Identifying Gaps in Health Research among Refugees Resettled in Canada

While the global number of resettled refugees rises annually, the summaries of research on refugee health needs in countries of asylum remain sparse. We conducted a systematic review of published research on refugee health in Canada in order to: (i) identify studies addressing health outcomes among refugees recently resettled in Canada; (ii) identify general trends in health research conducted in Canada among refugee populations; (iii) identify significant gaps in current knowledge of health‐related issues among refugees recently resettled in Canada; (iv) evaluate the quality and consistency of available information; (v) develop a summary of available research results; and (vi) identify priorities for future research. A search of several major citation indices resulted in the analysis of 196 research reports after reviewing more than 5,000 articles. This review is timely, systematic and inclusive; furthermore, potential biases in methodology are clearly assessed. The results indicate an immediate need to address specific gaps in health knowledge for refugee populations and lead us to draw five primary conclusions. First, mental health outcomes dominate the research landscape. Second, cross‐sectional studies are most commonly the study design of choice. Third, studies examining some aspect of health among refugees from Asia dominate the literature. Fourth, there is a notable lack of information on cardiovascular diseases and its antecedents. Fifth, indications show that screenings for pre‐existing conditions are biased towards communicable diseases. These findings have implications for health monitoring, evaluation and policy affecting the health of refugees resettled in Canada and elsewhere.     

The Influence of Divorcing Mothers' Demeanor on Custody Evaluators' Assessment of Their Domestic Violence Allegations

A gap exists between empirical evidence demonstrating the risks posed by domestic violence (DV) and the weight that evidence is given by custody evaluators. This gap may result from common beliefs about DV that diminish or deny its seriousness, which include that mothers often make false allegations to gain advantage and that DV and high conflict are synonymous and do not require differential approaches. Using a multiple segment factorial vignette design, we systematically assessed how these beliefs influenced custody evaluators' (N = 603) recommendations and judgments of the believability of allegations. Mother's demeanor (i.e., hostile vs. pleasant) was the most consistent predictor of evaluators' recommendations and judgments of credibility. Findings have implications for providing research-based education and training for evaluators.     

Ecological Invalidity of Existing Gaydar Research: In-Lab Accuracy Translates to Real-World Inaccuracy: Response to Rule,Johnson, & Freeman (2016)

In recent years, several empirical studies have claimed to provide evidence in support of the popular folk notion that people possess “gaydar” that enables them to accurately identify who is gay or lesbian (Rule, Johnson, & Freeman, 2016). This conclusion is limited to artificial lab settings, however, and when translated to real-world settings this work itself provides evidence that people’s judgments about who is gay/lesbian are not pragmatically accurate. We also briefly review evidence related to the consequences of perpetuating the idea of gaydar (i.e., “the gaydar myth”). Although past claims about accurate orientation perception are misleading, the work that gave rise to those claims can nevertheless inform the literature in meaningful ways. We offer some recommendations for how the evidence in past “gaydar” research can be reappraised to inform our understanding of social perception and group similarities/differences.     

Risk Taking in Late Adolescence: Relations Between Sociomoral Reasoning,Risk Stance,and Behavior

This study explored relations among late adolescents' sociomoral reasoning about risk taking, risk stance, and behavior. One‐hundred and thirty‐two participants (18–20‐year‐olds) were surveyed about their own risk stance (Avoidant, Opportunistic, Curious, Risk Seeking) and behavior in three realms (Alcohol Use, Drug Use, Reckless Driving), and sociomoral reasoning about hypothetical risk taking in a baseline scenario with no social domain information and a final scenario that highlighted the moral (i.e., harmful consequences for others), conventional (i.e., sociolegal consequences), personal (i.e., personal prerogative), and prudential (i.e., harmful consequences for self) domains bearing on risk taking. The complex relations among sociomoral reasoning about risk taking, risk stance, and behavior are discussed in terms of social domain theory and dual‐process theories of risk taking.     

