Social Participation During Transition to Adult Life Among Young Adults With High-Functioning Autism Spectrum Disorders: Experiences From an Exploratory Multiple Case Study

This study aimed to explore the social participation of young adults with high-functioning autism spectrum disorders (HFASD) during their transition to adult life. A multiple case study was conducted using semi-structured interviews with a purposive sample of 10 participants (n = 10) composed of three adults with HFASD, their caregivers, and two representatives of community organizations. Four themes emerged: (1) access to services, (2) orientation to integrated life goals, (3) engagement in meaningful activities, and (4) gap in services before reaching independent living. Properly preparing and orienting the families could help them have a more satisfying social participation.     

Meaning in life of young and elderly adults: An examination of the factorial validity and invariance of the Life Regard Index

The main question of the present investigation was whether the Life Regard Index (LRI) is an adequate instrument to study possible differences between young and elderly adults with regard to experienced meaning in life. Participants in this study were a group of 206 young adults (M= 17.8 years, 49.0% female) and a group of 373 elderly adults (M = 65.90 years, 58.8% female). Respondents completed a Dutch paper-and-pencil version of the LRI. The LISREL confirmatory factor analytic model was used to test for the equivalence of measurement and of structure of the instrument. Results show that in both age groups the items of the LRI were found to be distributed to the two a priori dimensions of meaning in life, Framework and Fulfillment. Only the factor loadings of the Framework items were invariant across both groups. Neither the error of measurement, nor the structure of the underlying concept were equivalent for young and elderly adults. Young adults were found to experience less meaning in life than the elderly.     

Parent and Staff Uncertainties Regarding the Philosophy of Early Intervention in a Preschool Autism Program

This study investigated the influences of dominant paradigms in the field of autism on the attitudes and beliefs of stakeholders in an early intervention (EI) program for children with autism. This EI program is based on a developmental approach with the premise that intensive intervention in young children (ages 2–6 years) can change their developmental trajectory given the brain's plasticity. This study was based on 48 interviews with parents and staff, as well as three focus groups with stakeholders at a program serving young children with autism. Qualitative data analysis revealed that parents and staff were most influenced by the curative aspect of the medical model while they did not commonly demonstrate adherence to the principles of EI. Parents also revealed conflicting attitudes simultaneously, as many of them expressed wishes for their children to be cured of autism while at the same time wanting that interventions would continue indefinitely.     

Pilot Effectiveness of a Stress Management Program for Sheltered Homeless Adults With Mental Illness: A Two-Group Controlled Study

This study examined the effectiveness of a stress management intervention for sheltered homeless adults with mental illness. Twelve intervention participants received a 6-week, 1-hour psychoeducation group combined with a 20-minute meditation. Eleven matched pairs did not receive intervention and served as controls. At 1 week post study, intervention participants reported a statistically significant reduction in perceived stress (Z=??2.285, p < .02, d=??1.176) compared to controls. No differences were found at 1 week post study between intervention and control participants on reported quality of life. This study provides pilot data on the effectiveness of an occupation-based stress management program for sheltered homeless adults and warrants further study.     

Life Events and Prosocial Behaviors Among Young Adults: Considering the Roles of Perspective Taking and Empathic Concern

The authors examined the altruism born of suffering model in a culturally diverse sample of young adults. They hypothesized that major life events would interact with perspective taking to predict empathic concern, which would predict multiple types of prosocial behaviors among young adults. The sample included 202 young adults (M age = 20.94?years; 76.5% girls; 36.5% White, 50.5% Latino) who reported on their exposure to major life events, perspective taking and empathic responding, and tendency to engage in six forms of prosocial behaviors. Life events indirectly, positively predicted prosocial behaviors via empathic concern. Empathic concern and perspective taking also interacted to predict empathic responding. The results demonstrated links that support the altruism born of suffering model, suggesting that life stressors might not always be negative and might promote resilience and social connection among young adults under specific conditions.     

