The treatment of exhibitionists: a focus on sexual deviance versus cognitive and relationship features

Two studies compared treatment of exhibitionists aimed at either: (1) modifying deviant sexual preferences; or (2) changing cognitions, enhancing relationship and interpersonal skills, and improving awareness of relapse prevention issues. Recidivism rates of these two programs were compared with each other and with the rates observed in untreated offenders. Results supported the focus on broader cognitive and social issues. Clearly exhibitionists can be treated effectively.     

Child social skills training in developmental crime prevention: effects on antisocial behavior and social competence

Social skills training for children is becoming increasingly popular as a measure for developmental crime prevention. Although previous reviews of such programs have shown positive effects, they have also revealed problems of research design, outcome measures, and long-term follow up. Accordingly, this article reports on a recent meta-analysis of randomized evaluations of the effect of social skills training in preventing antisocial behavior and promoting social competence. Of 841 retrievable references, 84 research reports with a total of 136 treatment-control comparisons fulfilled the eligibility criteria. Results showed a small but significant overall positive effect of d = .39 at post-intervention and d = .28 at follow-up (3 months and later). Effect sizes were somewhat greater for outcome measures of social competence than for measures of antisocial behavior, particularly when delinquency was assessed. Cognitive-behavioral programs revealed the best results in terms of generalization over time and on outcome criteria. In addition, prevention measures indicated for children and adolescents who already manifested some behavioral problems had higher effect sizes than universal approaches. Because most studies dealt with small sample sizes, non-official outcome data, and measurements after less than one year, the results should be interpreted with caution. Further high-quality studies with long-term empirical outcome criteria are needed, particularly outside the United States.     

The Impact of Social Influences in the Context of Attitude,Self-Efficacy,Intention, and Previous Behavior as Predictors of Smoking Onset1

Three different constructs for measuring social influence were utilized in the present study to explain adolescents' present and future smoking behavior at 6 (T2), 12 (T3), and 18 months (T4) after the first test. Social influence was assessed by measuring the social norms, perceived smoking behavior, and direct pressure. The impact of the social influence constructs was also assessed in the context of broader models, including attitudes and self-efficacy expectations, intention, and previous behavior. The three social influence measures correlated significantly with intention and behavior. Stepwise regression analyses showed that perceived behavior and pressure made significant contributions, after entering social norms, in explaining actual and future adolescent smoking behavior. Adding attitudes and self-efficacy increased the predictive power of the model significantly. In agreement with the theory of Fishbein & Ajzen (1975), intention was the most powerful predictor in explaining present and future smoking behavior. Attitudes, self-efficacy, and the social influences also made small unique contributions improving the explanatory power by approximately 5%. Previous behavior, however, had a substantial unique contribution in predicting future behavior after attitudes, social influences, self-efficacy, and intention were entered in the equations. Since social influences may exert their impact via different routes, it is recommended that smoking prevention programs discuss not only overt pressures such as direct pressure from peers, parents, and media, but also address the more covert social pressures such as modeling and the adolescents' ability to cope with these covert influences. Furthermore, norms on nonsmoking should be made explicit.     

Preventing Adolescent Cigarette Smoking

Recent studies have supported the efficacy of approaches to smoking prevention that focus primary attention on social and psychological factors implicated in initiation of adolescent cigarette smoking. This article reports first year data from a large-scale smoking prevention study conducted within three geographic regions of New York State. The sample consists of 5,954 seventh graders from 56 middle/junior high schools. Schools were randomly assigned to (1) receive the Life Skills Training (LST) prevention program with a one-day teacher training workshop; (2) receive the LST prevention program with teacher training provided by video tape; or (3) serve as a comparison group. This study was designed to further test the efficacy of this type of smoking prevention program and to compare the relative effectiveness of two different types of provider training in an effort to learn more about the potential effectiveness of this prevention strategy when implemented under "real world" conditions. Pretest and posttest data were collected by questionnaire concerning self-reported tobacco use and several hypothesized mediating variables. Results indicate that the prevention program significantly impacted on several hypothesized mediating variables in a direction consistent with non-smoking. Within one region, the students in both experimental conditions reported significantly less current cigarette smoking and reported themselves less likely to smoke in the future than the students in the control condition.     

