Costs of Treating Depression With Individual Versus Family Therapy

Depression is one of the most common concerns that bring clients to treatment. Although marriage and family therapy has been shown to be an effective treatment, little research exists regarding the cost‐effectiveness of related services. In this study, we examined claims data for 164,667 individuals diagnosed with depression to determine (a) differences in the cost of treating depression according to type of therapy and license type, (b) differences in recidivism rates by age, gender, type of therapy, and type of mental health professional, and (c) differences in cost‐effectiveness by therapy modality and type of professional. The results showed that services provided by marriage and family therapists resulted in the lowest recidivism rate, and family therapy services were the least expensive.     

Postmodern feminism: a theoretical framework for a field unit with women in jail

This article presents a postmodern, feminist framework as a foundation for a social work student field unit with women inmates in the corrections system. Feminist pedagogical methods were developed and implemented for this field unit and, once trained, the students utilized feminist social work skills within the jail environment. The case study illustrates the field unit design, student learning processes, and examples of student interventions. In addition to becoming skillful clinicians, student interns became social change agents within the corrections system. Implications for micro, meso, and macro levels of social work practice are discussed.     

Social and family patterns on the colonial Louisiana frontier

As the pendulum of historical scholarship swings toward the close of another century, momentum has propelled it toward the re‐establishment of a traditional relationship severed by professional historians at the turn of the last century. History and genealogy were inseparable until early 20th‐century humanists elevated the serious pursuit of history from the armchair to the university chair. In the generations since, a chasm of disdain has separated “real” history from so‐called family history in which untrained amateurs dabble with abandon.

Yet the family is the heart of society. To study a people's history without understanding the family structure from which it evolved is to confront a robot and pretend that one feels a pulse. Tardily, professional history is shifting from the “subjects' of broad national interest” to a study of society in microcosm, that is, the family, at the same time that academically oriented genealogists are upgrading their standards to prove that family history can be a legitimate field of scholarly inquiry.

This reunion of history and genealogy has produced outstanding re‐evaluations of society; but in the United States the emphasis to date has been on Anglo‐American culture. This article provides pioneer exploration of the nation's Latin heritage and finds significant differences in patterns of migration and settlement, marriage and morality. Such a study of French and Spanish borderlands in America upsets traditional, stereotyped conceptions of mobility, fertility, and family structure in colonial America.     

Cigarette Use Among Young Adults: Comparisons Between 2-Year College Students, 4-Year College Students,and Those Not in College

Abstract

Objective: To examine cigarette smoking among young adults based on education status. Participants: Community-based sample of 2,694 young adults in the United States Methods: The authors compared 3 groups—those not in college with no college degree, 2-year college students/graduates, 4-year college students/graduates—on various smoking measures: ever smoked, smoked in past month, smoked in past week, consider self a smoker, began smoking before age 15, smoked over 100 cigarettes in lifetime, ever tried to quit, and plan to quit in next year. Results: The authors found that for nearly all the smoking measures, the 4-year college group was at lowest risk, the noncollege group was at highest risk, and the 2-year college group represented a midpoint. Differences between groups remain after adjusting for parents’ education and other potential confounding factors. Conclusions: Smoking behaviors clearly differ between the 2-year, 4-year, and no college groups. Interventions should be tailored for each group.     

Development of a Questionnaire to Assess University Students’ Intentions to Use Behavioral Alcohol-Reduction Strategies

Abstract

Objective: To evaluate the psychometric properties of a new self-report questionnaire designed to assess college students’ intentions to employ 31 specific alcohol-reduction strategies. Method: Students attending a large public university were recruited to complete alcohol-reduction, drinking history, and personality questionnaires online. Results: Based on item–total correlations and principal components analysis, the authors eliminated 3 items and calculated average intention ratings across the remaining 28 items. The resulting scale had appropriate unidimensionality and excellent internal consistency. Correlations of intention questionnaire scores with measures of drinking history, alcohol outcome expectancies, sensation seeking, and impression management provided some support for criterion and discriminant validity of the questionnaire. Conclusion: This questionnaire could be employed as an outcome measure to evaluate prevention programs and as a clinical tool to identify clients who have little intention to employ drinking reduction strategies in heavy drinking situations.     

