Trajectories of discrimination among Chinese American youth: Variation,predictors, and outcomes

Using 3 waves of longitudinal data from 444 Chinese American adolescents (M_age = 13.04 at Wave 1, 54% identified as women), the current study explored if there was variation in discrimination trajectories from early to late adolescence and whether contextual and individual factors predicted trajectories as well as if trajectories were associated with academic achievement and mental health. Three distinct discrimination trajectories were identified: low-increasing, moderate-stable, and high-decreasing. The results also revealed that neighborhood Chinese concentration and adolescents' acculturation predicted discrimination trajectories. Different trajectories were also associated with depressive symptoms; adolescents in the high-decreasing trajectory reported higher levels of depressive symptoms in late adolescence than in the other two trajectories. The findings highlight the heterogeneity in Chinese American adolescents' discrimination experience.     

An Empirical Investigation of the Envelope Theory

Abstract

The Envelope Theory stipulates that, if perceived and expended energy levels are kept relatively at the same levels, people with Chronic Fatigue Syndrome (CFS) will slowly gain strength and energy. Based on this theory, an intervention was developed that provided feedback to participants with CFS about discrepancies in perceived versus expended energy levels. As part of this intervention, a buddy was provided to help with household tasks in order to reduce excessive energy expenditures. Post-test results revealed a decrease in participants' fatigue severity ratings, and positive changes were recorded for five CFS somatic symptoms. Participants also reported increases in optimism regarding recovery, positive re-interpretation and growth, and information seeking behavior. The implications of these findings are discussed.     

Behavioural problems of adolescents in secure residential youth care: Gender differences and risk factors

Adolescents in secure residential care mostly suffer from serious behavioural problems, often accompanied by trauma and adverse family circumstances. This paper presents findings of a comparison of behavioural problems and risk factors of 255 boys and girls (aged 12 to 18 years) in secure residential care in the Netherlands and their association with behavioural problems. A cross-sectional design and standardized questionnaires were used to measure behavioural problems and individual and familial risk factors. By using independent-sample t tests, the severity of these factors in boys and girls was compared, and by using structural equation modelling (SEM), associations between these factors and behavioural problems were investigated. The findings of the study show that post-traumatic stress disorder (PTSD) symptoms, maladaptive emotion regulation, impaired perceived competence and internalizing behavioural problems were more severe in girls than in boys. Boys experienced more severe externalizing behavioural problems and more family problems than girls. Maladaptive emotion regulation, PTSD symptoms, perceived competence and parenting problems were related to behavioural problems. The results indicate that treatment for girls should address PTSD symptoms, perceived competence and maladaptive emotion regulation and that extra attention for family problems in the treatment of boys is warranted.     

Perinatal factors related to post-traumatic stress disorder symptoms 1–5 years following birth

BackgroundThe relationship between perinatal variables and post-traumatic stress disorder (PTSD) symptoms was studied. However, the role of some variables in PTSD symptoms is unclear.AimDetermine the prevalence of PTSD symptoms after 1 year postpartum and their relationship with perinatal variables.MethodsA cross-sectional study with 1531 puerperal women in Spain. Data were collected on socio-demographic variables, perinatal variables (maternal characteristics, procedures during labour and birth, birth outcomes and time since birth) and the newborn. An online questionnaire was used, which included the Perinatal Post-traumatic Stress Questionnaire (PPQ). Crude and adjusted odds ratios (OR) were calculated using binary logistic regression.Findings7.2% (110) of the women were identified as being at risk for probable PTSD symptoms. Protective factors were having a birth plan respected (aOR 0.44; 95%CI 0.19−0.99), use of epidural analgesia (aOR 0.44; 95%CI 0.24−0.80) and experiencing skin-to-skin contact (aOR 0.33; 95%CI 0.20−0.55). Risk factors were instrumental birth (aOR 3.32; 95%CI1.73−3.39), caesarean section (aOR 4.80; 95%CI 2.51–9.15), receiving fundal pressure (aOR 1.72; 95%CI 1.08–2.74) and suffering a third/fourth degree perineal tear (aOR 2.73; 95%CI 1.27–5.86). The area under the model’s ROC curve was 0.82 (95%CI 0.79−0.83).ConclusionsWomen who experience a normal birth, are psychologically prepared for birth (for example, through use of a birth plan), experience skin-to-skin contact with their newborn, and had a sense of physical control through the use of epidural analgesia, are less likely to experience childbirth as traumatic.     

