Surviving Involuntary Unemployment Together: The Role of Resilience-Promoting Communication in Familial and Committed Relationships

Involuntary unemployment is an unfortunate circumstance not only for those without meaningful work, but also for families, family relationships, and committed long-term relationships. To explore the role that communication plays in helping family partners demonstrate resilience (i.e., competence and adaptation throughout the experience of a stressor), while dealing with involuntary unemployment, the current study surveyed a sample of 111 recently unemployed, relationally involved participants. The majority of these participants self-reported as married (40.6%) or indicated serious commitment (38.6%) with their relational partner. Communication strategies perceived as contributing to resilience with their partner were measured as Resilience-Promoting Communication (RPC). Bootstrapping mediation analysis determined that RPC dimensions emphasizing respect/harmony, partnership and tension release contributed to mediation of the relationship between feelings about job loss on relational satisfaction and commitment. In addition, respect/harmony moderated the relationship between both unemployment affect and commitment and satisfaction. Civility moderated the relationship between unemployment affect and satisfaction. Implications of these findings for theory and for families dealing with unemployment are discussed.     

Culture-based versus risk-based screening for the prevention of group B streptococcal disease in newborns: A review of national guidelines

BackgroundMaternal colonisation with group B streptococcus (GBS) is recognised as the most frequent cause of severe early onset infection in newborns. National and international guidelines outline two approaches to the prevention of early onset disease in the neonate: risk based management and antenatal culture-based screening. We undertook an analysis of existing national and international guidelines in relation to GBS in pregnancy using a standardised and validated instrument to highlight the different recommended approaches to care.MethodsEnglish language guidelines on the screening and management of GBS colonisation in pregnant women and the prevention of early-onset group B streptococcal disease in newborns were sought.ResultsFour guidelines met the inclusion criteria, one from the United States of America (USA), the United Kingdom (UK), Canada and New Zealand. All four were appraised as at a high standard in terms of development using the AGREE II tool. Both approaches were recommended in the guidelines with different regions of the world advocating different approaches often based on the same evidence. Guidelines from the USA recommend an antenatal culture-based approach while the UK guidelines recommend risk-based management.ConclusionBased on an AGREE II analysis, the standard of the guidelines was high despite having disparate recommendations. Both approaches to the prevention of early onset GBS infection in neonates are recommended with the split being geographically-based.     

Epidemiological Associations between Gambling Behavior, Substance Use & Mood and Anxiety Disorders

Objective To compare gambling behaviors in a random sample of community residents with and without mental disorders identified by the Composite International Diagnostic Interview (CIDI).Method A large national community survey conducted by Statistics Canada included questions about problems arising from gambling activities as per the Canadian Problem Gambling Index (CPGI). We compared respondents within three gambling severity categories (non-problem, low severity and moderate/high severity gambling) across three diagnostic groupings (mood/anxiety disorders, substance dependence/harmful alcohol use, no selected psychiatric disorder).Results Of the 14,934 respondents age 18–64 years who engaged in at least one type of gambling activity in the previous 12 months, 5.8% fell in the low severity gambling category while 2.9% fell in the moderate/high severity category. Females accounted for 51.7% of the sample. The risk of moderate/high severity gambling was 1.7 times higher in persons with mood or anxiety disorder compared to persons with no selected disorder. For persons with substance dependence or harmful alcohol use, the risk of moderate/high severity gambling was 2.9 times higher. Persons with both mood/anxiety and substance/alcohol disorders were five times more likely to be moderate/high severity gamblers. The odds ratio for females was 0.6 and for those with less than post-secondary education it was 1.52. Differences in age and personal income were not significant.Conclusions Individuals in the community suffering from mood/anxiety disorders and substance dependence/harmful alcohol, and especially those with both, experience a higher risk for gambling problems. The treatment of these comorbidities should be integrated into any problem gambling treatment program.Disclaimer: The data upon which of the analyses contained in this paper derive from surveys conducted by Statistics Canada. The opinions expressed in this paper do not represent the opinions of Statistics Canada.     

What have you done for me lately? Charisma attenuates the decline in U.S. presidential approval over time

Using archival data for a sample of U.S. presidents, evidence was found for a honeymoon and hangover effect in approval ratings over time. That is, presidential approval tended to be high early in the president's term and decrease over time. The effect of time on approval persisted even when military and economic indicators were included as predictors of presidential approval. More importantly, the effect of time on approval was moderated by charisma, such that charismatic leaders better maintained their approval rating over time. We take this as evidence that the honeymoon/hangover effect on presidential approval is substantively meaningful from a psychological perspective.     

The Contribution of Social Movement Theory to Understanding Terrorism

The study of terrorism and political violence has been characterized by a lack of generalizable theory and methodology. This essay proposes that social movement theory can contribute a necessary conceptual framework for understanding terrorism and thus reviews the relevant literature and discusses possible applications. Terrorism is a form of contentious politics, analyzable with the basic social movement approach of mobilizing resources, political opportunity structure, and framing. Cultural perspectives call attention to issues of collective identity that allow for sustained militancy, and movement research recommends alternative conceptions of terrorist networks. Previous research on movement radicalization, repression, and cycles of contention has direct bearing on militancy. Emerging perspectives on transnational collective action and the diffusion of tactics and issues informs an understanding of contemporary international terrorism. Research on movement outcomes suggests broader ways of considering the efficacy of political violence. Finally, methodological debates within the study of social movements are relevant for research on terrorism. In sum, a social movement approach to terrorism has much to contribute, and research on terrorism could have important extensions and implications for social movement theory.     

Social Context of Smoking Hookah Among College Students: Scale Development and Validation

Abstract

Objective: To develop an instrument that measures the social context of hookah use among college students. Participants: A pool of 50 potential items, based on 44 in-depth interviews with regular college hookah smokers, was administered to a sample of 274 hookah users between October and December 2011. Methods: Participants were approached in hookah bars and asked to complete the survey. Results: A principle components analysis revealed 3 reliable factors: social facilitation, family/cultural influence, and alternative to smoking cigarettes and drinking. These were examined across different categories of hookah use: Weekly hookah users were more likely to smoke in a context of social facilitation than the other 2 groups. Similar effects were observed for family/cultural influence. Asians were more likely to smoke in a context of family and cultural influence than non-Asians. Conclusions: This scale has potential for identifying situation-specific contexts of hookah use that may help in designing effective interventions for college students.     

Bundling services saves everybody time

From a practical viewpoint, the close relationships among utilization review, quality assurance/improvement, infection control, discharge planning, social services, and medical records makes it impossible to separate them. Case management combines these traditionally isolated hospital functions into one department in order to perform many related functions simultaneously. It provides a much more effective and efficient method than can be accomplished by the traditional institutional approach.     

EMPLOYER CHOICES IN EAP DESIGN AND WORKSITE SERVICES

In today's complex private healthcare market, employers have varied preferences for particular features of behavioral health products such as Employee Assistance Programs (EAPs). Factors which may influence these preferences include: establishment size, type of organization, industry, workplace substance abuse regulations, and structure of health insurance benefits. This study of 103 large employer purchasers from a single managed behavioral healthcare organization investigated the impact of such variables on the EAP features that employers select to provide to workers and their families. Our findings indicate that for this group of employers, preferences for the type and delivery mode of EAP counseling services are fairly universal, while number of sessions provided and choices for EAP-provided worksite activities are much more varied, and may be more reflective of the diverse characteristics, organizational missions and workplace culture found among larger employers in the US.