Functional Somatic Syndromes and Childhood Physical Abuse in Women: Data From a Representative Community-Based Sample

This study investigated whether childhood physical abuse was associated with functional somatic syndromes (FSS) in women while controlling for age, race, and four clusters of potentially confounding factors: (a) Other childhood adversities, (b) adult health behaviors, (c) socioeconomic status and stressors, and (d) mental health. A regional subsample of the 2005 Canadian Community Health Survey of 7,342 women was used. Women reported whether they had been diagnosed with chronic fatigue syndrome (CFS), fibromyalgia (Fm), irritable bowel syndrome (IBS), or multiple chemical sensitivities (MCS). Fully 749 reported having been physically abused by someone close to them during their youth. When controlling for potentially confounding factors, childhood physical abuse was significantly associated with CFS (OR = 2.11; 95% CI = 1.22, 3.65), Fm (OR = 1.65; 95% CI = 1.08, 2.52), and MCS (OR = 2.82; 95% = CI 1.90, 4.17). Clinicians using reattribution and stepped care approaches in the management of FSS should assess for a history of abuse.     

Establishing a Link Between Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder and Childhood Physical Abuse

Attention deficit disorder and attention deficit/hyperactivity disorders (ADD/ADHD) are found in approximately 5% to 10% of school-aged children. This study examined whether childhood physical abuse was associated with ADD/ADHD. Data were derived from a population-based sample of 13,054 adults from the 2005 Canadian Community Health Survey. We used logistical regression analysis in 2 models, both of which had ADD/ADHD as the criterion variable. There were 7 times higher odds of ADD/ADHD among those who reported they had been abused after controlling for several potential mediating factors, including age, race, gender, and 3 other types of adverse childhood experiences (parental divorce, parental addictions, and long-term parental unemployment) in comparison to those who were not abused. The results of this analysis show a strong link between childhood abuse and ADD/ADHD, an association that requires further study.     

Word recognition across orthographies: Another look at the interaction between context and degradation

Abstract

The performance of English and Spanish subjects was examined in two experiments using a lexical decision task in which the effects of semantic priming and stimulus degradation were systematically varied. The Orthographic Depth Hypothesis predicts that priming and degradation will interact in the orthographically “deep” language (English) but not in the “shallow” one (Spanish). In the first experiment, the two factors were found to interact in a similar way in both English and Spanish groups. In the second experiment, in which only Spanish subjects participated, the interaction was again present but only in those subjects who showed an overall facilitation effect on primed words. The results are consistent with the use of the so-called “direct” route in Spanish and are at variance with other previous findings which have suggested that reading in shallow orthographies occurs via the “indirect” phonological route. There was also evidence that nonword rejection times were slower in Spanish subjects and that the performance of the two groups was affected differently by the different types of neutral baseline primes (asterisks or unrelated words). Possible interpretations of these performance variations are briefly discussed.     

Exploring Gender Differences in the Association Between Childhood Physical Abuse and Thyroid Disorders

This study used a regional subsample (n = 13,070) from the 2005 Canadian Community Health Survey to explore the independent contribution of childhood physical abuse to thyroid conditions in adulthood. Gender-specific logistic regression analyses controlled for age and race, in addition to 5 clusters of variables: childhood stressors, health behaviors, general stress levels, mental health, and socioeconomic status. No significant relationship between childhood abuse and thyroid conditions was found in men; however, childhood physical abuse was associated with higher odds of thyroid conditions among women, independent of a wide range of factors. In a fully adjusted model, abused women had 40% higher odds of thyroid conditions compared to their non abused peers, 95% CI [1.05, 1.87]. Future research on gender differences in the abuse–thyroid relationship is warranted.     

Evidence Supporting an Independent Association between Childhood Physical Abuse and Lifetime Suicidal Ideation

A regionally representative Canadian sample was used to investigate the gender-specific relationship between childhood physical abuse and lifetime suicidal ideation. The prevalence of suicidal ideation was about five times higher in abused men and women compared with their nonabused counterparts. After controlling for five clusters of potentially confounding factors (adverse childhood conditions, socioeconomic factors, health behaviors, psychosocial stressors/chronic illnesses, and mental health), childhood physical abuse was significantly associated with suicidal ideation (OR(adjusted) women = 4.48, 95% CI = 3.32-6.04; men = 3.57, 95% CI = 2.08-6.14). These findings suggest childhood physical abuse is independently associated with suicidal ideation and highlight the importance of providing preventative treatment to childhood abuse survivors.     

Exploring the role,needs and challenges of relatives of mothers with HIV or HIV and psychosis: A qualitative study

This study explored types and nature of supports by relatives of mothers living with HIV and psychosis in comparison to mothers with HIV only. Interview data on their experiences of their roles, needs and challenges were collected from 33 relatives on mothers with HIV and psychosis (n=12, females=10, blacks =12, age ranges 21 to 62) and those with HIV only (n=21, females=16, blacks =21, age ranges 18 to 63). The data were thematically analysed utilizing Atlas.ti. The results showed that relatives in both groups provided a variety of supporting roles. Important challenges were experiencing the negative consequences of especially HIV in combination with psychosis in their lives and dealing with the caregiving responsibilities without having enough information. Important strengths included utilizing support networks and remaining hopeful. Support needs for carers of mothers living with HIV related psychosis or HIV only, can be enhanced with increasing social and material resources at the community level. Supporting needs can be addressed by empowering communities through psycho-education.     

“Looking for Work But Nothing Seems to Work”: The Job Search Strategies of Internationally Trained Engineers in Canada

This exploratory mixed-method study focussed on the experiences of internationally trained engineers in looking for and finding suitable employment in Canada. An online survey was conducted with 309 internationally trained engineers. The internationally trained engineers used a range of job search strategies to look for suitable employment in the engineering field, often with little success. Those respondents who had secured jobs in the engineering profession were significantly more likely to have been referred by another employer (p?=?0.05) and less likely to have placed or responded to an advertisement in the newspaper (p?<?0.05) than those who did not hold jobs in the engineering profession. No significant differences were seen between these two groups regarding other job search strategies used. In-depth qualitative interviews were conducted with 20 of the survey respondents, and this paper details the diverse strategies used by these participants to find suitable employment. The findings of the study emphasise the role of systemic-level barriers in the job search experience of internationally trained engineers.     

Sexuality and Health Among Chinese Seniors in Canada

Research on sexuality among older immigrants is extremely inadequate. This paper presents the results and analysis based on a national survey using a random sample of 2,272 Chinese-Canadian seniors. Self-reported health is examined in relation to a range of demographic as well as sexuality variables. Logistic regression analysis shows that language (English) ability and income play an important role in the health of Chinese-Canadian seniors, along with the sexuality variables. Among men, both the frequency of sexual activity and satisfaction with sex life have a positive effect on health. Among women, only sexual satisfaction is found to be significant. Results from this study can inform future research, service delivery, and policymaking in health care and social service for seniors.     

Career development theory

Super's theory of vocational development, initially formulated in the 1950s, has led to a number of important research programmes, focusing particularly on the concept of vocational maturity. The major findings of these studies are surveyed in this paper. They suggest that vocational maturity is a development characteristic which increases with age, is multidimensional in nature, develops at different rates in different individuals, and can help in the pre-diction of occupational satisfaction, occupational success, and career success.