The matrix affects carabid beetle assemblages in linear urban ruderal habitats

Matrix contrasts affect communities in patchy landscapes by influencing resources, abiotic conditions and spill-over effects. However, current knowledge is significantly biased towards forest and rural communities. We examined the effects of three different matrix types, i.e., low, intermediate and high contrasts, on carabid beetle assemblages at urban railway verges in two climatic regions. Study sites were located in Finland and in Slovenia. Using pitfall trapping, non-metric multidimensional scaling and generalised linear mixed models, we investigated carabid assemblages at railway verges and in differently contrasting adjacent matrices, i.e. built-up, grassland and forest. The matrix influenced carabid assemblages at railway verges. Assemblages grouped with adjacent matrix types, although some Finnish railway assemblages included a characteristic set of open dry habitat species. Abundances of generalist species at railway verges were higher when next to grassland or forest than urban matrices. Habitat specialists responded negatively to high contrast matrices, resulting in lower abundances of open habitat specialists in railway verges when next to forests and nearly no spill-over of forest specialists into railway verges. These patterns were consistent in both countries, i.e. irrespective of climatic region. Our study emphasises effects of the adjacent matrix and matrix contrasts on communities in linear open habitat patches in cities. Knowledge on matrix effects in patchy landscapes, such as urban environments, is essential in understanding the distribution and composition of communities in discrete patches. This knowledge can be used in conservation planning. If habitat specialists are negatively affected by high matrix contrasts, high contrasts should be avoided.     

Evaluations of the special supplemental program for Women,infants, and children's (WIC's) effectiveness

The U.S. General Accounting Office (GAO) analyzed the evaluations of the Special Supplemental Program for Women, Infants, and Children (WIC) to determine whether they support assertions that have been made about the program's positive effects for five outcomes. Insufficient evidence was found for making any general or conclusive judgments about WIC's effectiveness overall, but in a limited way, the information does indicate the likelihood that WIC has positive effects in some areas. GAO also assessed problems in the state of evaluation efforts. That the program evaluations do not reveal whether WIC is having the effect intended by the legislation underscores the need to design and implement better studies. Generally speaking, GAO believes that if the lessons learned from past efforts are heeded, it should be possible to produce information on the overall effectiveness of WIC.     

The mental health recovery movement and family therapy, part II: a collaborative, appreciative approach for supporting mental health recovery

A continuation of Part I, which introduced mental health recovery concepts to family therapists, Part II of this article outlines a collaborative, appreciative approach for working in recovery-oriented contexts. This approach draws primarily upon postmodern therapies, which have numerous social justice and strength-based practices that are easily adapted in recovery-oriented contexts. The model outlined in this article includes an overview of the recovery partnership (i.e., therapeutic relationship), mapping recovery (i.e., assessment and case conceptualization), recovery planning (i.e., treatment planning), facilitating recovery (i.e., intervention), accessing resources (i.e., case management), recovery maintenance, and service contexts as well as a case study.     

Group Interventions for Children Having Separated Parents: A Systematic Narrative Review

The aims of this article are to review the current body of knowledge on group interventions for children with separated or divorced parents and to provide new insights into the evaluation of their efficacy. This review draws on a method of systematic narrative review (SNR). We provide a narrative synthesis of evidence from 29 studies conducted between 1980 and 2014, which were included in the SNR consistently with the inclusion criteria established. Three dimensions were considered: intervention characteristics, study characteristics, and intervention outcomes (i.e., types of outcomes and efficacy). Our findings showed a general inconsistency among the studies, which was discussed in the light of some important methodological issues.     

EMPLOYER SEARCH, TRAINING, AND VACANCY DURATION

We develop a model of optimal employer search strategy when information about match quality is endogenous. The model is tested using four data sets, two of which have not previously been used. As theory predicts, we find that when filling positions requiring more training, employers search more intensively and extensively. Employers also search more extensively when hiring workers with more education and with prior experience. These findings provide strong evidence of systematic variation in search strategies based on the characteristics of the positions and job applicants. Factors that influence employer search also affect the duration of a vacancy.     

