Patterns of parental bereavement following the loss of a child and related factors

This study investigated the patterns of parental bereavement in 20 parents who have lost a child to cancer, congenital heart disease, meningitis, or drowning in the last 19 months, using semi-structured interviews and standardized questionnaires of depression and grief. Qualitative content analysis of interviews identified three bereavement patterns: The majority of parents (65%) presented uncomplicated, Integrated Grief five mothers were Consumed by Grief and one mother and one father expressed Minimal Grief. Quotes from parents exemplified these patterns. Parental gender, symptoms of depression, and pre-death relationship between parents and their deceased child differentially related to these patterns. Having surviving children, social support, and being active appeared to help to integrate grief into daily life. These findings illustrate differential patterns of parental bereavement and related factors, information that has important implications for identifying at-risk parents for complicated bereavement.     

Interparental Relations,Maternal Employment,and Fathering in Mexican American Families

This study examined independent and interactive relations between the interparental relationship and maternal employment in predicting fathering within low‐income, Mexican American two‐parent families (N = 115). Interparental conflict was negatively related to quality fathering, and these relations were noted only for single‐earner families. The parenting alliance was positively related to quality fathering irrespective of maternal employment. Fathering was associated with lower levels of child depression and conduct problems. Results suggest that bolstering quality fathering is a useful avenue for improving child well‐being and that strengthening the interparental relationship can support quality fathering and child mental health within Mexican American families.     

Cohesion and Enmeshment Revisited: Differentiation,Identity, and Well‐Being in Two European Cultures

We examined the nature and implications of family differentiation among adolescents facing a life transition in 2 European countries with differing family cultures. One hundred and twenty‐four Italian and 109 U.K. adolescents completed measures of family differentiation (cohesion and enmeshment), identity threat (perception of threat to the self associated with finishing school), life satisfaction, depressive symptoms, and anxiety. Confirmatory factor analyses showed that cohesion and enmeshment were distinguishable in both countries, orthogonal in the U.K. but positively correlated in Italy. Family cohesion was associated with better psychological well‐being in both countries; enmeshment was associated with poorer psychological well‐being in the U.K. but not in Italy. Structural equation models showed that effects on well‐being were fully mediated by identity threat in both cultures.     

Depression and childhood illness

Childhood depression as a component of the impact of childhood illness or developmental impairment on the latency age child is studied in relation to three diagnostic groups: children with asthma, cancer, and psychiatric diagnoses of behavioral disorders. The study revealed a range of coping styles to deal with the anxiety, loss and feelings induced by the specific crises. The special dimensions of stress and coping adaptations affected the child's developing self concept, the separation individuation process and the child-parent relationships. Depressive symptoms were variously present within and between the three groups of children.This study was funded, in part, by grants from the University of Michigan Medical School and the Horace Rackham Graduate School of the University of Michigan.     

Youth voice in service acceptability: Experiences of lesbian,gay, bisexual,and transgender adolescents

This study engaged lesbian, gay, bisexual, and transgender (LGBT) youths to tell their stories of satisfying and dissatisfying HIV-related service features and tapped into their common language when expressing satisfaction. Findings included youth agreement with six of the nine features proposed by adult experts and identification of “atmosphere,” the service feature encompassing the youths’ need to be themselves, to find comfort, and to socialize. Inclusion of youth voice in the design of a satisfaction survey highlighted those features most meaningful to these LGBT youths and added to the growing literature regarding power sharing with youths in health services evaluation.     

The Social Production of Invited Spaces: Toward an Understanding of the Invitational Character of Spaces for Citizens’ Initiatives

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - The rise of citizens’ initiatives is changing the relation between governments and citizens. This paper contributes...     

A Generalized Correlation Coefficient for the General Two-Treatment Crossover Design

This article extends the correlation methodology developed by Chinchilli et al. (2005 Chinchilli , V. M. , Phillips , B. R. , Mauger , D. T. , Szefler , S. J. ( 2005 ). A general class of correlation coefficients for the 2 × 2 crossover design . Biometr. J. 47 : 1 – 10 . [Google Scholar]) for the 2 × 2 crossover design to more complex crossover designs for clinical trials. We describe how the methodology can be adapted to a general type of two-treatment crossover design which includes either at least two sequences or at least two treatment periods or both. We then derive the asymptotic theory for the corresponding correlation statistics, investigate the statistical accuracy of the estimators via bootstrap analyses, and demonstrate their use with two real data examples.     

Exploring spirituality among youth in foster care: findings from the Casey Field Office Mental Health Study

This study examined spiritual coping mechanisms, beliefs about spirituality and participation in spiritual activities and in other positive activities among adolescents in foster care. A multidimensional measure of spirituality was developed for face-to-face interviews with 188 youth (ages 14–17) from diverse racial/ethnic backgrounds in the United States. Findings revealed 95% of youth believe in God, over 70% believe God is 'creator' and God is 'love', and 79% considered prayer a spiritual practice. Most youth said love and forgiveness help them heal. Two-thirds (67%) reported responding to 'bad or tragic things happening' by spending time alone, and over half responded by praying (59%) or sharing the problem with someone else (56%). Youth's top three spiritual goals were to follow God's plan for them, become a better person, and know their purpose in life. Based on the value youth ascribed to spiritual coping mechanisms, recommendations for policy and practice focus on the integration of spirituality into practice and caregiving for youth in foster care.