A pilot study of CBT versus escitalopram combined with CBT in the treatment of pathological gamblers

We conducted a randomised controlled trial pilot study (N = 30) with two treatment groups: (1) Manualised cognitive behavioural therapy (CBT) (n = 15) and (2) escitalopram combined with CBT (n = 15). Treatment was administered individually and the CBT included weekly sessions for eight consecutive weeks. The treatment with escitalopram lasted for a minimum of 16 weeks (20 mg/day), with an optional continuation for a 6-month follow-up period. Repeated measures ANOVA with modified intent-to-treat analyses were conducted. Results showed significant time effects on all measures for both treatment conditions, although no significant group or time × group effects. The results indicated that both treatments were effective in the short term (effect sizes (ES) ranging from 0.45 to 0.91 for the CBT group and 0.27 to 0.72 for the escitalopram+CBT group), and that adding CBT to escitalopram had no additional statistically significant effect (between-group ES of 0.11 and 0.29 for primary outcome measures at 16-weeks post-treatment).     

The Role of Quality of Life Surveys in Managing Change in Democratic Transitions: The South African Case

The South African Quality of Life Project hastracked subjective well-being, lifesatisfaction and happiness, since the earlyeighties at the national level. In mostdemocratic countries around the globe, theaverage citizen says he or she is satisfiedwith life in general. In South Africa this isnot the case. Since the early 1980s, thetrend study shows up disparities between onesector of the South African population that issatisfied with life in general and variousaspects of life and another sector that is verydissatisfied. Generally, the better-off reporthigher levels of satisfaction and happinessthan the worse-off.The most plausible explanation for the SouthAfrican quality-of-life constellation is thehuge gap in living standards between rich andpoor, a legacy of the apartheid era, whichdiscriminated against blacks and to a lesserextent against Indian and coloured people.Euphoria following on the first democraticelections in April 1994, which registeredequally high aggregate levels of happiness andlife satisfaction among all sectors of thepopulation, was short-lived. Under democracy,expectations ``for a better life for all'’, theelection slogans for the 1994 and 1999 generalelections, has risen. South Africa has one ofthe most enlightened constitutions, whichguarantees basic human rights and supportsadvancement of the previously disadvantaged. Aslong as South Africans perceive barriers toaccessing the material rewards of democracy,they do not see justice has been done.South Africa is currently grappling withproblems common to other societies intransition to democracy. Since 1994, governmentprogrammes and policies have been devised toaddress the critical twin problems of povertyand inequality in society. The latest round ofresearch for the South African Quality of LifeTrends Project probes popular assessments ofthe policies and programmes aimed at improvingthe quality of life of ordinary South Africans.Interviews with a panel of 25 opinion leadersin the run-up to the June 1999 generalelections were followed by a nationallyrepresentative opinion survey in October 1999.The paper outlines the role of socialindicators in monitoring quality of life inSouth Africa and reports findings from theelite and rank-and-file surveys. Generally, thewinners and losers in the new politicaldispensation see changes from a differentperspective. The disadvantaged are more likelyto have seen material gains and recommendincreased delivery of services andopportunities for social mobility. Theadvantaged, who have mainly experiencednon-material or no gains since 1994, are morelikely to be pessimistic about the future. Itis concluded that the groundswell of optimismwill sustain the majority of South Africans whoare still dissatisfied with life until theirdreams of the good life are fulfilled.     

Life Paths of Migrants: A Sequence Analysis of Polish Migrants’ Family Life Trajectories

After Poland’s accession to the European Union in 2004, Polish migration within Europe has increased considerably. Still, little is known about this large and growing group of immigrants. Using unique panel data from the Dutch population registers, we first apply sequence analysis to explore and describe the variety of family life courses among young adult (aged 20–30 at migration) Polish migrants in the Netherlands. Each individual family life career is followed for a 5-year period on a monthly time base. Optimal matching analysis is applied to compute (dis)similarities between individuals, in order to cluster into predominant life paths. Second, a series of logistic regression analyses were carried out to determine the main factors of importance on the different family life paths. Findings showed a strong impact of the partner’s origin on the type of union and likelihood of return migration. Unemployment was found to be another important trigger of return migration. With regard to gender differences, we found that men are more likely to remain single and to leave the Netherlands at some point, while women more often cohabit and tend to stay.