Revisiting the biological perspective in the use of biopsychosocial assessments in social work

ABSTRACT

The call for increased attention to the biopsychosocial perspective in social work practice is now decades old in the USA. And yet the challenge of teaching and learning from this perspective for those with limited background in biology calls for more inter-disciplinary examples to assist students with the process of engaging in theory-informed practice. In addition to identifying the key elements of human biology, this review of the literature focuses on four examples of client behaviors that receive little or no attention in most current textbooks on the inter-disciplinary nature of human behavior in the social environment; namely, the psychobiology of sleep, the sociobiology of eating, the neurobiology of post-partum depression, and the behavioral endocrinology of menopause. This review concludes with implications for practice.     

Friendsourcing Peer Support for Alzheimer’s Caregivers Using Facebook Social Media

ABSTRACT

This research piloted an e-health intervention that used social media to friendsource peer support for Alzheimer’s disease (AD) caregivers. Friendsourcing is a variant of crowdsourcing. Crowdsourcing recruits online participants who share a characteristic that makes their volunteerism meaningful when they join to achieve an outcome. Friendsourcing recruits online participants who share membership in a social network that makes their volunteerism meaningful when they join to achieve an outcome. This article introduces our friendsourcing intervention research and examines the effects on the psychological well-being of AD caregivers. After a 6-week intervention, caregivers were found to have significantly decreased burden (Z?=??2.01, p?<?.05) and perceived stress (Z?=??2.95, p?<?.01). Emotional and informational support scores were significantly increased (Z?=??2.32, p?<?.05). Qualitative data analysis of the intervention identified positive effects in new caregiving knowledge acquisition and application and reduced stress in the acceptance of the caregiving role. Joining social networks in support groups through friendsourcing was feasible for AD caregivers who were familiar with social media, and can provide another means of guiding the development of their personal support networks.     

Migration and mobility on the Amazon frontier

Migration patterns within tropical forest frontiers are highly complex and multidirectional, with movements to, from, and within these regions likely driven by different macro and micro factors. As such, several different conceptual models have been suggested to explain these dynamics. This paper uses data from a panel survey of households in a frontier region of the western Brazilian Amazon along with “second hand” reports on where people have moved to evaluate these conceptual models. Our rich data set, collected over nearly a decade from hundreds of households, allows us to compare households who arrived at different ages to assess predictions of the life cycle hypothesis; those who have been in the state (or on their properties) for different numbers of years to investigate the turnover hypothesis; those who arrived with different levels of capital to examine path dependence as suggested by conceptual models that focus on wealth dynamics; and the destination and purpose for moves from and within the study region to look for evidence of the frontier expansion hypothesis. We do not find any evidence for the turnover hypothesis, perhaps due to the favorable biophysical and market conditions in our study region. However, patterns in this region are consistent with all of the other conceptual models, reflecting the overlapping theoretical foundations of the models, and the complexity of migration and mobility on the frontier.     

Maternal Education, Birth Weight, and Infant Mortality in the United States

This research determines whether the observed decline in infant mortality with socioeconomic level, operationalized as maternal education (dichotomized as college or more, versus high school or less), is due to its “indirect” effect (operating through birth weight) and/or to its “direct” effect (independent of birth weight). The data used are the 2001 U.S. national African American, Mexican American, and European American birth cohorts by sex. The analysis explores the birth outcomes of infants undergoing normal and compromised fetal development separately by using covariate density defined mixture of logistic regressions (CDDmlr). Among normal births, mean birth weight increases significantly (by 27–108 g) with higher maternal education. Mortality declines significantly (by a factor of 0.40–0.96) through the direct effect of education. The indirect effect of education among normal births is small but significant in three cohorts. Furthermore, the indirect effect of maternal education tends to increase mortality despite improved birth weight. Among compromised births, education has small and inconsistent effects on birth weight and infant mortality. Overall, our results are consistent with the view that the decrease in infant death by socioeconomic level is not mediated by improved birth weight. Interventions targeting birth weight may not result in lower infant mortality.     

Game On: Diminishing Risks for Depressive Symptoms in Early Adolescence Through Positive Involvement in Team Sports

While research shows that low levels of social acceptance and elevated body dissatisfaction increase risks for depressive symptoms among both girls and boys, little is known about protective factors that can mediate these risks. We test the hypothesis that positive team sports involvement mediates the effects of these risks on depression in a cross‐sectional study involving a diverse group of 449 Canadian students (49.7% girls) recruited from grades 8 to 10. Findings showed that positive team sports involvement partially mediated risks for depressive symptoms for both boys and girls. Implications for community‐ and school‐based sports programs are discussed.     

Receptive Grammatical Knowledge of Familiar Content Words and Inflection in 16‐Month‐Olds

This study examines 16‐month‐olds' understanding of word order and inflectional properties of familiar nouns and verbs. Infants preferred grammatical sentences over ungrammatical sentences when the ungrammaticality was cued by both misplaced inflection and word order reversal of nouns and verbs. Infants were also sensitive to inflection alone as a cue to grammaticality, but not word order alone. The preference for grammatical sentence forms was also disrupted when adjacent function word cues were removed from the stimuli, and when familiar content words were replaced by nonce words. These results suggest that sensitivity to the relationship between functional morphemes and content words, rather than sensitivity to either independently, drives the development of early grammatical knowledge. Furthermore, infants showed some ability to generalize from familiar to nonce content word contexts.     

Changing work, changing health: can real work-time flexibility promote health behaviors and well-being?

This article investigates a change in the structuring of work time, using a natural experiment to test whether participation in a corporate initiative (Results Only Work Environment; ROWE) predicts corresponding changes in health-related outcomes. Drawing on job strain and stress process models, we theorize greater schedule control and reduced work-family conflict as key mechanisms linking this initiative with health outcomes. Longitudinal survey data from 659 employees at a corporate headquarters shows that ROWE predicts changes in health-related behaviors, including almost an extra hour of sleep on work nights. Increasing employees' schedule control and reducing their work-family conflict are key mechanisms linking the ROWE innovation with changes in employees' health behaviors; they also predict changes in well-being measures, providing indirect links between ROWE and well-being. This study demonstrates that organizational changes in the structuring of time can promote employee wellness, particularly in terms of prevention behaviors.     

Does Enhancing Work-Time Control and Flexibility Reduce Turnover? A Naturally Occurring Experiment

We investigate the turnover effects of an organizational innovation (ROWE-Results Only Work Environment) aimed at moving away from standard time practices to focus on results rather than time spent at work. To model rates of turnover, we draw on survey data from a sample of employees at a corporate headquarters (N = 775) and institutional records of turnover over eight months following the ROWE implementation. We find the odds of turnover are indeed lower for employees participating in the ROWE initiative, which offers employees greater work-time control and flexibility, and that this is the case regardless of employees' gender, age, or family life stage. ROWE also moderates the turnover effects of organizational tenure and negative home-to-work spillover, physical symptoms, and job insecurity, with those in ROWE who report these situations generally less likely to leave the organization. Additionally, ROWE reduces turnover intentions among those remaining with the corporation. This research moves the "opting-out" argument from one of private troubles to an issue of greater employee work-time control and flexibility by showing that an organizational policy initiative can reduce turnover.     

Telepsychiatry for children and adolescents

The shortage and inadequate distribution of psychiatric care providers decreases access to mental health care for children and adolescents. One solution to the shortage is telepsychiatry. Studies of telepsychiatry show that it is effective and well received by both clinicians and patients. Despite its obvious benefits, challenges to the use of telepsychiatry remain.