A Rasch Analysis of the Substance Abuse Subtle Screening Inventory–3

Rasch analysis of the Substance Abuse Subtle Screening Inventory–3 (SASSI‐3; F. G. Miller & Lazowski, 1999 ) indicated that the SASSI‐3 meets fundamental measurement properties; however, the authors of the current study recommend the elimination of nonfunctioning items and the improvement of response options for the face valid scales to increase functioning and ease of use.     

Exploring the Value of the Substance Abuse Subtle Screening Inventory–3 for Predicting Attrition and Recidivism Among Perpetrators of Intimate Partner Violence

This study explored the potential value of the Substance Abuse Subtle Screening Inventory–3 (SASSI‐3; F. G. Miller & Lazowski, 1999 ) as a means of predicting program attrition and recidivism among perpetrators of intimate partner violence, concluding that the SASSI‐3 is not an adequate predictor.     

The SASSI‐3 Face Valid Other Drugs Scale: A Psychometric Investigation

The authors investigated the psychometric capabilities of the Face Valid Other Drugs (FVOD) scale of the Substance Abuse Subtle Screening Inventory‐3 (SASSI‐3; G. A. Miller, 1999). Internal consistency reliability estimates and construct validity factor analysis for 230 college students provided initial support for the psychometric properties of the SASSI‐3's FVOD scale.     

Screening for Adolescent Substance‐Related Disorders Using the SASSI‐A2: Implications for Nonreporting Youth

In this study (N = 137), although 70.8% of participants reported no current substance use and 42.3% reported never using, the Adolescent Substance Abuse Subtle Screening Inventory (SASSI‐A2; Miller & Lazowski, 2001) screened 39.41% of the participants for a high level of probability of having a substance‐related disorder. SASSI‐A2 classified more females in our sample as having a high probability of substance‐related disorder than males. Among African American participants, male adolescents had substantially higher levels of drug use and significantly lower levels of alcohol use than did female adolescents. Implications, limitations, and future directions are provided.     

A Preliminary Study Using the Substance Abuse Subtle Screening Inventory—Adolescent Form as an Outcome Measure With Adolescent Offenders

The authors describe a preliminary study using the Substance Abuse Subtle Screening Inventory‐Adolescent Form (SASS‐A; E Miller, 1994) as an outcome measure with adolescent offenders. Results indicate that the SASSI‐A can be successfully used as a treatment planning tool as well as a measure to evaluate programs.     

An Abbreviated Screening Instrument for Autism Spectrum Disorders

The reliability and validity of the Parent's Observations of Social Interactions (POSI), a new, seven‐item screening instrument for autism spectrum disorders (ASD), is examined in two substudies. In Study 1, parents of 217 children (18–48 months) evaluated at a developmental clinic completed intake questionnaires that included the POSI and the Modified Checklist for Autism in Toddlers (M‐CHAT) checklist. POSI and M‐CHAT scores were compared to clinical evaluation results to assess reliability and validity. In Study 2, parents of 232 children (16–36 months) from both primary care and subspecialty settings completed the POSI, the M‐CHAT, and a report of their child's diagnoses. POSI and M‐CHAT scores were compared to reported diagnoses to assess reliability and validity. In both studies, the POSI demonstrated adequate internal reliability (Cronbach α = 0.83 and 0.86, respectively). In Study 1, POSI sensitivity (89%) was higher than that for the M‐CHAT (71%; p < .05); specificities were not significantly different (POSI: 54%, M‐CHAT: 62%). In Study 2, sensitivity (83%) compared favorably to that for the M‐CHAT (50%), although specificity was lower (75 vs. 84%). Despite its brevity, the POSI demonstrated good internal reliability and comparable sensitivity/specificity to the M‐CHAT checklist in two independent populations. If results are reproduced in larger, more diverse samples, the POSI may provide an efficient method for ASD screening in young children.     

An Examination of the Substance Abuse Subtle Screening Inventory‐3 Correctional Scale in a College Student Population

In this study, the authors examined the Substance Abuse Subtle Screening Inventory‐3 Correctional scale's sensitivity and specificity at detecting college students' illegal behaviors. Sensitivity was strong, but specificity was weak. Implications for counseling and suggestions for future research are included.     

