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Promulgating a continuum model of mental health and mental illness has been proposed as a way to reduce stigma by decreasing notions of differentness. This systematic review and meta-analysis examines whether continuum beliefs are associated with lower stigma, and whether continuum interventions reduce stigma.
Following a pre-defined protocol (PROSPERO: CRD42019123606), we searched three electronic databases (PubMed, Web of Science, and PsycINFO) yielding 6726 studies. After screening, we included 33 studies covering continuum beliefs, mental illness, and stigma. Of these, 13 studies were included in meta-analysis.
Continuum beliefs are consistently associated with lower stigma. Interventions were effective at manipulating continuum beliefs but differ in their effects on stigmatising attitudes.
We discuss whether and to what extent attitudes towards people with mental illness can be improved by providing information on a mental health-mental illness continuum. It appeared to be relevant whether interventions promoted a feeling of ‘us’ and a process of identification with the person with mental illness. We discuss implications for the design of future interventions.
The interaction between various wave-like structures in screeching jets is considered via both experimental measurements and linear stability theory. Velocity snapshots of screeching jets are used to produce a reduced-order model of the screech cycle via proper orthogonal decomposition. Streamwise Fourier filtering is then applied to isolate the negative and positive wavenumber components, which for the waves of interest in this jet correspond to upstream- and downstream-travelling waves. A global stability analysis on an experimentally derived base flow is conducted, demonstrating a close match to the results obtained via experiment, indicating that the mechanisms considered here are well represented in a linear framework. In both the global stability analysis and the experimental decomposition, three distinct wave-like structures are evident; these waves are also solutions to the cylindrical vortex-sheet dispersion relation. One of the waves is the well-known downstream-travelling Kelvin–Helmholtz mode. Another is the upstream-travelling guided jet mode that has been a topic of recent discussion by a number of authors. The third component, with positive phase velocity, has not previously been identified in screeching jets. Via a local stability analysis, we provide evidence that this downstream-travelling wave is a duct-like mode similar to that recently identified in high-subsonic jets. We further demonstrate that both of the latter two waves are generated by the interaction between the Kelvin–Helmholtz wavepacket and the shock cells in the flow. Finally, we consider the periodic spatial modulation of the coherent velocity fluctuation evident in screeching jets, and show that this modulation can be at least partially explained by the superposition of the three wave-like structures, in addition to any possible modulation of the Kelvin–Helmholtz wavepacket by the shocks themselves.
The theory of planned behavior (TPB) provides a framework for designing and evaluating behavior change interventions. The theory postulates a sequence of effects from behavioral, normative, and control beliefs regarding the behavior to attitudes and subjective norms, which – moderated by perceived behavioral control – lead to the formation of a behavioral intention. Intention is proposed to be carried out to the extent that the behavior is under volitional control. For an intervention to motivate the desired behavior, it must influence behavioral, normative, and/or control beliefs; and, to support implementation of the behavior, it must ensure sufficient perceived and actual behavioral control. Practical steps for the design and evaluation of a TPB-based intervention are described. These include research to elicit accessible beliefs; construction and validation of a TPB questionnaire; confirmation of the structural TPB model; and a preliminary test of the intervention’s ability to change the targeted variables. In the final phase, the intervention is administered and its effects are evaluated by examining changes in behavior and its theoretical determinants. Research has supported the predictive validity of the TPB and its utility as a framework for behavior modification. Future research is needed to identify additional effective strategies to change TPB determinants.
Like most ice caps and glaciers worldwide, Icelandic glaciers are retreating in a warming climate. Here, the evolution of Vatnajökull ice cap, Iceland, from 1980 to 2300 is simulated by forcing the Parallel Ice Sheet Model (PISM) with output from Regional Climate Models (RCMs). For climate simulations of the recent past, HARMONIE-AROME reanalysis-forced simulations are used, while for future climate conditions, high-resolution (5.5 km) simulations from the RCM HIRHAM5 are used in addition to available CORDEX simulations (12 km). The glacier evolution is modelled using the RCP 4.5 and RCP 8.5 scenarios until 2100. To extend the time series, the 2081–2100 climate forcing is repeated until 2300. For RCP 4.5, the ice cap loses 31–64% of its volume and 13–37% of its area by 2300 depending on the used model forcing. For RCP 8.5, the volume decrease is 51–94% and the area decrease is 24–80% by 2300. In addition, the effect of elevation feedbacks is investigated by adding a precipitation and temperature lapse rate to the HIRHAM5 simulations. By 2300, the lapse rate runs have a 9–14% smaller volume and a 9–20% smaller area than the runs without a lapse rate correction.
