Metabolic syndrome and mobility dysfunction in older adults with and without histories of traumatic brain injury: The mediating role of cognition.

Objective: Older adults are more susceptible than the general population to developing metabolic syndrome (i.e., three or more cardiovascular risk factors [MetS]), physical limitations, and traumatic brain injury (TBI).

Measurement of Intersectional Microaggressions: Conceptual Barriers and Recommendations.

Since Crenshaw coined the term "intersectionality" in 1989, researchers of bias have struggled with how to capture the complexity and intricacies of intersectional identities and microaggressions experienced by individuals holding these identities within the quantitative framework that dominates psychology. Although scholarship has grown in the exploration of experiences such as racialized sexual harassment, or sexual racism within queer and trans communities, there is no strong consensus on how this might be measured systematically in ways that allow for inferences regarding the experiences of populations of interest. With an emphasis on the experiences of queer and trans people of color, this article explores intersectional identities through three main points: First, we define what is meant by intersectionality and the real-world experiences that are important for advancing an understanding of microaggressions; second, we review the existing measures and their ability to capture the breadth and depth of the lived experience of those with intersectional identities; and third, we propose a framework for the development of a more accurate and comprehensive measure of microaggressions.

Rupture resolution strategies and the impact of rupture on the working alliance after racial microaggressions in therapy.

Despite a growing literature on racial microaggressions, little is known about the racial microaggression experiences of people of color in therapy, nor the effectiveness of strategies used by therapists to repair the harm of therapy racial microaggressions and cultural ruptures. This study used a mixed methodology to examine the occurrence of racial microaggressions in therapy and their potential impact on the participants' relationship with their therapist. Participants included 128 self-identified people of color who have had at least 1 counseling session and were recruited from across the United States.

Depression and perceived stress as mediators between racial microaggressions and somatic symptoms in college students of color.

The current study examined the ability of mental health indicators, namely depression and perceived stress, to mediate the relationship between racial microaggressions and health among a racially/ethnically diverse sample of 467 college students of color. Consistent with what was hypothesized, the main findings revealed that depression and perceived stress mediated the relationships between types of racial microaggressions, specifically low-achieving, invisibility, and criminality, and somatic symptoms. The study results suggest that there may be multiple pathways by which specific racial microaggressions might be associated with psychological and somatic health indicators.

Assessing Racial Microaggression Distress in a Diverse Sample.

Racial microaggressions are everyday subtle or ambiguous racially related insults, slights, mistreatment, or invalidations. Racial microaggressions are a type of perceived racism that may negatively impact the health and well-being of people of color in the United States. This study examined the reliability and validity of the Racial Microaggression Scale distress subscales, which measure the perceived stressfulness of six types of microaggression experiences in a racially and ethnically diverse sample.

Values and religiosity as predictors of engagement in social justice.

Some researchers have suggested that values, including religious values and motivations, might facilitate social justice work. Individuals might view social justice work as an expression of religious beliefs, values, and practices, or as an expression of their personal morals and values. The current study examined the role of religious variables and secular values to predict attitudes, intentions to engage in social justice, perceived norms around social justice, and perceived ability to engage in social justice within a culturally and religiously diverse student population.

Teaching for social justice and social action.

Social justice education involves promoting critical awareness of social inequalities and developing skills that work against these inequalities. This article describes a general theoretical framework for social justice education, describes general strategies for facilitating students' social justice awareness and engagement, identifies challenges to social education, and highlights articles in the special issue that address these themes.

The "Virtual" Panel: A Computerized Model for LGBT Speaker Panels.

Recent societal trends indicate more tolerance for homosexuality, but prejudice remains on college campuses. Speaker panels are commonly used in classrooms as a way to educate students about sexual diversity and decrease negative attitudes toward sexual diversity. The advent of computer delivered instruction presents a unique opportunity to broaden the impact of traditional speaker panels.

The Racial Microaggressions Scale (RMAS): a new scale to measure experiences of racial microaggressions in people of color.

Racial microaggressions refer to the racial indignities, slights, mistreatment, or offenses that people of color may face on a recurrent or consistent basis. Racial microaggressions may represent a significant source of stress endured by people of color. The purpose of this study was to develop a scale to measure racial microaggressions.

Development and psychometric evaluation of the Social Justice Scale (SJS).

The study describes the development of the Social Justice Scale (SJS). Practitioners, educators, students, and other members of the community differ on their attitudes and values regarding social justice. It is important to assess, not only individuals' attitudes and values around social values, but also other constructs that might be related to social justice behaviors.

Activity Logs as a Measure of Daily Activity Among Patients with Chronic Fatigue Syndrome.

Background: Self-report data collected through interviews has been one of the primary ways of assessing symptoms of patients with chronic fatigue syndrome (CFS). An alternative way to collect data involves activity logs, which involves patients writing down the pattern, intensity, and qualitative nature of activity over several days.

Aims: We examined the associations between activity, evaluation of activity and symptoms.

The impact of energy modulation on physical functioning and fatigue severity among patients with ME/CFS.

Objective: The energy envelope postulates that patients with Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS) will improve functioning when maintaining expended energy levels at the same level as available energy level.

Methods: Estimated weekly Energy Quotients were established by dividing expended energy level by perceived energy level and multiplying by 100. Two groups of patients were identified following participation in a non-pharmacologic intervention trial.

