Young adult's immediate reaction to a personal alcohol overdose

Following an emergency medical transport for alcohol overdose, first-year college students were asked to complete a survey assessing their reactions to the transport experience, their assessment of why they required this emergency response, and plans for future personal alcohol consumption. Transported students who responded to a baseline survey of all first-year students regarding expectations about alcohol are compared to first-year students overall. The 50 first-year transported students did not perceive themselves at risk for alcohol overdose prior to the event and were typically not heavy consumers of alcohol. The majority attributed the overdose event to bad decision making. Most students planned to alter the amount and the pace of their future alcohol consumption. Additional education on the circumstances of alcohol overdose may help young adults learn their own limits for safe consumption.     

Exposure of medical students to body fluids

Three hundred forty-two students at 3 Florida medical schools were surveyed concerning occupational exposures to blood and body fluids during their 3rd-year clerkship. The 16-item questionnaire was anonymously returned by 150 students, and differences among groups were assessed at p < .05. Most of the students complied with universal precautions guidelines (UVPG); 62 reported 101 exposures, including 9 with HIV-positive blood and body fluids. Most of the exposed students knew about the guidelines but regarded the incidents as irrelevant to their safety or supervision training. Noncompliant students reported significantly more exposures than compliant students. Time constraints, inconvenience of using gloves during procedures, and belief that patients were at low HIV risk discouraged adherence to the guidelines. Common practices following exposure were "no action" or "washed area only" without medical follow-up. Medical students' UVPG adherence should be increased by workload modification, user-friendly safety products, and supervised practice training in clinical exposure settings.     

Violence, coping, and mental health in a community sample of adolescents

The current study examined the coping strategies, exposure to violence and psychological trauma symptoms of violent adolescents compared to less violent and nonviolent adolescents in a community sample. An anonymous self-report questionnaire was administered to students in six public high schools (grades 9-12). The 10% most violent adolescents were identified and compared to their less violent and nonviolent peers. A total of 3724 students represented 68% of adolescents in all targeted schools. Ages ranged from 14 to 19 years; 52% were female; and 35% were African-American, 34% Caucasian and 23% Hispanic. Analyses revealed that violent adolescents compared to their less violent and nonviolent peers employed more maladaptive coping strategies, were exposed to higher levels of violence and reported higher clinical levels of psychological trauma symptoms. Maladaptive coping was also significantly associated with psychological trauma symptoms and violent behavior, even after controlling for the influence of demographic factors. The findings support the importance of appropriate identification, assessment and referral services for adolescents in nonclinical settings, and the role that coping strategies play in contributing to adolescent mental health and well-being.     

Perfectionism and binge drinking in Canadian students making the transition to university

Objective: In September 2005, the authors explored the relationship between perfectionism and binge drinking in a sample of first-year college students. Participants: The authors recruited 207 first-year college students (76 men, 131 women) to complete the Multidimensional Perfectionism Scale (MPS) and Frost Multidimensional Perfectionism Scale (F-MPS). Methods: The authors divided participants into 3 groups on the basis of frequency of binge drinking and conducted multivariate analyses of variance to compare the binge drinking groups on the 3 MPS subscales and the 5 F-MPS subscales. Results: The group with 2 or more binge drinking episodes in the past 2 weeks had higher levels of parental criticism and lower levels of self-oriented perfectionism, but they did not have lower scores on a measure of personal standards. Conclusions: These findings suggest that certain perfectionists binge drink in response to harsh parental treatment and that, at least initially, the pursuit of extreme standards of personal perfection is incompatible with binge drinking. The authors discuss the theoretical and practical implications of these findings.     

Accidental exposures to blood and other body fluids in a large academic medical center

Healthcare workers' and students' exposures to blood-borne pathogens during a 1-year period (1997) at a large university academic medical center were analyzed. The university health manages the Blood-Borne Pathogen Post-Exposure Control Program at the university and treats all reported exposures of students, faculty, and staff. Comparative exposure rates for all categories of healthcare workers, the work site where injuries occurred, and the circumstances involved in 298 exposure incidents are outlined. A standardized postexposure prophylaxis protocol provides for definition of the health status of all known source patients and assessment of the potential need for treatment of the exposed clinician. Implications of the study for focusing on improvements in training healthcare workers in proper procedures and the use of personal protective equipment in dealing with blood-borne pathogens are discussed.     

