Effects of Parental Soothing Behavior on Stress Levels of 2–8 Year Old Children During Voiding Cystourethrograms by Phase of Procedure

Using the example of a voiding cystourethrogram (VCUG), a painful radiological procedure, this study investigated whether parental soothing behavior (reassuring comments like “it’s almost over” or “You’re O.K.” and soothing by “sh, sh”) in one phase of the procedure influenced the child’s distress in the following phase. The sample was comprised of 68 2–8 year-old children and the accompanying parent(s). Child and parental behavior during the VCUG was coded using a standardized rating scale (CAMPIS-R). Parental reassurance during the anticipatory phase significantly increased the child’s distress of the following phase, while parental “sh, sh” significantly reduced it. Both parental behaviors showed no significant effect on the child’s distress of the following phase when applied during the procedure itself. Results underline the importance of differentiating between anticipatory and procedural phases of the VCUG. Counselling methods for parents on more appropriate strategies to assist their children during procedural phases of the VCUG are necessary.     

Child Anxiety Sensitivity and Family Environment as Mediators of the Relationship between Parent Psychopathology, Parent Anxiety Sensitivity, and Child Anxiety

This study examined child anxiety sensitivity and family environment as mediators of the relationship between (1) parent psychopathology and anxiety sensitivity and (2) child anxiety in a community sample of 157 youths aged 7–18 years. Parents completed measures of anxiety sensitivity, psychopathology, and family environment. Youths completed measures of anxiety sensitivity and anxiety. One structural equation model was tested with child anxiety sensitivity as a mediator of (1) parent psychopathology and parent anxiety sensitivity and (2) child anxiety. Mediation was found with respect to parent psychopathology but not anxiety sensitivity. A second structural equation model was tested with family environment (conflict and control) as a mediator of (1) parent psychopathology and parent anxiety sensitivity and (2) child anxiety. Mediation was found with respect to parent psychopathology and anxiety sensitivity. Possible explanations for these pathways are discussed, including information transmission from parents to children, modeling anxiety-based reactions, temperament, and isolation of children from anxiety-provoking situations.     

Brief Behavioral Intervention for Young Children with Disruptive Behaviors

Parent reported behavioral difficulties in young children are relatively common. Without adequate intervention, some children will later present with more severe problem behaviors. Parent management training is one of the best methods of treatment for behavior problems; however, existing treatments can be lengthy and difficult to conduct outside of a research setting. The Brief Behavioral Intervention was designed as a briefer version of a manualized parent management training treatment package. Thirty-one parents of children aged 2–6.5 presenting with behavior problems were included in this initial study of treatment effectiveness. Based on parent and teacher report, treatment was effective in a mean of 7.2 sessions.     

Parent Stress and Coping: Waiting for a Child to Receive a Kidney Transplant

The current study examined the degree of parent stress and depression among mothers and fathers of children with end-stage renal disease (ESRD) listed for a kidney transplant, to determine whether demographic factors, stress, and coping would predict parent depression. Eighty-six mothers and 58 fathers of children with ESRD preparing for a kidney transplant completed standardized measures of parent stress related to the child’s chronic illness (PIP), coping style (Brief Cope), and depression (BDI-II). Information about the disease was obtained from the medical record. Maternal depression was predicted by having a lower family income, higher degree of parent stress associated with the child’s illness, and the use of avoidant coping strategies. Paternal depression was only predicted by higher parent stress. Illness related variables did not contribute significantly to the understanding of parent outcomes. Pre-transplant evaluations should screen for elevated levels of stress and depression, and develop interventions to help parents cope with their child’s renal disease.     

