%0 Journal Article %J Addictive Behaviors %D 2024 %T Longitudinal associations between adult-supervised drinking during adolescence and alcohol misuse from ages 25-31 years: A comparison of Australia and the United States %A Bailey, Jennifer A. %A Le, Vi T. %A McMorris, Barbara J. %A Merrin, Gabriel J. %A Heerde, Jessica A. %A Batmaz, Ebru A. %A Toumbourou, John W. %B Addictive Behaviors %V 153 %G eng %& 107984 %R 10.1016/j.addbeh.2024.107984 %0 Journal Article %J Journal of Prevention %D 2024 %T Long-term effects of the Raising Healthy Children intervention on family functioning in adulthood: A nonrandomized controlled trial %A Le, Vi T. %A Bailey, Jennifer A. %A Pandika, Danielle M. %A Epstein, Marina %A Satchell, Karryn %B Journal of Prevention %V 45 %P 17-25 %8 11/2023 %G eng %N 1 %R 10.1007/s10935-023-00753-z %0 Journal Article %J Health Affairs Forefront %D 2024 %T Prevention: The missing link in our efforts to support families impacted by the opioid epidemic %A Leighty, Jim %A Kuklinski, Margaret R. %A Cooper, Brittany %A Haggerty, Kevin P. %A Oxford, Monica L. %A Peavy, K. Michelle %A Walker-Harding, Leslie R. %B Health Affairs Forefront %V February 9 %8 02/09/2024 %G eng %R 10.1377/forefront.20240207.380985 %0 Journal Article %J Preventive Medicine %D 2023 %T Bullying and physical violence and their association with handgun carrying among youth growing up in rural areas %A Ellyson, Alice M. %A Gause, Emma %A Lyons, Vivian H. %A Schleimer, Julia P. %A Dalve, Kimberly %A Kuklinski, Margaret R. %A Oesterle, Sabrina %A Weybright, Elizabeth H. %A Rowhani-Rahbar, Ali %B Preventive Medicine %V 167 %P 107416 %G eng %R 10.1016/j.ypmed.2022.107416 %0 Journal Article %J Prevention Science %D 2023 %T Economic evaluation design within the HEAL Prevention Cooperative %A Dunlap, Laura J. %A Kuklinski, Margaret R. %A Cowell, Alexander %A McCollister, Kathryn E. %A Bowser, Diana M. %A Campbell, Mark %A Fernandes, Claudia-Santi F. %A Kemburu, Pranav %A Livingston, Bethany J. %A Prosser, Lisa A. %A Rao, Vinod %A Smart, Rosanna %A Yilmazer, Tansel %B Prevention Science %V 24(Suppl. 1) %P S50-S60 %G eng %0 Journal Article %J International Journal of Environmental Research and Public Health %D 2023 %T Health of young adults experiencing social marginalization and vulnerability: A cross-national longitudinal study %A Heerde, JA %A Merrin, GJ %A Le, VT %A Toumbourou, JW %A Bailey, JA %B International Journal of Environmental Research and Public Health %V 20 %P 1711 %G eng %N 3 %R 10.3390/ijerph20031711 %0 Journal Article %J American Journal of Epidemiology %D 2023 %T Lessons learned from integrating anti-oppression pedagogy in a graduate-level course in epidemiology %A Lyons, Vivian H. %A Seiler, Jessie %A Rowhani-Rahbar, Ali %A Adhia, Avanti %B American Journal of Epidemiology %V 192 %P 1231-1237 %8 08/2023 %G eng %N 8 %R https://doi.org/10.1093/aje/kwad124 %0 Journal Article %J Australian Journal of Psychology %D 2023 %T Polydrug use in Australian 12-14 year olds from 2006 to 2017: An examination of drug use profiles, emotional control problems, and family relationship characteristics %A Adrian B. Kelly %A Andrew Munnings %A Xiang Zhou %A Bosco Rowland %A Kristin R. Laurens %A Marilyn Campbell %A Joanne Williams %A Jen A. Bailey %A Callula Killingly %A Julie Abimanyi-Ochom %A Peter Kremer %A John W. Toumbourou %B Australian Journal of Psychology %V 75 %P 2174705 %8 02/2023 %G eng %N 1 %0 Journal Article %J Journal of Adolescent Health %D 2023 %T School handgun carrying among youth growing up in rural communities %A Dalve, K %A Ellyson, AM %A Gause, E %A Lyons, VH %A Schleimer, JP %A Kuklinski, MR %A Oesterle, S %A Briney, JS %A Weybright, EH %A Rowhani-Rahbar, A %B Journal of Adolescent Health %V 72 %P 636-639 %G eng %N 4 %R 10.1016/j.jadohealth.2022.10.033 %0 Journal Article %J Prevention Science %D 2023 %T Testing cross-generational effects of the Raising Healthy Children intervention on young adult offspring of intervention participants %A Bailey, Jennifer A %A Pandika, Danielle %A Le, Vi T. %A Epstein, Marina %A Steeger, Christine M. %A Hawkins, J David %B Prevention Science %V 24 %P 1376-1385 %8 10/1023 %G eng %N 7 %R 10.1007/s11121-023-01583-5 %0 Journal Article %J JAMA Network Open %D 2023 %T Upstream strategies, alternatives to detention, and system transformation to address interconnected harms of youth detention and firearm injuries %A Lyons, Vivian H. %A Danielson, Benjamin %B JAMA Network Open %V 6 %P e238846 %8 04/2023 %G eng %N 4 %R 10.1001/Jamanetworkopen.2023.8846 %0 Journal Article %J JAMA Network Open %D 2022 %T Analysis of daily ambient temperature and firearm violence in 100 US Cities %A Lyons, VH %A Gause, EL %A Spangler, KR %A Wellenius, GA %A Jay, J %B JAMA Network Open %V 5 %P e2247207 %G eng %& 12 %R 10.1001/jamanetworkopen.2022.47207 %0 Journal Article %J Drug and Alcohol Dependence %D 2022 %T Associations of attention problems and family context in childhood and adolescence with young adult daily smoking: General and smoking-specific family contexts %A Lee, Jungeun O. %A Hill, Karl G. %A Jeong, Chung H. %A Steeger, Christine M. %A Kosterman, Rick %B Drug and Alcohol Dependence %V 240 %P 109629 %G eng %0 Journal Article %J Journal of Urban Health %D 2022 %T Associations of cumulative and point-in-time neighborhood poverty and walkability with body mass from age 30 to 39 %A Le, Vi T. %A Rhew, Isaac C. %A Kosterman, Rick %A Lovasi, Gina S. %A Frank, Lawrence D. %B Journal of Urban Health %V 99 %P 1080-1090 %8 2022 %G eng %N 6 %R 10.1007/s11524-022-00688-6 %0 Journal Article %J Journal of Youth and Adolescence %D 2022 %T Cumulative neighborhood risk and subsequent internalizing behavior among Asian American adolescents %A Lee, Woo J. %A Hackman, Daniel A. %A Guttmannova, Katarina %A Kosterman, Rick %A Lee, Jungeun O. %B Journal of Youth and Adolescence %V 51 %P 1733-1744 %G eng %N 9 %R 10.1007/s10964-022-01623-3 %0 Journal Article %J Contemporary Clinical Trials %D 2022 %T Parent-focused prevention of adolescent health risk behavior: Study protocol for a multisite cluster-randomized trial implemented in pediatric primary care %A Scheuer, Hannah %A Kuklinski, Margaret R. %A Sterling, Stacy A. %A Catalano, Richard F. %A Beck, Arne %A Braciszewski, Jordan %A Boggs, Jennifer %A Hawkins, J D %A Loree, Amy M. %A Weisner, Constance %A Carey, Susan %A Elsiss, Farah %A Morse, Erica %A Negusse, Rahel %A Jessen, Andrew %A Kline-Simon, Andrea %A Oesterle, Sabrina %A Quesenberry, Charles %A Sofrygin, Oleg %A Yoon, Tae %B Contemporary Clinical Trials %V 112 %P 106621 %G eng %0 Journal Article %J JAMA Network Open %D 2022 %T Trajectories of handgun carrying in rural communities from early adolescence to young adulthood %A Ellyson, Alice M. %A Gause, Emma %A Oesterle, Sabrina %A Kuklinski, Margaret R. %A Briney, John S. %A Weybright, Elizabeth H. %A Haggerty, Kevin P. %A Lyons, Vivian H. %A Schleimer, Julia P. %A Rowhani-Rahbar, Ali %B JAMA Network Open %V 5 %P e225127 %G eng %0 Journal Article %J Healthcare %D 2021 %T Accounting for quality improvement during the conduct of embedded pragmatic clinical trials within healthcare systems: NIH collaboratory case studies %A Tuzzio, Leah %A Meyers, Catherine M. %A Dember, Laura M. %A Grudzen, Corita R. %A Melnick, Edward R. %A Staman, Karen L. %A Huang, Susan S. %A Richards, Julie %A DeBar, Lynn %A Vazquez, Miguel A. %A Green, Beverly B. %A Coronado, Gloria D. %A Jarvik, Jeffrey G. %A Braciszewski, Jordan %A Ho, P. Michael %A Wells, Barbara L. %A James, Kathryn %A Toto, Robert %A D'Onofrio, Gail %A Volandes, Angelo %A Kuklinski, Margaret R. %A Catalano, Richard F %A Sterling, Stacy A. %A Morse, Erica F. %A Curtis, Lesley %A Larson, Eric B. %B Healthcare %V 8(Suppl 1) %P 100432 %G eng %0 Journal Article %J Injury Epidemiology %D 2021 %T Barriers to recruitment, retention and intervention delivery in a randomized trial among patients with firearm injuries %A Floyd, Anthony S. %A Lyons, Vivian H. %A Whiteside, Lauren K. %A Haggerty, Kevin P. %A Rivara, Frederick P. %A Rowhani-Rahbar, Ali %B Injury Epidemiology %V 8 %P 37 %G eng %0 Journal Article %J Journal of Trauma and Acute Care Surgery %D 2021 %T Helping individuals with firearm injuries: A cluster randomized trial %A Lyons, Vivian H. %A Floyd, Anthony S. %A Griffin, Elizabeth %A Wang, Jin %A Hajat, Anjum %A Carone, Marco %A Benkeser, David %A Whiteside, Lauren %A Haggerty, Kevin P. %A Rivara, Frederick P. %A Rowhani-Rahbar, Ali %B Journal of Trauma and Acute Care Surgery %V 90 %P 722-730 %G eng %0 Journal Article %J Children and Youth Services Review %D 2020 %T Assessing caregiver usability of the National Training and Development Curriculum for Foster and Adoptive Parents %A Salazar, Amy M. %A Day, Angelique %A Feltner, Alanna %A Lopez, Jacquelene M. %A Garcia-Rosales, Katherine V. %A Vanderwill, Lori A. %A Boo, Mary %A Ornelas, Laura A. %A Wright, Leslie B. %A Haggerty, Kevin P. %B Children and Youth Services Review %V 114 %P 105031 %G eng %0 Journal Article %J International Journal of Mental Health and Addiction %D 2020 %T Assessing community readiness for preventing youth substance use in Colombia: A latent profile analysis %A deOliveira-Corrêa, Arthur %A Brown, Eric C. %A Lee, T K %A Mejía-Trujillo, Juliana %A Pérez-Gómez, Augusto %A Eisenberg, Nicole %B International Journal of Mental Health and Addiction %V 18 %P 368-381 %G eng %0 Journal Article %J Child Abuse & Neglect %D 2020 %T Benefit-cost analysis of Promoting First Relationships®: Implications of victim benefits assumptions for return on investment %A Kuklinski, Margaret R. %A Oxford, Monica L. %A Spieker, Susan J. %A Lohr, M J %A Fleming, Charles B. %B Child Abuse & Neglect %V 106 %P 104515 %G eng %0 Journal Article %J Research on Social Work Practice %D 2020 %T Fidelity assessment of a social work-led intervention among patients with firearm injuries %A Lyons, Vivian H. %A Benson, Lina R. %A Griffin, Elizabeth %A Floyd, Anthony S. %A Kiche, Sharon W. %A Haggerty, Kevin P. %A Whiteside, Lauren %A Conover, Sarah %A Herman, Daniel B. %A Rivara, Frederick P. %A Rowhani-Rahbar, Ali %B Research on Social Work Practice %V 30 %P 678-687 %G eng %0 Journal Article %J Journal of the Society for Social Work and Research %D 2020 %T Parents’ perceptions of adolescent exposure to marijuana following legalization in Washington State %A Jones, Tiffany M. %A Eisenberg, Nicole %A Kosterman, Rick %A Lee, Jungeun O. %A Bailey, Jennifer A. %A Haggerty, Kevin P. %B Journal of the Society for Social Work and Research %V 11 %P 21-38 %G eng %0 Book Section %B The encyclopedia of child and adolescent development %D 2020 %T Prevention of adolescent mental, emotional, and behavioral health disorders: A global perspective %A Fagan, Abigail A. %A Lewis, Amanda N. %A Catalano, Richard F. %E Hupp, Stephen %E Jewell, Jeremy D. %B The encyclopedia of child and adolescent development %I John Wiley and Sons %C Hoboken, NJ %G eng %0 Journal Article %J Journal of the Society for Social Work and Research %D 2019 %T Assessing an adapted approach to Communities That Care for child maltreatment prevention %A Salazar, Amy M. %A Haggerty, Kevin P. %A Briney, John S. %A Vann, Terri %A Vinson, Jean %A Lansing, Michaele %A Catalano, Richard F. %A Pecora, Peter J. %A de Haan, Benjamin %B Journal of the Society for Social Work and Research %V 10 %P 349-369 %G eng %0 Journal Article %J Journal of Behavioral Medicine %D 2019 %T Firearm-related behaviors following firearm injury: Changes in ownership, carrying and storage %A Lyons, Vivian H. %A Rivara, Frederick P. %A Yan, A N-X %A Currier, Cara %A Ballsmith, Erin %A Haggerty, Kevin P. %A Whiteside, Lauren %A Floyd, Anthony S. %A Hajat, Anjum %A Rowhani-Rahbar, Ali %B Journal of Behavioral Medicine %V 42 %P 658-673 %G eng %0 Journal Article %J Violence Against Women %D 2019 %T Gender differences in intimate partner violence: A predictive analysis of IPV by child abuse and domestic violence exposure during early childhood %A Jung, Hyunzee %A Herrenkohl, Todd I. %A Skinner, Martie L. %A Lee, Jungeun O %A Klika, J B %A Rousson, Ashley N. %B Violence Against Women %V 25 %P 903-924 %G eng %0 Journal Article %J Journal of Child and Family Studies %D 2019 %T Parenting practices in the context of legal marijuana: Voices from Seattle parents %A Eisenberg, Nicole %A Jones, Tiffany M. %A Kosterman, Rick %A Bailey, Jennifer A. %A Lee, Jungeun O. %A Haggerty, Kevin P. %B Journal of Child and Family Studies %V 28 %P 587-598 %G eng %0 Journal Article %J Journal of Social Work Practice in the Addictions %D 2019 %T Promoting SBIRT training for social work students across field settings %A Tajima, Emiko %A McCowan, Kristin J. %A Lindhorst, Taryn %A Haggerty, Kevin P. %A Rivara, J B %A Schack, Steve %A Ramey, Anastasia %A Jackson, T. Ron %B Journal of Social Work Practice in the Addictions %V 19 %P 108-123 %G eng %0 Journal Article %J Drug and Alcohol Dependence %D 2019 %T Time-varying effects of family smoking and family management on adolescent daily smoking: The moderating roles of behavioral disinhibition and anxiety %A Steeger, Christine M. %A Epstein, Marina %A Hill, Karl G. %A Kristman-Valente, Allison N. %A Bailey, Jennifer A. %A Lee, Jungeun O. %A Kosterman, Rick %B Drug and Alcohol Dependence %V 204 %P 107572 %G eng %0 Journal Article %J Journal of Youth and Adolescence %D 2019 %T Young adult unemployment and later depression and anxiety: Does childhood neighborhood matter? %A Lee, Jungeun O. %A Jones, Tiffany M. %A Yoon, Yoewon %A Hackman, Daniel A. %A Yoo, Joan P. %A Kosterman, Rick %B Journal of Youth and Adolescence %V 48 %P 30-42 %G eng %0 Journal Article %J Public Health %D 2018 %T Childhood neighborhood context and adult substance use problems: The role of socio-economic status at the age of 30 years %A Lee, Jungeun O. %A Jones, Tiffany M. %A Kosterman, Rick %A Cambron, Christopher %A Rhew, Isaac %A Herrenkohl, Todd I. %A Hill, Karl G. %B Public Health %V 165 %P 58-66 %G eng %0 Book Section %B Grand challenges for social work and society %D 2018 %T Ensure healthy development for all youth %A Jenson, Jeffrey M. %A Hawkins, J D %E Fong, Rowena %E Lubben, James %E Barth, Richard P. %B Grand challenges for social work and society %I Oxford University Press %C New York, NY %P 18-35 %G eng %0 Journal Article %J Trends and Issues in Crime and Criminal Justice %D 2018 %T Prevent crime and save money: Return-on-investment models in Australia %A Heerde, Jessica A. %A Toumbourou, John W. %A Hemphill, Sheryl A. %A Le, Ha %A Herrenkohl, Todd I. %A Catalano, Richard F. %B Trends and Issues in Crime and Criminal Justice %V 545 %P 1-18 %G eng %0 Journal Article %J Journal of Adolescent Health %D 2018 %T Racial differences in mechanisms linking childhood socioeconomic status with growth in adult body mass index: The role of adolescent risk and educational attainment %A Gavin, Amelia R. %A Jones, Tiffany M. %A Kosterman, Rick %A Lee, Jungeun O. %A Cambron, Christopher %A Epstein, Marina %A Hill, Karl G. %A Hawkins, J D %B Journal of Adolescent Health %V 63 %P 474-481 %G eng %0 Journal Article %J Drug and Alcohol Dependence %D 2017 %T The association between regular marijuana use and adult mental health outcomes %A Guttmannova, Katarina %A Kosterman, Rick %A White, Helene R. %A Bailey, Jennifer A. %A Lee, Jungeun O. %A Epstein, Marina %A Jones, Tiffany M. %A Hawkins, J D %B Drug and Alcohol Dependence %I Elsevier %V 179 %P 109-116 %G eng %0 Journal Article %J Drug and Alcohol Dependence %D 2017 %T The association of unemployment from age 21 to 33 with substance use disorder symptoms at age 39: The role of childhood neighborhood characteristics %A Lee, Jungeun O. %A Jones, Tiffany M. %A Kosterman, Rick %A Rhew, Isaac C. %A Lovasi, Gina S. %A Hill, Karl G. %A Catalano, Richard F. %A Hawkins, J D %B Drug and Alcohol Dependence %V 174 %P 1-8 %G eng %0 Book Section %B Encyclopedia of juvenile delinquency and justice %D 2017 %T Communities That Care %A Haggerty, Kevin P. %E Christopher J. Schreck %E Michael J. Leiber %E Holly Ventura Miller %E Kelly Welch %B Encyclopedia of juvenile delinquency and justice %I Wiley-Blackwell %C New York, NY %G eng %0 Journal Article %J Social Work Research %D 2017 %T Effects of formal and informal deviant labels in adolescence on crime in adulthood %A Lee, JoAnn S. %A Tajima, Emiko A. %A Herrenkohl, Todd I. %A Hong, Seunghye %B Social Work Research %V 41 %P 97-109 %G eng %! Soc Work Res %0 Journal Article %J Journal of Interpersonal Violence %D 2017 %T Gendered pathways from child abuse to adult crime through internalizing and externalizing behaviors in childhood and adolescence %A Jung, Hyunzee %A Herrenkohl, Todd I. %A Lee, Jungeun O. %A Hemphill, Sheryl A. %A Heerde, Jessica A. %A Skinner, Martie L. %B Journal of Interpersonal Violence %V 32 %P 2724-2750 %G eng %0 Journal Article %J Journal of Urban Health %D 2017 %T Neighborhood typologies associated with alcohol use among adults in their 30s: A finite mixture modeling approach %A Rhew, Isaac C. %A Kosterman, Rick %A Lee, Jungeun O. %B Journal of Urban Health %V 94 %P 542-548 %G eng %0 Journal Article %J Australian Journal of Psychology %D 2017 %T Sexual behavior in early adolescence: A cross-national comparison of Australian and United States youth %A Prendergast, Laura E. %A Leung, Rachel %A Toumbourou, John W. %A Taft, Angela %A McMorris, Barbara J. %A Catalano, Richard F. %B Australian Journal of Psychology %V 69 %P 3-11 %8 Mar %G eng %! Aust J Psychol %0 Journal Article %J Aggression and Violent Behavior %D 2017 %T Systematic review of early risk factors for life-course-persistent, adolescence-limited, and late-onset offenders in prospective longitudinal studies %A Jolliffe, Darrick %A Farrington, David P. %A Piquero, Alex R. %A Loeber, Rolf %A Hill, Karl G. %B Aggression and Violent Behavior %V 33 %P 15-23 %G eng %0 Journal Article %J Psychol Addict Behav %D 2016 %T Association of comorbid psychopathology with the duration of cannabis use disorders. %A Farmer, Richard F %A Kosty, Derek B %A Seeley, John R %A Gau, Jeff M %A Duncan, Susan C %A Walker, Denise D %A Lewinsohn, Peter M %X

Risk factors for the development of cannabis use disorders (CUDs) have been well-researched. Comparatively little is known, however, about factors associated with the persistence of CUDs over time. This research explored whether the temporal sequencing of comorbid psychiatric disorders in relation to the onset of the index CUD episode were associated with the length of this episode. Four comprehensive diagnostic assessments were conducted between ages 16 and 30 with a large and regionally representative community sample (n = 816), among which 173 persons were diagnosed with a lifetime CUD. In separate unadjusted analyses, any internalizing disorder and any mood disorder with onset prior to that of the index CUD episode were each significantly and negatively associated with CUD duration. These effects, however, were reduced to trend level in adjusted analyses that controlled for putative confounders. Following the onset of the index CUD episode, the subsequent occurrence of any Axis I disorder, internalizing disorder, externalizing disorder, or other substance use disorder during the index CUD episode was significantly and positively associated with the duration of that episode in both unadjusted and adjusted analyses. These findings collectively suggest that the presence of internalizing-spectrum disorders prior to the onset of the index CUD episode affords some modest protection against protracted episodes, whereas the emergence of broad-spectrum psychopathology within the index CUD episode, most notably noncannabis substance use disorders, is associated with greater disorder persistence. The relevance of these findings for various motivational models of cannabis addiction is discussed.