Assessing the Effects of the Physical,Psychological, and Social Dimensions of Health on the Use of Health Services*

In this paper we examine two major assumptions inherent in the literature relating health status to the use of health services: (1) that each of the three dimensions of health (i.e., the physical, the psychological, and the social) has an equal impact on the use of health services; and (2) that the effects of these three dimensions of health are manifest in an additive rather than in an interactive fashion. To test these assumptions, multiple regression analyses are performed using a modified version of the generic model of access to medical care in order to predict eight different types of health services utilization. The results compel us to accept the additivity assumption, while rejecting the equality assumption. Moreover, contrary to Mechanic's assertion, psychological health was found to have the least impact of any of the three dimensions of health on the use of health services. We then discuss two possible explanations (i.e., differences in the populations studied and the measurement of the independent variables) that might account for the disparity between Mechanic's and our own findings. Although further study is needed before any firm conclusions may be drawn, the evidence suggests that Mechanic's findings may be specific to the HMO populations that he sampled.     

Seeking Connection Versus Avoiding Disappointment: An Experimental Manipulation of Approach and Avoidance Sexual Goals and the Implications for Desire and Satisfaction

Previous correlational research has demonstrated an association between people’s reasons for having sex (i.e., their sexual goals) and their sexual desire and sexual and relationship satisfaction. Across two studies of people in romantic relationships (N = 396) we extend previous research and demonstrate, for the first time, that manipulating the salience of approach sexual goals (i.e., engaging in sex to pursue positive outcomes, such as enhanced intimacy) compared to avoidance sexual goals (i.e., engaging in sex to avert negative outcomes, such as a partner’s disappointment) or a control condition leads people to feel higher sexual desire for their romantic partners and to report higher sexual and relationship satisfaction. In addition, in Study 2 we demonstrate that focusing on approach sexual goals over the course of a week leads people to report more satisfying sexual experiences during that week, as well as higher desire and overall relationship satisfaction, compared to a control group. The current findings advance approach–avoidance theory by providing evidence that it is possible to manipulate people’s sexual goals and, in turn, impact their feelings of desire and satisfaction. Results are promising for the development of interventions to promote sexual and relational well-being.     

Using Methodological Search Filters to Facilitate Evidence-Based Social Work Practice

The process of Evidence-Based Practice (EBP) requires clinical social workers to conduct systematic searches of academic databases in order to ascertain current best evidence and integrate this with client preferences/values and clinical state/circumstances. Yet social workers are often pressed for time, and searches for evidence disregarded as too time-consuming to conduct. There is hope. Searches of the literature can be more easily and quickly facilitated through the use of methodological search filters. This study introduces a new methodological search filter created especially for social care and evaluates the extent to which this and four other filters accurately and efficiently identify known social care effectiveness studies in two major scholarly databases (Psycinfo and Medline). Sensitivity, specificity, and a new metric for establishing efficiency (the AVALANCHE INDEX) are reported.     

Mental health and psychological adjustment in adults who were adopted during their childhood: A systematic review

In the two last decades, research of the psychosocial needs of adopted children and adolescents has advanced dramatically. Nevertheless, less is known about their mental health when they reach adulthood. The aim of this paper is to systematically review the evidence about mental health and psychological adjustment in adult adoptees. A systematic search was conducted on Web of Science and PsycInfo. The review includes 27 studies that fulfilled the selection criteria (ages between 20 and 40, domestic adoptions and articles published since 1995). Evidence suggests that psychological adjustment in adult adoptees is more unfavourable (with higher levels of depression, anxiety, personality and behavioural disorders and neuroticism) than in non-adoptees. A small group of studies shows similar psychological adjustment of adoptees and non-adoptees. Moreover, there is evidence that the adopted population is quite heterogeneous, involving individual and contextual variables. There are clear diagnostic differences when gender is taken into account. Some family variables (e.g., attachment, parenting styles) emerge as mediating factors of the effects of the adoptive status on psychological adjustment. Other risk and protective factors have been insufficiently studied (e.g., age at the time of adoption), so additional research is needed.     