Understanding Parent Participation in a Going-to-Scale Implementation Trial of the Early Risers Conduct Problems Prevention Program

We examined parent participation in the context of a going-to-scale implementation trial of the evidence-based, multi-component Early Risers conduct problems prevention program. In this study we examine the participation of parents in two parent/family-focused components of Early Risers that were delivered over 2 years across 21 rural school sites with 155 primarily Caucasian families. One component is a standardized “Parent Skills” curriculum delivered at participating schools and the second component delivers “Family Support” via tailored case management services through school and non-school site contacts. The study examines predictors of parent participation for each parent-focused component using multilevel modeling analyses. Previous research is extended by examining parent participation within the context of a going-to-scale trial and by looking at a broader array of child/parent/family and implementation context predictors. Parent participation in Parent Skills is predicted by higher level of parent’s frustration in parent–child relationships, while their participation in Family Support is related to lower family income. Implementers with higher previous work experience with children/families and lower education levels, as well as those manifesting more extroverted and less agreeable personality characteristics, elicit more participation in Parent Skills. Greater participation in Family Support is also predicted by lower levels of implementer neuroticism. Finally, implementers who achieve higher quality of delivery fidelity have greater participation in Parent Skills and a lower level of adherence fidelity predicts more participation in Family Support. The results are discussed within the context of going-to-scale service provision and in terms of implications for future prevention efforts.     

To paint the invisible

In this essay, which is preceded by an interview with the translator, the author revisits her earlier critique of Merleau-Ponty’s privileging of the visible, but also takes further her own thinking by drawing specifically on the issues raised within the context of painting. The focal point of her discussion is Merleau-Ponty’s essay, “Eye and Mind.” This paper was first published in Italian as “Dipingere l’invisible,” Segni e Comprensione 44 (December 2001): 10–16. This English translation is from the French version.     

Contrast class cues and performance facilitation in a hypothesis-testing task: evidence for an iterative counterfactual model

Hypothesis-testing performance on Wason’s (Quarterly Journal of Experimental Psychology 12:129–140, 1960) 2–4–6 task is typically poor, with only around 20% of participants announcing the to-be-discovered “ascending numbers” rule on their first attempt. Enhanced solution rates can, however, readily be observed with dual-goal (DG) task variants requiring the discovery of two complementary rules, one labeled “DAX” (the standard “ascending numbers” rule) and the other labeled “MED” (“any other number triples”). Two DG experiments are reported in which we manipulated the usefulness of a presented MED exemplar, where usefulness denotes cues that can establish a helpful “contrast class” that can stand in opposition to the presented 2–4–6 DAX exemplar. The usefulness of MED exemplars had a striking facilitatory effect on DAX rule discovery, which supports the importance of contrast-class information in hypothesis testing. A third experiment ruled out the possibility that the useful MED triple seeded the correct rule from the outset and obviated any need for hypothesis testing. We propose that an extension of Oaksford and Chater’s (European Journal of Cognitive Psychology 6:149–169, 1994) iterative counterfactual model can neatly capture the mechanisms by which DG facilitation arises.     

The Relation Between Maternal ADHD Symptoms &; Improvement in Child Behavior Following Brief Behavioral Parent Training is Mediated by Change in Negative Parenting

This study examined the extent to which maternal attention-deficit/hyperactivity disorder (ADHD) symptoms predict improvement in child behavior following brief behavioral parent training. Change in parenting was examined as a potential mediator of the negative relationship between maternal ADHD symptoms and improvement in child behavior. Seventy mothers of 6–10 year old children with ADHD underwent a comprehensive assessment of adult ADHD prior to participating in an abbreviated parent training program. Before and after treatment, parenting was assessed via maternal reports and observations and child disruptive behavior was measured via maternal report. Controlling for pre-treatment levels, maternal ADHD symptomatology predicted post-treatment child disruptive behavior problems. The relation between maternal ADHD symptomatology and improvement in child behavior was mediated by change in observed maternal negative parenting. This study replicated findings linking maternal ADHD symptoms with attenuated child improvement following parent training, and is the first to demonstrate that negative parenting at least partially explains this relationship. Innovative approaches combining evidence-based treatment for adult ADHD with parent training may therefore be necessary for families in which both the mother and child have ADHD. Larger-scale studies using a full evidence-based parent training program are needed to replicate these findings.     

