A study of the relationship between protective behaviors and drinking consequences among undergraduate college students

The authors identified the number, type, and frequency of protective behaviors that undergraduate college students who consume alcohol use to prevent alcohol-related consequences. Their hypothesis was that students who engage in more types of protective behaviors with greater frequency would be less likely to experience alcohol-related consequences. Participants consisted of a randomly selected sample of 1,355 undergraduates aged 18 years and older at a large public university. Students completed a mailed questionnaire on alcohol and health behaviors in spring 2002. The findings (after adjustment for covariates) indicated that self-protective behaviors are inversely associated with alcohol-related problems for women but not for men. The influences of gender and racial and ethnic differences are considered in relation to prevention and intervention programs aimed at reducing alcohol-related consequences on college campuses.     

Multiple sexual victimizations among adolescent boys and girls: prevalence and associations with eating behaviors and psychological health

The purpose of this study was to assess the prevalence of sexual abuse, including multiple victimizations, among adolescents and to examine associations among history of sexual abuse, disordered eating behaviors and psychological health. The sample included 81,247 students (40,946 girls and 40,301 boys) in 9th and 12th grade in Minnesota public schools. Sexual abuse was reported by 14.7% of girls and 6.2% of boys. Sexual abuse was associated with unhealthy eating behaviors, suicidal thoughts and attempts, and lower emotional well-being and self-esteem. Students who reported a single or multiple forms of sexual abuse were more likely than their non-abused peers to binge-eat (Odds Ratio: girls = 1.93-2.32; boys = 2.26-5.61), fast (OR: girls = 1.68-2.34; boys = 1.33-2.32), use diet pills (OR: girls = 1.50-4.30; boys = 2.99-17.29) or laxatives (OR: girls = 1.87-5.11; boys = 3.89-29.22), vomit (OR: girls = 1.75-4.06; boys = 2.82-24.16), and have suicidal thoughts/attempts (OR: girls = 3.01-6.12; boys = 3.35-9.46). Boys and girls reporting multiple sexual victimizations and had the highest odds ratios for disordered eating behaviors. Future research should explore strategies for primary prevention of revictimization and secondary prevention of detrimental effects of abuse.     

Accountability in research using persons with mental illness

Although medical research involving the use of persons with mental illness is critically important, in order for the research to be ethical and legal there are certain considerations and restrictions which should be immediately readdressed in order to insure that the welfare of these vulnerable research subjects is protected, and their best interests are assured. A brief historical examination of medical research codes, guidelines, recommendations and Federal Regulations reveals the various considerations and restrictions on informed consent and accountability applicable to the use of persons with mental illness in medical research. Several concerns are raised about how these considerations and restrictions have been interpreted, and specific recommendations are offered to improve them immediately by means of representation from consumers and/or their families, and organizations, e.g., NAMI members.     

Prejudice Exposed On Stephen Mitchell's Pioneering Investigations of the Psychoanalytic Treatment and Mistreatment of Homosexuality

Stephen Mitchell's two early papers on the psychoanalytic theory and treatment of homosexuality show characteristic Mitchell qualities—an astounding intelligence, a theoretical syncretism, an unusual ability to fine tune his sense of clinical case examples to particular theories. Surprisingly, they also show a serious commitment to some of the principles of ego psychology. In these papers, Mitchell is perhaps the first analyst to challenge the distinctly unpsychoanalytic pathologizing of all homosexual orientation based on developmental origins characteristic of all sexualities, as well as the distinctly unpsychoanalytic clinical practice of trying to change sexual orientation and behavior in patients rather than helping them to achieve self-understanding and the diminution of conflict.     

Early Childhood Developmental and Nutritional Training for Foster Parents

This exploratory study examined the effectiveness of a foster parent nutrition training program. Conducted in collaboration between Woman, Infants and Children (WIC) and a state foster care licensing agency, the study involved providing an intensive training to 11 self-selected foster parents. The participants completed pre-tests and post-tests related to their level of knowledge and comfort in the area of infant nutritional needs. Paired t-tests detected significant differences before and after the intervention, with participants reporting improved knowledge and understanding. While the sample was small and voluntary, the authors feel these pilot results merit further attention in the areas of practice and research.     

Improving the accuracy of migration age detail in multiple-area population forecasts

Population projections are often required for many geographical areas, and must be prepared with maximal computer and minimal analytical effort. At the same time, realistic age detail forecasts require a flexible means of treating age-specific net migration. This report presents a migration projection technique compatible with these constraints. A simplified version of Pittenger's model is used, where future migration patterns are automatically assigned from characteristics of historical patterns. A comparative test of age pattern accuracy for 1970–1980 indicates that this technique is superior to the commonly used plus-minus adjustment to historical rates.     

Examining the link between program implementation and behavior outcomes in the lifestyle education for activity program (LEAP)

Lifestyle Education for Activity Program (LEAP) was a comprehensive, school-based intervention designed to promote physical activity in high school girls. The intervention focused on changes in instructional practices and the school environment to affect personal, social, and environmental factors related to physical activity. Multiple process evaluation tools and an organizational assessment tool were developed to monitor program implementation from a framework called the LEAP essential elements, which characterized complete and acceptable intervention delivery; secular trends were also monitored. Using process data, LEAP intervention schools were categorized into low- and high-implementing groups and compared with control schools on nine essential elements assessed at the organizational level. The Wilcoxon scores test revealed that low- and high-implementing intervention, and control schools differed significantly on two of nine administrator-reported organizational-level components: having a physical activity team and having a faculty-staff health promotion program. A mixed-model analysis of covariance indicated that, compared to control schools, a greater percentage of girls in high-implementing schools reported engaging in vigorous physical activity. Process evaluation can be used to understand the relationship between level of implementation and successful program outcome.     

Isotontic regression for interval censored survival data using an e-m algorithm

This paper develops a nonparametric model of the relationship between survival S and a dichotomous random variable X under the order constraint that P(X=1|S=s) is increasing (or decreasing) with s. The estimation procedure, called isotonic regression, has been studied in some depth for the case of uncensored data, but we give a methodology which is appropriate in the more general context of right, left, and interval censored data. An E-M Algorithm (Dempster et. al., 1977) is used for maximum likelihood estimation.