%B Psychol Addict Behav %V 30 %P 82-92 %8 2016 Feb %G eng %N 1 %R 10.1037/adb0000151 %0 Journal Article %J Alcoholism: Clinical and Experimental Research %D 2016 %T Impacts of changing marijuana policies on alcohol and other drug use in the United States %A Guttmannova, Katarina %A Lee, Christine %A Kilmer, Jason R. %A Fleming, Charles B. %A Rhew, Isaac C. %A Kosterman, Rick %A Larimer, Mary E. %B Alcoholism: Clinical and Experimental Research %V 40 %P 33-46 %G eng %0 Journal Article %J Journal of Studies on Alcohol and Drugs %D 2016 %T Longitudinal effects of early childhood maltreatment on co-occurring substance misuse and mental health problems in adulthood: The role of adolescent alcohol use and depression %A Skinner, Martie L. %A Hong, Seunghye %A Herrenkohl, Todd I. %A Brown, Eric C. %A Lee, Jungeun O. %A Jung, Hyunzee %B Journal of Studies on Alcohol and Drugs %V 77 %P 464-472 %G eng %0 Journal Article %J Public Health %D 2016 %T Mechanisms linking high school graduation to health disparities in young adulthood: A longitudinal analysis of the role of health behaviors, psychosocial stressors, and health insurance %A Lee, Jungeun O. %A Jones, Tiffany M. %A Kosterman, Rick %A Herrenkohl, Todd I. %A Rhew, Isaac C. %A Catalano, Richard F. %A Hawkins, J D %B Public Health %V 139 %P 61-69 %G eng %0 Journal Article %J American Journal of Orthopsychiatry %D 2016 %T Mediating and moderating effects of social support in the study of child abuse and adult physical and mental health %A Herrenkohl, Todd I. %A Jung, Hyunzee %A Klika, J B %A Mason, W A %A Brown, Eric C. %A Leeb, Rebecca T. %A Herrenkohl, Roy C. %B American Journal of Orthopsychiatry %V 86 %P 573-583 %G eng %! Am J Orthopsychiatry %0 Journal Article %J Journal of Research on Adolescence %D 2016 %T Peer group patterns of alcohol-using behaviors among early adolescents in Victoria, Australia, and Washington State, United States %A Leung, Rachel K. %A Toumbourou, John W. %A Hemphill, Sheryl A. %A Catalano, Richard F. %B Journal of Research on Adolescence %V 26 %P 902-917 %G eng %0 Journal Article %J American Journal of Preventive Medicine %D 2016 %T Primary health care: Potential home for family-focused preventive interventions %A Leslie, Laurel K. %A Mehus, Christopher J. %A Hawkins, J D %A Boat, Thomas %A McCabe, M A %A Barkin, Shari %A Perrin, Ellen %A Metzler, Carol %A Prado, Guillermo %A Tait, V. Fan %A Brown, Randall %A Beardslee, William %B American Journal of Preventive Medicine %V 51 %P S106-S118 %G eng %0 Journal Article %J Psycho-oncology %D 2016 %T Psychometric properties of the Cancer and Treatment Distress (CTXD) measure in hematopoietic cell transplantation patients %A K. L. Syrjala %A J. C. Yi %A S. L. Langer %X BACKGROUND: This study examines the psychometric properties of a measure of distress specific to cancer and its treatment, as tested in patients receiving hematopoietic cell transplantation (HCT). METHODS: With multicenter enrollment, the Cancer and Treatment Distress (CTXD) measure was administered to adults beginning HCT as part of an assessment that included the Center for Epidemiologic Studies Depression (CESD), Profile of Mood States, and Medical Outcomes Study Short Form 36 (SF-36). RESULTS: From eight transplant centers, 176 of 219 eligible patients completed the assessment. Average age was 46.7 years (SD = 11.9), 59% were male, and the majority were identified as Caucasian (93%). Principal components analysis with the CTXD identified 22 items that loaded onto six factors explaining 69% of the variance: uncertainty, health burden, identity, medical demands, finances, and family strain. Internal consistency reliability for the 22 items was 0.91. The receiver operating characteristic area under the curve was 0.85 (95% CI [0.79, 0.91]), with a cut point of 1.1 resulting in a sensitivity rate of 0.91 and a specificity rate of 0.58. Convergent validity and divergent validity were confirmed with large correlations of the CTXD total score with the CESD, Profile of Mood States, and SF-36 mental health; and a smaller correlation with the SF-36 physical function (r = -0.30). CONCLUSIONS: The CTXD is a reliable and valid measure of distress for HCT recipients and captures nearly all cases of depression on the CESD in addition to detecting distress in those who are not depressed. It has potential value as both a research and clinical screening measure for distress. Copyright (c) 2015 John Wiley & Sons, Ltd. %B Psycho-oncology %V 25 %P 529-535 %8 May %@ 1099-1611; 1057-9249 %G eng %0 Journal Article %J Journal of pediatric psychology %D 2016 %T The Sensitivity to Change and Responsiveness of the Adult Responses to Children's Symptoms in Children and Adolescents With Chronic Pain %A M. Noel %A N. Alberts %A S. L. Langer %A R. L. Levy %A L. S. Walker %A T. M. Palermo %K adolescents %K ARCS %K children %K Chronic Pain %K monitor %K parental responses %K pediatric pain %K protect. %X OBJECTIVE: To examine the sensitivity to change and responsiveness of the Adult Responses to Children's Symptoms (ARCS) among parents of youth with chronic pain. METHODS: Participants included 330 youth (89 children aged 7-11 years, 241 children aged 12-17 years) and their parents who participated in randomized controlled trials of family-based cognitive-behavioral therapy for chronic pain. Child pain and disability, parental emotional functioning, and parental responses to child pain were assessed at baseline and posttreatment. RESULTS: The Protect and Monitor scales of the ARCS were sensitive to change following intervention for both developmental groups, with clinically meaningful reductions in these behaviors, thereby demonstrating responsiveness. Among the adolescent sample, greater change on some ARCS scales was associated with better parental emotional functioning and lower child pain at posttreatment. CONCLUSIONS: Findings support the sensitivity to change and responsiveness of the Protect and Monitor scales among parents of youth with chronic pain. %B Journal of pediatric psychology %V 41 %P 350-362 %8 Apr %@ 1465-735X; 0146-8693 %G eng %0 Journal Article %J Int Public Health J %D 2016 %T Stress pathways to health inequalities: Embedding ACEs within social and behavioral contexts. %A Nurius, Paula S %A Green, Sara %A Logan-Greene, Patricia %A Longhi, Dario %A Song, Chiho %X

OBJECTIVE: This study addresses whether adverse childhood experiences (ACEs) demonstrate disproportional prevalence across demographic- and health-affecting characteristics, offer significant explanation of adult health outcomes, and show patterned association with illness susceptibility early within and across adulthood when viewed in combination with income and psychosocial resources.

METHODS: Data were derived from a population-based state health survey using stratified random sampling of household adults (n=7,470): ages 18-99 (M=55), 59.9% females, and race/ethnicity, income and education levels representative of the region. We assessed ACEs by aggregating 8 adversity forms, 5 health behaviors and 3 psychosocial resources; and health outcomes (number of chronic conditions, subjective wellness).

RESULTS: Disproportionality was evident in ACEs levels by demographics, adult SES, health behaviors, and psychosocial resources in expected directions. Stepped multiple regressions of health outcomes demonstrated significant betas and R(2) change for each predictor block, revealing cumulative as well as unique explanatory utility. Early onset chronic illness was evident on the basis of ACEs levels. These illnesses were amplified for low income respondents. Prevalence was highest across adulthood for those also reporting low psychosocial assets.

CONCLUSIONS: Findings offer novel insights as to the "long reach" of childhood adversity on health, conditioned by circumstances under which these effects may occur. Health resilience offered by health behaviors and psychosocial resources should shape thinking about preventive and remedial interventions by social work and allied professionals across a range of settings.

%B Int Public Health J %V 8 %P 241-256 %8 2016 Apr-Jun %G ENG %N 2 %1 http://www.ncbi.nlm.nih.gov/pubmed/27274786?dopt=Abstract %0 Journal Article %J Behavior Genetics %D 2016 %T A test-replicate approach to candidate gene research on addiction and externalizing disorders: A collaboration across five longitudinal studies %A Samek, Diana R. %A Bailey, Jennifer A. %A Hill, Karl G. %A Wilson, Sylia %A Lee, Susanne %A Keyes, Margaret A. %A Epstein, Marina %A Smolen, Andrew %A Miller, Michael %A Winters, Ken C. %A Hawkins, J D %A Catalano, Richard F. %A Iacono, William G. %A McGue, Matt %B Behavior Genetics %I Springer %V 46 %P 608-626 %G eng %0 Journal Article %J Development and Psychopathology special issue: Longitudinal Transactional Models of Development and Psychopathology %D 2016 %T Understanding the interplay of individual and social-developmental factors in the progression of substance use and mental health from childhood to adulthood %A Jones, Tiffany M. %A Hill, Karl G. %A Epstein, Marina %A Lee, J O %A Hawkins, J D %A Catalano, Richard F. %B Development and Psychopathology special issue: Longitudinal Transactional Models of Development and Psychopathology %I Cambridge University Press %V 28 %P 721-741 %G eng %0 Journal Article %J Am J Orthopsychiatry %D 2016 %T Using Communities That Care for community child maltreatment prevention. %A Salazar, Amy M %A Haggerty, Kevin P %A de Haan, Benjamin %A Catalano, Richard F %A Vann, Terri %A Vinson, Jean %A Lansing, Michaele %X

The prevention of mental, emotional, and behavioral (MEB) disorders among children and adolescents is a national priority. One mode of implementing community-wide MEB prevention efforts is through evidence-based community mobilization approaches such as Communities That Care (CTC). This article provides an overview of the CTC framework and discusses the adaptation process of CTC to prevent development of MEBs through preventing child abuse and neglect and bolstering child well-being in children aged 0 to 10. Adaptations include those to the intervention itself as well as those to the evaluation approach. Preliminary findings from the Keeping Families Together pilot study of this evolving approach suggest that the implementation was manageable for sites, and community board functioning and community adoption of a science-based approach to prevention in pilot sites looks promising. Implications and next steps are outlined. (PsycINFO Database Record

%B Am J Orthopsychiatry %V 86 %P 144-55 %8 2016 Mar %G eng %N 2 %1 http://www.ncbi.nlm.nih.gov/pubmed/26963184?dopt=Abstract %R 10.1037/ort0000078 %0 Journal Article %J The American Journal of Hospice & Palliative Care %D 2015 %T Behavioral and Educational Interventions to Support Family Caregivers in End-of-Life Care: A Systematic Review %A N. C. Chi %A G. Demiris %A F. M. Lewis %A A. J. Walker %A S. L. Langer %K Behavior Therapy %K cognitive behavioral therapy %K cognitive psychotherapy %K Education %K end-of-life care %K family caregiver %K hospice care %K Palliative Care %X The demand for family caregivers steadily increases as the number of people receiving hospice and palliative care rises. Family caregivers play a significant role in supporting their loved ones in end-of-life care. However, there is limited evidence about the effectiveness of the interventions for supporting family caregivers. This article synthesizes behavioral and educational interventions that support family caregivers in end-of-life care. A systematic review was conducted and searched interventional studies published between 2004 and 2014 in PubMed, CINAHL, Embase, and The Cochrane Library electronic databases. Fourteen studies were identified and analyzed: 4 educational studies, 6 cognitive behavioral therapy studies, and 4 psychoeducational studies. All educational and behavioral interventions had developed structures and treatment manuals and improved family caregivers' outcomes. The cognitive behavioral therapy resulted in more positive outcomes than the other 2 interventions. More rigorous randomized controlled trials are needed to replicate current effective interventions with larger and diverse sample. Future studies need to develop tools for assessing family caregivers' needs, create consistent and specific tools to effectively measure family caregivers' outcomes, incorporate a cost-effectiveness analysis, and find the most efficient intervention format and method. %B The American Journal of Hospice & Palliative Care %8 Jul 7 %@ 1938-2715; 1049-9091 %G eng %0 Journal Article %J Psychol Addict Behav %D 2015 %T Computer-assisted behavioral therapy and contingency management for cannabis use disorder. %A Budney, Alan J %A Stanger, Catherine %A Tilford, J Mick %A Scherer, Emily B %A Brown, Pamela C %A Li, Zhongze %A Li, Zhigang %A Walker, Denise D %K Adult %K Cognitive Therapy %K Female %K Humans %K Male %K Marijuana Abuse %K Middle Aged %K Motivation %K Motivational Interviewing %K Psychotherapy, Brief %K Substance-Related Disorders %K Therapy, Computer-Assisted %K Treatment Outcome %K Young Adult %X

Computer-assisted behavioral treatments hold promise for enhancing access to and reducing costs of treatments for substance use disorders. This study assessed the efficacy of a computer-assisted version of an efficacious, multicomponent treatment for cannabis use disorders (CUD), that is, motivational enhancement therapy, cognitive-behavioral therapy, and abstinence-based contingency-management (MET/CBT/CM). An initial cost comparison was also performed. Seventy-five adult participants, 59% Black, seeking treatment for CUD received either, MET only (BRIEF), therapist-delivered MET/CBT/CM (THERAPIST), or computer-delivered MET/CBT/CM (COMPUTER). During treatment, the THERAPIST and COMPUTER conditions engendered longer durations of continuous cannabis abstinence than BRIEF (p < .05), but did not differ from each other. Abstinence rates and reduction in days of use over time were maintained in COMPUTER at least as well as in THERAPIST. COMPUTER averaged approximately $130 (p < .05) less per case than THERAPIST in therapist costs, which offset most of the costs of CM. Results add to promising findings that illustrate potential for computer-assisted delivery methods to enhance access to evidence-based care, reduce costs, and possibly improve outcomes. The observed maintenance effects and the cost findings require replication in larger clinical trials.

%B Psychol Addict Behav %V 29 %P 501-11 %8 2015 Sep %G eng %N 3 %R 10.1037/adb0000078 %0 Journal Article %J Child Adolesc Social Work J %D 2015 %T Life Course Associations between Victimization and Aggression: Distinctive and Cumulative Contributions. %A Logan-Greene, Patricia %A Nurius, Paula S %A Hooven, Carole %A Thompson, Elaine Adams %X

The connections between early maltreatment and later aggression are well established in the literature, however gaps remain in our understanding of developmental processes. This study investigates the cascading life course linkages between victimization experiences from childhood through early adulthood and later aggressive behavior. The diverse, at-risk sample is of particular importance to child and adolescent specialists, as it represents highly vulnerable youth accessible through conventional school settings. In addition to direct pathways from proximal life periods, path analysis revealed significant indirect mediated pathways through which earlier life victimization contributes to aggressive behaviors in later life periods as well as revictimization. Multivariate regressions support theorized cumulative effects of multi-form victimization as well as distinct contributions of victimization domains (emotional, witnessing, physical, property, and sexual) in explaining aggressive behavior. Consistent with theorizing about the developmental impact of early maltreatment, results bolster the importance of interrupting pathways from victimization to revictimization and later aggression. Findings are evaluated in light of implications for early identification and prevention programming.

%B Child Adolesc Social Work J %V 32 %P 269-279 %8 2015 Jun 1 %G ENG %N 3 %1 http://www.ncbi.nlm.nih.gov/pubmed/26190900?dopt=Abstract %0 Journal Article %J Child Abuse Negl %D 2015 %T Life course pathways of adverse childhood experiences toward adult psychological well-being: A stress process analysis. %A Nurius, Paula S %A Green, Sara %A Logan-Greene, Patricia %A Borja, Sharon %K Activities of Daily Living %K Adaptation, Psychological %K Adult %K Adult Survivors of Child Abuse %K Aged %K Behavioral Risk Factor Surveillance System %K Crime Victims %K Female %K Health Surveys %K Humans %K Male %K Mental Health %K Middle Aged %K Multivariate Analysis %K Personal Satisfaction %K Regression Analysis %K Socioeconomic Factors %K Stress, Psychological %K Washington %X

Growing evidence suggests that toxic stressors early in life not only convey developmental impacts but also augment risk of proliferating chains of additional stressors that can overwhelm individual coping and undermine recovery and health. Examining trauma within a life course stress process perspective, we posit that early childhood adversity carries a unique capacity to impair adult psychological well-being both independent of and cumulative with other contributors, including social disadvantage and stressful adult experiences. This study uses data from a representative population-based health survey (N=13,593) to provide one of the first multivariate assessments of unique, cumulative, and moderated effects of adverse childhood experiences (ACEs) toward explaining 3 related yet distinct measures of adult mental health: perceived well-being, psychological distress, and impaired daily activities. Results demonstrate support for each set of hypothesized associations, including exacerbation and amelioration of ACEs effects by adult stress and resilience resources, respectively. Implications for services and future research are discussed.

%B Child Abuse Negl %V 45 %P 143-53 %8 2015 Jul %G eng %1 http://www.ncbi.nlm.nih.gov/pubmed/25846195?dopt=Abstract %R 10.1016/j.chiabu.2015.03.008 %0 Journal Article %J Clin J Pain %D 2014 %T Cognitive mediators of treatment outcomes in pediatric functional abdominal pain. %A Levy, Rona L %A Langer, Shelby L %A Romano, Joan M %A Labus, Jennifer %A Walker, Lynn S %A Murphy, Tasha B %A Tilburg, Miranda A L van %A Feld, Lauren D %A Christie, Dennis L %A Whitehead, William E %K Abdominal Pain %K Adolescent %K Catastrophization %K Child %K Cognitive Therapy %K Female %K Humans %K Male %K Pain Measurement %K Parents %K Pediatrics %K Treatment Outcome %X

OBJECTIVES: Cognitive-behavioral (CB) interventions improve outcomes for many pediatric health conditions, but little is known about which mechanisms mediate these outcomes. The goal of this study was to identify whether changes in targeted process variables from baseline to 1 week posttreatment mediate improvement in outcomes in a randomized controlled trial of a brief CB intervention for idiopathic childhood abdominal pain.

MATERIALS AND METHODS: Two hundred children with persistent functional abdominal pain and their parents were randomly assigned to 1 of 2 conditions: a 3-session social learning and CB treatment (N=100), or a 3-session educational intervention controlling for time and attention (N=100). Outcomes were assessed at 3-, 6-, and 12-month follow-ups. The intervention focused on altering parental responses to pain and on increasing adaptive cognitions and coping strategies related to pain in both parents and children.

RESULTS: Multiple mediation analyses were applied to examine the extent to which the effects of the social learning and CB treatment condition on child gastrointestinal (GI) symptom severity and pain as reported by children and their parents were mediated by changes in targeted cognitive process variables and parents' solicitous responses to their child's pain symptoms. Reductions in parents' perceived threat regarding their child's pain mediated reductions in both parent-reported and child-reported GI symptom severity and pain. Reductions in children's catastrophic cognitions mediated reductions in child-reported GI symptom severity but no other outcomes. Reductions in parental solicitousness did not mediate outcomes.

DISCUSSION: Results suggest that reductions in reports of children's pain and GI symptoms after a social learning and CB intervention were mediated at least in part by decreasing maladaptive parent and child cognitions.

%B Clin J Pain %V 30 %P 1033-43 %8 2014 Dec %G eng %N 12 %R 10.1097/AJP.0000000000000077 %0 Journal Article %J Soc Work Health Care %D 2014 %T Distinct contributions of adverse childhood experiences and resilience resources: a cohort analysis of adult physical and mental health. %A Logan-Greene, Patricia %A Green, Sara %A Nurius, Paula S %A Longhi, Dario %K Adaptation, Psychological %K Adolescent %K Adult %K Age Distribution %K Aged %K Behavioral Risk Factor Surveillance System %K Child Abuse %K Cohort Studies %K Female %K Health Status %K Humans %K Life Change Events %K Male %K Mental Health %K Middle Aged %K Regression Analysis %K Resilience, Psychological %K Self Concept %K Stress, Psychological %K Washington %K Young Adult %X

Although evidence is rapidly amassing as to the damaging potential of early life adversities on physical and mental health, as yet few investigations provide comparative snapshots of these patterns across adulthood. This population-based study addresses this gap, examining the relationship of adverse childhood experiences (ACEs) to physical and mental health within a representative sample (n = 19,333) of adults, comparing the prevalence and explanatory strength of ACEs among four birth cohorts spanning ages 18-79. This assessment accounts for demographic and socioeconomic factors, as well as both direct and moderating effects of resilience resources (social/emotional support, life satisfaction, and sleep quality). Findings demonstrate (1) increasing trends of reported ACEs across younger cohorts, including time period shifts such as more prevalent family incarceration, substance abuse, and divorce, (2) significant bivariate as well as independent associations of ACEs with poor health within every cohort, controlling for multiple covariates (increasing trends in older age for physical health), and (3) robust patterns wherein resilience resources moderated ACEs, indicating buffering pathways that sustained into old age. Theoretical and practice implications for health professionals are discussed.

%B Soc Work Health Care %V 53 %P 776-97 %8 2014 %G eng %N 8 %1 http://www.ncbi.nlm.nih.gov/pubmed/25255340?dopt=Abstract %R 10.1080/00981389.2014.944251 %0 Journal Article %J Prev Sci %D 2014 %T Engagement matters: lessons from assessing classroom implementation of steps to respect: a bullying prevention program over a one-year period. %A Low, Sabina %A Van Ryzin, Mark J %A Brown, Eric C %A Smith, Brian H %A Haggerty, Kevin P %K Adolescent %K Adolescent Behavior %K Altruism %K Bullying %K Curriculum %K Diffusion of Innovation %K Faculty %K Female %K Humans %K Male %K Outcome Assessment (Health Care) %K Primary Prevention %K Program Evaluation %K Schools %K Students %K United States %K Violence %X

Steps to Respect: A Bullying Prevention Program (STR) relies on a social-ecological model of prevention to increase school staff awareness and responsiveness, foster socially responsible beliefs among students, and teach social-emotional skills to students to reduce bullying behavior. As part of a school-randomized controlled trial of STR, we examined predictors and outcomes associated with classroom curriculum implementation in intervention schools. Data on classroom implementation (adherence and engagement) were collected from a sample of teachers using a weekly on-line Teacher Implementation Checklist system. Pre-post data related to school bullying-related outcomes were collected from 1,424 students and archival school demographic data were obtained from the National Center for Education Statistics. Results of multilevel analyses indicated that higher levels of program engagement were influenced by school-level percentage of students receiving free/reduced lunch, as well as classroom-level climate indicators. Results also suggest that higher levels of program engagement were related to lower levels of school bullying problems, enhanced school climate and attitudes less supportive of bullying. Predictors and outcomes related to program fidelity (i.e., adherence) were largely nonsignificant. Results suggest that student engagement is a key element of program impact, though implementation is influenced by both school-level demographics and classroom contexts.

%B Prev Sci %V 15 %P 165-76 %8 2014 Apr %G eng %N 2 %R 10.1007/s11121-012-0359-1 %0 Journal Article %J J Poverty %D 2014 %T Jezebel at the welfare office: How racialized stereotypes of poor women's reproductive decisions and relationships shape policy implementation. %A Masters, N Tatiana %A Lindhorst, Taryn P %A Meyers, Marcia K %X

Current welfare scholarship lacks an analysis of how caseworkers discuss sexuality-related issues with clients. Seventy-two of 232 transcribed welfare interviews in three states included discussion of reproductive decisions and relationships. Overall, caseworkers' language reflected negative myths regarding African American women's sexuality and motherhood. By virtue of their status as welfare recipients, regardless of their individual races, clients were placed into racialized myths through workers' talk. This analysis demonstrates that though not present in every welfare interview and often veiled in bureaucratic language, negative ideas about poor women's sexuality persist in welfare policy and are deeply embedded in its day-to-day implementation.

