Diagnostic sequence of cocaine use disorder in relation to other mental health conditions among college students

Abstract

Objective: Cocaine use is increasing. Comorbidities and diagnostic sequencing are needed among college students to inform treatment of cocaine use disorder (CUD). Method: Using electronic medical records from the psychiatric clinic at the student health care center of a large, public university from 2005 to 2015, patients diagnosed with CUD were identified. Their top mental health conditions were identified and assessed to see whether the first diagnosis of these conditions was made (1) before, (2) at the same time as, or (3) after the first diagnosis of CUD. Results: Among the 50 CUD patients, their most common mental health comorbidities were alcohol use disorder, anxiety, depression, and cannabis use disorder. Anxiety and depression were likely to be diagnosed before CUD; alcohol and cannabis use disorders were likely to be diagnosed concurrently with CUD. Conclusion: Diagnostic sequencing can be used to inform screening, workup, and treatment for patients with CUD.     

Brokerage in the Sacred Sphere: Religious Leaders as Community Problem Solvers in Rural Malawi1

Religious leaders in Sub‐Saharan Africa do not just deal with the spiritual needs of members but are also heavily engaged in dealing with social problems and material needs. Although true elsewhere, the realities of limited state infrastructure and an increasingly diverse religious landscape make it crucial for religious entrepreneurs to deal with material problems if they hope to gain adherents. This article applies the concepts of problem solving and brokerage ( Burt, 2005 ; Knoke, 1990 ) to a case study of religious leaders in Balaka, a small town of rural Malawi. I argue that religious leaders solve problems in three major areas—material infrastructure, activities and organization, and healthcare—and that they are able to do so at least partly because of their connections to various overlapping secular and religious networks. I focus both on the provision of material resources and the facilitation of effervescent experiences in order to advance a fuller understanding of the experience of poverty and the ways leaders in poor communities work to solve problems.     

The link between parenting approaches and health behavior: A systematic review

The familial home environment, where parenting takes place, plays an important role in the health behaviors that children and adolescents engage in and has implications on health and well-being in later life. Lifestyle-related behaviors predispose children and adolescents to the global burden of non-communicable and other lifestyle-related diseases. This review therefore examined and described previous studies looking at the associations between health behaviors and parenting approaches. It suggests that engagement in health behaviors, which promotes overall health and well-being, was associated with autonomy, supportive parenting, parental encouragement, behavior control, parental nurturance, warmth and responsiveness, and parental involvement. The review highlights the gap in literature focusing on the health behavior of children and adolescents as well as on parenting. In addition, the review also provides an overview of the continents where fewer studies have examined the presented associations. The findings presented also serve as a guide for program development and implementation to address the increase in non-communicable and other lifestyle-related diseases.     

Exploring emotional face processing in 5-month-olds: The relation with quality of parent–child interaction and spatial frequencies

It is unclear whether infants differentially process emotional faces in the brain at 5 months of age. Contradictory findings of previous research indicate that additional factors play a role in this process. The current study investigated whether five-month-old infants show differential brain activity between emotional faces. Furthermore, we explored the relation between emotional face processing and (I) stimulus characteristics, specifically the spatial frequency content, and (II) parent, child, and dyadic qualities of interaction characteristics. Face-sensitive components (i.e., N290, P400, Nc) in response to neutral and fearful faces that contained only lower or higher spatial frequencies were assessed. Quality of parent–child interaction was assessed with the Manchester Assessment of Caregiver Infant Interaction (MACI). The results show that, as a full group, none of the components differed between emotional expressions. However, when splitting the group based on median MACI scores, infants who showed high quality of interaction (i.e., more attentiveness to caregiver, positive and negative affect, and liveliness) processed emotions differently, whereas infants who showed low quality did not. These results indicate that a sub-group of infants show differential emotional face processing at 5 months of age, which seem to relate to quality of their behavior during the parent–child interaction.     

Using the RE‐AIM framework to identify and describe best practice models in family‐based intervention development: A systematic review

The family unit carries with it a responsibility of possibly being the most important predictor of positive child development. The aim of this systematic review is to identify and describe best practice models or processes in family‐based intervention development. The following databases were included in the review: PsychArticles, Academic Search Complete, ERIC, SocIndex, Sage, Sabinet, and Pubmed. Peer‐reviewed, English language, qualitative, quantitative, and mixed methods in nature conducted within the last 10 years. Interventions were required to include families as part of the programme as well as describe the model or process used in intervention development. Two self‐developed data extraction tables were developed for this review. The articles included for review were heterogeneous in terms of the outcomes, and so a narrative synthesis was used. After yielding an initial search of 400 studies, 28 articles were finally included for extraction and analysis with varying levels of intervention strength. Interventions are further described in terms of reach, effectiveness, adoption, implementation, and maintenance dimensions. A feasible intervention appears to be one that is flexible, engages processes to recruit those who are most at‐risk and is facilitated by someone known to or from the same community as the participants, can retain its participants, and can be evaluated with the same participants at a minimum of 6 months later.     

