Risk,Compensatory, Vulnerability,and Protective Factors Influencing Mental Health in Adolescence

The aim of the study was to elucidate the relative contribution to and function of general risk factors for mental disorders as well as compensatory, vulnerability, and protective factors in a general population sample of preadolescent and adolescent students. Data were collected in a representative sample of 1,110 (10 to 17 year-old) subjects of a school-based quota sample in the Canton of Zurich, Switzerland. The factors under study were assessed using questionnaires. The Youth Self Report (YSR) was used as an indicator of emotional and behavioral abnormalities. Further questionnaires were concerned with life events, coping strategies, self-esteem, self-awareness, parental child-rearing behaviors, the school environment, and the social network. General risk factors for both sexes included increased self-awareness, avoidance behavior, perceived rejection by the parents, competitive behavior among classmates, and controlling behavior of the teachers. General compensatory factors included self-esteem and acceptance by the parents. Performance stress served as a risk factor for internalizing disorders in both sexes; for externalizing disorders it was a risk factor in girls and a vulnerability factor in boys. Active coping and peer acceptance were protective factors for internalizing disorders and peer acceptance was also a compensatory factor for externalizing disorders. In addition, some gender-specific interactions were identified.     

Health care reform in Germany: patchwork change within established governance structures

Under the pressure of health care reform in the 1990s, interactions among the state, sickness funds, and providers in Germany are said to have entered a new era. We examine this new era by assessing both long-term developments connected to German statutory health insurance (SHI) and related short-term developments of the 1990s. Highly institutionalized rules and practices provide little opportunity for abandoning the historical path of two primary factors: the self-governance of SHI and a strong tradition of a semisovereign state. Some opportunities exist for introducing new ideas, rearranging priorities, softening rules, and adding new complex rules and procedures in a fairly fragmented policy-making system, perhaps even because of fragmentation. Yet reforms that depart from the status quo are severely limited by strong legal and administrative traditions and established rules of the game. These restrictions tend to reinforce state intervention, prevent the emergence of consistent and coherent visions of future health policy, and stifle policy innovation and implementation. In sum, reform measures tend to remain well within the priorities established within state and corporatist governance structures.     

Psychosocial Factors in Adolescent and Young Adult Self-Reported Depressive Symptoms: Causal or Correlational Associations?

Using a large longitudinal representative community sample, this study identified three groups of subjects who were depressed either in pre-adolescence, late adolescence or early adulthood, and matched by age and gender to controls without depression. The 90th percentile on one or two self-reported symptom scales [i. e. the Center for Epidemilogical Studies Depression Scale (CES-D) or the subscale Anxious / Depressed subscale on either the Youth Self Report (YSR) or the Young Adult Self Report (YASR)] served as the cut-off for the depression groups. Psychosocial variables under study included life events and life events impact, coping, self-related cognitions, perceived parental rearing style, family relations, perceived school environment, and the internalizing (except anxious/depressed) and externalizing problem scale of the YSR/YASR. The study found a large number of time-related correlations between psychosocial factors and depression. Evidence for causal effect (either antecedent or consequent) was obtained only for self-esteem, perceived maternal rejection, and internalizing problems.     

Lost in registration? Missing occupations of single women in the Bruges countryside,c.1814

The absence of occupational titles for women in historical censuses has stymied numerous scholars. Various authors have explained this phenomenon as carelessness or bias on the part of the census-takers. Women's work was of little interest to the authorities and census officials focused their efforts upon the activities of the head of household. While source triangulation can be a useful tool for uncovering ‘hidden’ employment of women, it is often a complex and time-consuming process. In this article we outline an alternative to deal with the issue of missing occupations of single women in censuses by exploring their living arrangements. We identify four aspects of co-residence that can highlight the roles played within the household by single women without registered employment: their relation to the head of the household, and that individual's occupation, property and marital status. Comparing data from the 1814 population census regarding two social agro-systems and the city of Bruges, we argue that occupational titles of single women were not randomly omitted by the census officials, but reflect the embeddedness of these women in the family economy and household. While we do not refute recent research that stresses single women's economic independence during the long eighteenth century, our findings suggest that for a subset of singles this was not the case. We claim that by studying registered labour only, the historical picture of single women's work is biased or at the very least incomplete.