Defining a threshold of harm from gambling for population health surveillance research

The measurement of harm in the context of non-problem gambling has received little attention from researchers in the field. Using the combined data from six provincial gambling surveys conducted in Canada between 2001 and 2005 (N = 12,285), we compared how different thresholds of defining gambling-related harm impacts prevalence, the relationship with indicators of gambling intensity and the characteristics of non-pathological gamblers who report experiencing below threshold symptoms of problem gambling. Survey items defining harm were drawn from the Problem Gambling Severity Index (PGSI) of the Canadian Problem Gambling Index. Three definitions of harm – reporting one or more problem gambling symptoms, reporting two or more problem gambling symptoms and having a PGSI score ≥ 3 – demonstrated a strong relationship with indicators of gambling intensity, and reliably differentiated low-threshold and zero symptom problem gamblers in terms of gambling characteristics and other risk factors.     

Harmonized Italian version of the aging males' symptoms scale

Introduction.?The interest in clinical investigations in health-related quality of life (HRQoL) of aging men has increased over recent years, particularly in the context of partial androgen deficiency. The aim of this paper is to inform the scientific community about a harmonized Italian Aging Males' Symptoms (AMS) scale.

Methods.?There were two slightly different Italian AMS scales, which both underwent an up-to-date linguistic & cultural translation process, i.e., were both valid to be applied in clinical research. However, there are potential long-term problems associated with having two Italian language versions of the scale in the same country. Therefore, an ad hoc committee of key persons related to both versions met with the scale's developer, to create a harmonized single Italian AMS.

Results.?The harmonization meeting came up with a consensus item-by-item and the new Italian reference scale was agreed upon. It was decided that this scale should be published to avoid any confusion among future users.

Conclusion.?The Italian AMS scale published in this paper should be used for future clinical and other research.     

Direct and Indirect Effects of Interparental Relationship Quality on Child Behavior Problems in Low-Income,Black, Single-Mother Families

ABSTRACT

Evidence of direct and indirect effects of interparental relationship quality and parental contexts on child behavior problems is well established. However, limited literature exists about these associations in low-income, Black families in which the parents are not married. Informed by the risk and resilience theoretical perspective, this study hypothesized that disharmonious interparental relations would predict greater preschool child behavior problems directly and indirectly through maternal parenting factors and father contact. Economic difficulties and low maternal education would exacerbate these problems. This study included 2,115 Black, single mothers from Waves 1–3 of the Fragile Families and Child Wellbeing Study data sets. Using structural equation modeling, a strong model fit indicated that our hypotheses were supported. Discussion includes policy and practice implications related to the Healthy Marriage Initiative.     

Using Peer Educators for a Classroom-Based AIDS Program

Abstract

In view of recent prevalence and other data regarding alcohol use by college students this article considers whether or not alcohol represents a problem or a changeable problem for these students and/or their colleges. On the one hand, drinking is deeply embedded in the traditions of college life; it does serve some beneficial purposes; and it is often regarded as an accepted, if not expected, part of adolescence. Furthermore, drinking behavior in college is a poor predictor of eventual alcoholism. On the other hand, both difficulty in identifying problem drinking and ambivalence over false positive diagnoses have contributed to a preoccupation with alcoholism, and a denial of subclinical or preclinical but nonetheless real problems. New ways of defining what constitutes an “alcohol” problem, as well as ways of remedying and preventing the problem are discussed. College health personnel are needed to continue their traditional diagnostic and referral functions, but must expand their roles to include involvement with other disciplines in proactive preventive and educational programming.     

Contributing Factors of Depressive Symptoms Among Elderly Korean Immigrants in Texas

This study examined various life stresses associated with relocation that may contribute to depressive symptoms among Korean immigrant elders in Texas. A sample of 120 elders was assessed using the Geriatric Depression Scale–Short Form and a 90-min face-to-face interview. Over 1/3 of respondents (37.5%) had symptoms of depression. Regression analyses (R² = .331) indicate that self-rated health, stressful life events, English language proficiency, satisfaction of visiting one's birth place, and watching TV were correlates of depressive symptoms among them. The findings of this observational study may be used as a baseline for designing service program for this population.     

Gender Differences in the Association Between Stress Trajectories and Depressive Symptoms Among Middle Aged and Older Adults in Taiwan

Purpose: This study investigated the effects of gender differences on the association of chronic stress and depressive symptoms in middle-aged and older adults in Taiwan. Methods: The population base was of adults aged 50 and older in Taiwan. This study included 2,889 participants and examined the gender differences on the impacts of life stress that exhibited depressive symptoms. Results: Females were more susceptible to depressive symptoms when they felt constant stress from finances, increasing stress from jobs, and fluctuating stress from family relationships. Discussion: Gender differences were evident when assuming social roles, as were psychological susceptibilities.     

Indicators of Preclinical Disability: Women's Experiences of an Aging Body

This paper is derived from a larger multimethod longitudinal study of women's bodily experiences and coping practices before the onset of disability. Twelve women participated in repeated performance measures, in-depth interviews of daily life and physically challenging events, and observations of daily activities conducted over 18 months. Interpretive phenomenological analysis of textual data showed that women's bodies provided multiple indicators or symptoms of preclinical disability. These indicators informed the women that their body was out of synch with their environment; conspicuous during social activities; and vulnerable to becoming dependent on others, technology, or assistive devices to accomplish daily activities. Greater attention to bodily indicators or symptoms may offer a practical method for clinicians to identify preclinical disability.     

Personal Mastery and Psychological Well-Being Among Young Grandmothers

This study examined the association between relationship quality, personal mastery, and psychological well-being among 83 young Black and White American grandmothers in families with teenage mothers. Interviews were conducted during the early stages of adaptation to grandparenthood due to the birth of a baby to a teenage daughter. Findings indicated that the effects of the mother–daughter relationship are mediated through mastery. When grandmothers feel a sense of mastery, the conflict with the teenage mother is not as detrimental to their psychological health. Findings are discussed in the context of developing supportive services for grandmothers in families with teenage mothers.     

Depressive Symptoms of Caregiving Women in Midlife: The Role of Physical Health

ABSTRACT

This research examined the relationships between providing assistance to aging family members, caregivers' age, caregivers' perceptions of their physical health, and caregivers' depressive symptoms. Several alternative hypotheses were examined. Longitudinal data from 1, 898 women from the 1992 and 2000 waves of the Health and Retirement Study (HRS) were used. Results indicate a reciprocal relationship between depression and physical health. These processes were examined using a path analysis. Although the evidence only supported one of the hypotheses, this study clearly demonstrated the importance of physical health for the psychological well-being of women in midlife.     

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.