%B J Poverty %V 18 %P 109-129 %8 2014 Jan 1 %G eng %N 2 %R 10.1080/10875549.2013.833159 %0 Journal Article %J Youth Soc %D 2014 %T Negative and Positive Factors Associated With the Well-Being of Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning (LGBTQ) Youth. %A Higa, Darrel %A Hoppe, Marilyn J %A Lindhorst, Taryn %A Mincer, Shawn %A Beadnell, Blair %A Morrison, Diane M %A Wells, Elizabeth A %A Todd, Avry %A Mountz, Sarah %X

Factors associated with the well-being of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth were qualitatively examined to better understand how these factors are experienced from the youths' perspectives. Largely recruited from LGBTQ youth groups, 68 youth participated in focus groups (n = 63) or individual interviews (n = 5). The sample included 50% male, 47% female, and 3% transgender participants. Researchers used a consensual methods approach to identify negative and positive factors across 8 domains. Negative factors were associated with families, schools, religious institutions, and community or neighborhood; positive factors were associated with the youth's own identity development, peer networks, and involvement in the LGBTQ community. These findings suggest a pervasiveness of negative experiences in multiple contexts, and the importance of fostering a positive LGBTQ identity and supportive peer/community networks. Efforts should work towards reducing and eliminating the prejudicial sentiments often present in the institutions and situations that LGBTQ youth encounter.

%B Youth Soc %V 46 %P 663-687 %8 2014 Sep %G eng %N 5 %R 10.1177/0044118X12449630 %0 Journal Article %J Arch Sex Behav %D 2014 %T Sexually explicit online media and sexual risk among men who have sex with men in the United States. %A Nelson, Kimberly M %A Simoni, Jane M %A Morrison, Diane M %A George, William H %A Leickly, Emily %A Lengua, Liliana J %A Hawes, Stephen E %K Adolescent %K Adult %K Cross-Sectional Studies %K Erotica %K HIV Infections %K Homosexuality, Male %K Humans %K Internet %K Male %K Middle Aged %K Risk-Taking %K Socioeconomic Factors %K United States %K Unsafe Sex %K Young Adult %X

This study aimed to describe sexually explicit online media (SEOM) consumption among men who have sex with men (MSM) in the United States and examine associations between exposure to unprotected anal intercourse (UAI) in SEOM and engagement in both UAI and serodiscordant UAI. MSM in the U.S. who accessed a men-seeking-men website in the past year (N = 1,170) were recruited online for a cross-sectional, Internet-based survey of sexual risk and SEOM consumption. In the 3 months prior to interview, more than half (57 %) of the men reported viewing SEOM one or more times per day and almost half (45 %) reported that at least half of the SEOM they viewed portrayed UAI. Compared to participants who reported that 0-24 % of the SEOM they viewed showed UAI, participants who reported that 25-49, 50-74, or 75-100 % of the SEOM they viewed portrayed UAI had progressively increasing odds of engaging in UAI and serodiscordant UAI in the past 3 months. As SEOM has become more ubiquitous and accessible, research should examine causal relations between SEOM consumption and sexual risk-taking among MSM as well as ways to use SEOM for HIV prevention.

%B Arch Sex Behav %V 43 %P 833-43 %8 2014 May %G eng %N 4 %R 10.1007/s10508-013-0238-2 %0 Journal Article %J Prev Sci %D 2013 %T Addressing core challenges for the next generation of type 2 translation research and systems: the translation science to population impact (TSci Impact) framework. %A Spoth, Richard %A Rohrbach, Louise A %A Greenberg, Mark %A Leaf, Philip %A Brown, C H %A Fagan, Abigail %A Catalano, Richard F %A Pentz, M A %A Sloboda, Zili %A Hawkins, J D %K Evidence-Based Practice %K Translational Medical Research %X

Evidence-based preventive interventions developed over the past two decades represent great potential for enhancing public health and well-being. Research confirming the limited extent to which these interventions have been broadly and effectively implemented, however, indicates much progress is needed to achieve population-level impact. In part, progress requires Type 2 translation research that investigates the complex processes and systems through which evidence-based interventions are adopted, implemented, and sustained on a large scale, with a strong orientation toward devising empirically-driven strategies for increasing their population impact. In this article, we address two core challenges to the advancement of T2 translation research: (1) building infrastructure and capacity to support systems-oriented scaling up of evidence-based interventions, with well-integrated practice-oriented T2 research, and (2) developing an agenda and improving research methods for advancing T2 translation science. We also summarize a heuristic "Translation Science to Population Impact (TSci Impact) Framework." It articulates key considerations in addressing the core challenges, with three components that represent: (1) four phases of translation functions to be investigated (pre-adoption, adoption, implementation, and sustainability); (2) the multiple contexts in which translation occurs, ranging from community to national levels; and (3) necessary practice and research infrastructure supports. Discussion of the framework addresses the critical roles of practitioner-scientist partnerships and networks, governmental agencies and policies at all levels, plus financing partnerships and structures, all required for both infrastructure development and advances in the science. The article concludes with two sets of recommended action steps that could provide impetus for advancing the next generation of T2 translation science and, in turn, potentially enhance the health and well-being of subsequent generations of youth and families.

%B Prev Sci %V 14 %P 319-51 %8 2013 Aug %G eng %N 4 %R 10.1007/s11121-012-0362-6 %0 Journal Article %J J AIDS Clin Res %D 2013 %T Antiretroviral Therapy (ART) Side Effect Impacted on Quality of Life, and Depressive Symptomatology: A Mixed-Method Study. %A Chen, Wei-Ti %A Shiu, Cheng-Shi %A Yang, Joyce P %A Simoni, Jane M %A Fredriksen-Goldsen, Karen I %A Lee, Tony Szu-Hsien %A Zhao, Hongxin %X

Antiretroviral therapy (ART) is known for its side effects. In this paper, we describe ART side effects as experienced by Chinese HIV+ individuals. This study presents two stages of a research project, combining qualitative in-depth interviews (29 HIV+ participants) with quantitative statistical data analysis (N = 120). All data was collected between July 2005 to March 2008 at Beijing's Ditan Hospital. Consent was obtained from each participant for the qualitative interview and again for the quantitative survey. During in-depth interviews, Chinese HIV+ patients reported experiencing digestive discomfort, skin rashes, numbness, memory loss, nightmares, and dizziness, which not only brought them physical discomfort, but also interrupted different dimensions of their social lives. Furthermore, multiple regression analyses revealed that those who reported more severe side effects also experienced greater depressive mood after controlling for other clinical and psychosocial factors. ART side effects are one of the primary reasons causing HIV+ individuals to delay or stop taking life-saving medication; therefore, clinical interventions are critically needed to assist HIV+ individuals in managing ART side effects. ART side effects reinforced existing negative attitudes toward ART and lead to lower ART adherence. Future research should focus on developing culturally sensitive interventions to enhance HIV+ self-management, to alleviate physical and psychological burden from ART and HIV.

%B J AIDS Clin Res %V 4 %P 218 %8 2013 Jun 29 %G eng %R 10.4172/2155-6113.1000218 %0 Journal Article %J J Pain %D 2013 %T A blueprint of pain curriculum across prelicensure health sciences programs: one NIH Pain Consortium Center of Excellence in Pain Education (CoEPE) experience. %A Doorenbos, Ardith Z %A Gordon, Deborah B %A Tauben, David %A Palisoc, Jenny %A Drangsholt, Mark %A Lindhorst, Taryn %A Danielson, Jennifer %A Spector, June %A Ballweg, Ruth %A Vorvick, Linda %A Loeser, John D %K Curriculum %K Data Collection %K Humans %K National Institutes of Health (U.S.) %K Pain Clinics %K Pain Management %K Schools, Health Occupations %K United States %X

UNLABELLED: To improve U.S. pain education and promote interinstitutional and interprofessional collaborations, the National Institutes of Health Pain Consortium has funded 12 sites to develop Centers of Excellence in Pain Education (CoEPEs). Each site was given the tasks of development, evaluation, integration, and promotion of pain management curriculum resources, including case studies that will be shared nationally. Collaborations among schools of medicine, dentistry, nursing, pharmacy, and others were encouraged. The John D. Loeser CoEPE is unique in that it represents extensive regionalization of health science education, in this case in the region covering the states of Washington, Wyoming, Alaska, Montana, and Idaho. This paper describes a blueprint of pain content and teaching methods across the University of Washington's 6 health sciences schools and provides recommendations for improvement in pain education at the prelicensure level. The Schools of Dentistry and Physician Assistant provide the highest percentage of total required curriculum hours devoted to pain compared with the Schools of Medicine, Nursing, Pharmacy, and Social Work. The findings confirm the paucity of pain content in health sciences curricula, missing International Association for the Study of Pain curriculum topics, and limited use of innovative teaching methods such as problem-based and team-based learning.

PERSPECTIVE: Findings confirm the paucity of pain education across the health sciences curriculum in a CoEPE that serves a large region in the United States. The data provide a pain curriculum blueprint that can be used to recommend added pain content in health sciences programs across the country.

%B J Pain %V 14 %P 1533-8 %8 2013 Dec %G eng %N 12 %R 10.1016/j.jpain.2013.07.006 %0 Journal Article %J J Health Care Chaplain %D 2013 %T Doctors' attentiveness to the spirituality/religion of their patients in pediatric and oncology settings in the Northwest USA. %A King, Stephen D W %A Dimmers, Martha A %A Langer, Shelby %A Murphy, Patricia E %K Adult %K Aged %K Aged, 80 and over %K Attention %K Attitude of Health Personnel %K Chaplaincy Service, Hospital %K Female %K Humans %K Male %K Medical Oncology %K Middle Aged %K Northwestern United States %K Pediatrics %K Physician-Patient Relations %K Physicians %K Referral and Consultation %K Self Efficacy %K Spirituality %K Surveys and Questionnaires %X

Research indicates that spirituality/religion is important to many patients and they want this to be an integrated component of their care. This study's aim was to better understand doctors' attentiveness to patients'/families' spiritual/religious concerns and the contributing factors for this in the Northwest USA as well as doctor's attitudes about referrals to chaplains. Study participants included 108 pediatricians and oncologists who completed an online self-report questionnaire regarding their beliefs about the health relevance of patients' spirituality/religion and their attentiveness to this. Few doctors routinely addressed this concern. Doctors who were Christian, did not expect negative reactions to inquiring, and were knowledgeable regarding chaplains were more likely to address spirituality/religion. Doctors who felt less adequate in addressing spirituality/religion and were concerned about patients negative reactions were less likely to value referral to chaplains. On the other hand, those who had an understanding regarding chaplains were more likely to support referral.

%B J Health Care Chaplain %V 19 %P 140-64 %8 2013 %G eng %N 4 %R 10.1080/08854726.2013.829692 %0 Journal Article %J Public Health %D 2013 %T Educational inequalities in the co-occurrence of mental health and substance use problems, and its adult socio-economic consequences: a longitudinal study of young adults in a community sample. %A Lee, J O %A Herrenkohl, T I %A Kosterman, R %A Small, C M %A Hawkins, J D %K Adult %K Anxiety Disorders %K Comorbidity %K Depressive Disorder %K Educational Status %K Female %K Follow-Up Studies %K Health Status Disparities %K Humans %K Male %K Prospective Studies %K Social Class %K Socioeconomic Factors %K Substance-Related Disorders %K Young Adult %X

OBJECTIVES: To examine the relationship between the co-occurrence of mental health and substance use problems and socio-economic status (SES).

STUDY DESIGN: A prospective longitudinal study of 808 males and females followed to age 30.

METHODS: Survey data were used to derive latent classes (profiles) of mental health (depression, anxiety) and substance use (alcohol, nicotine, and marijuana [cannabis]) problems at age 27. Analyses examined the associations of these profiles with earlier educational attainment (high school diploma) and indicators of SES at age 30.

RESULTS: Latent Class Analysis produced four profiles: a low disorder symptoms group, a licit substance use disorder symptoms group (alcohol and nicotine), a mental health disorder symptoms group, and a comorbid group. Earning a high school diploma by age 21 decreased the odds of belonging to the comorbid group or the licit substance use disorder symptoms group when compared to the low disorder symptoms group. These disorder profiles also were found to adversely impact subsequent adult SES. The adverse impact was more evident in income maintenance and wealth accumulation by age 30 than market or non-market labour force participation.

CONCLUSIONS: Earning a high school diploma lessens the risk of co-occurring mental health and substance use problems which contribute to economic instability in young adulthood. Findings underscore the importance of public health programmes to reduce the incidence of mental health and substance use problems and their associated high costs to individuals and to society.

%B Public Health %V 127 %P 745-53 %8 2013 Aug %G eng %N 8 %R 10.1016/j.puhe.2013.04.005 %0 Journal Article %J Brain Behav Immun %D 2013 %T The effect of pre-transplant distress on immune reconstitution among adult autologous hematopoietic cell transplantation patients. %A McGregor, Bonnie A %A Syrjala, Karen L %A Dolan, Emily D %A Langer, Shelby L %A Redman, Mary %K Adolescent %K Adult %K Anxiety %K Depression %K Female %K Hematologic Neoplasms %K Hematopoietic Stem Cell Transplantation %K Humans %K Leukocyte Count %K Longitudinal Studies %K Male %K Middle Aged %K Prospective Studies %K Psychiatric Status Rating Scales %K Self Report %K Sex Factors %K Stress, Psychological %K Treatment Outcome %X

Myeloablative hematopoietic cell transplantation (HCT) is a common treatment for hematological malignancy. Delayed immune reconstitution following HCT is a major impediment to recovery with patients being most vulnerable during the first month after transplant. HCT is a highly stressful process. Because psychological distress has been associated with down regulation of immune function we examined the effect of pre-transplant distress on white blood cell (WBC) count among 70 adult autologous HCT patients during the first 3 weeks after transplant. The participants were on average 38 years old; 93% Caucasian, non-Hispanic and 55% male. Pre-transplant distress was measured 2-14 days before admission using the Cancer and Treatment Distress (CTXD) scale, and the Symptom Checklist-90-R (SCL-90-R) anxiety and depression subscales. WBC count was measured during initial immune recovery on days 5 through 22 post-transplant. Linear mixed model regression analyses controlling for gender and treatment-related variables revealed a significant effect of the mean pre-transplant SCL Anxiety-Depression score on WBC recovery. We found no significant effect of pre-transplant CTXD on WBC recovery. In general, higher levels of pre-treatment anxiety and depression were associated with slower WBC recovery. Psychological modulation of WBC recovery during HCT suggests a unique mechanism by which psychological distress can exert influence over the immune system. Given that WBC recovery is essential to survival for HCT patients, these data provide a rationale for treating anxiety and depression in HCT patients.

%B Brain Behav Immun %V 30 Suppl %P S142-8 %8 2013 Mar %G eng %R 10.1016/j.bbi.2012.07.020 %0 Journal Article %J J Palliat Med %D 2013 %T Examining palliative care team involvement in automatic consultations for children on extracorporeal life support in the pediatric intensive care unit. %A Doorenbos, Ardith Z %A Starks, Helene %A Bourget, Erica %A McMullan, D Michael %A Lewis-Newby, Mithya %A Rue, Tessa C %A Lindhorst, Taryn %A Aisenberg, Eugene %A Oman, Natalie %A Curtis, J Randall %A Hays, Ross %A Clark, Jonna D %A Baden, Harris P %A Brogan, Thomas V %A Di Gennaro, Jane L %A Mazor, Robert %A Roberts, Joan S %A Turnbull, Jessica %A Wilfond, Benjamin S %K Child %K Child, Preschool %K Extracorporeal Membrane Oxygenation %K Female %K Humans %K Infant %K Infant, Newborn %K Intensive Care Units, Pediatric %K Male %K Palliative Care %K Patient Care Team %K Prognosis %K Retrospective Studies %X

BACKGROUND: Extracorporeal life support (ECLS) is an advanced form of life-sustaining therapy that creates stressful dilemmas for families. In May 2009, Seattle Children's Hospital (SCH) implemented a policy to involve the Pediatric Advanced Care Team (PACT) in all ECLS cases through automatic referral.

OBJECTIVE: Our aim was to describe PACT involvement in the context of automatic consultations for ECLS patients and their family members.

METHODS: We retrospectively examined chart notes for 59 consecutive cases and used content analysis to identify themes and patterns.

RESULTS: The degree of PACT involvement was related to three domains: prognostic uncertainty, medical complexity, and need for coordination of care with other services. Low PACT involvement was associated with cases with little prognostic uncertainty, little medical complexity, and minimal need for coordination of care. Medium PACT involvement was associated with two categories of cases: 1) those with a degree of medical complexity but little prognostic uncertainty; and 2) those that had a degree of prognostic uncertainty but little medical complexity. High PACT involvement had the greatest medical complexity and prognostic uncertainty, and also had those cases with a high need for coordination of care.

CONCLUSIONS: We describe a framework for understanding the potential involvement of palliative care among patients receiving ECLS that explains how PACT organizes its efforts toward patients and families with the highest degree of need. Future studies should examine whether this approach is associated with improved patient and family outcomes.

%B J Palliat Med %V 16 %P 492-5 %8 2013 May %G eng %N 5 %R 10.1089/jpm.2012.0536 %0 Journal Article %J Int J Circumpolar Health %D 2013 %T The future of successful aging in Alaska. %A Lewis, Jordan %K Adult %K Aged %K Aging %K Alaska %K Female %K Forecasting %K Health Behavior %K Humans %K Indians, North American %K Interviews as Topic %K Male %K Middle Aged %X

BACKGROUND: There is a paucity of research on Alaska Natives and their views on whether or not they believe they will age successfully in their home and community. There is limited understanding of aging experiences across generations.

OBJECTIVE: This research explores the concept of successful aging from an urban Alaska Native perspective and explores whether or not they believe they will achieve a healthy older age.

DESIGN: A cultural consensus model (CCM) approach was used to gain a sense of the cultural understandings of aging among young Alaska Natives aged 50 years and younger.

RESULTS: Research findings indicate that aging successfully is making the conscious decision to live a clean and healthy life, abstaining from drugs and alcohol, but some of Alaska Natives do not feel they will age well due to lifestyle factors. Alaska Natives see the inability to age well as primarily due to the decrease in physical activity, lack of availability of subsistence foods and activities, and the difficulty of living a balanced life in urban settings.

CONCLUSIONS: This research seeks to inform future studies on successful aging that incorporates the experiences and wisdom of Alaska Natives in hopes of developing an awareness of the importance of practicing a healthy lifestyle and developing guidelines to assist others to age well.

%B Int J Circumpolar Health %V 72 %8 2013 %G eng %R 10.3402/ijch.v72i0.21186 %0 Journal Article %J Contemp Clin Trials %D 2013 %T Healthy Homes/Healthy Kids: a randomized trial of a pediatric primary care-based obesity prevention intervention for at-risk 5-10 year olds. %A Sherwood, Nancy E %A Levy, Rona L %A Langer, Shelby L %A Senso, Meghan M %A Crain, A Lauren %A Hayes, Marcia G %A Anderson, Julie D %A Seburg, Elisabeth M %A Jeffery, Robert W %K Accelerometry %K Body Mass Index %K Child %K Child, Preschool %K Cost-Benefit Analysis %K Counseling %K Diet %K Exercise %K Female %K Humans %K Male %K Overweight %K Parent-Child Relations %K Parents %K Pediatric Obesity %K Primary Health Care %K Risk Factors %K Safety %K Sedentary Lifestyle %K Socioeconomic Factors %X

Pediatric primary care is an important setting in which to address obesity prevention, yet relatively few interventions have been evaluated and even fewer have been shown to be effective. The development and evaluation of cost-effective approaches to obesity prevention that leverage opportunities of direct access to families in the pediatric primary care setting, overcome barriers to implementation in busy practice settings, and facilitate sustained involvement of parents is an important public health priority. The goal of the Healthy Homes/Healthy Kids (HHHK 5-10) randomized controlled trial is to evaluate the efficacy of a relatively low-cost primary care-based obesity prevention intervention aimed at 5 to 10 year old children who are at risk for obesity. Four hundred twenty one parent/child dyads were recruited and randomized to either the obesity prevention arm or a Contact Control condition that focuses on safety and injury prevention. The HHHK 5-10 obesity prevention intervention combines brief counseling with a pediatric primary care provider during routine well child visits and follow-up telephone coaching that supports parents in making home environmental changes to support healthful eating, activity patterns, and body weight. The Contact Control condition combines the same provider counseling with telephone coaching focused on safety and injury prevention messages. This manuscript describes the study design and baseline characteristics of participants enrolled in the HHHK 5-10 trial.

%B Contemp Clin Trials %V 36 %P 228-43 %8 2013 Sep %G eng %N 1 %R 10.1016/j.cct.2013.06.017 %0 Journal Article %J J Consult Clin Psychol %D 2013 %T The immigrant paradox among Asian American women: are disparities in the burden of depression and anxiety paradoxical or explicable? %A Lau, Anna S %A Tsai, William %A Shih, Josephine %A Liu, Lisa L %A Hwang, Wei-Chin %A Takeuchi, David T %K Age Factors %K Anxiety Disorders %K Asian Americans %K Cost of Illness %K Depressive Disorder %K Emigrants and Immigrants %K Female %K Health Status Disparities %K Humans %K Middle Aged %K Risk Factors %K Social Class %K Stress, Psychological %K Young Adult %X

OBJECTIVE: We evaluated potential explanations for advantaged mental health status among immigrant Asian American women compared to U.S.-born Asian American women.

METHOD: In a nationally representative sample of 1,030 women (185 U.S.-born, 368 early-life immigrants [arrived before 25 years of age], 477 late-life immigrants), we examined the hypothesis that increased exposure to social risk factors mediate nativity-based differences in lifetime prevalence of depression and anxiety disorders. Indicators of social class were also examined as protective factors enjoyed by U.S.-born women that may suppress observed nativity-based disparities. We also examined whether there were group differences in reactivity to stress in predicting disorder.

RESULTS: U.S.-born women were twice as likely as late-life immigrants to report lifetime history of depression (odds ratio [OR] = 2.03, 95% CI [1.35, 4.54]) and anxiety (OR = 2.12, 95% CI [1.34, 5.19]). Nativity differences in perceived discrimination, family conflict, and cultural conflict explained disparities in rates of disorder. There was no support for the contention that immigrant women were more psychologically hardy or resilient to social stress.

CONCLUSION: Findings suggest that the gap in mental health status between U.S.- and foreign-born Asian American women would indeed be magnified if differences in social status were accounted for, but also that ready explanations for the so-called immigrant paradox are found in differential levels of reported stress exposure.

