Categorical or Dimensional: How Do Attachment Measures Inform Clinicians in Couple Therapy?

Self-report measures of adult romantic attachment have been widely used in research but their application in clinical practice has not been adequately examined. One important issue is the selection of a practical and reliable attachment measure that therapists can rely on in couple therapy. In the present study, the three-category Attachment Style Prototype (Hazan & Shaver, 1987) representing the original classic conceptualization of attachment, and the Experiences in Close Relationships (Brennan, Clark, & Shaver, 1998), a more recent scale with two dimensions representing a new conceptualization, were compared. Experiences in Close Relationships data were also used to establish four clusters based on the scores of the two dimensions. The Experiences in Close Relationships and Attachment Style Prototype categories were related in meaningful ways; however, Attachment Style Prototype was less effective in detecting a group of insecurely attached individuals who tended to self-identify as securely attached. Experiences in Close Relationships clearly shows an advantage over Attachment Style Prototype in clinical application, and therefore was recommended. Examples of the clinical utilization of Experiences in Close Relationships in couple therapy were provided using Experiences in Close Relationships scores from couples seeking therapy.     

Sociodemographic,sexual, and reproductive variables associated with pregnancy among adolescents from low socioeconomic background

Adolescent pregnancy remains a public health concern in both developed and developing countries. Portugal and Brazil represent some of the best examples of this phenomenon. The present study aimed to identify sociodemographic, sexual, and reproductive health-related variables associated with adolescent pregnancy among students from low socioeconomic backgrounds in both countries. The sample included 984 female adolescents, among whom 215 became pregnant. Living with a partner and lack of information about sex and contraception from the family were the best explicative factors for pregnancy occurrence in both countries. Country-specific variables were also identified. Our results may contribute to developing global preventive interventions, addressing the school as an ideal setting for primary intervention and considering culture-specific characteristics of high-risk populations.     

CANADIAN CROSS-CULTURAL COMPARISON OF THE HIGH-RISK PREGNANCY STRESS SCALE

The purpose of this article is to present the French and English versions of the High-Risk Pregnancy Stress Scale (HRPSS) and the reliability and validity analyses. This instrument contains 16 items representing psychological and environmental stressors of the at-risk pregnancy situation with or without hospitalization. The HRPSS was developed specifically to measure the degree of stress as experienced by women with high-risk pregnancy. The results of the principal component analyses with Varimax rotation (N=105) reveal that the HRPSS has two components. The first component represents physical restriction, while the second represents concerns related to pregnancy. These two components have been identified as forming the basis of the concept of antenatal-related stress. The HRPSS demonstrates internal consistency, equivalence and stability reliability. The psychometric analyses reveal that both the French and English versions have similar qualities.     

Interlaboratory Comparison as a Source of Information for the Product Evaluation Process. Case Study of Ceramic Tiles Adhesives

In this study, the results obtained by 19 laboratories participating in 2 editions of the interlaboratory comparison (ILC) determining 2 properties of ceramic tiles adhesives (CTAs), i.e., initial tensile adhesion strength and tensile adhesion strength after water immersion following EN 12004, were analyzed. The results show that participating laboratories maintain a constant quality of their work. The use of z-score analysis, under ISO 13528, allows for classifying 89.5% to 100% of laboratories as satisfactory, depending on the measurement’s kind and edition. The remaining laboratories are classified as questionable. The investigation of the predominant mode of failure of the CTA’s samples tested in the two editions shows significant differences. From the perspective of laboratories, the goal of the ILC has been achieved. From the standpoint of a manufacturer who evaluates a product’s properties when placing it on the market, the results indicate the necessity of a particular treatment of the product evaluation process because the variability of the obtained results is significant. It increases the possibility of the product failing to meet the assessment criteria verified by the construction market supervision authorities. The manufacturer must consider all possible variations in the risk analysis, including the ILC results, to improve the assessment process of CTAs.     

