Latinx Mental Health Scholars' Experiences with Cultural Adaptation and Implementation of Systemic Family Interventions

An increasing number of culturally adapted family-level interventions address mental health disparities with marginalized populations in the United States. However, with these developments many barriers have arisen, such as challenges with degree of cultural fit, engagement, and sustainability. We conducted 12 elite phenomenological interviews with mental health scholars involved in prevention and intervention family research with various Latinx communities within and outside of the United States. These scholars discussed their experiences of overcoming barriers in their research. We used thematic analysis to code and analyze participant responses, and our findings support the gaps in previous literature and highlight potential pathways to overcoming barriers in cultural adaptation research. Themes included the need for: (a) better understanding of the intersection between culture and context; (b) community-centered approaches to addressing implementation challenges; and (c) structural changes within institutional, governmental, and political levels. We discuss implications for researchers and practitioners working with Latinx families.     

Parent engagement in an original and culturally adapted evidence-based parenting program,Legacy for Children™

Legacy for Children™ (Legacy) is an evidence-based program focused on promoting sensitive, responsive parenting for socioeconomically disadvantaged families. Legacy has recently been culturally and linguistically adapted for Spanish-monolingual Latino families and is being piloted in partnership with an early childhood education program. We conducted a mixed methods study to identify barriers and facilitators to engagement, using program monitoring data sources from both participant and group leader perspectives. We conducted qualitative analyses of open-ended data to identify distinct barriers (e.g., employment challenges, health-related challenges and appointments) and facilitators (e.g., other mothers in group, interest in program topics) to engagement that emerged across English and Spanish language curriculum versions; curriculum-specific barriers and facilitators were also documented. We interpret these findings in light of quantitative data on measures of engagement, showing that participants in the Spanish curriculum evidenced comparable levels of parent–group leader relationship quality relative to the English group, and higher levels of parent's group support/connectedness and overall satisfaction. These results offer promising considerations for optimizing families’ engagement in parenting programs in the context of early care and education settings.     

Links Between Reactive Attachment Disorder,Caregiving and Temperament: A Differential Susceptibility Perspective

Abstract

The links between Reactive Attachment Disorder (RAD) and temperament received relatively little research attention, in spite of their clinical and social relevance. Children with RAD sustain disproportionate burdens of early adversity related to their caregiving environment. However, there seem to be important individual differences in susceptibility to adversity, since only a small number of children show signs of RAD. Based on the work of Zeanah and Fox, this review aims to bring new insights to this relevant clinical issue in light of recent research. A differential susceptibility hypothesis will be considered as a promising and innovative approach toward a further understanding of the links between temperament and RAD.     

Word concreteness and encoding effects on context-dependent discrimination

In three experiments, we investigated the effects of word concreteness and encoding instructions on context-dependent discrimination in verbal contexts, using Murnane, Phelps, and Malmberg's (1999) ICE (item, context, ensemble) theory as the framework Word concreteness was manipulated within participants, and encoding was manipulated between participants. It was hypothesized that the magnitude of context-dependent discrimination would be affected by both concreteness and encoding instructions. Imagery instructions resulted in context-dependent discrimination for both concrete and abstract word pairs across all the experiments. Context-dependent discrimination was observed under rote instructions for concrete and abstract words, particularly when the same context word was paired multiple times with the targets. The results indicated that context-dependent discrimination is not dependent solely on the use of interactive imagery instructions or on word concreteness.     

