Validation of the Postpartum Social Support Questionnaire in low-income,African American women

ABSTRACT

This study applied a previously developed Postpartum Social Support Questionnaire to low-income, African American women. The 33-question survey was administered to 95 African American women between 4- and 8-weeks postpartum. The survey was readministered 2 weeks later. All women were of low socioeconomic status based on their qualification for public insurance. The questionnaire addresses subscales of partner, parent, in-law, and other friend/relative support. Responses were used to evaluate internal reliability of each subscale, test–retest correlation, and factor loading. Results were compared between women with and without a positive postpartum depression screen. Cronbach's alpha coefficients for each subscale ranged from .90 to .96. Test-retest correlation coefficients ranged from .72 to .87. Exploratory factor analysis with orthogonal varimax rotation was consistent with previously studied samples. Those women with positive postpartum depression screens had significantly lower social support scores (M = 122, SD = 36) than women with negative postpartum depression screens (M = 149, SD = 38), t(79) = ?2.62, p = .01. The Postpartum Social Support Questionnaire is a useful assessment in low-income, African American mothers.     

Racial and Ethnic Differences in the Prevalence of Depressive Symptoms Among U.S. Nursing Home Residents

This study aimed to examine racial and ethnic differences in significant depressive symptoms among long-term nursing home residents. We analyzed the 2014 national Minimum Data Set linked to a nursing home file and estimated multivariable logistic regressions to determine the associations of race and ethnicities with significant depressive symptoms (score ≥ 10 on the 9-item Patient Health Questionnaire [PHQ-9] scale) and whether associations were explained by resident and nursing home covariates. Stratified analyses further determined independent associations in subgroups of residents. We found that the prevalence rate of PHQ-9 scores ≥ 10 was 8.8% among non-Hispanic White residents (n = 653,031) and 7.4%, 6.9%, and 6.6% among Black (n = 97,629), Hispanic (n = 39,752), and Asian (n = 16,636) residents, respectively. The reduced likelihoods of significant depressive symptoms for minority residents compared to non-Hispanic Whites persisted after sequential adjustments for resident and nursing home covariates, as well as in stratified analyses. The persistently lower rate of significant depressive symptoms among racial and ethnic minority residents suggests that training of nursing home caregivers for culturally sensitive depression screening is needed for improved symptom recognition among minority residents.     

Treatment Engagement Using Motivational Interviewing for Low-Income, Ethnically Diverse Mothers with Postpartum Depression

Postpartum depression (PPD) places women, and their children, at risk for many untoward outcomes including lack of responsivity, low self-efficacy, and insecure infant attachment. Especially at risk for untreated PPD are low-income, ethnically diverse mothers. Seeking and accepting treatment for depression may be impeded by the many psychological and social barriers that mothers may bring with them. Obstacles might include a lack of resources (e.g., lack of transportation or child care), stigma, distrust, and a lack of knowledge about stress and depression. To reduce these and other barriers to treatment, this paper points to the value of utilizing motivational interviewing techniques to engage and retain low-income, ethnically diverse women for treatment of PPD. Following a review of PPD and related barriers to treatment, a case study is presented with example dialogue. The suggestions for practice represent starting points for effective engagement of women in any number of treatments provided by social and health services settings. With federal mandates to screen for depression in many settings and to provide treatment, using motivational interviewing may be an effective prelude to treatment adherence.     

Spanish validation of the Servant Leadership Short Scale for young adults and adolescents / Validación de la Escala de Liderazgo de Servicio Versión Abreviada en español para jóvenes adultos y adolescentes

The aim of the current study was to validate a shortened Spanish version of the Servant Leadership Profile (SLP). In Study 1, a number of experts evaluated and reduced the original scale to 14 items and named the revised version the Servant Leadership Short Scale (SLSS). An exploratory factor analysis conducted with a sample of 1,001 students revealed two possible structure solutions, a one-factor solution and a two-correlated factor solution. Study 2 used a different sample of 456 students to examine the explored structures using confirmatory factor analysis. A one-factor solution was proposed (χ²/df = 3.4, CFI = .91, TLI = .90, RMSEA = .07, SRMR = .06). Finally, in Study 3, servant leadership was used as a predictor of self-efficacy (b = .685, p < .001) and demonstrated good predictive validity. This model explained 41.55% of the variance on self-efficacy. Reliability analyses of the three studies showed that this 14-item Spanish version had high internal consistency. Together, the results of the three studies support the application of the SLSS in future research.     

