The organizational context of children's mental health services

This paper reviews what is known about the organizational context of children's mental health services and describes organizational constructs, conceptual models, research methods, and intervention strategies that can be used to link organizational context to service quality and outcomes. Using evidence from studies of business and industrial organizations as well as studies of children's service organizations, the paper presents a model of organizational effectiveness that depends on several contextual characteristics that include organizational culture, structure, climate, and work attitudes. These characteristics are believed to affect the adoption of efficacious treatments (EBPs [evidence-based practices]), adherence to treatment protocols, therapeutic alliance, and the availability, responsiveness, and continuity of services. Finally, 10 components of the ARC(Availability Responsiveness and Continuity) organizational intervention are described as examples of strategies that can be used to develop organizational contexts with the prescribed characteristics. Mental health researchers are encouraged to consider including these constructs, conceptual models, research methods, and intervention strategies in dissemination, effectiveness, and implementation studies that address the gap between research-based knowledge about mental health treatment and what is actually offered in the community.     

3～5岁幼儿反事实思维的发展研究

该研究采用结果和前提反事实推理任务,选取58名3-5岁幼儿为被试,考察了其反事实思维能力的发展。结果表明:1.3岁儿童在结果反事实推理中的得分显著低于4岁和5岁儿童,而4岁和5岁儿童的得分并不存在显著差异;2.幼儿的前提反事实推理因结构和方向不同而表现出不同的年龄变化趋势;3.幼儿产生的上行和下行反事实论断之间不存在显著差异。如成人一样,幼儿较少产生减法反事实。     

Health-related behaviours and their correlates in a general population sample of 45-year old women

Abstract

Preventive strategies for menopausal women to reduce the risks for osteoporosis and cardiovascular disease has been the focus of considerable attention, but understanding of mid-aged women's behavioural risk factors for these diseases is meagre. The current study describes a range of health-related behaviours and their psychosocial correlates, in a sample of 45-year old women, recruited from five general practices and assessed by postal survey (N=106, response rate 60%). Results suggest that health promotion for this group might best focus upon increases in regular exercise, calcium intake and breast awareness, and decreases in cigarette and caffeine consumption. The behaviours assessed were generally not inter-related. However, several associations were identified between behaviours and health and psychosocial variables. The main ones were the association between menopausal status and smoking, and the relationship between body weight, self-esteem and physical exercise. It is argued that the menopause transition can be an opportunity for preventive work.     

Development of historical understanding among 9- to 14-year old children

The study attempted an understanding of the cognitive process involved in appreciation of history and the developmental pattern of the same. A test of Historical Understanding (HU) was constructed consisting of items which were similar to historical situations, but real historical episodes were not included in order to avoid any effect of prior knowledge and memory of historical facts. The test items were pilot tested and refined. A random sample of 15 children, 9–14 years of age (Grades 4, 6 and 8), was administered the test with clinical probing followed by an interview to assess children’s idea of past and history. The findings revealed that appreciation of the difference between past and history, chronology, and historical imagination emerged early by 9 years of age developing further with age/Grade. Development of some dimensions such as empathy and critical analysis appeared late by 13–14 years.     

Evaluating children's mental health service systems: An analysis of critical behaviors and events

A lack of studies which evaluate system change by tracking client outcomes is noted in the children's mental health area. This deficit may be a result of the inability of researchers to define outcomes and to draw conclusions about which measures reflect the efficacy of services and service delivery systems. This paper reviews five social validation surveys which examined children's mental health outcome measures. Based on the results of the five surveys, a model of critical behaviors and events is presented. This model will assist evaluators and researchers in understanding which critical events and behaviors should be measured to assess the impact of community-based mental health services for children.     

Young children's self‐benefiting lies and their relation to executive functioning and theory of mind

It is well established that children lie in different social contexts for various purposes from the age of 2 years. Surprisingly, little is known about whether very young children will spontaneously lie for personal gain, how self‐benefiting lies emerge, and what cognitive factors affect the emergence of self‐benefiting lies. To bridge this gap in the literature, we situated children between 2 and 4 years of age in a zero‐sum game where children must lie to their opponent if they wanted to win a desirable reward. We found that the majority of young children did not lie even when they experienced personal losses repeatedly. However, some children spontaneously lied during the game; as the game progressed, more children lied. Further, we found that children's theory of mind understanding and executive functioning in terms of a combination of inhibitory control and cognitive flexibility had significant positive and unique correlations with how frequently children lied for personal gain. The present results taken together with the existing findings regarding children's lies for self‐protection and politeness purposes suggest that the act of lying begins early in life. Further, its emergence and development are influenced by children's specific cognitive abilities in the domains of theory of mind understanding and executive functioning.

