Public attitudes toward the use of psychiatric medications for children

Psychiatric medication use for children has increased dramatically over the past three decades. Despite substantial media attention to the issue, little is known about how the lay public feels about the use of psychiatric medications for children. Drawing on theories of medicalization, we describe and analyze Americans' attitudes towards the use of psychiatric medications generally and Prozac specifically for children described as having three types of behavioral problems. Using data from the 1998 General Social Survey's Pressing Issues in Health and Medical Care Module, we find that more Americans (57%) are willing to use psychiatric medications for children who have expressed suicidal statements than for "oppositional" behaviors (34.2%) or for hyperactivity (29.5%). Across the board, respondents are less willing to give Prozac than the general class of psychiatric medications. While socio-demographics do little to identify Americans with differing positions, the strongest and most consistent correlates of willingness to give psychiatric medications to children are trust in personal physicians, general attitudes towards psychiatric medications, and the respondent's expressed willingness to take psychiatric medications herself or himself.     

Out-of-Home Placement of Children and Economic Factors: An Empirical Analysis

In this paper, we use data from the National Longitudinal Survey of Youth (NLSY) to estimate the effects of income, maternal employment, family structure, and public policies on several measures of childrens living arrangements. We use both linear probability models and discrete-time event history models to explore the effects of these factors on: (1) the probability that a child is living out-of-home in a given year; (2) the probability that a child is removed from home in a given year, conditional on the child living at home in the previous year; (3) the probability that a child is removed from home for the first time; (4) the probability that a child is reunified with his/her biological parent(s) given that the child was living out-of-home in the previous year. We also analyze whether these estimates differ by types of out-of-home placements. Our results suggest that children from lower-income, single-mother, and mother–partner families are considerably more likely both to be living out-of-home and to be removed from home. A change in family structure also tends to place a child at higher risk of an out-of-home living arrangement, unless this transition functions to bring a childs father back into the household. Maternal work appears to increase the probability that a child lives at home. Additionally, once a removal has taken place, we do not find a relationship between income and the probability of a family reunification, but we do find that single-mother and mother–partner families are less likely to reunify. Finally, our analyses provide some evidence that welfare benefit levels are negatively related to out-of-home placements.Funding for this project was provided the National Institute of Child Health and Human Development through grant number 5 F32 HD044 302-02. We are grateful to Shoshana Grossbard-Shechtman, Jennifer Hill, Sanders Korenman, Leonard Lopoo, Katherine Magnuson, and Christina Paxson for their excellent comments and advice.JEL Classification: D10, I30, J13     

Aspects of guilt and self-reported substance use in adolescence

The use of addictive substances is undergoing moralization in American society-behaviors once viewed as personal preferences now carry moral significance. Research has shown that sociomoral emotions like guilt, thought to be reflective of one's internalized standards and societal mores, can be an important influence on behavior. The present study explored the relationship between college students' self-reports of adolescent substance use (cigarettes, alcohol, and marijuana) and scores on indices tapping different aspects of guilt (Standards, Situational, and Chronic Guilt). Participants were 230 undergraduate students (mean age = 19; 55 percent female; 69 percent White). Substance users had lower scores on Standards and Situational Guilt than non-users, but no difference was observed in Chronic Guilt. The present results suggest that a stronger internalization of societal standards, as reflected by higher scores on Standards and Situational Guilt, may prove a useful tool in the prevention of substance use.     

The effects of early maternal employment on child cognitive development

We investigated the effects of early maternal employment on children's cognitive outcomes, using data from the National Longitudinal Survey of Youth on 1,872 children who can be followed from birth to age 7 or 8. We found some persistent adverse effects of first-year maternal employment and some positive effects of second- and third-year maternal employment on cognitive outcomes for non-Hispanic white children, but not for African American or Hispanic children. These effects are present even after we controlled for a range of individual and family characteristics that affect child development, including those that are likely to be correlated with maternal employment, such as breast-feeding and the use of nonmaternal child care. Controlling for family fixed effects reduces the effects of early maternal employment on some cognitive outcomes but not on others.     

