Beliefs and Behaviors of Pregnant Women with Addictions Awaiting Treatment Initiation

Substance use during pregnancy poses clear risks to children’s healthy development. However, women with addictions face unique barriers to accessing substance abuse treatment and often delay or avoid treatment seeking. The objective of this study was to examine women’s beliefs about the impact of use on the developing baby and to examine the protective behaviors that women with addictions engage in during the period of time between when they first find out they are pregnant and when they begin substance abuse treatment. Semi-structured interviews were conducted with 15 women who were either pregnant or postpartum and who had used illicit substances during pregnancy. All participants were currently receiving inpatient substance abuse treatment services to address their addiction and were asked to retrospectively report on their experiences. Interviews were transcribed, imported into a qualitative data analysis software, and iteratively coded for themes. Women reported being concerned about the impact of substance use on the developing baby, in particular, about the physical and long-term developmental consequences of prenatal exposure. Given these concerns, women described trying to protect the baby from harm on their own, outside of accessing traditional treatment services. They sought information anonymously, increased their engagement in health-promoting behaviors, and decreased their use of alcohol and other drugs. The results suggest that women who use alcohol and other drugs during pregnancy are often motivated to protect their baby from harm and are engaging in harm reduction behaviors prior to accessing treatment services.     

Behavioural Addictions in Adolescents and Young Adults: Results from a Prevalence Study

Our study aims to assess the prevalence of behavioural addictions in an adolescent population, evaluating the effects of gender and age, and to assess the correlations among different behavioural addictions. 2853 high school students were assessed in order to evaluate the prevalence of behavioural addictions such as Pathological Gambling (PG), Compulsive Buying (CB), Exercise Addiction (EA), Internet Addiction (IA), and Work Addiction (WA), in a population of Italian adolescents. The South Oaks Gambling Screen-Revised Adolescent (SOGS-RA), the Compulsive Buying Scale (CBS), the Exercise Addiction Inventory (EAI), the Internet Addiction Test (IAT), and the Work Addiction Risk Test (WART), were compiled anonymously by the students. Overall prevalence was 7.0% for PG, 11.3% for CB, 1.2% for IA, 7.6% for WA, 8.5% for EA. PG and EA were more common among boys, while gender had no effect on the other conditions. CB was more common among younger (<18 years old) students. The scores of all of these scales were significantly correlated. The strong correlation among different addictive behaviours is in line with the hypothesis of a common psychopathological dimension underlying these phenomena. Further studies are needed to assess personality traits and other clinical disorders associated with these problems behaviours.     

Conflicting or Compatible: Beliefs About Religion and Science Among Emerging Adults in the United States1

A wide‐held assumption is that increased religiousness is associated with stronger perceptions of a conflict between religion and science. This article examines this assumption using four distinct questions asked on the third wave of the National Study of Youth and Religion (NSYR). Results indicate a variety of viewpoints for constructing the relationship between science and religion, rather than a simple conflict‐compatibility continuum. Further, findings suggest that increased religiousness among emerging adults is associated with a stronger agreement in science and religion’s compatibility, rather than conflict. Incorporating New Age or non‐Western spiritual tradition and a strict adherence to fundamentalist Christian doctrine are associated with complex configurations of beliefs on the relationship between religion and science. Collectively, the findings among emerging adults contradict traditional assumptions about how religious experiences influence beliefs, suggesting that such social factors may influence beliefs and attitudes uniquely at different points in the lifecourse or across generations. More broadly, the findings speak to the ongoing debate about the extent to which differing social experiences may produce consistent or discordant sets of beliefs and values, and in turn how particular configurations may impact strategies of action across a range of life domains.     

Smallpox-Related Knowledge and Beliefs Among Recent College Graduates

Abstract. Recent world events have increased concern and preparations for possible bioterror events. Despite worldwide efforts to limit access to bio-weapons, smallpox is still considered a potential bioterror threat. Americans' understanding of smallpox could prevent panic and enhance the willingness of citizens to receive vaccinations. Objective: The authors' purpose in this study was to describe graduating college students' levels of smallpox-related knowledge. Method summary: Participants at a graduation ceremony—mostly female, with a mean age of 28.4 pm 8.1 years—were handed a 35-item questionnaire that assessed smallpox knowledge and whether respondents would submit to vaccination under hypothetical circumstances. Results: The convenience sample was ignorant of numerous facts about smallpox and unaware of government efforts to prepare for an attack, answering an average of 3.8 out of 10 items correctly. Conclusion: These findings raise concern because, in a smallpox event, prompt responses to directives of public health officials will be necessary to maximize the effectiveness of response plans.     

