Infants' social withdrawal and parents' mental health

This study examined the association of infants' sustained social withdrawal with parents' self-reported current depressive symptoms and perceived mental health. Two hundred and sixty infants aged 4, 8 and 18 months were examined with the Baby Alarm Distress Scale (ADBB). Parents' depressive symptoms and perceived mental health during the preceding year were elicited through questionnaires. Mother's current depressive symptoms and father's perceived moderate or poor mental health during the preceding year both independently increased the infant's risk of withdrawal. When both parents had mental health problems, the infant was more likely to be withdrawn. Infant's social withdrawal should alert clinicians to examine parental mental health. Also, if the parent has mental health problems, the infant's social behavior and possible withdrawal should be examined. Families where both parents experience poor mental health should be identified, and treated, while the infants of these families in particular seem to be at risk for social withdrawal.     

Prevalence of mental health problems in Australian university health services

General practice patients report greater mental health problems than the general population, and students attending one university health service have reported greater prevalence rates at the end of the academic year. This study assessed the overall prevalence rate of mental health problems in university students using a cross‐sectional survey design of 1,168 students from three large, predominantly urban, Australian university health services. Approximately half of the students attending university health services reported elevated levels of psychological distress. The majority of severely distressed students had not sought any professional assistance for mental health problems. While there is scope for general practitioners to take a lead role in the identification of mental health problems in tertiary students, adequate treatment pathways need to be available. Implications for the role of universities in prevention work are discussed.     

Synchronicity and the meaning-making psyche

This paper contrasts Jung's account of synchronicity as evidence of an objective principle of meaning in Nature with a view that emphasizes human meaning-making. All synchronicities generate indicative signs but only where this becomes a 'living symbol' of a transcendent intentionality at work in a living universe does synchronicity generate the kind of symbolic meaning that led Jung to posit the existence of a Universal Mind. This is regarded as a form of personal, experiential knowledge belonging to the 'imaginal world of meaning' characteristic of the 'primordial mind', as opposed to the 'rational world of knowledge' in which Jung attempted to present his experiences as if they were empirically and publicly verifiable. Whereas rational knowledge depends on a form of meaning in which causal chains and logical links are paramount, imaginal meaning is generated by forms of congruent correspondence-a feature that synchronicity shares with metaphor and symbol-and the creation of narratives by means of retroactive organization of its constituent elements.     

HIV prevention with persons with mental health problems

The HIV seroprevalence rate among persons with mental health problems (PMHP) is substantially higher than that of the general population in the United States. This study examines the efficacy over 12 months of an HIV prevention program with 99 individuals attending outpatient mental health clinics who were randomly assigned to receive either: (a) a seven-session, small-group intervention of Project LIGHT (Living in Good Health Together); or (b) a one-session video intervention. Regression analyses of data from 87% of the sample interviewed at 1-year follow-up revealed that intervention group membership was associated with significantly fewer sexual risk acts. A significant intervention effect for condom use was found for 72% of the sample who were African American, but not for Latino or Caucasian participants. Results from this study suggest that HIV risk reduction groups such as Project LIGHT may have utility in public mental health care settings.     

Early life origins of psychological development and mental health

According to the Developmental Origins of Health and Disease (DOHaD)‐hypothesis, conditions early in life may have life‐long consequences. In a series of epidemiological birth cohort and clinical studies and natural experiments, we have had the chance to test the extent to which this hypothesis is useful in understanding individual differences in psychological development and mental health. Our findings have provided evidence that individual differences in cognitive, social and emotional development and in mental health may lie in early life circumstances, and add significantly to the literature by pointing out which periods of early growth are the most critical. These findings are also important in translating pre‐clinical evidence to humans. What remains less clear, however, is what the mechanisms of programming are. Thus, further research is needed to elucidate these mechanisms before information on the early life origins of health and disease can be used in designing prevention and intervention programs.     

The impact of mental health problems and religiosity on African-American girls' HIV-risk

We investigated the relationship between religiosity, mental health problems, and two sexual risk behaviors-condom use and number of partners. Participants were 80 sexually active African American girls in psychiatric care and their caregivers. Results indicated differential relationships, depending on parent versus youth report. Mother's religiosity was positively related to girls' condom use and not to girls' number of partners. Controlling for other predictors in the models, mother's religiosity explained as much as 15% of the variance in girls' condom use. Whereas parent and adolescent reports of girls' depression/anxiety and rule-breaking were positively associated with number of partners, reports of aggression were associated with having fewer partners. Neither parent nor youth reports of girls' mental health problems were associated with condom use. Controlling for other predictors in the models, girls' mental health problems accounted for as much as 31% of the variance in number of partners. Findings underscore the importance of adopting an ecological framework to understand both the risk and promotive factors for sexual risk taking among troubled girls. The roles of specific aspects of psychopathology and religiosity in relation to sexual risk behavior among African American girls in psychiatric care are discussed.     

A behavior genetic investigation of adolescent motherhood and offspring mental health problems

The present study examines the relations between adolescent motherhood and children's behavior, substance use, and internalizing problems in a sample of 1,368 children of 712 female twins from Australia. Adolescent motherhood remained significantly associated with all mental health problems, even when using a quasiexperimental design capable of controlling for genetic and environmental confounds. However, the relation between adolescent motherhood and offspring behavior problems and substance use was partially confounded by family background variables that influence both generations. The results are consistent with a causal relation between adolescent motherhood and offspring mental health problems, and they highlight the usefulness of behavior genetic designs when examining putative environmental risks for the development of psychopathology. The generalizability of these results to the United States, which has a higher adolescent birth rate, is discussed.     

