Digital Commons Network^™

Barriers To Addressing Hiv-Associated Neurocognitive Disorder (Hand): Community-Based Service Provider Perspectives, Renato M. Liboro, Francisco Ibanez-Carrasco, Sean B. Rourke, Andrew Easton, Claudia Medina, Daniel Pugh, Allan Rae, Lori E. Ross, Paul A. Shuper

Psychology Faculty Research

HIV-Associated Neurocognitive Disorder (HAND) is an emergent public health issue in developed countries. Consequently, people living with HIV who experience HAND will increasingly require support from community-based HIV service providers. The objective of our qualitative study was to identify barriers service providers face in addressing HAND among people living with HIV. Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed. Using thematic analysis, three types of barriers were identified: (a) personal/professional, (b) service access, and (c) systemic. This paper draws attention to HAND-related obstacles that service providers encounter in their work and presents options to overcome them.

Racial Minority Immigrant Acculturation: Examining Filipino Settlement Experiences In Canada Utilizing A Community-Focused Acculturation Framework, Renato M. Liboro

Psychology Faculty Research

By incorporating perspectives from Community Psychology into Berry’s (1997) acculturation framework from Cross-cultural Psychology, a more community-focused acculturation framework was developed and proposed in this essay. Elements from Community Psychology that focus on group-specific settings, community-level analysis, sociocultural resources, sociopolitical forces, and roles of grassroots organizations and host societies in challenging institutional power were consolidated into Berry’s acculturation framework to establish a new framework with a stronger community focus. In a theoretical application utilizing the new community-focused framework, socio-historical accounts of and discourse on Filipino experiences prior to the beginnings of the Filipino diaspora to Canada in the mid-1990s and …

Integrating Spatial Working Memory And Remote Memory: Interactions Between The Medial Prefrontal Cortex And Hippocampus, Ryan A. Wirt, James M. Hyman

Psychology Faculty Research

In recent years, two separate research streams have focused on information sharing between the medial prefrontal cortex (mPFC) and hippocampus (HC). Research into spatial working memory has shown that successful execution of many types of behaviors requires synchronous activity in the theta range between the mPFC and HC, whereas studies of memory consolidation have shown that shifts in area dependency may be temporally modulated. While the nature of information that is being communicated is still unclear, spatial working memory and remote memory recall is reliant on interactions between these two areas. This review will present recent evidence that shows that …

Fundamental Researcher Attributes: Reflections On Ways To Facilitate Participation In Community Psychology Doctoral Dissertation Research, Renato M. Liboro, Robb Travers

Psychology Faculty Research

As novice researchers, Community Psychology doctoral students encounter fresh challenges when they attempt to facilitate participation by members of the community in their dissertation projects. This article presents the merit in adopting fundamental researcher attributes, which have been described in published academic literature as personal characteristics that facilitate participation by members of the community in research studies. The value of these researcher attributes is exemplified in the discussion of one of the author’s experiences in the early stages of his dissertation research process. This article also presents new researcher attributes for facilitating participation by community members that the author recognised …

Understanding The Irony: Canadian Gay Men Living With Hiv/Aids, Their Catholic Devotion, And Greater Well-Being, Renato M. Liboro, Richard T.G. Walsh

Psychology Faculty Research

Nine Canadian Catholic HIV-positive gay men were interviewed to obtain a better understanding of why and how they were able to persevere in their faith despite their religion’s teachings against homosexuality and contributions to the stigmatization of HIV/AIDS. By examining the lived experiences and personal perspectives of the participants, the study aimed to explore and elucidate the significant role of Catholicism and the Catholic Church both as a continued source of marginalization and oppression, as well as strength and support, for Canadian gay men living with HIV/AIDS today.

Forging Political Will From A Shared Vision: A Critical Social Justice Agenda Against Neoliberalism And Other Systems Of Domination, Renato M. Liboro

Psychology Faculty Research

Due to pervasive inequalities and inequities in society, many people have a difficult time envisaging a just society, let alone how to go about actualizing such an aspiration. A critical reflection on the concept of a just society and the role that community psychologists and other advocates can play in upholding a critical social justice agenda in their research and civic engagement, particularly against neoliberalism and other systems of domination, is discussed. As part of a proffered framework, four tasks are proposed to fulfil the role: (1) raising public critical consciousness, (2) convincing people of the possibility of change, (3) …

Beyond The Dialectics And Polemics: Canadian Catholic Schools Addressing Lgbt Youth Issues, Renato M. Liboro, Robb Travers, Alex St. John

