The Treatment of Children Impacted by the World Trade Center Attack

Abstract

This article presents, from a developmental perspective, the authors' experiences treating children and families who were traumatized by and who lost relatives in the World Trade Center attack. The treatments took place within the Trauma Treatment Development Center, National Child Traumatic Stress Network (NCTSN) of the Division of Child and Adolescent Psychiatry, North Shore University Hospital, Manhasset, New York, of the North Shore-Long Island Jewish Health System. Case vignettes address treatments for toddlers, preschool, and school-age children and adolescents. Family, individual cognitive-behavioral, school, social, and parenting treatment strategies utilized are discussed.     

Increased anxiety and depression among collegiate athletes with comorbid ADHD and history of concussion

BackgroundAttention Deficit Hyperactivity Disorder (ADHD) is prevalent among student-athletes when compared to the general population. Mental health disruptions (i.e., depression or anxiety) are common among student-athletes, and risk of experiencing depressive and anxious symptoms may be even greater among student-athletes that have incurred concussion.ObjectiveTo examine the influence of pre-existing ADHD and history of concussion on mental health in collegiate student-athletes.DesignRetrospective cross-sectional study.SettingNational Collegiate Athletic Association Division-I (NCAA) athletics.PatientsBetween 2010 and 2017, student-athletes at a Southeastern NCAA Division-I institution were surveyed as part of a Performance, Health, and Wellness Program. Analyses were conducted using a sample of 324 student athletes (212 female) with either a prior diagnosis of ADHD, a prior history of a sport-related concussion, both prior diagnosis of ADHD and a history of sport-related concussion, or neither (controls).Main outcome measure(s)Symptomatology associated with ADHD was characterized using the Behavior Assessment System for Children Self-Report of Personality College Version. The State-Trait Anxiety Inventory and the Center of Epidemiological Studies-Depression Scale examined anxious and depressive symptomatology.ResultsStudent-athletes with ADHD and a history of concussion had 16.4 times greater odds of exhibiting clinically significant symptoms of state anxiety and 7.9 times greater odds of exhibiting clinically significant symptoms of depression, relative to control student-athletes. Every participant with both a diagnosis of ADHD and a history of concussion exhibited clinically significant attentional problems.ConclusionsHaving both ADHD and a history of concussion may have a synergistic effect on mental health beyond that of ADHD and/or concussion alone. Additional longitudinal research is necessary to verify current findings. However, athletic trainers and other health care professionals are encouraged to be mindful of student-athletes with ADHD, as they may be more vulnerable to experiencing symptoms of depression and state anxiety with elevated inattentive behaviors following a concussion.     

Supporting the spiritual needs of people with dementia in residential aged care

ABSTRACT

Objective: To describe how an Australian age care provider, BaptistCare NSW & ACT, has embraced the National Guidelines for Spiritual Care in Aged Care for people with dementia.

Method: A 12-month study was conducted in 19 Baptistcare residential homes, including 14 dementia units. Data were obtained from selected items of the Person-Centred Environment and Care Assessment Tool using interviews, observation, and document review.

Results: The person-centred approach was instituted in adhering to the Guidelines for people with dementia. Conclusion: The person-centred approach assists in actioning the Guidelines for people with dementia.     

Relationship of fundamental movement skills and physical activity in children and adolescents: A systematic review

ObjectivesThis systematic review provides an overview of research elucidating the relationship between fundamental movement skills (FMS) and physical activity (PA) in children and adolescents.DesignSystematic review.MethodProspective studies were identified from searches in Cochrane Library, BioMed Central, Education Resources Information Center (ERIC), PubMed, Scirus and SciVerse Science Direct from 2000 through 2013. We screened the titles and abstracts for eligibility, rated the methodological quality of the studies, and extracted data.ResultsWe identified 23 studies meeting our relevancy criteria. The quality score of the studies ranged from 44% to 89%. Overall relationships between FMS and PA or relationships specific for gender and skill were identified in several studies. The variety of methods for assessing PA and FMS make the comparison of study results difficult. We found strong evidence from cross-sectional studies for a positive relationship between FMS and organized physical activities. Motor skill competency was only of low predictive value for the physical activity level in adults.ConclusionsThe results of this review suggest that a cause–effect relationship between FMS and PA is suspected but has not been demonstrated yet. The identification of a causal relationship appears very important to ensure feasibility of practical implementation. This could provide aids for decision making for teachers and coaches, but also for therapists' decision guidance to create training, lessons and therapy adequate to the target group.     

