Clinically Significant Effects of Group Cognitive Behavioral Therapy on Spouse Caregivers' Mental Health and Cognitive Functioning: A Pilot Study

The objective of this pilot study was to investigate whether group cognitive behavioral therapy (CBT) resulted in clinically meaningful improvements in caregiver mood, burden, and cognition. We screened 97 caregivers in Toronto, Canada, of whom 25 with DSM-IV disorders began the 13-week CBT intervention, and 12 completed therapy and the 3-month follow-up. Each caregiver experienced clinically significant improvement on at least 2 of the following outcomes: diagnostic criteria, mood, attention, memory, and caregiver burden. Despite effectiveness, the challenges of recruiting distressed caregivers for therapy suggest that CBT might be most useful as part of a stepped care model of treatment.     

Life after work: older Australians' experiences of early exit from the workforce

Little is known about the experience of those in the baby boom cohort who are outside the labour market. Understanding their experience has the potential to inform policy strategies to support older people to remain longer in the workforce. Using in‐depth interview data from 26 participants, this paper examines the reasons people aged between 50 and 64 years give for being not‐employed, how they perceive it affects their health, how socioeconomic characteristics shape their experience and what would entice them back into paid work. Participants' main reasons for being not‐employed included: feeling financially able and ready to exit, feeling unhappy about workplace reorganisations, disability, or their partner's retirement or ill‐health. The reasons given and the degree to which they had planned to exit the workforce affected their willingness and capacity to consider returning. Key determinants of participants' health and wellbeing after stopping paid work were the extent to which they had planned their exit and the status of their health and wealth at the time of their exit. The paper concludes there is some scope for increasing the number of employed older people if policy makers attend to workforce health and wellbeing as crucial to workforce retention policy development.     

Bunk Bed Injuries in College Students

Abstract

We surveyed 1,431 college seniors to investigate the frequency and severity of injury after falls from bed. This data was analyzed along with data obtained from both the Consumer Product Safety Commission and the armed forces. We found that falls from bed are common in young adults and that injuries are more likely to occur with falls from bunk or loft beds than from standard beds (p = 0.025). Falls were most common when students were climbing out of bed or were startled awake. Alcohol use was implicated in 36% of the falls. We recommend that the heights of nonstandard beds for students be lowered, that alarms and phones be placed within easy reach, and that sturdy, fixed devices be used to descend. Intoxicated individuals should be placed on standard beds or lower.     

Task design as an influence on dialogue and learning: primary school group work with object flotation

Previous studies suggest that group work would yield conceptual gains in physics if tasks specifically promoted dialogue about the factors which determine observed outcomes. This might be done by constraining task items to present critical tests of the effects of individual factors; and, additionally, by requiring participants to generate or select explicit rules about those effects. In order to test this hypothesis, groups of primary school children were asked to work on one of four versions of a task concerning object flotation: Random (i.e. a control in which there were no task constraints), Critical Tests, Rule Generation, and Rule Selection. Learning was assessed via change between a pre-test and two post-tests. Although the effect was delayed, children from the Random and Rule Generation conditions showed an increased awareness of relevant factors which was strongly related to prior group activity. This gain was absent in the Critical Tests and Rule Selection conditions. The results indicate that group dialogue can be productively shaped by task design, but also that its effects may take time to appear, and are negated by overmuch external direction of attention.     

Family Therapy in a Psychiatric Hospital: A Case-Controlled Evaluation

Thirty-five patients (20 women) treated by a Family Therapy Unit based in a psychiatric hospital were compared with 35 matched control inpatients who were not treated by the Unit. Family Therapy averaged 4.5 one hour sessions and was cybernetic rather than behavioural or psychoeducational. The main outcome measure was days spent in the hospital in the year after family therapy. Women, but not men, showed a significant improvement after family therapy, reducing their days in hospital from a mean of 50 in the year before family therapy to 18 in the year after. The best response was shown by women with affective disorder. Control men and women showed a slight increase in days spent in hospital. Improvement after family therapy was associated with a markedly positive change in key relatives' attitudes to the patient, and a strongly positive attitude towards family therapy.     

