Sunday, April 29, 2007

The Role of the Family Context in the Development of Emotion Regulation

Social Development
"This article reviews current literature examining associations between components of the family context and children and adolescents' emotion regulation (ER). The review is organized around a tripartite model of familial influence. Firstly, it is posited that children learn about ER through observational learning, modeling and social referencing. Secondly, parenting practices specifically related to emotion and emotion management affect ER. Thirdly, ER is affected by the emotional climate of the family via parenting style, the attachment relationship, family expressiveness and the marital relationship. The review ends with discussions regarding the ways in which child characteristics such as negative emotionality and gender affect ER, how socialization practices change as children develop into adolescents, and how parent characteristics such as mental health affect the socialization of ER.

Wednesday, April 18, 2007

British Policy on Antisocial Behavior Can Take Cues from Studies Near and Far

RAND Review
By Jennifer Rubin and Lila Rabinovich
Jennifer Rubin and Lila Rabinovich are analysts at RAND Europe. Rubin is a social and political scientist. Rabinovich is a social anthropologist.

Antisocial behavior is a costly and growing concern in the United Kingdom, with Britain’s Home Office logging around 66,000 reports of antisocial behavior each day. Vandalism alone is estimated to cost victims and the criminal justice system around £1.3 billion ($2.5 billion) annually. Other commonly reported forms of antisocial behavior include intimidation, drunkenness, begging, drug dealing, prostitution, rowdiness, graffiti, littering, and dumping rubbish in public places.

The British government has responded by introducing new laws and policy initiatives. They range from Anti-Social Behaviour Orders (court orders that forbid offenders from continuing the behavior, spending time with particular people, or visiting certain areas, with each breach punishable by a fine or jail time) to cognitive behavioral programs and parent training programs. Research shows that punitive interventions, such as detention and imprisonment, tend to produce nil or even negative effects in reducing recidivism among young offenders. However, several studies from around the world have found that certain alternative interventions can significantly reduce the rate of recidivism.

Despite growing interest in nonpunitive measures, there is a paucity of data on their effectiveness and cost-effectiveness in Europe. For this reason, the United Kingdom’s National Audit Office commissioned RAND Europe to conduct an international review of the literature as part of a wider evaluation of policies designed to counteract antisocial behavior.

Based on the data available, the best value in reducing antisocial behavior appears to come from parent training and early childhood interventions, including prenatal support. Also showing positive results are many developmental or rehabilitative programs, such as cognitive behavioral programs, interpersonal skills training and counseling, and family-based interventions. Restorative justice programs, which bring offenders into direct contact with the consequences of their actions, merit further evaluation. Even keeping neighborhoods clean and free of litter or improving street lighting can reduce the incidence of crime and antisocial behavior.
Britain's Prime Minister Tony Blair.
AP IMAGES/CATHAL MCNAUGHTON
Britain’s Prime Minister Tony Blair unveiled plans in November 2006 for nearly 80 “supernannies” to help parents tame unruly children. In addition, Anti-Social Behaviour Orders have become the British government’s main weapon against loutish behavior, such as petty crime, vandalism, and hooliganism. The orders have been used to ban thousands of people, some as young as ten, from shouting, swearing, spray painting, playing loud music, associating with certain individuals, and walking down certain streets.
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Sunday, April 15, 2007

Why do women have abortions?

Family Planning Perspect
"Most respondents to a survey of abortion patients in 1987 said that more than one factor had contributed to their decision to have an abortion; the mean number of reasons was nearly four. Three-quarters said that having a baby would interfere with work, school or other responsibilities, about two-thirds said they could not afford to have a child and half said they did not want to be a single parent or had relationship problems. A multivariate analysis showed young teenagers to be 32 percent more likely than women 18 or over to say they were not mature enough to raise a child and 19 percent more likely to say their parents wanted them to have an abortion. Unmarried women were 17 percent more likely than currently married women to choose abortion to prevent others from knowing they had had sex or became pregnant."

Characteristics of women undergoing repeat induced abortion -- Fisher et al.

