Mindfulness and Acceptance in the Treatment of Disordered Eating

Mindfulness and acceptance-based approaches to the treatment of clinical problems are accruing substantial empirical support. This article examines the application of these approaches to disordered eating. Theoretical bases for the importance of mindfulness and acceptance in the treatment of eating problems are reviewed, and interventions for eating problems that incorporate mindfulness and acceptance skills are briefly described. Empirical data are presented from a pilot study of mindfulness-based cognitive therapy adapted for treatment of binge eating.     

Community Involvement in Adapting and Testing a Prevention Program for Preschoolers Living in Urban Communities: ParentCorps

We describe a university-community collaborative effort to tailor and deliver a prevention program for families of preschoolers living in low-income, urban communities. ParentCorps, which builds on efficacious interventions with parents and young children, aims to promote child social competence and prevent conduct problems by strengthening parenting skills, enhancing support for parents, and empowering parents to access resources in their communities. Active community engagement and collaboration were viewed as critical to the development of the program and its feasibility testing. We present an overview of community involvement in the development of ParentCorps and approaches taken to involve community members during a feasibility study. Areas of success and lessons learned are discussed.     

Virtual environments for motor rehabilitation: review.

In this paper, the current "state of the art" for virtual reality (VR) applications in the field of motor rehabilitation is reviewed. The paper begins with a brief overview of available equipment options. Next, a discussion of the scientific rationale for use of VR in motor rehabilitation is provided. Finally, the major portion of the paper describes the various VR systems that have been developed for use with patients, and the results of clinical studies reported to date in the literature. Areas covered include stroke rehabilitation (upper and lower extremity training, spatial and perceptual-motor training), acquired brain injury, Parkinson's disease, orthopedic rehabilitation, balance training, wheelchair mobility and functional activities of daily living training, and the newly developing field of telerehabilitation. Four major findings emerge from these studies: (1) people with disabilities appear capable of motor learning within virtual environments; (2) movements learned by people with disabilities in VR transfer to real world equivalent motor tasks in most cases, and in some cases even generalize to other untrained tasks; (3) in the few studies (n = 5) that have compared motor learning in real versus virtual environments, some advantage for VR training has been found in all cases; and (4) no occurrences of cybersickness in impaired populations have been reported to date in experiments where VR has been used to train motor abilities.     

Programmatic staff care in an outpatient setting

Traditionally, chaplains have provided care for staff through consultation, informal conversation, grief work, and more formal counsel and ritual. This article discusses four programmatic approaches to staff care created in response to particular assessed needs: "Finding Soul" addresses staff care needs to find meaning and joy in their work and to contribute to the "soul" of the institution. "Existential Expedition" helps staff both deal with their accumulated grief and provide better direct care around existential issues being faced by their patients. "After Book" provides a way for staff to have closure with parents/families and to provide holistic care to families after discharge from the system. "The Labyrinth Program" provides staff with an opportunity to de-stress and to attend to their emotional and spiritual well-being. Focused upon staff care, these programs also secondarily benefit both patients/families and the vision and mission of the institution.     

The theory of "truth": how counterindustry campaigns affect smoking behavior among teens.

This study used structural equation modeling to test a theory-based model of the pathways by which exposure to the "truth" counterindustry media campaign influenced beliefs, attitudes, and smoking behavior in national random-digit-dial telephone surveys of 16,000 12- to 17-year-olds before, 8 months after, and 15 months after campaign launch. Consistent with concepts from the theory of reasoned action, youth in markets with higher levels of campaign exposure had more negative beliefs about tobacco industry practices and more negative attitudes toward the tobacco industry. Models also provided support for a social inoculation effect, because negative industry attitudes were associated with lower receptivity to protobacco advertising and with less progression along a continuum of smoking intentions and behavior.     