老年性痴呆患者护理模式的国内外比较及其启示

就国内外老年性痴呆患者的护理理念、护理状况、护理方式、护理方法及内容等方面进行比较,强调大力发展、完善我国老年性痴呆患者的服务体系,培养高素质的专门护理人才,以推动我国老年性痴呆患者护理的发展。     

Depression and loneliness of older adults in Europe and Israel after the first wave of covid-19

Epidemic control measures that aim to introduce social distancing help to decelerate the spread of the COVID-19 pandemic. However, their consequences in terms of mental well-being might be negative, especially for older adults. While existing studies mainly focus on the time during the first lockdown, we look at the weeks afterward in order to measure the medium-term consequences of the first wave of the pandemic. Using data from the SHARE Corona Survey, we include retired respondents aged 60 and above from 25 European countries plus Israel. Combining SHARE data with macro-data from the Oxford COVID-19 Government Response Tracker allows us to include macro-indicators at the country level, namely the number of deaths per 100,000 and the number of days with stringent epidemic control measures, in addition to individual characteristics. The findings show that both macro-indicators are influential for increased feelings of sadness/depression, but that individual factors are crucial for explaining increased feelings of loneliness in the time after the first lockdown. Models with interaction terms reveal that the included macro-indicators have negative well-being consequences, particularly for the oldest survey participants. Additionally, the results reveal that especially those living alone had a higher risk for increased loneliness in the time after the first COVID-19 wave.Supplementary InformationThe online version contains supplementary material available at 10.1007/s10433-021-00640-8.     

Validation of the MSM and NCI Method for Estimating the Usual Intake of Nutrients and Food According to Four Seasons of Seven Consecutive Daily 24 Hour Dietary Recalls in Chinese Adults

The Multiple Source Method (MSM) and the National Cancer Institute (NCI) method are used to estimate usual dietary intake from short-term dietary assessment instruments, such as 24 hour dietary recall (24-HRs). However, their performance has not been validated in the Chinese population via nutrition surveys. To validate the accuracy of the MSM and NCI method in estimating usual dietary intake in the Chinese population, 752 individuals from northern and southern China answered four seasons of seven consecutive 24-HRs (one for each season). The true usual dietary intake was considered as the average of the 28 collection days of dietary component intake. Using data sets with consecutive 3 collection days, the usual intakes of the selected dietary components were estimated by MSM, NCI and the within-person mean of three 24-HRs (3 day method). These estimates were compared with the true usual intake at the group and individual level. At the group level, the MSM and NCI method performed similarly, yielding estimates closer to the true usual intake than 3 day method. The percentage differences of the estimates for dietary components not consumed daily from the MSM and NCI method were larger than for the dietary components consumed daily. However, the larger percentage differences were observed in the tail of the usual intake distribution. In general, dietary components with larger variance ratios had greater percentage differences. At the individual level, for overall seasons and dietary components, the biases of individual usual intake did agree for MSM and NCI method, whereas NCI method estimates were closer to true intakes than for the MSM and 3 day method. Similar results were observed in the relative biases of dietary components consumed daily. As with the group level, there was less percentage difference in dietary components consumed daily. Both the MSM and NCI method can be used to estimate usual intake in Chinese populations and are closer to the true usual intake than the traditional mean method, at both group and individual levels.     

The Impact of Inpatient Multimodal Treatment or Family-Based Treatment on Six-Month Weight Outcomes in Youth with Anorexia Nervosa: A Naturalistic,Cross-Continental Comparison

In the USA, family-based treatment (FBT) with inpatient medical stabilization as needed is the leading evidence-based treatment for youth with anorexia nervosa (AN). In continental Europe, typically inpatient multimodal treatment targeting weight recovery followed by outpatient care (IMT) is standard care, if prior outpatient treatment was not sufficient. Our aim was to compare weekly weight gain and hospital days over six months for adolescents receiving FBT (USA) versus IMT (Germany) using naturalistic treatment data. To yield similar subgroups of youth aged 12–18 years, inclusion criteria were a percent median BMI (%mBMI) between 70–85 and the restrictive AN subtype. Weight gain and hospital days were compared, adjusted further in a multiple linear regression analysis (MLRA) for baseline group differences. Samples differed on baseline %mBMI (FBT [n = 71], 90.5 ± 12.8; IMT [n = 29], 78.3 ± 9.1, p < 0.05). In subgroups with comparable baseline %mBMI, the weekly weight gain over 6 months was similar (FBT [n = 21]: 0.35 ± 0.18 kg/week; IMT [n = 20]: 0.30 ± 0.18, p = 0.390, p = 0.166 after MLRA), but achieved fewer hospital days in FBT (FBT [n = 7]: 4 ± 6 days, IMT [n = 20]: 121 ± 42 days, p < 0.0001 before and after MLRA). FBT may be effective for a subgroup of adolescents with AN currently receiving IMT, but head-to-head studies in the same healthcare system are needed.