Psychosocial Well-Being of Young People Who Participated in a Support Group Following the Loss of a Parent to Cancer

Despite the evidence of unmet support needs among young people who have lost a parent to cancer, only a few support group initiatives have been reported. This observational prospective study explored the psychosocial well-being of young people who participated in support groups at a Swedish specialist palliative care setting. On three occasions, 29 participants, aged 16–28 years, answered questionnaires covering characteristics of the participants, circumstances of the losses, psychosocial well-being of the young people, and their own assessment of the support groups. The support groups attracted mostly young women who were often unprepared for the loss. The living arrangements differed between younger and older participants; however, the loss-related variables did not differ. Significant positive changes were found regarding a sense of meaning in their future life and life satisfaction. The helpfulness of the group was assessed as high/very high and the group brought a valuable fellowship with others in a similar situation. Universality and beneficial interactions were reported and strengthened psychosocial well-being developed over time. This change, according to the young people themselves, may be attributed to the group support. The findings are useful for planning interventions to support young people in bereavement in order to enhance their psychosocial well-being.     

Longitudinal Prediction of Mid‐Adolescent Psychosocial Outcomes From Early Adolescent Family Help Seeking and Family Support

This study examined whether family help seeking and family support represented the same or distinct constructs and prospective associations between emergent constructs and psychosocial outcomes. Data were from 1,713 school‐based adolescents participating in a randomized controlled trial, in Victoria, Australia. Family help seeking emerged as a single factor, distinct from family support, and was prospectively associated with improved psychosocial outcomes. Father closeness predicted lower depressive symptoms. Family help seeking predicted higher help seeking for peers. Interactions between family help seeking and family support on psychosocial outcomes were not apparent. Findings highlight the importance of examining family help seeking and family support separately in future studies of adolescents' help‐seeking behavior.     

A Parametric Estimation Procedure for Relapse Time Distributions

In a relapse clinical trial patients who have recovered from some recurrent disease (e.g.,ulcer or cancer) are examined at a number of predetermined times. A relapse can be detected either at one of these planned inspections or at a spontaneous visit initiated by the patient because of symptoms. In the first case the observations of the time to relapse, X, is interval-censored by two predetermined time-points. In the second case the upper endpoint of the interval is an observation of the time to symptoms,Y . To model the progression of the disease we use a partially observable Markov process. This approach results in a bivariate phase-type distribution for the joint distribution of (X,Y). It is a flexible model which contains several natural distributions for X, and allows the conditional distributions of the marginals to smoothly depend on each other. To estimate the distributions involved we develop an EM-algorithm. The estimation procedure is evaluated and compared with a non-parametric method in a couple of examples based on simulated data.     

Living Close to a Person With Cancer: A Review of the International Literature and Implications for Social Work Practice

To help family caregivers (FCs), social workers need to understand the complexity of FC’s experiences and challenges. For this systematic review, several relevant, multidisciplinary electronic databases were searched. Of 1,643 titles identified, 108 articles met the inclusion criteria and are included in this review. Various experiences, symptoms, and burden related to caregiving responsibilities are described and discussed. The understanding evolving from this study about the FC’s own health risk, caregiver burden, and experiences over time can enhance a social worker’s awareness of an FC’s challenging situation and the potential impact this has on the FC’s ability to provide care to the patient.     

Asymptotic Bias in Parameter Estimation of AR-Processes Using Recursive Least Squares with Exponential Forgetting

The recursive least squares technique is often extended with exponential forgetting as a tool for parameter estimation in time-varying systems. The distribution of the resulting parameter estimates is, however, unknown when the forgetting factor is less than one. In this paper an approximative expression for bias of the recursively obtained parameter estimates in a time-invariant AR( n_a ) process with arbitrary noise is given, showing that the bias is non-zero and giving bounds on the approximation errors. Simulations confirm the approximation expressions.     

