Predictors of scores on the Brief Symptom Inventory for ethnically diverse female clients

Long-Term Neurological and Psychological Distress Symptoms among Smallholder Farmers in Costa Rica with a History of Acute Pesticide Poisoning

Studies suggest that acute pesticide poisonings (APP) may be linked with long-term neurological effects. To examine long-term neurological and psychological distress symptoms associated with having experienced an APP, we conducted a cross-sectional study of 300 conventional and organic smallholder farmers from Zarcero County, Costa Rica, May–August 2016. We collected self-reported data on sociodemographic characteristics, occupational history, pesticide exposure, APPs, neurological and psychological distress symptoms (using the Brief Symptom Inventory (BSI)). Adjusted logistic regression models were fit. A total of 14% of the farmers (98% male) reported experiencing at least one APP during their lifetime. Self-reported APP was associated with neurological symptoms during the 12 months prior to interview (e.g., fainting (Odds Ratio: 7.48, 95% Confidence Interval: 1.83, 30.74), shaking hands (3.50; 1.60, 7.60), numbness/tingling in hands or feet (3.23; 1.66, 6.32), insomnia (2.53; 1.34, 4.79), accelerated heartrate (2.42; 1.03, 5.47), dizziness (2.38; 1.19, 4.72), increased irritability/anger (2.37; 1.23, 4.55), low energy (2.33; 1.23, 4.46), and difficulty concentrating (2.01; 1.05, 3.85)). Farmers who reported an APP in the ten years prior to interview experienced increased odds of abnormal BSI scores for hostility (4.51; 1.16, 17.70) and paranoid ideation (3.76; 0.99, 18.18). Having experienced an APP may be associated with long-term neurological and psychological distress symptoms.

Stressful Life Events and Child Anxiety: Examining Parent and Child Mediators

While a number of factors have been linked with excessive anxiety (e.g., parenting, child temperament), the impact of stressful life events remains under-studied. Moreover, much of this literature has examined bivariate associations rather than testing more complex theoretical models. The current study extends the literature on life events and child anxiety by testing a theory-driven meditational model. Specifically, one child factor (child cognitions/locus of control), two parent factors (parent psychopathology and parenting stress), and two parent-child relationship factors (parent-child dysfunctional interaction and parenting style) were examined as mediators in the relationship between stressful life events and severity of child anxiety. One hundred and thirty anxious parents and their nonanxious, high-risk children (ages ranged from 7 to 13 years) participated in this study. Results indicated that levels of parenting stress, parental anxious rearing, and dysfunctional parent-child interaction mediated the association between stressful life events and severity of anxiety symptoms. Child cognition and parent psychopathology factors failed to emerge as mediators. Findings provide support for more complex theoretical models linking life events and child anxiety and suggest potential targets of intervention.

Parenting values and parenting stress among impoverished village and middle-class small city mothers in the Dominican Republic

Poverty is known to influence parenting values, parenting stress, psychological adjustment, and social support according to North American research. The purpose of this study was to determine whether poverty might work in similar ways in a collectivistic Latin culture. The participants were primary caregivers in two distinct communities in the Dominican Republic: the Campos (extremely poor villages) and the middle-class areas of San Cristobal, a small city. As predicted, Campos mothers endorsed conformity and obedience as parenting goals, whereas San Cristobal mothers valued exploration and self-direction in their children. Unlike poor mothers in the US, and contrary to our expectations, Campos mothers reported relatively good social support and less parenting stress than did San Cristobal mothers. Furthermore, Campos mothers were not more depressed than San Cristobal caregivers, although the Campos mothers did report more somatic symptoms. In our Dominican sample, being better educated and being less well adjusted are linked to the experience of greater parenting stress, whereas social support is predictive of less parenting stress. These findings suggest that not all prevailing theories with regard to maternal poverty and parenting can be adapted uncritically to cultures like that of the Dominican Republic, where poverty is the situation of the majority.

