Health Behaviors of Childhood Cancer Survivors: What We’ve Learned

There has been a dramatic increase in the number of childhood cancer survivors due to improved cancer treatments. However, these survivors are at risk for numerous late-effects as a result of their cancer therapy. Engaging in health-protective behaviors and limiting risky health behaviors are vitally important for survivors given their increased risks and physical late-effects. For this paper, we systematically reviewed the literature on childhood cancer survivors’ health behaviors by searching for published data and conference proceedings using computerized databases and references, and summarized these results. We examined the literature describing the prevalence of a variety of health behaviors among survivors, identifying significant covariates, and describing health behavior interventions. Finally, we provided research recommendations and discussed an ongoing study designed to address some of the limitations in the existing literature. The research to date is limited and recommendations for future studies are outlined.     

Perceived Parenting Styles and Cultural Influences in Adolescent’s Anxiety: A Cross-Cultural Comparison

A growing body of literature links particular parenting practices with negative child outcomes including greater anxiety symptoms among western societies. However, the effects of cultural differences on such linkages have not been adequately addressed in the anxiety literature. This study therefore aimed to examine the relationship between perceived parenting style and anxiety among Malay, Chinese, Indian, Arab and European/American (Caucasian) origins adolescents and the possible cultural group influences on this relationship was studied. Using multiple cluster sampling, a total of 227 students (122 boys and 105 girls) aged 13–18 years was selected. They completed questionnaires measuring parental rearing behaviors (EMBU-C) and anxiety symptoms scale (SCAS). Results indicated that in comparison to the European/American; Asian samples reported greater anxiety symptoms on all subscales of anxiety. Parental rejection, anxious rearing and control/over protection were correlated to higher anxiety independent of cultural group but these associations were stronger for Caucasians. Parenting styles as predictor of anxiety were found to be cross culturally different. Although European/American adolescents rated their parents as least over controlling, it was significant predictor of anxiety. This study provides evidence for the notion that relationship between parenting factors and anxiety were different across cultural contexts.     

Maternal Relationship Instability Influences on Children’s Emotional and Behavioral Functioning in Low-Income Families

The present study investigated associations between maternal relationship instability patterns and children’s behavioral and emotional functioning in middle childhood in a representative sample of low-income urban families (N = 891). Data from the Three-City Study tracked maternal partnerships through the child’s life, assessing total marital and cohabiting relationship transitions and delineating transitions by developmental timing, and by directionality (i.e., entrances into versus exits from partnerships). Analyses linking instability to child behaviors at age 8 found that a greater total number of maternal relationship transitions predicted higher anxious, somatic, and conduct problems, with recent transitions (in the prior 2 years) driving these results. Consideration of partnership formations versus dissolutions indicated that recent entrances into new partnerships, and entrances into cohabitations, were most consistently associated with problematic functioning across numerous aspects of children’s emotional and behavioral functioning. Policy implications of these findings are discussed.     

What Do Youth Referred for Anxiety Problems Worry About? Worry and Its Relation to Anxiety and Anxiety Disorders in Children and Adolescents

This study examined worry and the parameters of worry that may be associated with clinical anxiety in a sample of 119 children and adolescents referred to a childhood anxiety disorders specialty clinic. Using an interviewing procedure, results indicated that the types of worries reported by the children were similar to those reported in previous studies of nonreferred community children. Also similar to previous community studies were findings showing moderate but significant correlations between different indices of worry (i.e., number, intensity, and frequency of the worries) and children's scores on self-rating scales of anxiety. Results further indicated that worry contributed additional variance beyond that of anxiety in predicting fear. In addition, intensity differentiated clinic children's worries from nonreferred children's. Intensity, and number of worries differentiated subsamples of children within the clinic-referred sample (i.e., children with overanxious disorder or generalized anxiety disorder and children with simple phobia). The importance of examining children's worries to further understand anxiety and its disorders in youth is discussed.     

