Control Appraisals as Moderators of the Relationship Between Intrusive Thoughts and Coping1

This study examined the relationship between intrusive thinking, control appraisals, and coping strategies within the context of stressful negative events using a short-term longitudinal design. Although intrusive thoughts were not related to problem-focused coping at Time 1, these cognitions were positively associated with problem-focused coping at subsequent reporting periods. Intrusive thoughts were positively associated with behavioral engagement. Perceived control was positively associated with problem-focused coping across all reporting periods, whereas perceptions of other's culpability were positively related to behavioral disengagement for all time periods except Time 1. There was limited support for the hypothesis that appraisals of control would moderate the relationship between intrusive thinking and coping behaviors.     

Personality Factors Associated With Psychological Distress in Testicular Cancer Survivors

The aim of this study was to investigate symptoms of anxiety and depression in testicular cancer survivors (TCSs) and to identify personality traits associated with psychological distress in these patients by means of the MMPI (Hathaway &; McKinley, 1943 Hathaway, S. R. and McKinley, J. C. 1943. The Minnesota Multiphasic Personality Inventory, Minneapolis: University of Minnesota Press.  [Google Scholar]). A total of 50 TCSs and 50 age-adjusted healthy men participated in the study, and we used the following self-report instruments: Montgomery–Asberg Depression Rating Scale (Montgomery &; Asberg, 1979 Montgomery, S. and Åsberg, M. 1979. A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134: 382–389. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]), Hamilton Anxiety Rating Scale (Hamilton, 1959 Hamilton, M. 1959. The assessment of anxiety states by rating. British Journal of Medical Psychology, 32: 50–55. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar], 1969 Hamilton, M. 1969. Diagnosis and rating of anxiety. British Journal of Psychiatry, 3: 76–79.  [Google Scholar]), Spielberger's State–Trait Anxiety Inventory (Spielberger, 1970 Spielberger, C. D. 1970. “Anxiety as an emotional state”. In Anxiety: Current trends in theory and research, Edited by: Spielberger, C. New York: Academic.  [Google Scholar], 2005 Spielberger, C. D. 2005. State–Trait Anxiety Inventory for adults, Redwood City, CA: Mind Garden.  [Google Scholar]), and the MMPI. TCSs displayed higher rates on all psychopathology scales studied compared to controls, but the majority of the patients' scores were within the “normal range,” indicating rather mild psychological distress. TCSs' MMPI profiles showed higher rates on Scales 1, 3, 6, and 9 compared to controls; and within the TCSs sample, symptoms of depression were most closely associated with Scales 3 and 5. Similarly, anxiety symptoms were mainly associated with Scale 3. These findings indicate that TCSs present mild symptoms of psychological distress, mainly anxiety and depressive symptoms, suggesting that careful assessment and consultation in TC patients is essential to help them deal with distress after treatment and to minimize possible risk factors.     

Assessing Preferences Among Behavioral Interventions With Japanese Parents of Children With Developmental Disabilities

As the cultural dynamic continues to become increasingly complex, it is critical to assess cultural factors that influence practice. The present study considers the treatment preferences of Japanese mothers of children with developmental disabilities. After answering demographic questions, each participant was given four scenarios and asked how they would respond by choosing one of four interventions (differential reinforcement, ignoring, reprimanding, and time-out). Overall, we found that parents preferred differential reinforcement strategies the most. Moreover, parents who reported that their children had a history of involvement with applied behavior analysis were especially likely to choose differential reinforcement. Implications for future research and practice are provided.     

Self-Confrontation and Confrontation With Another as Determinants of Long-Term Value Change1

An experiment was carried out to determine whether attempts to change values would be less successful under conditions of confrontation with a significant other than under conditions of private self-confrontation. Rokeach's value change procedure was used to induce self-dissatisfaction in two experimcntal groups, one under anonymous conditions and the other under non-anonymous, face-to-face interaction with the experimenter. The rcsults confirm previously reported findings that significant long-term changes in values can be brought about by inducing feelings of self-dissatisfaction about contradictions within one's value-attitude system. The findings also showed that changes in equality and freedom 8 to 9 weeks after the experiment were equally great under both anonymous and non-anonymous conditions compared with a control condition. The results are discussed especially in relation to their practical implications for psychotherapy.     