The relation between social engagement and pretend play in autism

The focus of this study is the nature and concomitants of pretend play among young children with autism. Age‐ and language‐matched children with autism (n= 27), autism spectrum disorder (n= 14), and developmental disorders without autism (n= 16) were administered the Test of Pretend Play (ToPP; Lewis & Boucher, 1997 ), with an additional rating of ‘playful pretence’. As predicted, children with autism showed less playful pretend than participants with developmental disorders who did not have autism. Across the groups, playful pretence was correlated with individual differences in communication and social interaction, even when scores on the ToPP were taken into account. Limitations in creative, playful pretend among children with autism relate to their restricted interpersonal communication and engagement.     

The role of music in young adults’ spiritual development

Abstract

This article focuses on the role of spiritual music in Finnish young adults’ spirituality formation. The research data consist of interviews (2013, N = 10) and questionnaire answers (2011, N = 278). Spiritual music refers to music that the young adults themselves experienced supportive for their spirituality. The article indicates that the spiritual music enhanced young adults’ spirituality formation as the music was well related to the young adults’ current life questions and to experiences of early life span. According to the data, music offered tools for constructing personal world view and was experienced to strengthen confidence on higher power or life itself. As a mental resource, music had an important role in coping with life. As entertainment, spiritual music enhanced experiencing life as satisfying. As a part of public spiritual life, music advanced spiritual connection with other people. The role of spiritual music in spirituality formation was related to questions of spiritual well-being.     

Patterns of Growth in Adaptive Social Abilities Among Children with Autism Spectrum Disorders

Adaptive social skills were assessed longitudinally at approximately ages 2, 3, 5, 9, and 13 years in a sample of 192 children with a clinical diagnosis of autism (n = 93), PDD-NOS (n = 51), or nonspectrum developmental disabilities (n = 46) at age 2. Growth curve analyses with SAS proc mixed were used to analyze social trajectories over time. Both individual characteristics and environmental resources emerged as key predictors of adaptive social behavior outcome. The gap between children with autism and the other two diagnostic groups widened with time as the social skills of the latter groups improved at a higher rate. However, within diagnostic groups, improvement ranged from minimal to very dramatic. Children with autism most at risk for problems with social adaptive abilities later in life can be identified with considerable accuracy at a very young age so they can be targeted for appropriate early intervention services.     

Self-determination in relation to quality of life in homeless young adults: Direct and indirect effects through psychological distress and social support

The self-determination theory emphasizes the importance of satisfaction with autonomy, competence, and relatedness for a person’s psychological growth and well-being. This study examines associations between autonomy, competence, and relatedness with quality of life in homeless young adults; and whether possible associations are mediated by psychological distress and perceived social support. By means of face-to-face interviews, 255 homeless young adults who receive care from 10 Dutch shelter facilities for homeless young adults have been interviewed (M age = 20, 77% male, 51% Dutch Nationality) shortly after entering the facility. Autonomy, competence, and relatedness are all associated with quality of life, with competence as the highest correlate. Psychological distress mediates both competence and autonomy, and social support mediates competence as well as relatedness. These findings emphasize the importance of intervention programs for homeless young adults, focusing on the enhancement of self-determination, especially competence, to improve their quality of life.     

Teaching social play skills to adults and children with autism as an approach to building rapport

Adults with autism spectrum disorder (ASD) and no intellectual disabilities were taught to increase the social play skills of children with ASD as part of a vocational training program. Participants included 3 adults, aged 21 to 27 years, and 6 children with ASD. Probes conducted throughout the study evaluated whether play skills training affected a measure of rapport between the adult and child. Results demonstrated the effectiveness of behavioral skills training for teaching the adult participants the appropriate play skills. In addition, the children's social engagement increased. Finally, rapport probes showed that play skills training increased levels of proximity, our measure of rapport, between the adults and children.     

The Valley task: Understanding intention from goal‐directed motion in typical development and autism

A novel paradigm investigates the ability to understand an agent's intended goal in children with autism (N = 25), typically developing children (N = 46), and adults (N = 16+12) by watching a non‐human agent's kinematic properties alone. Computer animations depict a circle at the bottom of a U‐shaped valley rolling up and down its slopes and getting closer to a target resting at the top of either side of the valley. The circle's persistent motion and improving attempts evoke the attribution of the intention to reach the target, regardless of whether the circle fails or attains its goal. Children with autism are as able as controls to infer an agent's intended‐goal, disregarding its failure to reach the target. In addition, the study showed that the perception of persistent motion is a sufficient but not a necessary cue for very young children and children with autisn to attribute intention to an agent, whereas adults consider the persistent motion cue as a sufficient and necessary cue to attribute intention to an agent.     