Use of an ecologically based program for teaching motor skills in a naturalistic setting to individuals with disabilities

The purpose of this action study was to apply an ecological program for teaching motor skills to individuals with disabilities in naturalistic settings. The program was developed based on an ecological survey. Participants were 22 individuals with disabilities, ages 7 to 26 years in the Fall of 1998 and 18 individuals with disabilities, ages 7 to 24 in the Winter of 1999. In each semester, a participant received one or two 50-min, training session(s) per week for 10 weeks. The number of steps in a motor-activity task performed correctly by a participant was measured in the first and last sessions in each semester. The magnitude of increase in the motor performance by participants and answers to questions in a short survey by participants' parents were used to describe the group performance. Analysis showed group performance of targeted motor skills could be improved using this ecological program in this local learning lab for special physical education.     

Memory for Star Trek: the role of prior knowledge in recognition revisited

Prior studies have found robust knowledge effects on recall of text ideas but have seldom found comparable effects on recognition. This inconsistency was examined in light of recent research on the component processes that underlie recognition memory. Using the remember/know paradigm, the authors found that experts made more remember judgments than novices, but only in response to text ideas relevant to their domain of expertise. Using the process-dissociation procedure, the authors found knowledge effects on recollection estimates, but not on familiarity estimates. The authors contend that knowledge effects have been difficult to detect in recognition because knowledge primarily affects recollection, whereas familiarity gives rise to good performance even among novices.     

Changes in Jail Inmates’ community connectedness across the period of incarceration

ABSTRACT

Jails bring inmates into proximity with one another and separate them from the community. Because inmates’ connectedness to one another and to the community influences post-release functioning, understanding risk factors for maladaptive shifts in connectedness may inform interventions. The current study examined changes in jail inmates’ (N = 203) connectedness to the community at large and to the criminal community, and predictors of individual differences in changes over time. Connectedness to both communities did not change on average during incarceration, but younger and less guilt-prone inmates increased more in connectedness to the criminal community than older and more guilt-prone inmates, suggesting connectedness interventions should target individuals exhibiting this constellation of attributes.     

Use of the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood: Revised Edition (DC:0–3R) with Canadian Infants and Young Children Prenatally Exposed to Substances

The current study examined the mental health diagnostic profiles of infants and young children prenatally exposed to substances using the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, Revised (DC:0–3R) diagnostic system. Participants were 46 biological mother–infant dyads who were engaged in a clinical program for mothers with substance‐use problems and their young children (aged 10–41 months). Diagnostic information was reported for each of the five axes listed in the DC:0–3R diagnostic system based on file reviews. In addition, the children's socioemotional and adaptive behaviors were assessed using the Child Behavior Checklist, Infant–Toddler Social Emotional Assessment, the Social‐Emotional Scale, and the Adaptive Behavior Assessment System (2nd ed.). In this sample of young children with prenatal substance exposure, a broad range of socioemotional symptoms were evident, with almost one third of the children meeting criteria for at least one Axis I mental health diagnosis. In addition, the majority of dyads demonstrated features of a disordered relationship. Children in more problematic relationships demonstrated higher levels of socioemotional and adaptive functioning difficulties and were more likely to have an Axis I diagnosis than were children in adapted relationships. The importance of early intervention efforts aimed at infants with prenatal substance exposure and their biological mothers is highlighted, with a particular focus on enhancing the quality of the mother–child relationship.     

The physical activity and sport anxiety scale (PASAS): Scale development and psychometric analysis

Research suggests that social anxiety may be elicited in athletic or sporting situations, resulting in decreased physical activity due to avoidance behavior. Given the myriad physical and psychological health consequences of a non-active lifestyle, valid assessment of social anxiety and avoidance in this domain is warranted. However, none of the common measures of social anxiety appear to assess social anxiety in physical activity or sporting domains. Therefore, the purpose of this study was to develop and evaluate a brief measure of social anxiety in physical activities and sports. A 16-item self-report questionnaire, the Physical Activity and Sport Anxiety Scale (PASAS), was extracted from a larger pool on empirical and theoretical grounds. The PASAS demonstrated excellent internal consistency across a number of samples, and excellent temporal stability. The PASAS also demonstrated good convergent and divergent validity, and is related to self-perceived performance biases as postulated by cognitive-behavioral models of social anxiety.