%B J Consult Clin Psychol %V 81 %P 901-11 %8 2013 Oct %G eng %N 5 %R 10.1037/a0032105 %0 Journal Article %J J Adolesc Health %D 2013 %T The impact of a middle school program to reduce aggression, victimization, and sexual violence. %A Espelage, Dorothy L %A Low, Sabina %A Polanin, Joshua R %A Brown, Eric C %K Adolescent %K Aggression %K Anger %K Bullying %K Child %K Crime Victims %K Female %K Humans %K Internal-External Control %K Longitudinal Studies %K Male %K Midwestern United States %K Peer Group %K Problem Solving %K Program Evaluation %K School Health Services %K Sex Offenses %K Substance-Related Disorders %X

PURPOSE: To evaluate the impact of the Second Step: Student Success Through Prevention (SS-SSTP) Middle School Program on reducing youth violence including peer aggression, peer victimization, homophobic name calling, and sexual violence perpetration and victimization among middle school sixth-grade students.

METHODS: The study design was a nested cohort (sixth graders) longitudinal study. We randomly assigned 18 matched pairs of 36 middle schools to the SS-SSTP or control condition. Teachers implemented 15 weekly lessons of the sixth-grade curriculum that focused on social emotional learning skills, including empathy, communication, bully prevention, and problem-solving skills. All sixth graders (n = 3,616) in intervention and control conditions completed self-report measures assessing verbal/relational bullying, physical aggression, homophobic name calling, and sexual violence victimization and perpetration before and after the implementation of the sixth-grade curriculum.

RESULTS: Multilevel analyses revealed significant intervention effects with regard to physical aggression. The adjusted odds ratio indicated that the intervention effect was substantial; individuals in intervention schools were 42% less likely to self-report physical aggression than students in control schools. We found no significant intervention effects for verbal/relational bully perpetration, peer victimization, homophobic teasing, and sexual violence.

CONCLUSIONS: Within a 1-year period, we noted significant reductions in self-reported physical aggression in the intervention schools. Results suggest that SS-SSTP holds promise as an efficacious prevention program to reduce physical aggression in adolescent youth.

%B J Adolesc Health %V 53 %P 180-6 %8 2013 Aug %G eng %N 2 %R 10.1016/j.jadohealth.2013.02.021 %0 Journal Article %J Qual Health Res %D 2013 %T The importance of optimism in maintaining healthy aging in rural Alaska. %A Lewis, Jordan P %K Aged %K Aged, 80 and over %K Aging %K Alaska %K Culture %K Educational Status %K Emotions %K Female %K Health Status %K Humans %K Indians, North American %K Interpersonal Relations %K Interviews as Topic %K Male %K Middle Aged %K Qualitative Research %K Rural Population %K Spirituality %X

Many Alaska Native Elders attended government-run boarding schools as children, were forbidden to speak their native language, and were forced to abandon their traditional subsistence lifestyle, yet they maintained an optimistic outlook on life and continued to age well. The Explanatory Model Interview Protocol was adapted to interview a purposive sample of Alaska Native Elders (n = 26) and grounded theory was used to develop a model of successful aging for Alaska Native Elders in Bristol Bay, Alaska. The theme of optimism was significant in the findings and was also found in each of the elements of successful aging, which were spirituality, emotional well-being, community engagement, and physical health. These four elements served as the foundation of the Model of Successful Aging. The Elders believed they were able to age successfully because they continued to be optimistic despite the challenges they faced (and are currently facing) in their communities.

%B Qual Health Res %V 23 %P 1521-7 %8 2013 Nov %G eng %N 11 %R 10.1177/1049732313508013 %0 Journal Article %J J Consult Clin Psychol %D 2013 %T Indicated prevention for college student marijuana use: a randomized controlled trial. %A Lee, Christine M %A Kilmer, Jason R %A Neighbors, Clayton %A Atkins, David C %A Zheng, Cheng %A Walker, Denise D %A Larimer, Mary E %K Adolescent %K Adult %K Feedback, Psychological %K Female %K Follow-Up Studies %K Humans %K Male %K Marijuana Smoking %K Motivation %K Psychotherapy, Brief %K Students %K Treatment Outcome %K Universities %K Young Adult %X

OBJECTIVE: Marijuana is the most frequently reported illicit substance used on college campuses. Despite the prevalence, few published intervention studies have focused specifically on addressing high-risk marijuana use on college campuses. The present study evaluated the efficacy of an in-person brief motivational enhancement intervention for reducing marijuana use and related consequences among frequently using college students.

METHOD: Participants included 212 college students from 2 campuses who reported frequent marijuana use (i.e., using marijuana at least 5 times in the past month). Participants completed Web-based screening and baseline assessments and upon completion of the baseline survey were randomized to either an in-person brief intervention or an assessment control group. Follow-up assessments were completed approximately 3 and 6 months post-baseline. Marijuana use was measured by number of days used in the past 30 days, typical number of joints used in a typical week in the last 60 days, and marijuana-related consequences.

RESULTS: Results indicated significant intervention effects on number of joints smoked in a typical week and a trend toward fewer marijuana-related consequences compared with the control group at 3-month follow-up.

CONCLUSION: This study provides preliminary data on short-term effects of a focused marijuana intervention for college students at reducing marijuana use during the academic quarter.

%B J Consult Clin Psychol %V 81 %P 702-9 %8 2013 Aug %G eng %N 4 %R 10.1037/a0033285 %0 Journal Article %J Pediatrics %D 2013 %T Modifying media content for preschool children: a randomized controlled trial. %A Christakis, Dimitri A %A Garrison, Michelle M %A Herrenkohl, Todd %A Haggerty, Kevin %A Rivara, Frederick P %A Zhou, Chuan %A Liekweg, Kimberly %K Aggression %K Child Behavior %K Child, Preschool %K Female %K Follow-Up Studies %K Humans %K Male %K Mass Media %K Prospective Studies %K Social Behavior %K Television %X

BACKGROUND: Although previous studies have revealed that preschool-aged children imitate both aggression and prosocial behaviors on screen, there have been few population-based studies designed to reduce aggression in preschool-aged children by modifying what they watch.

METHODS: We devised a media diet intervention wherein parents were assisted in substituting high quality prosocial and educational programming for aggression-laden programming without trying to reduce total screen time. We conducted a randomized controlled trial of 565 parents of preschool-aged children ages 3 to 5 years recruited from community pediatric practices. Outcomes were derived from the Social Competence and Behavior Evaluation at 6 and 12 months.

RESULTS: At 6 months, the overall mean Social Competence and Behavior Evaluation score was 2.11 points better (95% confidence interval [CI]: 0.78-3.44) in the intervention group as compared with the controls, and similar effects were observed for the externalizing subscale (0.68 [95% CI: 0.06-1.30]) and the social competence subscale (1.04 [95% CI: 0.34-1.74]). The effect for the internalizing subscale was in a positive direction but was not statistically significant (0.42 [95% CI: -0.14 to 0.99]). Although the effect sizes did not noticeably decay at 12 months, the effect on the externalizing subscale was no longer statistically significant (P = .05). In a stratified analysis of the effect on the overall scores, low-income boys appeared to derive the greatest benefit (6.48 [95% CI: 1.60-11.37]).

CONCLUSIONS: An intervention to reduce exposure to screen violence and increase exposure to prosocial programming can positively impact child behavior.

%B Pediatrics %V 131 %P 431-8 %8 2013 Mar %G eng %N 3 %R 10.1542/peds.2012-1493 %0 Journal Article %J Med Care %D 2013 %T Prevalence, risk, and correlates of posttraumatic stress disorder across ethnic and racial minority groups in the United States. %A Alegría, Margarita %A Fortuna, Lisa R %A Lin, Julia Y %A Norris, Fran H %A Gao, Shan %A Takeuchi, David T %A Jackson, James S %A Shrout, Patrick E %A Valentine, Anne %K Adolescent %K Adult %K African Americans %K Aged %K Asian Americans %K Continental Population Groups %K Ethnic Groups %K Female %K Hispanic Americans %K Humans %K Male %K Mental Disorders %K Middle Aged %K Patient Acuity %K Prevalence %K Risk Factors %K Social Support %K Socioeconomic Factors %K Stress Disorders, Post-Traumatic %K United States %K Young Adult %X

OBJECTIVES: We assess whether posttraumatic stress disorder (PTSD) varies in prevalence, diagnostic criteria endorsement, and type and frequency of potentially traumatic events (PTEs) among a nationally representative US sample of 5071 non-Latino whites, 3264 Latinos, 2178 Asians, 4249 African Americans, and 1476 Afro-Caribbeans.

METHODS: PTSD and other psychiatric disorders were evaluated using the World Mental Health-Composite International Diagnostic Interview (WMH-CIDI) in a national household sample that oversampled ethnic/racial minorities (n=16,238) but was weighted to produce results representative of the general population.

RESULTS: Asians have lower prevalence rates of probable lifetime PTSD, whereas African Americans have higher rates as compared with non-Latino whites, even after adjusting for type and number of exposures to traumatic events, and for sociodemographic, clinical, and social support factors. Afro-Caribbeans and Latinos seem to demonstrate similar risk to non-Latino whites, adjusting for these same covariates. Higher rates of probable PTSD exhibited by African Americans and lower rates for Asians, as compared with non-Latino whites, do not appear related to differential symptom endorsement, differences in risk or protective factors, or differences in types and frequencies of PTEs across groups.

CONCLUSIONS: There appears to be marked differences in conditional risk of probable PTSD across ethnic/racial groups. Questions remain about what explains risk of probable PTSD. Several factors that might account for these differences are discussed, as well as the clinical implications of our findings. Uncertainty of the PTSD diagnostic assessment for Latinos and Asians requires further evaluation.

%B Med Care %V 51 %P 1114-23 %8 2013 Dec %G eng %N 12 %R 10.1097/MLR.0000000000000007 %0 Journal Article %J Monogr Soc Res Child Dev %D 2013 %T Relationship processes and resilience in children with incarcerated parents. %A Poehlmann, Julie %A Eddy, J Mark %A Dallaire, Danielle H %A Zeman, Janice L %A Myers, Barbara J %A Mackintosh, Virginia %A Kuznetsova, Maria I %A Lotze, Geri M %A Best, Al M %A Ravindran, Neeraja %A Loper, Ann Booker %A Clarke, Caitlin Novero %A McHale, James P %A Salman, Selin %A Strozier, Anne %A Cecil, Dawn K %A Martinez, Charles R %A Burraston, Bert %K Bullying %K Child %K Child Custody %K Child of Impaired Parents %K Emotions %K Empathy %K Female %K Humans %K Intergenerational Relations %K Male %K Object Attachment %K Parenting %K Peer Group %K Prisoners %K Resilience, Psychological %X

Children with incarcerated parents are at risk for a variety of problematic outcomes, yet research has rarely examined protective factors or resilience processes that might mitigate such risk in this population. In this volume, we present findings from five new studies that focus on child- or family-level resilience processes in children with parents currently or recently incarcerated in jail or prison. In the first study, empathic responding is examined as a protective factor against aggressive peer relations for 210 elementary school age children of incarcerated parents. The second study further examines socially aggressive behaviors with peers, with a focus on teasing and bullying, in a sample of 61 children of incarcerated mothers. Emotion regulation is examined as a possible protective factor. The third study contrasts children's placement with maternal grandmothers versus other caregivers in a sample of 138 mothers incarcerated in a medium security state prison. The relation between a history of positive attachments between mothers and grandmothers and the current cocaregiving alliance are of particular interest. The fourth study examines coparenting communication in depth on the basis of observations of 13 families with young children whose mothers were recently released from jail. Finally, in the fifth study, the proximal impacts of a parent management training intervention on individual functioning and family relationships are investigated in a diverse sample of 359 imprisoned mothers and fathers. Taken together, these studies further our understanding of resilience processes in children of incarcerated parents and their families and set the groundwork for further research on child development and family resilience within the context of parental involvement in the criminal justice system.

%B Monogr Soc Res Child Dev %V 78 %P vii-viii, 1-129 %8 2013 Jun %G eng %N 3 %R 10.1111/mono.12017 %0 Journal Article %J J Interpers Violence %D 2013 %T School factors as moderators of the relationship between physical child abuse and pathways of antisocial behavior. %A Klika, J B %A Herrenkohl, Todd I %A Lee, J O %K Adolescent %K Adult %K Antisocial Personality Disorder %K Child %K Child Abuse %K Child, Preschool %K Educational Status %K Female %K Humans %K Infant %K Intelligence %K Longitudinal Studies %K Male %K Risk Factors %K Schools %K Student Dropouts %X

Physical child abuse is a predictor of antisocial behavior in adolescence and adulthood. Few studies have investigated factors that moderate the risk of physical child abuse for later occurring outcomes, including antisocial behavior. This analysis uses data from the Lehigh Longitudinal Study to investigate the prediction of antisocial behavior from physical child abuse and the buffering role of 3 school-related factors (i.e., school commitment, school dropout, and IQ), which are hypothesized to change the course of antisocial behavior from childhood into the adult years. Results show an association between physical child abuse and early antisocial behavior. Early antisocial behavior predicts antisocial behavior in adolescence, and that, in turn, predicts antisocial behavior in adulthood. Child IQ moderated the relationship between child physical abuse and antisocial behavior in childhood. However, no other moderation effects were observed. Limitations and implications for future research and prevention are discussed.

%B J Interpers Violence %V 28 %P 852-67 %8 2013 Mar %G eng %N 4 %R 10.1177/0886260512455865 %0 Journal Article %J J Stud Alcohol Drugs %D 2013 %T Social identity as a moderator of the association between perceived norms and marijuana use. %A Neighbors, Clayton %A Foster, Dawn W %A Walker, Denise D %A Kilmer, Jason R %A Lee, Christine M %K Adult %K Data Collection %K Female %K Humans %K Male %K Marijuana Abuse %K Marijuana Smoking %K Peer Group %K Risk Factors %K Social Identification %K Students %X

OBJECTIVE: This study extends previous examinations of social influences and marijuana use in considering how heavy marijuana users view themselves relative to their peers. We were specifically interested in evaluating whether (a) heavy-using marijuana users would identify more strongly with other users than with typical students, (b) identification with other marijuana users would be more strongly associated with own use, and (c) the association between perceived norms and marijuana use would be moderated by identification with peers.

METHOD: Participants were 107 heavy (five or more times per month) marijuana users who completed an online survey assessing perceived norms for marijuana use, identification with typical students and other marijuana-using students, and marijuana use (frequency of use, joints per week, and hours high).

RESULTS: Participants unexpectedly identified more strongly with typical students rather than with other marijuana-using students. Identification with other marijuana users was, however, associated with more use. In addition, perceived norms were associated with more use but primarily among those who identified more with other users but not with typical students.

CONCLUSIONS: Heavy marijuana users may be reluctant to identify themselves as users and may prefer to think of themselves as typical students. This may provide clinical opportunities to highlight discrepancies. In addition, identification with other users and lack of identification with typical students may be risk factors for heavier use and good indicators of candidacy for norms-based interventions. In sum, the present findings extend our understanding of the influence of social identity among young adult marijuana users and suggest novel directions for intervention strategies.

%B J Stud Alcohol Drugs %V 74 %P 479-83 %8 2013 May %G eng %N 3 %0 Journal Article %J J Hum Behav Soc Environ %D 2013 %T Spouse Psychological Well-Being: A Keystone to Military Family Health. %A Green, Sara %A Nurius, Paula S %A Lester, Patricia %X

Understanding predictors of military spouse psychosocial vulnerability informs efforts to assess, identify, and support at-risk spouses and families. In this analysis we test the effects of family stress and strain on military spouse psychological health, using a sample of female civilian spouses (n=161). Regression findings confirm expectations of the significant contribution of family stressors, strain, and resources in explaining variation in spouses' psychological health, controlling for deployment and socioeconomic factors. Identifying the effects of family stress on military spouse psychological health supports the need for family-centered interventions and prevention programs.

%B J Hum Behav Soc Environ %V 23 %8 2013 Jan 1 %G eng %N 6 %R 10.1080/10911359.2013.795068 %0 Journal Article %J Vict Offender %D 2013 %T The sustained impact of adolescent violence histories on early adulthood outcomes. %A Logan-Greene, Patricia %A Nurius, Paula S %A Hooven, Carole %A Thompson, Elaine A %X

A history of victimization and violence perpetration are well-established risk factors that hamper positive development in early adulthood, yet their separate and overlapping effects are rarely examined simultaneously, confounding understanding of their relative impacts. This study follows a diverse sample of at-risk adolescents (N=570) into early adulthood, comparing roles and resources, stress and distress, and maladaptive behaviors for those with a history of no violence, victimization only, perpetration only, and both perpetration and victimization. Results demonstrate four distinctive profiles, although all violence-exposed youth report more problems in the three assessed domains relative to those with no violence histories. Implications for intervention are discussed.

%B Vict Offender %V 8 %P 231-252 %8 2013 Apr 1 %G eng %N 2 %R 10.1080/15564886.2012.755139 %0 Journal Article %J J Adolesc Health %D 2013 %T Tests of the mitigating effects of caring and supportive relationships in the study of abusive disciplining over two generations. %A Herrenkohl, Todd I %A Klika, J B %A Brown, Eric C %A Herrenkohl, Roy C %A Leeb, Rebecca T %K Adolescent %K Adult %K Adult Survivors of Child Abuse %K Child %K Child Abuse %K Child, Preschool %K Empathy %K Family Relations %K Female %K Humans %K Infant %K Intergenerational Relations %K Longitudinal Studies %K Male %K Regression Analysis %K Sex Factors %K Sexual Partners %K Social Class %K Social Support %X

PURPOSE: To examine evidence of the continuity in abusive discipline across two generations (G1 and G2) and the role of safe, stable, and nurturing relationships (SSNRs) as protective factors.

METHODS: Data are from the Lehigh Longitudinal Study, a prospective investigation of the causes and consequences child maltreatment that began in the 1970s with a sample of 457 children and their parents. Data were most recently collected in 2008-2010 from 80% of the original child sample (N = 357) when they were adults age 36 years on average. Of those assessed as adults, 268 participants (G2s) were parenting children and thus comprise the analysis sample. Analyses examined the association between harsh physical discipline practices by G1 parents and G2's reports of similarly severe discipline practices used in parenting their own children. Analyses also investigated the direct and interactive (protective) effects of SSNR variables that pertain to the care, warmth, and support children received from their mothers, fathers, and siblings over their lifetimes. A measure of an adult partner's warmth and support was also included. A case-level examination of G2 harsh discipliners was included to investigate other forms of past and more recent forms of abuse exposure.

RESULTS: Results show a significant predictive association between physical discipline by G1 and G2 parents (β = .30; p < .05; odds ratio, 1.14; confidence interval, 1.04-1.26), after accounting for childhood socioeconomic status and gender. Whereas being harshly disciplined as a child was inversely related to reports of having had a caring relationship with one's mother (r = -.25; p < .01), only care and support from one's father predicted a lower risk of harsh physical discipline by G2s (β = -.24; p < .05; odds ratio, .74; confidence interval, .59-.92). None of the SSNR variables moderated the effect of G1 discipline on G2 discipline. A case-level examination of the abusive histories of G2 harsh discipliners found they had in some instances been exposed to physical and emotional abuse by multiple caregivers and by adult partners.

CONCLUSIONS: There is continuity in physical disciplining over two generations. SSNRs measured in this study did not mediate or moderate the effect of G1 on G2 harsh physical discipline, although care and support from fathers was inversely related to the likelihood of G2 harsh physical discipline. This relationship is independent of abuse in childhood. Research is needed to identify factors that interrupt the intergenerational continuity of harsh physical (abusive) disciplining so that promising interventions can be developed and implemented.

%B J Adolesc Health %V 53 %P S18-24 %8 2013 Oct %G eng %N 4 Suppl %R 10.1016/j.jadohealth.2013.04.009 %0 Journal Article %J JAMA Pediatr %D 2013 %T Twelve-month follow-up of cognitive behavioral therapy for children with functional abdominal pain. %A Levy, Rona L %A Langer, Shelby L %A Walker, Lynn S %A Romano, Joan M %A Christie, Dennis L %A Youssef, Nader %A DuPen, Melissa M %A Ballard, Sheri A %A Labus, Jennifer %A Welsh, Ericka %A Feld, Lauren D %A Whitehead, William E %K Abdominal Pain %K Adaptation, Psychological %K Adolescent %K Adult %K Child %K Cognitive Therapy %K Female %K Follow-Up Studies %K Gastrointestinal Diseases %K Humans %K Illness Behavior %K Linear Models %K Male %K Middle Aged %K Pain Measurement %K Parent-Child Relations %K Prospective Studies %K Treatment Outcome %X

OBJECTIVE: To determine whether a brief intervention for children with functional abdominal pain and their parents' responses to their child's pain resulted in improved coping 12 months later.

DESIGN: Prospective, randomized, longitudinal study.

SETTING: Families were recruited during a 4-year period in Seattle, Washington, and Morristown, New Jersey.

PARTICIPANTS: Two hundred children with persistent functional abdominal pain and their parents.

INTERVENTIONS: A 3-session social learning and cognitive behavioral therapy intervention or an education and support intervention.

MAIN OUTCOME MEASURES: Child symptoms and pain-coping responses were monitored using standard instruments, as was parental response to child pain behavior. Data were collected at baseline and after treatment (1 week and 3, 6, and 12 months after treatment). This article reports the 12-month data.

RESULTS: Relative to children in the education and support group, children in the social learning and cognitive behavioral therapy group reported greater baseline to 12-month follow-up decreases in gastrointestinal symptom severity (estimated mean difference, -0.36; 95% CI, -0.63 to -0.01) and greater improvements in pain-coping responses (estimated mean difference, 0.61; 95% CI, 0.26 to 1.02). Relative to parents in the education and support group, parents in the social learning and cognitive behavioral therapy group reported greater baseline to 12-month decreases in solicitous responses to their child's symptoms (estimated mean difference, -0.22; 95% CI, -0.42 to -0.03) and greater decreases in maladaptive beliefs regarding their child's pain (estimated mean difference, -0.36; 95% CI, -0.59 to -0.13).

CONCLUSIONS: Results suggest long-term efficacy of a brief intervention to reduce parental solicitousness and increase coping skills. This strategy may be a viable alternative for children with functional abdominal pain.

TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00494260.

%B JAMA Pediatr %V 167 %P 178-84 %8 2013 Feb %G eng %N 2 %R 10.1001/2013.jamapediatrics.282 %0 Journal Article %J J Prev Interv Community %D 2012 %T Adverse childhood experiences (ACE) within a social disadvantage framework: distinguishing unique, cumulative, and moderated contributions to adult mental health. %A Nurius, Paula S %A Logan-Greene, Patricia %A Green, Sara %K Adult %K Adult Survivors of Child Abuse %K Aged %K Behavioral Risk Factor Surveillance System %K Child %K Child Abuse %K Crime Victims %K Cross-Sectional Studies %K Female %K Humans %K Male %K Mental Health %K Middle Aged %K Poverty %K Public Policy %K Washington %X

The deleterious impact of adverse childhood experiences (ACE) may be confounded with frequently co-occurring social disadvantage. In this analysis we test the effects of ACE on adult mental health within a social disadvantage framework, using a population-based survey (n = 7,444; mean age = 55.2 years) from Washington State. We also examined the protective effects of socioemotional support, and the distinct and combined contribution of the measured ACE factors. Results demonstrated sustained impact of ACE on mental health many decades later, even net of social disadvantage and demographic contributors. Protective factors provided both direct and moderating influences, potentially masking the elevated effects of ACE for those with few resources. Toxicity examination of ACE items evinced differential effects of ACE experiences on mental health. These results demonstrate that interventions ameliorating the effects of ACE and bolstering protective resources such as socioemotional support may be effective toward augmenting mental health even late in life.