Reliability and validity of the Leuven Perceptual Organization Screening Test (L‐POST)

Neuropsychological tests of visual perception mostly assess high‐level processes like object recognition. Object recognition, however, relies on distinct mid‐level processes of perceptual organization that are only implicitly tested in classical tests. Furthermore, the psychometric properties of the existing instruments are limited. To fill this gap, the Leuven perceptual organization screening test (L‐POST) was developed, in which a wide range of mid‐level phenomena are measured in 15 subtests. In this study, we evaluated reliability and validity of the L‐POST. Performance on the test is evaluated relative to a norm sample of more than 1,500 healthy control participants. Cronbach's alpha of the norm sample and test–retest correlations for 20 patients provide evidence for adequate reliability of L‐POST performance. The convergent and discriminant validity of the test was assessed in 40 brain‐damaged patients, whose performance on the L‐POST was compared with standard clinical tests of visual perception and other measures of cognitive function. The L‐POST showed high sensitivity to visual dysfunction and decreased performance was specific to visual problems. In conclusion, the L‐POST is a reliable and valid screening test for perceptual organization. It offers a useful online tool for researchers and clinicians to get a broader overview of the mid‐level processes that are preserved or disrupted in a given patient.     

Loneliness,HPA stress reactivity and social threat sensitivity: Analyzing naturalistic social challenges

Loneliness has been linked to poor health through an increased activation of threat surveillance mechanisms, such as the hypothalamic‐pituitary‐adrenal axis (HPA ). The socio‐cognitive model (Cacioppo & Hawley) proposes that lonely people have an increased social threat sensitivity which activates the HPA axis. The current study examined the impact of loneliness on HPA stress reactivity and social threat sensitivity in response to naturally occurring social challenges. Participants (N = 45) were prospective undergraduates attending a 3‐day university preparation programme over the summer, prior to commencing their university studies. Cortisol levels and perceived stress were measured before and after an ice breaker session on Day 1 and a lecture session on Day 3. Social threat sensitivity was also measured on the first and third day. When meeting unfamiliar peers in the ice breaker session, HPA stress reactivity was evident, but it was not markedly different in those who reported high levels of loneliness than those with low levels. The high loneliness group had higher levels of perceived stress and increased social threat sensitivity than the low loneliness group on both testing days. The findings show partial support for the socio‐cognitive model of loneliness because increased threat sensitivity was demonstrated in the high loneliness group. The findings indicate that lonely people do not respond in a physiologically different way to specific social challenges, but they typically report higher social threat sensitivity and higher perceived stress than their non‐lonely peers.     

Accent detection and social cognition: evidence of protracted learning

How and when do children become aware that speakers have different accents? While adults readily make a variety of subtle social inferences based on speakers’ accents, findings from children are more mixed: while one line of research suggests that even infants may be acutely sensitive to accent unfamiliarity, other studies suggest that 5‐year‐olds have difficulty identifying accents as different from their own. In an attempt to resolve this paradox, the current study assesses American children's sensitivity to American vs. Dutch accents in two situations. First, in an eye‐tracked sentence processing paradigm where children have previously shown sensitivity to a salient social distinction (gender) from voice cues, 3–5‐year‐old children showed no sensitivity to accent differences. Second, in a social decision‐making task where accent sensitivity has been found in 5‐year‐olds, an age gradient appeared, suggesting that familiar accent preferences emerge slowly between 3 and 7 years. Counter to claims that accent is an early, salient signal of social group, results are more consistent with a protracted learning hypothesis that children need extended exposure to native‐language sound patterns in order to detect that an accent deviates from their own. A video abstract of this article can be viewed at: https://www.youtube.com/watch?v=BQAgy3IFYXA     

Limits to preference and the sensitivity of choice to rate and amount of food

Studies of choice holding food‐amount ratio constant while varying food‐rate ratio within sessions showed that local changes in preference depend on relative amount of food. The present study investigated whether sensitivity of choice to food‐rate ratio and sensitivity to food‐amount ratio are independent of one another when food‐rate ratios are varied across sessions and food‐amount ratios are varied within sessions. Food deliveries for rats’ presses on the left and right levers were scheduled according to three different food‐rate ratios of 1:1, 9:1, and 1:9; each food‐rate ratio lasted for 106 sessions and was arranged independently of seven food‐amount ratios (7:1, 6:2, 5:3, 4:4, 3:5, 2:6, and 1:7 food pellets) occurring within sessions in random sequence. Each amount ratio lasted for 10 food deliveries and was separated from another by a 60‐s blackout. Sensitivity to rate ratio was high (1.0) across food deliveries. Sensitivity to amount ratio was low when food rates were equal across alternatives, but was high when rate ratio and amount ratio opposed one another. When rate ratio and amount ratio went in the same direction, choice ratio reached an elevenfold limit which reduced sensitivity to approximately zero. We conclude that three factors affect sensitivity to amount: (1) the limit to preference, (2) the equal effect on preference of amounts greater than four pellets, and (3) the absence of differential effects of switches in amount in the equal‐rates (1:1) condition. Taken together, these findings indicate that rate and amount only sometimes combine independently as additive variables to determine preference when amount ratios vary frequently within sessions.     

