Perceptions of Stress,Coping, and Intervention Preferences among Caregivers of Disadvantaged Children with Asthma

Asthma remains the most prevalent chronic illness among children. Despite the substantial body of literature examining children with asthma, few studies have examined parents’ perspectives of the condition and experiences of caregiver stress. Parents of children with chronic illnesses experience elevated stress and may have limited opportunities to cope with complex emotions while caring for children with asthma. Drawing from focus groups and interviews with African American and Hispanic parents of children with asthma, this qualitative study was conducted as part of a patient-centered engagement process to inform the refinement of an intervention aimed at reducing stress among parents of children with asthma. All data were transcribed and underwent three waves of inductive analysis. The content analysis indicated that the unpredictable nature of asthma and the caregiving burden associated with managing children’s asthma contributed to parents’ stress, and external contexts compounded the impact of these stressors. Parents also reported having difficulty identifying how they coped with stress and employed approaches to coping with stress that they applied intermittently but encountered several barriers to enacting known or available coping strategies. Analyses also revealed that parents desired a multimodal stress reduction intervention that emphasized building relationships, allowed for flexibility, and encouraged staff-parent communication. Whereas African American and Hispanic parents’ experiences of stress and coping strategies were similar, their preferences differed in regards to incorporating technology into the intervention, the credentials of facilitators, and the salience of language preferences. Understanding the complexities of stressors facing caregivers is important for developing interventions to support parents and children coping with asthma, and in particular when working with families from diverse backgrounds.     

Who is most likely to fat talk? A social comparison perspective

Negative talk about food, weight, or the body that occurs commonly among women – fat talk – is gaining increasing attention. Whereas its negative eating pathology and body esteem correlates have received continued empirical validation, what is not yet known is who is most likely to fat talk. We propose that social comparison processes underlie and motivate much of fat talk. In a sample of 143 college women, we found evidence for the role of social comparison. First, having a stronger tendency to socially compare directly predicts fat talk. Second, as a woman's body image concerns increase, her likelihood of engaging in fat talk increases, and this is intensified if she has a greater tendency to socially compare. Finally, social comparison propensity begins to exert its exacerbating effects at surprisingly low levels of body image concern. Results are discussed in terms of the advantages of using a social comparison perspective to better understand fat talk.     

Severity of childhood attention-deficit hyperactivity disorder--a risk factor for personality disorders in adult life?

Some evidence points to an increased rate of cluster B and C personality disorders (PDs) in adult ADHD patients. In order to assess axis II disorders comprehensively we used the diagnostic instrument of the WHO. In sixty adult out-patients with ADHD according to DSM-IV criteria PDs were assessed with the International PD Examination (IPDE) and severity of childhood ADHD with the Wender-Utah-Rating Scale (WURS). We found at least one PD in 25% of cases. Cluster C PDs were most common (36.6%) followed by Cluster B (23.3%) and A (8.3%). Avoidant (21.7%) and borderline (18.3%) were the most frequent single PD entities. ADHD patients with PD suffered from significantly more severe childhood ADHD compared to those without co-occurring PD. Applying the IPDE we confirmed a high number of PDs among adult ADHD patients. Our findings point to a higher vulnerability for the development of PDs in patients with severe childhood ADHD.     

Violence risk assessment and women: predictive accuracy of the HCR-20 in a civil psychiatric sample

Research to date has not adequately demonstrated whether the HCR-20 Violence Risk Assessment Scheme (HCR-20; Webster, Douglas, Eaves, & Hart, 1997), a structured violence risk assessment measure with a robust literature supporting its validity in male samples, is a valid indicator of violence risk in women. This study utilized data from the MacArthur Study of Mental Disorder and Violence to retrospectively score an abbreviated version of HCR-20 in 827 civil psychiatric patients. HCR-20 scores and predictive accuracy of community violence were compared for men and women. Results suggested that the HCR-20 is slightly, but not significantly, better for evaluating future risk for violence in men than in women, although the magnitude of the gender differences was small and was largely limited to historical factors. The results do not indicate that the HCR-20 needs to be tailored for use in women or that it should not be used in women, but they do highlight that the HCR-20 should be used cautiously and with full awareness of its potential limitations in women.     