Parents as Social Skills Trainers and Evaluators of Children

This study evaluated the effects of a 4-week group parent training program on parents' conceptual knowledge regarding social skills and perceptions of their children's social competence and psychosocial adjustment. It also examined the concordance prior to parent training between the parent measures and independent sociometric measures of children's acceptance by peers. Participants were 79 normal children enrolled in second grade and 45 parents. A group pretest-posttest design compared experimental and wait-list control parent groups before and after parent training for the experimental group. Parent training produced a significant effect in parents' conceptual knowledge and perceptions of children's social skills over time, and follow-up assessment 6 weeks later suggested maintenance of training effects. Psychosocial adjustment levels were within the normal range before and after treatment. Correlational analyses between parent measures and peer acceptance ratings indicated significant positive relationships between parents' and peers' perceptions on most measures. The findings support the potential value of parents as trainers and evaluators in programs to enhance children's social skills.     

Psychosocial Distress and Knowledge Deficiencies in Parents of Children in Ireland Who Carry an Altered Cystic Fibrosis Gene

Significant gaps have been identified in parental understanding of CF newborn screening and the consequences of carrying an altered CF gene. Seven potential causes of psychosocial adversity arising from false positive newborn screening for CF have been identified. The current study aimed to increase parents understanding of CF, reduce their levels of stress, and investigate psychosocial adversity arising from false-positive screening. This national study was run over one year in the Republic of Ireland. Parents were recruited for the study following a diagnostic sweat test confirming their child carried a single altered CF gene. Parents were randomly assigned into a control and intervention group, with those in the intervention group receiving a carefully designed information pack. All parents took part in semi-structured interviews. Parents (n = 16) who received an information pack had significantly higher CF knowledge scores than parents (n = 16) in the control group. 66% of parents in the control group misunderstood the health implications of carrying an altered CF gene, no parents in the intervention group had the same misunderstanding. There was no significant difference in stress scores between the groups. Parents of infants who had more than one sweat test due to insufficient sweat quantity had higher overall stress percentiles (50%), than parents of infants who had one sweat test (30%), indicating greater parental stress. The combination of written and audio-visual information contained in the information pack successfully increased parents comprehension of CF. The study also evaluates the potential for psychosocial adversity following false positive newborn screening for CF.     

The Role of Contextual Threat in Predicting Self-Reported Distress among Siblings of Children with Cancer

Each year, 14,000 children are diagnosed with cancer in the United States. Prolonged, intensive treatment regimens disrupt the entire family system, but effects on siblings are poorly understood. In this preliminary investigation, we employed a risk and resistance framework to study adjustment among 30 siblings (aged 10–17) of children undergoing cancer treatment. We examined whether or not objective stress associated with the cancer experience (contextual threat) predicted sibling distress and explored demographic and disease-related predictors of sibling adjustment. Contextual threat was positively associated with sibling-reported distress, independent of sibling age, gender, birth order relative to the child with cancer, and cancer treatment intensity. From among the demographic and disease-related factors, only younger birth order relative to the child with cancer was independently associated with sibling distress. These results suggest that a subset of siblings may be at increased risk for elevated distress in the face of their brother’s or sister’s illness.     

The Distress of Citizen-Children with Detained and Deported Parents

In immigration enforcement, many undocumented immigrants with children are often detained and deported. But it is their US-born citizen-children that have been overlooked in immigration debates and enforcement policies and practices. Citizen-children are at risk for negative psychological outcomes when families are fractured and destabilized by arrest, detention, and deportation. The children risk being torn from their parents and, often, their undocumented siblings. To add to the small but growing empirical base on the effects of living under the threat of deportation and actual deportation of parents, we compared the psychological status of three groups of citizen-children: (1) a group living in Mexico with their deported parents; (2) a group in the US with parents affected by detention or deportation; and (3) a comparison group of citizen-children whose undocumented parents were not affected by detention or deportation. We compared children on self-report and parent-report measures of behavioral adjustment, depression, anxiety, and self-concept. Across the three groups we found elevated levels of distress, and differences between children who had experienced a parent’s detention or deportation and those who had not. We discuss findings in the context of children’s clinical needs, future research, and implications for immigration enforcement policy and practices.     

