Anxiety Disorders in Children and Adolescents with Autistic Spectrum Disorders: A Meta-Analysis

There is considerable evidence that children and adolescents with autistic spectrum disorders (ASD) are at increased risk of anxiety and anxiety disorders. However, it is less clear which of the specific DSM-IV anxiety disorders occur most in this population. The present study used meta-analytic techniques to help clarify this issue. A systematic review of the literature identified 31 studies involving 2,121 young people (aged <18 years) with ASD, and where the presence of anxiety disorder was assessed using standardized questionnaires or diagnostic interviews. Across studies, 39.6% of young people with ASD had at least one comorbid DSM-IV anxiety disorder, the most frequent being specific phobia (29.8%) followed by OCD (17.4%) and social anxiety disorder (16.6%). Associations were found between the specific anxiety disorders and ASD subtype, age, IQ, and assessment method (questionnaire versus interview). Implications for the identification and treatment of anxiety in young people with ASD are discussed.     

Gender and ethnic differences in psychosocial stress and generalized distress among Hispanics

This study examined the relationship between gender, ethnicity, psychosocial stress and generalized distress in 593 Hispanic immigrants, Mexican Americans, and Anglo Americans using the Hispanic Stress Inventory (HSI) and the Center for Epidemiologic Studies Depression Scale (CES-D). Findings revealed that immigrant females had higher scores on the Cultural/Family Conflict sub-scale of the HSI and on the CES-D than immigrant males. Also, higher levels of generalized distress and psychosocial stress associated with the immigration process were found among immigrants from Central America when compared with Mexican immigrants. Central Americans' stress appraisal ratings on specific HSI items related to pre-migration trauma were significantly higher than the ratings of Mexican immigrants. Our findings indicate that research and clinical service delivery models must be sensitive to the vast heterogeneity within the Hispanic population with respect to differences in the experiences of psychosocial stress as related to gender and ethnicity.This project was partially supported by Grant USPHS MH24854 to the third author from the National Institute of Mental Health, Division of Biometry and Applied Science, Minority Research Resources Branch.     

Health care utilization by low-income clients of a community clinic: an archival study

An archival study was done of 500 medical records from a community clinic serving a low income predominantly Hispanic area of Los Angeles. The data collected included demographic characteristics and presented symptoms or reasons for visit, as well as diagnosis and treatment. The greatest number of patient visits were made for family planning services. A large porportion of the patients who received initial family planning services failed to return to the clinic for follow ups or additional supplies. A total of 208 pregnancy tests were performed in 151 of the 500 cases sampled. Of these, 152 were positive. The most frequently stated reason for requesting pediatric services was for physical exams, accounting for 30% of the visits. It should be noted that the discontinuity of care and insufficient utilization of preventive care seen in these results deserve serious attention by medical clinic administrators. The rate of patients who do not return for family planning after the initial visit is worrisome. A greater effort to attract women to family planning services at the time they request pregnancy verification could reduce the need for abortion of unwanted pregnancy. The data also indicate that changes in the wording of certain questions commonly asked of clients may be needed. This study allowed service providers to obtain important information about their performance, their needs, and the future direction that their services might take. This type of analysis is relatively low in cost and can yield important benefits, espicially if done on a periodical base in a search for policy implications.     

Sexuality among Mexican Americans: a case of sexual stereotyping

The purpose of this study was to establish an empirical base for the comprehensive study of sexual preferences and practices among Mexican Americans. The sample consisted of 165 Mexican-American (86 male, 79 female) and 99 Anglo (47 male, 52 female) undergraduates. The instrument used was the Sexual Knowledge and Attitude Test (SKAT; Lief & Reed, 1972). The first section of the SKAT consists of four attitudes subscales dealing with autoeroticism, abortion, heterosexual relations, and sexual myths. The second section includes 50 true-false items testing knowledge of the biological, psychological, and social facts of human sexuality. The last section focuses on the respondent's sexual value system and practices. The design was a 2 (ethnicity) X 2 (gender) X 4 (religion) X 3 (socioeconomic status) incomplete factorial, in which the effect of interest was ethnicity. This effect was assessed controlling for subjects' age, gender, religious preference, and socioeconomic status. The dependent variables were subjects' sexual attitudes, knowledge, sexual value system, and sexual practices. Tests of significance were undertaken separately for each set of dependent variables, with a correspondingly reduced alpha level. Significant differences were obtained between Mexican Americans and Anglos, in attitudes, knowledge, value system, and practices, in clear support of the hypotheses.     

Victim blaming and exoneration of the perpetrator in domestic violence: the role of beliefs in a just world and ambivalent sexism

The existence of domestic violence is closely linked to several ideological factors that include sexism and other beliefs about society in general, namely the belief in a just world. In this study, which involved 485 people of both sexes aged between 18 and 70 years, we analyzed the influence of these ideological variables of the perceivers and characteristics of the situation on judgments of a gender aggression--blaming the victim and exonerating the perpetrator. Results showed differences in the reactions of observers depending on the cause that triggered the aggression. Participants blamed the victim and exonerated the aggressor more when no cause of the aggression was mentioned than when a cause was mentioned (the woman wanted to separate, to see an old male friend, or simply to take a trip with her female friends). We also found clear effects of hostile sexism and just world beliefs on the dependent variables. Results showed that the influence of just world beliefs depended on the fact of mention or not a cause for the aggression.