IQ and Scores on the Mini-Mental State Examination (MMSE): Controlling for Effort and Education Among Geriatric Inpatients

ABSTRACT

The Mini-Mental State Examination (MMSE) and the Peabody Picture Vocabulary Test, Third Edition (PPVT-III) were administered to 76 Extended Care Center inpatients of a Veterans Affairs Medical Center, 56 of whom did not carry a diagnosis associated with brain impairment, and 20 of whom had a diagnosis associated with degenerative or cerebrovascular conditions. MMSE and PPVT-III scores, the latter of which estimates verbal IQ, were significantly correlated in both groups, even when controlling for the effects of education. This correlation was attenuated, but remained significant, in the face of varying levels of patient effort. The findings of this study support earlier findings, which also suggest that interpretation of “impaired” performance on the MMSE for those with IQ scores below 90 should be interpreted with caution. Average MMSE scores for Wechsler IQ classifications are provided.     

Getting a New Lease on Life

Abstract

A significant number of marriages today arc interchurch, that is, marriages in which each spouse belongs to a different Christian church or denomination. The limited research on interchurch couples suggests that they are more at risk for divorce than same-church couples. A qualitative study and a national telephone survey were conducted by the Center for Marriage and Family at Creighton University to better understand interchurch marriages. Based on findings from these studies, clinical implications for premarital counseling with interchurch couples are presented. The findings suggest not only how to work with interchurch couples, but how religion can potentially impact all couples regardless of their denominational affiliation.     

The effectiveness of cognitive behavioral group intervention on depression and anxiety in patients with type II diabetes

IntroductionDepression and anxiety are important risk factors for diabetes and high blood pressure.ObjectiveThis study investigated the effectiveness of the Cognitive-Behavioral Group Intervention for Diabetes Disease (CBGI-DD) in reducing depression and anxiety in female patients with type 2 diabetes (T2D).MethodThe CBGI-DD program includes 12 weekly 2.5 h sessions, spread weekly over the course of 3 months. The present study was semi-experimental and controlled, with assessments at pre-test and post-test. It included diagnostic criteria for the diagnosis of T2D in the patient's medical records by a diabetes specialist. Participants (62 female volunteers aged 25 to 75 years) were randomly allocated to a control or test group. Both groups responded to the Second edition of the Beck Depression Inventory (BDI-II) and the Beck Anxiety Inventory (BAI) before (pretest) and immediately after the intervention (posttest). Participants in the test group received CBGI-DD (from April up to the end of September 2018) at Mashhad Diabetes Center. The control group received only medical care during this period.ResultsAn analysis of covariance showed that compared to the control group, the test group had a significant reduction in anxiety and depression from pre-test to post-test (p < 0.05). It was compared post-test scores between the two groups, controlling for pre-test scores.ConclusionThe CBGI-DD program seems to be effective in reducing anxiety and depression in female patients with T2D. However, further research exploring the potential for long-term improvements in depression and anxiety is needed.     

Current State of Foreign Language Instruction in U.S. K-12 Christian Schools

Abstract

This study surveyed heads of schools of U.S. K-12 Christian Schools concerning foreign language instruction in the 2016–2017 school year. The purpose was to determine 1) the number of schools that offered foreign language instruction, 2) the languages those schools offered, 3) the grade levels in the elementary and middle schools in which languages were offered, 4) the language course levels offered in high schools, and 5) whether the foreign language curriculum was sequenced between elementary and middle school, and between middle and high school. The results of the present study were compared with the results from a similar study done by the Center for Applied Linguistics (CAL) of foreign languages offered in K-12 schools nationwide.     

