"Women's changing work roles: Impact on health, family, and public policy": Correction.

Reports an error in the original article by K. A. Matthews and J. Rodin (American Psychologist, 1989[Nov], Vol 44[11], 1389–2393). On page 1391, the note in Figure 1 should read as follows: Note. 2000 is based on projections for women 25–54. (The following abstract of this article originally appeared in record 1990-06311-001.) Women's work roles have changed enormously. This article describes the long-term and short-term changes in women's paid employment. It also introduces a set of Public Forum articles that discuss the consequences of these changes for women's health and for their families and delineate the government's responses to women's changing work roles. The impetus for this Public Forum section came from a workshop conducted under the auspices of the John D. and Catherine T. MacArthur Foundation Network on the Determinants and Consequences of Health-Promoting and Health-Damaging Behavior. Therefore, the article also discusses the mission of the Network and why multidisciplinary, collaborative research on the effects of women's employment is vital. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social work roles in America''s changing health care

The development of the human lateral vestibular nucleus was studied on serial sections of the brain of 8 fetuses and neonates at 12-40 weeks of gestation, an infant at 2 months of age and an adult of 63 years using a microscope with a drawing tube and an image-analysing computer system. A morphometric analysis revealed that the lateral vestibular nucleus, whose neurons were distinguished from glia after 16 weeks of gestation, divided cytoarchitectonically into the medial and the lateral subnuclei at 21 weeks of gestation onwards, and showed the moderate development in terms of the columnar length and volume, neuronal size and neuropil.     

Disability, health care, and public policy.

Efforts to persuade policymakers to rely on data to plan health care services for people with a disability or a chronic illness must confront the fact that many competing definitions of disability are currently used. It is important to recognize that pressures for standardization as well as disputes over disability definitions take place in a broader social and political context. Despite the practical difficulties facing researchers and the highly charged atmosphere in which disagreements over definitions must be managed, researchers have made progress in developing policy-relevant data that underline the importance of the health needs of people with a disability. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of work in psychological health and well-being: A conceptual, historical, and public policy perspective.

The primary theme of this article, which serves as the introductory contribution of a special section of the American Psychologist, is that work plays a central role in the development, expression, and maintenance of psychological health. The argument underlying this assumption is articulated at the outset of the article in conjunction with a historical review of vocational psychology and industrial/organizational psychology. The article follows with an overview of contemporary vocational psychology and a presentation of the psychology-of-working perspective, which has emerged from critiques of vocational psychology and from multicultural, feminist, and expanded epistemological analyses of psychological explorations of working. Three illustrative lines of inquiry in which research has affected the potential for informing public policy are presented. These three lines of scholarship (role of work in recovery from mental illness; occupational health psychology; and working, racism, and psychological health) are reviewed briefly to furnish exemplars of how the psychological study of working can inform public policy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Women's work and caregiving roles: a life course approach

This study drew on a life course approach and a sample of 293 women from four birth cohorts in upstate New York to examine the relationship over time between women's paid work and their informal caregiving of aging or infirm relatives. We find that such caregiving is an increasingly likely role for women, both as they age and across birth cohorts. One in four (24%) women became caregivers at some time between ages 35-44, and over one in three (36%) of these same women became caregivers between ages 55-64. Only 45 percent of the oldest cohort (born 1905-1917) were ever caregivers, compared to 64 percent of the most cohort (born 1927-1934), an increase of almost 20 percent. Clearly changes in the labor force participation of more recent cohorts of women do not appear to alter their caregiving responsibilities. In fact, women in this sample were equally likely to become caregivers, regardless of whether or not they were employed.     

Adolescent health care: A public policy perspective.

Focuses on the importance of psychosocial and behavioral components of health care in the area of adolescent health care. The authors contend that it will ultimately be as a direct result of psychology's tangible (and visual) successes in areas such as adolescent health that will lead to psychological services becoming fully accepted within the overall health care system. The underlying policy notion is that if psychology addresses society's perceived needs, society (i.e., the nation's public policy/political leadership) will strive to meet the mental health profession's needs. The majority of problems adolescents face, regardless of apparent physical symptomatology, are essentially behavioral (psychosocial) in nature. The symptom distress model provides for a school-based integration of psychological knowledge with clinical and educational expertise. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personal and workgroup incivility: Impact on work and health outcomes.

