Outcomes and Findings of Program Evaluation for the Intensive Mental Health Program

We describe changes in adaptive functioning for children enrolled in the Intensive Mental Health Program (IMHP), an innovative model for serving children with the most severe forms of SED. Most children show marked improvements in multiple indicators of role performance and symptomatology. Although a high risk, high need group, most children attended school regularly and lived with a stable caregiver at discharge.     

Factors Related to Outcome in a School-based Intensive Mental Health Program: An Examination of Nonresponders

We examined factors related to treatment responders (n = 35) and nonresponders (n = 16) in a group of 51 children admitted to the Intensive Mental Health Program (IMHP). Children’s response to treatment was coded based on their functioning at intake and discharge using total CAFAS scores. Demographic variables, length of treatment, number of diagnoses and medications, and history of physical/emotional abuse or neglect did not significantly distinguish between responders and nonresponders. Nonresponders were more likely to present with a history of suspected or confirmed sexual abuse, internalizing diagnoses, or comorbid internalizing and externalizing diagnoses. Although the small sample size may limit interpretations, our findings indicate treatment programs need augmentation when children with serious emotional disturbances (SED) may be at risk for not responding to interventions.     

Differential sensitivity of recent vs. remote memory traces to extinction in a water-maze task in rats

Extinction has mostly been studied in conditioning paradigms, more sparsely in spatial tasks, and never as a function of the age of a spatial memory. Using rats, we compared the time-course of extinction of a recent (5 days) vs. remote (25 days) spatial memory in a water maze, over three probe trials. When the trials were set 24h apart, performance in the remote memory group was significantly worse on the first probe trial and significantly better on the third probe trial, as compared to the recent memory group, thereby showing differences between cognitive operations underlying recent vs. remote memory extinction. In contrast, when trials were given consecutively, both groups showed a similar profile of extinction. Furthermore, in a room with overly-salient cues providing a strong remote memory trace, no difference between groups was observed when the spaced extinction paradigm was used. These results might be related to a balance between reconsolidation and extinction processes occurring after a first retrieval experience, of which the outcome may depend on the extinction protocol, and on the age and strength of a memory.     

Parenting and adolescent well-being in two European countries

The main and interactive effects of parental behavioral control and parental support on adolescent adjustment were examined with students ages 15-19 in Italy (N = 391, 59.1% male) and The Netherlands (N = 373, 45.3% male). In general, parental support was associated with better adjustment and parental control was associated with worse adjustment. However, parental control as well as age and sex moderated the effects of parental support on psychological discomfort and expectations of future success. Positive self-perceptions were less well predicted. Further, there were more moderated effects in the Dutch sample than in the Italian sample. Generalizability of the contributions of parenting behavior to adolescent adjustment outside of a North American context is discussed.     

The Temporally Extended Self: The Relation of Past and Future Selves to Current Identity,Motivation, and Goal Pursuit

People's current identity is constructed not only in the present moment but also by looking back to past selves and forward to future selves. In this article, we review research on the temporally extended self, with a focus on recent work informed by temporal self‐appraisal theory. People often recall the past and imagine the future in ways that contribute to a favorable current identity. Subjective temporal distance (how near or distant a point in time feels) plays a powerful role in determining temporal self‐appraisals. In turn, people's judgments of subjective distance can shift when considering temporal selves with good or bad implications for current identity. We will describe research exploring the complex interconnections between past, present, and future identity. In addition, we consider some of the unique implications that people's constructions of future selves might have for their plans and goals, and how predicted selves might influence goal‐pursuit motivation and behavior.     

A thematic analysis of attributions to others for the origins and ongoing nature of pain in community pain sufferers

Research suggests that pain sufferers can attribute their pain to others. However, this work is scarce, lacking in detail and does not focus on any particular time during the pain experience. To understand how these attributions operate in pain, this study sought to examine as an exclusive focus the types, context of, and rationale for attributions made to others for the origins and ongoing nature of pain. A community pain sample was voluntarily recruited into the study to gain a comprehensive understanding of these attributions and minimise potential group-specific bias. Sixty-two participants were interviewed using semi-structured questions about cause, responsibility and blame for pain. Data were analysed using a thematic analysis. Attributions to others emerged across interview questions. Acquaintances, professionals and strangers were implicated in pain onset for reasons including negligence, accident and attack. Few additional attributions were made for pain now. Those made were mostly to medical professionals for perceived poor treatment of an original pain condition encompassing issues related to compliance, diagnosis and treatment and searching for alternative pain solutions. This research provides insight into the social context in which pain attributions to others are reported, and provides the basis for research into largely untapped areas including the implications particular attributions have for adjustment to pain and relationships with others.     