Canadian Medical Association Journal
Results: Of the 1221 women approached, 1145 (93.8%) consented to participate. Data regarding first versus repeat abortion were available for 1127 women. A total of 68.2%, 23.1% and 8.7% of the women were seeking a first, second, or third or subsequent abortion respectively. Adjusted odds ratios for undergoing repeat versus a first abortion increased significantly with increased age (second abortion: 1.08, 95% confidence interval [CI] 1.04–1.09; third or subsequent abortion: 1.11, 95% CI 1.07–1.15), oral contraceptive use at the time of conception (second abortion: 2.17, 95% CI 1.52–3.09; third or subsequent abortion: 2.60, 95% CI 1.51–4.46), history of physical abuse by a male partner (second abortion: 2.04, 95% CI 1.39–3.01; third or subsequent abortion: 2.78, 95% CI 1.62–4.79), history of sexual abuse or violence (second abortion: 1.58, 95% CI 1.11–2.25; third or subsequent abortion: 2.53, 95% CI 1.50–4.28), history of sexually transmitted disease (second abortion: 1.50, 95% CI 0.98–2.29; third or subsequent abortion: 2.26, 95% CI 1.28–4.02) and being born outside Canada (second abortion: 1.83, 95% CI 1.19–2.79; third or subsequent abortion: 1.75, 95% CI 0.90–3.41).

Interpretation: Among other factors, a history of physical or sexual abuse was associated with repeat induced abortion. Presentation for repeat abortion may be an important indication to screen for a current or past history of relationship violence and sexual abuse.

J Fam Plann Reprod Health Care

The prevalence rates of domestic abuse in women attending a family planning clinic
CONTEXT: Domestic abuse has a detrimental impact on the mental and physical health of a woman. The abusive partner may use physical and sexual violence and 'control' the choice of contraception. OBJECTIVE: To examine the prevalence rates of domestic abuse. DESIGN: Data collection using anonymous questionnaire. SETTING: A family planning clinic. PARTICIPANTS: Two hundred and ninety-two women. MAIN OUTCOME MEASURES: The prevalence rate of past and present history of domestic abuse and the nature of the abuse. RESULTS: One in three women experienced domestic abuse at some time in their life. A significant relationship existed between the age of the woman and experiencing abuse within the last year. Women in full-time employment experienced the highest rates of abuse. DISCUSSION: The anonymity of the research and the method of implementation encouraged an excellent response rate. CONCLUSION: During a woman's childbearing years, one-third of women may experience domestic abuse from their partner.

Pregnancy counselling clinic: a questionnaire survey of intimate partner abuse.

J Family Planning Reproductive Health Care
CONTEXT: Intimate partner abuse has a significant and detrimental impact on the mental and physical health of a woman. Physical abuse is often associated with sexual abuse. OBJECTIVE: To examine the prevalence and nature of physical and sexual partner abuse experienced by women who request a termination of pregnancy (TOP). DESIGN: Quantitative data collection using an anonymous, self-completed questionnaire. SETTING: A pregnancy counselling clinic located within a large district general hospital in the north west of England. PARTICIPANTS: A sample of 312 women attending the clinic. RESULTS: Three hundred and twelve questionnaires were returned (96.7% response rate). The prevalence rate of intimate partner abuse at some stage in the woman's life was 35.1%; 19.5% had experienced actual physical abuse in the past year; and 3.7% had experienced forced sexual intercourse in the past year. Of the latter, in over half of the cases, this may have resulted in the current pregnancy. A total of 6.6% of women in this study are currently living in fear. DISCUSSION: The anonymity of the survey and the method of implementation encouraged an excellent response rate. The prevalence of physical abuse was higher than that reported in previous studies, however the prevalence of sexual abuse was lower. Up to 2% of requests for TOP could have been due to recent forced sexual intercourse. CONCLUSIONS: Many women requesting a TOP have been, or still are, in violent relationships. Some women may attend with an unwanted conception following sexual assault by their current or previous intimate partner.

Saturday, April 14, 2007

The prevalence of domestic violence among women seeking abortion -- Glander et al.

