Deconstructing the age-prevalence curve of alcohol dependence: why "maturing out" is only a small piece of the puzzle

Epidemiological studies have consistently demonstrated that heavy alcohol use and alcohol dependence (AD) tend to increase in adolescence and emerging adulthood and then show a large decline in the late 20s, a phenomenon called maturing out. This decline has been explained as an effect of "role incompatibility" in which involvement in new roles and activities interferes with a heavy drinking lifestyle. However, maturing out has been conceived mostly as a decrease in offset, with little attention paid to reductions in new onset or recurrence across decades of life. Moreover, although role incompatibility processes have been studied with young samples, little is known about the effect of life transitions (e.g., marriage, parenthood, changes in employment status) on AD later in life and whether similar effects are observed. Using longitudinal data from the National Epidemiologic Survey on Alcohol and Related Conditions, a nationally representative epidemiologic survey, we examined the patterns of stability and change in AD across the life span and the differential effect of life transitions on AD across different age strata. Results showed that persistence of AD tended to increase with age, although not dramatically, and that onset and recurrence tended to decrease with age. Moreover, the effects of life transitions on the course of AD varied across the life span and were different for men and women. These results indicate that life transitions differentially affect the patterns of stability and change in younger versus older people, have a different impact for men and women, and highlight the need to consider the unique aspects of each stage of adult development on the course of AD.     

International Migration and Religious Selection

Migrants are selected by several characteristics (age, education, skill, health, and family migration experience). Often less examined is religious selection. Using Guatemalan data, this research note tests whether religious affiliation is significantly associated with migration to the United States, net of other competing factors. Results are robust, demonstrating that Protestants are more likely than other religious groups to migrate. Additionally, mediating factors (social networks, cultural norms, and ideological links) are tested to identify social mechanisms behind the Protestant effect. The research note concludes with implications of religious selection and how religious selection can be further examined in migration and religion studies.     

Standoffish perhaps, but successful as well: evidence that avoidant attachment can be beneficial in professional tennis and computer science

Attachment-related avoidance and anxiety have repeatedly been associated with poorer adjustment in various social, emotional, and behavioral domains. We examined 2 domains in which avoidant individuals might be better equipped than their less avoidant peers to succeed and be satisfied--professional singles tennis and computer science. These fields may reward self-reliance, independence, and the ability to work without proximal social support from loved ones. In study 1, we followed 58 professional singles tennis players for 16 months and found that scores on attachment-related avoidance predicted a higher ranking, above and beyond the contributions of training and coping resources. In study 2, we sampled 100 students and found that those who scored higher on avoidance were happier with their choice of computer science as a career than those who scored lower on avoidance. Results are discussed in relation to the possible adaptive functions of certain personality characteristics often viewed as undesirable.     

A Business Model for Managing System Change Through Strategic Financing and Performance Indicators: A Case Study

This article describes how a system of care operated by a county government agency used a fiscal crisis as the opportunity to reform its children's system. A cross-system response to the crisis is outlined that includes a system of care framework coupled with a business model, inter-departmental collaboration and leadership, the use of strategic reinvestment strategies, and a quality improvement system that focuses on key indicators. Implementation of the system change is described with a specific focus on cross-system entry points, financing strategies that re-allocate funds from deep-end programs to community-based services, and management oversight through the use of performance indicators to monitor and support effectiveness. This article examines the results of the system change, including the diversion of youth from system penetration, the reduction in residential treatment bed days, the re-allocation of these savings to community-based services, and the outcomes of children who were diverted from residential care and served in the community. The article offers a number of recommendations for other communities contemplating system change.     

Utilizing occupational complexity levels in vocational interest assessments: Assessing interests for STEM areas

With an aim to improve vocational interest assessments geared toward the Science, Technology, Engineering, and Mathematics (STEM) areas, we developed a new assessment by incorporating occupational complexity levels. Occupations which correspond to Holland's realistic and investigative themes were identified together with their complexity levels using the information in the Dictionary of Holland Occupational Codes. How the required skills, abilities, and work activities differ in occupations with different complexity levels was identified using the Occupational Information Network. Two studies (N = 691 total) were conducted to assess reliability and validity of a measure of STEM Interest Complexity assessing the level of interests for STEM, which was developed based on the information obtained from these occupation databases. Construct validity was demonstrated with factor analyses and based on associations with traditional interest assessments, cognitive abilities, and theoretically-related constructs. Concurrent criterion-related validity was demonstrated based on associations with attachment to STEM, intentions to persist in and further pursue a STEM field, intentions to choose a complex occupation, college major satisfaction, and STEM-related GPA. Dominance analyses indicated that the relative contribution of the STEM Interest Complexity measure exceeded that of traditional interest assessments in the prediction of criteria. The usefulness of integrating a dimension of level and consulting occupation information databases in developing vocational interest assessments are discussed.     

Preventing suicide through improved training in suicide risk assessment and care: an American Association of Suicidology Task Force report addressing serious gaps in U.S. mental health training

There are twice as many suicides as homicides in the United States, and the suicide rate is rising. Suicides increased 12% between 1999 and 2009. Mental health professionals often treat suicidal patients, and suicide occurs even among patients who are seeking treatment or are currently in treatment. Despite these facts, training of most mental health professionals in the assessment and management of suicidal patients is surprisingly limited. The extant literature regarding the frequency with which mental health professionals encounter suicidal patients is reviewed, as is the prevalence of training in suicide risk assessment and management. Most importantly, six recommendations are made to address the longstanding insufficient training within the mental health professions regarding the assessment and management of suicidal patients.     

It’s a Matter of Organizational Pride: How Perceptions of Organizational Virtuousness and Competence Affect Employee Behaviors

Journal of Business and Psychology - Companies often discuss the importance of organizational pride and what they believe leads to it, yet research on this topic in the organizational sciences has...     

The Impact of Brief Interventions on Functioning Among those Demonstrating Anxiety,Depressive, and Adjustment Disorder Symptoms in Primary Care: The Effectiveness of the Primary Care Behavioral Health (PCBH) Model

Journal of Clinical Psychology in Medical Settings - Limited scalability combined with limited opportunities for patients to receive evidence-based interventions in traditional behavioral health...