Teaching ethics in engineering and computer science: A panel discussion

At a conference, two engineering professors and a philosophy professor discussed the teaching of ethics in engineering and computer science. The panelists considered the integration of material on ethics into technical courses, the role of ethical theory in teaching applied ethics, the relationship between cases and codes of ethics, the enlisting of support of engineering faculty, the background needed to teach ethics, and the assessment of student outcomes. Several audience members contributed comments, particularly on teaching ethical theory and on student assessment. This panel discussion took place at a mini-conference, Practicing and Teaching Ethics in Engineering and Computing, held during the Sixth Annual Meeting of the Association for Practical and Professional Ethics, Washington, D.C., March 8–9, 1997. Biographical information on panelists: Charles Glagola is an assistant professor of civil engineering at the University of Florida. He is a registered professional engineer in the states of Florida and Alabama. Before coming to academia, he had extensive industry experience culminating with his owning and operating a construction and engineering firm in Pensacola, Florida. He currently teaches engineering ethics as part of a professional issues course in the Department of Civil Engineering, and a one-hour engineering ethics course that is offered to all engineering students through the College of Engineering. Moshe Kam is professor of electrical and computer engineering at Drexel University. He heads Drexel’s Data Fusion Laboratory which specializes in multisensor systems and robot navigation. His professional interests include detection and estimation, distributed decision making, forensic applications of image processing, and engineering ethics. Michael Loui is professor of electrical and computer engineering and associate dean of the Graduate College at the University of Illinois at Urbana-Champaign. From 1990 to 1991, he served at the National Science Foundation in Washington, D.C. His scholarly interests include computational complexity theory, theory of parallel and distributed computation, fault-tolerant software, and professional ethics. Caroline Whitbeck is a philosopher of science, technology and medicine and is the Elmer G. Beamer-Hubert H. Shneider Professor in Ethics at Case-Western Reserve University. She also directs the WWW Ethics Center for Engineering & Science— http://ethics.cwru.edu— under a grant from the National Science Foundation. The focus of her current work is practical ethics, especially ethics in scholarly and scientific research. Her book, Ethics in Engineering Practice and Research, will appear from Cambridge University Press in winter 1997–98.     

Fears during the Covid-19 pandemics and their influence on physical health: A cross-sectional study on the general population in Spain

Background/objectiveThis study examines the paths through which Covid-19 can negatively impact health and lead to somatic symptoms. Based on the dual process theory, fears can impair health in two ways: through psychological distress, which is an automatic reaction to fear, and through a more conscious and deliberative rumination process.MethodData from a representative sample of the Spanish population (N = 3083 subjects,18 years or older) were obtained from a Survey by the Sociological Research Center (CIS). The dual path model was tested, and a longer sequence was included where the two mediators act sequentially to produce an impact on somatic symptoms.ResultsThe results showed how Covid-19 fears translate into somatic problems. Beyond the direct relations, and after comparing with other possible alternative models, our findings support a process where rumination mediates between fears and psychological distress, and psychological distress in turn leads to somatic problems.ConclusionsThis process reveals a plausible mechanism that explains the somatization of health problems during the Covid-19 pandemic, and it provides theoretical and practical inputs to better understand the role of fears in health in crisis contexts.     

Direct and interactive effects of parent,friend and schoolmate drinking on alcohol use trajectories

Objective: This study considered the unique and interactive roles of social norms from parents, friends and schools in predicting developmental trajectories of adolescent drinking and intoxication.

Design and outcome measures: Using data from the National Longitudinal Study of Adolescent Health, which followed adolescents (N = 18,921) for 13 years, we used discrete mixture modelling to identify unique developmental trajectories of drinking and of intoxication. Next, multilevel multinomial regression models examined the role of alcohol-related social norms from parents, friends and schoolmates in the prediction of youths’ trajectory group membership.