Smoking Prevention and the Concept of Risk1

Sixth-grade children in 22 schools received either a social-influences smoking-prevention program or routine health education. The social-influences program was designed to teach youth about peer, parent, and media influences affecting smoking onset and to provide them with skills in resisting these influences. Comparison schools were given no program, but were permitted to continue their usual provision of health education. Program impact was evaluated as a function of pretreatment risk of future smoking. Risk was defined with respect to both (a) the prevalence of social models who smoked and (b) previous smoking experience. Two-and-a-half-year results show program impact to vary with both kinds of risk. Smoking-experience risk interacted such that, at first, there was greater impact on children with experience, but on later follow-up the pattern reversed, with the greater treatment effects seen for those initially with limited experience. Social-models risk showed a direct relationship, with greater risk being associated with greater program impact. Implications both for evaluation research and prevention programs are discussed.     

The Integration of a Family Systems Approach for Understanding Youth Obesity,Physical Activity,and Dietary Programs

Rates of overweight in youth have reached epidemic proportions and are associated with adverse health outcomes. Family-based programs have been widely used to treat overweight in youth. However, few programs incorporate a theoretical framework for studying a family systems approach in relation to youth health behavior change. Therefore, this review provides a family systems theory framework for evaluating family-level variables in weight loss, physical activity, and dietary approaches in youth. Studies were reviewed and effect sizes were calculated for interventions that manipulated the family system, including components that targeted parenting styles, parenting skills, or family functioning, or which had novel approaches for including the family. Twenty-one weight loss interventions were identified, and 25 interventions related to physical activity and/or diet were identified. Overall, family-based treatment programs that incorporated training for authoritative parenting styles, parenting skills, or child management, and family functioning had positive effects on youth weight loss. Programs to improve physical activity and dietary behaviors that targeted the family system also demonstrated improvements in youth health behaviors; however, direct effects of parent-targeted programming is not clear. Both treatment and prevention programs would benefit from evaluating family functioning and parenting styles as possible mediators of intervention outcomes. Recommendations are provided to guide the development of future family-based obesity prevention and treatment programs for youth.     

Cigarette Smoking,Academic Lifestyle,and Social Impact Efficacy: An Eight-Year Study from Early Adolescence to Young Adulthood1

Two hundred and twenty-one males and 518 females were followed for 8 years from early adolescence. A causal model was proposed that related five constructs measured in adolescence to four corresponding constructs measured 8 years later. The predictor constructs included smoking involvement, academic lifestyle orientation, emotional well-being, social impact efficacy, and peer smoking behavior. Academic lifestyle orientation was found to be a central organizing construct, with the strongest within-time and across-time correlations with other constructs. The relatively weak causal influences of teenage smoking and teenage social impact efficacy suggested an explanation for the limited impact of past drug abuse prevention programs. Policy implications are discussed.     

Preventing adolescent smoking: what have we learned about treatment construct validity?

In recent years, numerous programs introduced to prevent adolescent smoking have demonstrated some success. This paper reviews the treatment construct validity of such programs; that is, we seek to determine how and why programs reduce adolescent smoking. The review leads to the conclusion that little is presently known about the construct validity of successful programs, a problem that results primarily from the neglect of process assessment and analyses. The advantages and disadvantages of several future research approaches are discussed, including: (a) utilization of process measures within large scale treatment/no-treatment designs, (b) small-scale studies to test the effects of prevention components on process measures (e.g., attitudes, intentions to smoke), and (c) combinations of these two approaches.     

On the Semantics and Operations of Primary Prevention and Wellness Enhancement (Or Will the Real Primary Prevention Please Stand Up?)

Compared two recent, major reviews of primary prevention program evaluation research (i.e., Durlak and Wells' meta-analysis of 177 such studies and the Institute of Medicine (IOM) Report's summary of research studies of preventive intervention programs) with respect to specific studies included and input sources used. Whereas the IOM Report defined the goal of primary prevention as reducing the occurrence of new cases of mental disorder, Durlak and Wells' broader definition included both that goal and the promotion of psychological wellness. Overlap in journal sources used by the two reviews was modest and overlap in the actual primary prevention program evaluation studies included was minimal (7%). These findings bespeak somewhat different views of primary prevention and suggest a need for the complementary development of both the above approaches as alternatives, individually and collectively, to mental health's past established restorative ways.     

American Indian health disparities: psychosocial influences

The American Indian (AI) population suffers from significant health disparities. Death rates from diabetes, cancer, infant mortality, and other causes are higher among AIs. Numerous psychosocial influences, including a history of genocide and boarding school experiences, have led to unresolved historical trauma and its associated poor health outcomes. Adverse childhood experiences are also a strong predictor of risk for numerous chronic and behavioral health conditions. Food programs for impoverished populations historically have led to high rates of formula feeding of infants and intake of high‐calorie, low nutritional value foods. Adverse adulthood experiences, including poverty, racism, and substance abuse, lead to depression, anxiety, and poor health outcomes. These social circumstances can have an impact on the quality of parenting skills for the next generation, leading to continued intergenerational health disparities. Additional research into the psychosocial influences and social determinants of health is needed to ensure improved policy and program development.     