Hot and Cool Forms of Inhibitory Control and Externalizing Behavior in Children of Mothers who Smoked during Pregnancy: An Exploratory Study

This study examined whether children exposed to prenatal smoking show deficits in “hot” and/or “cool” executive functioning (EF). Hot EF is involved in regulation of affect and motivation, whereas cool EF is involved in handling abstract, decontextualized problems. Forty 7 to 9-year-old children (15 exposed to prenatal smoking, 25 non-exposed) performed two computerized tasks. The Sustained Attention Dots (SA-Dots) Task (as a measure of “cool” inhibitory control) requires 400 non-dominant hand and 200 dominant hand responses. Inhibitory control of the prepotent response is required for dominant hand responses. The Delay Frustration Task (DeFT) (as a measure of “hot” inhibitory control) consists of 55 simple maths exercises. On a number of trials delays are introduced before the next question appears on the screen. The extent of response-button pressing during delays indicates frustration-induced inhibitory control. Prenatally exposed children showed poorer inhibitory control in the DeFT than non-exposed children. A dose–response relationship was also observed. In addition, prenatally exposed children had significantly higher (dose-dependent) conduct problem- and hyperactivity-inattention scores. There were no significant group differences in inhibitory control scores from the SA-Dots. These results indicate that children exposed to prenatal smoking are at higher risk of hot but not cool executive function deficits.     

Item Response Theory Analyses of the Parent and Teacher Ratings of the DSM-IV ADHD Rating Scale

The graded response model (GRM), which is based on item response theory (IRT), was used to evaluate the psychometric properties of the inattention and hyperactivity/impulsivity symptoms in an ADHD rating scale. To accomplish this, parents and teachers completed the DSM-IV ADHD Rating Scale (DARS; Gomez et al., Journal of Child Psychology and Psychiatry, 40, 265–274, 1999) for a group of 1,475 primary school-aged children. The results for the discrimination parameters showed that all symptoms for both groups of respondents were generally good for discriminating their respective latent traits. For virtually all symptoms, their threshold values showed moderate to large increases in the level of the latent trait at each subsequent response dichotomy, with the symptoms being especially good at representing the appropriate traits from mean to moderately high trait levels. The item information function values for most symptoms indicated reasonable reliability from, approximately, the mean trait levels to moderately high trait levels. These findings indicate good psychometric properties for the parent and teacher ratings of the DARS. The implications of the findings for the use of the DARS and other similar scales are discussed.     

Social identity, status envy and Jesus'Abba

The historical Jesus grew up as a fatherless son. The aim of this article is to focus on two issues. It is argued that Jesus' fatherlessness should be taken into account when one considers his social identification. Secondly, a social-scientific explanation is given of his a-patriarchal ethos, his behavior towards endangered women and children, and especially his trust in God as his “Abba.” The theory of identification which is regarded as a model for interpretation of the data is the so-called “status envy hypothesis.” This paper was presented at the SBL International Meeting, Dublin, July 21–24, 1996.     

Parent Behavior Importance and Parent Behavior Frequency Questionnaires: Psychometric Characteristics

This study examined the psychometric characteristics of two parenting measures: the Parent Behavior Importance Questionnaire (PBIQ) and Parent Behavior Frequency Questionnaire (PBFQ). Both research questionnaires are based on the parent development theory (PDT) and offer parent as well as non-parent respondents the opportunity to rate 38 parenting behaviors in terms of importance or frequency, respectively. The parenting behaviors correspond to one of six PDT parenting characteristics (i.e., bonding, discipline, education, general welfare and protection, responsivity, sensitivity); according to the PDT, these characteristics vary in importance and frequency according to children’s developmental levels as well as unique characteristics and needs. Psychometric examination of these questionnaires reveals that the scales have strength in terms of reliability and validity. Results are discussed relative to reliability and validity, the PDT, and current parenting research.     

