Parenting Interventions for Refugees and Forcibly Displaced Families: A Systematic Review

Globally, an estimated 79.5 million individuals have been displaced, nearly 40% of whom are children. Parenting interventions may have the potential to improve outcomes for displaced families. To investigate this, we conducted a systematic review to identify the types of caregiver or parenting interventions that have been evaluated among displaced families, to assess their efficacy across a range of contexts, and to describe their cultural and contextual adaptations. The review followed PRISMA guidelines. At stage one, all articles describing caregiver/parenting interventions for forcibly displaced families were included to provide a scoping review of the state of the literature. At stage two, only randomized controlled trials (RCTs) and quasi-experimental designs were included, allowing for quantitative analysis of program effects. A total of 30 articles (24 studies) were identified in stage one. 95.8% of these articles were published in the past 10 years. Of these, 14 articles (10 studies) used an RCT or quasi-experimental design to assess program efficacy or effectiveness. Relative to control groups, those assigned to caregiving programs showed significant, beneficial effects across the domains of parenting behaviors and attitudes, child psychosocial and developmental outcomes, and parent mental health. Cultural adaptations and recruitment and engagement strategies are described. The evidence base for caregiving programs for displaced families has expanded in recent years but remains limited. Caregiving/parenting programs show promise for reducing the negative effects of forced displacement on families, but future studies are needed to understand which programs show the greatest potential for scalability.

     

On assets and debt in the psychology of perceived wealth

We studied the perception of wealth as a function of varying levels of assets and debt. We found that with total wealth held constant, people with positive net worth feel and are seen as wealthier when they have lower debt (despite having fewer assets). In contrast, people with equal but negative net worth feel and are considered wealthier when they have greater assets (despite having larger debt). This pattern persists in the perception of both the self and others. We explore consequences for the willingness to borrow and lend and briefly discuss the policy implications of these findings.     

Women’s Regrets About Their Lives: Cohort Differences in Correlates and Contents

In this paper we test hypotheses about the importance of life stage in moderating the relationship between acknowledging regrets and concurrent well-being, as well as how changes in women’s social roles during the post-war period affected the content of the regrets they develop. We examine the relationship between women’s life regrets and life satisfaction, and the content of life regrets, using data from 313 predominately white, college-educated women who graduated from the same university in the United States in 1951/2 (age 66), 1972 (age 46) and 1992 (age 26). Analyses revealed that the more types of regrets middle-aged and older women reported (the 1972 and 1951/2 cohorts respectively), the lower their life satisfaction; this pattern did not hold for the youngest women. In terms of the specific content of regrets, exact logistic regressions showed that women in the oldest cohort reported more regrets about prioritizing family over career compared with the later cohorts. Overall, few women reported regrets about prioritizing their careers over families; however, women in the middle cohort were most likely to report these regrets. Results are discussed in terms of both developmental and socio-historical frameworks.     

A randomized clinical trial of online-biblio relationship education for expectant couples

This study evaluated the efficacy of a self-paced, Internet-based marriage and relationship skills education program ("Power of Two Online"). The program integrated an online intervention with print supplemental resources. New and expectant parents (n = 79) were randomly assigned to the 2-month intervention or placebo-control group. Assessments were conducted at baseline, 1-month, and 2-month follow-up intervals. Latent growth curve modeling was used to examine differences between conditions for marital satisfaction and conflict management. Participants who received the intervention reported trajectories of improved marital satisfaction and improved marital conflict management over time relative to controls. Implications for widespread dissemination of marriage and relationship education as a primary prevention tool are discussed.     

The experiences and understandings of obesity: Families’ decisions to attend a childhood obesity intervention

Objectives: This study investigated the families’ experiences of a childhood obesity intervention and sought to understand factors that influence attendance and lifestyle behaviours.

Design: Eleven semi-structured interviews were conducted and analysed using Interpretative Phenomenological Analysis.

Results: Four themes emerged highlighting the differences and similarities between attendees and non-attendees perceptions of childhood obesity, perceptions of the intervention, practical barriers and overcoming hurdles to attending and, availability and suitability of local facilities.

Conclusions: The findings relate to identity and health communication. For some families attending an obesity intervention may challenge social and individual identities, which may have an impact on subsequent behavioural decisions. Those who attend the obesity intervention may experience a shift in identity, which may or may not initially be perceived as a positive outcome. Public Health and those involved in treatment interventions should aim to bridge the gap between people’s in-group identities and those associated with particular lifestyle behaviours. In order to be effective, services must meet the needs of their clients and address any preconceived negative perceptions by carefully considering how health information is presented, how it is understood and most importantly how identity may affect motivation to engage in, and sustain, new behaviours.     

