Predictors of Social Anxiety in Children and Adolescents with Sickle Cell Disease

The aim of this study was to examine the potential moderating effect of age on the child-reported pain–social anxiety relationship in children and adolescents with sickle cell disease (SCD). Participants were children and adolescents (ages 8–17; 33 girls, 25 boys) diagnosed with SCD who completed measures of social anxiety and severity of usual pain. Caregivers provided demographic information, and mean hemoglobin levels were computed as a measure of objective disease severity. Ratings of more severe pain were associated with greater social anxiety, including fear of negative evaluation, for older children and adolescents only, revealing a moderating effect of age. Increased relevancy of peer relationships in adolescence, limited social contacts due to SCD complications, and misreading of social cues (e.g., maladaptive coping response to pain) may explain why older children and adolescents reported greater social anxiety in the presence of a stressor such as pain.     

Combining descriptive and functional analysis logic to evaluate idiosyncratic variables maintaining aggression

For one boy with developmental disabilities, we conducted naturalistic observations and saw that aggression occurred during instructional task presentations. Next, in an experimental analysis, we manipulated the manner in which instructions were presented. Results showed that differentially high rates of aggression were observed when the manner in which instructions were presented was manipulated. Based on the results of the assessment, a successful intervention was developed that incorporated the idiosyncratic finding observed during both the naturalistic observations and the experimental analysis. Copyright © 2004 John Wiley & Sons, Ltd.     

Interchangeability of Results From Computerized and Traditional Administration of the BIDR: Convenience Can Match Reality

Although interchangeability of results across computer and paper modes of administration is commonly assumed, recent meta-analyses and individual studies continue to reveal mean differences in scores for measures of socially desirable responding (SDR). Results from these studies have also failed to include new methods of scoring and crucial aspects of scaling, reliability, validity, and administration emphasized in professional standards for assessment that are essential in establishing equivalence. We addressed these shortcomings in a comprehensive, repeated measures investigation for 6 ways of scoring the Balanced Inventory of Desirable Responding (BIDR), one of the most frequently administered companion measures of SDR in research and practice. Results for many previously unexamined, standards-driven aspects of scaling, reliability, and validity strongly supported the interchangeability of scores across modes of administration. Computer questionnaires also took considerably less time to complete and were overwhelmingly favored by respondents in relation to physical characteristics of the measures, appraisals of the the assessment experience, and perceived quality of information obtained. Collectively, these results highlight the importance of following professional standards when constructing and administering computerized assessments and the evolution of computer technology in providing viable, effective, and accepted platforms for administering and scoring the BIDR in numerous ways.     

Searching for Wholeness Amidst Traumatic Grief: The Role of Spiritual Practices that Reveal Compassion in Embodied,Relational, and Transcendent Ways

Pastoral Psychology - How can body-centered spiritual practices help those experiencing traumatic grief? Research on trauma recovery using Porges’s polyvagal theory demonstrates the central...     

Social Anxiety and Specificity of Positive Alcohol Expectancies: Preliminary Findings

This preliminary study examined the relationship between social anxiety and specificity of positive alcohol outcome expectancies (AOE) in a community sample of 62 drinking adults. The sample was divided into subsets of socially anxious (n = 17) and nonsocially anxious (n = 45) men and women. The Drinking Expectancy Questionnaire (DEQ) and Alcohol Expectancies in Social Evaluative Situations Scale (AESES) were used to determine if groups differed in the general positive AOE they hold, or only in AOE specific to social situations. ANOVAs revealed that socially anxious individuals had greater positive AOE specific to social situations (DEQ—Assertion scale and AESES) than nonsocially anxious individuals, with no differences in other positive AOE. Partial correlations controlling for social anxiety revealed that AOE specific to social situations correlated with greater drinking and alcohol dependency levels. Findings indicate that identification of AOE specific to social situations may be useful in classifying socially anxious individuals at risk for alcoholism and as a focus of expectancy challenge strategies for individuals with co-occurring social anxiety and drinking problems.     

Evaluation of a treatment package to reduce rapid eating

We replicated and extended treatment procedures described by Lennox, Miltenberger, and Donnelly (1987) designed to reduce rapid eating. The participant was a 17-year-old girl with developmental disabilities who engaged in dangerously high rates of food ingestion. The procedure involved an adjusting differential-reinforcement-of-low-rate-responding (DRL) schedule, response blocking, and prompts. We evaluated a continuation of the treatment despite initial negative side effects that were similar to those reported by Lennox et al. Results showed that the treatment package was effective and negative side effects eventually decreased.     

Novel figurative phrases and idioms: phrase characteristics over multiple presentations

In a series of three studies, characteristics of novel figurative phrases were compared with those of established idioms. Studies 1 and 2 found that certain correlations were found to be strong and in one direction for familiar idioms and comparably strong but in the opposite direction for novel figurative phrases, with the correlations for less familiar idioms usually falling partway between these extremes. Study 2 also noted that written or auditory presentation had minimal effects on characteristic ratings. In Study 3 the correlations among characteristics stayed relatively constant for familiar idioms after one, three, or six presentations, but for the novel figurative phrases, after multiple presentations the correlations changed in the direction of the established idioms.     

Forgetting of intentions in demanding situations is rapid

Demanding work settings often require the deferral of intended actions. In 3 experiments, participants were to withhold a response until they encountered a task change (which occurred 5, 15, or 40 sec later). To approximate highly demanding settings, the experimenters sometimes divided attention during the delay period. During some of the delays the experimenters interrupted the participants with an additional task (Experiment 1). Demanding conditions as well as interruptions revealed rapid forgetting of intentions at levels that would be considered significant in applied settings. Experiments 2 and 3 showed that this rapid forgetting was not reduced by strategic rehearsal and implementation intention strategies. The results suggest that maintaining intentions over brief delays is not a trivial task for the human cognitive system.     

Evaluation of empirical pretreatment assessments for developing treatments for expulsion in pediatric feeding disorders

A common problem among children with feeding disorders is expulsion (removing or spitting food or drink from the mouth), which interferes with treatment success when the goal is consumption. Previous research has identified effective treatments to reduce expulsion, most commonly—re-presentation (presenting the expelled bite or a new bite of the same food immediately following the expulsion). However, there is not currently an assessment model in place to inform treatment decisions with a goal to reduce expulsion. In the present study, we used a multielement design to identify conditions under which little or no expulsion occurred with three children with feeding disorders. The results of the assessment were then used to inform treatment selection aimed to eliminate expulsion. The comparisons of the assessment included physical prompt, bite number, texture, preference, bite presentation style, and size of the bite. Results suggest that this assessment was useful for the design of individualized treatments for children who frequently expel food.