Expanding the Reflexive Space: Resilient Young Adults,Institutional Cultures,and Cognitive Schemas

For many U.S. young adults, being resilient to stressful events hinges on making meaning of such events and thereby minimizing their negative emotional impact. Yet why are some better able to do this than others? In this study, which uses an innovative outlier sampling strategy and linked survey and interview data, we argue that one important factor is connection to institutional cultures associated with higher education, religion/spirituality, and the military. Such cultures provide material for the development of cognitive schemas that can be adopted and applied to their stressful experiences, which include narratives of social progress, divine providence, and self‐discipline. Using a metaphor adapted from the pragmatist philosopher Charles Sanders Peirce, we argue the resulting schemas have the effect of “expanding the space” of reflexive thought, providing new cognitive material for interpreting stress and supporting resilience. Finally, we argue this framing improves in several ways on the concept of meaning making often used in stress process research.     

Own‐Choice Marriage and Fertility in Turkey

Goode's foundational work on the fertility transition identified own‐choice marriage as a factor driving fertility decline, part of a widening repertoire of choice pertaining to marriage and childbearing. Yet research supporting this connection in today's transitional societies is scarce and somewhat contradictory, and it is unclear how other marital traditions, such as consanguineous marriage, shape this relationship. This study evaluates Goode's theorized connection using pooled Demographic and Health Survey data from Turkey, comparing children ever born, use of contraception, and parity progression across four types of marriage: own‐choice and arranged marriage and marriage to a cousin versus an unrelated spouse. Results are largely consistent with the idea that a move toward own‐choice marriage reflects a widening repertoire of choice that also leads to fertility decline. However, they also show that hybrid models like own‐choice marriage to a cousin tempers these effects.     

Religious Transformations and Generalized Trust in Sub-Saharan Africa

The social cohesion literature repeatedly criticizes a lack of consensus regarding the theoretical conceptualization of the construct. The current paper attempts to clarify this ambiguity by providing a literature review on the recent approaches. By taking a bird’s eye view on previous conceptualizations of social cohesion we emphasize that in the majority of approaches there is in fact more overlap in the concept than has so far been assumed. In particular, we suggest three essential dimensions of social cohesion: (1) social relations, (2) identification with the geographical unit, and (3) orientation towards the common good. Each dimension is further differentiated into several sub-dimensions. We argue that additional elements identified in the literature (shared values, inequality, quality of life) are rather determinants or consequences of social cohesion, but not constituting elements. Suggestions for future research are discussed.     

Navigations: Insularity versus Cosmopolitanism in the Bahamas: Formality and Informality in an Arichipelagic Nation

Bahamians have traditionally considered themselves as one people, despite the fragmentation of the territory they inhabit, and the porous nature of the islands' natural boundaries. Paradoxically, the inhabitants of the archipelago are far more cosmopolitan and globally integrated than their apparent isolation would suggest. This article looks at how variation throughout the archipelago makes the imagination of a single identity difficult. Issues of identity, for instance, are rendered fluid by the islands' separation from one another. Thus, the means by which identity is created and maintained, and the various symbols used to cognise, legitimise and incorporate this fragmentation into a consciousness of self, are both fluid. The following examples are used to show how Bahamians make sense of these paradoxes and so knit a common bond from the apparent fragmentation of their land: racial and ethnic identity, the manipulation of symbols such as 'family' and 'home', communication and discourse among the islands, and questions of national versus local politics.     

Effects of method on participants and disclosure rates in research on sensitive topics

This study replicates and extends the research of Rosenbaum, Rabenhorst, Reddy, Fleming, and Howells, which also appears in this special issue. Responses from 398 randomly assigned participants regarding differentially sensitive topics were collected via four methods of data collection: written questionnaires, face-to-face interviews, telephone interviews, and an automated telephonic data collection system (ATDC). Several significant differences in data collection methodology and topic area were found, including greater disclosure of sensitive information via the ATDC system than via face-to-face and paper-and-pencil conditions. Participants who were assigned to the ATDC condition felt significantly more comfortable answering questions compared to those in the face-to-face interview condition. Participants in the telephone interview condition reported answering significantly more carefully than participants answering via written questionnaire. Taken together, the results of this study and the previous one it replicates suggest that the ATDC produces disclosure rates that are at least equivalent to, if not greater than, those generated using traditional methods for collecting sensitive data.