Hypothesis testing via a penalized-likelihood approach

It is illustrated in this paper that hypothesis testing procedures can be derived based on the penalized likelihood approach. Based on this point of view, many traditional hypothesis tests, including the two-sample mean test, score test, and Hotelling’s $T^2$ test are revisited under the penalized likelihood framework. Similar framework is also applicable to the empirical likelihood.     

Game-based cognitive-behavioral therapy (GB-CBT) group program for children who have experienced sexual abuse: a preliminary investigation

This preliminary investigation examined the efficacy of a game-based cognitive-behavioral therapy group program for elementary school-aged children who have experienced sexual abuse. Treatment aimed to improve: (a) internalizing symptoms, (b) externalizing behaviors, (c) sexually inappropriate behaviors, (d) social skills deficits, (e) self-esteem problems, and (f) knowledge of healthy sexuality and self-protection skills. Results indicate that game-based cognitive-behavioral therapy was effective for improving internalizing and externalizing symptoms, reducing sexually inappropriate behaviors, and improving children's knowledge of abuse and self-protection skills. Although results pointed in a positive direction for social skills and self-perception, these findings were not statistically significant. Clinical significance was also evaluated to assess the clinical utility of treatment effects. Treatment implications of the findings and future research directions are discussed.     

Perceived Community Cohesion and the Stress Process in Youth

Using survey data from two youth samples, one rural and one urban, we examine the role and significance of perceived community cohesion in the stress process. In particular, we assess the extent to which community attachment and detachment are related to depressed mood, problem substance use, and delinquency net of social statuses, stress exposure, and personal attributes. In addition, we explore the degree to which those dimensions of community cohesion explain or condition the links between the above stress‐process components (e.g., social statuses, stress exposure, and personal attributes) and well‐being. We find remarkably similar results across samples: community attachment is related to lower odds of problem substance use and delinquency; community detachment is related to higher levels of depressed mood, problem substance use, and delinquency; and community attachment buffers the link between stress and problem substance use. With respect to depressed mood, however, the rural youth show greater vulnerability to stress than the urban youth and unique benefits from community attachment compared to the latter. Our findings highlight the roles of community attachment and detachment in the stress process and underscore the importance of each for youth well‐being in rural and urban settings.     

Does a House Divided Stand? Kinship and the Continuity of Shared Living Arrangements

Shared living arrangements can provide housing, economies of scale, and other instrumental support and may become an important resource in times of economic constraint. But the extent to which such living arrangements experience continuity or rapid change in composition is unclear. Previous research on extended-family households tended to focus on factors that trigger the onset of coresidence, including life course events or changes in health status and related economic needs. Relying on longitudinal data from 9,932 households in the Survey of Income and Program Participation (SIPP), the analyses demonstrate that the distribution of economic resources in the household also influences the continuity of shared living arrangements. The results suggest that multigenerational households of parents and adult children experience greater continuity in composition when one individual or couple has a disproportionate share of the economic resources in the household. Other coresidential households, those shared by other kin or nonkin, experience greater continuity when resources are more evenly distributed.     

Debunking misconceptions about weight loss surgery

The recent and steady rise in the U.S. obesity index has resulted in a consumer-driven market for more effective treatment interventions for the morbidly obese population. Given the relatively poor outcomes associated with traditional approaches for treating obesity, such as diet programs, behavioral modification, and pharmacotherapy, weight loss surgical procedures represent a safe and effective option for those who meet selection criteria. To provide optimal treatment and consumer education, psychiatric nurses need to be well informed about the psychological and physiological aspects of these surgical procedures. This article clarifies six common misconceptions related to weight loss surgery.     

Peakedness‐Based Staffing for Call Center Outsourcing

This study considers the staffing problem of a vendor call center in a co‐sourcing setting. The aim is to take short‐term variability and correlations in time for call arrivals at such a vendor call center into account. To do so, peakedness is proposed as a useful measure of the burstiness in the arrival stream. The study empirically demonstrates the presence of bursty arrivals at a call center and proposes an approach to the measurement of the peakedness of the arrival stream making use of standard call center data. The problematic nature of bursty arrivals in the context of call center co‐sourcing is demonstrated along with an asymptotic result establishing that the problem persists in large call centers. The study then analyzes two peakedness‐based staffing methods: one which is a well known extension of the square root staffing rule and another which makes use of the Hayward approximation principles. Both approaches are simple and enable the vendor to improve its staffing procedure with good accuracy.