Perfectionism and Binge Drinking in Canadian Students Making the Transition to University

Objective: In September 2005, the authors explored the relationship between perfectionism and binge drinking in a sample of first-year college students. Participants: The authors recruited 207 first-year college students (76 men, 131 women) to complete the Multidimensional Perfectionism Scale (MPS) and Frost Multidimensional Perfectionism Scale (F-MPS). Methods: The authors divided participants into 3 groups on the basis of frequency of binge drinking and conducted multivariate analyses of variance to compare the binge drinking groups on the 3 MPS subscales and the 5 F-MPS subscales. Results: The group with 2 or more binge drinking episodes in the past 2 weeks had higher levels of parental criticism and lower levels of self-oriented perfectionism, but they did not have lower scores on a measure of personal standards. Conclusions: These findings suggest that certain perfectionists binge drink in response to harsh parental treatment and that, at least initially, the pursuit of extreme standards of personal perfection is incompatible with binge drinking. The authors discuss the theoretical and practical implications of these findings.     

The effects of Project SUCCESS on student academic performance: a quasi-experimental study

Project SUCCESS (PS) is a substance use prevention program that targets indicated high school students. We used archival data to explore the program's effects on students' academic achievement and disciplinary problems. It is essential to demonstrate such effects, if prevention curricula are to survive in schools that face multiple competing demands for class time. Using a quasi-experimental design that compared students exposed to the program to those not exposed in five schools, we examined the effects of PS on grades, absenteeism, and disciplinary problems. Using longitudinal analyses that linked individual students' program exposure data to their academic performance, we found that PS had a positive impact on both grades and absenteeism for two years following exposure. We note that these findings are particularly fortuitous, as PS was not designed to affect these outcomes. We recommend that future evaluations of school-based prevention curricula routinely include academic performance.     

Gender differences in mental health consequences of exposure to political violence among Israeli adolescents

This study examined the role played by gender differences in the relation between political violence exposure and mental health during adolescence. Understanding these differences is particularly pertinent during the period of adolescence characterized as it is by processes of identity formation and gender role consolidation. Participants were 154 high school students recruited from two high schools in central Israel (78 males, 76 females; average age 16.54), who completed the Political Life Events Scale for measurement of political violence exposure, the Brief Symptom Inventory-18 for assessment of psychological symptoms and disorders, a risk-taking behavior scale, and the Posttraumatic Stress Symptom Scale — Interview (PSS-I) for assessment of posttraumatic stress symptoms. Results reflected high levels on many psychological indicators. The dose–response hypothesis was partially confirmed with adolescents' higher reported political violence exposure related only to higher levels of somatization and greater severity of posttraumatic stress symptoms. Contrary to the literature, only a few gender differences emerged and these showed mixed patterns. Females showed higher levels of anxiety than males, and males showed higher levels of risk-taking behavior. Females exposed to low political violence exposure showed significantly less substance abuse than males but those with high exposure reported significantly higher levels of substance abuse, equivalent to those of males. Findings show a complex constellation of gender effects on relations between political violence exposure and different psychopathological outcomes. Findings of this study indicate the necessity for more refined examination of gender differences in psychological processes in reaction to living in conditions of protracted conflict and war.     

A person-centered analysis of sleep and emotion dysregulation: Short- and long-term links with depression and alcohol use

Objective: Our objective was to examine the co-occurrence of sleep problems and emotion dysregulation and its short- and long-term links to depressive symptoms and alcohol use in a sample of university students. Method: Participants included 1132 first-year university students from Southern Ontario (70.5% women). Time 1 data were collected in February/March, 2010, and Time 2 data (n?=?746) were collected in February/March, 2014. Participants were surveyed about sleep problems and emotion dysregulation (Time 1), and depressive symptoms and alcohol use (Times 1 and 2). Results: A latent class analysis revealed four groups: (1) Low Co-Occurrence, (2) Sleep Problems Only, (3) Emotion Dysregulation Only, and (4) High Co-occurrence. Group 4 had more depressive symptoms than all other groups in both the short- and long-term. Conclusions: First year university students with high co-occurrence of sleep problems and emotion dysregulation may be a target group for programs focused on reducing adjustment difficulties.     

