Long-term effects of teaching behavioral strategies for managing persistent auditory hallucinations in schizophrenia

1. Attendance at a 10-week class designed to teach behavioral management strategies to people with schizophrenia was effective in reducing some of the negative characteristics of auditory hallucinations for 12 months and in reducing anxiety for 9 months after completion of the class. 2. The sustained improvement experienced by class participants was characterized by their voices being less frequent and more mumbled and the participants feeling more in control, less distractible, and less anxious. 3. Participants recommended that other mental health consumers take similar classes to learn how to better manage their voices. 4. Monthly support groups may help participants maintain gains lost during the follow-up period.     

Ethical challenges in international HIV prevention research

Members of an HIV-prevention research network were asked to describe ethical challenges faced in their work. Major themes included acceptable standards of care for participants, defining research of relevance to host countries, reducing risks related to stigma, designing research that meets local needs without contributing to an inadequate status quo, and ensuring informed consent for complex research with potentially vulnerable participants. The challenges are interrelated and highlight the need for innovative, practical strategies to be incorporated into the planning, design, and conduct of HIV prevention trials. Research in applied ethics to support decision-making about HIV prevention research is needed, along with ethics training, mechanisms to support community-wide benefit from research, and expanded dialog on ethics surrounding HIV prevention and public health research.     

Personality disorders, coping strategies, and posttraumatic stress disorder in women with histories of childhood sexual abuse

Using a treatment-seeking sample of adult female survivors of childhood sexual abuse, the relationships between coping strategies, personality disorders (PD) and Posttraumatic Stress Disorder (PTSD) were explored. A variety of PDs were found to exist in this population, with avoidant, antisocial, dependent PDs having higher frequencies than borderline PD. Avoidant coping and PTSD severity significantly correlated with many of these PDs. PTSD severity and avoidant coping were also significantly correlated. Additionally, women with PTSD displayed higher rates of avoidant and dependent PDs, as well as more avoidant coping, than did women without PTSD. Results support a more complex conceptualization of the trauma-related symptoms that occur in adult survivors of childhood sexual abuse that incorporate the relationships between avoidant coping, personality disorders, and PTSD.     

Recent trends in faculty employment in sociology

Using 1996-2000 data from the American Sociological Association Employment Bulletin, we examined trends in the availability of full-time, tenure-track faculty positions in sociology. In doing so, we found evidence that

High-risk drinking characteristics in collegiate athletes

OBJECTIVE: The authors aimed to further describe the relationship of alcohol use by college athletes to variables, such as sport participation, time of year, and level of competition. PARTICIPANTS: There were 720 participants from Divisions I, II, and III who participated in either a team sport or an individual sport. METHODS: The authors measured characteristics of alcohol use by college athletes at 9 colleges and universities. RESULTS: Participants reported a high rate of consuming 5 or more drinks per occasion in the past 2 weeks. There were greater percentages of team sport athletes reporting this behavior than athletes of individual sports, and there were significant differences according to level of competition. CONCLUSIONS: The college athletes in this study reported high-risk alcohol use at percentages much higher than previously reported. The findings and practical application of the results are discussed.     

Exiting welfare in the 1990s: Did public policy influence recipients' behavior?

This paper evaluates the association between welfare policies implemented by states in the early to mid-1990s and the rate at which female household heads with children exit AFDC for work or for non-work reasons. The results show that waiver policies requiring work, such as the work requirement and the elimination of exemptions for mothers of very young children, are associated with more rapid exits through employment. Incentive policies that make work more attractive by allowing mothers to remain eligible as earnings rise extend the period of welfare receipt. Neither time limits, the family cap, nor sanctions were related to welfare exits during this early period of welfare reform. Results suggest that other policies implemented in the 1993-1996 period, such as the EITC, may have also influenced welfare exits. In addition, the economy played an important supportive role in facilitating recipient exits from public assistance. While relatively high unemployment rates did not deter recipients from working, state prosperity increased the positive impact of work requirements on work exits.     

Contents of Volume 57

Volume Contents

Contents of Volume 57     

The Role of Leisure in Determining Quality of Life: Issues of Content and Measurement

Traditional approaches to themeasurement of leisure's relationship toquality of life have emphasised place-centredindicators (e.g., the frequency of leisurefacility usage) and tended to ignoreperson-centred criteria (e.g., satisfactionwith leisure experiences). Moreover, theunderlying assumption in subsequent policyoutcomes has been that increasing the number offacilities and services will automaticallyenhance people's QOL. This paper focuses onboth the content and measurement of leisure andits relationship to quality of life. Itreports the results of a study that examinedthe relative importance of selected place andperson-centred leisure attributes in predictingquality of life. The study tested a set ofobjective and subjective indicators that peopleare most concerned with in their leisure lives. Overall, it was found that the person-centredleisure attribute, leisure satisfaction, wasthe best predictor of quality of life. Place-centred attributes failed to influencequality of life. Further analysis revealedthat people who engage in social activitiesmore frequently and who are more satisfied withthe psychological benefits they derive fromleisure, experience higher levels of perceivedquality of life. The results suggest thatthere is a need to reconcile objectiveknowledge with subjective perceptions ofleisure in order to achieve greaterunderstanding and comprehensive measurement ofthis complex domain and its relationship toquality of life.