Investigating Friendship Difficulties in the Pathway from ADHD to Depressive Symptoms. Can Parent–Child Relationships Compensate?

Attention deficit/hyperactivity disorder (ADHD) is associated with friendship difficulties. This may partly account for the increasingly recognised association between ADHD and subsequent depression. Little is known about the types of friendship difficulties that could contribute to the association between ADHD and depressive symptoms and whether other relationships, such as parent–child relationships, can mitigate against potential adverse effects of friendship difficulties. In a representative UK school sample (n?=?1712), three main features of friendship (presence of friends, friendship quality and characteristics of the individual’s classroom friendship group) were assessed in a longitudinal study with two assessment waves (W1, W2) during the first year of secondary school (children aged 11-12 years). These friendship features (W1) were investigated as potential mediators of the prospective association between teacher-rated ADHD symptoms (W1) and self-rated depressive symptoms (W2) seven months later. Parent–child relationship quality (W1) was tested as a moderator of any indirect effects of ADHD on depression via friendship. ADHD symptoms were inversely associated with friendship presence, friendship quality and positive characteristics of classroom friendship groups. Depressive symptoms were inversely associated with presence and quality of friendships. Friendship quality had indirect effects in the association between ADHD and subsequent depressive symptoms. There was some evidence of moderated mediation, whereby indirect effects via friendship quality attenuated slightly as children reported warmer parent–child relationships. This highlights the importance of considering the quality of friendships and parent–child relationships in children with ADHD symptoms. Fostering good quality relationships may help disrupt the link between ADHD symptomology and subsequent depression risk.

     

Conscious mind – conscious body

The incorporation of body awareness and touch techniques within analytic treatment is the main theme of this paper. Beginning with a personal experience of the oneness of body and psyche, the author considers Jung's observation of the physiological accompaniments of emotional reactions and his understanding of body as both shadow and ground. The author proposes a new model of analytic treatment that embraces both the verbal and imaginal as well as the non-verbal and somatic aspects of psyche. She describes the three elements of her approach: 1) reading what the body is saying about psyche; 2) using the body as an organ of perception; 3) using touch as a therapeutic tool. The effects of the taboo around touch are considered. Clinical examples throughout the paper demonstrate how somatic awareness and the use of touch promote the analytic process.     

Migrant Distress: The Role of Perceived Racial Discrimination and Coping Resources1

This paper examines the relationships among perceived racial discrimination, coping resources, and psychological distress experienced by 372 ethnic Chinese migrants in 3 Australian cities, within the social context of ongoing debates on Asian immigration. Based on the stress‐coping‐strain framework, it was expected that migrants’ recent increases in psychological distress would be associated with greater perceived racial discrimination, and lower levels of coping resources. Possible moderating effects of coping resources were examined. Hierarchical regression analyses provided broad support for the stress‐coping‐strain framework, and indicated direct effects of low personal and ethnic self‐esteem and having a small number of Anglo‐Australian friends on increased psychological distress. The findings are discussed with regard to implications for migrants’ wellbeing in the context of sociopolitical debates.     

From parent education to collective action: ‘Childrearing with love’ in post‐war Guatemala

The paper discusses the implementation and effect of group‐based parenting workshops oriented by the principles of liberation psychology in a low‐income, hispanicized community in Guatemala City. The objective of this initiative was not only to improve outcomes in the parent–child relationship, but to galvanize the formation of community‐based support groups that could have multiple ends. The theoretical foundations of the project are introduced, before illustrating their practical application. Sixteen months post‐intervention, largely positive effects were being sustained in parent child relations. The project was also successful in generating social action through the formation of grass‐roots women's organizations. Copyright © 2008 John Wiley & Sons, Ltd.     

Confidence in Dyadic Decision Making: The Role of Individual Differences

Groups typically express more confidence than individuals, yet how individual‐level confidence combines during collaborative decision tasks is not well understood. We prescreened 686 community members using a novel confidence measure (a true/false trivia test) intentionally designed to be difficult (accuracy rates were not significantly better than chance) and randomly assigned 72 individuals to collaborate on a matched version of the same test in dyads composed of two low‐confidence individuals, two high‐confidence individuals, or one of each (“mixed”). Consistent with past research, we found that the confidence expressed by dyads was higher than the confidence expressed by individuals; importantly, however, this pattern varied markedly by dyad type, with low‐confidence dyads showing the largest increase, mixed dyads showing a moderate increase, and high‐confidence dyads showing no increase—despite the fact that all dyads showed similarly low accuracy (about 55%). These results highlight the conditions under which groups express greater confidence than individuals and offer insights for the composition of collaborative decision‐making teams. Copyright © 2015 John Wiley & Sons, Ltd.     

