Speech pathology student clinician attitudes and beliefs towards people who stutter: A mixed-method pilot study

PurposeStuttering is a disorder of fluency that extends beyond its physical nature and has social, emotional and vocational impacts. Research shows that individuals often exhibit negative attitudes towards people who stutter; however, there is limited research on the attitudes and beliefs of speech pathology students towards people who stutter in Australia. Existing research is predominantly quantitative; whereas this mixed-method study placed an emphasis on the qualitative component. The purpose of this study was to explore the attitudes and beliefs of final year Australian speech pathology students towards people who stutter.MethodsThis mixed-method study applied the Public Opinion Survey of Human Attributes – Stuttering (POSHA-S) and semi-structured interviews to gather data from final year speech pathology students from a major university in Australia.Principal resultsThe overall qualitative findings identified that final year Australian speech pathology students exhibit positive attitudes towards people who stutter. The results also illustrated the role of education in influencing attitudes of students as well as increasing their confidence to work with people who stutter.Major conclusionThis research revealed that Australian final year speech pathology students exhibit positive attitudes towards people who stutter. They displayed an understanding that people who stutter may have acquired traits such as shyness as a response to their personal situation and environment, rather than those traits being endemic to them. Results also suggested that education can play a role in creating confident student clinicians in their transition to practice, and positively influence their attitudes and beliefs.     

Children and adolescents who stutter: Further investigation of anxiety

PurposeDespite the greatly increased risk of social anxiety disorder in adults who stutter, there is no clear indication of the time of onset of this disorder in childhood and adolescence. The purpose of this study was to explore this issue further using the Revised Children's Manifest Anxiety Scale (RCMAS), so that appropriate interventions can be developed prior to adulthood. This is the first time the RCMAS has been completed by children younger than 11 years. Using the same test for both school-age children and adolescents can potentially identify when anxiety starts to develop from age 6 years through to adulthood.MethodsThe RCMAS was administered to 18 school-age boys, five school-age girls, 41 adolescent boys and nine adolescent girls who were seeking treatment for their stuttering. Participants also rated the severity of their own stuttering.ResultsAll mean scaled scores on the four RCMAS subscales and Total Anxiety scores were within normal limits. However, for both groups of boys, scores on the Lie Scale were significantly higher than scores on the other three subscales.ConclusionsExperts suggest high scores on the RCMAS Lie Scale are indicative of participants attempting to present themselves in a positive light and so cast doubt on the veracity of their other responses on the test. One interpretation, then, is that the boys were concealing true levels of anxiety about their stuttering. The results suggest why findings of anxiety studies in children and adolescents to date are equivocal. Clinical implications are discussed.Educational objectives: The reader will be able to: (a) discuss why understanding when anxiety starts in people who stutter is important, (b) describe the function of the RCMAS Lie sub scale and (c) summarize the possible implications of the RCMAS findings in this study.     

Perspectives of stuttering treatment: Children,adolescents, and parents

PurposeResearchers investigated whether children who stutter (CWS), adolescents who stutter (ADWS), and their parents preferred treatment focused on changing speech or communicating regardless of stuttering.MethodsTwenty-four parents and their CWS (n = 11, ages 8;0–12;11) or ADWS (n = 13, ages 13;0–17;11) answered questions about their preferences for stuttering treatment via an internet-based survey; an additional 11 surveys were filled in only by parents without responses by their child/adolescent. The researchers compared responses of the parents and their children, as well as between the two age groups and years in treatment (less than five years versus five or more years).ResultsViews tended to be mixed without any clear trends based on age. Just over half of the CWS, ADWS, and parents of CWS indicated a general tendency for therapy satisfaction; however, less years of treatment were associated with more satisfaction. When presented with a specific scenario, a higher proportion of parents expressed focus on their child saying what they want to say, regardless of stuttering. Otherwise, preferences were mixed on therapy goals of speaking freely vs. speaking more fluently.ConclusionsPreferences for treatment goals do not predictably vary based on age or years in treatment; given the small sample size, these findings should be considered with caution. Given the variability in responses, it is evident that stuttering treatment for school-age children and adolescents should be individualized. These results also emphasize the importance of communication, education, and applying a person-centered approach when providing stuttering intervention to children, adolescents, and their parents.     

Negative Affect in Victimized Children: The Roles of Social Withdrawal, Peer Rejection, and Attitudes Toward Bullying

This study evaluated the validity of mediating pathways in predicting self-assessed negative affect from shyness/social withdrawal, peer rejection, victimization by peers (overt and relational), and the attitude that aggression is legitimate and warranted. Participants were 296 3rd through 5th graders (156 girls, 140 boys) from 10 elementary schools. Self-report measures of victimization, attitudes, and negative affect, and a teacher-report measure of shyness/social withdrawal and peer rejection were completed during the spring semesters of 2 consecutive years. Hierarchical regression analyses supported the mediational model in predicting negative affect at Time 2. However, an increase in negative affect over the 12-month study period was best accounted for by direct effects of increased victimization and changes in attitudes/attributions regarding aggression. Implications for the planning of school interventions designed to interrupt these victimization-maladjustment pathways are discussed.     