The influence of infant irritability on maternal sensitivity in a sample of very premature infants

The relationship between maternal sensitivity and infant irritability was investigated in a short‐term longitudinal study of 29 very preterm infants. Infant irritability was assessed at term with the Brazelton NBAS, the Mother and Baby Scales (MABS) and the Crying Pattern Questionnaire (CPQ). Maternal sensitivity was assessed by nurses' ratings in the neonatal care unit and at three months during mother–infant interaction observation. Cross‐lagged panel analysis indicated that neonatal irritability did not influence sensitivity at 3 months nor did maternal sensitivity in the newborn period lead to reduced irritability at 3 months. Both irritability and maternal sensitivity showed moderate stability over time (r = 0.55 and r = 0.60, respectively). It is concluded that in early infancy maternal sensitivity shows little influence on infant irritability in very preterm infants. Copyright © 2003 John Wiley & Sons, Ltd.     

Community Screening for Preschool Child Inhibition to Offer the ‘Cool Little Kids’ Anxiety Prevention Programme

Temperamental inhibition has been identified as a key risk factor for childhood anxiety and internalizing problems. An efficacious early prevention programme for shy/inhibited children has been developed; however, accurate, efficient and acceptable screening is needed to support wider implementation. We explore community screening options in the context of a trial implementing the Cool Little Kids prevention programme for anxiety disorders. In comparison to the Australian Temperament Project's inhibition scale, we examine the Strengths and Difficulties Questionnaire's (SDQ) ability to screen for inhibited preschool children. Parents of 6307 children aged 3 to 6 years enrolled in preschool programmes from eight socio‐economically diverse districts in Melbourne, Australia, first completed the measures of inhibition and SDQ. Parents with inhibited children then enrolled in the Cool Little Kids randomized trial (n = 545). Of these, 88% provided feedback about inhibition screening. Parents allocated to the intervention also provided feedback on the Cool Little Kids parenting programme. Results demonstrated that parents of preschool children (i) find inhibition screening acceptable, (ii) take up this parenting programme and (iii) report favourable feedback. The SDQ emotional symptoms subscale demonstrated acceptable sensitivity but insufficient specificity to identify inhibited preschool children. Presenting parents with a brief, validated inhibition scale could be a low‐cost option for identifying inhibited preschool children in the community to offer early anxiety prevention. Copyright © 2014 John Wiley & Sons, Ltd.     

Screening language skills at 2;0

Early screening of children at risk for language difficulties is challenging. This study aimed to analyze the specificity and sensitivity of two screening methods at 2;0 years of age. In addition, the matter of what kind of information the use of word combinations and parental concern provide for screening was analyzed. The subjects were 78 children. The screening methods used were the Finnish versions of the short-form version of the MacArthur Communicative Development Inventories (FinCDI-SF) and the Communication and Symbolic Behavior Scales, Developmental Profile, Infant-Toddler Checklist (FinCSBS). The specificity and sensitivity of the screening methods were analyzed based on result of the Reynell Developmental Language Scales III. Both screening methods had high specificity but only moderate sensitivity. The use of word combinations and parental concern provided relevant information on early language development. The results imply that it is important to take into consideration receptive language development in early screening.     

Maternal sensitivity behavior and infant behavior in early interaction

Maternal sensitivity behavior and infant behavior in early interaction were investigated among 57 Finnish mother–child pairs. Their interaction was video‐recorded at home in free‐play situation when the infants were 3 months and 12 months of age, and evaluated using the Parent–Child Early Relational Assessment Scale (PCERA). Maternal sensitivity behavior was mainly related to infant's positive aspects of mood, social and play behavior, and visual contact, both at 3 months and 12 months of age. Even though maternal sensitivity behavior correlated to infant behavior at 3 months and 12 months, infant behavior at 3 months of age contributed to later maternal sensitivity behavior. ©2001 Michigan Association for Infant Mental Health.     