Rawls and Research on Cognitively Impaired Patients: A Reply to Maio

In his paper, “The Relevance of Rawls’ Principle of Justice for Research on Cognitively Impaired Patients” (Theoretical Medicine and Bioethics 23 (2002):45–53), Giovanni Maio has developed athought-provoking argument for the permissibility of non-therapeutic research on cognitively impaired patients. Maio argues that his conclusion follows from the acceptance of John Rawls’s principles of justice, specifically, Rawls’s “liberty principle” Maio has misinterpreted Rawls’s “libertyprinciple” – correctly interpreted it does notsupport non-therapeutic research on cognitivelyimpaired patients. Three other ‘Rawlsian’ arguments are suggested by Maio’s discussion –two “self-respect” arguments and a “presumed consent” argument – but none of them are convincing. However, an alternative argument developed from Rawls’s discussion of “justice in health care” in his most recent book, Justice as Fairness: A Restatement, may justify certain kinds of non-therapeutic research on some cognitively impaired patients in special circumstances. We should not expect anything more permissive from a liberal theory of justice. This revised version was published online in June 2006 with corrections to the Cover Date.     

Agreement Between Parent and Teacher Ratings of Disruptive Behavior Disorders in Children with Clinically Diagnosed ADHD

This study investigated the agreement between parent and teacher ratings of DSM-IV symptoms of Attention Deficit Hyperactivity Disorder (ADHD) and related disorders: Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD). A sample of 55 children in the age range of 6–12 years with clinically diagnosed ADHD participated in the study. Parents and teachers were asked to complete the Disruptive Behavior Disorder Rating Scale (DBDRS; W. E., Pelham, E. M., Gnagy, K. E., Greenslade, & R. Milich, 1992). No association was found between parent and teacher ratings of inattention and hyperactivity/impulsivity. However, moderate to high levels of agreement were obtained for ratings of symptoms that characterized ODD and CD. The observed low levels of agreement between parent and teacher ratings of ADHD symptoms may be attributed to different perceptions of the problem behavior by parents and teachers, medication effects, or the situation specificity of children's behavior. It is recommended that the diagnostic criterion of symptom pervasiveness for the diagnosis of ADHD be operationalized more clearly.     

Misinterpretation of conditional statements in Wason's selection task

Errors may be made on Wason's selection task because either (a) the rule to be tested is misunderstood, or (b) reasoning from that rule is inaccurate, or both. We report two experiments using the experimental paradigm introduced by Gebauer and Laming in which subjects are given six problems in succession. We use the subset of cards selected by each subject as (a) an indication of how the rule is understood and, when that selection is consistent throughout all six problems (so that we can infer a consistent understanding of the rule), as (b) a basis for evaluating the accuracy of the subject's reasoning according to three independent criteria. Experiment 1 adds an exactly parallel contextual version of the task to permit comparison between performances (by the same subjects) on the two versions. Experiment 2 repeats Exp. 1, but with negatives inserted in the conditional rule. Most subjects make a consistent selection of cards throughout all six problems, but typically appear to misunderstand the rule. This is so in both abstract and contextual tasks and replicates the finding by Gebauer and Laming. Most misunderstandings consisted of either (a) reading the simple conditional rule as a bi-conditional or (b) substituting “top/underneath” for “one side/other side”. In Exp. 1 subjects seldom misevaluated the rule they appeared to be testing, but such “errors” of evaluation were common in Exp. 2. Negatives confuse the subjects and should not be used in any conditional application that matters. In Exp. 2 (but not 1) there was a significant correlation between interpretations of the two tasks. We provide an explanation of “matching bias” (it results from the confluence of the two common misunderstandings above) and comment on “mental models” which are, at present, unable to accommodate the variety of results we present here. We also relate our experimental paradigm to the conditional inference task and to truth tables. Received: 26 February 1999 / Accepted: 5 November 1999     

A Meta-analytic Review of Components Associated with Parent Training Program Effectiveness

This component analysis used meta-analytic techniques to synthesize the results of 77 published evaluations of parent training programs (i.e., programs that included the active acquisition of parenting skills) to enhance behavior and adjustment in children aged 0-7. Characteristics of program content and delivery method were used to predict effect sizes on measures of parenting behaviors and children's externalizing behavior. After controlling for differences attributable to research design, program components consistently associated with larger effects included increasing positive parent-child interactions and emotional communication skills, teaching parents to use time out and the importance of parenting consistency, and requiring parents to practice new skills with their children during parent training sessions. Program components consistently associated with smaller effects included teaching parents problem solving; teaching parents to promote children's cognitive, academic, or social skills; and providing other, additional services. The results have implications for selection and strengthening of existing parent training programs.     

