Immunocognitive Model of Depression Secondary to Anxiety in Adolescents

There is evidence that anxiety precedes the onset of depression and that rumination contributes to this risk pathway in adolescence. This study examined inflammatory biomarkers as mediators in a risk model of depressive symptoms secondary to anxiety symptoms among adolescents who ruminate. A sample of 140 adolescents (52% female, 54% African American, 40% Caucasian, 6% biracial, mean age at T1?=?16.5 years, SD?=?1.2 years) provided blood samples on two visits (T1 and T2; mean time between T1 and T2?=?13.5 months, SD?=?5.9 months). Self-report anxiety, depression, and rumination measures were given at T1 and the depression measure was given again at a third visit (T3, mean months since T1?=?26.0 months, SD?=?9.0 months). Higher anxiety predicted more interleukin-6, but not more C-reactive protein, for adolescents with high levels of rumination. Moderated mediation analyses (N for analysis after removing cases with missing data and outliers?=?86) indicated that interleukin-6, but not C-reactive protein, at T2 mediated the relationship between anxiety symptoms at T1 and depressive symptoms at T3, conditional on rumination. Anxiety and rumination interacted such that, as rumination increased, anxiety predicted greater inflammation and depressive symptoms. These results demonstrate that established cognitive vulnerabilities for the development of depressive symptoms secondary to anxiety symptoms in adolescence might indirectly operate though biological mechanisms such as inflammation. In addition to highlighting risk factors and potential treatment targets for depression, this study suggests a potential biological mechanism underlying the effects of psychotherapies that reduce rumination on negative affect (e.g., cognitive behavioral therapy).     

THE INTERNAL AND EXTERNAL VALIDITY OF THE REGRESSION DISCONTINUITY DESIGN: A META‐ANALYSIS OF 15 WITHIN‐STUDY COMPARISONS

Theory predicts that regression discontinuity (RD) provides valid causal inference at the cutoff score that determines treatment assignment. One purpose of this paper is to test RD's internal validity across 15 studies. Each of them assesses the correspondence between causal estimates from an RD study and a randomized control trial (RCT) when the estimates are made at the same cutoff point where they should not differ asymptotically. However, statistical error, imperfect design implementation, and a plethora of different possible analysis options, mean that they might nonetheless differ. We test whether they do, assuming that the bias potential is greater with RDs than RCTs. A second purpose of this paper is to investigate the external validity of RD by exploring how the size of the bias estimates varies across the 15 studies, for they differ in their settings, interventions, analyses, and implementation details. Both Bayesian and frequentist meta‐analysis methods show that the RD bias is below 0.01 standard deviations on average, indicating RD's high internal validity. When the study‐specific estimates are shrunken to capitalize on the information the other studies provide, all the RD causal estimates fall within 0.07 standard deviations of their RCT counterparts, now indicating high external validity. With unshrunken estimates, the mean RD bias is still essentially zero, but the distribution of RD bias estimates is less tight, especially with smaller samples and when parametric RD analyses are used.     

Masculinities and emotional expression in UK servicemen: ‘Big boys don’t cry’?

Dominant discourses of military servicemen position them as more prone to psychological damage than the general population, but as reluctant to seek psychological assistance, because of the military culture of ‘toughness’, a military masculinity, that values stoicism, emotional control and invulnerability and implicitly excludes ‘feminine’ characteristics like emotionality. This is seen as a barrier to military personnel seeking help, by implicitly discouraging emotional disclosure and expression. This article presents an analysis of semi-structured interviews with six male military and ex-military personnel, focused on their experience and understandings of emotion, emotional expression and ‘mental health’ in the military. The dominant construction of military masculinity certainly renders some forms of emotion inexpressible within certain contexts. However, we argue that the construct is more complex than a simple exclusion of the ‘feminine’ and the ‘emotional’. We explore how the highly masculine notions of military solidarity and ‘brotherhood’ create a ‘safe’ masculine space within which men could share their emotional experiences, but also highlight how this space for emotional expression is relatively constrained. We argue that these notions of solidarity and brotherhood open a space for emotional connection and expression that must be respected and worked with creatively, in therapeutic and other interventions.     

Resources, Group Conflict and Symbols: Explaining Anti-Immigration Hostility in Britain

This article analyses the causes of variation in attitudes to immigration policy in the UK. The key theoretical approaches emphasised are: the role of self-interest; group conflict over resources; and group conflict over important symbols of Britishness. The connection between perceptions of immigration and crime is also investigated. Based on the 2003 British Social Attitudes Survey, the findings indicate that self-interest has very little bearing on opposition to immigration and that British citizens instead appear to be most concerned with threats to ingroup resources posed by immigration, threats to the shared customs and traditions of British society (particularly those posed by Muslims) and – to a lesser extent – the potential for increased crime that may result from immigration.     

Police officers who commit suicide by cop: a clinical study with analysis

Suicide by cop has become a familiar topic among members of law enforcement, mental health professionals, and the general public. This paper presents two cases where police officers chose to commit suicide by getting other police officers to kill them. The two police officers studied, by examination of closed case files, were found to be similar to civilians who committed suicide by cop on several demographic (gender, age, history of mental illness, and suicide attempts), and situational (stress factors, trigger) variables. The cases help us to understand possible motives and management for individuals who choose to end their life in this manner.     

UNCROC and the prevention of childhood obesity: the right not to have food advertisements on television

This article discusses how legal rights-based discourse could inform the response of Australian State and federal governments to the increasing prevalence of childhood obesity. The authors contend that the principles in the United Nations Convention on the Rights of the Child (a treaty which has been ratified but not implemented) are capable of providing a basis for a legislative program to prevent childhood obesity. It is argued that an approach to legislation which is grounded on the basis of children's rights would require that there be restrictions on advertising food to children. The authors set out specific proposals for legislative reforms which the federal Parliament could enact to implement the Convention so as to restrict advertising to children. The scope of the discussion is then expanded to consider the implications of rights-based discourse in broader public health contexts.     

A Better “Best Interests”: Immigration Policy in a Comparative Context

This conceptual article examines the role and limitations of the best interests standard in international and domestic policy, with a particular focus on how the standard is implicated in the treatment of unaccompanied minors in the United States. Motivated by emergent interdisciplinary scholarship on global youth and informed by a comparative consideration of best interests across other professions, we propose a new model of best interests. This model calls for a multidimensional recognition of youths’ family‐, community‐ and decision‐making contexts; acknowledgment of youths’ rights; and a commitment to speaking with, rather than for, young people. What results is a novel and dynamic understanding of best interests with relevance to scholars, practitioners, and policymakers.