Prevalence and predictors of PTSD among a college sample

Objective:This study examined the prevalence and correlates of probable posttraumatic stress disorder (PTSD) in freshman entering college and prospective associations of probable PTSD with additional outcomes. Participants: 2,310 students with data collected from Fall 2014 through Spring 2015. Methods: Incoming freshman completed a survey assessing for relevant variables at the beginning of fall semester and during the spring semester. Results: Seventy percent of the sample endorsed experiencing at least one potentially traumatic event (PTE). 34.4% of PTE exposed individuals met criteria for probable PTSD. Female sex, higher depressive and anxiety symptoms, and interpersonal PTE count were positively associated with PTSD symptoms. Higher PTSD symptoms were associated with higher anxiety and depressive symptoms, and new-onset interpersonal PTE. Conclusions: Identification of factors contributing to risk for PTSD is essential to inform prevention and intervention efforts. Intervention efforts should be targeted to students experiencing PTSD symptoms as they enter college.     

Improving ascertainment of risk factors for HIV infection: results of a group-randomized evaluation

To allow appropriate allocation of prevention and care funding, HIV/AIDS surveillance data must include risk factor information, currently available for less than 70% of cases reported in the United States. The authors evaluated an intervention consisting of provider training and materials to improve risk factor reporting. Facilities were matched prior to randomization to intervention or control, and generalized linear mixed models were used to test for an intervention effect. Twenty-one percent of cases from intervention facilities and 33.4% from control facilities (p = .09) were reported without any risk factor information. The pre-post difference (20.7% for intervention and 36.0% for control) was not significant among HIV cases (p = .11) nor among AIDS cases (p = .12; 21.3% for intervention and 31.1% for control). The methods the authors' evaluated may need to be combined with other approaches and/or alternative classification schemes to significantly reduce the percentage of cases reported to surveillance without risk factor information.     

Performance-based contracting and the moderating influence of caseworker role overload on service provision in child welfare

Although performance-based contracts have become increasingly popular in child welfare, administrators are developing these contracts with little empirically guided information about how internal work conditions may influence the services families receive. This study examines how child welfare caseworker role overload moderates associations between child welfare agencies' use of performance-based contracting and services provided to families. Analyses using data from the National Survey of Child and Adolescent Well-Being suggest that when caseworkers experience high role overload, use of performance-based contracts may decrease caregivers' likelihood of receiving necessary social and behavioral health services. These findings and their implications are discussed.     

“A Bad Combination”: Lived Experiences of Youth Involved in the Foster Care and Juvenile Justice Systems

Youth with involvement in foster care and the juvenile justice system, often called dual-status youth, are at increased risk for negative outcomes as they transition into adulthood, including homelessness, and involvement in the adult criminal justice system. Increase of interest in the phenomenon of youth dual involvement within the last decade, reveals focus on challenges associated with the dual-status population, the importance of multi-system collaboration, and foster care factors contributing to juvenile delinquency. This study aims to build on the current literature, through exploration of how dually-involved youth make sense of their experiences in the juvenile justice and foster care systems; and what youth believe are their unique challenges of being in two systems? This phenomenological study engaged ten individuals in Houston, Texas, between the ages of 18 and 24 years old, and previously involved in the juvenile justice and foster care systems. Research subjects participated in-depth, semi-structured, and audio-recorded interviews, disclosing their experiences in two systems. Interviews were transcribed and entered in the qualitative analytical program, Atlas.ti, where common themes of participant responses were extracted. Accounts from participants highlighted three key experiences: (1) experiences of and leading to dual involvement, (2) traumatic experiences, and (3) absence of normalcy. Study results are categorized based on their pathways to dual-involvement. This current study offers rich insights into how dually-involved youth make sense of their experiences in the foster care and juvenile justice systems. Implications for enhanced service provision among child welfare and juvenile justice professionals are offered.

     

Using the Bootstrap as an Aid in Choosing the Approximate Representation for Vector Time Series

In this article, a procedure is presented to use the bootstrap in choosing the best approximation in terms of forecasting performance for the equivalent state-space representation of a vector autoregressive model. It is found that the proposed procedure, which uses each approximant's forecasting performance, can enhance considerably an approach based simply on the estimated Hankel singular values.     

Vocational Skills and Outcomes Among Native American Adolescents: A Test of the Integrative Contextual Model of Career Development

This study tested hypotheses of the Integrative Contextual Model of Career Development (R. T. Lapan, 2004a) by investigating the multivariate effects of 6 interrelated career development skills (career exploration, person‐ environment fit, goal setting, social/prosocial/work readiness, self‐regulated learning, and the utilization of social support) on 6 intermediate vocational outcomes (academic achievement, self‐efficacy expectations, positive self‐attributions, vocational interests, vocational identity, and proactivity) among Native American adolescents. Results showed that individual and shared variance among the skills positively predicted 79% of variance in 5 of the 6 outcomes. Results suggest that each of the skills contributes substantially and in combination to Native American adolescents' career development.     

Readers' responses ... medical noncompliance

The Second Opinion staff invited a number of its readers who are physicians to respond to our recent Case Stories section on medical noncompliance, which included a case story by Kevin Coleman and commentary and overview by Arthur W. Frank (Second Opinion 17, no. 3 [January 1992]). Our thanks to those who shared their reflections, a number of which have been excerpted here.     

Understanding Solitude: Young Children's Attitudes and Responses Toward Hypothetical Socially Withdrawn Peers

The goal of the present study was to explore young children's attitudes and responses to different forms of social withdrawal by eliciting responses to hypothetical vignettes. Participants included 137 children (49 boys, 88 girls) in kindergarten and grade 1 classes (M_age = 75.94 months, SD = 9.03) in Ottawa, Canada. Parents rated child characteristics, including shyness, unsociability and aggression. Children were also interviewed individually and presented with a series of hypothetical vignettes describing the behaviors of shy, unsociable, aggressive and socially competent children. In response to each vignette, children were asked a series of questions designed to assess their perceptions, attitudes and responses toward each child behavior. Results suggested that young children made surprisingly sophisticated distinctions between shyness and unsociability, demonstrating differences in terms of attributions of behavioral intent, liking and sympathetic responses. In addition, unsociable children evidenced a distinct pattern of responses to hypothetical peers. These findings add to the growing body of research distinguishing different forms of social withdrawal, and shed some light as to why unsociability in early childhood may not be so benign.