Outpatient Dialectical Behavior Therapy for Adolescents Engaged in Deliberate Self-Harm: Conceptual and Methodological Considerations

The current review examines conceptual and methodological issues related to the use of dialectical behavior therapy for adolescents (DBT-A) in treating youth who engage in deliberate self-harm. A comprehensive review of the literature identified six studies appropriate for the review. Results indicated several inconsistencies and limitations across studies including the mixing of various forms of self-harm; variations in diagnostic inclusion/exclusion criteria, insufficient use of standardized self-harm outcome measures, variable lengths and intensity of provided treatment, and inadequate attention paid to DBT adherence. Each of these areas is reviewed along with a discussion of ways to improve the quality of future research.     

Gene‐environment correlations in the cross‐generational transmission of parenting: Grandparenting moderates the effect of child 5‐HTTLPR genotype on mothers' parenting

Evidence suggests that parenting is associated cross‐generationally and that children's genes may elicit specific parenting styles (evocative gene‐environment correlation). This study examined whether the effect of children's genotype, specifically 5‐HTTLPR, on mothers' parenting behaviors was moderated by her own parenting experiences from her mother. Two independent samples of three‐year‐olds (N = 476 and 405) were genotyped for the serotonin transporter gene, and observational measures of parenting were collected. Mothers completed measures of the parenting they received as children. The child having a short allele on 5‐HTTLPR was associated with more maternal hostility (Samples 1 and 2) and with less maternal support (Sample 1), but only if the mother reported lower quality grandmothers' parenting (abuse and indifference in Sample 1 and lower levels of grandmother care in Sample 2). Results support the possibility of a moderated evocative gene‐environment correlation.     

A Further Evaluation of Response Cards: Teaching Direct Care Staff Basic Behavioral Principles

Numerous studies have demonstrated the efficacy of response cards for teaching students in educational settings; however, the effectiveness of response cards has yet to be examined in organizational settings where such strategies may be very useful (i.e., in staff training). The purpose of this study was to evaluate the utility of response cards during in-service training to teach basic behavioral principles to direct care staff working in a human service setting. Results indicated that individuals who received the response card training participated more during training and were able to retain more information over time relative to those who received a standard in-service training.     

Relating mothers' social framing to their children's entry competence with peers

The purpose of this study was to examine how mothers view and construct meaning their children's social interactions, and to understand the interpretive frames they bring to filtering the social world and conveying meaning to their children. Maternal narrations to their children' videotaped entry behavior revealed narration patterns related to their children' entry behavior and the group's response. Generally, when their children were behaving competently, mothers appeared to have a broad based, context embedded view of the interaction, but focused more specifially when difficulties arose, These narration patterns were influenced ny the mothers' own remembered childhood social competence and recollections of positive and anxious peer experiences. Implications of these results for the socialization process were discussed.     

Risk Assessment of Listeriosis Linked to the Consumption of Two Soft Cheeses Made from Raw Milk: Camembert of Normandy and Brie of Meaux

This article reports a quantitative risk assessment of human listeriosis linked to the consumption of soft cheeses made from raw milk. Risk assessment was based on data purposefully acquired inclusively over the period 2000-2001 for two French cheeses, namely: Camembert of Normandy and Brie of Meaux. Estimated Listeria monocytogenes concentration in raw milk was on average 0.8 and 0.3 cells/L, respectively, in Normandy and Brie regions. A Monte Carlo simulation was used to account for the time-temperature history of the milk and cheeses from farm to table. It was assumed that cell progeny did not spread within the solid cheese matrix (as they would be free to do in liquid broth). Interaction between pH and temperature was accounted for in the growth model. The simulated proportion of servings with no L. monocytogenes cell was 88% for Brie and 82% for Camembert. The 99th percentile of L. monocytogenes cell numbers in servings of 27 g of cheese was 131 for Brie and 77 for Camembert at the time of consumption, corresponding respectively to three and five cells of L. monocytogenes per gram. The expected number of severe listeriosis cases would be < or =10(-3) and < or =2.5 x 10(-3) per year for 17 million servings of Brie of Meaux and 480 million servings of Camembert of Normandy, respectively.     

Love and Death in Germany: The Marital Biography and Its Effect on Mortality

In this article, we analyze how the marital biography is affecting mortality in Germany today (N = 12,484). We find support for temporal selection into marriage for both genders, but the effect is stronger for men. In addition, protection through marriage results from long‐term accumulation of survival advantages and from the attenuation of higher mortality risks that occur immediately after a transition into or out of a marriage. Moreover, women are more likely to keep survival advantages from previous marriages and to forget about survival disadvantages from divorces and widowhood.     

Statistical methods for dependent competing risks

Many biological and medical studies have as a response of interest the time to occurrence of some event,X, such as the occurrence of cessation of smoking, conception, a particular symptom or disease, remission, relapse, death due to some specific disease, or simply death. Often it is impossible to measureX due to the occurrence of some other competing event, usually termed a competing risk. This competing event may be the withdrawal of the subject from the study (for whatever reason), death from some cause other than the one of interest, or any eventuality that precludes the main event of interest from occurring. Usually the assumption is made that all such censoring times and lifetimes are independent. In this case one uses either the Kaplan-Meier estimator or the Nelson-Aalen estimator to estimate the survival function. However, if the competing risk or censoring times are not independent ofX, then there is no generally acceptable way to estimate the survival function. There has been considerable work devoted to this problem of dependent competing risks scattered throughout the statistical literature in the past several years and this paper presents a survey of such work.