Implicit need for affiliation is associated with increased corrugator activity in a non-positive, but not in a positive social interaction

Affective changes in response to motive-relevant stimuli are a defining feature of implicit motives. We therefore expected to find an effect of individual differences in the implicit need for affiliation (nAff) on corrugator supercilii activity, an indicator of affect, when participants were confronted with nonverbal indicators of a conversational partner’s withdrawal. Participants’ nAff was assessed with a Picture Story Exercise (PSE). They were then involved in an interaction with a smiling or a neutral experimenter while their corrugator activity was measured with electromyography (EMG). As expected, we found higher corrugator activity for people high in nAff compared to people low in nAff when the experimenter kept a neutral facial expression throughout the interaction but not when he/she was smiling.     

On the modularity of implicit sequence learning: independent acquisition of spatial, symbolic, and manual sequences

Learning sequential structures is of fundamental importance for a wide variety of human skills. While it has long been debated whether implicit sequence learning is perceptual or response-based, here we propose an alternative framework that cuts across this dichotomy and assumes that sequence learning rests on associative changes that can occur concurrently in distinct processing systems and support the parallel acquisition of multiple uncorrelated sequences. In three experiments we used a serial search task to test critical predictions of this framework. Experiments 1 and 2 showed that participants learnt uncorrelated sequences of auditory letters and manual responses, as well as sequences of visual letters, spatial locations, and manual responses simultaneously, as indicated by a reliable response time (RT) cost incurred by occasional deviants violating either of the sequences. This RT cost was reliable even when participants showing explicit knowledge were excluded. In Experiment 3 learning of spatial and nonspatial sequences was functionally dissociated: whereas a spatio-motor distractor task disrupted learning of location but not of letter sequences, a phonological distractor task had the reverse effect. The distractor tasks thus did not reduce unspecific attentional resources, but selectively disrupted the formation of sequential associations within spatial and nonspatial processing dimensions. These results support the view that implicit sequence learning rests on experience-dependent changes that can occur in parallel in multiple processing systems involved in spatial attention, object recognition, phonological processing, and manual response selection. The resulting dimension-specific sequence representations support independent predictions of what will appear next, where it will appear, and how one will have to respond to it.     

Unmitigated agency, social support, and psychological adjustment in men with cancer

Unmitigated agency (UA), a gender-linked characteristic, has been associated with poorer cancer adjustment. Support from one's social network typically predicts adjustment but may be poorly matched to UA. The influence of UA on the utility of social support on adjustment over time is examined. Men with cancer (N=55) were assessed initially and 6 months later on three indicators of adjustment. Multilevel modeling analyses varied by adjustment indicator. UA was associated with increased cancer-related psychosocial symptoms but not depressive symptoms or cancer-related thought intrusion. Social support predicted fewer depressive symptoms and less cancer-related thought intrusion. However, a cross-level interaction revealed that the utility of social support on cancer-related thought intrusion was weaker for men with greater levels of UA. Men with cancer likely respond differently to changes in social support depending on their endorsement of UA.     

Clinical Utility of Chromosomal Microarray Analysis of DNA from Buccal Cells: Detection of Mosaicism in Three Patients

Mosaic chromosomal abnormalities are relatively common. However, mosaicism may be missed due to multiple factors including failure to recognize clinical indications and order appropriate testing, technical limitations of diagnostic assays, or sampling tissue (s) in which mosaicism is either not present, or present at very low levels. Blood leukocytes have long been the “gold standard” sample for cytogenetic analysis; however, the culturing process for routine chromosome analysis can complicate detection of mosaicism since the normal cell line may have a growth advantage in culture, or may not be present in the cells that produce metaphases (the lymphocytes). Buccal cells are becoming increasingly utilized for clinical analyses and are proving to have many advantages. Buccal swabs allow for simple and noninvasive DNA collection. When coupled with a chromosomal microarray that contains single nucleotide polymorphic probes, analysis of buccal cells can maximize a clinician’s opportunity to detect cytogenetic mosaicism. We present three cases of improved diagnosis of mosaic aberrations using buccal specimens for chromosomal microarray analysis. In each case, the aberration was either undetectable in blood or present at such a low level it likely could have gone undetected. These cases highlight the limitations of certain laboratory methodologies for identifying mosaicism. We also present practice implications for genetic counselors, including clinic workflow changes and counseling approaches based on increasing use of buccal samples.     

