Financial and caregivers' stressors in Australian law students - a qualitative analysis.

Australian law students exhibit high levels of psychological distress compared to the general population. In 2013, The University of Sydney Law School conducted a survey to examine the level of distress in students, what factors were associated with their distress and what strategies might mitigate student distress. This article reports on the survey's qualitative findings relating to financial stressors and care-giving responsibilities. The findings provide further insights into the context of financial stressors for law students and how they may undermine students' candidacy. The study found that financial stress, work commitments, caring for dependents, illnesses and death in the family can be potential reasons for students suspending studies or withdrawing from their studies altogether. In view of the findings, possible solutions to alleviate stress and support students with their work-study and care-giving concerns are discussed.

Childhood cancer in the cinema: how the celluloid mirror reflects psychosocial care.

OBJECTIVE: This study aims to evaluate the childhood cancer experience in commercially produced, readily available films that include a character with childhood cancer, with a particular focus on psychosocial care. METHODS: We reviewed 29 films, using quantitative and qualitative content analysis, to identify the medical and psychosocial characteristics of the cinematic childhood cancer experience. We rated psychosocial support on a 5-point scale (0 to 4) based on the availability and efficacy of support characters in the categories of nonprofessional internal (eg, parent), nonprofessional external (eg, friend), professional medical (eg, oncologist), and professional psychosocial (eg, social worker) supports. RESULTS: Film depicts an unrealistic, bleak picture of childhood cancer, with a 66% mortality rate among the 35 characters evaluated. Psychosocial supports portrayed in film are generally limited to resources already available to families before the cancer diagnosis: mean ratings across films were 2.4 for both nonprofessional, 1.6 for professional medical, and 0.3 for professional psychosocial supports (Kruskal-Wallis χ3=43.1051, P<0.0001). Seven main themes emerged: disruption, social impact, psychological impact, physical toll, struggle/war/fight, coping, and barren landscape. Film generally depicts images of an isolated family courageously battling cancer alone with limited support from a treatment team solely dedicated to medical care. CONCLUSIONS: Commercially available films minimize the importance of the psychosocial dimension of care, which can perpetuate stigma around psychosocial needs and interventions. These films can be used to encourage discussion about how to optimize psychosocial care in pediatric oncology so that such care is not abandoned in actual practice as it is, for entertainment purposes, on the screen.

Four centuries of suicide in opera.

OBJECTIVE: To describe the depiction of completed suicide, non-fatal suicidal acts and suicidal thought in Western opera over the past four centuries. DESIGN AND SETTING: Examination of synopses all of the operas listed in a recent monograph covering a selection of operas written in the period 1607-2006. MAIN OUTCOME MEASURES: Frequency of completed suicides, non-fatal suicidal acts and suicidal thoughts over the entire 400-year period and in separate 100-year periods (1607-1706, 1707-1806, 1807-1906 and 1907-2006); circumstances of suicides; sex of the suicidal characters; and, for completed suicide, the method. RESULTS: There were 337 operas in total. In 112 (33%), there was completed suicide alone, non-fatal suicidal acts or suicidal thoughts alone, or both. There was at least one suicide in 74 operas (22%); female characters accounted for 56% of these. Non-fatal suicidal acts or suicidal thoughts were found in 48 operas (14%); male characters accounted for 57% of these. Suicide, non-fatal acts and suicidal thoughts always followed an undesirable event or situation. Cutting or stabbing was the most common method of suicide (26 cases). Other methods included poisoning (15 cases), drowning (10 cases), hanging (four cases), asphyxiation (four cases), "supernatural" methods (four cases), immolation (three cases), jumping from a height (two cases), shooting (one) and blunt trauma (one). Mass suicide occurred on two occasions. CONCLUSIONS: Over several centuries in opera, suicide has been frequently represented as an option when characters have been faced with a distressing event or situation. Historical fluctuations in the frequency of suicidal behaviour in opera may be explained by changes in attitudes towards suicide and its conceptualisation.

Nutrition, mood and behaviour: a review.

OBJECTIVE: To conduct a critical review of recent empirical research regarding mood, behaviour and nutrition factors including essential fatty acids, macronutrients, micronutrients and food additives. METHOD: A literature search of databases Medline, PsycInfo, CINAHL and Embase up to October 2008. The search emphasised empirical research published in the last 10 years and also included older literature. Studies in both adults and children were addressed. RESULTS: Research into omega-3 fatty acids has been substantial but evidence for their potential in treating mood and behaviour is modest. In comparison, there has been much less research into carbohydrate and protein intakes and little evidence for their ability to influence mood and behaviour. Recent trials with food additives suggest their removal from the diet may benefit susceptible children with hyperactivity disorders. Micronutrient supplementation appears to improve mood only in those who were initially deficient in micronutrients. CONCLUSIONS: More stringent research designs such as longitudinal studies and the use of biologically inert placebos within randomised controlled trials are needed before supplemental use of omega-3 fatty acids to treat disorders of mood and behaviour can be recommended. Caution is advised regarding the indiscriminate use of diets free of artificial food additives in managing hyperactivity disorders, as they may place an undue burden on individuals and their families. Should omega-3 fatty acid supplementation or the elimination of certain food additives be established as effective, they may provide cost-effective, accessible and well-tolerated adjuncts to standard psychiatric treatments for mood and behavioural disturbances.

The relationship between skinfold thickness and body mass index in North European Caucasian and East Asian women with anorexia nervosa: implications for diagnosis and management.

OBJECTIVE: To investigate the relationship between skinfold thickness and body mass index (BMI) in North European Caucasian and East Asian young women with and without anorexia nervosa (AN) in two countries. METHOD: Height, weight and skinfold thicknesses were assessed in 137 young women with and without AN, in Australia and Singapore. The relationship between BMI and the sum of triceps, biceps, subscapular and iliac crest skinfolds was analysed with clinical status, ethnicity, age and country of residence as covariates. RESULTS: For the same BMI, women with AN had significantly smaller sums of skinfolds than women without AN. East Asian women both with and without AN had significantly greater skinfold sums than their North European Caucasian counterparts after adjusting for BMI. CONCLUSION: Lower BMI goals may be appropriate when managing AN patients of East Asian ancestry and the weight for height diagnostic criterion should be reconsidered for this group.

Complementary medicine for psychiatric disorders in children and adolescents.

PURPOSE OF REVIEW: To examine recent empirical studies of herbal and dietary treatments for psychiatric disorders in children and adolescents. RECENT FINDINGS: Very few quality studies into the use of omega-3 fatty acids, St John's wort, dietary manipulations, kava, gingko and lemon balm in managing psychiatric disorders have been conducted in children and adolescents. SUMMARY: A number of herbal treatments show promise, but much more empirical research is required to establish their efficacy in the paediatric population.