EAP Referral Training and Supervisor's Beliefs About Troubled Workers

This study was designed to investigate the relationship between EAP referral training and supervisors' interactions with troubled workers. Using a field survey, self-report, retrospective methodology, 224 industrial supervisors' beliefs about impaired employees were examined in connection with the former group's participation in constructive confrontation training and their attitudes toward EAPs. In general, based on Bayer and Gerstein's (1988a) Bystander-Equity Model of Supervisory Helping Behavior, it was predicted that supervisors who had attended training and/or held positive attitudes toward their EAP would report more welldeveloped beliefs about troubled workers than persons who had not received training and/or held negative attitudes toward their EAP. Overall, our results provided support for the idea that constructive confrontation training enhances supervisors' recognition of impaired employees. While we anticipated this finding, we did not expect supervisors to report that their attitudes toward their EAP were unrelated to their beliefs about troubled persons. Alternative explanations for why supervisors behaved differently from what we had anticipated are offered, as are suggestions for how to conduct research on other aspects of the supervisor-impaired worker identification process.     

Culture,Son Preference,and Beliefs About Masculinity

We examined whether endorsing hyper‐masculine attitudes positively related to the psychological well‐being of adolescent boys (N=233) in an extreme son preference community, in Tamilnadu, India. A survey with masculinity and measures of psychological well‐being was administered. We predicted that endorsement of masculinity would positively relate to personal strength, academic achievement, and positive psychological outcomes. Using regression analyses, we found that greater endorsement of masculinity predicted lower self‐reported depression (b=?.48, p<.001), lower internalized shame (b=?.48, p<.001), higher academic performance (b=.15, p<.05), and higher personal strength (b=.43, p<.001). We discuss the relevance of our findings for developing interventions to combat extreme female neglect.     

Beliefs About and Attitudes Toward Gambling in French-Speaking Switzerland

The present study aims to analyze attitudes and beliefs of the French-speaking general Swiss population (n = 2500; female n = 1280; mean age = 43 years) as regards gambling, which are to date almost exclusively studied in the North American and Australian contexts. Beliefs related to gambling include the perception of the effectiveness of preventive measures toward gambling, the comparative risk assessment of different addictive behaviors, the perceived risks of different types of gambling and attitudes are related to the gambler’s personality. The general population perceived gambling rather negatively and was conscious of the potential risks of gambling; indeed, 59.0% of the sample identified gambling as an addictive practice. Slot machines were estimated to bear the highest risk. Compared with women and older people, men and young people indicated more positive beliefs about gambling; they perceived gambling as less addictive, supported structural preventive measures less often, and perceived gambling as a less serious problem for society. Gamblers were more likely to put their practices into perspective, perceiving gambling more positively than non-gamblers. General population surveys on such beliefs can deliver insights into preventive actions that should be targeted to young men who showed more favorable views of gambling, which have been shown to be associated with increased risk for problematic gambling.     

Identity,Training, and Expertise Among Sexual Health Professionals

ABSTRACT

The current study explores identity, training, and reported areas of expertise among sexual health professionals. Members of sexual health organizations (n = 500) completed an Internet survey. Personal interest in sexuality best predicted a priori planning to enter the field. Few individuals reported advanced training in sexual health, but those who did reported more mentorship, training satisfaction, and current work hours focused on sexual health. Participants reported more work in sex therapy than in sex education or research. Female and male sexual dysfunction received more professional attention at the expense of specialized topics. To nurture sexual health as a field, more training opportunities, more sex research, more sex education, and more attention to marginalized topics are needed.     