Attitudes to doctors and medicine: The preliminary development of a new scale

Abstract

The preliminary development of a new scale to measure attitudes towards medicine and doctors is described. The scale comprises four factors: “positive attitude towards doctors,” “positive attitude towards medicine,” “negative attitude towards doctors,” and “negative attitude towards medicine.” Alpha coefficients for the four scales were satisfactory, ranging from 0.69 to 0.76. Test re-test reliabilities ranged from 0.69 to 0.81. Evidence of criterion-related validity was obtained from comparison of the attitudes of five groups involved in health care: nurses, medical students, patients, and sociologists and psychologists who are teachers in medical schools. Patients and medical students held significantly more positive attitudes towards doctors and medicine that did nurses and behavioural scientists. While nurses were as negative towards doctors as sociologists and psychologists, they were significantly less negative about medicine.     

Examining the Cultural Validity of Fear Survey Schedule for Children: The Contemporary Fears of Turkish Children and Adolescents

The authors examined the cultural validity of Fear Survey Schedule for Children (FSSC-AM) developed by J. J. Burnham (2005) with Turkish children. The relationships between demographic variables and the level of fear were also tested. Three independent data sets were used. The first data set comprised 676 participants (321 women and 355 men) and was used for examining factor structure and internal reliability of FSSC. The second data set comprised 639 participants (321 women and 318 men) and was used for testing internal reliability and to confirm the factor structure of FSCC. The third data set comprised 355 participants (173 women and 182 men) and used for analyses of test–retest reliability, inter-item reliability, and convergent validity for the scores of FSSC. The sum of the first and second samples (1,315 participants; 642 women and 673 men) was used for testing the relationships between demographic variables and the level of fear. Results indicated that FSSC is a valid and reliable instrument to examine Turkish children's and adolescents’ fears between the ages of 8 and 18 years. The younger, female, children of low-income parents reported a higher level of fear. The findings are discussed in light of the existing literature.     

The Self-Perception Profile for Children: further evidence for its factor structure, reliability, and validity

This article presents further evidence for the psychometric qualities of the Self-Perception Profile for Children (SPPC), a widely used questionnaire for assessing self-esteem in youths. The SPPC was administered to a large sample of Dutch school children (N=1143) in order to study its factor structure, reliability (internal consistency and test–retest stability), and validity. Results showed that the hypothesized factor structure of the SPPC representing five specific domains of self-esteem (i.e. scholastic competence, social acceptance, athletic competence, physical appearance, and behavioral conduct) provided a reasonable fit for the data. Furthermore, the reliability of the scale appeared to be satisfactory with good internal consistency and test–retest stability. Finally, evidence was also obtained for the validity of the SPPC. More specifically, the scale correlated in a theoretically meaningful way with child-, parent-, and teacher-reports of psychopathology and personality. Altogether, the current findings confirm the notion that the SPPC is a reliable and valid self-report measure for assessing children's self-esteem.     

The positive eating scale: relationship with objective health parameters and validity in Germany,the USA and India

Objective: The prevailing focus regarding eating behaviour is on restriction, concern, worry and pathology. In contrast, the purpose of the present studies was to focus on a positive relationship with eating in non-clinical samples from Germany, the USA and India.

Design: In Study 1, the Positive Eating Scale (PES) was tested and validated in a large longitudinal sample (T1: N = 772; T2: N = 510). In Study 2, the PES was tested in online samples from the USA, India and Germany (total N = 749).

Main Outcome Measures: Health risk status was measured in Study 1 with objective health parameters (fasting serum glucose, triglycerides, high-density lipoprotein cholesterol, blood pressure, waist circumference, BMI).

Results: Study 1 revealed acceptable psychometric properties of the PES, internal consistency (α = .87), as well as test–retest reliability after six months (r = .67). Importantly, a positive relationship with eating was associated with decreased health risk factors six months later. In Study 2, the structure of the PES was confirmed for German, Indian and US-American adults, suggesting validity across remarkably different eating environments.

Conclusion: A positive relationship with eating might be a fruitful starting point for prevention and intervention programmes promoting physical and psychological health.     