This article develops a theoretical model of the impact of workplace incivility on employees' occupational and psychological well-being. In Study 1, the authors tested the model on 1,158 employees, finding that satisfaction with work and supervisors, as well as mental health, partially mediated effects of personal incivility on turnover intentions and physical health; this process did not vary by gender. Study 2 cross-validated and extended these results on an independent sample of 271 employees, showing negative effects of workgroup incivility that emerged over and above the impact of personal incivility. In both studies, all results held while controlling for general job stress. Implications for organizational science and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The NLM and Grateful Med: promise, public health, and policy

OBJECTIVE: To characterize a clinical syndrome that occurs in some women who have undergone breast or axillary lymph node biopsy or partial mastectomy. MATERIAL AND METHODS: Six case reports are presented, the clinical and histopathologic findings are described, and the implications for recognition of this entity are discussed. RESULTS: Patients who had undergone partial mastectomy, breast biopsy, or axillary lymph node excision shortly thereafter had clinical signs (most notably, erythema and edema) suggestive of infectious mastitis or inflammatory breast cancer. Representative histologic sections of involved skin revealed dilated dermal vessels without specific evidence of infection or cancer. Although antibiotic therapy was generally ineffective, the clinical findings resolved with time (from 2 months to 1 year). This condition should be considered in the differential diagnosis when this circumscribed patient population has such intervention-related symptoms. CONCLUSION: This clinical syndrome may mimic an infectious or neoplastic process, but we hypothesize that it is due to interruption of lymphatic vessels. Appropriate recognition may alter the use of antibiotic therapy or surgical intervention.     

Tobacco psychopharmacology and public health policy: It takes a community.

This commentary is based upon the author's lecture given as the 2010 recipient of the award named in honor of Drs. Joseph V. Brady and Charles R. Schuster, given by the Psychopharmacology and Substance Abuse Division (Division 28) of the American Psychological Association (APA). The focus is on the contributions of many behavioral pharmacology researchers who collaborated very much in the spirit of an interactive community dedicated to the common cause of advancing science in service of public health. Division 28 and its members hold a prominent place in this account because, throughout the 1980s and 1990s, the Division was the lead scientific forum for bringing together researchers addressing the behavioral pharmacology of tobacco and nicotine. The commentary provides an overview of how advances utilizing animal and human models of dependence and withdrawal came to inform public health policy and more recently, tobacco product regulation. The commentary also recounts how efforts by the tobacco industry collided with those of nonindustry researchers, including Division 28 members, and how this was taken up in congressional hearings that addressed behavioral pharmacology research on tobacco. The review concludes with an overview of current challenges to behavioral pharmacology researchers to assist in guiding the regulation of tobacco products by the United States Food and Drug Administration and other national regulatory authorities, as well as guiding the implementation of the international tobacco treaty—the World Health Organization Framework Convention on Tobacco Control. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Psychology, public affairs, and public policy: A strategy and review.

Discusses psychology and public image problems in relation to public policy and public affairs. The American Psychological Association's (APA) strategy, past and present efforts, effectiveness, and suggestions for future directions are reviewed. Public policy issues for the APA involve the appropriate corporate role in commitment to a process of establishing, maintaining, and expanding a credible public presence regarding the field. Members of the field cannot expect to play a constructive role in policy development if people are misinformed about psychology and psychologists. Suggestions for future APA strategies include surveying members' opinions on a routine basis; focused, topic-specific projects with radio and TV; more frequent task reports on specific issues; increased efforts to educate writers and members of the media; and the establishment of liaison committees or joint task forces with other professional groups. (18 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

State abortion policy, geographic access to abortion providers and changing family formation

CONTEXT: One of the goals in cutting welfare payments and setting time limits on welfare receipt is the reduction of out-of-wedlock childbearing among poor women. Yet such changes may increase the demand for abortion at the same time that access to abortion has decreased, throwing into doubt the potential effect of these changes on the proportion of women who are heading families. METHODS: State and county fixed-effects models were used to estimate the effects of factors influencing abortion availability--geographic access, parental notification requirements and Medicaid funding restrictions--on the county-level proportion of women heading households. RESULTS: The decline in geographic access to abortion providers during the 1980s accounted for a small but significant portion of the rise in the percentage of women heading families (about 2%). Restrictions on Medicaid funding for abortion accounted for about half of the increase in female headship among blacks, while new state parental notification requirements contributed modestly to the rise in the proportion of white women heading single-parent families. CONCLUSIONS: Welfare reform legislation and attempts to reduce the availability of abortion services in the United States appear to be working at cross-purposes. Cutbacks in access to abortion may have contributed modestly to the increase in the proportion of women heading households.     

Psychologists, Congress, and public policy.

As professional psychologists become increasingly involved in shaping health care policy in our nation, it is imperative that they understand the various forces that influence congressional members to enact legislation. This article examines two major issues: (a) Congress's cautious and restrained approach to health care policy and (b) preemption and the relationship between Congress and the states. Understanding these issues will enable psychologists to become more effective representatives of both the professional and societal interests of professional psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ageism, psychology, and public policy.

