Overcoming Barriers to Using Empirically Supported Therapies to Treat Childhood Anxiety Disorders in Social Work Practice

Anxiety disorders are among the most common psychiatric disorders in children and adolescents. Most empirically supported treatments (ESTs) for pediatric anxiety disorders include various cognitive-behavioral methods. Although demonstrated efficacious in controlled and clinic settings, there are barriers to implementing these types of therapies in social work settings due to beliefs about the usefulness of ESTs in community settings; limitations of treatment manuals; time constraints of implementing ESTs; fidelity and flexibility of implementing ESTs; and limited training opportunities. This article provides an overview of ESTs for childhood anxiety disorders, highlighting options for overcoming common barriers to implementing ESTs. Collaborative multi-method approaches to advance implementation of ESTs in social work practice are suggested.     

Making Implementation More Democratic through Action Implementation Research

Public administration scholars often associate increased publicparticipation in policy implementation with the advancementof democratic values. Likewise, scholars engaged in the variousforms of action research (AR) promote their efforts as a meansto democratizing the research process or contributing to improvedsocial outcomes. Despite these common interests in participationand democracy, there have been few attempts to apply AR methodsto policy implementation problems. Drawing on Matland's conflict-ambiguitymatrix, we develop a framework for matching particular AR methodsto specific policy implementation contexts.     

Impulse Control Disorder Behaviors Associated with Pramipexole Used to Treat Fibromyalgia

Objective: Compulsivity has been associated with use of dopamine agonists used to treat Parkinson’s disease (PD). Increasing use of these agents to treat fibromyalgia (FM) raises concern for this unexpected toxicity in a new group of patients. This is the first report of compulsive gambling and shopping among patients taking dopamine agonists for treatment of FM. Design: A retrospective chart review of all patients in a large, active FM research practice was used to identify compulsivity associated with dopamine agonists and describe its remission following dug withdrawal. Results: Of 3006 patients with FM treated between 2002 and 2006, 1356 had taken ≥1 dose of a dopamine agonist ( >95% pramipexole). Twenty-one (3 male, 18 female) were identified with compulsive gambling (33%), shopping (40%) or both (27%) after taking a 4.5 mg mean dose of pramipexole at bedtime for 14.4 ± 14.9 months. Compulsivity resolved in 3–10 days for 19 of 21 patients and by 3 months for all following a monitored, compulsory tapered discontinuation over 7 days. Conclusions: While biologic aspects of PD and FM differ considerably, compulsive gambling and shopping have become important, yet unexpected concerns related to use of dopamine agonists for patients with FM and their treating clinicians.     

Barriers to Help-seeking for a Gambling Problem: The Experiences of Gamblers Who Have Sought Specialist Assistance and the Perceptions of Those Who Have Not

This paper presents barriers to help-seeking data as reported by users of a national gambling helpline (help-seekers, HS, N = 125) as well as data pertaining to perceived barriers to seeking help as reported by gamblers recruited from the general population (non-help-seekers, NHS, N = 104). All data were collected via a structured, multi-modal survey. When asked to identify actual or perceived barriers to seeking help, responses indicative of pride (78% of HS participants, 84% of NHS participants), shame (73% of HS participants, 84% of NHS participants) or denial (87% of NHS participants) were most frequently reported. These three factors were also most often identified as the real or perceived primary barrier to help-seeking (collectively accounting for 55% of HS, and 60% of NHS, responses to this question) and were the only barriers to be identified by more than 10% of either HS and NHS participants without prompting. It was of note, however, that participants in both groups identified multiple barriers to help-seeking (mean of 6.7 and 12.2, respectively) and that, when presented with a list of 21 possible barrier items, NHS participants endorsed 19 of the listed items significantly more often than their HS counterparts. The implications of these findings, with respect to promoting greater or earlier help-seeking activity amongst problem gamblers, are discussed.

