Systematic Review and Quality Appraisal of Practice Guidelines for Self‐Harm in Children and Adolescents

This study aimed to systematically identify and appraise clinical practice guidelines (CPGs) relating to the assessment and management of suicide risk and self‐harm in children and adolescents. Our research question is as follows: For young people (under 18 years old) presenting to clinical care with suicide ideation or a history of self‐harm, what is the quality of up‐to‐date CPGs? Using the PRISMA format, we systematically identified CPGs meeting our inclusion and exclusion criteria. Subsequently, two independent raters conducted appraisals of the eligible CPGs using the Appraisal of Guidelines for Research and Evaluation II instrument. CPGs were then classified as “poor quality,” “minimum quality,” and “high quality” using operationally defined criteria developed a priori. We identified 10 eligible CPGs published or renewed between 2005 and May 2017. Only the long‐term management of self‐harm CPGs produced by the National Institute for Health and Care Excellence met “high‐quality” criteria. Despite multiple options of CPGs published to choose from, only one was identified as “high quality,” where bias is adequately minimized. Clinicians are advised to direct resources to implementing the “high‐quality” CPG.     

Fight,Flight, or Remain Silent? Juggling Multiple Accountabilities throughout the Formative Stage of a Neighborhood Revitalization Initiative

This paper describes the experiences of a research team as they navigated uncertain ethical and political terrain throughout the formative stage of a public housing redevelopment project. Specifically, we discuss the challenges related to balancing multiple accountabilities and the tensions among the various roles and responsibilities that emanated from different accountabilities. Due to contractual obligations to our funding source, established relations with community partners, and an ethical imperative to align with those holding the least power, we grappled with embodying multiple and often conflicting roles. Without oversight provided by our university institutional review board or a clear ethical framework for community psychology research and action, our team was left to negotiate the challenges that emerged through critical reflection and financial considerations. Throughout the case example presented in this paper, we highlight our difficulty in ethical decision‐making with respect to the principles of obligation, disclosure, consent, commitment, and professionalism. Community psychologists often straddle the realms of academia, community partnerships, and conscious engagement with little guidance in navigating often conflicting roles and value systems. We present our narrative to highlight the complexity of scholar‐activism in the context of community psychology and the necessity for developing ethical standards and guidelines tailored to meet the unique needs of community psychologists.     

Psychological closure as a memory phenomenon

A theory is proposed that life events are remembered with a satisfying sense of closure when there is decreased emotional detail in the constructed autobiographical memory representation. The first three studies show that, although properties of the experienced event (such as valence and recency) accounted for some variance in participants' sense of closure, the amount of emotional detail in the memory was also a significant predictor. The third study shows that emotion-focused biased retelling of the experience increased emotional detail and decreased the sense of closure participants reported. Related approaches and implications for psychological adjustment are discussed.     

Emotion Regulation in Youth with Emotional Disorders: Implications for a Unified Treatment Approach

Given the relationship between internalizing disorders and deficits in emotion regulation in youth, the emotion science literature has suggested several avenues for increasing the efficacy of interventions for youth presenting with anxiety and depression. These possibilities include the identification and addition of emotion-regulation skills to existing treatment packages and broadening the scope of those emotions addressed in cognitive-behavioral treatments. Current emotion-focused interventions designed to meet one or both of these goals are discussed, and the developmental influences relevant to the selection of emotion-focused treatment goals are explored using the framework of a modal model of emotion regulation. These various lines of evidence are woven together to support the utility of a novel emotion-focused, cognitive-behavioral intervention, the Unified Protocol for the Treatment of Emotional Disorders in Youth, a transdiagnostic treatment protocol that aims to treat the range of emotional disorders (i.e., anxiety and depression) simultaneously. Avenues for future directions in treatment outcome and assessment of emotion regulation are also discussed.     

