Associations between miscellaneous symptoms and symptom dimensions: an examination of pediatric obsessive-compulsive disorder

Obsessive-compulsive disorder (OCD) in children and adults is a heterogeneous disorder associated with significant psychosocial impairment. Although factor analytic studies have identified symptom dimensions, these analyses do not capture the varied miscellaneous symptoms that fail to load on a specific dimension despite being functionally related. The present study sought to extend the findings of previous research in adults to a sample of youth with OCD (n=131). Logistic regression analyses were used to examine the predictive value of each of the four symptom factors (contamination symptoms, obsessions and checking, symmetry and ordering, and hoarding) to the miscellaneous OCD symptoms. The vast majority of miscellaneous symptoms (17 of the 18 symptoms) were associated with one or more symptoms factors (i.e., contamination symptoms, obsessions and checking, symmetry, and ordering). Hoarding was not related to any miscellaneous symptom. In addition to improving our understanding about the clinical presentation of pediatric OCD, findings also have important assessment (e.g., understanding which miscellaneous symptoms relate to certain dimensions) and treatment implications (e.g., hierarchy development).     

The construction of counselling psychology in Britain: A discourse analysis of counselling psychology texts

Counselling psychology is a relatively recent arrival on the professional psychological scene in Britain. This paper examines the ways in which this new branch of professional psychology has been constructed by the counselling psychology community. Articles which embodied this construction process from the 1990 and 1996 volumes of the journal Counselling Psychology Review were subjected to discourse analysis. The main themes of the 1990 articles concerned the construction of identity and legitimation, achieved largely through representations of similarity with and difference from related professions at a general level, whereas in the 1996 articles, the emphasis was on more fine-grained constructions of similarity and difference. Implications for the future construction of counselling psychology are considered.     

Breadwinner and caregiver: A cross‐sectional analysis of children's and emerging adults’ visions of their future family roles

Participants were 150 school‐age boys and girls, 58 high school students, and 145 university students drawn from communities in the Southeastern United States. In this cross‐sectional study, family role attitudes and expectations were examined across development. Parental work traditionality (occupational prestige and traditionality, and employed hours) predicted daughters’ social role attitudes and plans for future family roles, such that daughters’ envisioned families resembled that of their parents. Sons’ and daughters’ own attitudes about adult family roles predicted their plans to work or stay home with their future children; however, mothers’ work traditionality predicted daughters’ future plans over and above daughters’ own attitudes. The only exception to this was in the case of university daughters, where university women's attitudes about social roles fully mediated this relationship. It may be that, as young women approach adulthood and the formation of families, they adjust their vision of their future self to match more closely their own attitudes about the caregiving role.     

Application of a CBPR Framework to Inform a Multi-level Tobacco Cessation Intervention in Public Housing Neighborhoods

African American women in urban, high poverty neighborhoods have high rates of smoking, difficulties with quitting, and disproportionate tobacco-related health disparities. Prior research utilizing conventional "outsider driven" interventions targeted to individuals has failed to show effective cessation outcomes. This paper describes the application of a community-based participatory research (CBPR) framework to inform a culturally situated, ecological based, multi-level tobacco cessation intervention in public housing neighborhoods. The CBPR framework encompasses problem identification, planning and feasibility/pilot testing, implementation, evaluation, and dissemination. There have been multiple partners in this process including public housing residents, housing authority administrators, community health workers, tenant associations, and academic investigators. The advisory process has evolved from an initial small steering group to our current institutional community advisory boards. Our decade-long CBPR journey produced design innovations, promising preliminary outcomes, and a full-scaled implementation study in two states. Challenges include sustaining engagement with evolving study partners, maintaining equity and power in the partnerships, and long-term sustainability of the intervention. Implications include applicability of the framework with other CBPR partnerships, especially scaling up evolutionary grassroots involvement to multi-regional partnerships.     

Gender Differences in Contextual Predictors of Urban,Early Adolescents' Subjective Well‐Being

Gender differences in predicting subjective well‐being (SWB) were examined in 168 urban adolescents. School satisfaction predicted life satisfaction for boys; for girls, family satisfaction predicted life satisfaction and neighborhood satisfaction predicted negative affect. Self‐esteem predicted positive affect for both genders, but friends satisfaction and ethnic identity failed to predict SWB. Se examinaron las diferencias de género al predecir el bienestar subjetivo (SWB, por sus siglas en inglés) de 168 adolescentes urbanos. La satisfacción escolar predijo la satisfacción vital en los chicos; en las chicas, la satisfacción familiar predijo la satisfacción vital, y la satisfacción en el vecindario predijo los sentimientos negativos. La autoestima predijo sentimientos positivos en ambos géneros, pero la satisfacción con los amigos y la identidad étnica no fueron predictores del SWB.     

Recall bias for stimulus and response anxiety words in spider phobics

Abstract

Experiments on memory bias in patients with anxiety disorders have produced inconsistent results. It is suggested that results may depend on whether the words studied relate to anxiety-inducing stimulus features or to the anxiety response. It was predicted, following previous results, that phobic subjects would show diminished recall of stimulus words, but that recall of response words might be enhanced. In fact, for both stimulus and response words, phobics showed better recall of phobia-related words than of control words. The results are consistent with the hypothesis that phobic anxiety is associated with a bias towards recall of phobia-related words. However, it seems likely that phobic anxiety has several potentially conflicting effects on recall, and that this accounts for the inconsistent results in literature.     

“They never listen”: towards a grounded theory of the role played by trusted adults in the spiritual lives of children

This qualitative study addresses the lack of research into the role of trusted adults in the spiritual lives of children. Semi-structured interviews were conducted with nine children from a British primary school and the data analysed using a grounded theory approach. Six categories were identified outlining the reciprocal relationship of unavailability and withholding between children and their trusted adults and how children made sense of spirituality in the absence of explicit guidance. It was found that the children had little opportunity for negotiating a shared understanding or experience of spirituality with adults and, as a result, either preserved an isolated and secret sense of spirituality or accepted what they observed to be their trusted adults' stance. The practical and theoretical implications of the children's responses in the absence of trusted adults are discussed and recommendations are made for practice and future research.