Experiential Avoidance and Anxiety Sensitivity: Independent and Specific Associations with Children’s Depression,Anxiety, and Social Anxiety Symptoms

Experiential avoidance (EA) is a key component in acceptance and commitment therapy (ACT) theory and research. EA is associated with a wide range of psychopathology in adults including anxiety, in particular social anxiety, and depression, yet little research exists on EA in youth. Anxiety sensitivity (AS), like EA, has been viewed as a form of distress tolerance or emotion regulation. In a sample of 124 children (age 10 to 12), this study examined the independent and specific relations of EA and AS to children’s depression, anxiety, and social anxiety symptoms, both before and after controlling for comorbid symptoms. EA and AS had independent associations with each of children’s depression, anxiety, and social anxiety; and EA had significantly stronger relations than AS with each of children’s social anxiety and anxiety. After controlling for depression, only EA (and not AS) was uniquely related to both children’s anxiety and social anxiety. After controlling for anxiety and social anxiety, only AS (and not EA) was uniquely related to depression. After controlling for depression and social anxiety, neither EA nor AS was significantly related to anxiety. In contrast, after controlling for depression and anxiety, EA (and not AS) showed a significant and unique relation to children’s social anxiety. These findings indicate: 1) there are distinctions between EA and AS; 2) EA and AS are overlapping yet independent correlates for each of depression, anxiety and social and anxiety; and 3) EA and AS show some differential relations with children’s depression, anxiety, and social anxiety when comorbid symptoms are considered. Theoretical and treatment implications are highlighted.     

The Polish Spence Children’s Anxiety Scale: Preliminary Evidence on Validity and Cross-Cultural Comparison

Anxiety disorders are one of the most widespread psychological diseases in adolescence, which may lead to impairment in several areas of life and has been demonstrated a risk factor of other psychiatric disorders. One of the most widely used self-report measures to assess multiple symptoms of anxiety in youth is the Spence Children’s Anxiety Scale (SCAS). Literature suggests that anxiety symptoms vary across cultures to some extent. It has been found that individuals from collectivistic culture report higher levels of anxiety disorders than those from individualistic culture. Poland is a country whose culture was traditionally collectivistic; but now Poland is undergoing social and economic system transformation, which is taking it closer to individualistic culture. However, SCAS has never been validated in Polish samples, and thus the current study aimed (1) to assess the psychometric properties (structural validity and reliability) of SCAS in a sample of 303 Polish adolescents, (2) to examine gender differences, (3) to test the divergent validity of SCAS by relating it to the Rosenberg Self-Esteem Scale, and (4) to compare the mean levels with Chinese (collectivistic) and Italian (individualistic) samples. The results confirmed that the Polish version of SCAS showed good reliability and validity. Polish girls showed higher physical injury and generalized anxiety/overanxious symptoms than boys. Furthermore, Polish adolescents reported higher levels of anxiety than Italian youth but lower levels of anxiety than their Chinese counterparts. Implications for professionals and researchers are discussed.     

The Relationships Among Parental Anxiety, Parenting, and Children’s Anxiety: The Mediating Effects of Children’s Cognitive Vulnerabilities

Theoretical models have emphasized the roles played by parental anxiety and behavior in the development of childhood anxiety problems. Little is known regarding the differential impacts of mothers and fathers or regarding the processes that mediate these influences. The present study examines the relationships between maternal and paternal trait anxiety, overprotection, and emotional support on the one hand and anxiety symptoms in children on the other hand. This study also explores the mediating role of children’s cognitive vulnerabilities to anxiety disorders in the relationship between parental variables and children’s anxiety. A sample of 80 children and their parents (fathers and mothers), selected from an initial screening of 905 school-aged children, participated in this study. The results indicate that both parents had unique influences on children’s anxiety symptoms: maternal trait anxiety and paternal overprotection and concern were found to independently and positively contribute to children’s anxiety. Furthermore, children’s interpretative biases mediated the relation between maternal trait anxiety and children’s anxiety symptoms. The results of this study underline the importance of considering both paternal and maternal factors in the development of children’s anxiety problems. These findings also have implications for theoretical models of the etiology of anxiety and for the treatment of these problems in children.     