%B J Prev Interv Community %V 40 %P 278-90 %8 2012 %G eng %N 4 %R 10.1080/10852352.2012.707443 %0 Journal Article %J Addiction %D 2012 %T Brief motivational feedback and cognitive behavioral interventions for prevention of disordered gambling: a randomized clinical trial. %A Larimer, Mary E %A Neighbors, Clayton %A Lostutter, Ty W %A Whiteside, Ursula %A Cronce, Jessica M %A Kaysen, Debra %A Walker, Denise D %K Adult %K Biofeedback, Psychology %K Cognitive Therapy %K Cost of Illness %K Female %K Gambling %K Humans %K Internal-External Control %K Male %K Patient Compliance %K Treatment Outcome %K Young Adult %X

AIMS: The purpose of the current study was to evaluate feasibility and efficacy of two promising approaches to indicated prevention of disordered gambling in a college population.

DESIGN: Randomized clinical trial with assignment to a personalized feedback intervention (PFI), cognitive-behavioral intervention (CBI) or assessment-only control (AOC). PFI was delivered individually in a single session and included feedback regarding gambling behavior, norms, consequences and risk-reduction tips, delivered in a motivational interviewing style. CBI was delivered in small groups over four to six sessions and included functional analysis and brief cognitive correction, as well as identification of and alternatives for responding to gambling triggers.

SETTING: College campus.

PARTICIPANTS: At-risk or probable pathological gamblers (n = 147; 65.3% male; group assignment: PFI, n = 52; CBI, n = 44; AOC, n = 51).

MEASUREMENTS: Self-reported gambling quantity, frequency, consequences, psychopathology, normative perceptions and beliefs.

FINDINGS: Relative to control, results at 6-month follow-up indicated reductions in both interventions for gambling consequences (PFI d = 0.48; CBI d = 0.39) and DSM-IV criteria (PFI d = 0.60; CBI d = 0.48), reductions in frequency for PFI (d = 0.48). CBI was associated with reduced illusions of control, whereas PFI was associated with reduced perceptions of gambling frequency norms. Reductions in perceived gambling frequency norms mediated effects of PFI on gambling frequency.

CONCLUSIONS: A single-session personalized feedback intervention and a multi-session cognitive-behavioral intervention may be helpful in reducing disordered gambling in US college students.

%B Addiction %V 107 %P 1148-58 %8 2012 Jun %G eng %N 6 %R 10.1111/j.1360-0443.2011.03776.x %0 Journal Article %J Compr Psychiatry %D 2012 %T Can patterns of alcohol use disorder in young adulthood help explain gender differences in depression? %A Lee, Jungeun O %A Kosterman, Rick %A McCarty, Carolyn A %A Hill, Karl G %A Hawkins, J D %K Adult %K Age Factors %K Alcohol-Related Disorders %K Cohort Studies %K Comorbidity %K Cross-Sectional Studies %K Depressive Disorder, Major %K Female %K Humans %K Longitudinal Studies %K Male %K Risk Factors %K Sex Factors %K Washington %K Young Adult %X

OBJECTIVE: To test whether gender differences in the prevalence of major depressive disorder differ by longitudinal patterns of alcohol use disorder symptoms.

METHOD: Data are from a prospective longitudinal study examining a broad range of mental health and substance use problems. A gender-balanced sample of 808 participants was interviewed at ages 21, 24, 27, and 30. The sample was divided into subgroups corresponding to longitudinal patterns of alcohol use disorder derived from latent class growth analysis.

RESULTS: Four patterns of alcohol use disorder symptoms were identified: A "low disorder symptom" group, a "decreaser" group, an "increaser" group, and a "chronic disorder symptom" group. Rates of depression were significantly higher for females only among those with a pattern of chronic or decreasing alcohol disorder symptoms.

CONCLUSIONS: Elevated rates of depression among females in young adulthood may depend on patterns of co-occurring alcohol disorder symptoms. Practitioners should pay particular attention to signs of chronic alcohol use disorders and associated risks for depression among young adult women.

%B Compr Psychiatry %V 53 %P 1071-7 %8 2012 Nov %G eng %N 8 %R 10.1016/j.comppsych.2012.03.012 %0 Journal Article %J J Fam Violence %D 2012 %T Childhood Violence Exposure: Cumulative and Specific Effects on Adult Mental Health. %A Hooven, Carole %A Nurius, Paula S %A Logan-Greene, Patricia %A Thompson, Elaine A %X

Childhood exposure to violence and victimization is a significant public health problem, with potentially long-lasting, deleterious effects on adult mental health. Using a longitudinal study design, 123 young adults-identified in adolescence as at-risk for high school dropout-were examined for the effects of multi-domain childhood victimization on emotional distress and suicide risk, net of adolescent risk and protective factors, including family dysfunction. The hypothesis that higher levels of cumulative childhood victimization would be significantly associated with mental health maladjustment in young adulthood was confirmed by the analysis. However, the victimization predictors of adult emotional distress were different than the predictors of adult suicide risk. These findings indicate the need for prevention and intervention approaches that include thorough assessment, and focus on the childhood and adolescent problem areas that are most consequential for long-term psychological well-being.

%B J Fam Violence %V 27 %P 511-522 %8 2012 Aug 1 %G eng %N 6 %R 10.1007/s10896-012-9438-0 %0 Journal Article %J J Prim Prev %D 2012 %T Community-responsive interventions to reduce cardiovascular risk in American Indians. %A Jobe, Jared B %A Adams, Alexandra K %A Henderson, Jeffrey A %A Karanja, Njeri %A Lee, Elisa T %A Walters, Karina L %K Adult %K Cardiovascular Diseases %K Child %K Child, Preschool %K Consumer Participation %K Diabetes Complications %K Diabetes Mellitus %K Female %K Health Behavior %K Health Promotion %K Humans %K Indians, North American %K Infant %K Male %K Obesity %K Randomized Controlled Trials as Topic %K Risk Factors %K Smoking %K United States %X

American Indian and Alaska Native (AI/AN) populations bear a heavy burden of cardiovascular disease (CVD), and they have the highest rates of risk factors for CVD, such as cigarette smoking, obesity, and diabetes, of any U.S. population group. Yet, few randomized controlled trials have been launched to test potential preventive interventions in Indian Country. Five randomized controlled trials were initiated recently in AI/AN communities to test the effectiveness of interventions targeting adults and/or children to promote healthy behaviors that are known to impact biological CVD risk factors. This article provides a context for and an overview of these five trials. The high burden of CVD among AI/AN populations will worsen unless behaviors and lifestyles affecting CVD risk can be modified. These five trials, if successful, represent a starting point in addressing these significant health disparities.

%B J Prim Prev %V 33 %P 153-9 %8 2012 Aug %G eng %N 4 %R 10.1007/s10935-012-0277-9 %0 Journal Article %J Provider %D 2012 %T Culture and familiarity matter to elders. %A Lewis, Jordan %A Thibedeau, Don %K Aged %K Aged, 80 and over %K Alaska %K Culture %K Female %K Humans %K Indians, North American %K Male %K Nursing Homes %K Organizational Case Studies %B Provider %V 38 %P 45-6, 48 %8 2012 Sep %G eng %N 9 %0 Journal Article %J Child Adolesc Social Work J %D 2012 %T Distinct Stress and Resource Profiles Among At-Risk Adolescents: Implications for Violence and Other Problem Behaviors. %A Logan-Greene, Patricia %A Nurius, Paula S %A Thompson, Elaine Adams %X

This study tests for the presence of subgroups among youth at-risk for school drop-out and whether those groups differ on levels of violence and related problem behaviors. Latent profile analysis was employed with a diverse adolescent sample (N = 849) to identify and describe subgroups based on assessment of stress and coping resources, resulting in four distinct groups: Low Risk, Unprotected, Risk Only, and High Risk. Tests across these groups demonstrated significant heterogeneity in violent behaviors, substance use, and school disengagement. The value of stress and protective resource assessment and tailoring interventions to meet the differing needs of vulnerable youth is discussed.

%B Child Adolesc Social Work J %V 29 %P 373-390 %8 2012 Oct 1 %G ENG %N 5 %1 http://www.ncbi.nlm.nih.gov/pubmed/25067883?dopt=Abstract %R 10.1007/s10560-012-0269-x %0 Journal Article %J Drug Alcohol Depend %D 2012 %T The effects of general and alcohol-specific peer factors in adolescence on trajectories of alcohol abuse disorder symptoms from 21 to 33 years. %A Lee, Jungeun O %A Hill, Karl G %A Guttmannova, Katarina %A Bailey, Jennifer A %A Hartigan, Lacey A %A Hawkins, J D %A Catalano, Richard F %K Adolescent %K Adolescent Behavior %K Adult %K Alcohol Drinking %K Alcoholism %K Disease Progression %K Female %K Humans %K Longitudinal Studies %K Male %K Peer Group %K Risk Factors %K Social Behavior %X

BACKGROUND: The present study examines whether general and alcohol-specific peer risk factors from age 10 to 18 are associated with longitudinal patterns of adult alcohol abuse disorder symptoms from age 21 to 33.

METHODS: Using growth mixture modeling, trajectory groups of alcohol abuse disorder symptoms from age 21 to 33 were identified. We then examined the relationships between the identified trajectory groups of alcohol abuse disorder symptoms and respondents' own adolescent binge drinking, a general negative peer factor, and an alcohol-specific peer factor (having drinking peers) in adolescence using pseudo-class Wald Chi-square tests, and multinomial logistic regressions.

RESULTS: Four different trajectory groups of alcohol abuse disorder symptoms were identified: persistor group (3%), decreaser group (23%), escalator group (3%), and a no-disorder group (71%). Bivariate Wald Chi-square tests indicated that adolescent binge drinking behavior and general and alcohol-specific peer factors differentiated the adult alcohol abuse trajectory groups. Multivariate multinomial logistic regression showed that the general negative peer factors distinguished those who later persisted in alcohol abuse from those who desisted (i.e., persistor group vs. decreaser group) during young adulthood, even after adjusting for respondents' adolescent binge drinking. On the other hand, associating with drinking peers did not distinguish these trajectories.

CONCLUSION: Alcohol-specific peer influences appear to influence alcohol abuse disorder symptoms in the early 20s, while general negative peer exposure in adolescence increases in importance as a risk factor for alcohol abuse disorder symptom persistence in the late 20s and the early 30s.

%B Drug Alcohol Depend %V 121 %P 213-9 %8 2012 Mar 1 %G eng %N 3 %R 10.1016/j.drugalcdep.2011.08.028 %0 Journal Article %J J Res Adolesc %D 2012 %T Effects of timing of adversity on adolescent and young adult adjustment %A Kiff, Cara J %A Cortes, Rebecca %A Lengua, Lilana %A Kosterman, Rick %A Hawkins, J D %A Mason, W A %X

Effects of Timing of Adversity on Adolescent and Young Adult Adjustment Abstract Exposure to adversity during childhood and adolescence predicts adjustment across development. Further, adolescent adjustment problems persist into young adulthood. This study examined relations of contextual adversity with concurrent adolescent adjustment and prospective mental health and health outcomes in young adulthood. A longitudinal sample (N = 808) was followed from age 10 through 27. Perceptions of neighborhood in childhood predicted depression, alcohol use disorders, and HIV risk in young adulthood. Further, the timing of adversity was important in determining the type of problem experienced in adulthood. Youth adjustment predicted adult outcomes, and in some cases, mediated the relation between adversity and outcomes. These findings support the importance of adversity in predicting adjustment and elucidate factors that affect outcomes into young adulthood.

%B J Res Adolesc %V 22 %P 284-300 %8 2012 Jun 1 %G eng %N 2 %R 10.1111/j.1532-7795.2012.00781.x %0 Journal Article %J Prog Community Health Partnersh %D 2012 %T Evaluating community-based participatory research to improve community-partnered science and community health. %A Hicks, Sarah %A Duran, Bonnie %A Wallerstein, Nina %A Avila, Magdalena %A Belone, Lorenda %A Lucero, Julie %A Magarati, Maya %A Mainer, Elana %A Martin, Diane %A Muhammad, Michael %A Oetzel, John %A Pearson, Cynthia %A Sahota, Puneet %A Simonds, Vanessa %A Sussman, Andrew %A Tafoya, Greg %A Hat, Emily White %K Community-Based Participatory Research %K Community-Institutional Relations %K Humans %K Indians, North American %K National Institutes of Health (U.S.) %K Public Health %K Research %K Trust %K United States %K Universities %X

BACKGROUND: Since 2007, the National Congress of American Indians (NCAI) Policy Research Center (PRC) has partnered with the Universities of New Mexico and Washington to study the science of community-based participatory research (CBPR). Our goal is to identify facilitators and barriers to effective community-academic partnerships in American Indian and other communities, which face health disparities.

OBJECTIVES: We have described herein the scientific design of our National Institutes of Health (NIH)-funded study (2009-2013) and lessons learned by having a strong community partner leading the research efforts.

METHODS: The research team is implementing a mixed-methods study involving a survey of principal investigators (PIs) and partners across the nation and in-depth case studies of CBPR projects.

RESULTS: We present preliminary findings on methods and measures for community-engaged research and eight lessons learned thus far regarding partnership evaluation, advisory councils, historical trust, research capacity development of community partner, advocacy, honoring each other, messaging, and funding.

CONCLUSIONS: Study methodologies and lessons learned can help community-academic research partnerships translate research in communities.

%B Prog Community Health Partnersh %V 6 %P 289-99 %8 2012 Fall %G eng %N 3 %R 10.1353/cpr.2012.0049 %0 Journal Article %J J Stud Alcohol Drugs %D 2012 %T Examining explanatory mechanisms of the effects of early alcohol use on young adult alcohol dependence. %A Guttmannova, Katarina %A Hill, Karl G %A Bailey, Jennifer A %A Lee, Jungeun O %A Hartigan, Lacey A %A Hawkins, J D %A Catalano, Richard F %K Adolescent %K Adolescent Behavior %K Adolescent Development %K Age Factors %K Age of Onset %K Alcohol Drinking %K Alcoholism %K Child %K Female %K Humans %K Longitudinal Studies %K Male %K Young Adult %X

OBJECTIVE: This study examined potential explanatory mechanisms linking childhood alcohol use onset and chronicity of adult alcohol dependence by testing the following three competing hypotheses: (1) a marker hypothesis, where early onset of alcohol use may be simply a marker for other factors that have been linked to both age at initiation and adult alcohol problems; (2) a compromised development hypothesis, where early alcohol initiation may interfere with adolescent development, which can lead to later alcohol problems; and (3) an increased substance use hypothesis, where early onset of alcohol use may lead to increased substance use in adolescence and, in turn, chronic alcohol dependence.

METHOD: Data came from a longitudinal community sample of 808 participants recruited at age 10 in 1985. Participants were followed through age 33 in 2008 with 92% retention.

RESULTS: Childhood onset of alcohol use (before age 11), when compared with initiation during adolescence, predicted an increased chronicity of adult alcohol dependence, even after accounting for the hypothesized confounds from the marker hypothesis. In addition, adolescent compromised functioning did not mediate this relationship between early alcohol use and chronicity of adult dependence (Hypothesis 2), nor did adolescent substance use (Hypothesis 3). However, compromised functioning and substance use in adolescence predicted increased chronicity of alcohol dependence in young adulthood.

CONCLUSIONS: Prevention efforts as early as the elementary grades should focus on delaying the onset of alcohol use and reducing substance use in adolescence as well as improving school functioning, reducing adolescent problem behaviors, and targeting adolescent peer networks.

%B J Stud Alcohol Drugs %V 73 %P 379-90 %8 2012 May %G eng %N 3 %0 Journal Article %J J Psychosoc Oncol %D 2012 %T Expressive talking among caregivers of hematopoietic stem cell transplant survivors: acceptability and concurrent subjective, objective, and physiologic indicators of emotion. %A Langer, Shelby L %A Kelly, Thomas H %A Storer, Barry E %A Hall, Suzanne P %A Lucas, Heather G %A Syrjala, Karen L %K Adaptation, Psychological %K Adult %K Caregivers %K Communication %K Expressed Emotion %K Female %K Hematopoietic Stem Cell Transplantation %K Humans %K Male %K Middle Aged %K Patient Satisfaction %K Psychotherapy %K Skin Physiological Phenomena %K Stress, Psychological %K Survivors %X

This study sought to examine the effects of an expressive talking intervention for 58 caregiving partners of hematopoietic stem cell transplant survivors, persons known to experience distress. Caregivers were randomly assigned to a three-session emotional expression (EE) or control condition. Subjective, objective, and physiologic indicators of emotion were assessed. Relative to controls, EE participants experienced more negative emotion, uttered more negative emotion words, and perceived the exercises as more helpful and meaningful. The trajectory of skin conductance and the use of cognitive mechanism words increased across EE sessions, suggesting sustained emotional engagement. Future research is warranted to determine the optimal dose and timing of EE for this population.

%B J Psychosoc Oncol %V 30 %P 294-315 %8 2012 %G eng %N 3 %R 10.1080/07347332.2012.664255 %0 Journal Article %J J Adolesc Health %D 2012 %T Family influences related to adult substance use and mental health problems: A developmental analysis of child and adolescent predictors. %A Herrenkohl, Todd I %A Lee, Jungeun O %A Kosterman, Rick %A Hawkins, J D %K Adolescent %K Adolescent Development %K Adult %K Anxiety %K Child %K Child Development %K Conflict (Psychology) %K Depression %K Family Relations %K Female %K Forecasting %K Humans %K Longitudinal Studies %K Male %K Substance-Related Disorders %X

PURPOSE: This study investigated measures of family conflict, family management, and family involvement at ages 10-12, 13-14, and 15-18 years as predictors of adult depression, anxiety, and substance use disorder symptoms classes at age 27. The objective was to assess the relative influence on adult outcomes of each family predictor measured similarly at different points in adolescent development.

METHODS: Data were obtained from the Seattle Social Development Project, a theory-driven longitudinal study that began in 1985, with 808 fifth-grade students from 18 Seattle public elementary schools. A latent class analysis of adult outcomes was followed by bivariate and multivariate models for each family predictor. Of the original 808 participants, 747 (92% of the original sample) had available data at age 27 on the mental health and substance use latent class indicators. Missing data were handled using full-information maximum likelihood estimation.

RESULTS: Four latent classes were derived: a "low disorder symptoms" class, a "licit substance use disorder symptoms" class, a "mental health disorder symptoms" class, and a "comorbid" class. Multivariate results show that family conflict is the strongest and most consistent predictor of the adult mental health and substance use classes. Family management, but not family involvement, was also predictive of the adult outcome classes.

CONCLUSIONS: It is important to lessen family conflict and improve family management to prevent later mental health and substance use problems in adulthood.

%B J Adolesc Health %V 51 %P 129-35 %8 2012 Aug %G eng %N 2 %R 10.1016/j.jadohealth.2011.11.003 %0 Journal Article %J AIDS Patient Care STDS %D 2012 %T Feasibility, acceptability, and preliminary efficacy of the unity workshop: an internalized stigma reduction intervention for African American women living with HIV. %A Rao, Deepa %A Desmond, Michelle %A Andrasik, Michele %A Rasberry, Tonya %A Lambert, Nina %A Cohn, Susan E %A Simoni, Jane %K Acquired Immunodeficiency Syndrome %K Adaptation, Psychological %K Adult %K African Americans %K Feasibility Studies %K Female %K Focus Groups %K HIV Seropositivity %K Humans %K Medication Adherence %K Middle Aged %K Patient Acceptance of Health Care %K Prejudice %K Social Stigma %K Stereotyping %K Surveys and Questionnaires %K Women's Health %X

Observational studies have examined the prevalence and impact of internalized stigma among African American women living with HIV, but there are no intervention studies investigating stigma reduction strategies in this population. Based on qualitative data previously collected, we adapted the International Center for Research on Women's HIV Stigma Toolkit for a domestic population of African American women to be consistent with Corrigan's principles of strategic stigma change. We implemented the intervention, led by an African American woman living with HIV, as a workshop across two afternoons. The participants discussed issues "triggered" by videos produced specifically for this purpose, learned coping mechanisms from each other, and practiced them in role plays with each other. We pilot tested the intervention with two groups of women (total N=24), measuring change in internalized stigma with the Stigma Scale for Chronic Illness before and after workshop participation. Sixty-two percent of the participants self-reported acquiring HIV through heterosexual sexual contact, 17% through intravenous drug use, 4% in utero, and 13% did not know the route of transmission. The intervention was feasible, enthusiastically accepted by the women, and led to decreased stigma from the start of the workshop to the end (p=0.05) and 1 week after (p=0.07) the last session of workshop. Findings suggest the intervention warrants further investigation.

%B AIDS Patient Care STDS %V 26 %P 614-20 %8 2012 Oct %G eng %N 10 %R 10.1089/apc.2012.0106 %0 Journal Article %J Nurs Inq %D 2012 %T Finding middle ground: negotiating university and tribal community interests in community-based participatory research. %A Mohammed, Selina A %A Walters, Karina L %A LaMarr, June %A Evans-Campbell, Teresa %A Fryberg, Sheryl %K Clinical Protocols %K Community Health Services %K Community-Based Participatory Research %K Cooperative Behavior %K Focus Groups %K Humans %K Indians, North American %K Negotiating %K Northwestern United States %K Qualitative Research %K United States %K Universities %X

Community-based participatory research (CBPR) has been hailed as an alternative approach to one-sided research endeavors that have traditionally been conducted on communities as opposed to with them. Although CBPR engenders numerous relationship strengths, through its emphasis on co-sharing, mutual benefit, and community capacity building, it is often challenging as well. In this article, we describe some of the challenges of implementing CBPR in a research project designed to prevent cardiovascular disease among an indigenous community in the Pacific Northwest of the United States and how we addressed them. Specifically, we highlight the process of collaboratively constructing a Research Protocol/Data Sharing Agreement and qualitative interview guide that addressed the concerns of both university and tribal community constituents. Establishing these two items was a process of negotiation that required: (i) balancing of individual, occupational, research, and community interests; (ii) definition of terminology (e.g., ownership of data); and (iii) extensive consideration of how to best protect research participants. Finding middle ground in CBPR requires research partners to examine and articulate their own assumptions and expectations, and nurture a relationship based on compromise to effectively meet the needs of each group.