Race and Ethnic Differences in Hope and Hopelessness as Moderators of the Association Between Depressive Symptoms and Suicidal Behavior

Abstract

Objective: The authors examined trait hope and hopelessness as potential moderators of the association between depressive symptoms and suicidal behavior. Participants: A diverse sample of 372 college students. Methods: Depressive symptoms, hopelessness (Beck Hopelessness Scale), trait hope (Trait Hope Scale), and suicidal behaviors were assessed. Trait hope is defined as confidence in the ability to identify and attain goals, whereas hopelessness encompasses future attitudes and motivation loss. Results: In independent models, low hopelessness buffered the association between depressive symptoms and suicidal behavior for our whole sample, blacks, and whites, whereas trait hope buffered for Hispanics and whites. Examined simultaneously, hope remained a significant moderator only in whites and hopelessness only in blacks. These findings suggest that etiological and outcome correlates of hope and hopelessness may differ by ethnicity. Conclusions: These findings may have implications for development of culturally targeted interventions for college students that strive to simultaneously reduce hopelessness and bolster hopefulness.     

Sleep Quality and Alcohol Risk in College Students: Examining the Moderating Effects of Drinking Motives

Abstract

Objective: Sleep problems and alcohol misuse are common issues experienced by college students that can have detrimental effects on overall health. Previous work indicates a strong relationship between poor sleep quality and alcohol risk in this population. This study explored the moderating effect of drinking motives in the relationship between global sleep quality and experience of alcohol-related negative consequences. Participants: College students (N = 1,878) who reported past-month drinking. Methods: Participants completed online surveys assessing sleep and alcohol-related behaviors. Results: Poorer sleep quality and higher drinking motives (coping, conformity, and enhancement) predicted greater alcohol-related consequences, controlling for drinking. Further, coping motives moderated the relationship between sleep quality and consequences such that participants reporting poor sleep and high coping motives experienced heightened levels of consequences. Conclusions: These findings advance the understanding of the relationship between sleep problems and alcohol-related risk and provide implications for targeted campus-based health promotion interventions.     

Exploring chlamydia positivity among females on college campuses, 2008–2010

ABSTRACT

Objective: Describe chlamydia positivity among young women tested at college health centers by student characteristics: age, race/ethnicity, and institution type. Participants: During 2008–2010, colleges participating in a national infertility prevention program provided chlamydia testing data from females aged 18–24. Methods: Chlamydia positivity (number of positive tests divided by the number tested) among females stratified by college type (4-year versus 2-year and minority serving institutes [MSIs]) was determined. Results: Chlamydia testing data were provided by 148 colleges: 37 (26%) MSIs and 21 (15%) 2-year colleges. Of the 118,946 chlamydia tests, 6.5% were positive. Chlamydia positivity in females at 4-year colleges was 6.6% versus 5.3% at 2-year colleges (p = .0001). Positivity at MSIs was almost double of that at non-MSIs, 10.0% versus 5.4% (p = .0001). Conclusions: Chlamydia positivity may be higher among college females than previously thought. Higher positivity at MSIs suggests that targeted sexually transmitted infection prevention efforts may be useful for high-risk college populations.     

Career‐Related Parent Support and Career Barriers: An Investigation of Contextual Variables

The authors used social cognitive career theory (Lent, Brown, & Hackett, 1994 ) as the basis for examining the person and contextual variables of gender, ethnicity, educational and career barriers, and career‐related parent support for incoming 1st‐year African American, Asian, Latino, and White college students. Women, as compared to men, perceived significantly higher levels of career barriers but similar levels of coping efficacy in dealing with these barriers. Women also reported receiving more career‐related emotional support from parents than did men. For all participants, career‐related parent support accounted for a significant portion of the variance for perceptions of educational and career barriers and coping efficacy with educational and career barriers.