Men's Reflections on Their Experiences of Gender-Based Violence.

Using Multicultural and Gender Case Conceptualization (MGCC) epistemology, the aim of this phenomenological study was to explore adult male victims' perceptions of gender and reflections on their experiences of gender-based violence (GBV). Data were analyzed using interpretative phenomenological analysis (IPA). Results indicated that, regardless of sexual orientation, participants experienced verbal and physical abuse due to their feminine gender expression, beginning in primary school and continuing through university and into the workplace. To reduce victimization, the men developed a range of strategies, such as policing their gender and avoiding social situations. The experiences of violence affected the participants' social relationships, choice of occupation, self-esteem, and ability to trust. However, after entering university, heterosexual, gay, and bisexual participants interpreted their experiences differently, whereby heterosexual participants linked the abuse to gender, and gay and bisexual participants viewed it as homophobia. As well, gay and bisexual participants found respite in the gay and bisexual communities, while heterosexual participants remained silent, isolated, and afraid to discuss their experiences. Implications for future research are discussed.

Psychosocial determinants of health behaviour change in an e-counseling intervention for hypertension.

We evaluated the influence of psychological stress and depression on motivation to adhere to recommended guidelines for exercise and diet. This study was conducted within a larger e-counseling trial. Subjects diagnosed with hypertension (n = 387, age = 44-74 years, 59% female) completed assessments at baseline and within 2 weeks after a 4-month intervention period. Outcomes included mean level of readiness to change diet and exercise and symptoms of depression and stress. Per protocol analysis defined e-counseling support as follows: ≥8 e-mails = therapeutic dose, 1-7 e-mails = subtherapeutic dose, and 0 e-mails = Controls. Baseline adjusted symptoms of depression and stress were inversely correlated with improvement in exercise (partial R = -.14, P = .01, and partial R = -.17, P = .01, resp.) but not diet or e-counseling. Subjects who received a therapeutic dose of e-counseling demonstrated greater readiness for diet adherence versus Controls (P = .02). Similarly, subjects receiving a therapeutic level of e-counseling demonstrated significantly greater readiness for exercise adherence versus Controls (P = .04). In sum, e-counseling is associated with improved motivation to adhere to exercise and diet among patients with hypertension, independent of symptoms of psychological stress and depression.