%B Nurs Inq %V 19 %P 116-27 %8 2012 Jun %G eng %N 2 %R 10.1111/j.1440-1800.2011.00557.x %0 Journal Article %J Pain Res Manag %D 2012 %T Functional abdominal pain in childhood: background studies and recent research trends. %A Levy, Rona L %A van Tilburg, Miranda A L %K Abdominal Pain %K Biomedical Research %K Cetrimonium Compounds %K Child %K Drug Combinations %K Humans %K Longitudinal Studies %K Myristates %K Nicotinic Acids %K Pediatrics %K Simethicone %K Stearic Acids %X

The present review summarizes many of the major research trends investigated in the past five years regarding pediatric functional abdominal pain, and also summarizes the primary related findings from the authors' research program. Specific areas discussed based on work within the authors' group include familial illness patterns, genetics, traits, and mechanisms or processes related to abdominal pain. Topics covered from research published in the past five years include prevalence and cost, longitudinal follow-up, overlap with other disorders, etiology and mechanisms behind functional abdominal pain and treatment studies. It is hoped that findings from this work in abdominal pain will be interpreted as a framework for understanding the processes by which other pain phenomena and, more broadly, reactions to any physical state, can be developed and maintained in children. The present article concludes with recommendations for clinical practice and research.

%B Pain Res Manag %V 17 %P 413-7 %8 2012 Nov-Dec %G eng %N 6 %0 Journal Article %J Depress Anxiety %D 2012 %T Impact of childhood trauma on the outcomes of a perinatal depression trial. %A Grote, Nancy K %A Spieker, Susan J %A Lohr, Mary Jane %A Geibel, Sharon L %A Swartz, Holly A %A Frank, Ellen %A Houck, Patricia R %A Katon, Wayne %K Adult %K Adult Survivors of Child Abuse %K Depressive Disorder %K Female %K Humans %K Poverty %K Pregnancy %K Pregnancy Complications %K Psychotherapy, Brief %K Risk Factors %K Treatment Outcome %X

BACKGROUND: Childhood abuse and neglect have been linked with increased risks of adverse mental health outcomes in adulthood and may moderate or predict response to depression treatment. In a small randomized controlled trial treating depression in a diverse sample of nontreatment-seeking, pregnant, low-income women, we hypothesized that childhood trauma exposure would moderate changes in symptoms and functioning over time for women assigned to usual care (UC), but not to brief interpersonal psychotherapy (IPT-B) followed by maintenance IPT. Second, we predicted that trauma exposure would be negatively associated with treatment response over time and at the two follow-up time points for women within UC, but not for those within IPT-B who were expected to show remission in depression severity and other outcomes, regardless of trauma exposure.

METHODS: Fifty-three pregnant low-income women were randomly assigned to IPT-B (n = 25) or UC (n = 28). Inclusion criteria included ≥ 18 years, >12 on the Edinburgh Postnatal Depression Scale, 10-32 weeks gestation, English speaking, and access to a phone. Participants were evaluated for childhood trauma, depressive symptoms/diagnoses, anxiety symptoms, social functioning, and interpersonal problems.

RESULTS: Regression and mixed effects repeated measures analyses revealed that trauma exposure did not moderate changes in symptoms and functioning over time for women in UC versus IPT-B. Analyses of covariance showed that within the IPT-B group, women with more versus less trauma exposure had greater depression severity and poorer outcomes at 3-month postbaseline. At 6-month postpartum, they had outcomes indicating remission in depression and functioning, but also had more residual depressive symptoms than those with less trauma exposure.

CONCLUSIONS: Childhood trauma did not predict poorer outcomes in the IPT-B group at 6-month postpartum, as it did at 3-month postbaseline, suggesting that IPT including maintenance sessions is a reasonable approach to treating depression in this population. Since women with more trauma exposure had more residual depressive symptoms at 6-month postpartum, they might require longer maintenance treatment to prevent depressive relapse.

%B Depress Anxiety %V 29 %P 563-73 %8 2012 Jul %G eng %N 7 %R 10.1002/da.21929 %0 Journal Article %J J Nutr Educ Behav %D 2012 %T Measuring perceived barriers to healthful eating in obese, treatment-seeking adults. %A Welsh, Ericka M %A Jeffery, Robert W %A Levy, Rona L %A Langer, Shelby L %A Flood, Andrew P %A Jaeb, Melanie A %A Laqua, Patricia S %K Body Mass Index %K Diet, Reducing %K Energy Intake %K Factor Analysis, Statistical %K Female %K Health Behavior %K Health Knowledge, Attitudes, Practice %K Humans %K Linear Models %K Male %K Middle Aged %K Obesity %K Perception %K Self Concept %K Self Efficacy %K Surveys and Questionnaires %K Time Factors %K Weight Loss %X

OBJECTIVE: To characterize perceived barriers to healthful eating in a sample of obese, treatment-seeking adults and to examine whether changes in barriers are associated with energy intake and body weight.

DESIGN: Observational study based on findings from a randomized, controlled behavioral weight-loss trial.

PARTICIPANTS: Participants were 113 women and 100 men, mean age 48.8 years, 67% white, and mean body mass index at baseline 34.9 kg/m(2).

VARIABLES MEASURED: Perceived diet barriers were assessed using a 39-item questionnaire. Energy intake was assessed with the Block Food Frequency Questionnaire. Body weight (kg) and height (cm) were measured.

ANALYSIS: Factor-based scales constructed from exploratory factor analysis. Linear regression models regressed 12-month energy intake and body weight on baseline to 12-month factor-based score changes (α = .05).

RESULTS: Exploratory factor analysis yielded 3 factors: lack of knowledge, lack of control, and lack of time. Reported declines in lack of knowledge and lack of control from baseline to 12 months were associated with significantly greater energy restriction over 12 months, whereas reported declines in lack of control and lack of time were associated with significantly greater weight loss.

CONCLUSIONS AND IMPLICATIONS: Results suggest that declines in perceived barriers to healthful eating during treatment are associated with greater energy restriction and weight loss.

%B J Nutr Educ Behav %V 44 %P 507-12 %8 2012 Nov-Dec %G eng %N 6 %R 10.1016/j.jneb.2010.06.005 %0 Journal Article %J J Womens Health (Larchmt) %D 2012 %T Mediators of adverse birth outcomes among socially disadvantaged women. %A Gavin, Amelia R %A Nurius, Paula %A Logan-Greene, Patricia %K Adolescent %K Adult %K Cohort Studies %K Diagnostic and Statistical Manual of Mental Disorders %K Female %K Gestational Age %K Health Behavior %K Healthcare Disparities %K Humans %K Insurance Coverage %K Mental Disorders %K Middle Aged %K Pregnancy %K Pregnancy Outcome %K Pregnant Women %K Prenatal Care %K Prospective Studies %K Social Class %K Stress, Psychological %K Substance-Related Disorders %K Surveys and Questionnaires %K United States %K Vulnerable Populations %X

BACKGROUND: Numerous studies find that socially disadvantaged women are more likely than socially advantaged women to deliver infants that weigh less than normal and/or are born weeks prior to their due date. However, little is known about the pathways that link maternal social disadvantage to birth outcomes. Using data from a prospective cohort study, we examined whether antenatal psychosocial stress, substance use, and maternal health conditions in pregnancy mediated the pathway between maternal social disadvantage and birth outcomes.

METHODS: Analyses used structural equation modeling to examine data from a community clinic-based sample (n=2168) of pregnant women who completed questionnaires assessing psychosocial functioning and health behaviors as well as sociodemographic characteristics, which were matched with subsequent birth outcome data.

RESULTS: Analyses revealed maternal social disadvantage predicted poorer birth outcomes through a mediated pathway including maternal health conditions in pregnancy.

CONCLUSIONS: The findings demonstrate that maternal social disadvantage is associated with poor health status in pregnancy, which in turn adversely affects birth outcomes. Results argue for more systematic attention to the roles of social disadvantage, including life course perspectives that trace social disadvantage prior to and through pregnancy.

%B J Womens Health (Larchmt) %V 21 %P 634-42 %8 2012 Jun %G eng %N 6 %R 10.1089/jwh.2011.2766 %0 Journal Article %J Child Maltreat %D 2012 %T Multiple jeopardy: poor, economically disconnected, and child welfare involved. %A Marcenko, Maureen O %A Hook, Jennifer L %A Romich, Jennifer L %A Lee, JoAnn S %K Adolescent %K Adult %K Child %K Child Health Services %K Child Welfare %K Family Characteristics %K Female %K Health Services Accessibility %K Humans %K Male %K Middle Aged %K Multivariate Analysis %K Parents %K Poverty %K Public Assistance %K Unemployment %K Washington %X

Although the welfare literature reveals a growing number of parents who are economically disconnected, meaning neither employed nor receiving cash assistance, little is known about the prevalence and impacts of disconnection among child welfare-involved parents. This study took advantage of a statewide survey of child welfare-involved parents to examine economic disconnection in this population and to explore the relationship between disconnection and parent engagement in child welfare. One fifth of the sample reported that they were economically disconnected, with several patterns differentiating disconnected caregivers from those who received benefits or earned income through employment. Disconnected caregivers were younger and more frequently had children in out-of-home placements as opposed to receiving services in home than economically connected caregivers. They also reported higher unmet needs for basic services, such as housing and medical care, but were more likely to report financial help from their informal network. Finally, disconnected caregivers reported lower engagement in child welfare services even when controlling for demographic characteristics, chronic psychosocial risk factors, placement status, and maltreatment type. The findings document economic disconnection among child welfare-involved parents and raise important questions about the implications of disconnection for families and for child welfare outcomes.

%B Child Maltreat %V 17 %P 195-206 %8 2012 Aug %G eng %N 3 %R 10.1177/1077559512456737 %0 Journal Article %J Intern Med J %D 2012 %T Obesity does not affect sodium picosulphate bowel preparation. %A Fok, K C %A Turner, I B %A Teoh, W C %A Levy, R L %K Adolescent %K Adult %K Aged %K Body Mass Index %K Cathartics %K Citrates %K Colonoscopy %K Humans %K Male %K Middle Aged %K Obesity %K Organometallic Compounds %K Picolines %K Young Adult %X

BACKGROUND: A previous study utilising oral polyethylene-glycol by Borg et al. concluded that obesity is an independent predictor of inadequate bowel preparation at colonoscopy.

AIM: To compare bowel preparation quality between obese and non-obese individuals as assessed by Boston bowel preparation scale (BBPS) after using sodium picosulphate.

METHODS: Prospective recruitment of patients at a day surgical unit in a New South Wales academic hospital. Bowel preparation was with Picoprep in all patients. Body Mass Index and epidemiological details were collected. Bowel preparation efficacy was assessed using the Boston Bowel Preparation Score.

RESULTS: One hundred and four patients were enrolled prospectively. Five (4.8%) were excluded owing to poor mental capacity. Sixty-three (64%) were non-obese, and 36 (36%) were obese. Fifty-seven (90%) non-obese and 32 (89%) obese patients had good bowel preparation. There was no statistical difference for sodium picosulphate bowel preparation between obese and non-obese individuals (P > 0.99) using Fisher's exact probability tests. The BBPS score in the left colon predicted the overall BBPS score in all patients (P < 0.001). Three of 99 patients (3%) did not tolerate sodium picosulphate, with nausea being the most common side-effect.

LIMITATIONS: Non-randomised study

CONCLUSIONS: There was no difference in bowel preparation quality between obese and non-obese patients using a low-volume bowel preparation (sodium picosulphate) and without dose modification of the bowel preparation. Sodium picosulphate was a welltolerated and an effective bowel preparation for obese individuals. With an increasing incidence of obesity and expanding colonoscopic indications within Australia and other Western countries from government-sponsored programs, it is paramount that procedural quality not be compromised in the obese patient.

%B Intern Med J %V 42 %P 1324-9 %8 2012 Dec %G eng %N 12 %R 10.1111/j.1445-5994.2012.02865.x %0 Journal Article %J J Soc Work End Life Palliat Care %D 2012 %T Palliative care in the pediatric ICU: challenges and opportunities for family-centered practice. %A Doorenbos, Ardith %A Lindhorst, Taryn %A Starks, Helene %A Aisenberg, Eugene %A Curtis, J Randall %A Hays, Ross %K Child %K Humans %K Intensive Care Units, Pediatric %K Palliative Care %K Patient Care Team %K Patient Transfer %K Patient-Centered Care %K Pediatrics %K Professional Role %K Professional-Family Relations %K Terminal Care %K United States %X

The culture of pediatric intensive care units (PICUs) is focused on curative or life-prolonging treatments for seriously ill children. We present empirically-based approaches to family-centered palliative care that can be applied in PICUs. Palliative care in these settings is framed by larger issues related to the context of care in PICUs, the stressors experienced by families, and challenges to palliative care philosophy within this environment. Innovations from research on family-centered communication practices in adult ICU settings provide a framework for development of palliative care in PICUs and suggest avenues for social work support of critically ill children and their families.

%B J Soc Work End Life Palliat Care %V 8 %P 297-315 %8 2012 %G eng %N 4 %R 10.1080/15524256.2012.732461 %0 Journal Article %J Addiction %D 2012 %T Primary outcome indices in illicit drug dependence treatment research: systematic approach to selection and measurement of drug use end-points in clinical trials. %A Donovan, Dennis M %A Bigelow, George E %A Brigham, Gregory S %A Carroll, Kathleen M %A Cohen, Allan J %A Gardin, John G %A Hamilton, John A %A Huestis, Marilyn A %A Hughes, John R %A Lindblad, Robert %A Marlatt, G Alan %A Preston, Kenzie L %A Selzer, Jeffrey A %A Somoza, Eugene C %A Wakim, Paul G %A Wells, Elizabeth A %K Alcoholism %K Biomedical Research %K Clinical Trials as Topic %K Consensus %K Endpoint Determination %K Humans %K Self Report %K Street Drugs %K Substance Abuse Detection %K Substance Withdrawal Syndrome %K Substance-Related Disorders %K Tobacco Use Disorder %K Treatment Outcome %X

AIMS: Clinical trials test the safety and efficacy of behavioral and pharmacological interventions in drug-dependent individuals. However, there is no consensus about the most appropriate outcome(s) to consider in determining treatment efficacy or on the most appropriate methods for assessing selected outcome(s). We summarize the discussion and recommendations of treatment and research experts, convened by the US National Institute on Drug Abuse, to select appropriate primary outcomes for drug dependence treatment clinical trials, and in particular the feasibility of selecting a common outcome to be included in all or most trials.

METHODS: A brief history of outcomes employed in prior drug dependence treatment research, incorporating perspectives from tobacco and alcohol research, is included. The relative merits and limitations of focusing on drug-taking behavior, as measured by self-report and qualitative or quantitative biological markers, are evaluated.

RESULTS: Drug-taking behavior, measured ideally by a combination of self-report and biological indicators, is seen as the most appropriate proximal primary outcome in drug dependence treatment clinical trials.

CONCLUSIONS: We conclude that the most appropriate outcome will vary as a function of salient variables inherent in the clinical trial, such as the type of intervention, its target, treatment goals (e.g. abstinence or reduction of use) and the perspective being taken (e.g. researcher, clinical program, patient, society). It is recommended that a decision process, based on such trial variables, be developed to guide the selection of primary and secondary outcomes as well as the methods to assess them.

%B Addiction %V 107 %P 694-708 %8 2012 Apr %G eng %N 4 %R 10.1111/j.1360-0443.2011.03473.x %0 Journal Article %J Health Educ Res %D 2012 %T Process and outcome constructs for evaluating community-based participatory research projects: a matrix of existing measures. %A Sandoval, Jennifer A %A Lucero, Julie %A Oetzel, John %A Avila, Magdalena %A Belone, Lorenda %A Mau, Marjorie %A Pearson, Cynthia %A Tafoya, Greg %A Duran, Bonnie %A Iglesias Rios, Lisbeth %A Wallerstein, Nina %K Community-Based Participatory Research %K Forecasting %K Group Processes %K Humans %K Models, Theoretical %K Outcome and Process Assessment (Health Care) %K Reproducibility of Results %K Research Design %X

Community-based participatory research (CBPR) has been widely used in public health research in the last decade as an approach to develop culturally centered interventions and collaborative research processes in which communities are directly involved in the construction and implementation of these interventions and in other application of findings. Little is known, however, about CBPR pathways of change and how these academic-community collaborations may contribute to successful outcomes. A new health CBPR conceptual model (Wallerstein N, Oetzel JG, Duran B et al. CBPR: What predicts outcomes? In: Minkler M, Wallerstein N (eds). Communication Based Participatory Research, 2nd edn. San Francisco, CA: John Wiley & Co., 2008) suggests that relationships between four components: context, group dynamics, the extent of community-centeredness in intervention and/or research design and the impact of these participatory processes on CBPR system change and health outcomes. This article seeks to identify instruments and measures in a comprehensive literature review that relates to these distinct components of the CBPR model and to present them in an organized and indexed format for researcher use. Specifically, 258 articles were identified in a review of CBPR (and related) literature from 2002 to 2008. Based on this review and from recommendations of a national advisory board, 46 CBPR instruments were identified and each was reviewed and coded using the CBPR logic model. The 46 instruments yielded 224 individual measures of characteristics in the CBPR model. While this study does not investigate the quality of the instruments, it does provide information about reliability and validity for specific measures. Group dynamics proved to have the largest number of identified measures, while context and CBPR system and health outcomes had the least. Consistent with other summaries of instruments, such as Granner and Sharpe's inventory (Granner ML, Sharpe PA. Evaluating community coalition characteristics and functioning: a summary of measurement tools. Health Educ Res 2004; 19: 514-32), validity and reliability information were often lacking, and one or both were only available for 65 of the 224 measures. This summary of measures provides a place to start for new and continuing partnerships seeking to evaluate their progress.

%B Health Educ Res %V 27 %P 680-90 %8 2012 Aug %G eng %N 4 %R 10.1093/her/cyr087 %0 Journal Article %J J Prim Prev %D 2012 %T Project həli?dx(w)/Healthy Hearts Across Generations: development and evaluation design of a tribally based cardiovascular disease prevention intervention for American Indian families. %A Walters, Karina L %A LaMarr, June %A Levy, Rona L %A Pearson, Cynthia %A Maresca, Teresa %A Mohammed, Selina A %A Simoni, Jane M %A Evans-Campbell, Teresa %A Fredriksen-Goldsen, Karen %A Fryberg, Sheryl %A Jobe, Jared B %K Adolescent %K Adult %K Body Mass Index %K Cardiovascular Diseases %K Community-Based Participatory Research %K Community-Institutional Relations %K Cultural Competency %K Family Relations %K Humans %K Indians, North American %K Inuits %K Life Style %K Male %K Motivational Interviewing %K Northwestern United States %K Parents %K Risk Factors %K Young Adult %X

American Indian and Alaska Native (AIAN) populations are disproportionately at risk for cardiovascular disease (CVD), diabetes, and obesity, compared with the general US population. This article describes the həli?dx(w)/Healthy Hearts Across Generations project, an AIAN-run, tribally based randomized controlled trial (January 2010-June 2012) designed to evaluate a culturally appropriate CVD risk prevention program for AI parents residing in the Pacific Northwest of the United States. At-risk AIAN adults (n = 135) were randomly assigned to either a CVD prevention intervention arm or a comparison arm focusing on increasing family cohesiveness, communication, and connectedness. Both year-long conditions included 1 month of motivational interviewing counseling followed by personal coach contacts and family life-skills classes. Blood chemistry, blood pressure, body mass index, food intake, and physical activity were measured at baseline and at 4- and 12-month follow-up times.

%B J Prim Prev %V 33 %P 197-207 %8 2012 Aug %G eng %N 4 %R 10.1007/s10935-012-0274-z %0 Journal Article %J Am J Prev Med %D 2012 %T Risk versus direct protective factors and youth violence: Seattle Social Development Project. %A Herrenkohl, Todd I %A Lee, Jungeun %A Hawkins, J D %K Adolescent %K Adolescent Behavior %K Family Relations %K Female %K Humans %K Juvenile Delinquency %K Longitudinal Studies %K Male %K Multivariate Analysis %K Peer Group %K Regression Analysis %K Residence Characteristics %K Risk Factors %K Violence %K Washington %X

BACKGROUND: Numerous studies have examined predictors of youth violence associated with the individual child, the family, school, and the surrounding neighborhood or community. However, few studies have examined predictors using a systematic approach to differentiate and compare risk and direct protective factors.

PURPOSE: This study examines risk and protective factors associated with youth violence in an ongoing longitudinal panel study of 808 students from 18 Seattle public elementary schools followed since 1985 when they were in 5th grade. Predictors span the individual, family, school, peer, and neighborhood domains.

METHODS: Data were collected annually, beginning in 1985, to age 16 years, and then again at age 18 years. This paper provides findings of analyses in which continuous predictor variables, measured at ages 10-12 years, were trichotomized to reflect a risk end of the variable, a direct protective end, and a middle category of scores. Youth violence was measured at ages 13-14 years and 15-18 years.

RESULTS: Bivariate analyses of risk and direct protective factors identified the following predictors of violence at ages 13-14 years and 15-18 years. Risk for violence was increased by earlier antisocial behavior (e.g., prior violence, truancy, nonviolent delinquency), attention problems, family conflict, low school commitment, and living in a neighborhood where young people were in trouble. Direct protective factors at ages 10-12 years include a low level of attention problems, low risk-taking, refusal skills, school attachment, and low access and exposure to marijuana at ages 10-12 years. Multivariate regressions showed neighborhood risk factors to be among the most salient and consistent predictors of violence after accounting for all other variables in the tested models.

CONCLUSIONS: Relatively few direct protective factors were identified in these statistical tests, suggesting the need for further review and possible refinement of the measures and methods that were applied. Implications provide important information for programs and policy.

%B Am J Prev Med %V 43 %P S41-56 %8 2012 Aug %G eng %N 2 Suppl 1 %R 10.1016/j.amepre.2012.04.030 %0 Journal Article %J Soc Work Res %D 2012 %T The role of educational aspirations and expectations in the discontinuity of intergenerational low-income status between generations %A Lee, Jungeun O %A Hill, Karl G %A Hawkins, J D %X

The present study investigates one potential mechanism mediating continuity and discontinuity in low-income status across generations: children's educational aspirations and expectations. Data are drawn from a community sample of 808 students followed from age 10 into their 30s. Four subgroups of trajectories of children's educational expectations and aspirations were identified from ages 10 to 18: a "stable high" group, a "stable low" group, an "increaser" group, and a "decreaser" group. Among youths from low-income families, those in the stable high educational aspirations and expectations group and the increaser group were equally likely to graduate from high school. High school graduation was positively associated with level of total household income at age 30. Findings suggest that social work efforts that support the development of high educational aspirations and expectations in children may serve to reduce the intergenerational continuity of low-income status.

%B Soc Work Res %V 36 %8 2012 Jun 1 %G eng %N 2 %R 10.1093/swr/svs025 %0 Journal Article %J Child Welfare %D 2012 %T Strengthening families and communities to prevent child abuse and neglect: lessons from the Los Angeles Prevention Initiative Demonstration Project. %A McCroskey, Jacquelyn %A Pecora, Peter J %A Franke, Todd %A Christie, Christina A %A Lorthridge, Jaymie %K Child %K Child Abuse %K Child Health Services %K Child Welfare %K Community Networks %K Family %K Humans %K Los Angeles %K Preventive Health Services %K Program Evaluation %X

The Prevention Initiative Demonstration Project, funded by the Los Angeles County Department of Children and Family Services (DCFS), is a community-specific strategy delivered through eight regional networks designed to address the full spectrum of community-based prevention. This article summarizes a strong and meaningful pattern of improvements found in the second year evaluation for three groups of families--those living in high-risk communities but not involved with DCFS, those being investigated by DCFS for possible child maltreatment, and those with open DCFS cases.