Parenting stress and behavior among single mothers of preschoolers: The mediating role of self‐efficacy

Abstract

This study examines the role of perceived self‐efficacy in mediating relations between mothers’ parenting behavior and variables such as maternal employment status, depressive symptoms, parenting stress, and child behavior problems. Subjects were 93 employed and 95 nonemployed, single, black mothers of a 3–5‐year‐old child who were current and former welfare recipients. Using linear structural relations modeling (LISREL), the findings support a model whereby (a) the more behavior problems the child is perceived to have, the more depressive symptoms the mother feels; (b) the more depressive symptoms the mother feels, the more likely she is to rate herself high in parenting stress; (c) the more depressive symptoms and parenting stress the mother experiences, the lower is the mother's estimate of her self‐efficacy; and (d) the lower the mother's self‐efficacy, the less competent is her parenting. The findings for employment status are similar; i.e., maternal employment predicted a trajectory leading to somewhat better parenting. In addition, child behavior problems were associated with less competent parenting both directly and indirectly through their effect on parenting stress and self‐efficacy. These results suggest that self‐efficacy has import as a mediator of the relations between maternal parenting and other psychosocial variables. There is no evidence, based on these findings, that employment in the low‐wage market is harmful either for single black mothers or their preschool children. However, job availability and an increase in the minimum wage are important policy considerations.     

Social support at work and its relationship to absenteeism

Abstract

In this study, the impact of psychosocial work characteristics on illness and work absenteeism has been examined. The study group consisted of 133 civil servants (33 men and 100 women) with a mean age of 43 years (range 21-65 years). Psychosocial work characteristics, social support, quality of life, work absenteeism, psychosomatic and gastrointestinal symptoms were assessed by means of questionnaires. Five different work support or functions were identified by factor analysis: appraisal support, belonging support, instrumental support, emotional support and supportive atmosphere. The analysis showed that work absenteeism was associated with lower belonging support and a less supportive atmosphere. Furthermore, psychosomatic symptoms were associated with lack of support at work, measured as belonging support, instrumental support and supportive atmosphere. Gastrointestinal symptoms were associated with lack of belonging support and lack of social integration outside work. A bad general health status was associated with lack of insrumental support. The association between work absenteeism and social support at work was confirmed in multivariate analysis with control for confounding factors. In this analysis, high work strain and low social support were associated with a lower quality of life, which in turn was associated with increased absenteeism. Although there are well-known difficulties in drawing causal conclusions from cross-sectional studies, it seems reasonable to conclude that social support at work is an important factor to take into consideration when analysing illness and absenteeism from work.     

Socio-emotional and monetary employee-organization resource exchanges: Measurement and effects on daily employee functioning

ABSTRACT

Daily exchanges between employees and their organisation pertain mainly to socio-emotional resources. We investigate how daily employee-organizational resource exchanges relate to daily strain and work-related self-efficacy. We also examine the role of perceived organisational monetary investments on the relationship between daily employee resource investments and outcomes. To do so, we assess the psychometric properties of the Resource Exchange Scale (RES) that we developed for measuring general and daily employee and organisational resource investments (Study 1 and Study 2). Seventy-six health-care employees completed a general survey and a 10-day diary survey twice: at mid-shift and at the end of their shift (Study 3). Analyses supported the validity of the RES. Findings revealed that daily, under-reciprocal exchange related to increased physical symptoms. Mutual high daily resource investments related to greater work-related self-efficacy. The relationship between daily employee resource investments and self-efficacy was positive under conditions of both high and low perceived monetary investments. Lagged analyses showed that the previous day’s self-efficacy related positively to employees’ next day resource investments. Our findings suggest that socio-emotional resource exchanges matter for daily employee functioning, over and above between-person effects.     

The effect of living in communal homes on the depressive symptoms of older women living in rural areas: the mediating role of the socio-physical environment

ABSTRACT

This study examined the effects of the village communal living model on depressive symptoms, focusing on mediating roles of perceived environment among rural older women in South Korea. Data came from the sample of residents in 18 housings and their peers in the conventional housing (n = 168). Propensity score analysis and structural equation modeling were used. The results showed the effect of living in VCH on depressive symptoms was mediated distinct aspect of socio-physical environment.     

Racial and Ethnic Differences in the Prevalence of Depressive Symptoms Among U.S. Nursing Home Residents

This study aimed to examine racial and ethnic differences in significant depressive symptoms among long-term nursing home residents. We analyzed the 2014 national Minimum Data Set linked to a nursing home file and estimated multivariable logistic regressions to determine the associations of race and ethnicities with significant depressive symptoms (score ≥ 10 on the 9-item Patient Health Questionnaire [PHQ-9] scale) and whether associations were explained by resident and nursing home covariates. Stratified analyses further determined independent associations in subgroups of residents. We found that the prevalence rate of PHQ-9 scores ≥ 10 was 8.8% among non-Hispanic White residents (n = 653,031) and 7.4%, 6.9%, and 6.6% among Black (n = 97,629), Hispanic (n = 39,752), and Asian (n = 16,636) residents, respectively. The reduced likelihoods of significant depressive symptoms for minority residents compared to non-Hispanic Whites persisted after sequential adjustments for resident and nursing home covariates, as well as in stratified analyses. The persistently lower rate of significant depressive symptoms among racial and ethnic minority residents suggests that training of nursing home caregivers for culturally sensitive depression screening is needed for improved symptom recognition among minority residents.