The article described and illustrated how a culturally adapted cognitive-behavioral therapy (CBT) can maintain fidelity to a treatment protocol while allowing for considerable flexibility to address a patient's values, preferences, and context. A manual-based CBT was used with a gay Latino adolescent regarding his sexual identity, family values, and spiritual ideas. The adolescent suffered from a major depression disorder and identified himself as gay and Christian within a conservative and machista Puerto Rican family. CBT promoted personal acceptance and active questioning of homophobic thoughts in a climate of family respect. CBT enabled identity formation and integration, central to the development of a sexual identity for lesbian, gay, bisexual, and transgender youth, with remission of the patient's depression and better family outcomes.

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Introduction. Among the Peruvian population, the prevalence of overweight and obesity has increased, making it one of the main public health problems. There is also conflicting evidence on the association between increased BMI and depressive symptoms in the adult population. Objective. To determine the association between nutritional status (NS) and depressive symptoms (DS) in the Peruvian population. Method. We conducted a secondary data analysis of the Peruvian Demographic and Family Health Survey (ENDES). We assessed the NS according to body mass index (BMI), grouped into normal weight (BMI = 18.50 - 24.99), overweight (BMI = 25.00 - 29.99), 1A obesity (BMI = 30.00 - 32.49), and 1B obesity (BMI ≥ 32.50). DS were assessed using the Patient Health Questionnaire (PHQ-9) instrument. A generalized linear model stratified by sex was constructed to calculate crude (cPRc) and adjusted (aPR) prevalence ratios. Results. A total of 26,463 records of people aged 18-60 years were assessed, yielding a 6.3% prevalence of DS (≥ 10 points). Females had a higher frequency of DS than males, which increased depending on their NS: normal weight 7.8%, overweight 8.2%, 1A obesity 9.0%, and 1B obesity 12.0%. Likewise, in the multivariate analysis, women with 1B obesity reported a higher frequency of DS (aPR = 1.30; 95% CI = [1.03, 1.63]). Discussion and conclusion. There is a strong association between nutritional status and depressive symptoms in Peruvian women, with obese women being more likely to have depressive symptoms.

By logging in the past, humans can determine current tree population structures, but fast stump decomposition makes difficult to falsify that for Amazonian Rainforests. We reconstructed land-use histories and surveyed trees ≥ 10 cm diameter at breast height on three 1-ha plots (K1, K2, and K6) in Kühbergl, South Tyrolean Alps as we did for four plots in Atacapi, Ecuador (plots A, B, C, and D). Storm Vaia (October 27 –November 1, 2018) stroke Kübergl providing dated evidence of mass tree-mortality on plot K6. We used K6 as control for comparing its pre- and post-storm population structures with the ones of four Amazonian, and three Alpine species where Vaia did not kill trees (Kolmogorov-Smirnov tests). When compared with K6’s Picea abies, the following species had size distributions similar to post-storm, but not to pre-storm situation. Amazonian: Piptocoma discolor, Vochysia bracelineae (plots B and D), Miconia decurrens (plots B and C), and Pseudobombax sp (plot C). Alpine: Larix decidua (plot K1) and Picea abies (plot K2). Storms do not occur in Atacapi, where logging is a common practice. That makes plausible that discrete events of compulsive logging during secondary succession made Amazonian population structures to look similar to K6’s P. abies. Logging is forbidden in Kühbergl, but storms are common there. Thus, the current population structures of Larix decidua (plot K1) and Picea abies (plot K2) should be legacies of storms before Vaia. Looking into tree populations’ history can impulse research for answering some basic questions of Ecology: what alters population structures, and which population structuring processes are more influential than others.