Chronological age—either young or old—may be the basis for prejudicial attitudes, discriminatory practices, and institutional policies. The importance and role of ageism differs greatly between societies, such as the United States and Japan. Psychological research has documented a variety of examples of negative attitudes toward older people in the United States, but these results may reflect the methods used or may indicate a preference for age similarity rather than prejudice against the aged. Vulnerability to ageism in old age is associated demographically with being a woman, living alone, and having a poor health status. Discriminatory attitudes, mental health services, and employment policies are examples of the interface of ageism and psychology. Ageism may be reduced by emphasizing diversity among older people, paying attention to compensations for reduced abilities, and developing public policy based on need rather than on age. The importance of ageism as a psychological issue must be recognized and included in the public debate. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Strengthening couples' relationships with education: Social policy and public health perspectives.

There is some evidence that skill-based couples relationship education (CRE) enhances couples' maintenance of healthy, committed relationships. This article analyzes issues in the balancing of a limited but growing knowledge base on the effects of CRE with current social policy that is creating an impetus for widespread dissemination of CRE. It is suggested that enough is known to act now, and that by doing so, the field has a unique opportunity to substantially (and rapidly) add to the existing knowledge base. Specifically, there can be expansion of knowledge of the efficacy of CRE with diverse populations and service delivery contexts, as well as the influences on the reach of CRE to populations at high risk of future relationship difficulties. While the current article focuses on CRE, the issues discussed have relevance to warrant dissemination to many areas of family psychology intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Women, psychology, and public policy: Selected issues.

Asserts that the dramatic changes in women's work and family roles in recent decades have profound implications for employment and family policy. It is argued that the market forces used by economists to adjust salary levels do not counteract the forces that devalue women's contributions to the economy. Depressed wages and a benefit structure based on earnings increases the likelihood of poverty of women. Many employment issues, such as the assumption that workers and family members are physically and mentally able-bodied, disabled women's employment status, and the relationships among women's physical and mental health status and work and family roles, require psychological research. The slowness of public policies to reflect women's changing roles is discussed, and tools for meeting the challenges of change, including science and technology and educational equity, are presented. (31 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

When war comes to men's lives: Life-course patterns in family, work, and health.

Men generally come to military service at a time of youth. However, World War II expanded the period of service eligibility from age 18 to the late 30s. Each year of delay in entry promised a smaller return from military service (economic and job benefits) and a greater risk of life disruption and related costs. Using longitudinal data from the L. M. Terman (1925) and Terman and M. Oden (1959) studies, the authors examine whether social disruptions resulting from late service entry increased the risk of adverse change in adult health. Apart from preservice factors, the authors found that the late-mobilized men were at greatest risk of negative trajectories on physical health. Work-life disadvantages account in part for this health effect. Pathways that link stress and physical decline are discussed in relation to social disruption. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping profiles associated with psychiatric, physical health, work, and family problems.

Examined coping profiles of 11 samples (identified in the stress literature) with a total of 1,298 individuals experiencing psychiatric, physical health, work, or family problems. Comparisons were made in Ss with and without anxiety and depression to control for the effects of distress. Coping was similar for Ss in similar problem categories, but different for Ss in different categories. Psychiatric Ss made more use of avoidance and less use of social supports. Ss with physical health problems were among the most frequent users of social supports. Ss with a family problem were among the most frequent users of problem-focused coping and the least frequent users of self-blame. Ss with work stress were the most frequent users of self-blame. Results support the hypothesis that persons with psychopathology cope in maladaptive ways involving dysfunctional strategies that constitute the behavioral disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact of daily mood, work hours, and iso-strain variables on self-reported health behaviors.

Four hundred and twenty-two employees completed daily diaries measuring positive affect, negative affect, work hours, and health behaviors (snacking, smoking, exercise, alcohol, caffeine consumption) on work days over a 4-week period. In addition, measures of job demands, job control, and social support (iso-strain variables) were completed on 1 occasion. Multilevel random coefficient modeling was used to examine relationships between the job characteristics, daily work variables, and self-reported health behaviors. Results indicated a more important role for within-person daily fluctuations than for between-persons variations in predicting health behaviors. Whereas negative affect was negatively related to health behavior for both men and women, work hours had negative impacts for women only. Iso-strain variables showed few main effects and a modest number of interactions with daily variables (mainly for men). Findings point to the limited impact of stable features of work design compared to the effects of daily work stressors on health behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Changes in the activities, functions, and roles of public health educators

Accounts of early activities of public health educators, statements of the American Public Health Association on the qualifications and functions of these educators, and studies concerned with their responsbiliities, functions, work, or roles are reviewed. These point up the three major foci in public health education over time in the U.S., viz, dissemination of information, community organization, and health behavior and program planning. Functions of public health educators in emerging settings for practice are presented and the implications of this movement (i.e., movement of health educators into non-traditional settings) for public health education profession are discussed.