Family Care Behaviors and Early Childhood Development in Low- and Middle-Income Countries

Epidemiological evidence linking early childhood development (ECD) with family care behaviors is limited. This study assessed relationships of ECD with family care behaviors and child nutritional status in 77,315 children 36–59 months from 26 low- and middle-income countries from the Multiple Cluster Indicator Surveys round 4. We used UNICEF-recommended indicators for literacy–numeracy and learning development. Family care behaviors measured were provision of books and play materials, inadequate care, activities of adult caregivers with child, father’s involvement, attendance to early childhood education program, and violent discipline. Nutritional status was measured by height-for-age z-scores. Three-level linear mixed-model regression analysis was done separately for each ECD outcome. Both developmental domains were associated with family care behaviors, with strongest associations between literacy–numeracy and program attendance, provision of books, and stimulating activities. Differences in the proportion on track for literacy–numeracy were 0.176–0.277 for these three family care behaviors. The multivariable model controlling for maternal education and wealth showed that children with provision of books, program attendance, and four stimulating activities had a proportion of being on track for literac–numeracy that was 0.427 higher than children without these. Higher height-for-age was associated with higher prevalence of being on track for literacy–numeracy and learning development. This study provides epidemiological evidence on the importance of family care behaviors for ECD. ECD could be substantially fostered by interventions that promote appropriate family care behaviors and resources for learning stimulation even in contexts of socioeconomic and educational disadvantage.     

The psychometric properties of the Portuguese version of the Personality Inventory for DSM‐5

The DSM‐5 Section III proposes a hybrid dimensional‐categorical model of conceptualizing personality and its disorders that includes assessment of impairments in personality functioning (criterion A) and maladaptive personality traits (criterion B). The Personality Inventory for the DSM‐5 is a new dimensional tool, composed of 220 items organized into 25 facets that delineate five higher order domains of clinically relevant personality differences, and was developed to operationalize the DSM‐5 model of pathological personality traits. The current studies address the internal consistency (study 1), the test‐retest reliability (study 2) and the criterion validity (studies 3 and 4) of the Portuguese version of the PID‐5 in samples of native speaking psychology students. Results indicated good internal consistency reliabilities and good temporal stability reliabilities for the majority of the PID‐5 traits. The correlational pattern of the PID‐5 traits with two measures of personality was in accordance with theoretical expectations and showed its concurrent validity.     

Moderating effect of emotional intelligence on the role of negative affect in the motivation to drink in alcohol-dependent subjects undergoing protracted withdrawal

In order to understand how emotional aspects evolve and are related to craving for alcohol, different emotion-related variables were examined in relationship to craving during a protracted withdrawal. To this end state affectivity (PANAS), emotional intelligence (EI) (TEIQue), and craving (OCDS) were assessed at the onset (T1: day 1 or 2) and at the end (T2: day 14 to 18) of three-week protracted withdrawal among alcohol-dependent inpatients (DSM-IV, N = 41). A significant decrease in craving and negative affectivity (NA) was observed from T1 to T2 while EI scores remained low. At both baseline and follow-up, there was a significant moderation effect of EI on the link between NA and craving for alcohol. Negative mood at the onset of the cure was linked to craving at the end of the withdrawal period but only among patients with low trait EI scores. The merits of using psychotherapeutic approaches were discussed in the treatment of alcohol addiction.     

The effects of phonological awareness of Zulu‐speaking children learning to spell in English: A study of cross‐language transfer

Background. Emergent bilingual Zulu–English speaking children in South Africa have spoken but no written proficiency in Zulu (L1), yet are required to learn to spell English (L2) via English‐only literacy instruction. Little research exists on emergent bilingual's phonological awareness (PA) and spelling development, with no L1 formal literacy instruction. Thus, whether PA in a L1 impacts on literacy acquisition in the L2 remains unclear. Aims. Performance on monolingual PA, monolingual and emergent bilingual spelling was compared. In addition, PA and spelling in emergent bilingual Zulu–English speakers was explored to ascertain cross‐language transfer relationships. Sample. Thirty emergent bilingual Zulu–English and thirty monolingual English children in grade 2 participated. Method. Emergent bilinguals were assessed on Zulu PA, Zulu and English spelling skills. Monolinguals were assessed on English PA and English spelling skills. Results. Emergent bilinguals had more Zulu PA levels related to spelling English tasks than to spelling Zulu tasks, and both Zulu PA and Zulu spelling were positively related to English spelling tasks. Significant differences were found between L1 Zulu and English phoneme and rime PA levels, and L1 English and L2 English spelling tasks. Conclusions. Findings support the language‐universal hypothesis that L1 PA is related to spelling across languages in emergent bilinguals. In emergent bilinguals, both Zulu spoken proficiency and English‐only literacy instruction influences the underlying repertoire of PA skills used to spell within the L1 and the L2. Rime and phoneme PA and spelling skills in Zulu/English rely on language‐specific orthographic knowledge.     

Divergent and Convergent Validation of the Complicated Grief Prototype Narrative

Although there is a prototype narrative for complicated grief (CG), there are neither divergent nor convergent validity studies of its clinical value. We evaluated the CG prototype narrative using a sociodemographic questionnaire and the Clinical Interview for Complicated Grief Diagnosis. We first conducted a convergent validation analysis followed by a divergent validation analysis. Results showed that participants with CG identified significantly more with the complicated grief prototype narrative than participants without CG.     

COCAINE ADDICTS AND THEIR FAMILIES: AN EMPIRICAL STUDY OF THE PROCESSES OF IDENTIFICATION

The processes of identification between adolescent cocaine addicts and their parents were studied in 402 subjects, in total 134 familial triads (father"mother"son), subdivided into two groups of 67 triads, one of these groups having as the child an adolescent of masculine sex dependent on cocaine and the other, equal in number, being a control group, duly matched for age and socio-economic status. The instrument employed was the Rorschach test (1922), limited to the application of the Lerner Defense Scale (LDS; Lerner & Lerner, 1980). The findings in the affected triads showed up as consistent statistically for the presence of intense processes of pathological identification, especially between father and son, a sign of the importance of the presence of disturbances of paternal function in the development of this addiction. The utilisation of very regressive defence mechanisms, above all of projective identification, was the predominant mode of procedure in triads with a dependent child. In comparisons between the fathers the odds ratio (OR) for projective identification was 8.66 to 1, which points to the association between cocaine addiction and the primitive mental functioning of the fathers. With empirical methodology these findings serve to corroborate the psychoanalytical conclusions based on studies of single case studies, testifying that the dysfunctions of identificatory phenomena in familial functioning are predominant in the mental organisation of cocaine addicts.     

Multifamily interventions in the context of inherited genetic conditions: A scoping review

This scoping review sought to examine the existing literature on multifamily interventions with families dealing with inherited genetic conditions. It also seeks to identify gaps in the evidence to help guide future research and intervention development. Four databases (PubMed, Web of Sciences, Scopus and PsycInfo) were systematically searched and analysed, resulting in five publications for inclusion. The main findings evidence two main themes: characteristics of multifamily interventions, and evaluation of the intervention and impact on participants. These findings suggest that multifamily interventions can provide families with extended support beyond the care usually offered by genetic healthcare services and contribute to enhancing positive change in key aspects of adaptation and coping with an inherited genetic conditions. Multifamily discussion groups are a methodology that is particularly suitable when working with families in this context. Collaboration between genetic healthcare services and accredited systemic family therapists is required to sustain the implementation of multifamily discussion groups and their feasibility. Research on the effectiveness, feasibility and economic viability of multifamily interventions is also needed.