Caregiver Demand and Parent Distress in Juvenile Rheumatic Disease: The Mediating Effect of Parent Attitude Toward Illness

Parents of youth with juvenile rheumatic diseases (JRD) often take on illness management responsibilities that can become burdensome, potentially resulting in poor parent adjustment outcomes. However, not all caregivers will experience increased distress as a result of variability in stress appraisals. The current study examined the role of parent illness attitudes in the relation between perceived caregiver demand and parental distress. Youth (N = 70) ages 7–18 years diagnosed with a JRD and their parents were recruited from a pediatric rheumatology clinic. Parents completed measures of caregiver demand, parental distress, and illness attitudes. Hierarchical regression revealed a relationship between caregiver demand and parental distress. A significant relationship was also found between caregiver demand and parent illness attitudes, as well as parent illness attitudes and parental distress. Thus, parent illness attitudes mediated the relationship between caregiver demand and parental distress. Techniques aimed at altering negative illness attitudes may help parents cope with their caregiving responsibilities.     

Assessment Use by Counselors in the United States: Implications for Policy and Practice

Although assessment use is a professional activity recognized by every major counseling organization, little is known about which assessments are used in counseling. In this study, 926 respondents from a random national sample of counselors reported their use of personality, projective, career, intelligence/cognitive, educational/achievement, clinical/behavioral, and environmental/interpersonal tests. Test rankings by frequency of use and comparisons by type of counselor and type of test are reported. Implications for policy and practice are discussed.     

Testing a new cognitive behavioural treatment for obesity: A randomized controlled trial with three-year follow-up

It is remarkably difficult for people with obesity to maintain a new lower weight following weight loss. The aim of the present study was to examine the immediate and longer-term effects of a new cognitive behavioural treatment that was explicitly designed to minimise this post-treatment weight regain. One hundred and fifty female participants with obesity were randomized to the new treatment, behaviour therapy (the leading alternative psychological treatment) or guided self-help (a minimal intervention). Both of the main treatments resulted in an average weight loss of about ten percent of initial weight whereas weight loss was more modest with guided self-help. The participants were subsequently followed-up for three years post-treatment. The great majority regained almost all the weight that they had lost with the new treatment being no better than the behavioural treatment in preventing weight regain. These findings lend further support to the notion that obesity is resistant to psychological methods of treatment, if anything other than a short-term perspective is taken. It is suggested that it is ethically questionable to claim that psychological treatments for obesity “work” in the absence of data on their longer-term effects.     

Groups perform better than the best individuals on Letters-to-Numbers problems

Eighty-two four-person cooperative groups and 328 independent individuals solved a random coding of the letters A–J to the numbers 0–9. On each trial the group or individual proposed an equation in letters (e.g., A + D=?), received the answer in letters (e.g., A + D=B), proposed one specific mapping (e.g., A=3), received the answer (e.g., True, A=3), and proposed the full mapping of the 10 letters to the 10 numbers. As predicted, the groups had fewer trials to solution, proposed more complex equations, and identified more letters per equation than each of the best, second-best, third-best, and fourth-best individuals. We interpret the group superiority as due to the highly intellective nature of Letters-to-Numbers problems, which entail demonstrable recognition of correct answers, demonstrable rejection of erroneous answers, and multiple insights into effective collective information processing strategies.     

Stressful segregation housing and psychosocial vulnerability in prison suicide ideators

Psychosocially vulnerable prisoners under stressful conditions of confinement are ill prepared to cope and at risk for developing suicide intention. The present study examined the relationships of depression, hopelessness, reasons for living, mental health problem history, suicide attempt lethality history, and stressful segregation housing with suicide ideation in 134 prisoners. Prisoners housed in segregation were found to have significantly higher levels of depression and suicide ideation than prisoners in general population. A hierarchical regression model of suicide ideation found significant interactions between mental health problem history, suicide attempt lethality history, and hopelessness with anticipated segregation stress, independent of depressed mood. Results of the study are discussed in terms of the stress-vulnerability model, various methodological limitations, and future research.     

Theory of mind, inhibitory control, and preschool-age children's suggestibility in different interviewing contexts

The current study examined the relations among 3- to 5-year-olds' theory of mind, inhibitory control, and three measures of suggestibility: yielding to suggestive questions (yield), shifting answers in response to negative feedback (shift), and accuracy in response to misleading questions during a pressured interview about a live event. Theory of mind aided in the prediction of suggestibility about the live event, and inhibitory control was a moderator variable affecting the consistency of children's sensitivity to social pressure across situations. The findings indicate that theory of mind and inhibitory control predict children's suggestibility about a live event above and beyond yield, shift, and age and that the construct validity of shift may improve as children's inhibitory control develops.     

Promoting Justice in the Classroom: Looking Beyond the Label to See the Individual

Christian educators are faced with the task of promoting and encouraging justice from the viewpoint of Christ as they encounter the broad strokes of diversity within their classrooms and schools. Following Christ means that the Christian educator must look beyond the labels that have been applied by the religious and secular to see each student as made in the image of God. This article presents a paradigm that recognizes the worth of each individual within the context of the student’s background knowledge, language abilities, academic achievement, and behavior (BLAB) instead of the singularly focused labels that marginalize students.     

The Effects of Differing Knowledge Transfer Strategies on Group Decision Making and Performance

Encouraging reflection on one's existing knowledge in a group setting increases shared understanding, makes information available for problem solving, and makes it easier for members to show and to be shown the merit of others' preferences. However, it is also possible that attempting to constrain the process by which problem solvers manage this reflection process may prevent them from effectively tailoring their approach to different problems. The current research focuses on how the nature of different knowledge transfer strategies impacts problem solving processes and outcomes by examining manipulations of, or constraints to, problem solvers' approach to knowledge transfer. Participants were directed to generate associated knowledge in preparation for answering a series of estimation items, either in a group or individually. We found that groups using a shared reflection process (as opposed to reflecting at an individual member level) were able to give more weight to the inputs of their more expert members and that groups outperformed individuals. We discuss the process of promoting knowledge transfer in a group context relative to an individual context and relate this to the concept of task demonstrability. Copyright © 2017 John Wiley & Sons, Ltd.     

Help-Seeking from Clergy and Spiritual Counselors Among Veterans with Depression and PTSD in Primary Care

Little is known about the prevalence or predictors of seeking help for depression and PTSD from spiritual counselors and clergy. We describe openness to and actual help-seeking from spiritual counselors among primary care patients with depression. We screened consecutive VA primary care patients for depression; 761 Veterans with probable major depression participated in telephone surveys (at baseline, 7 months, and 18 months). Participants were asked about (1) openness to seeking help for emotional problems from spiritual counselors/clergy and (2) actual contact with spiritual counselors/clergy in the past 6 months. At baseline, almost half of the participants, 359 (47.2 %), endorsed being “very” or “somewhat likely” to seek help for emotional problems from spiritual counselors; 498 (65.4 %) were open to a primary care provider, 486 (63.9 %) to a psychiatrist, and 409 (66.5 %) to another type of mental health provider. Ninety-one participants (12 %) reported actual spiritual counselor/clergy consultation. Ninety-five (10.3 %) participants reported that their VA providers had recently asked them about spiritual support; the majority of these found this discussion helpful. Participants with current PTSD symptoms, and those with a mental health visit in the past 6 months, were more likely to report openness to and actual help-seeking from clergy. Veterans with depression and PTSD are amenable to receiving help from spiritual counselors/clergy and other providers. Integration of spiritual counselors/clergy into care teams may be helpful to Veterans with PTSD. Training of such providers to address PTSD specifically may also be desirable.