Results: Results demonstrated that social norms from parents, friends and schoolmates that were favourable towards alcohol use uniquely predicted drinking and intoxication trajectory group membership. Interactions between social norms revealed that schoolmate drinking played an important moderating role, frequently augmenting social norms from parents and friends. The current findings suggest that social norms from multiple sources (parents, friends and schools) work both independently and interactively to predict longitudinal trajectories of adolescent alcohol use.

Conclusions: Results highlight the need to identify and understand social messages from multiple developmental contexts in efforts to reduce adolescent alcohol consumption and alcohol-related risk-taking.     

Meaning in Long Term Care Settings: Victor Frankl's Contribution to Gerontology

Summary

This is a discussion of urban and rural congregations and communities in service to older persons. Emphasis is on the elderly in an urban Shepherd Center and a rural life center.     

‘All over the world Jehovah's Witnesses are the touchstone for the existence of true democracy’: Persecution of a religious minority in the German Democratic Republic ∗

Land of Crosses: the Struggle for Religious Freedom in Lithuania, 1939–1978 by Michael Bourdeaux, Augustine Publishing Company, Chulmleigh, Devon, 1977, xx + 339 pp., £3.00. (Keston Book No. 12).

The Catholic Church, Dissent and Nationality in Soviet Lithuania. by V. Stanley Vardys, East European Quarterly, Boulder, distributed by Columbia University Press, New York, 1978 xiii + 336 pp., $22.50.

Muslim National Communism in the Soviet Union: a Revolutionary Strategy for the Colonial World. by Alexandre A. Bennigsen and S. Enders Wimbush,

Center for Middle Eastern Studies, Publication No. 11, University of Chicago Press, Chicago and London, 1979, xxii + 267 pp., $7.95.

The Unknown Homeland translated by Marite Sapiets, Mowbrays, London and Oxford, 1978, vii + 247 pp., £4.95 (Keston Book No. 13)

Detente and Papal‐Communist Relations, 1962–1978 by Dennis J. Dunn, Westview Press, Boulder, Colorado, 1979, 216 pp., £12.15.     

Planning and Implementing a Statewide Collaborative Gerontology Education Program for Religious Professionals in Rural Areas

ABSTRACT

This paper describes a gerontology continuing education program for clergy and lay leaders in West Virginia. Though spearheaded by the West Virginia University Gerontology Center, the project was a collaboration between university, social service and church agencies. Issues related to collaborative planning, both negative and positive, are discussed.     

Stuttering,alcohol consumption and smoking

PurposeLimited research has been published regarding the association between stuttering and substance use. An earlier study provided no evidence for such an association, but the authors called for further research to be conducted using a community sample. The present study used data from a community sample to investigate whether an association between stuttering and alcohol consumption or regular smoking exists in late adolescence and adulthood.MethodsRegression analyses were carried out on data from a birth cohort study, the National Child Development Study (NCDS), whose initial cohort included 18,558 participants who have since been followed up until age 55. In the analyses, the main predictor variable was parent-reported stuttering at age 16. Parental socio-economic group, cohort member's sex and childhood behavioural problems were also included. The outcome variables related to alcohol consumption and smoking habits at ages 16, 23, 33, 41, 46, 50 and 55.ResultsNo significant association was found between stuttering and alcohol consumption or stuttering and smoking at any of the ages. It was speculated that the absence of significant associations might be due to avoidance of social situations on the part of many of the participants who stutter, or adoption of alternative coping strategies.ConclusionBecause of the association between anxiety and substance use, individuals who stutter and are anxious might be found to drink or smoke excessively, but as a group, people who stutter are not more likely than those who do not to have high levels of consumption of alcohol or nicotine.     

