Experiences of a peer group for people diagnosed with borderline personality disorder: A qualitative interview study.

There is a notable lack of literature evaluating peer support for people with a diagnosis of borderline personality disorder (BPD). Peer-led groups have been shown to positively impact outcomes related to empowerment, hope, and self-efficacy beliefs for consumers diagnosed with serious mental illness and may also be a helpful option for those experiencing personality disorder symptoms. We outline the coproduction of a peer group for people with a lived experience of BPD and a qualitative analysis of feedback post-group participation. Twenty-two consumers participated in post-group interviews and described their experiences of peer support. Interview transcripts were coded, and three main themes were identified: growth and change, connection and feeling understood, and creating safety. The findings suggested that participation in a coproduced peer support group for people with a diagnosis of BPD facilitated positive personal transformation as well as opportunities to develop connection through shared experiences in a safe environment grounded in mutuality. These themes were particularly powerful for participants because they countered previous experiences of not feeling safe, understood, or equal when seeking treatment. These findings support the acceptability of implementing a coproduced group for people diagnosed with BPD in a community mental health setting.

Density Distribution of Pharyngeal Carriage of Meningococcus in Healthy Young Adults: New Approaches to Studying the Epidemiology of Colonization and Vaccine Indirect Effects.

BACKGROUND: Improved understanding of Neisseria meningitidis (Nm) carriage biology and better methods for detection and quantification would facilitate studies of potential impact of new vaccines on colonization and transmission in adolescents. METHODS: We performed plate cultures on 107 oropharyngeal swabs stored frozen in skim milk tryptone glucose glycerol (STGG) broth and previously positive for Nm. We compared quantitative polymerase chain reaction (qPCR) detection of Nm in 601 STGG-swabs with culture. Using qPCR (n = 87), a log-phase broth culture standard curve and semiquantitative plate cultures (n = 68), we measured density of carriage. We compared qPCR genogrouping of DNA extracts from STGG-swabs and from plate culture lawns (n = 110) with purified isolates (n = 80). RESULTS: Swab storage resulted in only 10% loss of culture sensitivity. Direct sodC qPCR Nm detection yielded more positives (87/601, 14.5%) than culture (80/601, 13.3%). Most samples (57/110) positive by culture were also positive by qPCR and vice versa, but discrepancies (single positives) were frequent among low-density samples. sodC qPCR was positive in 79/80 isolates but in only 65 by ctrA qPCR. Density both by culture and qPCR varied across 4 orders of magnitude with the majority being low (<50 bacteria-gene copies/mL) and a minority being high (>1000). Genogrouping qPCRs yielded more positive results when performed on DNA extracts from lawn cultures. CONCLUSIONS: We provide the first description of the distribution of Nm carriage density. This could be important for understanding transmission dynamics and population-level effectiveness of adolescent vaccine programs. Storage of swabs frozen in STGG for batched laboratory analysis facilitates carriage studies and direct sodC qPCR for Nm combined with qPCR genogrouping of lawn culture extracts provides accurate, detailed description of colonization.

Oropharyngeal Carriage of Meningococcus in Portugal by Group and Clonal Complex 6 Years After Adolescent Vaccine Campaign.

Portugal introduced (2+1) conjugate Meningococcal group C vaccine in 2006 with high coverage catch up to 18 years and has given only 1 dose at 1 year since 2012. Among 601 student oropharyngeal swabs, meningococcal carriage rate was 13.3% (A-0%, B-5.3%, C-0.3%, W-0.2%, X-0.2% and Y-1.7%). C and W strains were of potentially disease-causing clonal complexes (cc) but not the hyperinvasive cc11.

Prediction of core and lower extremity strains and sprains in collegiate football players: a preliminary study.

CONTEXT: Poor core stability is believed to increase vulnerability to uncontrolled joint displacements throughout the kinetic chain between the foot and the lumbar spine. OBJECTIVE: To assess the value of preparticipation measurements as predictors of core or lower extremity strains or sprains in collegiate football players. DESIGN: Cohort study. SETTING: National Collegiate Athletic Association Division I Football Championship Subdivision football program. PATIENTS OR OTHER PARTICIPANTS: All team members who were present for a mandatory physical examination on the day before preseason practice sessions began (n = 83). MAIN OUTCOME MEASURE(S): Preparticipation administration of surveys to assess low back, knee, and ankle function; documentation of knee and ankle injury history; determination of body mass index; 4 different assessments of core muscle endurance; and measurement of step-test recovery heart rate. All injuries were documented throughout the preseason practice period and 11-game season. Receiver operating characteristic analysis and logistic regression analysis were used to identify dichotomized predictive factors that best discriminated injured from uninjured status. The 75th and 50th percentiles were evaluated as alternative cutpoints for dichotomization of injury predictors. RESULTS: Players with ≥2 of 3 potentially modifiable risk factors related to core function had 2 times greater risk for injury than those with <2 factors (95% confidence interval = 1.27, 4.22), and adding a high level of exposure to game conditions increased the injury risk to 3 times greater (95% confidence interval = 1.95, 4.98). Prediction models that used the 75th and 50th percentile cutpoints yielded results that were very similar to those for the model that used receiver operating characteristic-derived cutpoints. CONCLUSIONS: Low back dysfunction and suboptimal endurance of the core musculature appear to be important modifiable football injury risk factors that can be identified on preparticipation screening. These predictors need to be assessed in a prospective manner with a larger sample of collegiate football players.