Higher Order Factor Structure of the WISC-IV in a Clinical Neuropsychological Sample

A confirmatory factor analysis was conducted examining the higher order factor structure of the WISC-IV scores for 344 children who participated in neuropsychological evaluations at a large children's hospital. The WISC-IV factor structure mirrored that of the standardization sample. The second order general intelligence factor (g) accounted for the largest proportion of variance in the first-order latent factors and in the individual subtests, especially for the working memory index. The first-order processing speed factor exhibited the most unique variance beyond the influence of g. The results suggest that clinicians should not ignore the contribution of g when interpreting the first-order factors.     

Attention bias in youth: Associations with youth and mother's depressive symptoms moderated by emotion regulation and affective dynamics during family interactions

Recent research has highlighted the potential role of attention bias for emotional stimuli as a possible cognitive risk factor for depression in youth. However, differences in youth emotion regulation or maternal affect may moderate the association between maternal and youth depression and youth attention biases. The current study investigated the relationship between maternal and youth depressive symptoms and youth (aged 11–17 years) attention bias for sad and happy faces in 59 mother–youth dyads, examining whether positive and negative maternal affect observed during structured interaction tasks or youth emotion regulation tendencies moderated associations between maternal and youth depression and attention biases. Youth suppression interacted with maternal and youth depression to predict sad attentional biases in youth, while maternal positive affect interacted with maternal depression to predict happy attention biases in youth.     

The Role of Maternal Illness Perceptions in Family Functioning in Adolescent Girls with Anorexia Nervosa

Family based treatment of anorexia nervosa (AN) requires heavy parental involvement. To be effective, parents must possess a coherent understanding of the illness and believe that it is treatable. Yet we know little of how parents view the illness, nor whether these views are unique to AN. We examined illness perceptions in AN, how they compare to those of individuals with a serious medical illness, and how they relate to adjustment and coping. Twenty-five girls with AN, 24 girls with Type I diabetes, and their mothers completed measures of family functioning and psychological symptoms. Mothers also completed a measure of illness perceptions. Mothers viewed AN as less chronic, understandable, and controllable than mothers of girls with diabetes viewed their daughter’s respective illness. Such negative cognitions were associated with poor family functioning and maternal and adolescent adjustment. These findings have implications for enhancing family based treatments, as well as for modifying public health messages to reduce the pervasive stigma that influences such unhelpful perceptions about the illness.     

Emotional Skillfulness as a Key Mediator of Aggression

Psychological research has documented several predictors of aggression, including adherence to hegemonic masculinity, trauma symptoms, and insecure attachment. However, at present, little is known about why these variables predict aggression. This study used acceptance theory to introduce the concept of emotional skillfulness as a counterpoint to emotion dysregulation. In an effort to better understand the pathways through which these variables predict aggression, this study used a clinical sample to test three mediational models which hold that emotional skillfulness functions as a common link between the aforementioned predictors and aggression in both men and women. Results indicated that emotional skillfulness is a mediator of aggression for both men and women, but that the predictors of aggression differed by gender.     

Should We Approach Approach and Avoid Avoidance? An Inquiry from Different Levels

Abstract

Approach motivation (striving for desired end-states, eagerly focusing on where one wants to be) is often held up as the best type of motivation: It feels good and is associated with many positive outcomes. Indeed, a common perception is that regulation in terms of approach motivation is almost always better than regulation in terms of avoidance motivation. However, as we discuss, this conclusion is worthy of a deeper look. We consider how approach and avoidance motivation manifest at different levels in a self-regulatory hierarchy and how this can help us understand the upsides and downsides of both approach and avoidance motivation. In other words, approach motivation is not always beneficial and avoidance motivation is not always problematic. Understanding these trade-offs involves a consideration of which level in the hierarchy approach or avoidance is manifested, what types of outcomes are being examined (the experience of regulation vs. performance), and how the approach or avoidance regulation fits or does not fit with an individual’s broad concerns or specific situational demands. Furthermore, a hierarchical approach helps make sense of behaviors that reflect simultaneous approach and avoidance tendencies, such as tactical approach to remove (avoid) a threat, providing a dynamic and nuanced view of motivation.