Mothers of Children With Physical Disabilities: Influence of Family Processes on Mothers' Depressive Symptomatology

This study examines how family processes, or specific behaviors and relationships within the family, influence the risk of depression in mothers of children with disabilities. Specifically, the collective influence of children's maladaptive behavior problems, father involvement, and coparental conflict on the risk of depression among 60 married mothers of children with physical disabilities is examined. Based on data from the National Survey of Families and Households, findings showed that these mothers perceived the child's behavioral problems as less influential when they were more satisfied with the father's parenting. Furthermore, coparental conflict appeared to mediate the influence of the child's behavior and her satisfaction with the father's involvement on the mother's risk of depression.     

The effect of expansions in medicaid income eligibility on abortion

In this paper we examine the effect of expansions in Medicaid income eligibility on abortion, using individual-level data from South Carolina, Tennessee, and Virginia. The results suggest that for unmarried nonblack women with less than a high school degree, expansions of income eligibility lowered the probability of abortion by two to five percentage points. Most of the impact of the Medicaid expansions on abortion occurred in the first round of expansions from approximately 45% of the federal poverty level to 100%. For black unmarried women with less than a high school degree, we generally find no effect of expansions in Medicaid income eligibility on abortion.     

The effect of pregnancy intention on child development

In this paper, we use data from the National Longitudinal Survey of Youth to investigate the empirical link between unintended pregnancy and child health and development. An important contribution of our study is the use of information on siblings to control for unmeasured factors that may confound estimates of the effect of pregnancy intentions on infant and child outcomes. Results from our study indicate that unwanted pregnancy is associated with prenatal and postpartum maternal behaviors that adversely affect infant and child health, but that unwanted pregnancy has little association with birth weight and child cognitive outcomes. Estimates of the association between unwanted pregnancy and maternal behaviors were greatly reduced after controls for unmeasured family background were included in the model. Our results also indicate that there are no significant differences in maternal behaviors or child outcomes between mistimed and wanted pregnancies.     

The history of college health nursing

Almost from the beginning of formal college health programs in the second half of the 19th century, college health nurses were there to care for students in college and university settings. By the end of the 20th century, the role of college health nurses had evolved with the nursing field in general, but with enough unique features for the American Nurses' Credentialing Center to recognize college health nursing as a professional subspecialty and administer the first College Health Nurse Certification examinations. In addition, new nurse practitioner programs provided practicing nurses with more independence, and their duties continued to expand beyond care of the sick to include health promotion, administrative, and teaching activities. As a result of these changes, college health nurses now play a larger role in the life of students and promoting a healthy campus community than ever before in the history of college health.     

Adjusted estimates for time-to-event endpoints

In the analysis of retrospective data or when interpreting results from a single-arm phase II clinical trial relative to historical data, it is often of interest to show plots summarizing time-to-event outcomes comparing treatment groups. If the groups being compared are imbalanced with respect to factors known to influence outcome, these plots can be misleading and seemingly incompatible with results obtained from a regression model that accounts for these imbalances. We consider ways in which covariate information can be used to obtain adjusted curves for time-to-event outcomes. We first review a common model-based method and then suggest another model-based approach that is not as reliant on model assumptions. Finally, an approach that is partially model free is suggested. Each method is applied to an example from hematopoietic cell transplantation.     

Role Balance Among White Married Couples

We generate models predicting wives' and husbands' feelings of overall balance across roles. Drawing on fine‐grained data about marital lifestyles and time use, we find few predictors that are the same for both partners. Both report greater role balance when their level of parental attachment to children is higher and when their marital satisfaction is greater, but gendered time use gives rise to important differences. Wives report greater balance when they have more paid work hours but have fewer of these hours on weekends. Wives' balance is also greater when they feel less financial strain, have less leisure time alone with their children, more couple leisure alone with their husbands, and more social network involvement. Husbands' contribute to wives' balance when they report more relationship maintenance in the marriage and more leisure with their children at those times when wives are not present. Husbands' own role balance increases as their income rises, but it decreases as their work hours rise. Husbands' balance also rises with more nuclear family leisure, and it lessens as their leisure alone increases. Our discussion highlights the ways that gendered marital roles lead to these different correlates of balance.     

THE CAREER ATTAINMENT OF CAUCASIAN AND ASIAN ENGINEERS

This article explores the influence of race and nativity on the one hand and assimilation, human capital, and market structure on the other to explain patterns of income and career transitions of Caucasians and Asians in the engineering profession. Multiple and logistic regression techniques are employed to analyze the career histories of 12,200 Caucasian and Asian engineers followed from 1982 through 1986. The objective is to determine how well Asians have performed in the American engineering labor market in terms of wages, occupational status, and promotion in comparison to Caucasians. The results indicate more racial disparity in managerial representation and upward mobility than in earnings, and more disparity in career attainment between foreign-born Asians and Caucasians than between native-born Asians and Caucasians. The data suggest that Asian engineers, except recent immigrants, have achieved earnings parity but have not yet attained occupational equality with Caucasians.     

The renovative aspect of psychoanalytic reconstruction in psychotherapy

Reconstruction of the origins of present day psychic phenomena constitutes an essential component of psychoanalytically oriented treatment. The clinician seeks to help restore to the patient a picture of the past and to correct or revise those early impressions that have been distorted as a result of cognitive immaturity or altered by the employment of defense, fantasy, or compensatory adaptations. It is this renovative aspects of reconstruction which will be elaborated upon, drawing from the treatment of a borderline woman who, since childhood, had overly employed the autoerotic resources of her body to compensate for missed object experiences. Ultimately this effort came to block her development, distort organization, and compromise self valuation. By tracing her polymorphous perversity in adulthood back to its origins, it was possible to enable her to regard her responses to chronic childhood trauma in a new light. This in turn aided in the revision of the predominantly negatively coloured self representations, leading to more positive development in the narcissistic sphere of her personality.