Analysis of Live Modeling Plus Prompting and Video Modeling for Teaching Imitation to Children with Autism

Previous researchers have demonstrated that training in imitation can significantly improve the learning capabilities of children diagnosed with autism spectrum disorder (ASD) and that children within this population show a preference for video presentations. Video‐based instruction has been used to teach a variety of behaviors to individuals with ASD. However, only a small number of studies have examined the use of video modeling to teach initial imitation. Furthermore, there are limited and conflicting data on the effectiveness of a video modeling procedure that does not incorporate prompting when used to teach imitation to young children with ASD. Thus, the purpose of this study was to evaluate a video‐modeling‐alone procedure and a live‐modeling‐with‐prompting procedure for teaching imitation to young children with ASD. The results suggest that the live modeling with prompting procedure was more effective, and implications related to this finding are discussed. Copyright © 2015 John Wiley & Sons, Ltd.     

Factor structure of the Bulimia Test--Revised in college women from four ethnic groups

The factor structure of the Bulimia Test--Revised (BULIT-R) was investigated using confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). The sample consisted of 2,671 female college students (African American, Asian American, Caucasian American, and Latino American). Reliability coefficients were excellent across groups. African Americans scored significantly lower on the BULIT-R than Caucasian Americans. Across groups, CFA and EFA results suggest a six-factor solution is most appropriate. Consistent across groups were factors representing bingeing, body image, purging, and extreme weight loss behaviors, while few differences were observed across groups. These findings suggest that the measure is reliable and valid for use with diverse ethnic groups. Future research should focus on culturally salient psychological correlates of disordered eating in diverse ethnic groups.     

The relation of lifetime cognitive activity and lifetime access to resources to late-life cognitive function in older African Americans

Research in older Caucasians has demonstrated that cognitive activity is related to cognitive function in late adulthood. Knowledge of this association is limited in older minority populations. We examined the relation of cognitive activity and access to cognitive resources, with cognitive function in a group of 108 older African Americans. We constructed two scales to measure the frequency of cognitive activity and the presence of resources that promote cognitive activity during early and late life. Both measures had high internal consistency and the cognitive activity scale had adequate temporal stability over a 4-week interval. In analyses that controlled for age and education, more frequent lifetime cognitive activity was related to current cognitive function, but lifetime cognitive resources only approached significance. The results suggest that both measures are psychometrically sound in a minority population and that lifetime cognitive activity may contribute to current cognitive function in African Americans.     

Sensory stimuli and e‐tailers

• This paper examines the use of sensory stimuli in the creation of store atmosphere in the online context. Parsons ( 2002 ) shows that online shoppers are motivated by many of the same non‐functional aspects of shopping as physical store shoppers (eg Tauber, 1972 ; Sheth, 1983 ), including sensory stimulation from aural and visual stimuli. This study investigates what customers desire from a virtual store atmosphere, and conducts an audit of the 15 top e‐tailers as ranked by Nielsen/NetRatings ( 2001 ) using the extant set of stimuli/responses established from the physical store literature. Findings suggest a strong desire from customers for sensory stimuli, with only partial matching by e‐tailers, and a surprising lack of differentiation among competitors. Examination of purchase responses to actual stimuli suggests a need for e‐tailers to match consumers' desires.

Copyright © 2006 John Wiley & Sons, Ltd.     

Cultural differences in neural function associated with object processing

Behavioral research suggests that Westerners focus more on objects, whereas East Asians attend more to relationships and contexts. We evaluated the neural basis for these cultural differences in an event-related fMRI study. East Asian and American participants incidentally encoded pictures of (1) a target object alone, (2) a background scene with no discernable target object, and (3) a distinct target object against a meaningful background. Americans, relative to East Asians, activated more regions implicated in object processing, including bilateral middle temporal gyrus, left superior parietal/angular gyrus, and right superior temporal/supramarginal gyrus. In contrast to the cultural differences in object-processing areas, few differences emerged in background-processing regions. These results suggest that cultural experiences subtly direct neural activity, particularly for focal objects, at an early stage of scene encoding.