Gender and Psychological Essentialism.

When individuals reason in an essentialist way about social categories, they assume that group differences reflect inherently different natures (Gelman, 2003; Rothbart & Taylor, 1992). This paper describes the psychological and social implications of essentialist beliefs, and examines the extent to which children exhibit psychological essentialism when reasoning about gender. The authors discuss reasons young children as well as older children show essentialist reasoning in some contexts, but not in others. Finally, the authors suggest directions for future research, and discuss a primary challenge to many working in this field: reduction of rigid gender beliefs.

Young children's beliefs about the relationship between gender and aggressive behavior.

Young children's beliefs about the relationship between gender and aggression were examined across 3 studies (N=121). In Study 1, preschoolers (ages 3 to 5) described relational aggression as the most common form of aggression among girls and physical aggression as the most common form among boys. In Study 2, preschoolers and a comparison group of 7- to 8-year-olds were likely to infer that relationally aggressive characters are female and physically aggressive characters are male. Study 3 revealed that preschoolers show systematic memory distortions when recalling stories that conflict with these gender schemas. These findings suggest that even before children reach school age, they have organized patterns of beliefs about gender that affect the way they process social information.

Preschoolers Use Trait-Relevant Information to Evaluate the Appropriateness of an Aggressive Response.

The tendency for 3- to 5-year-old children to use trait-relevant information about other people when evaluating aggressive responses to ambiguous behavior was examined across two studies (N = 81). Children were more likely to endorse the use of aggression against a "mean" versus a "nice" story character. Additionally, they were more likely to endorse the use of aggression against a story character who feels happy rather than sad when bad things happen to other kids. These findings suggest that, as early as preschool, trait-relevant information about other people can serve as a tool with which children evaluate the appropriateness of aggression in response to ambiguous behavior. Moreover, these findings provide evidence that even before the onset of formal schooling, trait and mental state information can influence social judgments.

When to Cry Over Spilled Milk: Young Children's Use of Category Information to Guide Inferences About Ambiguous Behavior.

Three studies (N = 171) examined preschool children's tendency to use category information to make inferences about ambiguous behavior. Children heard stories in which category information about story characters was manipulated and behavioral information was held constant. Participants were asked to evaluate, explain, and determine the significance of the behavior in question. Children tended to be harsher judges of the same ambiguous behaviors when performed by (a) humans as compared to animals, (b) boys compared to girls, and (c) older children compared to younger children. Results suggest that young children hold differentiated notions of the mental states and dispositions that underlie behavior and that these notions vary as a function of category membership. These findings support the conclusion that even young children can hold and use multiple folk psychologies.

Valence Effects in Reasoning About Evaluative Traits.

Reasoning about evaluative traits was investigated among a group of 7- and 8-year-olds (N = 34), a group of 11- to 13-year olds (N = 25), and a group of adults (N = 23) to determine whether their inferences would be sensitive to the valence of social and academic traits. Four aspects of trait-relevant beliefs were examined: (1) malleability, (2) stability over time, (3) origin in terms of nature versus nurture, and (4) an inference criterion that concerns how readily traits are inferred. Although there was evidence of an age-related decrease in the tendency to emphasize positive information, participants of all ages responded that positive traits are less malleable and more stable over time than negative traits, that the positive influences of biological and environmental factors are likely to override the negative influences, and that competence can be more readily inferred from positive outcomes than from negative outcomes.

Preschool children's reasoning about ability.

Young children's reasoning about ability was investigated among 155 preschoolers (M = 4 years, 10 months) across 3 studies. Results suggest that preschoolers are sensitive to mental state information when making judgments about another child's ability: They judged a child who finds a task easy to be smarter than one who finds the same task hard. Systematic patterns of errors on recall tasks suggest that preschoolers perceive positive correlations between (a) exerting effort and experiencing academic success, and (b) being nice and having high academic ability. Results from a comparison group of forty 9- to 10-year-olds (M = 9 years, 10 months) suggest that the preschool findings generally reflect emerging patterns of reasoning about ability that persist into later childhood, but that the perceived correlations between high effort and academic outcomes and between social and academic traits diminish with age.

Source monitoring reduces the suggestibility of preschool children.

The relation between source monitoring and suggestibility was examined among preschool children. Thirty-two 3- to 5-year-olds were simultaneously presented with a brief story in two different modalities, as a silent video vignette and a spoken narrative. Each modality presented unique information about the story, but the information in the two versions was mutually compatible. The children were then asked a series of questions, including questions about the source (modality) of story details, and leading questions about story details (to assess suggestibility). Performance on the source-monitoring questions was highly correlated with the ability to resist suggestion. In addition, children who were asked source-monitoring questions prior to leading questioning were less susceptible to suggestion than were those who were asked the leading questions first. This study provides evidence that source monitoring can play a causal role in reducing the suggestibility of preschool children.