The perception of false self scale for adolescents: Reliability,validity, and longitudinal relationships with depressive and anxious symptoms

A scale assessing generalized false self‐perceptions (Perceptions of False Self, POFS) was developed and tested across three studies involving a total of 331 adolescents (11–16 years). In Study 1, interviews were conducted to develop items for the scale. In Study 2, psychometric techniques were used to derive a scale composed of 16 items. Study 2 also assessed the validity of the scale: depressive symptoms were found to increase POFS across 10 weeks, whereas false self‐perceptions had a reciprocal effect on anxiety. In Study 3, the convergent validity of the POFS scale was established. Overall, the evidence suggests that the POFS scale is a reliable and valid measure of generalized false self‐perceptions.     

Moral disengagement mechanisms in interactions of human drivers with autonomous vehicles: Validation of a new scale and relevance with personality,driving style and attitudes

The introduction of autonomous vehicles (AVs) in the road transportation systems raises questions with respect to their interactions with human drivers’, especially during the early stages. Issues such as unfamiliarity or false assumptions regarding the timid and safe behaviour of AVs could potentially result in undesirable human driver behaviours, for instance “testing” AVs or being aggressive towards them. Among other factors, morality has been determined as a source of aggressive driving behaviour. Following previous approaches on moral disengagement, the current paper argues that moral standards during interactions of human drivers with AVs could potentially blur, leading to the disengagement of self-regulation mechanisms of moral behaviour. The study investigates the impact of moral disengagement on the intention of human drivers to be aggressive towards AVs. To that end, an online survey was conducted including a newly developed survey of moral disengagement, adapted to the context of AVs. Moreover, measures of personality, driving style, attitudes towards sharing the road with AVs and perceived threats were collected. A confirmatory factor analysis provided support for the concept of moral disengagement in the context of AVs. Moreover, relationships between personality, driving style and attitudes towards sharing the road with AVs were found, via a structural equation modelling approach (SEM). The results could have implications in the future driver training and education programmes, as it might be necessary to not only focus on driving skills but also on the development of procedural skills that will improve the understanding of AVs’ capabilities and ensure safer interactions. Efforts on improving attitudes towards AVs may also be necessary for improving human driver behaviour.     

The Questionnaire for Eudaimonic Well-Being: Psychometric properties,demographic comparisons,and evidence of validity

The Questionnaire for Eudaimonic Well-Being (QEWB) was developed to measure well-being in a manner consistent with how it is conceptualized in eudaimonist philosophy. Aspects of eudaimonic well-being assessed by the QEWB include self-discovery, perceived development of one's best potentials, a sense of purpose and meaning in life, intense involvement in activities, investment of significant effort, and enjoyment of activities as personally expressive. The QEWB was administered to two large, ethnically diverse samples of college students drawn from multiple sites across the United States. A three-part evaluation of the instrument was conducted: (1) evaluating psychometric properties, (2) comparing QEWB scores across gender, age, ethnicity, family income, and family structure, and (3) assessing the convergent, discriminant, construct, and incremental validity of the QEWB. Six hypotheses relating QEWB scores to identity formation, personality traits, and positive and negative psychological functioning were evaluated. The internal consistency of the scale was high and results of independent CFAs indicated that the QEWB items patterned onto a common factor. The distribution of scores approximated a normal curve. Demographic variables were found to predict only small proportions of QEWB score variability. Support for the hypotheses tested provides evidence for the validity of the QEWB as an instrument for assessing eudaimonic well-being. Implications for theory and future research directions are discussed.     

Reliability and validity of measures of anger/hostility in singapore: Cook & Medley Ho Scale, STAXI and Buss-Durkee hostility inventory

As part of a larger research programme concerned with the role of anger/hostility in heart disease in Singapore, three commonly used measures of anger/hostility (Cook & Medley Ho Scale, STAXI, Buss-Durkee Hostility Inventory) were examined for reliability and validity in an Asian population. A total of 968 Singaporean Chinese, Malay and Indian respondents completed one or more of these measures together with measures of symptom and illness experience. In addition, blood pressure and heart rate measures were taken for 201 respondents. Overall, the Ho and STAXI measures had reasonably high internal consistency and test-retest reliability. Internal consistency and test-retest reliability for the Buss Durkee measure were high for the total score but variable for the component scales. Correlation and regression showed that the Ho and STAXI appeared to be tapping a common core of variance, which can be characterized as trait anger. Correlations of the Ho and STAXI with health measures produced modest but statistically significant correlations for measures of symptom and illness experience and generally low and non-significant correlations for heart rate and blood pressure.     

Determinants of pro‐environmental consumption intention in rural China: The role of traditional cultures,personal attitudes and reference groups

This study aimed to identify social‐psychological predictors of pro‐environmental consumption intention in rural China. To this end, a proposed conceptual model was tested by analyzing the survey data derived from 972 rural respondents in Jiangxi province in south‐eastern China. Results showed that the endorsement of traditional cultures (man–nature orientation and collectivism) was linked with pro‐environmental consumption behaviuor, but was mediated by intentions. Personal attitudes (environmental cognition and environmental affect) and reference groups influenced both intention and behaviour. The results also provided good evidence of the intention–behaviour relationship. These findings provided a better understanding of the process in which Chinese rural residents developed their pro‐environmental consumption behaviours.     

