Victimization and posttraumatic stress disorder among runaway and homeless adolescents

This article presents lifetime and 12-month prevalence rates and comorbidity for posttraumatic stress disorder (PTSD) among a sample of 428 homeless and runaway adolescents. Data are from baseline interviews of a longitudinal diagnostic study of 428 (187 males; 241 females) homeless and runaway adolescents aged 16-19 years (mean age = 17.4 years, SD = 1.05). The data were collected by full-time street interviewers on the streets and in shelters in eight Midwestern cities of various populations. About one-third (35.5%) of the runaways met lifetime criteria for PTSD and 16.1% met 12-month criteria for the disorder. More than 90% of the adolescents who met criteria for PTSD met criteria for at least one of the other four diagnoses. Multivariate analyses indicated that correlates of PTSD were age of adolescent, being female, having experienced serious physical abuse and/or sexual abuse from an adult caretaker, and having been assaulted or injured by weapon when on the street. The multiplicative interaction between sexual abuse by caretaker and sexual assault when the adolescents were on their own was statistically significant, indicating that rape victims were highly likely to meet criteria for PTSD regardless of early sexual abuse. At very high levels of early sexual abuse, the probability of meeting criteria for PTSD converges with that for sexual assault victims.     

Preliminary report on the Accountability Scale: a change and outcome measure for intimate partner violence research

The current study investigated the reliability of a new self-report questionnaire assessing accountability for the perpetration of intimate partner violence. The Accountability Scale (AS) is a brief, Likert-type measure designed to assess the degree to which perpetrators acknowledge and accept responsibility for their violent actions. In Study #1, an exploratory factor analysis on a clinical sample revealed two factors: Acknowledging Harm and Internalizing Responsibility. In Study #2, the factor structure was replicated on a community sample using confirmatory factor analysis, revealing an 11-item solution. Factor 1 was related to readiness to change but negatively related to social desirability, suggesting convergent and discriminant validity of that subscale. Factor 2 was negatively related to Factor 1 in the community sample, calling into question the construct of accountability. Preliminary evidence suggests that the AS shows promise as a brief and reliable tool to assess forms of accountability. Future research will examine if the two factors of accountability function as mechanisms of change and outcome measures in intimate partner violence intervention research.     

Cytochrome P450 testing for better psychiatric care

Genotyping for CYP2D6 and CYP2C19 variations is emerging as a potentially useful clinical tool to help mental health professionals prescribe psychiatric medications for their patients. Cytochrome P450 testing uses a blood sample to determine an individual's required dosage of identified drugs that are metabolized by the two enzymes. To provide care for patients and families, nurses should be able to demonstrate identified essential nursing competencies related to genetics and genomics, which include an understanding of cytochrome P450 testing. As patient advocates, nurses are expected to understand how to identify patients most likely to benefit from CYP2D6 and CYP2C19 testing, how to ensure informed consent for such testing, and how to educate patients about testing and test results.     

Coparenting and Nonresident Fathers' Monetary Contributions to Their Children

The percentage of children in the United States living apart from their biological father has increased, while public assistance for single mothers has diminished. This has resulted in a need to better understand and promote nonresident fathers' economic support of their children. In the present study the author used data from the Fragile Families and Child Wellbeing Study (N = 1,752) to examine how coparenting—the degree to which parents are mutually supportive and cooperative in raising their child—is related to nonresident fathers' monetary contributions. Results from pooled regression and fixed effects models indicate that coparenting is positively associated with fathers' likelihood of paying formal and informal child support and the amount of these payments. Findings from cross‐lagged structural equation models suggest that the association between coparenting and fathers' payments is reciprocal but that coparenting has a stronger effect on fathers' payments than fathers' payments do on coparenting.     

Evaluating multisystemic efforts to impact disproportionality through key decision points

Working in four communities, Casey Foundation/Center for the Study of Social Policy (CSSP) Alliance on Racial Equity (the Alliance) have developed a Racial Equity Scorecard for measuring disproportionality at key decision points for use in impacting disproportionality in the child welfare system. The four communities include King County, Washington; Guilford County, North Carolina; Ramsey County, Minnesota; and Woodbury County, Iowa. Data from one site--Woodbury County, Iowa--are used as an example. This article provides the background and method for identification and measurement of key decision points in the child welfare system to track change effected by multisystemic approaches to reduce disproportionality. Interpretation of the results in the scorecard is provided and recommendations for future interventions based on the data are discussed.     

Emotional intelligence: a moderator of perceived alcohol peer norms and alcohol use

This study investigated the roles of emotional intelligence and perceived alcohol peer norms in relation to alcohol use. Two hundred and forty-two undergraduates completed the Campus Survey of Alcohol and Other Drug Norms (Core Institute, 1997) and the Emotional Intelligence Scale (Schutte, Malouff, Hall, Haggerty, & Cooper, 1998). Contrary to emerging research findings, emotional intelligence (EI) was not directly associated with the study's alcohol-use variables. However, the moderating role of EI was supported in the relationship between perceived alcohol peer norms and students' alcohol use. Among college students with lower EI, there was a significantly stronger association between these variables, compared to students with higher EI.     

Towards the Development of Objective,Universal Criteria of Cultural Evaluation: The Challenges Posed by Anti-Foundationalism,Culturalism and Romanticism

Over the course of the last century, it has become increasingly unfashionable in the social sciences to make cross-cultural evaluations. The advance of cultural relativism has ensured that criticisms of other cultures are regarded as subjective and ethnocentric. There remain, however, cultural beliefs, practices and traditions which appear, prima facie, to contradict people’s interests. Are there any means of evaluating such practices or cultures according to objective, universal criteria? If there are, these need to withstand a series of challenges posed by ‘relativist’ critics of objectivity and universality. This article categorises these challenges, detailing anti-foundationalist belief in a conflation of perception and truth, culturalist belief in the overwhelming importance to wellbeing of living according to one’s group’s traditions, and a romantic challenge, which invokes anti-universalism only instrumentally, to particular aspects of Western culture. In order to overcome these challenges, a theory of cultural evaluation must demonstrate the existence of certain goods which are intrinsic to human beings, can be affected by cultural activity and are of greater importance than the culturalist good of living according to one’s group’s traditions. I put forward three plausible conceptual candidates—needs, capabilities and flourishing—discussing briefly the possible merits of each. Finally, I argue that, if we are to measure culture, rather than quality of life, we must consider the influence of circumstance on the nature of cultures and the level of wellbeing. This article is an attempt to identify the parameters for more detailed research into this contentious, but potentially valuable, field of study.     

Meta Analysis of Functional Neuroimaging Data via Bayesian Spatial Point Processes

As the discipline of functional neuroimaging grows there is an increasing interest in meta analysis of brain imaging studies. A typical neuroimaging meta analysis collects peak activation coordinates (foci) from several studies and identifies areas of consistent activation. Most imaging meta analysis methods only produce null hypothesis inferences and do not provide an interpretable fitted model. To overcome these limitations, we propose a Bayesian spatial hierarchical model using a marked independent cluster process. We model the foci as offspring of a latent study center process, and the study centers are in turn offspring of a latent population center process. The posterior intensity function of the population center process provides inference on the location of population centers, as well as the inter-study variability of foci about the population centers. We illustrate our model with a meta analysis consisting of 437 studies from 164 publications, show how two subpopulations of studies can be compared and assess our model via sensitivity analyses and simulation studies. Supplemental materials are available online.