Predictors of Treatment Outcome Among Asian Pathological Gamblers (PGs): Clinical,Behavioural, Demographic,and Treatment Process Factors

Research on predictors of treatment outcome among pathological gamblers (PGs) is inconclusive and dominated by studies from Western countries. Using a prospective longitudinal design, the current study examined demographic, clinical, behavioural and treatment programme predictors of gambling frequency at 3, 6 and 12-months, among PGs treated at an addiction clinic in Singapore. Measures included the Hospital anxiety and depression scale, gambling symptom assessment scale (GSAS), personal well-being index (PWI), treatment perception questionnaire and gambling readiness to change scale. Treatment response in relation to changes in symptom severity, personal wellbeing and abstinence were also assessed. Abstinence rates were 38.6, 46.0 and 44.4 % at 3, 6 and 12-months respectively. Significant reductions in gambling frequency, GSAS, and improvement in PWI were reported between baseline and subsequent outcome assessments, with the greatest change occurring in the initial three months. No demographic, clinical, behavioural or treatment programme variable consistently predicted outcome at all three assessments, though treatment satisfaction was the most frequent significant predictor. However, being unemployed, having larger than average debts, poor treatment satisfaction and attending fewer sessions at the later stages of treatment were associated with significantly poorer outcomes, up to 1-year after initiating treatment. These findings show promise for the effectiveness of a CBT-based treatment approach for the treatment of predominantly Chinese PGs. Clinical implications and suggestions for future research are discussed. Taken together, the findings suggest early treatment satisfaction is paramount in improving short-term outcomes, with baseline gambling behaviour and treatment intensity playing a more significant role in the longer term.     

Parental Beliefs About Nonresident Fathers’ Obligations and Rights

We examine whether parents rely on principles of equity or equality in making judgments about nonresident fathers’ obligations and rights. The data are taken from the first wave of the Fragile Families and Child Wellbeing Study. The analysis sample includes 4,304 new mothers and 3,414 new fathers. Results indicate that fathers perceive obligations and rights as independent concerns (equality principle), whereas mothers see obligations and rights as linked (equity principle). The findings raise questions about previous claims that women favor equality principles, whereas men favor equity principles. They also underscore the importance of considering gender differences in perceptions of fathers’ rights and obligations in designing effective child support and visitation policies.     

New Media and Social Networks: Considerations from Clients in Addictions Treatment

Web-based (2.0) media will play an increasing role in substance abuse treatment. Two focus groups identified initial barriers and potential uses within a population living below the median income. Client suggestions included using different approaches to service delivery based on a person's access to web 2.0 media. Preliminary results indicated that contrary to the staff members' opinions, the majority of clients appeared to have sufficient Internet access and the requisite social networking skills in order to participate in online interventions. Future research should focus on using games as a potential mode of online service delivery, on the potential of the various forms of social networking, and whether classism exists between client and staff perceptions.     

Superstitious Beliefs in Gambling Among Problem and Non-Problem Gamblers: Preliminary Data

Superstitious beliefs, defined as a strong conviction based on the erroneous perception of a cause-effect association between two independent events, are considered to play an instrumental role in the maintenance of gambling behaviour. In this preliminary study, responses to eight items assessing superstitious beliefs were compared among 56 electronic gaming machine (EGM) problem gamblers, 22 non-problem EGM and 23 non-EGM non-problem gamblers. Results suggested that problem gamblers endorsed more superstitious beliefs than non-problem gamblers and that such beliefs were correlated with gambling intensity. Further research is required to determine if superstitious beliefs represent a vulnerability factor for the development of problem gambling or emerge as a consequence of involvement in gambling.     

Common Beliefs About Child Sexual Abuse and Disclosure: A College Sample

ABSTRACT

Adults’ common beliefs about child sexual abuse and disclosure were explored. Participants (N = 670) were questioned about key areas of child sexual abuse that could affect decision-making processes of jurors evaluating child sexual abuse cases. These areas included victim and perpetrator characteristics, medical and behavioral indicators of child sexual abuse, memories for the event, and disclosure of the event. The scientific literature pertaining to these same areas are reviewed. While individual beliefs were consistent with some areas of the scientific literature (e.g., victim and perpetrator characteristics), they strongly contrasted the literature in other important areas (e.g., memories for the event, indicators of child sexual abuse, and the likelihood of denial and recantation). Implications, including the option of providing expert testimony to reduce discrepancies, are discussed.     

Puerto Rican Abusive and Non-Abusive Mothers' Beliefs About Appropriate and Inappropriate Child Discipline

Abstract

Qualitative findings from face-to-face interviews of a subset of participants in a large quantitative study are used to explore the perspectives of 10 professional Black women (PBW) regarding their definitions of spirituality and their experiences using this resource to cope with work-related stress. Findings include that many PBW do not differentiate between spirituality and religion and that they utilize spirituality-particularly prayer, meditation, and inspirational readings-to gain personal strength, inner peace, and guidance and to reflect on and reappraise stressful situations in the workplace. Further, many PBW view spirituality as a problem-focused, rather than an emotion-focused, coping strategy. Implications for social work practice and future research are offered.     