Attitudes and behaviors associated with young drivers’ texting and app use

IntroductionDistracted driving is a major risk factor for motor vehicle crashes, especially for young drivers. This study examines factors that contribute to the exposure of young drivers to distracted driving behaviors.MethodsData from the 2015 National Survey on Distracted Driving Attitudes and Behaviors was used to determine the influence that perceived safety, likelihood to do or say something, social norms, and demographic variables have on self-reported cell phone distracted driving. Our population included 16–24-year old drivers. Dependent variables were texting (reading and sending a text/email) and smartphone app use while driving. Rao-Scott chi-squared tests and multivariate logistic regression models were applied. Sampling weights were applied to create nationally representative estimates and all statistical tests accounted for complex survey design.ResultsAmong young drivers who report cell phone use while driving, 42% reported reading a text, 33% reported sending a text, and 23% reported smartphone app use. Multivariate regression results showed that perceived safety had the strongest association with reporting texting and smartphone app use while driving. In addition, social norms and age-education were significantly associated with reporting sending a text/email and reading a text/email while driving, respectively.ConclusionsThe current study found significant relationships between attitudes and behaviors about cell phone use while driving and self-reported engagement in distracted driving.Practical applicationsInterventions with an emphasis on changing perceived safety and social norms for young drivers could be beneficial for reducing engagement in cell phone use while driving.     

The older American Jewish population: Findings from the Pew study

ABSTRACT

The 2013 Pew Research Center survey of American Jews provided an opportunity to examine trends in identity and identification among older American Jews. By comparing findings from this survey to findings from similar surveys in 1990 and 2000/2001 we were able to examine patterns of continuing integration into the American religious mainstream and away from more traditional religious and ethnic ways of expressing their Jewish identity.     

Assessment of shared decision-making in community mental health care: Validation of the CollaboRATE

Background/ObjectiveCollaboRATE is a 3-item self-report measure of the patient experience of shared decision-making (SDM) process. The objective of this study is to assess the psychometric properties of CollaboRATE in community mental health care.MethodA cross-sectional study was conducted at a Community Mental Health Center of the Canary Islands Health Service. Two hundred and fifty consecutive psychiatric outpatients were invited to participate. Of those, 191 accepted (76.40% of response rate) and completed the CollaboRATE, the Control Preferences Scale (CPS), and a form with sociodemographic and clinical variables.ResultsExploratory factor analysis ratified the unidimensionality of the measure. High internal consistency was found (α Cronbach = .95, Guttman's λ = .93, and ω = .95). Strong positive correlations (p < .0001) were found between the CollaboRATE and the CPS. Only 39.80% of respondents gave the best possible score on CollaboRATE.ConclusionsThis study provides evidence for the reliability and validity of the Spanish version of the CollaboRATE as a measure of SDM. The measure is quick to complete and feasible for use in outpatient mental health care. At present, a significative number of psychiatric outpatients are not involved in SDM. The use of this measure in psychiatric routine care can be a key tool in assessing and implementing SDM.     

Relationships between stuttering,depression, and suicidal ideation in young adults: Accounting for gender differences

PurposeThe purpose of this study was to investigate the relationship between depressive symptoms and suicidal ideation and living with stuttering while accounting for time, sex, and health-related confounders.MethodThe data for this study come from the National Longitudinal Study of Adolescent to Adult Health, a nationally representative survey study that has followed 13,564 respondents over the course of 14 years. Responses to the question “Do you have a problem with stuttering or stammering?” at two time points were used to establish stuttering and non-stuttering groups. Regression analysis, propensity score matching, and structural equation modeling were used.ResultsCompared to their fluent counterparts, males and females reported significantly elevated symptoms of depression. Although symptoms of depression among males who stutter were stable over time, depressive symptoms among females who stutter increased with age. Compared to males who do not stutter, males who stutter were significantly more likely to report feelings of suicidal ideation. There were no differences in suicidal ideation between females who do and do not stutter.ConclusionsSpeech-language pathologists should be aware of the associations between stuttering and depressive symptoms, as well as the increased risk for suicidal ideation among males who stutter. Clinicians should be knowledgeable about symptoms of depression and suicidal ideation and be familiar with processes to refer as needed.