The effect of a college sexual assault prevention program on first-year students' victimization rates

OBJECTIVE: Although a variety of sexual assault prevention programs are currently available to college health professionals, there is a dearth of information about the effect of these programs on sexual assault victimization rates. PARTICIPANTS: The authors evaluated the efficacy of a sexual assault prevention program for first-year students at a college in the Northeast (N = 1,982). METHODS: They used a retrospective cohort design and assessed the prevalence of sexual assault victimization among students exposed to the sexual assault prevention program and students 1 year their senior who were not exposed. RESULTS: Students who had no exposure were more likely to report that they were sexually assaulted during their first year of college (odds ratio = 1.74, 95% confidence interval [1.32-2.29]). Results suggest that the program was effective for males and females, but not for students with a prior history of sexual assault victimization. Gay, lesbian, and bisexual students were at increased risk for victimization as compared with heterosexual students, and students who drank alcohol or engaged in binge drinking were at increased risk as compared with alcohol abstinent students. CONCLUSIONS: Findings suggest that this program had a positive effect on victimization rates for certain sub-groups of students.     

The identity and professional culture of the educator at the beginning of the university path in Italy

To work as an educator in Italy has required a specific university degree for only a few years now. This change has institutionalized the educational path regarding some factual knowledge and skills. However, the profession of educator also relates to an experiential culture and to personal motivations affecting and sustaining each individual's choice of the profession. This paper examines the ideas of professional identity held by a group of Italian students at the beginning of their college career. The sample includes two groups at the University of Padua, one group learning to work in social work, one group learning to work in health care. During the first three years of the new academic requirement, first-year students in both groups were qualitatively and quantitatively surveyed. In particular the study explores the reasons students orient towards these curricula, and the distinctive elements, competences, experiences and values they include in their image of an educator. Statistical multi-dimensional methods of data analysis are used.     

Bottom dogs on campus: how subjective age and extrinsic self-esteem relate to affect and stress in first semester of university

The first semester of university can be a difficult transitional period that affects students' psychological well-being, and ultimately, their academic success. Personal resources and vulnerabilities that they bring to the transition may shape their day-to-day experiences. Subjective age (how old one feels) and extrinsic self-esteem (ESE; the extent to which self-worth is based on external sources) were examined as predictors of mean levels of and intraindividual variability in daily affect (positive and negative) and stress in 170 Canadian students tracked for 14 days during their first semester. Consistent with a self-enhancing effect of an older subjective age, regression models found that feeling older predicted higher mean levels of positive affect, and students with higher ESE reported more negative affect unless they felt considerably older than their chronological ages. In addition, an older subjective age and higher ESE predicted higher levels of and more intraindividual variability in daily stress experience. An ESE appears to contribute to negative affect and stress, but an older subjective age might counteract some negative emotion and play a part in positive emotion. As much as an older subjective age is a possible personal resource, its association with stress suggests that it might have some disadvantages for first-year university students, the bottom dogs on campus.     

Depressive symptoms and cigarette smoking in a college sample

OBJECTIVE AND PARTICIPANTS: The authors examined (1) the relationship between depressive symptoms and cigarette smoking in a college sample and (2) the role of smoking self-efficacy (one's perceived ability to abstain from smoking) in explaining the relationship between depressive symptoms and cigarette smoking. METHODS: Predominantly first-year college students at a large public university completed a self-report inventory indexing depressive symptoms, cigarette smoking, and smoking self-efficacy. RESULTS: Findings indicated that students high in depressive symptoms smoked significantly more cigarettes per day than did those with low depressive symptoms. Further, among current smokers, smoking self-efficacy explained the relationship between depressive symptoms and cigarette smoking. CONCLUSIONS: These findings add to accumulating evidence that depressive symptoms are a risk factor for increased cigarette smoking in college students. The authors discuss implications for university-based smoking cessation and prevention programs.     

Cumulative Social-Environmental Adversity Exposure as Predictor of Psychological Distress and Risk Behavior in Urban Youth

The present study examines exposure to adversity as a predictor of psychological distress and risk behavior among 266 elementary students in 14 low income neighborhood schools in Chicago. Two indices of adversity exposure were created, reflecting neighborhood, school, and peer group risk (NSP) and the lack of protective resources within the family and neighborhood (LPR). Regression analyses investigated these indices as independent and potentially interacting predictors of self-reported symptoms of depression and anxiety, frequency of substance use, and involvement in violence-related behavior. The LPR index was found to be a linear predictor of greater reported anxiety and exhibited a significant curvilinear association with reports of depression, substance use, and violence-related behavior. Similarly, the NSP index was a linear predictor of greater reported levels of substance use and violence-related behavior. Significant interaction between the two indices was found. Implications for research and school clinicians (social workers and psychologists) are offered.     

