Family Experiences of Caring for Relatives Who Have Received Electroconvulsive Therapy (ECT)

The research literature on family members’ experiences of the use of electroconvulsive therapy (ECT) is limited. This article explores the perspectives of family members whose relatives had received ECT. Drawing on a social constructionist perspective, this qualitative study collected data using in-depth interviews with nine families in South Australia, to examine how family members constructed the supports and challenges they experienced. The research found that families experienced a range of social and service system barriers, including social stigma and isolation, and limited support from health professionals. They had to negotiate caring expectations within a social context that stigmatised both mental illness and ECT. A need for ECT-specific mental health support groups was identified.

IMPLICATIONS

• Social workers’ roles in Australian hospitals could be further expanded to accommodate supporting families whose relatives have received ECT, referring families to community support, and advocating for specialist support post-ECT treatment.

• Social workers can further articulate their unique contribution to community care post-ECT treatment and advocate for supporting families.

• Increased focus on ongoing and preventative care for supporting families is a potential growth area for social workers in mental health.

     

Unemployment Components in the G7 Countries

The increase in unemployment rates in the G7 countries is broken down into both labour supply and labour demand components. In no case is there a dominant source. Real GDP generally ranks first but does not account for more than a third of the overall changes. This finding shows that unemployment cannot be equated to negative employment since the labour force is generally increasing and volatile, mostly because of rising participation rates. Another reason why unemployment is not a reliable indicator of macroeconomic performance is that labour hoarding reduces employment response to output changes; this is especially true for Japan and Europe.     

On the limit distribution of a second-order semi-Markov chain in state and duration

In this paper, we derive conditions under which second-order semi-Markov chains in state and duration admits a limit distribution.     

Acculturation Status and Substance Use Prevention with Mexican and Mexican-American Youth

This study examined whether language preference, as an indicator of acculturation, moderated the effects of a culturally grounded substance use prevention intervention for Mexican and Mexican American middle school students (N = 2,146) in Phoenix, Arizona. The main hypothesis was that levels of program effectiveness would vary based on the language preference of the students and the specific culturally grounded version of the intervention they were assigned. Findings show that matching language preference to particular versions of the intervention did not influence substance use related program outcomes, but that overall program effects (intervention versus control) did vary by language preference. English-language dominant participants, the most at risk sub-group, responded more positively to the intervention, while Spanish dominant, who had low substance use rates at baseline, and bilingual participants did not demonstrate significant differences between the intervention and control groups. Implications for school social work prevention interventions and prevention science in general, are discussed.     

Neighborhood Effects on Youth Substance Use in a Southwestern City

This study examines neighborhood influences on alcohol, cigarette and marijuana use among a predominantly Latino middle school sample. Drawing on theories of immigrant adaptation and segmented assimilation, we test whether neighborhood immigrant, ethnic, and socioeconomic composition, violent crime, residential instability, and family structure have differential effects on substance use among youth from different ethnic and acculturation backgrounds. Data are drawn from self-reports from 3,721 7(th) grade students attending 35 Phoenix, Arizona middle schools. Analysis was restricted to the two largest ethnic groups, Latino students of Mexican heritage and non-Hispanic Whites. After adjusting for individual-level characteristics and school- level random effects, only one neighborhood effect was found for the sample overall, an undesirable impact of neighborhood residential instability on recent cigarette use. Sub-group analyses by individual ethnicity and acculturation showed more patterned neighborhood effects. Living in neighborhoods with high proportions of recent immigrants was protective against alcohol, cigarette, and marijuana use for Latino students at different acculturation levels, while living in predominantly Mexican heritage neighborhoods (mostly non-immigrants) was a risk factor for alcohol and marijuana use for less acculturated Latinos. There were scattered effects of neighborhood poverty and crime, which predicted more cigarette and alcohol use, respectively, but only among more acculturated Latinos. Inconsistent effects confined to bilingual and more acculturated Latinos were found for the neighborhood's proportion of single mother families and its residential instability. No neighborhood effects emerged for non-Hispanic White students. Results suggested that disadvantaged neighborhoods increase substance use among some ethnic minority youth, but immigrant enclaves appear to provide countervailing protections.     