At risk of exclusion? Degrees of ICT access and literacy among senior citizens

Drawing on data derived from a nationwide postal survey (n?=?1264) with a simple random sample of Swedes between ages 65 and 85 (response rate: 63%), the article analyses the general patterns of: (a) degrees of information and communication (ICT) access and (b) ICT-literacy among Swedish senior citizens. The overall patterns of access and literacy are analysed in light of senior citizens’ assets – conceptualized as material, discursive and social resources – and their age and gender. The analysis reveals a positive correlation between levels of material (e.g., income), discursive (e.g., English skills) and social (e.g., social networks) resources and access to ICT. With greater resources, the average number of devices increases. The analysis also reveals a positive correlation between discursive and social resources and ICT-literacy. Gender has no bearing on access to devices, but might have some effect on ICT-literacy. The correlation between age, access and literacy is negative. With increasing age, both access and literacy decreases. In this respect, the study reveals a generational effect. However, since all three resources tend to decrease over the life cycle, the results are also discussed in terms of an age effect. These data and our analyses are contextualized by a critical discussion that reflects on the implications of these general patterns: What do they mean for senior citizens’ abilities to be included and participate in a continuously digitalizing society?     

A multi-level analysis of leader–member exchange and creative performance in research groups

We investigated the effects of LMX in leader and member ratings on leader and member creative performance among 137 leader–member dyads in academic and commercial R&D groups. By using the sub-dimensions of LMX-MDM (affect, loyalty, contribution, and professional respect) we wanted to show which dimensions of the leader–member relationship that is beneficial to creative performance. Analyses were conducted with consideration to nesting and dependencies occurring in the data. Findings indicated that certain sub-dimensions of exchanges between leaders and followers are substantive for creative performance in either positive or negative ways, depending on academic and commercial setting. LMX sub-dimensions were also differently related to creative performance depending on leaders' or members' perspective. The mixed results of this study indicate that LMX theory needs further analysis from a multidimensional, multitarget, and multilevel perspective.     

The prevalence of heavy narcotics abuse in Sweden in 1992

A case-finding study was carried out in 1992 to determine the prevalence of drug abuse in Sweden. Several authorities in 100 local communities and 59 police districts were selected to participate in the case-finding research. The number of heavy drug abusers was estimated to be 17,000. Heavy drug use is defined as "any intravenous use of drugs, regardless of substance, or any daily or near-daily use of drugs, regardless of the method of administration". The study was designed to make the results comparable to a similar study in 1979 in which the number found was 12,000. According to the studies, the number of heavy drug abusers increased by 5000 between 1979 and 1992. The age distribution shows that the recruitment of abusers has declined, especially among young people.     

Emergency department social work in the UK and Sweden: evaluation by older frequent emergency department attenders Kuratorsarbete på akutmottagning i förenade kungadömet Storbritannien och Sverige: en utvärdering utifrån brukarperspektivet hos äldre mångbesökare på akutmottagningen

Social work based in hospital emergency departments (EDs) in Sweden and the UK reflects a wider European social/health care policy trend. A key focus is on diverting older frequent ED attenders from ‘inappropriate’ hospital re-attendance or emergency admission, because of social care problems. However, previously there has been no evaluation of the significance of ED social work for health and well-being, from the standpoint of older frequent ED attenders themselves. In a preliminary way, our paper provides this through drawing on a small scale Swedish/UK study. Its comparative account of service user feedback underscores the importance of ED social work as a facet of European social work. It indicates that ED social work contributes to the quality of care within emergency departments, acts as a key access point to social services, and can promote both short and longer-term health. At the same time, some serious shortcomings emerge. These include under-developed referral systems, and limitations to community based services following ED social work assessment, which reflect the under-resourcing of social care provision in both countries. Moreover, service users’ experience in both Sweden and the UK reveals the risk of ED social work with older frequent ED attenders being used as a substitute for follow-up medical/nursing care when that is also required.