Sixteen-Session Group Treatment for Children and Adolescents With Parental Alienation and Their Parents

This study reports the findings of a 16-session parallel group therapy program for 22 children with parental alienation and their parents. The children's level of anxiety and depression decreased significantly following the therapeutic intervention. Families who had participated in the treatment protocol were found to have improved practical parameters of parental collaboration 12 months following the completion of treatment than a control group of families with parental alienation treated with standard community treatment. Parental object relation scores were negatively correlated with children's level of anxiety and depression at pretreatment and with the decrease in anxiety and depression level along the treatment.     

Fear of Hypoglycemia in Parents of Young Children with Type 1 Diabetes Mellitus

The current study examined fear of hypoglycemia in 81 mothers and 64 fathers of young children with type 1 diabetes (T1DM) using the Hypoglycemia Fear Survey-Parents of Young Children (HFS-P-YC possible range = 26–130). Mothers and fathers completed the HFS-P-YC at enrollment and mothers completed it 2 weeks later. Families recorded daily blood glucose on a standardized meter for 2 weeks. Mothers’ mean total HFS-P-YC score was 75.0 (SD = 17.2) and fathers’ mean score was 66.5 (SD = 18.0). Mothers reported greater HFS-P-YC total and behavior subscale scores than fathers. Mothers’ HFS-P-YC scores were comparable to published HFS scores for mothers of preadolescents with T1DM and higher than adult patients with T1DM. The HFS-P-YC had good internal consistency and test–retest reliability in this sample. These findings suggest parents of young children with T1DM report a high level of fear of hypoglycemia. Additionally, the HFS-P-YC appears to be a reliable measure in this population.     

Children of Lesbian and Gay Parents

ABSTRACT— Does parental sexual orientation affect child development, and if so, how? Studies using convenience samples, studies using samples drawn from known populations, and studies based on samples that are representative of larger populations all converge on similar conclusions. More than two decades of research has failed to reveal important differences in the adjustment or development of children or adolescents reared by same-sex couples compared to those reared by other-sex couples. Results of the research suggest that qualities of family relationships are more tightly linked with child outcomes than is parental sexual orientation.     

Counseling the Children of Handicapped Parents

The children of the handicapped frequently need counseling to help them cope with the consequences of their parents' handicaps. Parental handicaps typically lead to modifications in parenting behavior and family structure that may be perceived as deficiencies. Kennedy and Bush discuss the child's reaction to parental handicap in the context of object loss and attachment. Evidence suggests that the children of the handicapped are overrepresented among those who are in some way maladjusted or in need of counseling. This article focuses on multiple sclerosis in parents, including its impact on children, suggested interventions, and a case study.     

Development of the Connectedness to Treatment Setting Scale for Children with Cancer and Their Parents

Treatment for pediatric cancer requires periodic and long hospital admissions. The intensity and frequency of the interactions taking place in the treatment setting indicate that this is a context to which children and their families can feel connected. This study’s main goal was to develop the Connectedness to Treatment Setting Scale (CTSS-Pediatric Cancer), a 10-item scale assessing children’s and parents’ connectedness to the health setting where children receive cancer treatment. Participants were 128 dyads of children receiving treatment at two Portuguese public hospitals and their parents. Two exploratory factor analyses with children’s and parents’ data separately and a dyadic confirmatory factor analysis with the whole sample supported a second-order factorial structure of the CTSS-Pediatric Cancer, where three dimensions (Sense of Belonging, Comfort and Emotional Care) loaded onto a total score of connectedness. Findings suggest that the CTSS-Pediatric Cancer is a valid and useful assessment measure.     

A Program for Training Teachers as Counselors of Parents of Children with Disabilities

The author presents a four-session, in-service training program in which a counselor serves as facilitator. The focus of the program is training teachers to work more effectively with parents of children with disabilities through the integration of counseling theory and special education practice.     

Adult Children of Alcoholics and Psychological Distress

In this study, the author investigated the relationship between parental alcoholism and psychological distress and the mediating effects of social support and hardiness. The sample (N = 228 college students) consisted of n = 62 adult children of alcoholics (ACAs) and n = 166 non-ACAs. Data analysis indicated that parental alcoholism was positively related to psychological distress. Consistent with expectations, higher levels of social support and hardiness were associated with lower levels of psychological distress. No mediating effects of social support and hardiness, however, were found. Implications for current theories and therapeutic approaches that regard ACAs as being at increased risk for psychological distress are discussed.