Validity of the Brief Psychiatric Rating Scale Within a Forensic Inpatient Hospital

Although the Brief Psychiatric Rating Scale(BPRS) has been utilized across several clinical settings, its potential utility within forensic psychiatric hospitals has not yet been investigated. Given the diversity of training and background among correctional mental health workers (i.e., psychiatrists, psychiatric nurses, occupational therapists, recreation therapists, psychologists, social workers,etc.) it is possible that the uniform use of the BPRS among the correctional staff would require extensive training and that substantial “refresher” training may be required to maintain the integrity of rater practices. The present study examined the ability of previously trained forensic mental health professionals to accurately assess psychopathology using the BPRS. Overall,experienced raters demonstrated relatively high concordance rates with “gold standard” ratings across three BPRS training videos (Case 1, Case2 and Case 3). No overall “rater drift” was apparent. However, raters were found to make significantly more errors when rating behavioral observation ratings than for ratings based on self-report patient statements. Findings suggest that ratings done by forensic mental health workers are relatively accurate when compared to “gold standard” ratings established for assessment of community and forensic psychiatric patients. This revised version was published online in July 2006 with corrections to the Cover Date.     

Parent perfectionism and psychopathology symptoms and child perfectionism

Perfectionism is a multidimensional construct associated with various psychological problems. Studies regarding risk factors for perfectionism are scarce but evidence suggests that parents may be highly involved in their child’s perfectionism. The present study included 160 children aged 8–17 years (67 males, 93 females) and their parents. Relationships between parent and child perfectionism and between parent psychopathology and child perfectionism were examined across 5 age groups (8–9 years, 10–11 years, 12–13 years, 14–15 years, 16–17 years). Self-oriented perfectionism was highest among children aged 16–17 years. Maternal perfectionism and maternal psychopathology predicted child self-oriented and socially prescribed perfectionism. Maternal anxiety mediated the relationship between maternal other-oriented perfectionism and socially prescribed perfectionism in children aged 8–12 years. Maternal perfectionism and psychopathology may constitute risk factors for child perfectionism. Findings are discussed in terms of their implications for theories of perfectionism.     

Evidence of means–end behavior in Asian elephants (<Emphasis Type="Italic">Elephas maximus</Emphasis>)

The present study explores to what extent Asian elephants show “means–end” behavior. We used captive Asian elephants (N = 2) to conduct four variations of the Piagetian “support” problem, which involves a goal object that is out of reach, but rests on a support within reach. In the first condition, elephants were simultaneously presented with two identical trays serving as the “support”, with the bait on one tray and the other tray left empty. In the next two conditions, the bait was placed on one tray, while additional bait was placed beside the other tray. In the last condition, both trays contained bait, but one of the trays had a small gap which prevented the elephants from reaching the reward. Subjects were required to choose and pull either tray with their trunk and to obtain the bait (i.e. goal). Results showed that one elephant performed all of the support problems significantly above chance after several sessions, suggesting that the elephant was capable of understanding that pulling the tray was the “means” for achieving the “end” of obtaining the bait. This study showed that elephants show means–end behavior when subjected to a Piagetian “support” task, and indicates that such goal-directed behavior occurs in species other than primates.     

Determinants of Multiple Informant Agreement on Child and Adolescent Behavior

This study examined whether characteristics of behavioral items reported by parent and child are related to parent–child agreement. Data were collected from 20 judges rating 59 child behaviors on 11 dimensions hypothesized to affect parent–child agreement. Data from 675 parent–child dyads (85% female caregivers, 62% male children, aged 7–17) reporting on 59 child behaviors were used to examine agreement. Behavior characteristics accounted for 43% of variability in parent–child agreement. Three components, saliency to the parent, saliency to the child, and observability/willingness to report, contributed uniquely to prediction of agreement.