Mediation of Mothers’ Anxiety and Parenting in Children’s Behavior Problems during COVID-19

The outbreak of COVID-19 is affecting the lives of millions of families around the world. The current study was carried out in Israel, following the pandemic’s initial outbreak and during the resulting enforced quarantine, confining parents and children to their homes. A sample of 141 Israeli mothers with at least one child between the ages of 3 and 12 (M?=?6.92, SD?=?2.55) participated as volunteers. About half the sample (50.7%) consisted of girls. Most mothers were cohabiting with a spouse (93%). Mothers completed online questionnaires about their perceptions about the health and economic threats of COVID-19, availability of social support, their anxiety symptoms, hostile/coercive and supportive/engaged parenting behavior, and their children’s behavior problems. Results showed expected significant associations between the mothers’ reports about having little social support, their anxiety symptoms, hostile/coercive and supportive/engaged parenting behavior, and children’s externalizing problems. Likewise, expected significant associations were found between mothers’ perceptions about the health and economic threats of COVID-19, their anxiety symptoms, hostile/coercive parenting behavior, and children’s internalizing and externalizing problems. Importantly, maternal anxiety and hostile/coercive parenting behavior mediated the associations between lack of support, negative perceptions about the health and economic threats of COVID-19, and children’s behavior problems. These findings stress the importance of mothers’ mental health and parenting behaviors for children’s socioemotional adaptation in the context of COVID-19. Implications of the findings for family interventions intended to help parents and children at this time are suggested.

     

Feeling we’re biased: Autonomic arousal and reasoning conflict

Human reasoning is often biased by intuitive beliefs. A key question is whether the bias results from a failure to detect that the intuitions conflict with logical considerations or from a failure to discard these tempting intuitions. The present study addressed this unresolved debate by focusing on conflict-related autonomic nervous system modulation during biased reasoning. Participants’ skin conductance responses (SCRs) were monitored while they solved classic syllogisms in which a cued intuitive response could be inconsistent or consistent with the logical correct response. Results indicated that all reasoners showed increased SCRs when solving the inconsistent conflict problems. Experiment 2 validated that this autonomic arousal boost was absent when people were not engaged in an active reasoning task. The presence of a clear autonomic conflict response during reasoning lends credence to the idea that reasoners have a “gut” feeling that signals that their intuitive response is not logically warranted. Supplemental materials for this article may be downloaded from http://cabn.psychonomic-journals.org/content/supplemental.     

Reading Anxiety: An Early Affective Impediment to Children’s Success in Reading

Learning to read is a critical but often challenging academic task for young children. In the current study, we explore the relation between children’s reading affect-–particularly anxiety-–and reading achievement in the early years of reading acquisition. We hypothesized that reading anxiety would relate to reading achievement across the school year and that boys and girls might show differential patterns in the relation between reading anxiety and achievement due to the common stereotype that boys underperform in reading. A sample of first and second grade students completed measures of reading anxiety, positive reading affect, math achievement, and reading achievement in the fall and spring. Results show that reading anxiety and reading achievement share a bi-directional relation in which fall reading anxiety predicts spring reading achievement and vice versa. Furthermore, the pattern of relation between reading anxiety and achievement differs by gender: boys appear more susceptible to the reciprocal damaging effects of reading anxiety on reading achievement across the school year. Finally, reading achievement shares a stronger relation with reading anxiety than with positive reading affect, perhaps because of the phenomenon in which negative relative to positive experiences have a greater psychological impact.     

Caregiver Socialization of Reappraisal and Children’s Cognitive Flexibility Jointly Predict Latinx Children’s Anxiety

Journal of Child and Family Studies - Anxiety disorders are among the most common forms of psychopathology in childhood and represent a particularly concerning issue for Latinx children. Research...     