Predicting Prosocial Behavior Toward Sex-Trafficked Persons: The Roles of Empathy,Belief in a Just World,and Attitudes Toward Prostitution

Human trafficking has been identified as a global human rights violation. This study aimed to investigate the predictors of prosocial behaviors toward sex-trafficked persons. Participants were 223 undergraduates randomly assigned to read a vignette and answer follow-up questions along with measures of empathy, just world belief, attitudes toward prostitution, and proactive behavior. Empathy was highest for trafficked women, regardless of citizenship status. Trafficked foreign women received the highest empathy, and U.S. prostitutes received the least. Path analysis results indicate just world belief, beliefs about prostitutes, and family values relating to prostitution had direct effects on empathic concern; in turn, empathic concern had a direct effect on proactive behavior. Explanations for the results are discussed, along with educational and clinical implications.     

The trials of childhood: The development,reliability, and validity of the daily life stressors scale

The assessment of daily life stress in youngsters is receiving extensive research attention due to its pertinence to psychological and medical problems. This investigation addressed concerns from previous studies of daily life stress in children and adolescents. These included an integration with ratings of negative affectivity, exploration of developmental changes, and presentation of psychometric data. The Daily Life Stressors Scale (DLSS) is a 30-item measure designed to assess the severity of aversive feelings and everday events for youngsters. Three groups of children and adolescents were evaluated to assess the scale's test-retest reliability and construct and concurrent validity. Developmental changes in a normative group were also examined. Results indicated the DLSS to be moderately reliable and valid for children. Also, male children reported more stress than female children, whereas female adolescents reported more stress than male adolescents. Results were discussed with respect to resilience, gender role stress, therapy implications, and usefulness for determining precursors to physiological problems.     

Turkish College Students' Attitudes Toward Women Managers: The Effects of Patriarchy,Sexism, and Gender Differences

The authors examined how patriarchy, sexism, and gender influence Turkish college students' attitudes toward women managers. Turkish undergraduate students (N = 183) from Middle East Technical University completed questionnaires measuring attitudes toward women managers as well as attitudes toward the concepts of hostile and benevolent sexism and support for patriarchy. Participants were of upper- or middle-class Turkish backgrounds. The results showed that male participants exhibited less positive attitudes toward women managers than did female participants. In addition, participants who held more favorable attitudes toward patriarchy and who scored high on hostile sexism also held less positive attitudes toward women managers than those who held less favorable attitudes toward patriarchy and who scored low on hostile sexism. A regression analysis showed that support for patriarchy and hostile sexism was more important for explaining less favorable attitudes toward women managers than was benevolent sexism.     

Attitudes towards obesity in the Swedish general population: The role of one's own body size,weight satisfaction,and controllability beliefs about obesity

This study examined the associations of different socio-demographic and psychological factors with attitudes towards obesity. Individuals with different weight status (N = 2436) were drawn from an annual population-based survey in Sweden, and data on attitudes towards obesity (ATOP) and predictor variables were assessed in 2008. The strongest predictor of ATOP was controllability beliefs about obesity (β = 0.83). Thus, greater controllability beliefs about obesity predicted more negative attitudes. Sex and weight satisfaction were also independently associated with ATOP. However, there was no, or only a weak, association between weight satisfaction and ATOP among individuals with normal weight or overweight. And the higher the weight satisfactions of individuals with obesity, the more positive were their attitudes. It seems that stigma-reduction strategies in the general public should address the uncontrollable factors in the aetiology of obesity. However, more research is needed to understand the underlying causes of people's attitudes towards obesity.     

The Skin Picking Impact Scale: Factor structure,validity and development of a short version

In the present study, we examined the psychometric properties of the Skin Picking Impact Scale (SPIS; Keuthen, Deckersbach, Wilhelm et al., 2001), a 10 item self‐report questionnaire designed to assess the psychosocial impact of skin picking disorder (SPD). Participants were 650 individuals who met criteria for SPD in an online survey. Exploratory and confirmatory factor analyses demonstrated a unitary factor structure with high internal consistency (α = 0.94). Consequently, we constructed an abbreviated 4‐item version that retained good internal consistency (α = 0.87) and a robust factor structure. Both the short and the full versions demonstrated discriminant and convergent/concurrent validity. In conclusion, the findings indicate that both versions are psychometrically sound measures of SPD related psychosocial impact; however, some potential limitations of the full scale are discussed.