Metabolic syndrome (MetS) is associated with reduced life expectancy in patients with affective disorders, however, whether MetS also plays a role before the onset of affective disorder is unknown. We aimed to investigate whether MetS, inflammatory markers or oxidative stress act as risk factors for affective disorders, and whether MetS is associated with increased inflammation and oxidative stress.
We conducted a high-risk study including 204 monozygotic (MZ) twins with unipolar or bipolar disorder in remission or partial remission (affected), their unaffected co-twins (high-risk) and twins with no personal or family history of affective disorder (low-risk). Metabolic Syndrome was ascertained according to the International Diabetes Federation (IDF) criteria. Inflammatory markers and markers of oxidative stress were analyzed from fasting blood and urine samples, respectively.
The affected and the high-risk group had a significantly higher prevalence of MetS compared to the low-risk group (20% v. 15% v. 2.5%, p = 0.0006), even after adjusting for sex, age, smoking and alcohol consumption. No differences in inflammatory and oxidative markers were seen between the three groups. Further, MetS was associated with alterations in inflammatory markers, and oxidative stress was modestly correlated with inflammation.
Metabolic syndrome is associated with low-grade inflammation and may act as a risk factor and a trait marker for affective disorders. If confirmed in longitudinal studies, this suggests the importance of early intervention and preventive approaches targeted towards unhealthy lifestyle factors that may contribute to later psychopathology.
We present a conditional space–time proper orthogonal decomposition (POD) formulation that is tailored to the eduction of the average, rare or intermittent events from an ensemble of realizations of a fluid process. By construction, the resulting spatio-temporal modes are coherent in space and over a predefined finite time horizon, and optimally capture the variance, or energy of the ensemble. For the example of intermittent acoustic radiation from a turbulent jet, we introduce a conditional expectation operator that focuses on the loudest events, as measured by a pressure probe in the far field and contained in the tail of the pressure signal’s probability distribution. Applied to high-fidelity simulation data, the method identifies a statistically significant ‘prototype’, or average acoustic burst event that is tracked over time. Most notably, the burst event can be traced back to its precursor, which opens up the possibility of prediction of an imminent burst. We furthermore investigate the mechanism underlying the prototypical burst event using linear stability theory and find that its structure and evolution are accurately predicted by optimal transient growth theory. The jet-noise problem demonstrates that the conditional space–time POD formulation applies even for systems with probability distributions that are not heavy-tailed, i.e. for systems in which events overlap and occur in rapid succession.
Motivated by the problem of jet–flap interaction noise, we study the tonal dynamics that occurs when an isothermal turbulent jet grazes a sharp edge. We perform hydrodynamic and acoustic pressure measurements to characterise the tones as a function of Mach number and streamwise edge position. The observed distribution of spectral peaks cannot be explained using the usual edge-tone model, in which resonance is underpinned by coupling between downstream-travelling Kelvin–Helmholtz wavepackets and upstream-travelling sound waves. We show, rather, that the strongest tones are due to coupling between Kelvin–Helmholtz wavepackets and a family of trapped, upstream-travelling acoustic modes in the potential core, recently studied by Towne et al. (J. Fluid Mech. vol. 825, 2017) and Schmidt et al. (J. Fluid Mech. vol. 825, 2017). We also study the band-limited nature of the resonance, showing the high-frequency cutoff to be due to the frequency dependence of the upstream-travelling waves. Specifically, at high Mach number, these modes become evanescent above a certain frequency, whereas at low Mach number they become progressively trapped with increasing frequency, which inhibits their reflection in the nozzle plane.