A randomized controlled trial of the effects of mindfulness practice on doctoral candidate psychological status

Objectives: To examine the impact of guided mindfulness practice on psychological distress and psychological capital (hope, optimism, resilience, and efficacy) in doctoral candidates. Participants: Recruitment of a convenience sample of doctoral candidates occurred in July 2015 and participants were randomly allocated to the control or intervention group (38 and 34 participants completed the trial, respectively). Methods: A single-blinded, randomized controlled trial with intention-to-treat analysis was conducted. The intervention consisted of a daily guided mindfulness practice, using an audio CD. Indicators of psychological distress and psychological capital were measured pre- and post-trial with validated questionnaires. Results: Compared to the control group, the intervention group reported a statistically significantly reduction in depression (p?=?.045) and increased self-efficacy (p?=?.004), hope (p?=?.000), and resilience (p?=?.011). Conclusions: These results highlight the effectiveness of self-administered mindfulness practice on the psychological health of doctoral candidates, and the positive effect on psychological capital is reported as a key finding.     

A Novel,Self-guided,Home-Based Intervention to Improve Condom Use Among Young Men Who Have Sex With Men

Abstract

Objective: This pilot study tested the efficacy of a brief, novel, theory-driven, self-guided, home-based intervention designed to promote condom use among young men who have sex with men (YMSM). Participants: Thirty YMSM were recruited from a large public US midwestern university during spring of 2012. Methods: The intervention was tested using a repeated measures design with the primary follow-up assessment occurring 6 weeks after enrollment. Results: Forty-five percent of men reported a reduced frequency of unprotected insertive penile–anal intercourse in the past 30 days compared with baseline (p = .01). Consistency of condom use improved (p = .013), as did motivation to use condoms correctly, condom use self-efficacy, and condom attitudes. All participants indicated that they were glad they participated, would recommend the program, and that overall, they had liked the program. Conclusions: This pilot study supports an expanded trial of this intervention with MSM at high-risk of acquiring human immunodeficiency virus/sexually transmitted infections (HIV/STIs).     

Patterns of positivity: Positive affect trajectories among infants of mothers with a history of depression

This study examined positive affect (PA) trajectories over the first year of life among infants of mothers with a history of depression (N = 191) as well as predictors (i.e., maternal prenatal and postpartum depression symptoms, maternal parenting behaviors) of those trajectories. Infant PA was observed in play and feeding tasks during laboratory visits at 3, 6, and 12 months of age; parenting behaviors were observed at 3 months. Mothers completed questionnaires regarding their symptoms of depression throughout the prenatal period and during the first 3 months postpartum. Growth curve analyses indicated that infant PA increased across time, and this finding replicated across both the play and feeding tasks, though increases slowed over time. Neither maternal prenatal nor postpartum depression symptoms predicted infants' PA trajectories, but mothers' PA, positive parenting, and disengaged parenting were associated with infant PA during the play task. Our finding that infant PA increased over the first year postpartum suggests PA trajectories among infants of mothers with a history of depression may be indices of resilience, despite risks associated with their mothers' history of depression. Furthermore, this study highlights parenting behaviors that may be important targets of prevention and early intervention efforts to bolster infant PA.     

Spanish version of the Dispositional Empathy with Nature scale / Versión española de la escala de Empatía Disposicional hacia la Naturaleza

The Dispositional Empathy with Nature scale (DEN) — dispositional tendency to understand and share the emotional experience of the natural world — offers a methodological tool for the study of the affective component of environmental concern. In this paper, the factor structure of the Spanish version of the DEN scale is tested (N = 394). The originally proposed one-factor structure is found using exploratory factor analysis — FACTOR program — with Unweighted Least Squares procedure and optimal implementation of parallel analysis (GFI = .99), along with high internal consistency (α = .93). The Spanish DEN scale shows moderate correlations between environmental concern measures (r = .36 – .44, p < .01) and low-to-moderate correlations with dispositional empathy with humans (r = .30 – .42, p < .05), indicating the distinctiveness of the scale. The Spanish version of the DEN scale is an adequate and reliable instrument for the measurement of empathic tendencies towards nature. Some recommendations regarding its future use are made.     