%B Child Welfare %V 91 %P 39-60 %8 2012 %G eng %N 2 %0 Journal Article %J Proc Natl Acad Sci U S A %D 2012 %T Suomi satellite brings to light a unique frontier of nighttime environmental sensing capabilities. %A Miller, Steven D %A Mills, Stephen P %A Elvidge, Christopher D %A Lindsey, Daniel T %A Lee, Thomas F %A Hawkins, Jeffrey D %X

Most environmental satellite radiometers use solar reflectance information when it is available during the day but must resort at night to emission signals from infrared bands, which offer poor sensitivity to low-level clouds and surface features. A few sensors can take advantage of moonlight, but the inconsistent availability of the lunar source limits measurement utility. Here we show that the Day/Night Band (DNB) low-light visible sensor on the recently launched Suomi National Polar-orbiting Partnership (NPP) satellite has the unique ability to image cloud and surface features by way of reflected airglow, starlight, and zodiacal light illumination. Examples collected during new moon reveal not only meteorological and surface features, but also the direct emission of airglow structures in the mesosphere, including expansive regions of diffuse glow and wave patterns forced by tropospheric convection. The ability to leverage diffuse illumination sources for nocturnal environmental sensing applications extends the advantages of visible-light information to moonless nights.

%B Proc Natl Acad Sci U S A %V 109 %P 15706-11 %8 2012 Sep 25 %G eng %N 39 %R 10.1073/pnas.1207034109 %0 Journal Article %J Soc Work Res %D 2012 %T Young men's use of aggressive tactics to avoid condom use: A test of a theoretical model. %A Davis, Kelly Cue %A Logan-Greene, Patricia %X

Although research has demonstrated that men's aggression against women and inconsistent condom use are related phenomena, it is little is known as to what factors increase risk for aggression to avoid condom use. The present article tests a theory-based model of condom avoidance through sexual aggression. Adult male participants (N=289) were recruited nationally through online advertisements. Aggressive tactics to avoid condom use was measured using an adapted version of the revised Sexual Experiences Survey (Abbey et al., 2005) and assessed a variety of aggressive behaviors spanning coercion to physical force. 100 participants (35.3%) reported at least one instance of coercion or aggression to avoid using a condom. Structural equation modeling indicated that, attitudes towards women, inconsistent condom use, and number of sexual partners were significant predictors of aggressive tactics to avoid condom use. A better understanding of the attitudinal and behavioral pathways through which men avoid condom use through aggressive and coercive means will ultimately result in improved education and prevention efforts for at-risk men and women.

%B Soc Work Res %V 36 %P 223-231 %8 2012 Sep 1 %G eng %N 3 %R 10.1093/swr/svs027 %0 Journal Article %J AIDS Patient Care STDS %D 2011 %T Buffering effects of general and medication-specific social support on the association between substance use and HIV medication adherence. %A Lehavot, Keren %A Huh, David %A Walters, Karina L %A King, Kevin M %A Andrasik, Michele P %A Simoni, Jane M %K Adult %K Anti-HIV Agents %K Antiretroviral Therapy, Highly Active %K Female %K HIV Infections %K Humans %K Male %K Middle Aged %K Patient Compliance %K Social Support %K Socioeconomic Factors %K Substance-Related Disorders %K Young Adult %X

The success of highly active antiretroviral therapy (HAART) among persons living with HIV is largely dependent on strict medication adherence. Recent research suggests that alcohol and other drug use (AOD) may be an important barrier to HAART adherence. In this study, we examined the impact of AOD on HAART adherence as well as the moderating effects of general and medication-specific social support. The data were collected as part of a longitudinal randomized control trial with 224 HIV-positive patients at an HIV primary care clinic in the northwestern United States. Findings indicated that AOD use was negatively associated with HAART adherence and that medication-specific (but not general) social support moderated the AOD-adherence association at 3 (but not at 6 or 9) months. Results indicate the importance of medication-specific social support to treat comorbid AOD use and HIV; implications for future research and intervention programs for HIV-positive AOD users are discussed.

%B AIDS Patient Care STDS %V 25 %P 181-9 %8 2011 Mar %G eng %N 3 %R 10.1089/apc.2010.0314 %0 Journal Article %J Prev Sci %D 2011 %T Commentary on Valentine, Jeffrey, et al.: Replication in prevention science. The Advisory Board of Blueprints for Violence Prevention. %A Aos, Steve %A Cook, Thomas D %A Elliott, Delbert S %A Gottfredson, Denise C %A Hawkins, J D %A Lipsey, Mark W %A Tolan, Patrick %K Preventive Health Services %K Reproducibility of Results %B Prev Sci %V 12 %P 121-2; discussion 123-5 %8 2011 Jun %G eng %N 2 %R 10.1007/s11121-011-0219-4 %0 Journal Article %J Am J Community Psychol %D 2011 %T Contextualizing acculturation: gender, family, and community reception influences on Asian immigrant mental health. %A Leu, Janxin %A Walton, Emily %A Takeuchi, David %K Acculturation %K Adult %K Asian Americans %K Communication Barriers %K Conflict (Psychology) %K Emigrants and Immigrants %K Family Relations %K Female %K Health Surveys %K Humans %K Logistic Models %K Male %K Mental Health %K Mood Disorders %K Prejudice %K Sex Factors %K Socioeconomic Factors %K United States %X

This article investigates differences in the mental health among male and female immigrants from an ecological perspective, testing the influences of both individual acculturation domains and social contexts. Data from the first nationally representative psychiatric survey of immigrant Asians in the US is used (N = 1,583). These data demonstrate the importance of understanding acculturation domains (e.g., individual differences in English proficiency, ethnic identity, and time in the US), within the social contexts of family, community, and neighborhood. Results demonstrate that among immigrant Asian women, the association between family conflict and mental health problems is stronger for those with higher ethnic identity; among immigrant Asian men, community reception (e.g., everyday discrimination) was more highly associated with increases in mental health symptoms among those with poor English fluency. Findings suggest that both individual domains of acculturation and social context measures contribute to immigrant mental health, and that it is important to consider these relationships within the context of gender.

%B Am J Community Psychol %V 48 %P 168-80 %8 2011 Dec %G eng %N 3-4 %R 10.1007/s10464-010-9360-7 %0 Journal Article %J J Sch Psychol %D 2011 %T The effect of family processes on school achievement as moderated by socioeconomic context. %A Oxford, Monica L %A Lee, Jungeun O %K Achievement %K Adolescent %K Child %K Child Development %K Educational Status %K Family %K Female %K Humans %K Longitudinal Studies %K Male %K Parenting %K Schools %K Social Environment %K Socioeconomic Factors %X

This longitudinal study examined a model of early school achievement in reading and math, as it varies by socioeconomic context, using data from the NICHD Study of Early Child Care and Youth Development. A conceptual model was tested that included features of family stress, early parenting, and school readiness, through both a single-group analysis and also a multiple-group analysis. Latent profile analysis was used to identify subgroups of more advantaged and less advantaged families. Family stress and parenting were shown to operate differently depending on the socioeconomic context, whereas child-based school readiness characteristics were shown to operate similarly across socieodemographic contexts. Implications for intervention are discussed.

%B J Sch Psychol %V 49 %P 597-612 %8 2011 Oct %G eng %N 5 %R 10.1016/j.jsp.2011.06.001 %0 Journal Article %J Ann Behav Med %D 2011 %T Exploring the intergenerational transmission of illness behavior: from observations to experimental intervention. %A Levy, Rona L %K Abdominal Pain %K Adaptation, Psychological %K Adult %K Child %K Child of Impaired Parents %K Cognitive Therapy %K Humans %K Illness Behavior %K Intergenerational Relations %K Irritable Bowel Syndrome %K Models, Psychological %K Observation %K Parent-Child Relations %K Parents %K Program Development %X

BACKGROUND: Functional abdominal pain (FAP) of childhood is characterized by, among other things, pain with no known physiological cause, and family patterns of related disorders have been reported.

PURPOSE: The purpose of this paper is to trace the development of one FAP research program and highlight some of its key findings from observations of interaction patterns to intervention studies designed to test outcomes of altering these patterns.

METHODS: Studies summarized include observational and experimental research.

RESULTS: Parental response to child pain behaviors appears to be a key factor in the development and maintenance of FAP, and intervention which includes targeting changes in parental responses can decrease reports of pain and other illness behaviors.

CONCLUSIONS: Research into FAP can provide valuable information for not only FAP and other unexplained pain conditions, but other medical conditions where environmental responses may play an important role in their etiology and maintenance.

%B Ann Behav Med %V 41 %P 174-82 %8 2011 Apr %G eng %N 2 %R 10.1007/s12160-010-9254-9 %0 Journal Article %J Violence Against Women %D 2011 %T The long arc of recovery: characterizing intimate partner violence and its psychosocial effects across 17 years. %A Lindhorst, Taryn %A Beadnell, Blair %K Adaptation, Psychological %K Adolescent %K Adult %K Alcohol Drinking %K Anxiety %K Battered Women %K Child %K Depression %K Female %K Follow-Up Studies %K Humans %K Interpersonal Relations %K Male %K Mental Health %K Poverty %K Pregnancy %K Sexual Partners %K Spouse Abuse %K Time %K Young Adult %X

Little is known about how intimate partner violence (IPV) affects women's long-term mental health. Using 17 years of data from adolescent mothers, this study (a) empirically identified three subgroups based on patterns of IPV exposure during 4 years of their adolescence; (b) found that subgroup membership was a predictor of psychosocial outcomes in the subsequent 13 years, and (c) showed that the long-term effects of IPV exposure persisted even while controlling for the role of early poverty. By their 30s, women had recovered from IPV such that there were no significant differences between groups at the final time point.

%B Violence Against Women %V 17 %P 480-99 %8 2011 Apr %G eng %N 4 %R 10.1177/1077801211404548 %0 Journal Article %J J Youth Stud %D 2011 %T Multi-Domain Risk and Protective Factor Predictors of Violent Behavior among At-risk Youth. %A Logan-Greene, Patricia %A Nurius, Paula S %A Herting, Jerald R %A Hooven, Carole L %A Walsh, Elaine %A Thompson, Elaine Adams %X

This study extends prior examination of adolescent violence etiology, drawing on an ethnically diverse, community accessed, yet emotionally vulnerable sample (N = 849) of adolescents at-risk for school drop-out. A balanced risk and protective factor framework captured theorized dimensions of strain, coping, and support resources. We tested the combined and unique contribution of risk and protective components spanning individual, peer/school, and family predictor domains, including victimization histories. Hierarchical regressions yielded significant overall explanation of violent behaviors as well as unique predictors within each of the three domains. Tests for sex differences and moderating effects suggested that levels of risk and protective factors differed for males and females, although the functional relationships to violence were the same for both sexes. Results are discussed relative to prevention and early intervention programs; particularly the importance of understanding adolescent violent behaviors within a context that addresses stress and distress.

%B J Youth Stud %V 14 %P 413-429 %8 2011 Jun %G eng %N 4 %R 10.1080/13676261.2010.538044 %0 Journal Article %J Women Health %D 2011 %T The prevalence and correlates of depressive symptoms among adolescent mothers: results from a 17-year longitudinal study. %A Gavin, Amelia R %A Lindhorst, Taryn %A Lohr, Mary Jane %K Adolescent %K Adult %K Cohort Studies %K Depression %K Female %K Humans %K Logistic Models %K Longitudinal Studies %K Male %K Marital Status %K Mothers %K Parity %K Pregnancy %K Pregnancy in Adolescence %K Prevalence %K Public Health %K Sexual Partners %K Smoking %K Social Welfare %K Spouse Abuse %K Young Adult %X

The objective of the authors in this study was to examine the prevalence and correlates of elevated depressive symptoms in a 17-year cohort study of 173 women who were unmarried, pregnant adolescents between June 1988 and January 1990. Multiple logistic regression was used to estimate the associations between correlates and elevated depressive symptoms during five distinct developmental periods of the life course. Depressive symptoms were measured by the Brief Symptom Inventory depression subscale. The prevalence of elevated depressive symptoms in adolescent mothers significantly increased over the 17 years of the study from 19.8% to 35.2%. In adjusted analyses, antenatal depressive symptoms were positively and significantly associated with elevated depressive symptoms at every developmental period. Intimate partner violence was positively and significantly associated with elevated depressive symptoms during all but one developmental period. Other significant correlates of elevated depressive symptoms included welfare receipt, smoking, and parity, all of which were significant at some, but not other, developmental periods. Antenatal depressive symptoms and intimate partner violence were positively and significantly associated with elevated depressive symptoms. Given the public health consequences associated with maternal depression, clinical and community-based interventions should be developed to identify and to treat adolescent mothers at-risk for antenatal depression and intimate partner violence.

%B Women Health %V 51 %P 525-45 %8 2011 Aug 31 %G eng %N 6 %R 10.1080/03630242.2011.606355 %0 Journal Article %J J Clin Oncol %D 2011 %T Prospective neurocognitive function over 5 years after allogeneic hematopoietic cell transplantation for cancer survivors compared with matched controls at 5 years. %A Syrjala, Karen L %A Artherholt, Samantha B %A Kurland, Brenda F %A Langer, Shelby L %A Roth-Roemer, Sari %A Elrod, JoAnn Broeckel %A Dikmen, Sureyya %K Adult %K Aged %K Cognition Disorders %K Female %K Hematopoietic Stem Cell Transplantation %K Humans %K Male %K Middle Aged %K Neoplasms %K Prospective Studies %K Survivors %K Time Factors %K Transplantation, Homologous %X

PURPOSE: Research has documented cognitive deficits both before and after high-dose treatment followed by allogeneic hematopoietic cell transplantation (HCT), with partial recovery by 1 year. This study prospectively examined the trajectory and extent of long-term cognitive dysfunction, with a focus on 1 to 5 years after treatment.

PATIENTS AND METHODS: Allogeneic HCT recipients completed standardized neuropsychological tests including information processing speed (Trail Making A and Digit Symbol Substitution Test), verbal memory (Hopkins Verbal Learning Test-Revised), executive function (Controlled Oral Word Association Test and Trail Making B), and motor dexterity and speed (Grooved Pegboard). Survivors (n = 92) were retested after 80 days and 1 and 5 years after transplantation. Case-matched controls (n = 66) received testing at the 5-year time point. A Global Deficit Score (GDS) summarized overall impairment. Response profiles were analyzed using linear mixed effects models.

RESULTS: Survivors recovered significant cognitive function from post-transplantation (80 days) to 5 years in all tests (P < .0001) except verbal recall (P > .06). Between 1 and 5 years, verbal fluency improved (P = .0002), as did executive function (P < .01), but motor dexterity did not (P > .15), remaining below controls (P < .0001) and more than 0.5 standard deviation below population norms. In GDS, 41.5% of survivors and 19.7% of controls had mild or greater deficits (NcNemar test = 7.04, P = .007).

CONCLUSION: Although neurocognitive function improved from 1 to 5 years after HCT, deficits remained for more than 40% of survivors. Risk factors, mechanisms and rehabilitation strategies need to be identified for these residual deficits.

%B J Clin Oncol %V 29 %P 2397-404 %8 2011 Jun 10 %G eng %N 17 %R 10.1200/JCO.2010.33.9119 %0 Journal Article %J Psychol Addict Behav %D 2011 %T Randomized controlled trial of motivational enhancement therapy with nontreatment-seeking adolescent cannabis users: a further test of the teen marijuana check-up. %A Walker, Denise D %A Stephens, Robert %A Roffman, Roger %A Demarce, Josephine %A Lozano, Brian %A Towe, Sheri %A Berg, Belinda %K Adolescent %K Behavior Therapy %K Female %K Humans %K Interview, Psychological %K Male %K Marijuana Abuse %K Marijuana Smoking %K Motivation %K Psychotherapy, Brief %K Treatment Outcome %X

Cannabis use adversely affects adolescents and interventions that are attractive to adolescents are needed. This trial compared the effects of a brief motivational intervention for cannabis use with a brief educational feedback control and a no-assessment control. Participants were randomized into one of three treatment conditions: Motivational Enhancement Therapy (MET), Educational Feedback Control (EFC), or Delayed Feedback Control (DFC). Those who were assigned to MET and EFC were administered a computerized baseline assessment immediately following randomization and completed assessments at the 3- and 12-month follow-up periods. Participants in the DFC condition were not assessed until the 3-month follow-up. Following the completion of treatment sessions, all participants were offered up to four optional individual treatment sessions aimed at cessation of cannabis use. The research was conducted in high schools in Seattle, Washington. The participant s included 310 self-referred adolescents who smoked cannabis regularly. The main outcome measures included days of cannabis use, associated negative consequences, and engagement in additional treatment. At the 3-month follow-up, participants in both the MET and EFC conditions reported significantly fewer days of cannabis use and negative consequences compared to those in the DFC. The frequency of cannabis use was less in MET relative to EFC at 3 months, but it did not translate to differences in negative consequences. Reductions in use and problems were sustained at 12 months, but there were no differences between MET and EFC interventions. Engagement in additional treatment was minimal and did not differ by condition. Brief interventions can attract adolescent cannabis users and have positive impacts on them, but the mechanisms of the effects are yet to be identified.

%B Psychol Addict Behav %V 25 %P 474-84 %8 2011 Sep %G eng %N 3 %R 10.1037/a0024076 %0 Journal Article %J J Trauma %D 2011 %T Screening for mental illness in a trauma center: rooting out a risk factor for unintentional injury. %A Dicker, Rochelle A %A Mah, Jennifer %A Lopez, Dahianna %A Tran, Catherine %A Reidy, Rosemary %A Moore, Megan %A Kreniske, Phil %A Crane, Ian %A Knudson, M Margaret %A Li, Moon %A Menza, Rebecca %A Shuway, Martha %A Alvidrez, Jennifer %K Adult %K Chi-Square Distribution %K Female %K Health Services Needs and Demand %K Humans %K Injury Severity Score %K Inpatients %K Interview, Psychological %K Logistic Models %K Male %K Mass Screening %K Mental Disorders %K Middle Aged %K Pilot Projects %K Poisson Distribution %K Prevalence %K Prospective Studies %K Retrospective Studies %K Risk Factors %K San Francisco %K Trauma Centers %K Wounds and Injuries %X

BACKGROUND: Injury prevention and screening efforts have long targeted risk factors for injury recurrence. In a retrospective study, our group found that mental illness is an independent risk factor for unintentional injury and reinjury. The purpose of this study was to administer a standard validated screening instrument and psychosocial needs assessment to admitted patients who suffer unintentional injury. We aimed to prospectively measure the prevalence of mental illness. We hypothesize that systematic screening for psychiatric disorders in trauma patients is feasible and identifies people with preexisting mental illness as a high-risk group for unintentional injury.

METHODS: In this prospective study, we recruited patients admitted to our Level I trauma center for unintentional injury for a period of 18 months. A bedside structured interview, including the Mini International Neuropsychiatric Interview, and a needs assessment were performed by lay research personnel trained by faculty from the Department of Psychiatry. The validated needs assessment questions were from the Camberwell Assessment of Need Short Appraisal Schedule instrument. Psychiatric screening and needs assessment results, as well as demographic characteristics are reported as descriptive statistics.

RESULTS: A total of 1,829 people were screened during the study period. Of the 854 eligible people, 348 were able to be approached by researchers before discharge with a positive response rate of 63% (N = 219 enrolled). Interviews took 35 minutes ± 12 minutes. Chi-squared analysis revealed no difference in mechanism in those with mental illness versus no mental illness. Men were significantly more likely to be found to have a mental health disorder but when substance abuse was excluded, no difference was found. Four-way diagnostic grouping revealed the prevalence of mental illness detected.

CONCLUSIONS: This inpatient pilot screening program prospectively identified preexisting mental illness as a risk factor for unintentional injury. Implementation of validated psychosocial and mental health screening instruments is feasible and efficient in the acute trauma setting. Administration of a validated mental health screening instrument can be achieved by training college-level research assistants. This system of screening can lead to identification and treatment of mental illness as a strategy for unintentional injury prevention.

%B J Trauma %V 70 %P 1337-44 %8 2011 Jun %G eng %N 6 %R 10.1097/TA.0b013e318216f611 %0 Journal Article %J J Stud Alcohol Drugs %D 2011 %T Sensitive periods for adolescent alcohol use initiation: Predicting the lifetime occurrence and chronicity of alcohol problems in adulthood. %A Guttmannova, Katarina %A Bailey, Jennifer A %A Hill, Karl G %A Lee, Jungeun O %A Hawkins, J D %A Woods, M L %A Catalano, Richard F %K Adolescent %K Adult %K Age Factors %K Age of Onset %K Alcohol Drinking %K Alcohol-Related Disorders %K Alcoholism %K Child %K Ethanol %K Female %K Forecasting %K Humans %K Longitudinal Studies %K Male %K Risk %K Social Environment %K Socioeconomic Factors %K Substance-Related Disorders %K Time Factors %X

OBJECTIVE: This study examined the association between age at alcohol use onset and adult alcohol misuse and dependence by testing the sensitive-period hypothesis that early adolescence (11-14) is a vulnerable period of development during which initiating alcohol use is particularly harmful.

METHOD: Data came from a longitudinal panel of 808 participants recruited in 1981. Participants were followed through age 33 in 2008 with 92% retention.

RESULTS: Onset of alcohol use before age 11 (late childhood), when compared with initiation during early adolescence, was related to an increased chronicity of adult alcohol dependence, even after accounting for sociodemographic controls and other substance use in adolescence. The present study finds no evidence that early adolescence is a particularly sensitive period for the onset of alcohol use. Findings related to the onset of regular alcohol use and the chronicity of alcohol dependence suggest that the onset of regular drinking before age 21 is problematic, but no one adolescent period is more sensitive than others. Specifically, although all age groups that started drinking regularly before age 21 had a greater rate of alcohol dependence in adulthood, initiation of regular use of alcohol at or before age 14 was not related to greater chronicity of alcohol dependence than the initiation of regular use of alcohol in middle or late adolescence.

CONCLUSIONS: The findings suggest the importance of delaying the onset of alcohol use through prevention efforts as early as the elementary grades. In addition, prevention efforts should focus on preventing the onset of regular drinking before age 21.