Religion,psychology, and mental health: The problems of partnership

While a current and increasingly popular trend is toward partnerships between religion and psychology in the area of mental health, and especially toward the use of psychological ideas and techniques by pastoral counselors, modern psychology and traditional religion are divided in significant ways over several normative issues. Too often these issues are minimized or overlooked. But unless these issues—which carry significant sociocultural implications as well as implications for our definitions of individual well-being—are acknowledged and subjected to critical considerations, partnerships between religion and psychology must be far more cautiously constructed and must be subjected to far more systematic thinking about the differences which separate the two.This article is based on a paper delivered at the Seventh Annual Clinical-Community Conference on Psychology and Religion at the University of Maryland in November, 1978.     

Infants' joint attention skills predict toddlers' emerging mental state language

To assess predictive relations between joint attention skills, intention understanding, and mental state vocabulary, 88 children were tested with measures of comprehension of gaze and referential pointing, as well as the production of declarative gestures and the comprehension and production of imperative gestures, at the ages of 7-18 months. Infants' intention-based imitation skills were assessed at 12, 15, and 18 months. At the ages of 24 and 36 months, toddlers' internal state lexicon was evaluated by parents with a German adaptation of the Mental State Language Questionnaire (Olineck & Poulin-Dubois, 2005). Regression analyses revealed that 9-months-olds' comprehension of referential pointing contributed significantly to the prediction of intention-based imitation skills at 15 months, as well as to children's volition and cognition vocabularies at 24 and 36 months, respectively. Moreover, 12-month-olds' comprehension of an imperative motive was shown to selectively predict toddlers' use of volition terms at 24 months. Overall, these results provide empirical evidence for both general and specific developmental relations between preverbal communication skills and mental state language, thus implying developmental continuity within the social domain in the first 3 years of life.     

Some problems and issues in the implementation of mental health programs in the public schools

New roles are possible for school psychologists because of mental health needs engendered by today's problems in educational settings. There is a great urgency for school psychologists to seek larger scale kinds of solutions than have typified the more frequently practiced therapeutic efforts of school psychologists in the past. Mental health programs that are more suitably adapted to the life styles of low-income and minority groups is a high priority requisite for such work to be successful in today's schools.     

Infants' fast saccades in the gap paradigm and development of visual attention

The saccadic reaction times (SRTs) in the overlap, no-overlap, and gap conditions of 2.5- to 12-month-old infants and adults were measured. In the overlap condition, the SRTs of younger infants were over 600 ms longer than those of older infants, whereas the SRTs in the gap condition of the younger infants were 300–350 ms, much faster than reported hitherto, and were shortened only by about 100 ms. The results indicate that the oculo-motor system and attention process for disengagement in the gap condition mature earlier than the attention process for disengagement in the overlap condition.     

Help-seeking for mental health problems of children: preferences and attitudes in the United Arab Emirates

Parental attitudes, religious beliefs, and other sociocultural factors have all been recognized to influence help-seeking patterns in relation to child psychiatric morbidity. But few systematic studies have addressed this issue in the Arab region. In this study, we investigated the help-seeking preferences for mental health problems in a community sample. 325 parents contacted as part of a community-based study of child psychiatric disorders were surveyed using a semistructured interview schedule. Only 38% of those surveyed indicated they would seek help from mental health specialists in the event of psychiatric problems developing in a family member, including their children. Main reasons given for nonconsultation were reluctance to acknowledge that a member of their family has a mental illness, stigma attached to attending mental health services, and the skepticism about the usefulness of mental health services. Willingness to utilize psychiatric services was associated with better parental education, occupation, and socioeconomic status. Our results suggest that sociocultural factors and parental perceptions may have a major effect on whether children with psychiatric disturbance receive professional help.     

A program for increasing early identification and prevention of mental health problems in infancy

Dealing with mental health in infancy as a specific clinical modality is relatively recent.¹ Preventive programs during infancy were mainly directed to promote cognitive development. Indeed, the review on prevention by Murphy and Frank² indicated that there are scarcely any programs directed specifically to improve mental health in infancy. This paper will describe a preventive program, conducted by the author, aimed specifically towards mental health aspects in infancy. It began in child guidance services in Jerusalem in 1977.     

Infants' persistence and mothers' teaching as predictors of toddlers' cognitive development

This study examined the relative contributions of infants' persistence and mothers' teaching at 6 and 14 months to infants' cognitive development at 14 months in a sample of 65 low-income mother-infant dyads. Infants' persistence was assessed from a videotaped persistence task at 6 months and from the Behavior Record Scale of the Bayley Scales of Infant Development, 2nd ed. (BSID II) at 14 months. Mothers' teaching was assessed from a videotaped teaching interaction at 6 and 14 months using the Nursing Child Assessment Satellite Training (NCAST) teaching scale. Cognitive development at 14 months was based on the Mental Scale, BSID II. Infants' persistence at both ages and mothers' teaching at 6 months each explained unique variance in infants' cognitive status at 14 months. Persistence appears to be a stable quality that can be measured early on, and both infants' early persistence and mothers' teaching are direct pathways to cognitive status at the start of the second year.