Implications of Ethnic Identity Exploration and Ethnic Identity Affirmation and Belonging for Intergroup Attitudes Among Adolescents

The present paper develops and tests two temporal models of the relationships among adolescents' ethnic identity exploration, ethnic identity affirmation and belonging, and attitudes toward their racial/ethnic ingroup and outgroups. Structural equation models for Euro‐Americans, Asian Americans, and Latinos revealed that all hypothesized relationships were positive and significant. The model in which ethnic identity exploration (at Time 1) predicts ethnic identity affirmation and belonging (at Time 2) was superior to the alternative model in which the relationship between them was reversed (i.e., affirmation and belonging at Time 1 predicts exploration at Time 2). Results (1) support the importance of exploration as a basis for establishing a secure attachment to one's ethnic identity, which, in turn, has positive implications for attitudes toward one's own group and other groups and (2) suggest that maintenance of ethnic identity is compatible with positive attitudes toward ethnic outgroups.     

Wealth Holdings and Portfolio Allocation of the Elderly: The Role of Marital History

This paper investigates the role of marital history in terms of explaining differences in wealth holdings and portfolio allocation of older individuals by studying data from the first wave of Health and Retirement Study which was conducted in 1992. The results generally suggest that both men and women suffer from the negative shocks of past marital dissolutions in terms of household wealth accumulation. The significance level, however, differs across currently married couples, single males, and single females. The examination of the asset components of net worth also indicates that both the probability of owning a particular asset and the fraction of wealth allocated to that asset might vary depending on the elderly individuals’ marital history.

Professors,Ideology and Housework

This paper presents, for the first time, multivariate analyses of Canadian national data and tests the relationship between class-based egalitarianism and housework for married and cohabiting male and female university professors in 2000. Consistent with evidence in the general population, gender accounts for more variation in housework than a host of other predictors (i.e., class- and gender-based ideology, institutional contexts and resources, available time, presence of children, age, minority racial status, and religiosity). Nevertheless, these forces play important roles in increasing or decreasing domestic labor contributions of both male and female academics. Among these, professors who possess class-based egalitarian views do more housework, and egalitarianism increases domestic labor contributions of males and decreases that of females.     

Some indications of limits to framing the policy preferences of the civically engaged: Interplay of social capital,race attitudes,and social justice frames

Our experiment, which tested support for a hypothetical social welfare program, found that the civically engaged as a whole were resistant to social justice framing employing universalistic versus particularistic standards. We suggest the lack of a framing effect was due to the use of a preexisting, shared “symbolic racism” frame. Social justice framing did succeed for those whose attitudes toward symbolic racism were ambivalent or neutral. Other factors including sex, income level, political participation, and ideology significantly influenced choice. These results provide some indications of limits to experimental framing of policy preferences of the civically engaged in their institutional settings.     

Do Work Demands and Resources Predict Work-to-Family Conflict and Facilitation? A Study of Iranian Male Employees

This study examined the effects of some work demands-resources on two dimensions of work-to-family interface among Iranian employees. The results of canonical correlation and multiple-regression showed that among work resources (i.e., social support and autonomy), social support was associated negatively with work-to-family conflict and autonomy was associated positively with work-to-family facilitation. Also, among work demands (i.e., job demands and working hours), job demands were associated with both work-to-family conflict and work-to-family facilitation. Unlike previous studies, working hours shows a positive association with work-to-family facilitation, which may be explained by the specific cultural context in Iran. The findings of the study will be of importance to employees and organizations.

Development of Vocal Protests From 3 to 18 Months

Infants often protest the activities of their caregivers, and this particular social interaction may provide an important window on early communication and its development. This study used naturalistic methods to investigate the development of vocal protests. Fifteen mother‐infant dyads at each of 5 ages, from 3 to 18 months, were observed at home. Maternal behaviors of caregiving and prohibiting were tallied from videotapes, as were infants' protests of these behaviors. Maternal caregiving decreased with age, but maternal prohibitions increased. There were no changes over age in the probability of protesting maternal caregiving behavior; however, 12‐month‐olds were more likely to protest prohibitions than 6‐ or 8‐month‐olds. Older infants were also more likely to use intense protests, such as screams, than younger infants. These age‐related changes were mirrored by the differences in prohibitions and protests observed between 8‐month‐olds who could crawl and those who could not. Findings from this study were related to previous research on infant crying as an important part of the prelinguistic communication system.