Treating Childhood Anxiety in Schools: Service Delivery in a Response to Intervention Paradigm

Millions of youth who attend schools in the United States suffer from clinically significant anxiety. Left untreated, these students often experience significant disruptions in their academic, social, and family functioning. Fortunately, promising treatments exist for childhood anxiety that are amenable for delivery in school settings. However, educational law and new service delivery paradigms such as response-to-intervention (RtI) affect the delivery of anxiety interventions. In light of extant laws and practices that govern education, this article discusses the provision of supportive services to address childhood anxiety. Specifically, this article reviews how RtI, the Individuals with Disabilities Education Improvement Act, and Section?504 of the Rehabilitation Act guide service delivery and subsequently impact school-based anxiety treatments. Suggestions are provided to address childhood anxiety within a framework that allows for graduated and fluid service delivery.     

Investigating the Effectiveness of an Arts-Based and Mindfulness-Based Group Program for the Improvement of Resilience in Children in Need

We discuss preliminary findings from a study that investigated the effectiveness of a Holistic Arts-Based Group Program (HAP) for the development of resilience in children in need. The HAP teaches mindfulness using arts-based methods, and aims to teach children how to understand their feelings and develop their strengths. We assessed the effectiveness of the HAP by using comparison and control groups, and standardized measures. We hypothesized that children who participated in the HAP would have better scores on resilience and self-concept compared with children who took part in an Arts and Crafts group (the comparison group), and children who were waiting to attend the HAP (the control group). A total of 36 children participated in the study; 20 boys aged 8–13?years and 16 girls aged 8–14?years. A mixed-designed MANOVA was conducted using scores from 21 participants. We found evidence that the HAP program was beneficial for the children in that they self-reported lower emotional reactivity (a resilience measure) post-intervention. No changes were noted for perceptions of self-concept. Consideration should be given to how we can attend to young people’s needs in relevant ways as resilience is a condition of a community’s ability to provide resources as much as it is part of an individual’s capacity for growth. Programs such as the HAP can engage children in a creative and meaningful process that is enjoyable and strengths-based.     

Exploring the effect of therapists' treatment practices on client attendance in community-based care for children

Sustained treatment attendance has been reported to be poor in publicly funded community-based clinic settings serving children and families. Several child and family characteristics have been shown to predict attendance in community-based care, but virtually no research has been conducted to examine how experiences in care, including psychotherapists' within-session practices, influence client attendance. The goal of this exploratory study was to examine how observed practice within sessions, in particular the extent to which therapists delivered elements consistent with evidence-based practices, impacts total number of sessions attended, while accounting for an array of other potential predictors. Participants include 181 children ages 4-13 and their parents entering a new episode of care for disruptive behavior problems in publicly funded clinics. Data sources include administrative billing records on treatment attendance; coded videotaped treatment sessions; and self-reports from children, parents, and therapists. Results indicate that parent education, service funding source, parent alliance with therapist, and therapist experience predicted number of sessions attended; intensity of evidence-based treatment techniques delivered to children was marginally associated with attendance (p = .059). Implications for improving engagement in community-based care are discussed.     

Emotion Reporting Using Electronic Diaries Reduces Anxiety Symptoms in Girls With Emotion Dysregulation

Theory and empirical research suggest that electronic diaries, which require children to report on their emotional experiences, might encourage emotional processing and facilitate a reduction in symptoms of anxiety, particularly for children exhibiting emotion-related deficits. Electronic diaries were given to 52 children (aged 7–12) to track their emotions and associated intensity for 7?days; anxiety was assessed prior to and after the use of the electronic diary by both parent- and child-report. It was hypothesized that the use of an electronic diary to track emotional experiences would lead to a reduction in anxiety symptoms for those children high in poor awareness, high in expressive reluctance, and low in emotion coping. The use of electronic diaries was effective at reducing child self-reported anxiety symptoms in girls who reported low emotion coping and reducing parent-reported anxiety for girls who reported a high reluctance to express emotions. Current findings suggest that having children identify their emotions using electronic diaries may be particularly beneficial for girls who are reluctant to express emotions and who report poor coping abilities.     

Should social savvy equal good spatial skills? The interaction of social skills with spatial perspective taking

Real-world perspective-taking problems frequently involve interactions among individuals, suggesting a potential social element to this seemingly spatial problem. Previous studies have suggested that the agency of the target in a perspective-taking task might influence reasoning. This hypothesis is tested directly by manipulating whether one takes the perspective of a potential agent or an object. The results were striking: Even though no overall differences in performance were observed with and without agents, performance was differentially associated with social skills. In particular, participants with better social skills were more accurate than less social peers when the target was a potential agent, whereas no such relationship was observed when the target was an object. These results suggest that bringing domain-specific investigations to bear on real-world problems requires understanding how that domain exists in the broader context of interacting skills and biases.     

Psychometric properties of Attitudes Towards Lesbians and Gay Men Scale with Chinese university students

The 10-item Attitudes Towards Lesbian and Gay Men Scale was translated into traditional Chinese, with slight modification in item wordings (by replacing the words such as "lesbians" with "female homosexuals" and "gay men" with "male homosexuals"). Data were collected with a convenient sample of 462 Chinese undergraduate students in social work training programmes from three Hong Kong universities. Analysis of the data showed responses to the scale and its two subscales were internally consistent and a one-factor structure was found on the total scale and separately on each of its two subscales. Differences by religious belief and sex were observed using the total scale scores, as in previous studies using this scale. Researchers could consider using this scale with Hong Kong Chinese and in subsequent cross-cultural studies involving a wider range of Chinese respondents.     

Eye gaze versus arrows as spatial cues: two qualitatively different modes of attentional selection

This study aimed to evaluate the type of attentional selection (location- and/or object-based) triggered by two different types of central noninformative cues: eye gaze and arrows. Two rectangular objects were presented in the visual field, and subjects' attention was directed to the end of a rectangle via the observation of noninformative directional arrows or eye gaze. Similar experiments with peripheral cues have shown an object-based effect: faster target identification when the target is presented on the cued object as compared to the uncued object, even when the distance between target and cue was the same. The three reported experiments aimed to compare the location- and object-based attentional orienting observed with arrows and eye gaze, in order to dissociate the orienting mechanisms underlying the two types of orienting cues. Results showed similar cueing effects on the cued versus oppositely cued locations for the two cue types, replicating several studies with nonpredictive gaze and arrow cues. However, a pure object-based effect occurred only when an arrow cue was presented, whereas a pure location-based effect was only found for eye-gaze cues. It is suggested that attention is nonspecifically directed to nearby objects when a noninformative arrow is used as cue, whereas it is selectively directed to a specific cued location when noninformative eye gaze is used. This may be mediated by theory of mind mechanisms.     

A behavioral test of Horney’s linkage between authenticity and aggression: People living authentically are less-likely to respond aggressively in unfair situations

This study links Horney’s account of human growth and neurosis to authenticity by examining aggressive responses on the point subtraction aggressive paradigm, providing the first empirical test of whether authenticity can predict objective behavior. Data from undergraduate, postgraduate, and mature students demonstrate that when controlling for age, gender, trait-anger, agreeableness, and functional dimensions of coping, individuals who measure high on authentic-living respond less aggressively to attacks and counter-attacks in unfair situations. Authentic-living uniquely accounted for 14.2% of variance in aggressive-responses (r = −.37). The findings suggest that inauthenticity is a strong predictor of aggressive behavior, and therefore increasing levels of authenticity in counseling practice may reduce maladaptive levels of anger. We suggest future exploration between authenticity and models of emotional regulation will unearth the cause and effects of aggression within inauthentic individuals.