Highlights

• The study investigated whether very young children will spontaneously lie for personal gain.
• This study used a zero‐sum game to elicit children's self‐benefiting lies. Results showed the majority of young children did not lie, and it is related to children's theory of mind understanding and executive functioning.
• The act of lying begins early in life, and its emergence and development are influenced by children's specific cognitive abilities in the domains of theory of mind understanding and executive functioning.

     

6～12岁儿童脑电α波频率分布特点与信息加工速度的关系

本研究以 2 2 8名 6～ 12岁儿童为研究对象 ,采用脑电波超慢涨落分析技术 (简称ET) ,重点探讨了与认知功能有关的α波 ( 8～ 13Hz)的分布特点。研究结果表明 :①α波在全脑 12个脑区的比率 ,因频率成分不同而表现出不同的分布特点 ;②α波在左右对称脑区的分布比率也因频率不同而表现出不同的左右脑优势。除左前颞叶的平均频率显著大于右前颞叶外 ,其他左右脑对称区域的平均频率的差异均不显著。α波平均频率的从高到低依次为枕叶、中央区、顶叶、左前颞叶、后颞叶、额叶、右前颞叶 ;③信息加工速度与α波的关系并不明显 ,快组和慢组被试的 6种频率 ( 8～13Hz)α波的比率均无显著性差异     

Alternative factor structures of health-related psychological tendencies and their relationship to self-reported health seeking behaviors

Abstract

The MHQ-Multidimensional Health Questionnaire (Snell and Johnson, 1997) and a checklist of twenty Health Promoting Behaviors were administered to 1,011 Italian subjects aged 21 to 80 years. The MHQ measures twenty health related psychological tendencies (e.g, Health Efficacy, Locus of Control, Optimistic Expectations). A Principal Components Analysis was carried out on the twenty scales to study their internal structure. Both a four- and a two-factor solution are discussed, presenting different perspectives on the data. The former solution yielded a larger motivational factor, which we labeled Aspiration for Health, and three smaller factors, which we labeled Optimistic Expectations, Internal Control and Lack of Control. All factors, particularly the first one, discriminated self-reported health seeking behaviors. The latter solution yielded a Health Management factor and a Negative Thinking one, both discriminating health behaviors. Moreover, the two factors provide a useful model for distinguishing efficacy, optimism and internal control in terms of their cognitive and affective components.     

Cultural influences on children's understanding of the human body and the concept of life

This study aimed to identify the age by which children begin to demonstrate a biological understanding of the human body and the idea that the purpose of body functioning is to maintain life. The study also explored the influence of education, culturally specific experiences and religion on knowledge acquisition in this domain. Children aged between 4 and 7 years from three different cultural backgrounds (White British, British Muslim, and Pakistani Muslim) were interviewed about the human body and its functioning. At least half of the 4‐ to 5‐year‐olds in each cultural group, and almost all 6‐ to 7‐year‐olds, referred to the maintenance of life when explaining organs' functions and so were classified as ‘life theorizers’. Pakistani Muslim children gave fewer biological responses to questions about organs' functions and the purpose of eating and breathing, but referred to life more than their British counterparts. Irrespective of cultural group, older children understood organ location and function better than younger children. These findings support Jaakkola and Slaughter's (2002, Br. J. Dev. Psychol., 20, 325) view that children's understanding of the body as a ‘life machine’ emerges around the ages of 4–5 years. They also suggest that, despite many similarities in children's ideas cross‐culturally, different educational input and culturally specific experiences influence aspects of their biological understanding.     

6-12岁儿童额叶自发脑电频谱相干的特点

EEG频谱相干分析发现额叶发育在童年中期存在可能的加速期。针对这一问题,本研究通过记录75名6至12岁正常儿童静坐和闭目状态下的自发脑电,分析δ、θ、α和β基本脑电频段下31对电极相干的变化情况,系统探索了该年龄段儿童额叶自发脑电频谱相干的变化特点,结果发现:θ波活动普遍强于α和β波活动;6至12岁儿童额叶内、额叶与其他脑叶间相干在整体上表现为随年龄增长而增加的趋势;额叶内、额叶与其他脑叶间相干在各频段均表现为7岁、11岁突增,10岁、12岁表现为高峰。上述结果支持6至12岁儿童额叶发育存在加速变化的结论。     

