Use of Out-of-Home Care Among a Statewide Population of Children and Youth Enrolled in Medicaid

System-wide research on the use of out-of-home care among children and youth is needed to inform the development of policies and services. We used Medicaid claims from North Carolina to examine patterns of out-of-home care, identify demographic and diagnostic differences between those who received care in residential treatment, psychiatric hospitals, or general hospitals, and determine whether demographic or diagnostic characteristics were associated with having more than one out-of-home stay during the year. Among those who received out-of-home care during a 1 year period, 36% received care in residential treatment only, 32.4% in general hospitals only, and 17.6% in psychiatric hospitals only, while 14.0% used more than one sector of out-of-home care. Boys, teenagers, and youth in foster care or diagnosed with emotional disturbance or hyperkinetic syndrome had higher odds of receiving care in residential treatment only whereas girls, youth age 19–21, and those with depressive and stress and adjustment disorders had higher odds of receiving care from hospitals only. Teenagers and youth in foster care had higher odds of having more than one stay. Among those with more than one stay, there were 300 patterns of care and nearly half received care from more than one service sector. The implications for services and policy are discussed. Further research is needed to understand patterns of out-of-home care and the factors that influence placement decisions.     

Current and vestigial effects of overweight among women: Fear of fat,attitudinal body image,and eating behaviors

College females completed multiple, standardized measures of their fear of fat, attitudinal body image, and binge eating and dieting. Situational weigh-in measures were taken, including latency to get on the scale and anxiety while being weighed. Based on current weight and a structured weight history questionnaire, three groups were constructed: normal-weight subjects without an overweight history (NW; n=24), normal-weight subjects who were formerly overweight (FOW; n=16), and those currently overweight (OW; n=24). Group comparisons revealed, as expected, that OW females, relative to their NW peers, had more weight-related anxieties, more negative body experiences, and more frequent past-year dieting. Consistent with Stunkard's original proposition, the FOW group regarded their bodies as fatter and less affectively satisfying and expressed more weigh-in anxiety than NW participants. Currently normal-weight FOW subjects seldom differed from the currently OW individuals. Clinical and research implications are considered, particularly with regard to the psychological sequelae of weight loss.     

Prejudice expectations moderate preconscious attention to cues that are threatening to social identity

Two studies examined whether chronic and situational expectations about being stigmatized predict attention toward cues that are threatening to social identity. In Study 1, women's chronic expectations about experiencing sexism were positively associated with their attention toward subliminal cues threatening to their social identity. In Study 2, women were vigilant toward subliminal cues threatening to their social identity when the experimental situation conveyed that their gender was devalued, but not when the experimental situation promoted value and respect for their gender. Women were vigilant toward consciously presented cues threatening to their social identity regardless of the attitudes the experimental context conveyed toward their group. These studies have important theoretical and practical implications for understanding the psychological experience of possessing a devalued social identity.     

Parent and Child Anxiety Sensitivity: Relationship in a Nonclinical Sample

Little is known about the relationship between parent and child anxiety sensitivity (AS), particularly in nonclinical samples. The present study examined this association in 207 healthy parent-child pairs including 244 children (mean age = 12.3 years, 103 girls) and 226 parent figures (175 mothers). Sequential multiple linear regression revealed that parent AS was significantly associated with child AS in girls, but not in boys. Parent AS accounted for 9% of incremental variance in child AS, after controlling for child age, parent depression, and parent anxiety. Analyses of parent AS dimensions indicated that the social concerns dimension accounted for 14% of incremental variance in child AS in girls only. Parent anxiety and depression showed no association with child AS, once parent AS was taken into account. The findings indicate that parent AS, especially AS social concerns, demonstrates a significant relationship with child AS in this nonclinical sample of girls.     

Principles of cross-modal competition: Evidence from deficits of attention

How does the attentional system coordinate the processing of stimuli presented simultaneously to different sensory modalities? We investigated this question with individuals with neurological damage who suffered from deficits of attention. In these individuals, we examined how the processing of tactile stimuli is affected by the simultaneous presentation of visual or auditory stimuli. The investigation demonstrated that two stimuli from different modalities are in competition when attention is directed to the perceptual attributes of both, but not when attention is directed to the perceptual attributes of one and the semantic attributes of the other. These findings reveal a differentiated attentional system in which competition is modulated by the level of stimulus representation to which attention is directed.     

On the (non)categorical perception of lexical tones

Identification and discrimination of lexical tones in Cantonese were compared in the context of a traditional categorical perception paradigm. Three lexical tone continua were used: one ranging from low level to high level, one from high rising to high level, and one from low falling to high rising. Identification data showed steep slopes at category boundaries, suggesting that lexical tones are perceived categorically. In contrast, discrimination curves generally showed much weaker evidence for categorical perception. Subsequent investigation showed that the presence of a tonal context played a strong role in the identification of target tones and less of a role in discrimination. The results are consistent with the hypothesis that tonal category boundaries are determined by a combination of regions of natural auditory sensitivity and the influence of linguistic experience.