Assessing Parenting Skills and Attitudes: A Review of the Psychometrics of Parenting Measures

There are many measures that assess parenting skills or practices, such as behavior, beliefs, coping mechanisms, reactions to stress, or discipline. However, little is known about the psychometric quality of these parenting measures. This information is essential for practitioners and researchers to aide in the selection of the most valid and reliable measures to assess parenting behavior or attitudes. This study examined the psychometric quality among parenting measures published from 1985 to 2009. After the initial search 164 measures were identified, but were reduced to 25 measures that supplied some degree of psychometric information, were published in the United States or Canada, and were in English. Measures were compared across numerous categories including respondent type, norming data, administration type, and ten psychometric variables such as internal consistency, content validity, and predictive validity. Out of the 25 measures, seven had no acceptable psychometric properties, seven had only 1–2 acceptable ratings on psychometric properties, six had between 3 and 4 acceptable psychometric ratings, none had between 5 and 6 acceptable ratings, and only five had strong psychometric properties in seven or more of the 10 categories. Likewise, only five measures provided and norming information and 14 measures provided scoring procedures. Implications, limitations, and recommendations for future research are discussed.     

Mindful and Mutual Care for Individuals with Developmental Disabilities: A Systematic Literature Review

Parental and professional caregivers of individuals with developmental disabilities (DD) often experience stress and hardship associated with their role, placing them in real danger of burnout and affecting their quality of care. Mindfulness practice is currently being applied to address these issues. We conducted a systematic literature review to explore the effects of mindfulness practice and analyse the intervention and methodological features used for eliciting these effects. An initial search produced 386 publications. Of these, seven met the selection criteria of intervention studies that applied mindfulness to parental and professional caregivers of individuals with DD. We found, from analysis of seven studies, direct effects of mindfulness practice for practitioners (i.e., parental and professional caregivers) and crossover effects for individuals with whom these practitioners interacted (i.e., their children and care recipients). The studies under review collectively suggest that the practice of mindfulness in everyday life over significant periods of time can both improve the experience of care providers and support them in providing a better standard of care for care recipients. Limitations of current mindfulness intervention studies and some implications for future studies are discussed to strengthen the application of mindfulness for individuals influenced by DD.     

Reducing Psychotropic Medications in an Intensive Residential Treatment Center

Medication rates in behaviorally disordered children and youth have greatly increased to current high levels and are very controversial. This study examined changes in psychotropic medication use, levels of behavioral disturbance, and use of personal restraint and seclusion in a population of youth with serious behavioral disorders receiving medically directed cognitive-behavioral treatment in an intensive residential setting. The hypothesis was that there would be significant reductions in medication rates, without the unintended consequences of increased rates of problem behavior or offsetting increases in the use of seclusion or personal restraint. Results showed significant reductions in both the number of youth on medication and the average number of psychotropic medications during the residential stay. There were also significant reductions in behavioral disturbance, seclusions, and personal restraints. These results demonstrate that psychotropic medication can be significantly reduced without increases in problem behavior or the use of seclusions or personal restraints. We conclude that it is possible to significantly reduce psychotropic medication rates to far more conservative levels within the context of a clinically directed cognitive-behavioral treatment milieu.     

Psychotropic Medication Management Within Residential Treatment Centers: Physician Opinions About Difficulties and Barriers

Research has shown that between 40 and 98 % of youth entering residential treatment are taking at least one psychotropic medication and that psychotropic medication management is often an integral component of treatment in residential settings. To determine physician opinion about the difficulty of managing psychotropic medications for youth in residential treatment and to determine the resources that are used in the process, a survey study was conducted. Overall, physicians indicated that youth involved in residential settings were much more complex than those in traditional outpatient settings, due to multiple mental health diagnoses, polypharmacy, and unknown treatment histories. They also reported that many existing resources are not applicable to youth, particularly those in residential settings, and that they are difficult to read and interpret.     

Interaction Between the Parenting Alliance and Parent–Child Activities in a Clinic-Referred Sample of 2 to 18-year-olds

Several decades of research have demonstrated a link between marital, parenting, and child domains. The present study examined the nature of these links by testing the moderating effect of the parent–child relationship on the association between the parenting alliance and internalizing and externalizing problems in 324 dual-parent families of 2-to-18-year-old clinic-referred youth. Findings indicated that positive parent–child activities directly related to children’s internalizing and externalizing problems, and modified the nature of the association between the parenting alliance and internalizing problems in families of 6-to-10-year-olds. Interestingly, in families where parents engaged in fewer positive activities with their children, a strong parenting alliance actually related to greater child internalizing problems. Findings support the importance of understanding the interaction between the marital and child domains in order to effectively intervene with families of children experiencing behavior problems.     

The impact of pressured information management on boys' and girls' psychological functioning

This study involving 463 adolescents examined the impact of pressured information management with mothers on boys' and girls' subsequent psychological functioning. This novel concept of pressured information management involved both pressured secrecy and disclosure and was defined as the degree to which adolescents feel they have no choice but to engage in these strategies. While pressured secrecy was especially aversive for girls, yielding associations with both depression and anxiety, it was related to stress only in boys. Pressured disclosure was less detrimental, and in fact, had a positive influence on girls' anxiety over time. Alternate models for these effects were considered but not supported by the data. Together, these findings highlight the importance of considering teens' reasons for engaging in different information management strategies and suggest adolescents who feel they have no choice but to keep secrets or disclose information to mothers may experience psychological consequences that are gender-specific.