The Aggression Questionnaire: a validation study in student samples

The goal of this study was to examine the psychometric properties of the Aggression Questionnaire (AQ) in Spain. The AQ is a 29-item instrument designed to measure the different dimensions of the hostility/anger/aggression construct. It consists of 4 subscales that assess: (a) anger, (b) hostility, (c) verbal aggression, and (d) physical aggression. In Study 1, reliability, construct validity, and convergent validity were evaluated in a group of 384 male and female university students. Test-retest reliability was evaluated using a group of 154 male and female university students. The results of the factor analysis were similar to the scale structure claimed for this instrument. The subscales also showed internal consistency and stability over time. The AQ and its subscales were also compared with the scales and subscales of the Spielberger State-Trait Anger Expression Inventory (STAXI), the Cook-Medley Hostility Scale (Ho), the Buss-Durkee Hostility Inventory (BDHI), and the Jenkins Activity Survey-Form H (JASE-H). The results show that the AQ evaluates some aspects of anger, such as Anger-Trait and Anger-Out, rather than other elements, such as Anger-In or Anger-State. In Study 2, two new male groups were used to evaluate the criterion validity of the AQ: 57 prison inmates and 93 university students, finding that this instrument discriminated between the scores obtained by common offenders and university students.     

Distinguishing Caregiver Strain from Psychological Distress: Modeling the Relationships Among Child, Family, and Caregiver Variables

Although both have been used in studies of the impact of mental illness on the family, the constructs of caregiver strain (often referred to as burden of care) and psychological distress have not been clearly distinguished. The vagueness surrounding these constructs, and the lack of a cohesive conceptual framework for understanding how they relate, leads to contradictory interpretations of results. This compromises the building of the knowledge base needed to develop and evaluate interventions to support families as they struggle to meet the needs of their children with emotional and behavioral challenges. We utilized the ABCX Model as a framework for understanding caregiver strain and its relationship to psychological distress. Structural equations modeling was used to test the hypothesized relationship between caregiver strain and psychological distress, as well as the role of key child and family variables. These included child symptoms, stressful life events, social support, family functioning, and material resources. Our findings indicated that caregiver strain and psychological distress, although related, have distinct correlates and different implications in the family context.     

Opinion‐based group membership as a predictor of commitment to political action

Research on group identification has shown it to be a surprisingly weak predictor of intentions to take large‐scale social action. The weak links may exist because researchers have not always examined identification with the type of group that is most relevant for predicting action. Our focus in two studies (one in Romania and one in Australia, both Ns = 101) was on opinion‐based groups (i.e. groups formed around shared opinions). We found that social identification with opinion‐based groups was an excellent predictor of political behavioural intentions, particularly when items measuring identity certainty were included. The results provide clear evidence of the role of social identity constructs for predicting commitment to social action and complement analyses of politicised collective identity and crowd behaviour. Copyright © 2006 John Wiley & Sons, Ltd.     

Multimodal intervention program to improve attention deficits

Is it possible to learn to attend? The purpose of this article is to provide information about the development, administration, and contrast of an intervention program to improve selective and sustained attention in students from 5 to 19 years of age, all attending school, and with difficulties to learn the academic materials corresponding to their age. Two groups participated in the study: one with difficulties in selective attention and the other with difficulties in sustained attention. The group with selective attention difficulties was made up of 102 students, of whom 59 made up the experimental group and 43 the control group. The group of students with difficulties in sustained attention was made up of 106 students, of whom 58 participated as the experimental group and 48 as the control group. The results indicate that this kind of intervention (which combines visual therapy, cortical activation, and training with activity banks) is effective to improve attentional deficits, both at the level of selective attention and of sustained attention.     

Relationship between burnout, job strain, and sleep characteristics

The purpose of the present study is to analyse the relationship between sleep, burnout, and job strain in a sample of 316 healthy workers from various professional sectors. Multiple significant correlations between the principal sleep parameters, the dimensions of burnout, and job strain were found. The regression analyses show that sleep quality and various dimensions of job strain are significant predictors of several aspects of burnout. Sleep quality explains an even higher percentage of the variance in emotional exhaustion than the variance explained by more well-known variables such as job demands. Moreover, sleep quality interacts with aspects of job strain in its influence on the dimensions of burnout, although the exact relationship between these variables needs to be investigated in future longitudinal studies. Our results suggest that interventions to optimise sleep habits could prevent or alleviate burnout and could be a part of organisational work.