Understanding Contemporary Homelessness: Issues of Definition and Meaning

There is little agreement in the recent academic literature about how the concept of homelessness should be defined. This is more than just a theoretical problem, because it becomes difficult to urge governments to meet the needs of homeless people, if the parameters of the homeless population are unclear. This paper reviews ‘conservative’, ‘radical’ and ‘conventional’ perspectives on homelessness in modern society, and it argues that it is possible to adjudicate between them. The paper proposes a socially constructed definition of homelessness based on the notion of minimum community standards. It argues that this culturally relative position provides a theoretically meaningful framework for understanding homelessness in the 1990s.     

Toward an Understanding of the Influence of Cultural Background and Domain Experience on the Effects of Risk‐Pricing Formats on Risk Perception

Risk‐information framing can be a powerful tool for aiding the communication of risk and improving decision making. However, little work has investigated the extent that these framing effects depend on the characteristics of the perceiver. In our study, we examine whether the effects of different risk‐pricing formats on risky choices are the same for all individuals, no matter their domain experience or cultural background, or whether there are interactions between these factors. Survey 1 revealed that three risk‐pricing formats of the same choice problem resulted in the same individuals making different risky choices (preference reversal), suggesting that risk perception was distorted by the risk‐pricing format manipulation. In Survey 2, the effects of the risk‐pricing formats were shown to differ by the participants’ cultural background (Asian vs. European) and the extent of their domain experience. The fact that there were no differences between the cultural or domain experience groups in their overall tendency to select riskier (cf. safer) choices indicates that risk behavior differences between groups are often closely linked to perceptual, rather than simply attitudinal, cognitive processes. The results demonstrate the complex, interactive cognitive processes that are used to encode risk information, involving the framing of the information and the cultural background and previous experiences of the individual. We conclude that it is important to consider the characteristics of the individual (e.g., culture, domain experience, etc.) when manipulating risk‐information framing with the aim of improving risk communication.     

Remembering Hiroshima

Visions of the post-conflict reintegration process in Sierra Leone as a moment of healing, reconstruction, opportunity and rehabilitation do not take into account the experience of women and girls who were raped during the conflict. For them, the post-conflict period is often characterized by trauma, silence and stigmatization. This article examines wartime rape in relation to the liberal family model and the perception of sex as a ‘private’ social concern rather than a public security issue.     

Who Spanks Infants and Toddlers? Evidence from the Fragile Families and Child Well-Being Study

We use data from the Fragile Families and Child Well-Being Study (FFCW), a birth cohort study of children in 18 medium to large U.S. cities, to examine the prevalence and determinants of spanking among infants and toddlers (at mean age 14 months). Taking advantage of the large and diverse sample in FFCW, we conduct separate analyses for children of African American (N = 1710), Hispanic (N = 853), and white non-Hispanic (N = 812) mothers. Overall, about 15% of children are spanked at 12 months, with this share rising to 40% by 18 months and nearly 50% for children age 20 months or older. We find that there are marked differences in the use of spanking across the three racial/ethnic groups, with children of African American mothers more likely to be spanked and at a younger age. Moreover, while some predictors of spanking are seen across all three groups, others vary. Mothers who are young, who report more parental stress, or report their child has a more difficult temperament are more likely to spank across all three groups. However, being a boy increases the risk of spanking only within African American families. First-born children are at elevated risk of spanking to at least some extent in all groups, but much more so within Hispanic families. In addition, maternal employment is associated with a greater likelihood of spanking in Hispanic families.Although spanking at these young ages is not necessarily indicative of maltreatment, it may be a marker for families who are at elevated risk of maltreatment. As such, our findings, by highlighting some risk factors that are common across groups as well as some that are more important for particular groups, may have implications for child abuse prevention.