Psychology Faculty Research

In 2012, Canadian media coverage on Bill 13—an Ontario legislative proposal to require all publicly funded schools to support Gay-Straight Alliances as a means of addressing issues concerning bullied lesbian, gay, bisexual, and transgender (LGBT) students—instigated a divisive exchange among representatives of the Ontario Catholic school sector. Beyond these dialectics and polemics, a proactive mix of advocates from schools in the Waterloo Catholic District School Board (WCDSB) of Ontario took steady steps to address the circumstances of their LGBT students. This study included semi-structured interviews with ten stakeholders from the WCDSB to determine if strategies and programs deemed successful for …

The Success Of Gay–Straight Alliances In Waterloo Region, Ontario: A Confluence Of Political And Social Factors, Alex St. John, Robb Travers, Lauren Munro, Renato M. Liboro, Margaret Schneider, Carrie L. Greig

Psychology Faculty Research

This article outlines how gay–straight alliances (GSAs) work to connect youth with community resources, and outlines the political and social context of GSAs in Waterloo Region, Ontario, Canada. Fifteen individuals (youth, teachers, and a lesbian, gay, bisexual, transgender, and queer [LGBTQ] youth service provider) participated in interviews about the role of GSAs in creating supportive school environments for LGBTQ youth and their allies. Analyses of the interview data found that, apart from providing direct support to LGBTQ students, GSAs in Waterloo Region decrease isolation by connecting youth with other LGBTQ community members, events, and resources. This article discusses how the …

Community-Level Interventions For Reconciling Conflicting Religious And Sexual Domains In Identity Incongruity, Renato M. Liboro

Psychology Faculty Research

Two of the most unstable domains involved in identity formation, the religious and sexual domains, come into conflict when vulnerable populations of the lesbian, gay, bisexual and transgender community experience oppression from the indoctrination of religious beliefs that persecute their sexual orientation. This conflict, aptly termed identity incongruity in this article’s discourse, results in a schism that adversely affects these vulnerable populations. This paper investigates the roles of religion, spirituality and available institutional solutions to propose customized, culturally adapted, contextually based and collaborative community-level interventions that would facilitate the reconciliation of the conflicting identity domains.

Score Reliability And Factor Similarity Of The Sociocultural Attitudes Towards Appearance Questionnaire-3 (Sataq-3) Among Four Ethnic Groups, Cortney S. Warren, David H. Gleaves, Liya M. Rakhkovskaya

Psychology Faculty Research

Background:This study evaluated the score reliability and equivalence of factor structure of the Sociocultural Attitudes towards Appearance Questionnaire-3 (SATAQ-3) [1] in a sample of female college students from the four largest ethnic groups in the USA.Methods:Participants were 1245 women who self-identified as European American/White (n = 543), African American/Black (n = 137), Asian American (n = 317), or Latina/Hispanic (n = 248). All completed the SATAQ-3 and a demographic questionnaire. To test the factor similarity and score reliability across groups, we used exploratory factor analysis and calculated Cronbach’s alphas (respectively).Results:Score reliability was high for all groups. Tests of factor equivalence …

Binge Eating Disorder Mediates Links Between Symptoms Of Depression And Anxiety And Caloric Intake In Obese Women, Roseann E. Peterson, Shawn J. Latendresse, Lindsay T. Bartholome, Cortney S. Warren, Nancy C. Raymond

Psychology Faculty Research

Despite considerable comorbidity between mood disorders, binge eating disorder (BED), and obesity, the underlying mechanisms remain unresolved. Therefore, the purpose of this study was to examine models by which internalizing behaviors of depression and anxiety influence food intake in overweight/obese women. Thirty-two women (15 BED, 17 controls) participated in a laboratory eating-episode and completed questionnaires assessing symptoms of anxiety and depression. Path analysis was used to test mediation and moderation models to determine the mechanisms by which internalizing symptoms influenced kilocalorie (kcal) intake. The BED group endorsed significantly more symptoms of depression (10.1 versus 4.8, P=0.005 ) and anxiety (8.5 …

What Makes Women Tired? A Community Sample, Donna E. Stewart, Susan Abbey, Marta Meana, Katherine M. Boydell

Psychology Faculty Research

We aimed to determine the major health concerns or problems of women and their personal attributions for the causes of their primary health concerns. We used a survey of women from the Toronto area attending a women's health symposium. Completed questionnaires were returned by 153 (85%) of 180 women attendees. Persistent fatigue was the primary and most commonly cited health concern. Fatigue was ranked first by 42 (27.5%) women and among the top 10 concerns by 123 (80.4%) women. Women attributed their fatigue to a combination of home and outside work (63.4%), poor sleep (38.2%), lack of time for self …

Chronic Pain: The Extra Burden On Canadian Women, Marta Meana, Robert Cho, Marie Desmeules

Psychology Faculty Research

Health Issue

Chronic pain is a major health problem associated with significant costs to both afflicted individuals and society as a whole. These costs seem to be disproportionately borne by women, who generally have higher prevalence rates for chronic pain than do men.