Concern About Crime Among Montana Farmers and Ranchers1

Abstract The effects of previous victimization, distance from law enforcement and neighbors, and sufficiency of police patrols on fear of crime are estimated using data from Montana farmers and ranchers. Victimization has the strongest direct effect. Distance from police and neighbors seems to heighten sensitivity to lesser police patrol activity in isolated areas, which in turn increases concern about criminal victimization. Fear of crime in rural farm areas reflects, in part, the spatial arrangements and related consequences of living in these regions.     

Intergenerational Support and Marital Satisfaction: Implications of Beliefs About Helping Aging Parents

Everyday support given to aging parents is a salient aspect of married life that may have implications for marital quality. Among 132 middle‐aged couples drawn from Wave 1 of the Family Exchanges Study, the authors examined the moderating effects of each spouse's normative and motivational beliefs about helping parents on associations between the frequency of everyday support that wives and husbands gave to their own parents and marital satisfaction. Husbands' more frequent provision of support was linked to wives' greater marital satisfaction when reports of personal rewards linked to helping parents were high for wives or low for husbands. Conversely, wives' more frequent provision of support was linked to husbands' lower marital satisfaction when reports of filial obligation were low for husbands or high for wives. Findings highlight the interdependence within couples and indicate that both spouses' perceptions are important in understanding linkages between intergenerational support and marital satisfaction.     

Adolescents' Civic Engagement: Concordant and Longitudinal Associations Among Civic Beliefs and Civic Involvement

Associations between adolescent civic and organized activities (volunteering, standard political, social movement, school/community, religious) and civic beliefs (comprised of should, obligation, and respect judgments) were examined. Cross‐sectional models (N = 703, M_age = 15.87) indicated domain specificity between adolescent civic beliefs and behaviors. Longitudinal models (n = 219, M_age = 15.39) indicated that adolescents' standard political beliefs predicted greater levels of standard political involvement one year later, and school/community activities predicted greater standard political beliefs a year later. Youth volunteering predicted lower standard political beliefs, and standard political involvement predicted lower community service beliefs one year later. Findings support the assessment of adolescent sociomoral civic beliefs and demonstrate how civic experiences and civic beliefs can mutually promote each other during adolescence.     

Developmental Shifts in Parent and Peer Influences on Boys' Beliefs About Delinquent Behavior

This paper examines the relative shifts in parent and peer influences on the development of boys' beliefs regarding delinquency from early to middle adolescence. The paper also explores the influence that beliefs about delinquency have on subsequent changes in these social relationships. Structural equation modeling is used to analyze six annual waves of data for 481 boys from the youngest sample of the Pittsburgh Youth Study. Increased parent–adolescent conflict only predicted changes in beliefs about delinquency in early adolescence, while increases in peer delinquency was associated with adopting more tolerant beliefs about delinquent acts from early to middle adolescence. Changes in boys' delinquent peer group association were initially influenced by increased family conflict. However, in middle adolescence increasingly tolerant beliefs about delinquency were related to subsequent increases in delinquent peers. The potential implications for preventing the formation of beliefs favoring delinquency during adolescence are discussed.     

Beliefs About Gambling Problems and Recovery: Results from a General Population Telephone Survey

Respondents were asked their beliefs about gambling abuse as part of a general population telephone survey. The random digit dialing survey consisted of 8,467 interviews of adults, 18 years and older, from Ontario, Canada (45% male; mean age = 46.2). The predominant conception of gambling abuse was that of an addiction, similar to drug addiction. More than half of respondents reported that treatment was necessary and almost three-quarters of respondents felt that problem gamblers would have to give up gambling completely in order to overcome their gambling problem. Problem gamblers (past or current) were less likely than non- or social gamblers to believe that treatment was needed, and current problem gamblers were least likely to believe that abstinence was required, as compared to all other respondents. Strong agreement with conceptions of gambling abuse as disease or addiction were positively associated with belief that treatment is needed, while strong agreement with conceptions of disease or wrongdoing were positively associated with belief that abstinence is required.