Stronger evidence for own-age effects in memory for older as compared to younger adults

Three studies examined whether younger and older adults better recall information associated with their own than information related to another age group. All studies compared young and older adults with respect to incidental memory for previously presented stimuli (Studies 1 and 2: everyday objects; Study 3: vacation advertisements) that had been randomly paired with an age-related cue (e.g., photo of a young or an old person; the word "young" or "old"). All three studies found the expected interaction of participants' age and age-associated information. Studies 1 and 2 showed that the memory bias for information arbitrarily associated with one's own as compared to another age group was significant for older adults only. However, when age-relevance was introduced in a context of equal importance to younger and older adults (information about vacations paired either with pictures of young or older adults), the memory bias for one's own age group was clearly present for both younger and older adults (Study 3).     

Perceptual comparisons with laterally presented pictures and environmental sounds

Two experiments studied perceptual comparisons with cues that vary in one of four ways (picture, sound, spoken word, or printed word) and with targets that are either pictures or environmental sounds. The basic question probed whether modality or differences in format were factors that would influence picture and sound perception. Also of interest were cue effect differences when targets are presented on either the right or left side. Students responded to a same-different reaction time task that entailed matching cue-target pairs to determine whether the successive stimulus events represented features drawn from the same basic item. Cue type influenced reaction times to pictures and environmental sounds, but the effects were qualified by response type and with picture targets by presentation side. These results provide some additional evidence of processing asymmetry when pictures are directed to either the right or left hemisphere, as well as for some asymmetries in cross-modality cuing. Implications of these findings for theories of multisensory processing and models of object recognition are discussed.     

The association between parent-child conflict and adolescent conduct problems over time: results from a longitudinal adoption study

A handful of prior adoption studies have confirmed that the cross-sectional relationship between child conduct problems and parent-child conflict at least partially originates in the shared environment. However, as the direction of causation between parenting and delinquency remains unclear, this relationship could be better explained by the adolescent's propensity to elicit conflictive parenting, a phenomenon referred to as an evocative gene-environment correlation. In the current study, the authors thus examined the prospective relationship between conduct problems and parent-child conflict in a sample of adoptive families. Participants included 672 adolescents in 405 adoptive families assessed at 2 time points roughly 4 years apart. Results indicated that parent-child conflict predicts the development of conduct problems, whereas conduct problems do not predict increases in parent-child conflict. Such findings suggest that evocative gene-environment correlations are highly unlikely to be an explanation of prior shared environmental effects during adolescence. Moreover, because the adolescents in this study do not share genes with their adoptive parents, the association between conduct problems and parent-child conflict is indicative of shared environmental mediation in particular. Implications of the findings are discussed.     

Reviewers and the Detection of Deceptive Information in Recorded Interviews

Being able to detect deceptive information early is worthwhile for recruiters and other information‐based organizational workers; unfortunately, people generally are not good at detecting deception successfully. We conducted an experiment to determine how successful reviewers can be at detecting deception in several types of dispersed interviews. The results indicated that reviewers were more accurate at detecting deceptive information than were participant interviewers; that a warning about deception's presence improved reviewers' detection accuracy; and that a warning did not have any effect on reviewers' number of false alarms between text and audio media. These findings imply that if reviewers are warned about the possible presence of deception, organizations might be able to minimize the chance of hiring high‐risk job applicants.     

Relations of SARS-related stressors and coping to Chinese college students' psychological adjustment during the 2003 Beijing SARS epidemic

This study examined the main and interactive relations of stressors and coping related to severe acute respiratory syndrome (SARS) with Chinese college students' psychological adjustment (psychological symptoms, perceived general health, and life satisfaction) during the 2003 Beijing SARS epidemic. All the constructs were assessed by self-report in an anonymous survey during the final period of the outbreak. Results showed that the relations of stressors and coping to psychological adjustment varied by domain of adjustment. Regression analyses suggested that the number of stressors and use of avoidant coping strategies positively predicted psychological symptoms. Active coping positively predicted life satisfaction when controlling for stressors. Moreover, all types of coping served as a buffer against the negative impact of stressors on perceived general health. These findings hold implications for university counseling services during times of acute, large-scale stressors. In particular, effective screening procedures should be developed to identify students who experience a large number of stressors and thus are at high risk for developing mental health problems. Intervention efforts that target coping should be adapted to take account of the uncontrollability of stressors and clients' cultural preferences for certain coping strategies. A multidimensional battery of psychological adjustment should be used to monitor clients' psychological adjustment to stressors and evaluate the efficacy of intervention.