Translating cross-lagged effects into incidence rates and risk ratios: The case of psychosocial safety climate and depression

Longitudinal studies are the gold standard of empirical work and stress research whenever experiments are not plausible. Frequently, scales are used to assess risk factors and their consequences, and cross-lagged effects are estimated to determine possible risks. Methods to translate cross-lagged effects into risk ratios to facilitate risk assessment do not yet exist, which creates a divide between psychological and epidemiological work stress research. The aim of the present paper is to demonstrate how cross-lagged effects can be used to assess the risk ratio of different levels of psychosocial safety climate (PSC) in organisations, an important psychosocial risk for the development of depression. We used available longitudinal evidence from the Australian Workplace Barometer (N?=?1905) to estimate cross-lagged effects of PSC on depression. We applied continuous time modelling to obtain time-scalable cross effects. These were further investigated in a 4-year Monte Carlo simulation, which translated them into 4-year incident rates. Incident rates were determined by relying on clinically relevant 2-year periods of depression. We suggest a critical value of PSC?=?26 (corresponding to ?1.4 SD), which is indicative of more than 100% increased incidents of persistent depressive disorder in 4-year periods compared to average levels of PSC across 4 years.     

Linguists and other animals

Book reviewed in this article:
Joan Dunayer, Animal Equality: Language and Liberation     

Naivety and Family Therapy An Interview with John Carpenter

Family therapists have been naive about families, the pressures on them and the contexts of therapy. Therapists should be clear about their roles, sensitive to families' experience of therapy, and resist the temptation to mystify therapy. John Carpenter is Senior Lecturer in Mental Health, University of Kent, Canterbury, England and Co-Editor of Journal of Family Therapy. He was a guest keynote speaker at the 1991 Australian Family Therapy Conference in Brisbane, and this interview took place shortly afterwards in Melbourne.     

Child‐Care Usage and Mother‐Infant “Quality Time”

Mothers' time‐use patterns were compared in families in which infants spent more than 30 hours per week in child care (In‐Care group; n= 143) versus 0 hours per week (At‐Home group; n= 183) from birth to 6 months of age. In‐Care group mothers spent about 12 fewer hours per week interacting with their infants, for about 32% less time; fathers of these infants were more involved in caregiving. The groups did not differ in the quality of mother‐infant interaction. In the In‐Care group, quantity of interaction was related to greater separation anxiety and concerns about effects of maternal employment. Time‐use data were not related to child outcomes at 15 months of age. Results suggest that the effect of extensive time spent apart on the quantity and quality of mother‐infant interaction may be smaller than anticipated.     

Adolescent Violence towards Parents: Maintaining Family Connections When The Going Gets Tough

This paper explores some of the dilemmas, difficulties and decisions faced by mothers whose adolescent sons or daughters act in violent and abusive ways and refuse any counselling. A group intervention program, designed to assist these mothers in more fully understanding and addressing their adolescent's behaviour, was evaluated using both quantitative and qualitative methods. Self‐report questionnaire data indicated that following the group intervention the mothers reported less violence in their homes, and significantly less personal anxiety and fatigue. However, these women continued to experience high levels of depression, and the reasons for this are discussed. These findings are integrated with information from post‐intervention, in‐depth interviews which indicated that participants valued the group experience because they realised that they were not alone, their problems were understood, and they developed a wider range of strategies to deal with their children's violent behaviour.     

Book Reviews

Michael Seltzer, Christian Kullberg, Soren Peter Olesen, Ilmari Rostila (eds): Listening to the Welfare State. Aldershot, Ashgate, 2001. 267 pp, ISBN 0-7546-1565-0, £45.00     

Jobs,Gender, and Foetal Protection Policies: From Muller v. Oregon to Johnson Controls

The issue of work place hazards that may threaten the health of an unborn child has long been problematic for women, business decision-makers, and lawmakers. The desire to protect the developing foetus must be balanced against a woman's legal right to get and keep the job of her choice. The issue has never been easy to resolve, as this historical analysis shows. An overview of the potential effects of work place hazards on reproductive health is presented. Relevant fair employment laws are summarized, and a brief history of court cases and employer practices is provided. It is argued that ultimately, foetal protection policies had little or nothing to do with protection of foetuses. They may have had more to do with protecting the employer from potential liability and with perceptions of women's status in the work place than with protecting the next generation. Finally, suggestions for future research are presented.     

Research project on advocacy and autism

This article presents the findings of a qualitative research project about the difficulties in accessing advocacy faced by adults labelled as having autism and Asperger's Syndrome in the Northwest of England. It is also an example of partnership working between three organisations. The article examines both the process of team-led (emancipatory) research and the project findings. Seven main themes emerged throughout the research: late diagnosis and lack of service support; bad experiences with systems of care; feelings of 'not belonging' (identity issues); barriers around communication and sensitivity towards individuals; lack of awareness and access to advocacy and rights; difficulties of 'fitting into' what is already available; and interest in developing knowledge around advocacy. Examination of the main themes pointed to a disturbing link between poor service response, episodes of crisis and mental ill health. The Carlisle People First Research Team is made up of 6 researchers who are labelled as having 'learning difficulties' who work in partnership with one other researcher.     

The Notion of Justice in Social Workers' Decisions About Children

This paper investigates the notion of justice in social work with a view to understanding the kind of decisions which may be made for ‘children in need’. The approach is both theoretical and empirical. By examining the reasoning of social workers in cases where children have been admitted voluntarily to local authority care, the author explores the value-base of the professionals in difficult cases. The result is a picture of justice which has both social and legal dimensions, combined in a way which can be explained by reference to practice theory.