The effectiveness of intervention for adolescents exposed to domestic violence

The purpose of this study is to evaluate the effectiveness of a 10-week group intervention for adolescents who were exposed to domestic violence in their home, and compare behavioral and emotional symptoms between adolescents with direct or indirect exposure to domestic violence. Participants of the group intervention (N = 32) reported an increase in knowledge of domestic violence based on quiz scores of pre- and post-tests. Compared to those without direct exposure to domestic violence, the participants that were directly exposed to domestic violence presented greater symptoms in the subscales of the Child Behavioral Checklist and the Revised Children's Anxiety and Depression Scale. Such findings are discussed along with previous literature. The study also discusses limitations related to internal and external validity threats and suggestions for future replication of the group intervention toward adolescents who were exposed to domestic violence and the related program evaluation.     

The impact of neoliberal school choice reforms on students with disabilities: perspectives from New York City

This disability studies in education informed study unpacks effects of neoliberal reforms on students with disabilities in New York City schools. These reforms proliferated small themed schools, dismantled many large schools, and required students to apply to high school. This multi-site case study researched two high schools, one large and one small, with data from interviews and document review. Findings reveal how reforms forced large schools to accept many marginalized students with disabilities, while small schools employed tactics to avoid accepting many students with disabilities seen as having intensive needs. Finally, contextual analysis reveals how larger city politics perpetuated segregative ideologies.     

VOUCHERS,PUBLIC SCHOOL RESPONSE,AND THE ROLE OF INCENTIVES: EVIDENCE FROM FLORIDA

This paper analyzes the incentives and responses of public schools in the context of an educational reform. Much of the literature studying the effect of voucher programs on public schools has looked at the effect on student and mean school scores. This paper tries to go inside the black box to investigate some of the ways in which schools facing the Florida accountability‐tied voucher program behaved. Schools getting an “F” grade for the first time were exposed to the threat of vouchers, but did not face vouchers unless and until they got a second “F” within the next 3 years. In addition, “F,” being the lowest grade, exposed the threatened schools to stigma. Exploiting the institutional details of this program, I analyze the incentives built into the system and investigate the behavior of the threatened public schools facing these incentives. There is strong evidence that they did respond to incentives. Using highly disaggregated school‐level data, a difference‐in‐differences estimation strategy as well as a regression discontinuity (RD) analysis, I find that the threatened schools tended to focus more on students below the minimum criteria cutoffs rather than equally on all. Second, consistent with incentives, the threatened school improvements were, by far, the largest in writing. These results are robust to controlling for differential preprogram trends, changes in demographic compositions, mean reversion, and sorting. These findings have important policy implications. (JEL H4, I21, I28)     

Depressive Symptoms and Cigarette Smoking in a College Sample

Objective and Participants: The authors examined (1) the relationship between depressive symptoms and cigarette smoking in a college sample and (2) the role of smoking self-efficacy (one's perceived ability to abstain from smoking) in explaining the relationship between depressive symptoms and cigarette smoking. Methods: Predominantly first-year college students at a large public university completed a self-report inventory indexing depressive symptoms, cigarette smoking, and smoking self-efficacy. Results: Findings indicated that students high in depressive symptoms smoked significantly more cigarettes per day than did those with low depressive symptoms. Further, among current smokers, smoking self-efficacy explained the relationship between depressive symptoms and cigarette smoking. Conclusions: These findings add to accumulating evidence that depressive symptoms are a risk factor for increased cigarette smoking in college students. The authors discuss implications for university-based smoking cessation and prevention programs.     

How School Contexts Shape the Relations Among Adolescents’ Beliefs,Peer Victimization,and Depressive Symptoms

The present research examined how school contexts shape the extent to which beliefs about the potential for change (implicit theories) interact with social adversity to predict depressive symptoms. A preregistered multilevel regression analysis using data from 6,237 ninth‐grade adolescents in 25 U.S. high schools showed a three‐way interaction: Implicit theories moderated the associations between victimization and depressive symptoms only in schools with high levels of school‐level victimization, but not in schools with low victimization levels. In high‐victimization schools, adolescents who believed that people cannot change (an entity theory of personality) were more depressed when they were victimized more frequently. Thus, the mental health correlates of adolescents’ implicit theories depend on both personal experiences and the norms in the context.