The role of neuropsychology in UK pediatric HIV care: Relevance to clinical practice and research

There has been a dramatic improvement in the survival of children with perinatally-acquired HIV (PHIV) following the introduction of effective treatment in 1990s. The care for children living with PHIV is now focused on more accurately understanding the effects of both HIV and HIV treatment on the developing body and brain. An evaluation of current HIV neuroimaging, and neurocognitive research, when combined with clinical experience in the area of HIV, could help to inform United Kingdom (UK) PHIV service provision. This paper argues that an understanding from a neuropsychological perspective will help these young people to optimize their health, quality of life, and future functioning. The aim of the paper is to bring together research and clinical understanding of HIV and its treatment effects on the developing brain, together with an understanding of other potential neurological risk factors. It is argued here that there is a need for targeted neuropsychology assessment and preventative interventions, supported by clinical and preliminary research on the neurocognitive effects of HIV and its treatments.     

Changes in Late Adolescents and Young Adults’ Attachment,Separation, and Mental Health During Wilderness Therapy

The study explored changes in young adults’ mental health, attachment, and separation from parents during a seven-week wilderness therapy program. Utilizing a longitudinal one-group design, the study examined outcomes of 157 young adults in one wilderness therapy program. From pre to post treatment, participants reported significant improvement in mental health symptoms and interpersonal relationships, as well as increases in the belief that others can be depended upon. Participants reported less resentment and anger towards mothers from pre to post treatment, but an increase in their needs for approval from fathers. The study details a link between young adults’ attachment, independence from parents, and improvement in mental health, suggesting that treatment which targets these links may provide more effective intervention.     

Negative beliefs about low back pain are associated with persistent high intensity low back pain

While previous cross-sectional studies have found that negative beliefs about low back pain are associated with pain intensity, the relationship between back beliefs and persistent low back pain is not well understood. This cohort study aimed to examine the role of back beliefs in persistent low back pain in community-based individuals. A hundred and ninety-two participants from a previous musculoskeletal health study were invited to take part in a two-year follow-up study. Beliefs about back pain were assessed by the Back Beliefs Questionnaire (BBQ) at baseline and low back pain intensity was measured by the Chronic Pain Grade Questionnaire at baseline and follow-up. Of the 150 respondents (78.1%), 16 (10.7%) reported persistent high intensity low back pain, 12 (8.0%) developed high intensity low back pain, in 16 (10.7%) their high intensity low back pain resolved and 106 (70.7%) experienced no high intensity low back pain. While participants were generally positive about low back pain (BBQ mean (SD) = 30.2 (6.4)), those with persistent high intensity pain reported greater negativity (BBQ mean (SD) = 22.6 (4.9)). Negative beliefs about back pain were associated with persistent high intensity low back pain after adjusting for confounders (M (SE) = 23.5 (1.6) vs. >30.1 (1.7), p < .001). This study found negative back beliefs were associated with persistent high intensity low back pain over 2 years in community-based individuals. While further longitudinal studies are required, these findings suggest that targeting beliefs in programs designed to treat and prevent persistent high intensity low back pain may be important.     

Machiavellian emotion regulation in a cognitive reappraisal task: An fMRI study

Affective coldness is one of the main features of Machiavellianism. Recent studies have revealed that Machiavellians are emotionally detached and that this “affective blunting” is associated with intense feelings, emotional instability, negative emotions, and difficulty in enduring distress. We used brain-imaging techniques to investigate emotion regulation in Machiavellianism at a neuropsychological level. We used situations in which participants were required to demonstrate emotional flexibility to explore the controversy surrounding the fact that Machiavellianism is associated with both cold-mindedness and emotional instability. Participants performed a reappraisal task in which emotionally evocative pictures (from the International Affective Picture System) were presented in different contexts (negative, positive, and neutral). They were asked to interpret a scenario according to its title and to reinterpret it according to another context created by a new title (e.g., negatively labeled pictures shifted to positively labeled ones). During task performance, Machiavellians showed increased activation of brain regions associated with emotion generation—for example, the amygdala and insula. This indicates that Machiavellian individuals are able to be involved emotionally in social situations. Increased activation in the temporal and parahippocampal regions during reappraisal suggests that Machiavellians use semantic–perceptual processes to construct alternative interpretations of the same situation and have enhanced memory for emotional stimuli. Furthermore, they seem to possess an intense awareness that leads them to shift attention from external to internal information to detect environmental changes. These cognitive processes may enable them to adjust their behavior quickly. This study supports the flexibility hypothesis of Machiavellianism and suggests that Machiavellians’ approach to emotion regulation is linked to their rational mode of thinking.