Effects of a yoga-based intervention for young adults on quality of life and perceived stress: The potential mediating roles of mindfulness and self-compassion

The purpose of this pilot study was to investigate the effects of a yoga-based program on quality of life, perceived stress, mindfulness, and self-compassion in young adults. These variables were measured in 33 self-selected participants of a four-month residential yoga intervention before and after the program. Forty-three demographically matched controls completed the same questionnaires at two time points with a four-month interval inbetween. Participation in the program predicted increases in quality of life and decreases in perceived stress, mediated by mindfulness and self-compassion. Multiple mediator models revealed that the effect of group on quality of life was simultaneously mediated by mindfulness and self-compassion, while the effect of group on perceived stress was only mediated by self-compassion. These positive effects on perceived stress and quality of life suggest that yoga-based interventions may be of value in cultivating subjective well-being in young adults. Furthermore, yoga-based and mindfulness-based interventions may share underlying mechanisms.     

Using the ADI-R to diagnose autism in preschool children

The use of an investigator-based interview (Autism Diagnostic Interview—Revised; ADI-R) in the diagnosis of 51 autistic and 43 nonautistic mentally handicapped preschool children of equivalent mental and chronological age is described. Significant differences occurred between the groups on every diagnostic subdomain from the DSM-IV/ICD-10 draft criteria, except specific aspects of stereotyped language, still relatively rare in these young children. All but one of the 51 children judged to be autistic by clinical observation and only two of the 30 nonautistic mentally handicapped children with mental ages of 18 months or higher met criteria for autism on an algorithm to DSM-IV/ICD-10 draft criteria. However, discrimination using domain totals between autistic and the 13 nonautistic, nonverbal mentally handicapped children with mental ages under 18 months was poor. Quality of social overtures to adults and peers, play, and unusual sensory behaviors and mannerisms continued to differentiate these two groups. The relevance of these findings to the diagnosis of autism in preschool children is discussed.     

Function in context: Why American and Trinidadian young and older adults remember the personal past

Multiple and interacting contextual (culture, life phase) and person-specific predictors (i.e., personality, tendency to think-talk about the past) of the functions of autobiographical memory were examined using the Thinking about Life Experiences Scale. American (N = 174) and Trinidadian (N = 182) young and older adults self-reported how frequently they remembered the personal past to serve self, social and directive functions, how often they thought and talked about their past overall, and completed a measure of trait personality. Independent contextual and person-specific predictors were found for using memory to serve a social-bonding function: Americans, young adults, those higher in extraversion, lower in conscientiousness and individuals who frequently think and talk about the past more often use autobiographical memory for social bonding. Across cultures, younger adults report more frequently using memory to serve all three functions, whereas Trinidadians who think more often about the past compared with those who reflect less often are more likely to use it for self and directive functions. Findings are discussed in terms of the individual's embeddedness in cultural and life phase contexts when remembering.     

Personality Development in Emerging and Young Adulthood: A Study of Age Differences

Early adulthood is a time of substantial personality change characterized by large inter‐individual diversity. To investigate the role of age in this diversity, the present study examined whether emerging adults differ from an older group of young adults in their Big Five personality development. By means of multi‐group latent change modelling, two groups of 16‐ to 19‐year‐olds (n = 3555) and 26‐ to 29‐year‐olds (n = 2621) were tracked over the course of four years and compared regarding four aspects of personality change: mean‐level change, rank‐order change, inter‐individual differences in change, and profile change. In addition, age‐differential socialization effects associated with six first‐time life events were investigated. Analyses revealed substantial age differences in all four aspects of change. As expected, emerging adults showed greater change and diversity in change than young adults. However, the six life events had no age‐differential impact on change in single traits and Big Five profiles. Overall, the results indicate that age differences should be considered even in specific life stages to advance the understanding of personality development. © 2018 European Association of Personality Psychology     