Multilevel and Cross-Level Effects of Neighborhood and Family Influences on Children’s Behavioral Outcomes in Trinidad and Tobago: The Intervening Role of Parental Control

The objective of this investigation was to examine the associations among neighborhood conditions, neighborhood collective efficacy, family economic disadvantage, parental control behaviors, and children’s behavioral outcomes using multilevel and cross-level analyses. The proposed conceptual model incorporated propositions advanced by social disorganization theory, the structural-process model, as well as the Family Stress Model. Data were collected from a nationally representative sample of 1,337 families with children between 3 and 6 years (668 boys) drawn from 45 communities in Trinidad and Tobago. Neighborhood level indicators were assessed using census as well as parent reports whereas individual level constructs were assessed using parent reports. Findings indicated support for the Family Stress Model in that harsh punishment and parental monitoring functioned as mediators of the relationship between family economic disadvantage and behavioral difficulties (parental monitoring for prosocial behaviors). Findings from the multilevel analyses indicated that the relationship between neighborhood infrastructure deprivation and children’s behavioral difficulties and prosocial behaviors was mediated through neighborhood collective efficacy and parental harsh punishment. Cross-level interactions indicated that neighborhood collective efficacy buffered the relationship between parental discipline, monitoring, harsh discipline and behavioral difficulties. Given the importance of communities and families in influencing children’s behavioral outcomes, due consideration must be given to utilizing multilevel and cross-level perspectives both in research as well as in the development of intervention programs. Policies and programs designed to improve neighborhoods conditions, promote neighborhood collective efficacy, and advance the socioeconomic opportunities for families can help enhance the well-being of children.     

Anxiety and motor performance: Where to from here?

Abstract

The purpose of this paper was to briefly review the traditional existing theories attempting to explain the relationship between anxiety and motor performance and then suggest some future directions for research. Specifically, a review of drive theory and the inverted-U hypothesis led to the conclusion that due to methodological, conceptual and interpretive problems, these explanations for the anxiety-performance relationship are overly simplistic and lack heuristic value. Future research should focus on the interaction of psychobiological states as they relate to motor performance. Some specific suggestions include more precision in the measurement of anxiety as a multidimensional construct which includes psychophysiological, cognitive, and affective components. In addition, individual differences need to be recognized with intraindividual comparisons replacing between-subject comparisons. Hanin's zone of optimal functioning is offered as one such approach. Finally, more sensitivity and precision is needed in the measurement of performance by employing both qualitative and quantitative methodologies.     

Intergenerational and Partner Influences on Fathers’ Negative Discipline

Recent studies have found significant but relatively modest associations in parenting across generations, suggesting additional influences on parenting beyond experiences in the family of origin. The present prospective, cross-generational study of at-risk men (Oregon Youth Study) focuses on fathers' negative discipline practices with their 2- to 3-year-old children. The theoretical model is based on a dynamic developmental systems approach to problematic family functioning, which points to the importance of developmental systems, including family risk context and key influential social interactional systems, and emphasizes influence that is directly pertinent to the outcome of interest. Path modeling indicated that the men's poor and harsh discipline practices were predicted by partners' problem behavior (substance use and antisocial behavior) and negative discipline practices, as well as by poor discipline experienced in the family of origin; men's own problem behavior, ages at which they became fathers, and family socioeconomic status were controlled. Findings indicate the importance of focusing on influence dynamics across parents.     

Research on calling: What have we learned and where are we going?

Work as a calling is an emerging concept for scholars across a variety of psychological disciplines. In the current paper, the extant literature on calling is reviewed, showcasing its salience among college student and adult populations and highlighting consistent links between perceiving a calling and heightened levels of career maturity, career commitment, work meaning, job satisfaction, life meaning, and life satisfaction. These links appear most robust when individuals are actually living out their calling at work. Seven suggestions are proposed for future researchers to better understand what it means to have and live a calling: developing a stronger conceptual understanding, collecting more longitudinal data, studying more diverse cultural groups, focusing on behavioral outcomes, examining the dark side of a calling, building theory, and testing interventions. It is hoped that the promising research base and vast areas of potential growth will continue to make the study of calling attractive to scholars across psychological disciplines.     