Psychological Distress,Couple Interactions,and Parenting: A Dyadic Analysis of African American Couples

Parental depression is a well‐established risk factor for couple conflict and ineffective or hostile parenting (M. C. Lovejoy, P. A. Graczyk, E. O'Hare, & G. Neuman, 2000; L. M. Papp, M. C. Goeke‐Morey, & E. M. Cummings, 2007). Although research suggests that caregiver depression may impact parenting indirectly via increased conflict between couples (e.g., R. D. Conger et al., 2002), few studies take into account the behaviors of both caregivers in exploring these relations. The goal of the current study is to employ an actor–partner mediator model to examine the complex relations among psychological distress, negative couple interactions, and parenting. Using a sample of 162 African American couples with children, we find evidence that the psychological distress of each caregiver has an effect on couple interactions for both men and women. The effects from each caregivers' distress to parenting are mainly indirect through the interactional behaviors of the mother toward the father, consistent with the father vulnerability hypothesis (e.g., E. M. Cummings, M. Goeke‐Morey, & J. Raymond, 2004).     

Price perception and confirmation bias in the context of a VAT increase

This paper examines a potential confirmation bias in price perception in consequence to a real-world event and different explanations for such a confirmation bias. In a panel design conducted 2 months before and after a raise in value-added tax (VAT), 303 participants had to estimate the current prices for four products affected and four products not affected by this raise in VAT and the anticipated or recalled prices of these products. Before the VAT increase, an undifferentiated belief in strong future price increases was prevalent. After the VAT increase, a confirmation bias was found: in retrospect, participants reported price increases that were significantly higher than the official price development and in line with an undifferentiated belief in marked price increases. Two theoretical explanations for confirmation bias, i.e., the biased use of price information and the selective distortion of memory, fit the data.     

Infants use contextual memory to attend and learn in naturalistic scenes

Infants encounter new objects and learn about object features in relation to a rich and detailed visuospatial context. Using a contextual cueing task, recent work showed that 6- and 10-month-old infants search more efficiently for target objects in repeated rather than novel visuospatial contexts (i.e., arrays of shapes on a blank background). Here, we investigate whether infants' sensitivity to visuospatial context scales up to more complex and potentially more distracting, naturalistic scenes. In an eye-tracking task, 8-month-olds searched for a novel target object in colorful photographs of everyday environments (e.g., bedrooms and kitchens). Repeated (“Old”) contexts co-varied with target locations, such that the target object appeared in exactly the same location on the same scene, while varying (“New”) contexts contained target objects placed in different counterbalanced locations across a variety of scenes. Infants exhibited faster search times, more anticipation of target animation, and longer looking at targets that appeared in Old relative to New contexts. In a subsequent memory test, infants showed better recognition of label-object pairings for target objects that had appeared in Old, rather than New, contexts. These results indicate that infants can use visuospatial contextual information in complex naturalistic scenes to facilitate memory-guided attention and learning of object-paired labels.     

Picking Winners? Evidence on NATO’s Enlargement Strategy

The effectiveness of NATO conditionality for institutional reforms is highly controversial. Some papers argue that any effect this conditionality might have had may be due to endogeneity effects, i.e. NATO may have picked the winners. We argue that this is not the case. First, NATO-Mazedonia relations provide a case in point. Macedonia was granted entry into the Membership Action Plan (MAP) in 1999 due to country’s strategic importance. Only after the Ohrid agreement, effective conditionality set in and marked a switch in NATO strategy from security only towards institution building. Second, this is supported by econometric evidence based on panel data. An event study reveals that entry into NATO’s accession process was mainly driven by neighbourhood and good relations with the West. We conclude that empirical evidence clearly supports a stronger role of NATO’s political agenda, i.e., low entry barriers but strict accession conditionality.