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Three studies investigated the role of ruminative tendencies in mediating the effects of multidimensional perfectionism (Hewitt & Flett, 1991) on psychological distress. Study 1 (Sample 1, N = 279; Sample 2, N = 224) and Study 2 (N = 205) found evidence, cross‐sectionally and prospectively, that brooding ruminative response style either fully or partially mediated the effects of socially prescribed and self‐oriented perfectionism on psychological distress, depression and hopelessness levels. In addition, Study 3 (N = 163) confirmed these mediation effects for socially prescribed perfectionism in relation to depression and hopelessness, 2 months later, after initial levels of distress were controlled. Overall, these findings provide evidence that brooding ruminative response style is an important mechanism that can explain, in part, the relationship between perfectionism and distress. Copyright © 2006 John Wiley & Sons, Ltd.

Objectives: This research aimed to explain how the Safe Recovery Programme (SRP) may best work to reduce falls in older adults undergoing rehabilitation in four wards in an older person's health and rehabilitation service. Methods: Qualitative realist methods were used, including surveys completed by patients and staff, and qualitative interviews or focus groups exploring views of patients, ward staff and SRP educators. Results: Emphasising different types of information for patients with different preexisting understandings may facilitate their responses to SRP messaging. Consistency and coherence of SRP messaging within ward routines varied in response to staff SRP training and ongoing feedback mechanisms from SRP educators. Conclusions: Tailored individualised approaches for patients with specific characteristics may lead to patients being less likely to engage in risky behaviours. Staff training and processes for facilitating ongoing feedback between patients, SRP and ward staff are required to ensure consistency and coherence of SRP messaging. K E Y W O R D S falls, inpatient, frail older adults, patient safety, qualitative research e260 | MARTIN eT Al.

Objectives This prospective study investigated the link between weight‐related self‐stigma and binge eating by (a) examining the temporal association between weight‐related self‐stigma and binge eating; (b) investigating the mediating role of food addiction in the association between weight‐related self‐stigma and binge eating; and (c) examining the mediating role of psychological distress in the association between weight‐related self‐stigma and binge eating. Method Participants comprised 1,497 adolescents (mean = 15.1 years; SD = 6.0). Body mass index and weight bias were assessed at baseline; psychological distress (i.e., depression, anxiety, and stress) assessed and food addiction at 3 months; and binge eating at 6 months. The mediation model was analyzed using Model 4 in the PROCESS macro for SPSS with 10,000 bootstrapping resamples. Results There was no significant direct association between weight‐related self‐stigma and binge eating. However, food addiction and psychological distress significantly mediated the association between weight‐related self‐stigma and binge eating. Discussion These findings highlight the indirect association between weight‐related self‐stigma and binge eating via food addiction and psychological distress. Consequently, intervention programs targeting food addiction and psychological distress among adolescents may have significant positive effects on outcomes for weight‐related self‐stigma and binge eating. The findings will be beneficial to researchers and healthcare professionals working with adolescents during this critical developmental period.

I would first like to thank the University of Hawai'i undergraduate students whose participation made this study possible. It was truly a joy to conduct this project with such genuine and open-minded young women. I would also like to extend a special thank you to Krista Brown and Jessica Murakami, who assisted in the development of the intervention, and who generously served as co-leaders for the intervention groups. Throughout the process of designing and implementing this study, a number of undergraduate research assistants provided instrumental support. Thank you to the entire HEIST lab