The Violence Prevention Community Meeting: A Multi-Site Study.

Objective: The Violence Prevention Community Meeting (VPCM) is a specialized form of community meeting in which avoiding violence and promoting non-violent problem solving and interpersonal civility are focal points. A nationwide study to assess the VPCM as an effective intervention to reduce workplace violence was undertaken.

Participants: Seven acute locked psychiatric units of the Veterans Health Administration (VHA) throughout the United States participated in the study.

Reducing violence against nurses: the violence prevention community meeting.

Research was undertaken to validate the efficacy of a new, nurse-led treatment, the Violence Prevention Community Meeting (VPCM), for reducing patient violence on an acute-care inpatient psychiatry unit. Nursing staff members carried event counters and recorded verbal and physical violence as it occurred over the 20-week study. Significant decreases in patient violence were found across day, evening, and night shifts for pre-treatment vs.

Multiple perspectives on assault: the 360-degree interview.

Workplace violence is common in health care settings. The authors review various models of this violence that have developed over time. From a linear model, understanding progressed to an interactional and then to a contextual model of assault that examines interactions of the aggressor, victim, and the environment.

Non-physical violence: a risk factor for physical violence in health care settings.

This research study assessed the extent to which non-physical violence is a risk factor for physical violence against workers in health care settings. More than 600 nursing staff, other clinical providers, and non-clinical staff in two health care settings completed a cross-sectional survey. For the preceding 12-month period, 72.

Violence against psychiatric nurses: sensitive research as science and intervention.

Psychiatric nurses are frequent victims of workplace violence, much of which is perpetrated by patients. In a review of literature on prevalence, perpetrators, and impact of violence on psychiatric nurses, we note that workplace violence is a virtually normative experience for the nurse, rather than a rare occurrence. Verbal violence and sexual harassment, like physical violence, are common experiences; in contrast to physical violence, these are often initiated by co-workers.

Weight, weight-related aspects of body image, and depression in early adolescent girls.

This investigation assessed the hypothesis that early adolescent girls with more negative weight-related body images would report higher levels of depressive symptoms. The Beck Depression Inventory was administered, and measures of objective weight and four dimensions of weight-related body image were obtained: self-reported weight, subjective classification of weight from very underweight to very overweight, satisfaction with weight, and concerns about weight. The results indicated that the more subjective and personal measures of weight-related body image discontent--weight dissatisfaction and weight concerns--were associated with increased depressive symptoms, even controlling for objective weight status.

Premenarcheal expectations and postmenarcheal experiences of positive and negative menstrual related changes.

Purpose: Longitudinal examination of early adolescent girls' premenarcheal expectations and postmenarcheal experiences of positive and negative menstrual related changes.

Method: Ratings of 14 positive and negative changes were made by 80 girls on three occasions: (1) in grade 6 when girls were premenarcheal, (2) at the test occasion within six months after each girls' own menarche, and (3) in grade 9 when girls were postmenarcheal. Premenarcheal girls rated expectations of changes, and postmenarcheal girls rated experiences of changes, for both premenstrual and menstrual phases.

Preparing girls for menstruation: recommendations from adolescent girls.

This study asked adolescent girls who had been menstruating for one to three years how they would prepare younger girls for the event, and how they would advise parents to prepare their daughters. To this end, 157 9th-grade girls rated their own experience of menarche (in terms of preparation, initial response, parents' roles, and sources of information) and answered four open-ended questions. The girls emphasized the need for emotional support and assurance that menstruation was normal and healthy--not bad, frightening, or embarrassing.

Early adolescent girls' understanding of menstruation.

Sixth grade girls (N = 224) were queried about their preparation for and expectations about menarche, their parents' roles in preparation, and their understanding of the biological basis of menstruation, characteristics of the menstrual cycle, menstrual hygiene, and menstrual-related physical and psychological changes. Although girls viewed themselves as prepared for menarche, and claimed they had discussed it with their mothers, their explanations of menstruation reflected at best incomplete knowledge, and more typically a variety of misconceptions or ignorance. In attempting to explain menstruation, they tended to focus on one particular element of the process (e.

Advanced pubertal development and eating disturbance in early adolescent girls.

This study assessed the hypothesis that early adolescent girls with advanced pubertal development would be at increased risk for eating disturbance compared with less-advanced peers. Sixth-grade girls differing in levels of pubertal development responded to the Eating Disorder Inventory (EDI); to questions about weight-related concerns and dieting; and to measures of body image and appearance satisfaction. Body mass index (BMI) was calculated from measured weights and heights, and used as a measure of body fatness.