Obstetrics & Gynecology
OBJECTIVE: To determine the prevalence of self-reported abuse in a population of women aged 18 years or older seeking elective pregnancy termination, and to compare abused and nonabused women with respect to the primary reasons for pregnancy termination. METHODS: A self-administered questionnaire was returned by 486 women seeking outpatient abortion. The survey included demographic information, abuse screening, and items regarding partner involvement/awareness of the pregnancy, and abuse as a determinant of the abortion decision. One open-ended item asking the primary reason for pregnancy termination was included. RESULTS: The prevalence of self-reported abuse in this population was 39.5%. White women were significantly more likely to report any history of abuse than nonwhite women. Relationship issues were the only reason for pregnancy termination given more often by women with an abuse history than by nonabused women. Women with abuse histories were significantly less likely than nonabused women to inform the partner of the pregnancy or to have partner support for or involvement in the abortion decision. CONCLUSION: The prevalence of abuse reported by women in this population suggests that many women seeking abortion services may have abuse histories. Abused women may have different reasons for pregnancy termination than nonabused women and may be more likely to make the abortion decision without partner involvement. When routine screening for abuse is included in abortion counseling, health providers have the opportunity for developing a safety plan and initiating appropriate referral.

Characteristics of women undergoing repeat induced abortion -- Fisher et al.

Canadian Medical Association Journal
Methods: We surveyed a consecutive series of women presenting for initial or repeat pregnancy termination to a regional provider of abortion services for a wide geographic area in southwestern Ontario between August 1998 and May 1999. Self-reported demographic characteristics, attitudes and practices regarding contraception, history of relationship violence, history of sexual abuse or coercion, and related variables were assessed as potential correlates of repeat induced abortion. We used {chi}2 tests for linear trend to examine characteristics of women undergoing a first, second, or third or subsequent abortion. We analyzed significant correlates of repeat abortion using stepwise multivariate multinomial logistic regression to identify factors uniquely associated with repeat abortion.

Results: Of the 1221 women approached, 1145 (93.8%) consented to participate. Data regarding first versus repeat abortion were available for 1127 women. A total of 68.2%, 23.1% and 8.7% of the women were seeking a first, second, or third or subsequent abortion respectively. Adjusted odds ratios for undergoing repeat versus a first abortion increased significantly with increased age (second abortion: 1.08, 95% confidence interval [CI] 1.04–1.09; third or subsequent abortion: 1.11, 95% CI 1.07–1.15), oral contraceptive use at the time of conception (second abortion: 2.17, 95% CI 1.52–3.09; third or subsequent abortion: 2.60, 95% CI 1.51–4.46), history of physical abuse by a male partner (second abortion: 2.04, 95% CI 1.39–3.01; third or subsequent abortion: 2.78, 95% CI 1.62–4.79), history of sexual abuse or violence (second abortion: 1.58, 95% CI 1.11–2.25; third or subsequent abortion: 2.53, 95% CI 1.50–4.28), history of sexually transmitted disease (second abortion: 1.50, 95% CI 0.98–2.29; third or subsequent abortion: 2.26, 95% CI 1.28–4.02) and being born outside Canada (second abortion: 1.83, 95% CI 1.19–2.79; third or subsequent abortion: 1.75, 95% CI 0.90–3.41).

Abortion linked with partner violence

ScienceAlert - Australia & NZ
"Partner violence is the strongest predictive factor of whether young women with unwanted pregnancies will choose to terminate, a study by La Trobe University has found.

The study of 9,683 young Australian women aged 22 to 27 found that those reporting either teenage abortions or abortions later in their 20s, were more than three times as likely to have been abused by a partner as those who didn't terminate.

The study also found that young Australian women who terminated pregnancies were more likely to be disadvantaged - from low-income families, less-educated and not privately insured.

The secondary analysis of data from the Australian Longitudinal Study of Women's Health, by Angela Taft and Lyndsey Watson, of Mother and Child Health Research, La Trobe University, was published today in the
Australian and New Zealand Journal of Public Health. It seeks to fill a national gap in abortion statistics, by describing the characteristics of young Australian women who terminate pregnancies.
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