Dental pain related to quality of life and mental health in South Korean adults

High levels of stress, anxiety and depression have been reported in patients with orofacial pain. Dental pain has the potential to reduce quality of life (QOL), and pain relief is important aspect of QOL. The purpose of this study was to assess the relationships of dental pain with QOL and mental health using a nationally representative, population-based study. This study analyzed data from the 2012 Korea National Health and Nutrition Examination Survey (N = 5469). Oral health status was assessed using the oral health questionnaire, and oral examination was performed by trained dentists. Health-related QOL (HRQOL) was evaluated using EQ-5D and EQ-VAS, and mental health was evaluated by questionnaires. Logistic regression was applied to estimate adjusted odds ratios (AOR) and 95% confidence intervals (CI). Among 5469 adults, 1992 (36.42%) presented self-reported dental pain. Participants with anxiety/depression or pain/discomfort, and participants with stress, melancholy, suicidal thought or depression showed significantly higher prevalence of dental pain. After adjusting for covariates, five aspects of QOL and five aspects of mental health were related with dental pain. The AORs (95% CI) for dental pain were 1.39 (1.06–1.81) for mobility, 1.77 (1.19–2.63) for self-care, 1.38 (1.02–1.85) for usual activities, 1.73 (1.43–2.09) for pain/discomfort and 1.50 (1.13–1.98) for anxiety/depression. For mental health status factors, the AORs (95% CI) for dental pain were 1.29 (1.11–1.51) for stress, 1.37 (1.09–1.74) for melancholy, 1.26 (1.01–1.58) for suicidal thoughts, 1.43 (.93–2.19) for consultation to psychiatrist and 1.53 (1.07–2.19) for depression. This study showed that dental pain has an association with lower HRQOL and worse mental health status in South Korean adults.     

Reliability of self-reported service use: Test-retest consistency of children's responses to the Child and Adolescent Services Assessment (CASA)

This paper reports on the reliability of children's responses on the Child and Adolescent Services Assessment (CASA) — a self-report instrument for use with 8– to 18-year-olds that gathers information about services used to address mental health problems. Findings were based on interviews completed by 77 children at a one week test-retest interval. Results showed that reports of lifetime service use were as reliable as were reports of service use in the preceding three months. Children reported restrictive and intrusive services more reliably than services that were provided in their natural environment. Reliability appeared to be associated more strongly with characteristics of the type of service than with characteristics of the child. Children also could report reliably on some details about their encounters with service providers (e.g., length of stay, number of visits, and onset of service use).     

Measurement issues in health-related quality of life: Challenges for health psychology

Abstract

Quality of life assessment is a central element of clinical trials and related forms of evaluative research. Early efforts to establish appropriate methods of measuring quality of life drew on psychometric principles and emphasised the need for validated measures. However, it is increasingly clear that, whilst still a central requirement of quality of life measures, validity needs to be emphasised alongside a number of other essential properties that have become clearer as the field has developed. Moreover formal psychometric methodology has to be adapted to take account of the specific needs of evaluative research. Research is beginning to develop more appropriate methods of outcome assessment in this area. Further lines of research are suggested to examine psychometric with other approaches to measurement of health-related quality of life.     

家庭生态系统对儿童心理健康发展影响机制的研究

以生态系统理论为指导,选取中小学生746名,分健康组和问题组,利用结构方程建模(SEM)技术,就家庭生态系统对儿童心理健康发展的影响机制进行了研究。结果表明,在健康组,构成家庭生态系统的父母子系统、家庭环境子系统和儿童子系统均对心理问题的形成起抑制作用;而在问题组,除儿童子系统对心理问题的形成起抑制作用外,父母子系统和家庭环境子系统对心理问题的形成起正向作用。     

6至12岁儿童自立行为的研究

本研究在文献分析的基础上,通过临床访谈、开放式问卷调查等方法,构建了我国小学生自立行为的理论维度,并据此编制了小学生自立行为问卷。对问卷进行探索性因素分析和验证性因素分析后表明:小学生自立行为是一个二维度、多层次的结构。小学生自立行为问卷的因素结构清晰,信度和效度较好,可以作为评鉴我国小学生自立行为的有效工具。     

8~12岁儿童抑郁与认知重评的关系：悲伤面孔注意偏向的中介作用

探讨8~12岁学龄儿童抑郁与认知重评情绪调节策略的关系及其作用机制。研究1采用问卷法和行为实验法分别考察儿童抑郁对认知重评策略使用倾向和使用能力的作用; 研究2结合眼动技术考察对情绪信息注意偏向在儿童抑郁和认知重评关系间的中介作用。结果发现：(1) 抑郁与儿童认知重评使用倾向间存在显著负相关; (2) 抑郁对儿童负性情绪向下调节的重评效果有显著影响; (3) 悲伤面孔注意解除困难在抑郁与认知重评使用倾向之间起中介作用。