and where they shop, use of alternative food sources and their ability to manage resources. Objective To examine how maternal behaviors including shopping, accessing alternative sources of food and managing resources are related to household food security status (HHFSS). Design Cross-sectional study collecting survey data on HHFSS, shopping behaviors, use of alternative food sources and managing resources obtained from low income mothers of preschoolers. Participants 164 low-income mothers of young children (55% Hispanic) from two communities in Rhode Island. Measures HHFSS was measured using ten items from the 18-item Core Food Security Module to assess adult food security. Mothers were surveyed about where, when and how often they shopped; the strategies they use when shopping; their use of alternative sources of food including federal, state and local assistance; and their ability to manage their resources. Statistical analyses Analysis of Variance and Chi-square analyses assessed the associations between demographic variables, shopping, accessing alternative food sources and managing resources, and HHFSS. Multivariate logistic regression assessed the associations between HHFSS and maternal demographic variables, food shopping strategies, alternative sources of food and ability to manage resources. Results Maternal age and language spoken at home were significantly associated with HHFSS; food insecurity was 10% more likely among older mothers (AOR=1.10; 95% CI 1.03-1.17) and 2.5 times more likely among Spanish speaking households (compared to non-Spanish speaking-AOR=3.57; 95% CI 1.25-10.18). Food insecurity was more likely among mothers reporting more informal strategies (AOR=1.98; 95% CI 1.28-3.01, p<.05) and perceiving greater inability to manage resources (AOR=1.60; 95% CI 1.30-1.98, p<.05). Conclusions The results suggest that low-income mothers use a variety of strategies in order to feed their families and that the strategies they use vary by HHFSS. Community nutrition programs and providers will need to consider these strategies when counseling families at risk for food insecurity and provide guidance to minimize the impact on healthy food choices.
College women's experiences with sexual and physical violence are so common that campus interventions are needed. To help guide these, we surveyed 339 college women and asked: (a) are college women's experiences with different types of relational violence interrelated and (b) are there patterns of association between types of violence and mental health symptoms? Analyses showed that experiences with verbal aggression, and minor and major physical violence overlapped. Experiences of sexual assault and minor physical violence also co-occurred. Moreover, women who encountered verbal and physical, but not sexual violence, suffered from symptoms of hostility, anxiety, and depression; those who encountered sexual coercion displayed signs of depression. We explore the implications of these findings for those who work with college women. Contemporary research has consistently revealed that physical and sexual aggression in intimate relationships is a serious problem on college campuses (e.g.,
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