%B J Stud Alcohol Drugs %V 72 %P 221-31 %8 2011 Mar %G eng %N 2 %0 Journal Article %J Obesity (Silver Spring) %D 2011 %T Sex-specific HDL cholesterol changes with weight loss and their association with anthropometric variables: the LIFE study. %A Yatsuya, Hiroshi %A Jeffery, Robert W %A Erickson, Darin J %A Welsh, Ericka M %A Flood, Andrew P %A Jaeb, Melanie A %A Laqua, Patricia S %A Mitchell, Nathan R %A Langer, Shelby L %A Levy, Rona L %K Anthropometry %K Blood Glucose %K Cholesterol, HDL %K Female %K Humans %K Insulin %K Male %K Middle Aged %K Obesity %K Sex Factors %K Subcutaneous Fat %K Triglycerides %K Waist-Hip Ratio %K Weight Loss %X

Decrease in the level of high-density lipoprotein cholesterol (HDLC) has been observed in women who start dieting, but not in men. Patterns of HDLC change during intentional weight loss through 30-months of follow-up, and their association with changes in anthropometric measurements were examined in obese women (N = 112) and men (N = 100). Missing HDLC values at 6-, 12-, 18-, and 30-month follow-up (N = 16, 34, 55, and 50, respectively) due to dropout were imputed by multiple imputation. Mean ages and BMIs of subjects at baseline were 47.2 years and 34.8 kg/m(2) for women, and 50.4 years and 35.0 kg/m(2) for men. On average, participants lost weight steadily for 12 months, followed by slow regain. During the first 6 months, HDLC decreased significantly in women (-4.1 mg/dl, P = 0.0007), but not in men. Significant HDLC increases were observed in both men and women from 6- to 12-month follow-up. HDLC changes in women were positively associated with changes in hip circumference from baseline to 12-month independent of changes in triglycerides (TG), glucose, and insulin. Rapid decrease of predominantly subcutaneous fat in the femoral and gluteal area might be associated with HDLC decrease in women during initial weight loss.

%B Obesity (Silver Spring) %V 19 %P 429-35 %8 2011 Feb %G eng %N 2 %R 10.1038/oby.2010.216 %0 Journal Article %J Gerontologist %D 2011 %T Successful aging through the eyes of Alaska Native elders. What it means to be an elder in Bristol Bay, AK. %A Lewis, Jordan P %K Aged %K Aged, 80 and over %K Aging %K Alaska %K Culture %K Emotions %K Health Status %K Humans %K Indians, North American %K Interviews as Topic %K Male %K Mental Health %K Middle Aged %K Qualitative Research %K Rural Population %K Socioeconomic Factors %K Spirituality %X

PURPOSE: Alaska Natives (ANs) view aging from a holistic perspective, which is not typical of the existing successful aging literature. One of the challenges of conducting research with cultural groups (e.g., ANs) is the lack of data, or research, on culture and aging and its impact on how we view successful aging. This research explores successful aging from an AN perspective or what it means to reach "Eldership" in rural Alaskan communities, which is an area of successful aging where there is very little research.

DESIGN AND METHODS: Data were gathered from 26 elders aged 61-93 years in 6 Bristol Bay communities in Southwest Alaska. An Explanatory Model approach was used and adapted to gain a sense of the beliefs about aging and establish an indigenous understanding of successful aging or what it means to attain "Eldership."

RESULTS: Rather than establishing a definition of successful aging for AN Elders, this study highlights the four elements of "Eldership" or what AN Elders believe are important characteristics to becoming a respected elder. The four elements of "Eldership" are emotional well-being, community engagement, spirituality, and physical health, which are the characteristics of ANs who have reached "Eldership" and become a respected Elder in their community.

IMPLICATIONS: This research seeks to inform studies on indigenous aging that prioritizes the perspectives of elders to affect positively on the delivery of health care services in rural Alaska.

%B Gerontologist %V 51 %P 540-9 %8 2011 Aug %G eng %N 4 %R 10.1093/geront/gnr006 %0 Journal Article %J J Psychosom Res %D 2010 %T The association between obesity, depression, and educational attainment in women: the mediating role of body image dissatisfaction. %A Gavin, Amelia R %A Simon, Greg E %A Ludman, Evette J %K Adult %K Aged %K Body Image %K Body Weight %K Depression %K Depressive Disorder %K Educational Status %K Female %K Health Status %K Health Surveys %K Humans %K Logistic Models %K Middle Aged %K Obesity %K Prospective Studies %K Psychiatric Status Rating Scales %K Surveys and Questionnaires %K Women %X

OBJECTIVE: We examine the mediating role of body image dissatisfaction (BID) on the association between obesity and depression and the variation of this association as a function of years of education among a population-based sample of women aged 40-65 years.

METHODS: A series of sample-weighted logistic regression models were used to estimate the associations between obesity, BID, and depression, stratified by educational attainment. Data were obtained from a structured telephone interview of 4543 female health plan enrollees, including self-reported height and weight, the Patient Health Questionnaire assessment of depression, and a single-item measure of BID.

RESULTS: Among those with <16 years of education, in both the unadjusted and adjusted models, obesity and BID were significantly associated with depression. Similarly, among those with ≥ 16 years of education, obesity and BID were significantly associated with depression in the unadjusted models. However, in the adjusted model, only BID was associated with depression. A formal test for mediation suggests that the association between obesity and depression was mediated by BID regardless of level of education.

CONCLUSIONS: Our data suggest that BID-mediated the obesity-depression association. In addition, obesity and BID may be salient risk factors for depression among middle-aged women as a function of the level of education.

%B J Psychosom Res %V 69 %P 573-81 %8 2010 Dec %G eng %N 6 %R 10.1016/j.jpsychores.2010.05.001 %0 Journal Article %J Med Ref Serv Q %D 2010 %T Automatic Export of PubMed Citations to EndNote. %A London, Sue %A Gurdal, Osman %A Gall, Carole %K Information Storage and Retrieval %K Internet %K PubMed %K Software Design %X

The export of MEDLINE references to EndNote can be accomplished in various ways. Unlike Ovid MEDLINE, PubMed does not have a direct export feature to EndNote. Until recently, PubMed references had to be saved as a text file to import into EndNote. Now, the automatic export of PubMed references can be done using Internet Explorer (IE) or Mozilla Firefox Web browsers. The development and teaching of seamless citation management is a value-added service to health professionals.

%B Med Ref Serv Q %V 29 %P 146-53 %8 2010 Apr %G eng %N 2 %R 10.1080/02763861003723317 %0 Journal Article %J Am J Gastroenterol %D 2010 %T Cognitive-behavioral therapy for children with functional abdominal pain and their parents decreases pain and other symptoms. %A Levy, Rona L %A Langer, Shelby L %A Walker, Lynn S %A Romano, Joan M %A Christie, Dennis L %A Youssef, Nader %A DuPen, Melissa M %A Feld, Andrew D %A Ballard, Sheri A %A Welsh, Ericka M %A Jeffery, Robert W %A Young, Melissa %A Coffey, Melissa J %A Whitehead, William E %K Abdominal Pain %K Adaptation, Psychological %K Adolescent %K Child %K Cognitive Therapy %K Disability Evaluation %K Female %K Humans %K Linear Models %K Male %K Pain Measurement %K Parent-Child Relations %K Parents %K Prospective Studies %K Treatment Outcome %X

OBJECTIVES: Unexplained abdominal pain in children has been shown to be related to parental responses to symptoms. This randomized controlled trial tested the efficacy of an intervention designed to improve outcomes in idiopathic childhood abdominal pain by altering parental responses to pain and children's ways of coping and thinking about their symptoms.

METHODS: Two hundred children with persistent functional abdominal pain and their parents were randomly assigned to one of two conditions-a three-session intervention of cognitive-behavioral treatment targeting parents' responses to their children's pain complaints and children's coping responses, or a three-session educational intervention that controlled for time and attention. Parents and children were assessed at pretreatment, and 1 week, 3 months, and 6 months post-treatment. Outcome measures were child and parent reports of child pain levels, function, and adjustment. Process measures included parental protective responses to children's symptom reports and child coping methods.

RESULTS: Children in the cognitive-behavioral condition showed greater baseline to follow-up decreases in pain and gastrointestinal symptom severity (as reported by parents) than children in the comparison condition (time x treatment interaction, P<0.01). Also, parents in the cognitive-behavioral condition reported greater decreases in solicitous responses to their child's symptoms compared with parents in the comparison condition (time x treatment interaction, P<0.0001).

CONCLUSIONS: An intervention aimed at reducing protective parental responses and increasing child coping skills is effective in reducing children's pain and symptom levels compared with an educational control condition.

%B Am J Gastroenterol %V 105 %P 946-56 %8 2010 Apr %G eng %N 4 %R 10.1038/ajg.2010.106 %0 Journal Article %J J Sex Res %D 2010 %T Comparison of daily and retrospective reports of vaginal sex in heterosexual men and women. %A Gillmore, Mary Rogers %A Leigh, Barbara C %A Hoppe, Marilyn J %A Morrison, Diane M %K Adolescent %K Adult %K Coitus %K Data Collection %K Female %K Heterosexuality %K Humans %K Interviews as Topic %K Male %K Medical Records %K Mental Recall %K Reproducibility of Results %K Surveys and Questionnaires %K Truth Disclosure %K Vagina %K Young Adult %X

This study examined the agreement between daily and retrospective reports of vaginal sex over a two-month period in a sample of 376 heterosexually active men and women. We also examined whether gender, age, or method of daily data collection (self-administered vs. interviewer administered) were related to agreement between daily and retrospective reports. Both counts and categorical measures of frequency of the behaviors were examined. There were no gender, age, or data collection method effects. When measured as a count, participants reported more instances of vaginal intercourse in the retrospective reports than on the daily reports. In contrast, comparison of retrospective categorical measures of frequency to daily reports showed considerable variability. Possible reasons for the over-reporting of counts of vaginal sex in retrospective reports are explored.

%B J Sex Res %V 47 %P 279-84 %8 2010 Jul %G eng %N 4 %R 10.1080/00224490903050584 %0 Journal Article %J Soc Work %D 2010 %T Frontline worker responses to domestic violence disclosure in public welfare offices. %A Lindhorst, Taryn %A Casey, Erin %A Meyers, Marcia %K Domestic Violence %K Female %K Humans %K Interviews as Topic %K Poverty %K Social Welfare %K Social Work %X

Although substantial numbers of women seeking Temporary Assistance for Needy Families (TANF) report domestic violence, few receive mandated services through the Family Violence Option (FVO). This study used transcripts ofinterviews between welfare caseworkers and their clients to identify and classify the responses made by workers to client disclosures of abuse and to assess the match or mismatch of these responses with FVO policy requirements. Only 22 of 782 client interviews involved the disclosure of abuse to the welfare caseworker. A typology of worker responses was created, from least to most engaged. This typology shows that only half of those who disclosed abuse received assistance from the welfare worker, despite policy mandates that clients receive information on TANF waivers and community resources. This study suggests that problems with implementation of the FVO reflect a systemic reluctance to address issues of violence with women rather than problems of individual workers.

%B Soc Work %V 55 %P 235-43 %8 2010 Jul %G eng %N 3 %0 Journal Article %J Am J Gastroenterol %D 2010 %T Inability of the Rome III criteria to distinguish functional constipation from constipation-subtype irritable bowel syndrome. %A Wong, Reuben K %A Palsson, Olafur S %A Turner, Marsha J %A Levy, Rona L %A Feld, Andrew D %A von Korff, Michael %A Whitehead, William E %K Adult %K Aged %K Constipation %K Diagnosis, Differential %K Female %K Humans %K Irritable Bowel Syndrome %K Male %K Middle Aged %K Patient Selection %K Prospective Studies %K Quality of Life %K Statistics, Nonparametric %K Surveys and Questionnaires %X

OBJECTIVES: The Rome III classification system treats functional constipation (FC) and irritable bowel syndrome with constipation (IBS-C) as distinct disorders, but this distinction appears artificial, and the same drugs are used to treat both. This study's hypothesis is that FC and IBS-C defined by Rome III are not distinct entities.

METHODS: In all, 1,100 adults with a primary care visit for constipation and 1,700 age- and gender-matched controls from a health maintenance organization completed surveys 12 months apart; 66.2% returned the first questionnaire. Rome III criteria identified 231 with FC and 201 with IBS-C. The second survey was completed by 195 of the FC and 141 of the IBS-C cohorts. Both surveys assessed the severity of constipation and IBS, quality of life (QOL), and psychological distress.

RESULTS: (i) Overlap: if the Rome III requirement that patients meeting criteria for IBS cannot be diagnosed with FC is suspended, 89.5% of IBS-C cases meet criteria for FC and 43.8% of FC patients fulfill criteria for IBS-C. (ii) No qualitative differences between FC and IBS-C: 44.8% of FC patients report abdominal pain, and paradoxically IBS-C patients have more constipation symptoms than FC. (iii) Switching between diagnoses: by 12 months, 1/3 of FC transition to IBS-C and 1/3 of IBS-C change to FC.

CONCLUSIONS: Patients identified by Rome III criteria for FC and IBS-C are not distinct groups. Revisions to the Rome III criteria, possibly including incorporation of physiological tests of transit and pelvic floor function, are needed.

%B Am J Gastroenterol %V 105 %P 2228-34 %8 2010 Oct %G eng %N 10 %R 10.1038/ajg.2010.200 %0 Journal Article %J Prev Med %D 2010 %T Maintenance-tailored therapy vs. standard behavior therapy for 30-month maintenance of weight loss. %A Levy, Rona L %A Jeffery, Robert W %A Langer, Shelby L %A Graham, Dan J %A Welsh, Ericka M %A Flood, Andrew P %A Jaeb, Melanie A %A Laqua, Patricia S %A Finch, Emily A %A Hotop, Annie M %A Yatsuya, Hiroshi %K Adult %K Behavior Therapy %K Humans %K Male %K Middle Aged %K Obesity %K Weight Gain %K Weight Loss %X

OBJECTIVE: To assess differences in weight regain one year after an 18-month obesity treatment with standard behavior therapy (SBT) or maintenance-tailored therapy for obesity (MTT).

METHOD: 213 obese adult volunteers were treated for 18 months using SBT with fixed behavioral prescriptions or MTT that employed varied behavioral prescriptions with treatment breaks. Follow-up analysis focused on weight maintenance after a year of no contact. The trial was conducted at the University of Minnesota between 2005 and 2009.

RESULTS: Mean (SD) weight change between 18 and 30 months for participants in the SBT group was +4.1 kg (4.4) compared to +2.8 kg (4.5) in the MTT group. This is a 31% reduction in weight regain in MTT relative to SBT (p=0.078). This trend toward better maintenance in MTT versus SBT was due primarily to superior differential maintenance in MTT participants in the highest tertile of total weight loss at 18 months, i.e. MTT participants in this tertile regained 4 kg less than SBT participants between 18 and 30 months.

CONCLUSIONS: The MTT approach with varied content and timing produced more desirable patterns of weight loss maintenance than the traditional SBT approach, especially among individuals who had achieved greater initial weight loss.

%B Prev Med %V 51 %P 457-9 %8 2010 Dec %G eng %N 6 %R 10.1016/j.ypmed.2010.09.010 %0 Journal Article %J Behav Res Ther %D 2010 %T Overgeneralization from limited data: A commentary on Cooper et al., 2010. %A Jeffery, Robert W %A Levy, Rona L %K Behavior Therapy %K Behavioral Research %K Humans %K Obesity %K Randomized Controlled Trials as Topic %X

This article comments on a recent paper by Cooper et al. in BRAT. Its main purpose is to comment on the provocative conclusion in the paper that behavioral research on weight loss maintenance should be abandoned. We disagree, arguing that the authors over generalize from their research, under crediting past behavioral weight loss research for its accomplishments, which are considerable. We briefly outline areas we believe remain exciting new research directions in this field.

%B Behav Res Ther %V 48 %P 714-6 %8 2010 Aug %G eng %N 8 %R 10.1016/j.brat.2010.05.016 %0 Journal Article %J Proc Natl Acad Sci U S A %D 2010 %T Reconceptualizing the classification of PNAS articles. %A Airoldi, Edoardo M %A Erosheva, Elena A %A Fienberg, Stephen E %A Joutard, Cyrille %A Love, Tanzy %A Shringarpure, Suyash %K Classification %K Methods %K National Academy of Sciences (U.S.) %K Periodicals as Topic %K Publications %K Statistics as Topic %K United States %X

PNAS article classification is rooted in long-standing disciplinary divisions that do not necessarily reflect the structure of modern scientific research. We reevaluate that structure using latent pattern models from statistical machine learning, also known as mixed-membership models, that identify semantic structure in co-occurrence of words in the abstracts and references. Our findings suggest that the latent dimensionality of patterns underlying PNAS research articles in the Biological Sciences is only slightly larger than the number of categories currently in use, but it differs substantially in the content of the categories. Further, the number of articles that are listed under multiple categories is only a small fraction of what it should be. These findings together with the sensitivity analyses suggest ways to reconceptualize the organization of papers published in PNAS.

%B Proc Natl Acad Sci U S A %V 107 %P 20899-904 %8 2010 Dec 7 %G eng %N 49 %R 10.1073/pnas.1013452107 %0 Journal Article %J J Cross Cult Gerontol %D 2010 %T Successful aging through the eyes of Alaska Natives: exploring generational differences among Alaska Natives. %A Lewis, Jordan P %K Adult %K Aged %K Aged, 80 and over %K Aging %K Alaska %K Culture %K Female %K Health Knowledge, Attitudes, Practice %K Humans %K Indians, North American %K Intergenerational Relations %K Male %K Middle Aged %K Models, Theoretical %K Qualitative Research %K Rural Population %X

There is very little research on Alaska Native (AN) elders and how they subjectively define a successful older age. The lack of a culturally-specific definition often results in the use of a generic definition that portrays Alaska Native elders as aging less successfully than their White counterparts. However, there is a very limited understanding of a diverse array of successful aging experiences across generations. This research explores the concept of successful aging from an Alaska Native perspective, or what it means to age well in Alaska Native communities. An adapted Explanatory Model (EM) approach was used to gain a sense of the beliefs about aging from Alaska Natives. Research findings indicate that aging successfully is based on local understandings about personal responsibility and making the conscious decision to live a clean and healthy life, abstaining from drugs and alcohol. The findings also indicate that poor aging is often characterized by a lack of personal responsibility, or not being active, not being able to handle alcohol, and giving up on oneself. Most participants stated that elder status is not determined by reaching a certain age (e.g., 65), but instead is designated when an individual has demonstrated wisdom because of the experiences he or she has gained throughout life. This research seeks to inform future studies on rural aging that prioritizes the perspectives of elders to impact positively on the delivery of health care services and programs in rural Alaska.

%B J Cross Cult Gerontol %V 25 %P 385-96 %8 2010 Dec %G eng %N 4 %R 10.1007/s10823-010-9124-8 %0 Journal Article %J J Epidemiol Community Health %D 2010 %T Who, and what, causes health inequities? Reflections on emerging debates from an exploratory Latin American/North American workshop. %A Krieger, Nancy %A Alegría, Margarita %A Almeida-Filho, Naomar %A Barbosa da Silva, Jarbas %A Barreto, Maurício L %A Beckfield, Jason %A Berkman, Lisa %A Birn, Anne-Emanuelle %A Duncan, Bruce B %A Franco, Saul %A Garcia, Dolores Acevedo %A Gruskin, Sofia %A James, Sherman A %A Laurell, Asa Christina %A Schmidt, Maria Inês %A Walters, Karina L %K Health Priorities %K Healthcare Disparities %K Humans %K Latin America %K North America %K Politics %K Poverty %K Public Health %K Social Conditions %K Social Justice %K Warfare %B J Epidemiol Community Health %V 64 %P 747-9 %8 2010 Sep %G eng %N 9 %R 10.1136/jech.2009.106906 %0 Journal Article %J Psychol Health %D 2010 %T Young mothers' decisions to use marijuana: a test of an expanded Theory of Planned Behaviour. %A Morrison, Diane M %A Lohr, Mary Jane %A Beadnell, Blair A %A Gillmore, Mary Rogers %A Lewis, Steven %A Gilchrist, Lewayne %K Adolescent %K Decision Making %K Female %K Follow-Up Studies %K Humans %K Marijuana Smoking %K Marital Status %K Mothers %K Motivation %K Pregnancy %K Psychological Theory %K Self Efficacy %K Social Environment %X

The current study examines the Theory of Planned Behaviour's (TPB) ability to predict marijuana use among young women who experienced a premarital pregnancy before the age of 18 years, using longitudinal data. The validity of the TPB assumption that all other variables work through TPB constructs is also tested. Indicators of four constructs that have been shown in the literature to be predictive of marijuana use-persistent environmental adversity, emotional distress, adolescent marijuana use and drug use in the social network-were tested as predictors of attitudes, norms and self-efficacy, in a structural equation modelling framework. All paths from distal predictors were through the mediating TPB constructs, in accordance with the tenets of the model. Implications of these findings for the TPB model and for understanding factors that lead to marijuana use are discussed.

%B Psychol Health %V 25 %P 569-87 %8 2010 Jun %G eng %N 5 %R 10.1080/08870440902777554 %0 Journal Article %J BMC Complement Altern Med %D 2008 %T Complementary and alternative medicine use and cost in functional bowel disorders: a six month prospective study in a large HMO. %A van Tilburg, Miranda A L %A Palsson, Olafur S %A Levy, Rona L %A Feld, Andrew D %A Turner, Marsha J %A Drossman, Douglas A %A Whitehead, William E %K Abdominal Pain %K Adult %K Complementary Therapies %K Constipation %K Cost-Benefit Analysis %K Delivery of Health Care, Integrated %K Diarrhea %K Female %K Ginger %K Health Maintenance Organizations %K Humans %K Irritable Bowel Syndrome %K Male %K Massage %K Middle Aged %K Patient Satisfaction %K Phytotherapy %K Professional-Patient Relations %K Prospective Studies %K Surveys and Questionnaires %K United States %K Yoga %X

BACKGROUND: Functional Bowel Disorders (FBD) are chronic disorders that are difficult to treat and manage. Many patients and doctors are dissatisfied with the level of improvement in symptoms that can be achieved with standard medical care which may lead them to seek alternatives for care. There are currently no data on the types of Complementary and Alternative Medicine (CAM) used for FBDs other than Irritable Bowel Syndrome (IBS), or on the economic costs of CAM treatments. The aim of this study is to determine prevalence, types and costs of CAM in IBS, functional diarrhea, functional constipation, and functional abdominal pain.

METHODS: 1012 Patients with FBD were recruited through a health care maintenance organization and followed for 6 months. Questionnaires were used to ascertain: Utilization and expenditures on CAM, symptom severity (IBS-SS), quality of life (IBS-QoL), psychological distress (BSI) and perceived treatment effectiveness. Costs for conventional medical care were extracted from administrative claims.

RESULTS: CAM was used by 35% of patients, at a median yearly cost of $200. The most common CAM types were ginger, massage therapy and yoga. CAM use was associated with female gender, higher education, and anxiety. Satisfaction with physician care and perceived effectiveness of prescription medication were not associated with CAM use. Physician referral to a CAM provider was uncommon but the majority of patients receiving this recommendation followed their physician's advice.

CONCLUSION: CAM is used by one-third of FBD patients. CAM use does not seem to be driven by dissatisfaction with conventional care. Physicians should discuss CAM use and effectiveness with their patients and refer patients if appropriate.

%B BMC Complement Altern Med %V 8 %P 46 %8 2008 %G eng %R 10.1186/1472-6882-8-46