Little is known about the change processes in gambling disorder-specific cognitive therapy (CT) and exposure therapy (ET). These therapies are underpinned by the cognitive approach (i.e., restructuring gambling cognitions) and the psychobiological approach (i.e., elimination of gambling urges) to treating problem gambling. Here, piecewise-linear modelling is used in a secondary analysis of randomised trial data for a CT group (n = 44) versus an ET group (n = 43) with the aim to open a discourse on how individuals respond to CT and ET relative to theory. Measures were administered between therapy sessions (average = 6.2 per individual) across 18 weeks for gambling urge (GUS) and gambling cognitions (GRCS). Results indicated the ET group had a stronger reduction in GUS (p < .01) in the first 4 weeks of treatment. Between 4–12 weeks, improvement in GUS (p < .01) and GRCS (p = .02) was more rapid in the CT group. Both groups experienced comparable improvements from 12–18 weeks. These findings have implications for further treatment development, including a combined cognitive and exposure approach that is flexibly adapted to the patient. A larger trial is needed to formally establish change processes and identify differences in problem gambler subgroups. This would provide therapists capacity to offer each patient a clear direction and an expedited pathway to their preferred outcome.
To investigate the effects of the nozzle-exit conditions on jet flow and sound fields, large-eddy simulations of an isothermal Mach 0.9 jet issued from a convergent-straight nozzle are performed at a diameter-based Reynolds number of
. The simulations feature near-wall adaptive mesh refinement, synthetic turbulence and wall modelling inside the nozzle. This leads to fully turbulent nozzle-exit boundary layers and results in significant improvements for the flow field and sound predictions compared with those obtained from the typical approach based on laminar flow in the nozzle. The far-field pressure spectra for the turbulent jet match companion experimental measurements, which use a boundary-layer trip to ensure a turbulent nozzle-exit boundary layer to within 0.5 dB for all relevant angles and frequencies. By contrast, the initially laminar jet results in greater high-frequency noise. For both initially laminar and turbulent jets, decomposition of the radiated noise into azimuthal Fourier modes is performed, and the results show similar azimuthal characteristics for the two jets. The axisymmetric mode is the dominant source of sound at the peak radiation angles and frequencies. The first three azimuthal modes recover more than 97 % of the total acoustic energy at these angles and more than 65 % (i.e. error less than 2 dB) for all angles. For the main azimuthal modes, linear stability analysis of the near-nozzle mean-velocity profiles is conducted in both jets. The analysis suggests that the differences in radiated noise between the initially laminar and turbulent jets are related to the differences in growth rate of the Kelvin–Helmholtz mode in the near-nozzle region.
Studies with healthy participants and patients with respiratory diseases suggest a relation between respiration and mood. The aim of the present analyses was to investigate whether emotionally challenged remitted depressed participants show higher respiration pattern variability (RPV) and whether this is related to mood, clinical outcome and increased default mode network connectivity.
To challenge participants, sad mood was induced with keywords of personal negative life events in individuals with remitted depression [recurrent major depressive disorder (rMDD), n = 30] and matched healthy controls (HCs, n = 30) during functional magnetic resonance imaging. Respiration was measured by means of a built-in respiration belt. Additionally, questionnaires, a daily life assessment of mood and a 3 years follow-up were applied. For replication, we analysed RPV in an independent sample of 53 rMDD who underwent the same fMRI paradigm.
During sad mood, rMDD compared with HC showed greater RPV, with higher variability in pause duration and respiration frequency and lower expiration to inspiration ratio. Higher RPV was related to lower daily life mood and predicted higher depression scores as well as relapses during a 3-year follow-up period. Furthermore, in rMDD compared with HC higher main respiration frequency exhibited a more positive association with connectivity of the posterior cingulate cortex and the right parahippocampal gyrus.
The results suggest a relation between RPV, mood and depression on the behavioural and neural level. Based on our findings, we propose interventions focusing on respiration to be a promising additional tool in the treatment of depression.
Wavepackets obtained as solutions of the flow equations linearised around the mean flow have been shown in recent work to yield good agreement, in terms of amplitude and phase, with those educed from turbulent jets. Compelling agreement has been demonstrated, for the axisymmetric and first helical mode, up to Strouhal numbers close to unity. We here extend the range of validity of wavepacket models to Strouhal number
and azimuthal wavenumber
by comparing solutions of the parabolised stability equations with a well-validated large-eddy simulation of a Mach 0.9 turbulent jet. The results show that the near-nozzle dynamics can be correctly described by the homogeneous linear model, the initial growth rates being accurately predicted for the entire range of frequencies and azimuthal wavenumbers considered. Similarly to the lower-frequency wavepackets reported prior to this work, the high-frequency linear waves deviate from the data downstream of their stabilisation locations, which move progressively upstream as the frequency increases.