Research on calling: What have we learned and where are we going?

Work as a calling is an emerging concept for scholars across a variety of psychological disciplines. In the current paper, the extant literature on calling is reviewed, showcasing its salience among college student and adult populations and highlighting consistent links between perceiving a calling and heightened levels of career maturity, career commitment, work meaning, job satisfaction, life meaning, and life satisfaction. These links appear most robust when individuals are actually living out their calling at work. Seven suggestions are proposed for future researchers to better understand what it means to have and live a calling: developing a stronger conceptual understanding, collecting more longitudinal data, studying more diverse cultural groups, focusing on behavioral outcomes, examining the dark side of a calling, building theory, and testing interventions. It is hoped that the promising research base and vast areas of potential growth will continue to make the study of calling attractive to scholars across psychological disciplines.     

What Parents and Children Say When Talking about Children’s Gratitude: A Thematic Analysis

Journal of Child and Family Studies - Parent-child conversations are a widely recognized socializing mechanism, linked to children’s developing moral agency, empathy, and emotional...     

Cancer Genetic Counseling: Communication and Counselees’ Post-Visit Satisfaction,Cognitions, Anxiety,and Needs Fulfillment

Little is known about the relation between communication during cancer genetic counseling and outcome. We assessed associations between counselor-counselee communication and counselee satisfaction, cognitions, anxiety, and fulfillment of major needs, corrected for pre-visit levels as appropriate. In total 171 consecutive new counselees, mainly referred for breast or colon cancer, received pre- and post-visit questionnaires assessing needs/fulfillment, knowledge, perceived control (PPC), anxiety (STAI), and satisfaction. Initial visits were videotaped and counselor eye gaze was recorded. Verbal communication was rated by Roter Interaction Analysis System (RIAS). Asking more medical questions was associated with lower satisfaction levels. Receiving more medical information was related to higher correct knowledge scores, higher reported fulfillment of some needs, and unrelated to perceptions of control. Receiving more psychosocial information and longer counselor eye gaze were related to higher anxiety scores. Longer visits were related to higher correct knowledge scores. Providing medical information appears the most powerful communication aspect to increase counselee satisfaction and address needs. More research is needed on how to address adequately (emotional) needs and increase feelings of control.     

Effects of Anxiety on Novice Genetic Counseling Students’ Experience of Supervised Clinical Rotations

Supervised clinical experiences with patients comprise a critical component of genetic counseling student education. Previous research has found genetic counseling students tend to be more anxiety prone than the general population, and anxiety related to supervision has been found in genetic counseling and related fields. The present study investigated how anxiety affects the experience of supervision for genetic counseling students. Second year genetic counseling students were invited to participate through email invitations distributed via training directors of the 33 programs accredited at the time of the study by the American Board of Genetic Counseling. An initial online survey contained the trait scale of the State-Trait Anxiety Inventory to estimate anxiety proneness in this population and an invitation to participate in a 45-minute semi-structured phone interview focusing on students’ experiences of supervision during their clinical rotations. High and low trait anxiety groups were created using STAI scores, and the groups’ interview responses were compared using consensual qualitative research methodology (CQR; Hill 2012). The high anxiety group was more likely to describe problematic supervisory relationships, appreciate the supervisor’s ability to help them when they get stuck in sessions, and feel their anxiety had a negative effect on their performance in general and in supervision. Common themes included supervisors’ balancing support and guidance, the importance of feedback, ego-centric responses, and supervisors as focal points. The results of the present study are largely consistent with current literature. Further research findings and research, practice, and training recommendations are provided.