Correlates of suicidality among patients with psychotic depression

The independent association of age and other factors with suicidality in patients with major depression with psychotic features was examined. Of the 183 study participants, 21% had a suicide attempt during the current episode. Male gender, Hispanic background, past suicide attempt, higher depression scores, and higher cognitive scores were each independently associated with greater intensity of current suicidality. Older age was independently associated with a lower risk of a lifetime suicide attempt. These findings reinforce the evidence that patients with psychotic depression are at high risk for suicide and underscore the importance of examining correlates of suicidality specific to patients with psychotic depression.     

An Attributional Analysis of Gender and Cancer-Related Stigma

This experiment examined the impact of gender on cancer-related stigma from Weiner’s (An attributional theory of motivation and emotion. Springer, New York, 1986) attributional perspective. Undergraduates (n?=?204; 59% female; 71% White) and community members (n?=?85; 62% female; 64% White) in the northeastern U.S. were assigned randomly to listen to an audiotaped interview of a target person with lung cancer in which gender and smoking status (nonsmoker, smoker, or unspecified) were manipulated. Participant and target gender predicted participants’ perceptions of disease controllability and anger toward the target person. The target person’s smoking status also predicted participants’ perceptions of disease controllability and emotional responses to the target person. Findings partially support Weiner’s (An attributional theory of motivation and emotion. Springer, New York, 1986) theory and suggest that the relationship between gender and cancer-related stigma deserves further investigation.     

Long-term effects of the death of a child on parents' adjustment in midlife.

The death of a child is a traumatic event that can have long-term effects on the lives of parents. This study examined bereaved parents of deceased children (infancy to age 34) and comparison parents with similar backgrounds (n = 428 per group) identified in the Wisconsin Longitudinal Study. An average of 18.05 years following the death, when parents were age 53, bereaved parents reported more depressive symptoms, poorer well-being, and more health problems and were more likely to have experienced a depressive episode and marital disruption than were comparison parents. Recovery from grief was associated with having a sense of life purpose and having additional children but was unrelated to the cause of death or the amount of time since the death. The results point to the need for detection and intervention to help those parents who are experiencing lasting grief.     

The Developmental Mentoring Relationship Between Academic Women

This exploratory study focused on the needs and attributes that female doctoral students, during their academic and professional careers, seek in mentoring relationships with female faculty. Two domains—personal and professional—were identified as essential components in the developmental mentoring relationship. As a result, the Rheineck Mentoring Model was created.     

Impact of Transplant-Related Stressors and Feelings of Indebtedness on Psychosocial Adjustment Following Kidney Transplantation

Forty-seven patients answered a questionnaire about stress, feelings of indebtedness toward the donor, and psychosocial adjustment following kidney transplantation. The combination of age, general life stress, and transplant-related stress explained 47% of the variance in psychosocial adjustment. Areas of adjustment most influenced by this combination of predictors included attitudes toward health care, domestic, vocational, social adjustment, and psychological distress. Younger patients endorsed higher levels of transplant-related stress and higher levels of psychological distress. Moderate to intense feelings of indebtedness toward the donor were common but were unrelated to psychosocial adjustment posttransplant.     

Effects of Gender and Employment Status on Support Provided to Caregivers

This study was designed to examine the impact of caregiver gender and employment status on laypeople's willingness to support the caregiver. A total of 216 undergraduates were randomly assigned to read 1 of 4 vignettes that described an individual caring for his or her physically ill spouse. Caregiver gender (man or woman) and employment status (full-time employment or retirement) were manipulated. Overall, female participants reported that they would provide higher levels of support than did male participants, particularly with regard to emotional support. Male participants were more likely than female participants to attend to caregiver employment status when rating their level of instrumental support provision. Gender of the caregiver did not exert an effect. Findings are interpreted in light of gender norms that allocate care of sick family members to women.     

Self‐Reported Career Interests Among Adjudicated Male Adolescents: A Pilot Study

Using J. L. Holland's (1985) Self‐Directed Search, this study compared the career interests of 28 adjudicated male adolescents with a normative high school male sample. The mean Artistic score of the adjudicated adolescents was significantly higher, and the authors found that this group endorsed fewer Investigative items and more Artistic items than the normative sample. The adjudicated sample showed poor differentiation and significantly higher intercorrelations among the Holland codes.     

American Indian Youth: Who Southwestern Urban and Reservation Youth Turn to for Help with Mental Health or Addictions

We illustrate the addictions and mental health service use of American Indian adolescents. Interviews concerning mental health need and service configurations with 401 Southwestern American Indian (AI) youth used questions from the Diagnostic Interview Schedule (DIS) and the Service Assessment for Children and Adolescents (SACA). Seventy-nine percent had mental health or addiction problems, with half meeting criteria for at least one diagnosis. One in 4 youth met criteria for drug dependence'abuse or conduct disorder, 1 in 5 for depression, and 1 in 8 for alcohol dependence'abuse. Most youth were helped by a combination of providers. Youth meeting more diagnostic criteria were increasingly likely to use service configurations with adults, nonspecialist professionals, and specialists, respectively. Regardless of disorder, youth were least likely to use configurations with traditional healers or specialists and there was little difference in rates of use between the two. The lack of services from specialist providers was potentially offset by use of an extensive range of informal adults, nonspecialist professionals, and peers. Since informal helpers, peers, and nonspecialist providers, but not specialists, are providing the bulk of services they must be given support and skills so they can function effectively.