The Efficacy of Acupuncture in the Treatment of Major Depression in Women

The effectiveness of acupuncture as a treatment for major depression was examined in 38 women, randomly assigned to one of three treatment groups. Specific treatment involved acupuncture treatments for symptoms of depression; nonspecific treatment involved acupuncture for symptoms that were not clearly part of depression; a wait-list condition involved waiting without treatment for 8 weeks. The nonspecific and wait-list conditions were followed by specific treatment. Five women terminated treatment prematurely, 4 prior to the completion of the first 8 weeks. Following treatments specifically designed to address depression, 64% of the women (n = 33) experienced full remission. A comparison of the acute effect of the three 8-week treatment conditions (n = 34) showed that patients receiving specific acupuncture treatments improved significantly more than those receiving the placebo-like nonspecific acupuncture treatments, and marginally more than those in the wait-list condition. Results from this small sample suggest that acupuncture can provide significant symptom relief in depression, at rates comparable to those of psychotherapy or pharmacotherapy. Acupuncture may hold sufficient promise to warrant a larger scale clinical trial.     

Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration

Valid measures of behavioral health integration have the potential to enable comparisons of various models of integration, contribute to the overall development of high-quality care, and evaluate outcomes that are strategically aligned with standard improvement efforts. The Practice Integration Profile has proven to discriminate among clinic types and integration efforts. We continued the validation of the measure’s internal consistency, intra-rater consistency, and inter-rater consistency with a separate and larger sample from a broader array of practices. We found that the Practice Integration Profile demonstrated a high level of internal consistency, suggesting empirically sound measurement of independent attributes of integration, and high reliability over time. The Practice Integration Profile provides internally consistent and interpretable results and can serve as both a quality improvement and health services research tool.

     

Forewarned is forearmed: Potential between and within sex discrimination

Effects of sex and concern for equal employment opportunity on responses to mailed job applicant resumes were examined. Applicant sex and concern for equal employment opportunity were systematically varied to yield four different resumes for two functionally equivalent applicants. One of the four resumes of the applicants was sent to 200 corporations. Sex of the applicant was identified using a female name and initials (neutral designation). Interest in equal employment opportunity was manipulated using a thesis title involving sex discrimination and no thesis reported. Results indicated that both the number of replies and number of positive responses were influenced by the interaction of an applicant's sex and interest in sex discrimination.     

Politics,lack of career progress,and work/home conflict: Stress and strain for working women

This study examines the stress experienced by working women in terms of politics, lack of career progress, and work/home conflicts, the symptoms of distress and satisfaction associated with these stressors, and the organizational resources available for managing these demands. Subjects were 195 female personnel professionals. A different pattern of results emerged for politics and lack of career progress in contrast to work/home conflicts. Specifically, politics and lack of career progress were associated with greater strain symptoms and reduced satisfaction, and organizational resources were associated with lower levels of these stressors. Work/home conflicts were associated with greater strain symptoms, but were unrelated to satisfaction and organizational resources. This suggests that organizations identify the most effective targets of their resources to achieve beneficial results.