Sexual Hookups and Adverse Health Outcomes: A Longitudinal Study of First-Year College Women

“Hookups” are sexual encounters between partners who are not in a romantic relationship and do not expect commitment. We examined the associations between sexual hookup behavior and depression, sexual victimization (SV), and sexually transmitted infections (STIs) among first-year college women. In this longitudinal study, 483 women completed 13 monthly surveys assessing oral and vaginal sex with hookup and romantic partners, depression, SV, and self-reported STIs. Participants also provided biological specimens that were tested for STIs. During the study, 50% of participants reported hookup sex and 62% reported romantic sex. Covariates included previous levels of the outcome, alcohol use, impulsivity, sensation seeking, and romantic sex. Autoregressive cross-lagged models showed that, controlling for covariates, hookup behavior during college was correlated with depression, Bs = .21, ps < .05, and SV, Bs = .19, ps < .05. In addition, precollege hookup behavior predicted SV early in college, B = .62, p < .05. Hookup sex, OR 1.32, p < .05, and romantic sex, OR 1.19, p < .05, were associated with STIs. Overall, sexual hookup behavior among college women was positively correlated with experiencing depression, SV, and STIs, but the nature of these associations remains unclear, and hooking up did not predict future depression.     

Perceptions of Abusive Parenting Behaviors: A Preliminary Exploration Into the Underrecognition of Mother–Daughter Sexual Abuse

ABSTRACT

The current study examined the influence of the sex of the parent and the sex of the child on perceptions of sexually abusive behaviors. Vignettes illustrating different forms of sexual abuse were rated by 124 participants, with the different parent–child pairs (mother–daughter, mother–son, father–daughter, father–son) substituted into the vignettes being the only difference between groups. Two-way between subjects ANOVAs revealed that sexually abusive behaviors by mothers were perceived as less damaging to child victims (F (1, 120 = 7.56, p < .01) than the same sexually abusive behaviors committed by fathers. In addition, sexually abusive behaviors by mothers toward daughters were perceived as the least abusive (F (1, 120 = 16.30, p < .001) and the least criminal (F (1, 120 = 4.44, p < .05) as compared to the other three groups. Results suggest that perceptions of sexual abuse may be influenced by perceptions of sex and gender.     

Feasibility,Acceptability, and Initial Efficacy of an Online Sexual Health Promotion Program for LGBT Youth: The Queer Sex Ed Intervention

Lesbian, gay, bisexual, and transgender (LGBT) youth experience multiple sexual health inequities driven, in part, by deficits in parental and peer support, school-based sex education programs, and community services. Research suggests that the Internet may be an important resource in the development of sexual health among LGBT youth. We examined the feasibility of recruiting youth in same-sex relationships into an online sexual health intervention, evaluated intervention acceptability, and obtained initial estimates of intervention efficacy. LGBT youth (16 to 20 years old) completed Queer Sex Ed (QSE), an online, multimedia sexual health intervention consisting of five modules. The final sample (N = 202) completed the pretest, intervention, and posttest assessments. The primary study outcomes were sexual orientation identity and self-acceptance (e.g., coming-out self-efficacy), sexual health knowledge (e.g., sexual functioning), relationship variables (e.g., communication skills), and safer sex (e.g., sexual assertiveness). Analyses indicated that 15 of the 17 outcomes were found to be significant (p < .05). Effect sizes ranged from small for sexual orientation (e.g., internalized homophobia) and relationship variables (e.g., communication skills) to moderate for safer sex (e.g., contraceptive knowledge) outcomes. This study demonstrated the feasibility, acceptability, and initial efficacy of QSE, an innovative online comprehensive sexual health program for LGBT youth.     

Factors influencing dietary fat intake among black emerging adults

Objective: To determine what factors influenced dietary fat intake (DFI) among black emerging adults. Participants: Sample included 251 black emerging adults, ages 18–25 years, living in the US. Methods: This was a nonexperimental cross-sectional study based on self-report data. Results: The sample had high DFI. Factors related to DFI were gender (r_pb = ?.22, p < .001), perceived barriers for healthy eating (r = .32, p < .001), and perceived self-efficacy (r = ?.33, p < .001). These variables were also significant predictors for DFI. Gender was significantly related to DFI (b = ?5.894, p = .000). Religious commitment moderated the effect of stress on DFI. Conclusions: Gender, perceived barriers for healthy eating, and perceived self-efficacy were significant predictors for DFI. Religious commitment influenced the relationship of perceived stress and DFI. These findings may lead to interventions designed to reduce DFI and cardiovascular risks among black emerging adults.     