Interoceptive Exposure Therapy Combined with Trauma‐related Exposure Therapy for Post‐traumatic Stress Disorder: a Case Report

Trauma‐related exposure therapy is a useful but not universally effective treatment for post‐traumatic stress disorder. Anxiety sensitivity may play an important role in this disorder, as it does in panic disorder. Studies have shown that interoceptive exposure therapy reduces anxiety sensitivity in panic disorder. The present case study was a preliminary investigation of the merits of including interoceptive exposure therapy in the treatment of post‐traumatic stress disorder, in order to improve treatment outcome for a patient who had no history of panic disorder or panic attacks. Interoceptive exposure therapy (4 sessions) was one component of treatment, combined with trauma‐related exposure therapy (4 sessions of imaginal exposure followed by 4 sessions of in vivo exposure). Treatment outcome was assessed with the Clinician‐Administered Post‐traumatic Stress Disorder Scale, a self‐report measure of post‐traumatic stress disorder symptoms, and measures of symptoms and cognitions commonly associated with post‐traumatic stress disorder. Scores on all outcome measures decreased over the course of treatment, with gains maintained at 1‐ and 3‐month follow‐up. Symptoms of anxiety sensitivity and post‐traumatic stress disorder decreased during interoceptive exposure therapy. The results indicate that interoceptive exposure therapy is a promising adjunctive intervention for post‐traumatic stress disorder. Further research is needed into the merits of combining interoceptive exposure therapy and trauma‐related exposure therapy as a means of boosting treatment efficacy.     

What makes relational reasoning smart? Revisiting the perceptual‐to‐relational shift in the development of generalization

Development of reasoning is often depicted as involving increasing use of relational similarities and decreasing use of perceptual similarities (‘the perceptual‐to‐relational shift’). We argue that this shift is a special case of a broader developmental trend: increasing sensitivity to the predictive accuracy of different similarity types. To test this hypothesis, we asked participants (3‐, 4‐, 5‐year‐olds and adults) to generalize novel information on two types of problems – offspring problems, where relational matches yield accurate generalizations, and prey problems, where perceptual matches yield accurate generalizations. On offspring problems, we replicated prior findings of increasing relational matches with age. However, we observed decreasing relational matches on prey problems. Provided feedback on their responses, 3‐year‐olds showed the same trend. Findings suggest that the relational shift commonly observed in categorization and analogical reasoning may reflect a general increase in children's sensitivity to cue validity rather than an overall preference to generalize over perceptual similarity.     

Maternal Sensitivity: Evidence of Stability across Time,Contexts, and Measurement Instruments

Although maternal sensitivity is widely understood as having a direct impact on the quality of the mother–child relationship, empirical evidence supporting this has been inconsistent, possibly because of varied definitions of the construct and limitations of measurements. The Maternal Behavior Q‐Set (MBQS) appears to be a promising measure of sensitivity, showing associations with attachment security (r = .60) higher than those reported (r = .24) in a highly‐regarded meta‐analysis of other sensitivity measures. The present study aimed to further establish the validity and utility of the MBQS by exploring its consistency with a contingency‐based measure of sensitivity, while also seeking evidence of stability across contexts and times. Seventy‐two mothers and their 10‐month‐olds participated in a procedure that included two episodes of Floor Play and Reunions following maternal differential treatment. Mothers were scored on contingent responsivity and warmth. At 12 months, the dyads underwent the Strange Situation Procedure where sensitivity was assessed using a 72‐item version of the MBQS. The findings revealed the stability of maternal sensitivity across times, contexts, and measures. However, linkages applied only to 10‐month scores from reunion, not play, episodes, supporting Pederson and Moran's (1995) assertion that high‐demand circumstances reveal more meaningful differences in maternal sensitivity. Copyright © 2012 John Wiley & Sons, Ltd.     

Best Practices Start With Screening: A Closer Look at Screening,Brief Intervention,and Referral to Treatment in Adolescent,Military, and LGBTQ Populations

Screening, brief intervention, and referral to treatment (SBIRT) is a flexible, evidence‐based approach to assessing risk and providing brief interventions for individuals with alcohol use disorders. This article identifies 3 diverse populations that could benefit from universal screening—a foundation of SBIRT—and provides resources and support for implementation across a broad range of settings.     

Asymmetrical cortical processing of radial expansion / contraction in infants and adults

We report asymmetrical cortical responses (steady‐state visual evoked potentials) to radial expansion and contraction in human infants and adults. Forty‐four infants (22 3‐month‐olds and 22 4‐month‐olds) and nine adults viewed dynamic dot patterns which cyclically (2.1 Hz) alternate between radial expansion (or contraction) and random directional motion. The first harmonic (F1) response in the steady‐state VEP response must arise from mechanisms sensitive to the global radial motion structure. We compared F1 amplitudes between expansion‐random and contraction‐random motion alternations. F1 amplitudes for contraction were significantly larger than those for expansion for the older infants and adults but not for the younger infants. These results suggest that the human cortical motion mechanisms have asymmetrical sensitivity for radial expansion vs. contraction, which develops at around 4 months of age. The relation between development of sensitivity to radial motion and cortical motion mechanisms is discussed.