Keepin' it R.E.A.L.: a drug resistance curriculum tailored to the strengths and needs of pre-adolescents of the southwest

Research has shown that students respond more favorably to drug prevention programs when they see their culture and themselves represented in the prevention message. Additionally, studies highlight important ethnic differences in drug behaviors and attitudes, indicating that students' ethnic culture should be considered in the creation of prevention programs. Because there are few effective, culturally grounded programs, new approaches are needed, particularly among Mexican American youth. This need inspired the Drug Resistance Strategies Project (DRS) to develop and test the keepin' it R.E.A.L curriculum serving ethnically diverse seventh grade students residing in a large southwestern city. This article describes development of the keepin' it R.E.A.L. curriculum, focusing on the methods used to ensure cultural grounding. The article also reviews literature on cultural approaches in prevention, presents a theoretical framework, summarizes key outcomes of the curriculum evaluation, and concludes with recommendations for the development of prevention programs for ethnically diverse youth.     

Likelihood-based risk estimation for variance-gamma models

Although the variance-gamma distribution is a flexible model for log-returns of financial assets, so far it has found rather limited applications in finance and risk management. One of the reasons is that maximum likelihood estimation of its parameters is not straightforward. We develop an EM-type algorithm based on Nitithumbundit and Chan (An ECM algorithm for skewed multivariate variance gamma distribution in normal mean–variance representation, arXiv:1504.01239, 2015) that bypasses the evaluation of the full likelihood, which may be difficult because the density is not in closed form and is unbounded for small values of the shape parameter. Moreover, we study the relative efficiency of our approach with respect to the maximum likelihood estimation procedures implemented in the VarianceGamma and ghyp R packages. Extensive simulation experiments and real-data analyses suggest that the multicycle ECM algorithm gives the best results in terms of root-mean-squared-error, for both parameter and value-at-risk estimation. The performance of the routines in the ghyp R package is similar but not as good, whereas the VarianceGamma package produces worse results, especially when the shape parameter is small.     

Some remarks on measurement models in the structural equation model: an application for socially responsible food consumption

Considering the structural equation model (SEM), usually the main researches are based on the structural model rather than on the measurement one. So, this context implies some problems: construct misspecification, identification and validation. Starting from the most recent articles in terms of these issues, we achieve – and formalize through two tables – a general framework that could help researchers select and assess both formative and reflective measurement models with special attention on statistical implications. To show this general framework, we present a survey on customer behaviours for socially responsible food consumption. The survey was carried out by delivering a questionnaire administered to a representative sample of 332 families. In order to detect the main aspects impacting consumers’ preferences, a factor analysis has been performed. Then the general framework has been used to select and assess the measurement models in SEM. The estimation of the SEM has been worked out by partial least squares. The significance of the indicators has been tested using bootstrap. As far as we know, it is the first time that a model for the analysis of the consumers’ behaviour for social responsibility is formalized through a SEM.     

Gender Roles, Externalizing Behaviors, and Substance Use Among Mexican-American Adolescents

A sample of 60 male and 91 female Mexican-American adolescents (age 13-18) were administered measures of positive (i.e., assertive masculinity, affective femininity) and negative (i.e., aggressive masculinity, submissive femininity) gender roles, internalizing and externalizing problem behaviors, peer substance use, and own substance use (alcohol, cigarettes, marijuana). Negative gender roles were significantly correlated with internalizing and externalizing problems for both boys and girls, with aggressive masculinity also predicting peer substance use for both genders. Assertive masculinity significantly predicted lower alcohol use in boys, and this effect was not mediated by internalizing problems, externalizing problems, or peer substance use. Negative gender roles significantly predicted higher alcohol use in girls, but this effect was almost completely mediated by internalizing problems, externalizing problems, and peer substance use. Results are discussed in terms of gender role socialization among Mexican Americans.     

Unlocking Hikikomori: an interdisciplinary approach

This article provides an interdisciplinary exploration of the ways in which social isolation is constructed in institutional and public imaginaries. It examines the discursive devices that produce hikikomori subjectivities, with a particular focus on the existence of an enduring deviant construct. Despite largely existing in the private sphere, hikikomori are positioned as residing outside of the prevailing system of social relationships and as such are perceived as a threat to social order. Persistent psycho-medical and idiosyncratic cultural depictions of hikikomori continue to obscure those who are doing the defining. Such portrayals also re-assert enduring normative expectations concerning the social, civil and economic participation of young people. Through an interdisciplinary approach that blends sociological and cultural critique, this paper challenges the dominant discourses framing hikikomori, at the same time underlining the ways in which these limiting discourses act upon the self by reinforcing an individualised subjectivity, masking the network of institutions and cultural discourses that mediate this process. We assert that there needs to be a broadening of the concept away from the atomised individual to one that situates hikikomori within a social and cultural context, having significant implications for identity and notions of personhood in contemporary, digital Japan and beyond.