Patterns of psychosocial risk and long-term outcomes in rheumatoid arthritis

This study examined the extent to which patterns of psychosocial risk were uniquely associated with long-term outcomes of rheumatoid arthritis (RA), after demographic factors and self-reported symptom severity over time were accounted for. Data were collected over an 8-year period from 561 individuals with RA who were participants in the ongoing UCSF RA Panel Study in 1995. Panel members were interviewed annually, using a comprehensive structured telephone interview. Psychosocial factors assessed included mastery, perceptions about adequacy of social support, the impact of RA and self-assessed ability to cope with RA and satisfaction with health and function. Cluster analysis of psychosocial factors identified three distinctive patterns/levels of psychosocial risk (high, medium and low risk). The unique effects of psychosocial risk status on changes in depressive symptoms, basic functional limitations, global pain ratings and average annual doctor visits over an 8-year period were estimated, using growth curve analyses. Analyses controlled for demographic factors (gender, marital/partner status, education, age and ethnicity), disease duration and year in the panel and time-varying self-reported symptom severity (morning stiffness, swollen joint counts, co-morbid medical conditions, extra-articular RA symptoms and changes in joint appearance), as well as self-reported medications taken over time (disease-modifying antirheumatic drugs [DMARDS], and prednisone). Overall, 32.4% of total variance in depressive symptoms was accounted for by the fully-estimated model, with 12.9% uniquely associated with psychosocial risk status. Half of the total variance (50.0%) in basic functional limitations was explained, with 12.1% of variance uniquely predicted by psychosocial risk status. Psychosocial risk status accounted for comparatively little total explained variance in global pain ratings (total = 38.6%, incremental = 3.2%), and average annual total doctor visits (total = 10.9%, incremental = 1.5%). Thus, psychosocial risk factors are more closely linked to depressive symptoms and function over time. Global pain and utilization appear to be more closely related to disease factors.     

Speed of word recognition and vocabulary knowledge in infancy predict cognitive and language outcomes in later childhood

The nature of predictive relations between early language and later cognitive function is a fundamental question in research on human cognition. In a longitudinal study assessing speed of language processing in infancy, Fernald, Perfors and Marchman (2006) found that reaction time at 25 months was strongly related to lexical and grammatical development over the second year. In this follow-up study, children originally tested as infants were assessed at 8 years on standardized tests of language, cognition, and working memory. Speed of spoken word recognition and vocabulary size at 25 months each accounted for unique variance in linguistic and cognitive skills at 8 years, effects that were attributable to strong relations between both infancy measures and working memory. These findings suggest that processing speed and early language skills are fundamental to intellectual functioning, and that language development is guided by learning and representational principles shared across cognitive and linguistic domains.     

Attributional Beliefs About the Controllability of Stigmatized Traits: Antecedents or Justifications of Prejudice?1

Correlational studies show that prejudiced people attribute stigmatized traits to controllable causes, and blame stigmatized groups for their own fate. Attribution theory argues that causal attributions cause prejudice, and that changes in attributional beliefs produce changes in attitudes. In contrast, the justification–suppression model describes attributions to controllable causes as justifications of pre‐existing prejudices. Study participants reported their attitudes toward 1 of 4 stigmatized groups, read information that manipulated their attributional beliefs, listed their thoughts, and reported their attitudes again. Supporting the suppression–justification model, initially prejudiced participants spontaneously produced more thoughts about the controllability of stigmatized identities. Refuting attribution theory, manipulating attributional beliefs had no effect on attitudes. Implications for applications of attribution theory to reduce prejudice are discussed.