Acculturative family distancing: links with self-reported symptomatology among Asian Americans and Latinos

OBJECTIVE

Our knowledge of how acculturative processes affect families remains quite limited. This article tests whether acculturative family distancing (AFD), a more proximal and problem-oriented measure of the acculturation gap, influences the mental health status of Asian American and Latino college students. AFD occurs along two dimensions: communication difficulties and cultural value incongruence.

METHODS

Data were collected from 186 Asian American (n=107) and Latino (n=79) undergraduates, who provided self-reports on psychological problems, depressive symptoms, and family conflict. A new self-report measure of AFD evidencing good psychometric properties was used to test hypothesized relations among these variables in structural equation models (SEM).

RESULTS

For both Asian American and Latinos, results indicated that higher levels of AFD were associated with higher psychological distress and greater risk for clinical depression, and that family conflict mediated this relation.

CONCLUSION

AFD processes were associated with the mental health of students and the functioning of their families. These findings highlight potential foci to address in prevention and intervention programs, such as improving communication and teaching families how to negotiate cultural value differences.

Night eating syndrome in young adult women: prevalence and correlates

OBJECTIVE

The current study examined the prevalence and clinical significance of night eating syndrome (NES) in a community cohort of Black and White women.

METHOD

We assessed 682 Black and 659 White women for NES, eating disorders, and psychiatric symptomatology.

RESULTS

The prevalence was 1.6% (22 of 1,341; Blacks [n = 20]; Whites [n = 2]). Comparisons between identified Black women and the remaining Black participants revealed no significant differences in obesity, psychiatric comorbidity, or self-reported psychiatric distress. Comorbidity with eating disorders as outlined in the 4th ed. of the Diagnostic and Statistical Manual of Mental Disorders (Washington, DC: American Psychiatric Association) was low (n = 1 [4.5%]). Black NES women were significantly less likely than Black non-NES women to be overweight and significantly more likely to have two or more children.

DISCUSSION

NES was rare in this sample of young women. Low comorbidity of NES with other eating disorders suggests that NES may be distinct from the DSM-IV recognized eating disorders. Longitudinal data are needed to determine the long-term health implications of this behavioral pattern.

Family or friends: who plays a greater supportive role for Latino college students?

This study compared the relative contribution of perceived family and friend support to psychological well-being and distress and examined whether family or friend support moderated the effects of stress on psychological adjustment in 338 Latino (228 Mexican American, 110 Central American) college students from a predominantly Latino university. Two multiple regressions, controlling for gender, socioeconomic level, acculturation level, and stresses (generic college, acculturative, and minority status), showed that friend support made a slightly greater contribution to well-being than family support, and friend support and not family support protected against psychological distress. Neither family nor friend support moderated the effects of stress on psychological adjustment. Further examination of these variables that assess common-specific stresses within a culture-specific theoretical framework is recommended.

Depression measures in outcomes research

OBJECTIVE

To review critically the measures used to screen for depression for disability outcomes research and to recommend measures and needed research.

DATA SOURCES

Review of literature pertaining to the development, testing, and use of depression measures for outcomes research.

STUDY SELECTION

English language literature from scientists from a broad range of disciplines and research settings, focusing mainly on the Brief Symptom Inventory and the Center for Epidemiology Study-Depression scale.

DATA EXTRACTION

A literature review was completed through MEDLINE. Based on the review, instruments were selected according to their use among people with disability and the reliability and validity of the instrument. Two instruments were selected for a complete review, and 5 instruments were selected for a brief review.

DATA SYNTHESIS

A critical review of measures that have been and may be used to measure depressive symptomatology among people with disability.

CONCLUSIONS

Screening measures of depression are easy to administer and score. Almost all have low respondent burden and good face validity, thereby contributing to a high participation rate for most studies. Some problems exist with the application of these instruments to people with disability (ie, overlap of symptoms of depression and indicators of physical impairment).