Family-of-origin and service-member resilience

ABSTRACT

Military research on family resilience has not examined the contribution of family-of-origin to resilience of service-members. In this study, researchers investigated the extent to which predeployed service-members’ perception of resilience was related to characteristics of family-of-origin. The sample consisted of 344 U.S. Army soldiers within 6 months of deployment to Afghanistan, contacted through their units and invited to participate. Soldiers completed a survey of perceived resilience, family-of-origin and immediate family variables, and social support. Data were also collected on age, income, ethnicity, number of deployments, and relationship status. Regression analyses were conducted to explain variation in service-member resilience scores. Sample demographics were compared with the active duty soldier population and correlations among the key family-of-origin and social support variables were reported. Family-of-origin satisfaction was moderately related to service-member resilience for the full sample (β = .176, p = .001) and married sample (β = .260, p = .000). It was weakly related in the unmarried sample (β = .147, p = .226). Family social support explained the most variation in resilience across all samples. Study limitations and guidelines and resources for social work practice, education, and research to strengthen family-of-origin and service-member resilience are provided.     

Examining the Effects of a Service-Trained Facility Dog on Stress in Children Undergoing Forensic Interview for Allegations of Child Sexual Abuse

Disclosure of child sexual abuse can be a stressful experience for the child. Gaining a better understanding of how best to serve the child, while preserving the quality of their disclosure, is an ever-evolving process. The data to answer this question come from 51 children aged 4–16 (M = 9.1, SD = 3.5), who were referred to a child advocacy center in Virginia for a forensic interview (FI) following allegations of sexual abuse. A repeated measures design was conducted to examine how the presence of a service-trained facility dog (e.g. animal-assisted intervention (AAI) may serve as a mode of lowering stress levels in children during their FIs. Children were randomized to one of the two FI conditions: experimental condition (service-trained facility dog present-AAI) or control condition (service-trained facility dog not present- standard forensic interview). Stress biomarkers salivary cortisol, alpha-amylase, immunoglobulin A (IgA), heart rate, and blood pressure, and Immunoglobulin A were collected before and after the FI. Self-report data were also collected. Results supported a significant decrease in heart rate for those in the experimental condition (p = .0086) vs the control condition (p = .4986). Regression models revealed a significant decrease in systolic and diastolic blood pressure in the experimental condition (p = .03285) and (p = .04381), respectively. Statistically significant changes in alpha-amylase and IgA were also found in relation to disclosure and type of offense. The results of this study support the stress reducing effects of a service-trained facility dog for children undergoing FI for allegations of child sexual abuse.     

An Examination of College Students' Perceptions of Transformative and Culturally Competent Educators: Are Social Work Students Unique?

The purpose of this study was to examine college students' perceptions of transformative and culturally competent educators. Using data collected from a cross-section of 194 undergraduate (associate and bachelor level students) and graduate students in social work and other majors from four colleges or universities in the Midwest region of the USA, the findings indicate that transformative and culturally competent educators are important to college students. Using the Students' Perceptions of Transformative Educators Scale (SPTES), the data revealed that the overall mean for the SPTES was high, with a score of 198.24. The range was 131–233. The standard deviation [SD] was 21.55. This mean suggests that students place a high level of importance on attributes of transformative educators. When examining the culturally competent subscale of the SPTES, the data also revealed that students want educators who personify culturally competent attributes. The data illustrated a mean for cultural competence of 63.27. The range was 36–70. The standard deviation was 7.89. This mean suggests that students also place a high level of importance on this attribute in educators. ANOVA results indicate that respondents do not significantly differ along the lines of age or race on the SPTES. Student rank (associate, bachelor and graduate), however, did reveal significant differences on the cultural competence [F(2, 174) = 3.280, p < 0.040] and socialization [F(2, 187) = 4.172, p < 0.017] subscales of the SPTES. Social work students also demonstrated statistically significant differences in their slightly higher scores related to the perceptions of the overall SPTES (mean = 202.17, SD: 22.88, p < 0.01); the cultural competence subscale (mean = 65.03, SD: 6.64, p < 0.00) of the SPTES; and the socialization subscale (mean = 26.21, SD: 3.06, p < 0.02) of the SPTES.     