Key findings

Data obtained from 125,574 respondents to the Canadian Community Health Survey (2000–2001) indicated that 18% of Canadian women suffered from chronic pain, compared to 14% of men. This gender discrepancy, however, seemed to be linked primarily to differences in age, income, and education between adult men and women in this large sample. Age, income, depression …

Chronic Pain: The Extra Burden On Canadian Women, Marta Meana, Robert Cho, Marie Desmeules

Psychology Faculty Research

Health Issue: Chronic pain is a major health problem associated with significant costs to both afflicted individuals and society as a whole. These costs seem to be disproportionately borne by women, who generally have higher prevalence rates for chronic pain than do men.

Key findings: Data obtained from 125,574 respondents to the Canadian Community Health Survey (2000–2001) indicated that 18% of Canadian women suffered from chronic pain, compared to 14% of men. This gender discrepancy, however, seemed to be linked primarily to differences in age, income, and education between adult men and women in this large sample. Age, income, depression …

Physician-Related Determinants Of Cervical Cancer Screening Among Caribbean Women In Toronto, Ilene Hyman, Punam Mony Singh, Marta Meana, Usha George, Lilian M. Wells, Donna E. Stewart

Psychology Faculty Research

BACKGROUND: Minority women in Canada are less likely to be screened for cervical cancer than their counterparts in the general population, despite the fact that the proportion of these women who consult a general practitioner about their health each year is similar to minority women. This study examined the physician and practice characteristics associated with Pap testing and perceived barriers to Pap testing of family physicians serving the Caribbean community of Toronto.

METHODS: A mail-back questionnaire was sent to Toronto family physicians practicing in neighborhoods with a high proportion of Caribbean Canadians.

RESULTS: Although 79.7% of the 64 participating physicians …

Patient Preference For The Management Of Mildly Abnormal Papanicolau Smears, Marta Meana, Donna E. Stewart, Gordon M. Lickrish, Joan Murphy, Barry Rosen

Psychology Faculty Research

The article provides information on a study that investigated management preference and desire for decision-making involvement in women who have received a first mildly abnormal Papanicolaou smear. The majority of women in this highly educated sample preferred active management of their mildly abnormal Pap smears, although a substantial minority either opted for the surveillance strategy or reported no strong preference. Furthermore, management preference in this sample was not related to knowledge but rather to level of state anxiety. This indicates that these decisions may be guided more by emotions than by facts. Research has shown repeatedly that abnormal Pap smears …

The Meeting Of Pain And Depression: Comorbidity In Women, Marta Meana

Psychology Faculty Research

The higher prevalence of depression in women is coupled with a higher prevalence of pain complaints. Growing evidence suggests that the comorbidity of these conditions is also proportionately higher in women than men. This paper critically reviews the empirical findings relating to gender differences in comorbid pain and depression as well as findings in support of hypothesized etiologic factors that could explain why women may be more susceptible than men to comorbidity. The empirical evidence for biogenic, psychogenic, and sociogenic explanatory models is presented, and an integration of these models is proposed as a guideline to both research and clinical …

Cardiac Rehabilitation: Gender Differences In Factors Influencing Participation, Lani Lieberman, Marta Meana, Donna E. Stewart

Psychology Faculty Research

This study investigates gender differences in the barriers and incentives that are most influential in the coronary patient's decision to participate in cardiac rehabilitation (CRPs) and suggests strategies to counter these barriers. Patient surveys were administered to consecutive English-speaking attenders and referred nonattenders to a cardiac rehabilitation center at a university healthcare system in Toronto, Canada. A survey questionnaire, constructed from a literature review and advice from key informants, examined potential factors affecting decisions to engage in CRPs. One129 attenders at a CRP and 61 referred nonattenders completed the questionnaire. Physician recommendation was reported to be the most important factor …

Affect And Marital Adjustment In Women’S Rating Of Dyspareunic Pain, Marta Meana, Irv Binik, Sainir Khalife, Deborah Cohen

Psychology Faculty Research

OBJECTIVE: To investigate the extent to which depressive symptomatology, anxiety, and marital adjustment mediate pain ratings in women suffering from dyspareunia.

METHOD: Seventy-six women with dyspareunia were administered the depression and anxiety scales of Derogatis's Brief Symptom Inventory and the McGill Pain Questionnaire. They also underwent a manual-visual gynecological examination, an ultrasound, and a colposcopy in an attempt to identify potential evidence and type of organicity.

RESULTS: Depressive symptomatology, anxiety, and marital adjustment together accounted for a significant amount of the variance in pain ratings, although only anxiety and marital adjustment were independent predictors of pain ratings in the entire …