The influence of caregiving stressors, social support, and caregiving appraisal on marital functioning among African American wife caregivers

Using a stress and coping framework, we examined the influence of caregiving stressors, social support, and caregiving appraisal on the marital functioning of 100 African American wife caregivers. Results of separate multivariate analyses revealed received church support, caregiving burden, and caregiving satisfaction significantly predicted wives' marital functioning, when caregivers' background characteristics (age and education), length of caregiving, whether first marriage, and urban versus rural location were controlled. Receiving church support was associated with increased marital functioning. Lower levels of caregiving burden were associated with increased marital functioning. Higher levels of caregiving satisfaction were associated with increased marital functioning. Findings illuminate wives' caregiving and marital experiences, and have implications for family therapy and future research.     

Relationship to the bereaved and perceptions of severity of trauma differentiate elements of posttraumatic growth

The field of bereavement and grief has been expanding to recognise the potential for growth following the loss of a loved one. This study sought to examine the effect of the relationship to the deceased and perceptions of the severity of the trauma on dimensions of posttraumatic growth. Participants were 146 people who had lost either: a) a first degree relative, b) a second degree relative, or c) a non-related friend. Results demonstrated that both severity and the relationship to the bereaved differentiate posttraumatic growth outcomes. For example, participants who had lost a first degree relative reported higher levels of growth than those who had lost a second degree relative. Consistent with previous research in general trauma populations, the more severe the loss was rated, the higher the levels of growth. Implications for practice are discussed.     

Demanding work schedules and mental health in nursing assistants working in nursing homes

Nursing home assistants have physically and emotionally challenging jobs, and they often work demanding schedules in order to provide 24-h care. While the physical effects of demanding work schedules have been studied, little is known about the impact on mental health. This study explored the relationship between demanding scheduling variables and mental health indicators of depression, anxiety and somatization. A cross-section of 473 US female nursing assistants working in nursing homes was surveyed. Work schedule characteristics included shiftwork, hours per day and week, days per week, number of weekends per month, number of double shifts per month, breaks, and number of jobs worked. Working two or more double-shifts per month was associated with increased risk for all mental health indicators, and working 6–7 days per week was associated with depression and somatization. There was a trend for increasing odds of adverse mental health with increased numbers of demanding work schedule factors. The odds of depression was increased four-fold when working 50+ h/week, more than two weekends/month and more than two double shifts/month. Providing work schedules that are less unhealthy may have implications for both worker retention and the quality of care delivered to nursing home residents.     

DEPENDENCE AND INDEPENDENCE

The contributions that adult men and women make to households in terms of paid and unpaid work have undergone substantial change, particularly in respect of women's responsibility for income generation, and have been seen as part of the processes of individualization. Recent contributions to the literature have suggested that children are now acquiring independence earlier as part of those same processes. The paper uses qualitative methods to explore the way in which parents in two-parent families, where both are employed, perceive the risks attached to children's exercise of greater independence, how they seek to ‘manage’ those risks and how far the perceptions of parents accord with those of children. We find parents’ perceptions of risk to be strong, but to have little to do with working patterns. In addition, they are often at odds with the actual behaviour of the child. Risks are managed by negotiation, in which children played an active part. We are also able to make some preliminary comments on the difficulties of interpreting scale measures in relation to interview evidence.     

The Significance of Shift Work: Current Status and Future Directions

This paper provides a review and synthesis of research literature on the effects of shift work on workers’ physical health, mental health/well-being, and family life. The focus is on current knowledge, unanswered questions, and new directions for future research. The selection of research literature is guided by a general conceptual framework that identifies predictor variables, moderating variables, and outcome variables. The paper concludes with a discussion of the variables that should be incorporated into an agenda for future research.     

The effect of marital disruption on children’s health

This study uses retrospective illness histories to investigate whether children's health deteriorates after parental separation. Separation is associated with illness in a multivariate cross-sectional analysis as well as in an analysis of a sample of disrupted children only, in which illness rates before and after separation are compared. Three explanations are hypothesized: (1) divorce reduces the resources available to children, (2) the stress of divorce depletes children's health, and (3) frailer children are selected into divorce. The first hypothesis has stronger support than the second, but the data are too poor for a rigorous test of either. The selection hypothesis is not supported.