Resilience-Based Intervention with Underserved Children: Impact on Self-Regulation in a Randomized Clinical Trial in Schools

Resilience and emotion regulation are crucial for optimal psychosocial functioning in children. This study assessed whether a group-based intervention, the Resilience Builder Program (RBP), improved student report of emotion regulation when administered in elementary schools. Sixty-seven students aged 9–12 years (M = 10.50, SD =.74; 82.1% male, 98.5% ethnic/racial minority) were randomly assigned to receive the RBP intervention immediately or following a semester delay. Participants reported their emotional control using the How I Feel scale. Students who received the RBP reported a significant increase in their emotional control and a significant decrease in negative emotion compared to those students in the delayed treatment sample who had not yet received the intervention. Further, students indicated a strongly positive perception of the therapy.     

Functional analysis and habit‐reversal treatment of tics

Although there is empirical support for a biological etiology of Tourette syndrome and other tic disorders, researchers have recently begun examining the role of reinforcement in tic maintenance. Using experimental functional analyses, researchers have identified both social and nonsocial functions for the tics of a variety of individuals. However, there are at least two problems with this developing literature. First, all but one of the studies employed a single participant and many of them were referred for clinical treatment. These factors leave open the possibility that the selection or referral process may have contributed to the reported outcomes. Second, five of the seven participants had a developmental disability or delay. Thus, the majority of participants in this literature are unrepresentative of most individuals with tic disorders. The purpose of the present study was to investigate the operant functions of the tics of multiple children who were recruited for the study. We evaluated the tics of three typically developing children using functional analysis. Results indicated nonsocial functions for all tics. Two of the participants were then treated using habit reversal; both of them experienced tic reductions. Copyright © 2005 John Wiley & Sons, Ltd.     

The Complexity and Challenges of Genetic Counseling and Testing for Inflammatory Bowel Disease

Inflammatory bowel disease (IBD) is an umbrella term referring to two chronic idiopathic intestinal diseases: ulcerative colitis (UC) and Crohn’s disease (CD). Both UC and CD are characterized by immune activation that leads to symptoms, but the location, severity and behavior of the inflammation varies among individuals and in characteristic ways between UC and CD. A majority of patients with IBD are diagnosed in young adulthood, but the response to therapy is variable and difficult to predict, with some patients demonstrating a prompt and effective remission while others have continuous symptoms that do not respond to existing medical options. Surgery remains a frequent and necessary occurrence among patients with IBD, but in UC it is considered curative, while in CD only temporizing. Clinical observations, epidemiological studies, and molecular genetics have provided strong evidence that both genetic and environmental factors are important determinants for disease susceptibility. In recent years, a number of genes have been identified that associate with CD and UC, although the clinical utility of these discoveries in patients or in susceptible family members has not been determined. Nonetheless, it is hoped that these fundamental advances in our understanding of IBD will lead to better therapies for patients and prevention strategies for those who are susceptible. Effective incorporation of clinical genetic testing for IBD into practice will require appropriate education and counseling.     

Psychometric data on the Group Embedded Figures Test for a sample of adult learners

The Group Embedded Figures Test (GEFT) was administered to 70 teachers taking a counseling course. Distribution characteristics, reliability, internal consistency, and sex differences are presented.     

The role of parent-adolescent concordance in compliance with cancer chemotherapy

In an attempt to examine factors affecting compliance with orally administered chemotherapy agents, we have examined the relation of agreement of parents and their adolescent children on various treatment-related issues and compliance with cancer chemotherapy. In a longitudinal study, 16 parent/cancer patient pairs were interviewed regarding their knowledge and understanding of illness, medications, and treatment, and their medication compliance. Adolescent responses matched closely those of parents on topics pertaining to medication dose, frequency, number, and purpose. Age was positively correlated with agreement for medication instructions. Disagreements were more commonly found in patients under 17 years of age. Compliance was greater when parents and patients agreed on who was responsible for medication administration, and on their understanding of medication instructions, number, and effectiveness. Treatment of the adolescent oncology patient should include consideration of psychosocial developmental factors, encourage parent-child communication, and place less reliance on self-administered therapy.     

Response to adults' angry behavior in children of alcoholic and nonalcoholic parents

Children from alcoholic (COAs) and nonalcoholic (NCOAs) homes (N = 35; M age = 8.02 years) were presented with videotaped segments of angry and friendly interactions matched for mode of expression of affect (verbal, indirect, nonverbal, destructive or constructive, and aggressive or affectionate) and were interviewed following each segment. Children perceived all forms of expression of anger as more negative and expressed more anger and distress in response to them. Angry adults also were perceived as having more negative feelings toward children than friendly adults. Whereas male NCOAs responded with more anger than female NCOAs, male COAs responded with less anger than female COAs. COAs more often proposed solutions to adults' interactions than NCOAs; this primarily reflected a higher rate of indirect responses intended to make others feel better. Finally, COA status and problem behaviors were associated, but analyses indicated that higher incidences of marital discord in the homes of COAs accounted for this relation.     

Preschoolers' responses to ongoing interadult conflict: The role of prior exposure to resolved versus unresolved arguments

Children's past experiences with interadult conflict are likely to influence their responses to ongoing arguments. Preschoolers' (4- to 5-year-olds) responses to interadult conflict were examined as a function of experimentally manipulated histories of exposure to resolved and unresolved arguments. Children were presented with two live arguments that were either resolved or unresolved, then they were presented with a third argument that was interrupted in progress (i.e., unresolved), and they were interviewed next. Children's overt-behavioral responses were videotaped and coded for distress level. The results support the notion that past experiences with conflict resolution ameliorate children's distress responses to ongoing arguments. In comparison to children previously exposed to unresolvedconflict, those exposed to a history of resolveddisputes were morelikely to (a) exhibit lowered behavioral distress, (b) predict a lower likelihood of a conflictual outcome for the couple's argument, (c) report less negative perceptions of the arguing adults, and were lesslikely to (d) endorse intervention in conflict through attempts to stop the disputes; (c) and (d) pertained only to girls. This research was supported in part by a Research Grant-in-Aid Award from Auburn University to the first author. We wish to thank the families for contributing their time and effort to this project and Jennifer Gibson and Linda Nicolotti for coding the overt-behavioral data.     

The impact of sociocultural background and assessment data upon school psychologists' decisions

Fifty-six school psychologists participated in an adapted version of Algozzine and Ysseldyke's (1981) diagnostic simulation. The adaptation was designed to investigate the effects of sociocultural background (rural vs. suburban) and assessment data (normal vs. LD) on school psychologists' educational decisions. Knowledge of a student's sociocultural background did not influence these school psychologists' decisions; however, the type of assessment data had a strong impact. In contrast to the findings of Algozzine and Ysseldyke, the subjects did not ignore individual test data in favor of teacher referral statements. The school psychologists who received normal data were less likely to have low expectations for pupils' future academic attainment, to diagnose the child as LD, and to recommend special class placement. The subject school psychologists' perceptions of the importance of various diagnostic factors also agreed with their actual practices, as they reported that standardized test data figured prominently in their decision making. In short, this research suggests that school psychologists utilize multiple sources of information but rely primarily upon the more objective sources of information to make educational decisions.