The purpose of this paper is to characterize and model waves that are observed within the potential core of subsonic jets and relate them to previously observed tones in the near-nozzle region. The waves are detected in data from a large-eddy simulation of a Mach 0.9 isothermal jet and modelled using parallel and weakly non-parallel linear modal analysis of the Euler equations linearized about the turbulent mean flow, as well as simplified models based on a cylindrical vortex sheet and the acoustic modes of a cylindrical soft duct. In addition to the Kelvin–Helmholtz instability waves, three types of waves with negative phase velocities are identified in the potential core: upstream- and downstream-propagating duct-like acoustic modes that experience the shear layer as a pressure-release surface and are therefore radially confined to the potential core, and upstream-propagating acoustic modes that represent a weak coupling between the jet core and the free stream. The slow streamwise contraction of the potential core imposes a frequency-dependent end condition on the waves that is modelled as the turning points of a weakly non-parallel approximation of the waves. These turning points provide a mechanism by which the upstream- and downstream-travelling waves can interact and exchange energy through reflection and transmission processes. Paired with a second end condition provided by the nozzle, this leads to the possibility of resonance in limited frequency bands that are bound by two saddle points in the complex wavenumber plane. The predicted frequencies closely match the observed tones detected outside of the jet. The vortex-sheet model is then used to systematically explore the Mach number and temperature ratio dependence of the phenomenon. For isothermal jets, the model suggests that resonance is likely to occur in a narrow range of Mach number,
Coherent features of a turbulent Mach 0.9, Reynolds number
jet are educed from a high-fidelity large eddy simulation. Besides the well-known Kelvin–Helmholtz instabilities of the shear layer, a new class of trapped acoustic waves is identified in the potential core. A global linear stability analysis based on the turbulent mean flow is conducted. The trapped acoustic waves form branches of discrete eigenvalues in the global spectrum, and the corresponding global modes accurately match the educed structures. Discrete trapped acoustic modes occur in a hierarchy determined by their radial and axial order. A local dispersion relation is constructed from the global modes and found to agree favourably with an empirical dispersion relation educed from the simulation data. The product between direct and adjoint modes is then used to isolate the trapped waves. Under certain conditions, resonance in the form of a beating occurs between trapped acoustic waves of positive and negative group velocities. This resonance explains why the trapped modes are prominently observed in the simulation and as tones in previous experimental studies. In the past, these tones were attributed to external factors. Here, we show that they are an intrinsic feature of high-subsonic jets that can be unambiguously identified by a global linear stability analysis.
This study assessed the status of te reo Māori, the indigenous language of New Zealand, in the context of New Zealand English. From a broadly representative sample of 6327 two-year-olds (Growing Up in New Zealand), 6090 mothers (96%) reported their children understood English, and 763 mothers (12%) reported their children understood Māori. Parents completed the new MacArthur-Bates Communicative Development Inventory short forms for te reo Māori (NZM: CDI sf) and New Zealand English (NZE: CDI sf). Mothers with higher education levels had children with larger vocabularies in both te reo Māori and NZ English. For English speakers, vocabulary advantages also existed for girls, first-borns, monolinguals, those living in areas of lower deprivation, and those whose mothers had no concerns about their speech and language. Because more than 99% of Māori speakers were bilingual, te reo Māori acquisition appears to be occurring in the context of the acquisition of New Zealand English.
This forum article explores the major intellectual trajectories in the historical archaeology of Eastern Africa over the last sixty years. Two primary perspectives are identified in historical archaeology: one that emphasizes precolonial history and oral traditions with associated archaeology, and another that focuses mostly on the era of European contact with Africa. The latter is followed by most North American practice, to the point of excluding approaches that privilege the internal dynamics of African societies. African practice today has many hybrids using both approaches. Increasingly, precolonial historical archaeology is waning in the face of a dominant focus on the modern era, much like the trend in African history. New approaches that incorporate community participation are gaining favor, with positive examples of collaboration between historical archaeologists and communities members desiring to preserve and revitalize local histories.