Using social media-based drama therapy and family counselling to treat symptoms of postpartum depression among women

This study examines the impact of social media-based drama therapy and family counselling in reducing symptoms of postpartum depression (PPD) in women aged 18–34. The researchers used a quasi-experimental design and randomly assigned the participants (n = 303) to the control, drama therapy, and family counselling groups. The key findings of the study are as follows. First, at baseline, women not only showed more symptoms of PPD than their male counterparts, but men also reached the PPD threshold of 12/13. Second, the difference between women and men regarding their PPD scores achieved statistical significance (p = 0.004). However, during the post-intervention assessment, men who received drama therapy intervention reported a significant drop in their PPD below the threshold of 12/13. Only women whose spouses received family counselling on spousal support reported a significant drop in their PPD. However, those whose partners did not receive family counselling on spousal support still reported PPD scores within the threshold. In both instances, women in the control group still had high PPD scores. Finally, during the 6-month follow-up assessment, even men in the control group did not have significant symptoms of PPD as their scores dropped below the threshold. On the contrary, women in the control group still had high PPD, indicating that PPD lasted more in women than in men. Also, women whose husbands received family counselling on spousal support reported PPD scores below the threshold. However, women whose husbands did not receive spousal counselling still had PPD scores at the threshold, even though their scores marginally dropped.     

Development,Implementation, and Evaluation of a Comprehensive Course on Suicide in a Master’s of Social Work Program

ABSTRACT

Most master of social work (MSW) programs provide minimal education or training on suicide prevention, intervention, and postvention despite that the majority of social workers encounter suicidal clients during their professional careers. This study describes the development, implementation, and evaluation of a course on suicide in an MSW program. Changes in student suicide-related knowledge, confidence, and preparedness were evaluated using a pre/post design. We found statistically significant increases in knowledge (t [df = 21] = 4.79; p < .001), confidence (t [df = 17] = 8.55; p < .001), and preparedness (t [df = 20] = 7.28; p < .001) from pretest to posttest. Knowledge, confidence, and preparedness were significantly positively correlated, indicating that confidence and preparedness did not increase without a corresponding increase in knowledge. Given the prevalence of suicide and the frequency with which social workers serve populations affected by suicide, it is critical that MSW programs provide effective training on understanding suicide.     

Adolescents’ sensitivity in social interactions: an evaluation procedure using film clips / La sensibilidad a las interacciones sociales en adolescentes: un procedimiento de evaluación con escenas cinematográficas

This article presents a procedure designed to evaluate adolescents’ sensitivity in social interactions, an essential component of emotional intelligence, by viewing film clips. The instrument was tested on a sample of 1,536 students in the first and second cycles of secondary education. The construct validity of the measure and its relationship with other variables, by applying factor techniques, discriminant analysis and multiple regression, was evaluated. Regarding the dimensionality, the confirmatory factor analysis showed good fit of the sensitivity scores to a one-dimensional model, χ²(35) = 45.75, p = .11, RMSEA = .02, CFI = .94 and TLI = .92. The discriminant analysis allowed the classification of subjects’ responses into sensitive, ingenuous and over-interpretative responses according to their cognitive maturity (χ²(6) = 91.19, p < .001) and sex (χ²(2) = 11.23, p = .004). The multiple regression analysis showed that sensitivity is related to sex, self-expression in social situations, acceptance by the father and interpersonal intelligence (multiple validity = .46).     

Fathering attitudes and behaviors among low-income fathers

ABSTRACT

This study evaluated the effectiveness of a fatherhood intervention designed to improve the fathering attitudes and behaviors of fathers who are low income from metropolitan and rural communities in Louisiana. The study was successful in recruiting a sample of predominantly African American fathers (N = 57) and retaining the participants over time. An adequate number of fathers achieved the intervention goals to obtain employment, increase their earnings, and complete educational (i.e., Graduate Equivalency Diploma [GED]) training. In addition, after having completed the program, there was a statistically significant improvement in fathers’ relationship with the mothers of their children. Additionally, there were increases in fathers’ positive attitudes about being a father, perceived closeness with their children, amount of contact with their children, and satisfaction with the amount of time spent with their children; however, none of these differences were statistically significant. Most of the fathers gave favorable reports regarding the fatherhood program’s goals and delivery.     

Cultural,individual, and familial risk and protective factors associated with depressive symptoms in Pacific youth living in New Zealand

ABSTRACT

This article examines cultural, individual, and familial risk and protective factors associated with depressive symptoms in Pacific youth living in New Zealand. At ages 11 (n = 950) and 14 (n = 931), Pacific youth participated in multidisciplinary interviews that included the Children’s Depression Inventory. Across time points, factors significantly associated with higher depressive symptoms were involvement in bullying and gang activities. Positive parenting was significantly associated with lower depressive symptoms, and Tongan youth were significantly less likely to report depressive symptoms than Samoan youth. Time-varying factors were gender, problem behaviour syndromes, and maternal education. Gaining more knowledge about modifiable risk and protective factors that contribute to depression in Pacific youth is an important tool to support new approaches that promote adaptive psychological adjustment during adolescence.