What We Know—and Don't Know—About Preventing Child Maltreatment

Abstract

Although child maltreatment is routinely acknowledged as a serious social problem, it remains widespread, raising questions about how prevention efforts can be improved. Following a review of theory and research relevant to prevention programming, the two dominant models of child abuse prevention-child empowerment and parent education-are examined, emphasizing both those factors that appear to contribute to program success (e.g., early intervention, sufficient time commitments, cultural sensitivity) and weaknesses in current efforts (e.g., poor implementation). Although underutilized, broader social and system-level reforms, including social policy and media initiatives, hold promise for prevention. Ways in which to leverage these tools are explored. Additional research is urged to explore assumptions on which programs are based, as well as to conduct more rigorous evaluation of current programs. The article concludes that a sustained commitment to prevention efforts aimed at child abuse and neglect is required.     

Predicting the Onset of Cigarette Smoking in Adolescents: A Longitudinal Study1

In a longitudinal study, the second-year-smoking status of adolescents who were initially Nonsmokers or Triers was predicted from their Year 1 standing on three types of social psychological variables: Ajzen and Fishbein's factors (predicting smoking transitions from attitudes, normative beliefs and behavioral intentions about smoking); Jessor and Jessor's distal variables (predicting smoking transitions from more generalized personality and perceived environment factors), and smoking environment variables (predicting smoking transitions from the extent of smoking models in an adolescent's social milieu). The predictive power of these three categories of factors was compared. All three classes of social psychological variables were statistically significant predictors of smoking transition, although the Ajzen and Fishbein variables were more important for Triers while the Jessor and Jessor and smoking environment variables were more important for initial Never Smokers. Moreover, each category of variables made independent contributions to the prediction of smoking transition. Finally, there were several age and sex differences in the relative importance of predictor variables. Implications of these findings for the design of effective smoking prevention programs are discussed. Smoking prevention programs might be more effective if they were aimed at a specific high risk audience (as identified by the current study) rather than at a general adolescent population.     

Does internet-based prevention reduce the risk of relapse for anorexia nervosa?

Technological advancements allow new approaches to psychotherapy via electronic media. The eating disorder literature currently contains no studies on internet intervention in anorexia nervosa (AN). This study presents a RCT on an internet-based relapse prevention program (RP) over nine months after inpatient treatment for AN. The sample comprised 258 women, randomized to the RP or treatment as usual (TAU). Expert- and self-ratings were evaluated by intent-to-treat analyses. Concerning age, age at onset and comorbidity, both groups were comparable at randomization. During the RP, the intervention group gained weight while the TAU group had minimal weight loss. RP completers gained significantly more body weight than patients in the TAU condition. Group-by-time comparisons for eating-related cognitions and behaviors and general psychopathology showed a significantly more favorable course in the RP program for "sexual anxieties" and "bulimic symptoms" (interview), and "maturity fears" and "social insecurity" (EDI-2). General psychopathology showed no significant group-by-time interaction. Important factors for successful relapse prevention were adherence to the intervention protocol and increased spontaneity. Considering the unfavorable course and chronicity of anorexia nervosa (AN), internet-based relapse prevention in AN following inpatient treatment appears a promising approach. Future internet-based programs may be further improved and enhanced.     

后悔的认知机制和神经基础

后悔是基于对不利或相对不利行为结果的反事实思维诱发的一种复杂的负性社会情绪,对我们日常生活的决策和身心健康具有重大的影响。与失望情绪相比,后悔在现象学、产生条件以及评价方式等方面具有明显的差异。后悔不仅会受到个体的行为方式、人格特征、归因等因素的影响,而且还会受到结果信息属性的影响。后悔的预期和体验涉及的功能性脑区主要包括：眶额皮层、扣带前回、海马、杏仁核。研究后悔的实验方法和技术手段有待于进一步拓展,后悔的认知机制和神经基础还有待于进一步探讨和完善     

Evaluation of Violence Prevention Approaches Among Early Adolescents: Moderating Effects of Disability Status and Gender

