Mental Health Research in Correctional Settings: Perceptions of Risk and Vulnerabilities

With more than half of individuals incarcerated having serious mental health concerns, correctional settings offer excellent opportunities for epidemiological, prevention, and intervention research. However, due to unique ethical and structural challenges, these settings create risks and vulnerabilities for participants not typically encountered in research populations. We surveyed 1,224 researchers, Institutional Review Board (IRB) members, and IRB prisoner representatives to assess their perceptions of risks and vulnerabilities associated with mental health research conducted in correctional settings. Highest ranked risks were related to privacy, stigma, and confidentiality; lowest ranked risks were related to prisoners’ loss of privileges or becoming targets of violence due to having participated in research. Cognitive impairment, mental illness, lack of autonomy, and limited access to services emerged as the greatest sources of vulnerability; being male, being female, being older than age 60, being a minority, and being pregnant were the lowest ranked sources of vulnerability. Researchers with corrections experience perceived lower risks and vulnerabilities than all other groups, raising the question whether these researchers accurately appraise risk and vulnerability based on experience, or if their lower risk and vulnerability perceptions reflect potential bias due to their vested interests. By identifying areas of particular risk and vulnerability, this study provides important information for researchers and research reviewers alike.     

Reproductive Health CHOICES for Young Adults with Sickle Cell Disease or Trait: Randomized Controlled Trial Outcomes over Two Years

Interventions to assist reproductive health decision-making in populations affected by sickle cell disease (SCD) or trait (SCT) lack proven efficacy over time. Our aim was to compare effects of CHOICES, a Web-based multimedia education program on implementing informed reproductive plans, and usual care education (e-Book) on reproductive knowledge, intention, and behavior over 24 months. We randomized 234 participants with SCD (n?=?138) or SCT (n?=?96) (age 18–35 years, 35 % male, 94 % African American) to CHOICES and e-Book groups. Participants completed a sickle cell-specific reproductive measure before and four times after the intervention (6, 12, 18 and 24 months). Compared to the e-Book group the CHOICES group had significantly more improvement in knowledge over time (p?=?.004) but not intention (p?=?.18) or behavior (p?=?.69). At baseline, 114 (48.7 %) participants reported having partners who would not put the couple at risk for their children inheriting SCD. Of the 116 (49.6 %) at-risk participants, a higher poroportion of those who were in the CHOICES group chose partners that reduced their risk by the last visit than the e-Book group (p?=?.04). Study findings provide important insights for designing a national trial of the CHOICES intervention focusing on subjects whose partner status puts them at risk for having a child with SCD.     

The Interplay of Parental Response to Anger,Adolescent Anger Regulation,and Externalizing and Internalizing Problems: A Longitudinal Study

Research on Child and Adolescent Psychopathology - Numerous studies have reported substantive correlations between anger socialization, children’s anger regulation, and...     

Cross-national comparisons of complex problem-solving strategies in two microworlds

Research in the fields of complex problem solving (CPS) and dynamic decision making using microworlds has been mainly conducted in Western industrialized countries. This study analyzes the CPS process by investigating thinking-aloud protocols in five countries. Participants were 511 students from Brazil, Germany, India, the Philippines, and the United States who worked on two microworlds. On the basis of cultural-psychological theories, specific cross-national differences in CPS strategies were hypothesized. Following theories of situatedness of cognition, hypotheses about the specific frequency of problem-solving strategies in the two microworlds were developed. Results of the verbal protocols showed (a) modification of the theoretical CPS model, (b) task dependence of CPS strategies, and (c) cross-national differences in CPS strategies. Participants' CPS processes were particularly influenced by country-specific problem-solving strategies.     

How Does Your Doctor Talk with You? Preliminary Validation of a Brief Patient Self-Report Questionnaire on the Quality of Physician–Patient Interaction

The quality of physician–patient interaction is increasingly being recognized as an essential component of effective treatment. The present article reports on the development and validation of a brief patient self-report questionnaire (QQPPI) that assesses the quality of physician–patient interactions. Data were gathered from 147 patients and 19 physicians immediately after consultations in a tertiary care outpatient setting. The QQPPI displayed good psychometric properties, with high internal consistency and good item characteristics. The QQPPI total score showed variability between different physicians and was independent of patients’ gender, age, and education. The QQPPI featured high correlations with other quality-related measures and was not influenced by social desirability, or patients’ clinical characteristics. The QQPPI is a brief patient self-report questionnaire that allows assessment of the quality of physician–patient interactions during routine ambulatory care. It can also be used to evaluate physician communication training programs or for educational purposes.     

A tool for investigating the differential functions of aggressive behavior in the face-to-face and cyber context: Extending the Cyber-Aggression Typology Questionnaire

Aggressive behavior in the face-to-face and cyber contexts is driven by underlying aggression (i.e., functions of aggressive behavior). Common theories of aggression distinguish between reactive (e.g., rage) and proactive (e.g., seeking to achieve power and affiliation) aggression. However, according to the quadripartite violence typology, this distinction conflates aspects of motivational valence with self-regulatory processes. The Cyber-Aggression Typology Questionnaire (CATQ; Runions et al., 2017, Aggress Behav, 43(1), pp. 74–84) overcomes this weakness by identifying four types of cyber-aggression (impulsive-aversive/rage, controlled-aversive/revenge, controlled-appetitive/reward, and impulsive-appetitive/recreation cyber-aggression). However, the CATQ only considers aggression in cyberspace. We extended the CATQ to the face-to-face context by developing a corresponding Face-to-Face Aggression Typology Questionnaire (FATQ). The aim of this study was to investigate factorial and convergent validity and metric measurement invariance between four-factorial cyber and face-to-face aggression. In total, 587 students from six Austrian universities filled out the CATQ, the FATQ, and additional scales during regular university lectures to examine convergent validity. Confirmatory factor analysis supported the four-factor structure of both questionnaires, after excluding inconclusive items from the impulsive-aversive/rage subscale of the FATQ. These items were also removed from the CATQ to obtain two symmetric questionnaires. Metric measurement invariance between the CATQ and the FATQ was confirmed. Convergent validity was largely observed. Our results support an extended four-factor model of aggression. Having two parallel questionnaires, the FATQ and CATQ, enables future studies to investigate commonalities and differences in underlying drivers of aggressive behavior in the cyber and face-to-face contexts.