Depressive symptomatology among very early maturing girls.

This study investigated whether menarche is associated with depression when its onset is at the very early extreme of the normal age range. Girls who were postmenarcheal at the beginning of the sixth grade, comprising less than 10% of a sample of girls in that grade, were classified as very early maturers; their scores on the Beck Depression Inventory, short form (BDIs), were compared with those of their premenarcheal peers. Additionally, postmenarcheal seventh graders, who comprised 30% of a sample of girls in that grade, were compared to their premenarcheal peers on the BDIs.

Perceptions of weight and attitudes toward eating in early adolescent girls.

Sixth grade girls (n = 206) responded to questions about their weight, body image, dieting practices, and attitudes toward weight and eating. Results suggested that feeling too fat and wishing to lose weight were becoming normative for young adolescent girls in that the majority of girls wished to weigh less and said that they dieted at least occasionally. For most girls, weight concerns had emerged between the ages of 9 to 11.

Premenarcheal predictors of the experience of menarche: a prospective study.

The goals of this study were (1) to assess, with a prospective design, the impact of premenarcheal menstrual attitudes and personality attributes for menarcheal experience and (2) to assess the relative strength of these variables, in relation to menarcheal timing and preparation for menarche, for predicting menarcheal experience. The subjects were 92 girls, who changed from pre- to postmenarcheal between two test occasions, 6 months apart. When premenarcheal menstrual attitudes and personality attributes were examined independently, results revealed that affirmation, a menstrual attitude, and depression significantly predicted emotional response to menarche.

Conceptions and misconceptions of the menstrual cycle.

Eighty college women were queried about their knowledge of three aspects of the menstrual cycle (menstruation, ovulation, and menopause). Questions concerned the biology of each event and the physical, emotional, and cognitive changes believed to be associated with them. Reasoning from the biases and limitations in the scientific and popular literature, it was predicted that: (1) women would be relatively uninformed about the menstrual cycle, but more informed about menstruation than about ovulation or menopause, and (2) negatively valued changes would be described more frequently than positively valued ones.

Timing of menarche, preparation, and initial menstrual experience: Replication and further analyses in a prospective study.

The goals of this study were to assess the significance of two timing variables (objective timing of menarche and subjective timing, i.e., the belief-not necessarily true-about one's status as early, average, or late maturing) and two cognitive variables (preparation for menstruation and ego functioning) as predictors of the experience of menarche.

Flashbulb memories of menarche and adult menstrual distress.

Ninety-nine female college students completed a questionnaire in which they recounted their memories of menarche, described menarcheal circumstances, and completed the Menstrual Distress Questionnaire (MDQ). Consistent with previous research, inadequate emotional preparation for menstruation was associated with negative feelings at menarche. However, menarcheal circumstances were not strongly predictive of adult MDQ scores.

Conceptions and misconceptions of menstruation.

College women were asked a series of open-ended questions about their conceptions of menstruation prior to menarche as part of a retrospective study. Their responses were rated as indicating correct information, misinformation, or lack of information. A conceptual analysis of these descriptive data reveals some of the emotional and cognitive limitations of pre-adolescence that lead ostensibly well-informed girls to harbor misconceptions about menstruation.

Gender, anxiety, and human figure drawings.

Male and female human figure drawings (HFDs) produced by 340 males and females, from ages 9 yrs. 7 mos. to 22 yrs.

Memories of menarche: age, preparation, and prior knowledge as determinants of initial menstrual experience.

The relationships between age at menarche, preparation for menarche, and initial experience of menarche, were assessed in a retrospective questionnaire administered to 97 college aged women. The more knowledgeable a girl was prior to menarche, the more adequate she perceived her preparation for menarche to have been; and the older she was at the time of menarche, the more likely she was to report a positive initial experience. These data support clinical anecdotes describing initial responses to menarche, and provide information about the factors which can moderate the extent to which menarche is experienced as a traumatic and disruptive event.

Sexual ambiguity in children's human figure drawings.

Four hundred sixty-one children in grades 5-9 drew a person and indicated the sex of their human figure drawing. A significant number (8%) of children were unable to classify their drawings as to sex; the frequency of uncertainty did not vary with grade or sex of child. Inability to determine the sex of one's own drawing is hypothesized to be a conceptual rather than a perceptual problem, and to reflect uncertainty about the essence of sexual identification.