High prevalence rates of aggression during adolescence and associated adjustment difficulties for perpetrators and victims highlight the need for effective violence prevention programs. School-based prevention programs are advantageous as they occur in a key setting for youths' social and emotional development. The current study compared the efficacy of a combined universal violence prevention approach that included individual-level skill-building (i.e., lessons from Second Step) and school environment (i.e., Olweus Bullying Prevention Program; OBPP) interventions to OBPP alone. Participants were 231 sixth, seventh, and eighth graders (ages 11–15; M?=?12.6, SD?=?1.0) in middle school (48?% male, 67?% African American). A total of 14 classrooms were randomly assigned to the combined intervention (seven) or OBPP only comparison (seven) condition, split evenly across grades. Intervention effects were moderated by disability status and gender. Among students without disabilities those who received the combined intervention reported greater increases in anger regulation coping skills than those in the comparison condition. In contrast, among youth with disabilities greater increases in teacher-rated social skills were found for students in the combined intervention than students in the comparison condition at posttest. Gender-moderated effects included greater decreases in teacher ratings of externalizing problems and bullying behaviors for boys in the combined intervention versus the comparison condition at posttest. Study results inform school-based violence prevention programs and are discussed along with implications.     

A meta-analytic review of obesity prevention programs for children and adolescents: the skinny on interventions that work

This meta-analytic review summarizes obesity prevention programs and their effects and investigates participant, intervention, delivery, and design features associated with larger effects. A literature search identified 64 prevention programs seeking to produce weight gain prevention effects, of which 21% produced significant prevention effects that were typically pre- to post effects. Larger effects emerged for programs that targeted children and adolescents (vs. preadolescents) and females, programs that were relatively brief, programs that solely targeted weight control versus other health behaviors (e.g., smoking), programs evaluated in pilot trials, and programs wherein participants must have self-selected into the intervention. Other factors, including mandated improvements in diet and exercise, sedentary behavior reduction, delivery by trained interventionists, and parental involvement, were not associated with significantly larger effects.     

Sex isn't that simple: culture and context in HIV prevention interventions for gay and bisexual male adolescents

Gay and bisexual male adolescents and young adults in the United States have been disproportionately impacted by the HIV pandemic. Despite the steadily increasing rise in their HIV infection rates, there has not been a commensurate increase in HIV prevention programs targeted to the unique social and sexual lives of these youths. Programs that address cultural and contextual factors that influence sexual risk and protective behaviors need to be developed, implemented, and rigorously evaluated. These interventions should address the potential influences of sexual and gay culture on the HIV risk/protective behaviors of gay and bisexual adolescents, as well as the influence of more traditional cultural factors related to ethnicity. The influence of contextual developmental factors should also be addressed. This may include an incorporation into prevention programs of the societal-level influences of heterosexism and masculinity ideology and the individual-level influences of sexual identity and ethnic identity development. Researchers and interventionists need to be creative and innovative in their HIV prevention approaches and ensure that programs are grounded in the lives and realities of gay and bisexual adolescents and young adults.     

Bridging the Gap: Connecting Resident Assistants and Suicidal Residents Through Gatekeeper Training

One hundred sixty‐two resident assistants (RA s) at a large southeastern university were randomly assigned to attend either a specialized 1‐hr training program in suicide prevention (intervention group) or a stress and time management skills training program (control group). The results failed to show the suicide prevention training program had any impact on RA intervention behaviors, resident help‐seeking behaviors, or RA perceptions of resident distress and suicidality 4 months following training. Results are interpreted and discussed in relation to strengthening suicide prevention training programs on college campuses.     

Exploring the life skills needs of British adolescent athletes

ObjectivesYouth sport programs have been designed to facilitate positive development of young sports people by teaching life skills. It is unclear which life skills are needed by adolescent athletes and which life skills should be included in youth sport programs. Therefore, the purpose of this study was to explore how life skills are defined, which life skills British adolescent athletes need, and which life skills are the most important.Design and methodNineteen adolescent athletes, 10 coaches, 4 experts in sport psychology (pilot group) and 5 graduate students (pilot group) participated in a series of focus groups. An inductive analysis revealed how life skills are defined, which life skills British adolescent athletes need, and of these skills which are the most important.ResultsLife skills were defined as ranges of transferable skills needed for everyday life, by everybody, that help people thrive. Participants described the need for interpersonal skills including social skills, respect, leadership, family interactions, and communication. Personal skills including self-organization, discipline, self-reliance, goal setting, managing performance outcomes, and motivation, were also reported. Social skills were identified as the most important life skills.ConclusionsIn conclusion, findings add support to existing positive youth development research while adding an insight into which life skills should be built into youth sport programs in the United Kingdom.     

Social policy and the role of the behavior analyst in the prevention of delinquent behavior

The purpose of this article is to encourage behavior analysts to expand their domain of interest and application to include the "social/political" contingencies that are developed and implemented by policymakers and lawmakers. Using the Vermont juvenile justice system as a prototype, examples are provided that focus on the tertiary, secondary, and primary prevention of delinquent behavior.