A Follow-Up Study of a Reminiscence Intervention and Its Effects on Depressed Mood,Life Satisfaction,and Well-Being in the Elderly

The purpose of this study was to investigate the extent to which a reminiscence intervention reduces depressed mood and improves life satisfaction and psychological well-being. 160 healthy elderly people participated in a 10-session intervention. An experimental design with pretest and posttest evaluations was applied, comparing a control group to an intervention group to evaluate the effects of the program. Follow-up measures were also taken to find out whether the intervention's positive effects lasted over time. Mixed Model ANOVAs showed significant increases in the time-group interaction, life satisfaction, and psychological well-being measures, and decreases in depressed mood, after treatment. The effects remained after three months in the case of life satisfaction and some dimensions of psychological well-being, but they were lower on depressed mood. This study provides additional support for the effectiveness of a reminiscence program as a useful intervention to improve the quality of life of older adults.     

A Bibliometric Analysis of the Quantitative Mental Health Literature in Occupational Therapy

ABSTRACT

A bibliometric analysis was performed to examine the impact and use of the peer-reviewed occupational therapy intervention effectiveness literature addressing adults with mental illness, 2000–2016. Of 2,597 articles, 68 were quantitative studies assessing an intervention for adults with mental illness. These studies had a collective citation count of 1,455 and were published in 29 journals in 14 countries. The majority (n?=?36; 52.94%) were randomized controlled and two-group controlled studies. The most commonly assessed interventions were life skills and community reintegration (n?=?20, 29.41%) and supported employment (n?=?16, 23.52%). Sixty-five (95.58%) studies found statistically significant results on the primary or secondary outcomes.     

An evaluation of parents as behavior change agents in the Preschool Life Skills program

Parental involvement in intervention can support intervention efficacy, improve generalization, and increase accessibility. The Preschool Life Skills (PLS) program is designed to teach 13 preschool life skills and prevent problem behavior. The current study explores the utility of the PLS program as delivered by parents. In Experiment 1, 6 parents were taught to use the PLS program at home with their typically developing children (3 years 3 months to 4 years 11 months). This application of the PLS program led to an increase in preschool life skills and a decrease in problem behavior and supported some generalization of the target preschool life skills from the home to preschool settings. In Experiment 2, 7 parents were taught to use the PLS program with their children with autism spectrum disorder (ASD; 3 years 11 months to 6 years 9 months). Results overall supported the parent implementation of the program and highlighted modifications required to support positive outcomes for children with ASD.     

Development and evaluation of the positive psychology intervention for older adults

Although research suggests that positive psychology intervention can enhance subjective well-being and reduce depression, its effectiveness on older adults remains largely unknown. Therefore the present study aimed to develop and evaluate a custom-tailored positive psychology intervention program for older adults. The program offered nine-week group sessions to 74 older people recruited from district community centers and nursing homes in Hong Kong. The intervention program covers eight themes, including optimism, gratitude, savoring, happiness, curiosity, courage, altruism, and meaning of life. The participants consisted mostly of females aged between 63 and 105?years. One-group pre-test/post-test design was adopted to evaluate the effectiveness of the intervention on depression, life satisfaction, gratitude, and happiness. Results revealed that the intervention reduced the number of depressive symptoms and increased the levels of life satisfaction, gratitude, and happiness. Effectiveness of the intervention is discussed in relation to self-awareness, education, self-reinforcement, and sensitivity to age and culture.     

Life stories managing chronic illness: Young adults’ lived experiences with type 1 diabetes

This study aimed to characterise diabetes management experiences of South African young adults living with well-controlled type 1 diabetes (n = 8, female = 5, male = 3, age range = 20–25). The young adults told life stories managing their type 1 diabetes. Thematic analysis revealed the young adults to construct personal identities as people living with type 1 diabetes, to mostly utilise emotion-focused management strategies and social support for successful living with type 1 diabetes. Behavioural health strategies appear important for living well with this chronic insulin deficiency condition.