Evidence for T-helper 2 shift and association with illness parameters in chronic fatigue syndrome (CFS).

Few immunological markers have been consistently reported in CFS. However, a shift to a T-helper 2 (Th2) type immune response has been hypothesized for individuals with CFS. The current study investigated whether individuals with CFS who exhibited a stronger shift towards a Th2 type of immune response would also exhibit more severe symptoms, poorer neurocognitive functioning, and poorer physical and psychosocial functioning.

The Energy Envelope Theory and myalgic encephalomyelitis/chronic fatigue syndrome.

Individuals with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) have little stamina and endurance, and pose a challenge for nursing professionals. The Energy Envelope Theory, which posits that maintaining expended energy levels consistent with available energy levels may reduce the frequency and severity of symptoms, is particularly useful when working with clients with ME/CFS. Anecdotal support from the client community for this theory supports its use as a management tool for ME/CFS, but little formal research has been done in this area.

Factors associated with early attrition from psychosocial rehabilitation programs.

This study aimed to identify characteristics associated with early dropout from a vocationally oriented psychosocial rehabilitation (PSR) program for clients with severe mental illness. The sample consisted of 194 individuals who participated in a study comparing a supported employment program to a stepwise vocational program. Study participants who dropped out of the PSR program within 6 months of study entry were compared to those who continued for at least 6 months.

The economic impact of ME/CFS: individual and societal costs.

Background: ME/CFS is characterized by debilitating fatigue in addition to other physical and cognitive symptoms. It is estimated to affect over 800,000 adults in the U.S.

The associations between basal salivary cortisol and illness symptomatology in chronic fatigue syndrome.

Hypocortisolism has been reported in chronic fatigue syndrome (CFS), with the significance of this finding to disease etiology unclear. This study examined cortisol levels and their relationships with symptoms in a group of 108 individuals with CFS. CFS symptoms examined included fatigue, pain, sleep difficulties, neurocognitive functioning, and psychiatric status.

Fatigue among Spanish- and English-speaking Latinos.

The present study investigated sociodemographic differences, fatigue severity, and the occurrence of prolonged or chronic fatigue reported by Spanish-speaking and English-speaking Latinos. The sample included 2,102 English-speaking Latinos and 1,348 Spanish-speaking Latinos interviewed as part of an epidemiological study of persons with chronic fatigue syndrome in the Chicago area. Results indicated that English-speaking Latinos scored higher on measure of fatigue than Spanish-speaking Latinos.

The prevalence of chronic fatigue syndrome in Nigeria.

The present study found adult rates of chronic fatigue syndrome (CFS) in Nigeria that were somewhat higher than rates from community-based CFS epidemiologic studies in the USA. The rates of chronic fatigue for both adults and children were also higher than in existing community-based studies. It is possible that the presence of several fatiguing illnesses such as malaria and typhoid, the lack of adequate healthcare resources and poverty in Nigeria, place individuals at greater risk for fatigue and its syndromes.

Differential diagnosis of chronic fatigue syndrome and major depressive disorder.

The goal of this study was to identify variables that successfully differentiated patients with chronic fatigue syndrome, major depressive disorder, and controls. Fifteen participants were recruited for each of these three groups, and discriminant function analyses were conducted. Using symptom occurrence and severity data from the Fukuda et al.

Causes of death among patients with chronic fatigue syndrome.

Chronic fatigue syndrome (CFS) is a debilitating illness affecting thousands of individuals. At the present time, there are few studies that have investigated causes of death for those with this syndrome. The authors analyzed a memorial list tabulated by the National CFIDS Foundation of 166 deceased individuals who had had CFS.

The relationships among coping styles and fatigue in an ethnically diverse sample.

The present study focused on coping strategies among African Americans, Latinos, and European Americans with chronic fatigue syndrome (CFS) and idiopathic chronic fatigue (ICF). The coping strategies examined were measured by using the COPE Scales, which assess Seeking Emotional Social Support, Positive Reinterpretation and Growth, Acceptance, Denial, Turning to Religion, Behavioral Disengagement, and Focusing on and Venting Emotions. In addition, the four coping strategies specifically designed for people with CFS, including maintaining activity, accommodating to the illness, focusing on symptoms, and information-seeking, were used in this study.

Preventive psychology in primary care settings.

This article will describe some of the more promising types of preventive interventions that exist in primary health care settings. It will present a rationale for practicing psychologists to consider issues of prevention when working in health care settings. Approaches to prevention and the integration of preventive measures into primary care will be presented, as well as examples of the implementation of innovative prevention programs.

Chronic fatigue syndrome: the need for subtypes.

Chronic fatigue syndrome (CFS) is an important condition confronting patients, clinicians, and researchers. This article provides information concerning the need for appropriate diagnosis of CFS subtypes. We first review findings suggesting that CFS is best conceptualized as a separate diagnostic entity rather than as part of a unitary model of functional somatic distress.

Chronic fatigue syndrome impairs circadian rhythm of activity level.

Some of the symptoms of chronic fatigue syndrome (CFS) are the same as for disrupted circadian rhythm. Activity level is frequently used to study circadian rhythm. Continuous waist activity measurements taken every minute 24 h/day for from 5 to 7 days in 10 controls and from 2 to 7 days in 8 patients with CFS yielded two primary findings: (a) lower daytime activity and (b) less regular activity-rest cycles in persons with CFS than in controls.