Development of the Connectedness to Treatment Setting Scale for Children with Cancer and Their Parents

Treatment for pediatric cancer requires periodic and long hospital admissions. The intensity and frequency of the interactions taking place in the treatment setting indicate that this is a context to which children and their families can feel connected. This study’s main goal was to develop the Connectedness to Treatment Setting Scale (CTSS-Pediatric Cancer), a 10-item scale assessing children’s and parents’ connectedness to the health setting where children receive cancer treatment. Participants were 128 dyads of children receiving treatment at two Portuguese public hospitals and their parents. Two exploratory factor analyses with children’s and parents’ data separately and a dyadic confirmatory factor analysis with the whole sample supported a second-order factorial structure of the CTSS-Pediatric Cancer, where three dimensions (Sense of Belonging, Comfort and Emotional Care) loaded onto a total score of connectedness. Findings suggest that the CTSS-Pediatric Cancer is a valid and useful assessment measure.     

Fifty Shades of Grace: The Crafting of Sexual Wisdom

Abstract

Each of us has lived sexual experience that gives us embodied knowledge. This embodied knowledge is a primary source for the creation of practical sexual wisdom. We learn by doing, bumping up against others and mining the consequences to create a personal ethic. Grace accompanies us along the way. In this article a model of sexual-spiritual integration is proposed in which embodied knowledge is in critical-liminal conversation with other sources of knowledge to create practical sexual wisdom in a poetic and phronetic process. Such integration is an example of the moral creativity of the human being and derives from the function of sexuality in the person, the story-telling tendency of the brain to create identity, and the narrative intelligibility of human life. Implications for theological education (providing safe space, information, and invitations to critical and liminal reflection) are briefly discussed before particular graces (desire, vulnerability, honesty and wrestling) are explored and illustrated by stories and poems.     

Caregiving Burden and Parent–Child Quality of Life Outcomes in Neurodevelopmental Conditions: The Mediating Role of Behavioral Disengagement

The aim of this study was to analyze the direct and indirect effects, via parents’ behavioral disengagement coping, of caregiving burden on the quality of life (QL) of parents and their children with neurodevelopmental conditions. Self-completion questionnaires on the target variables were administered to a sample of 156 parents who had a child with a neurodevelopmental condition, namely epilepsy (n = 65) and cerebral palsy (n = 91). Structural equation modeling was used to test a mediation model and ascertain direct and indirect effects among study variables. Significant direct effects of caregiving burden on parents’ and their children’s QL were found. Additionally, caregiving burden had a significant indirect effect on parents’ QL, via behavioral disengagement, but not on their children’s QL. Finally, this model was found to be invariant across conditions and patients’ age groups. Caregiving burden may be elected as a strategic intervention target to improve parent–child QL outcomes in neuropediatric settings. Parents should be encouraged to avoid or reduce behavioral disengagement coping in relation to their caregiving stress, and alternatively adopt active coping strategies that may positively affect their children’s QL and impede or attenuate the deleterious effects of caregiving burden on their own QL.     

Challenge and threat states: Cardiovascular,affective, and cognitive responses to a sports-related speech task

This study examined the relationship among cardiovascular responses indicative of challenge and threat states, self-efficacy, perceived control, and emotions before an upcoming competition. Using a repeated-measures design, 48 collegiate athletes talked about an upcoming competition (sport-specific speech task) and the topic of friendship (control speech task), whilst cardiovascular responses (heart rate, preejection period, cardiac output, and total peripheral resistance) were collected and self-report measures of self-efficacy, perceived control, and emotions completed. Findings showed that participants with a physiological threat response reported higher levels of self-efficacy and excitement. Further, none of the other emotions or the cognitive appraisals of challenge and threat predicted cardiovascular patterns indicative of either a challenge or threat state. Thus, cardiovascular responses and self-report measures of self-efficacy, perceived control, and emotions did not correlate in the manner predicted by the theory of challenge and threat states in athletes. This finding may reflect methodological aspects, or that perhaps highly efficacious individuals believe they can perform well and so the task itself is more threatening because failure would indicate under-performance.     

Extending the Concurrent Validity of the Self-Injurious Thoughts and Behaviors Interview to Inpatient Adolescents

The Self-Injurious Thoughts and Behaviors Interview (SITBI) was created to address limitations in existing suicide assessments and its validity was evaluated in the original publication. However, this work has not yet been extended to inpatient adolescents, a population in which suicide assessment is crucial. Moreover, information on the psychometric properties of the SITBI has not been provided by other groups beyond the developers of the SITBI. The aim of this study was to examine the concurrent validity of the suicide ideation, attempt, plan, and gesture modules of the SITBI with inpatient adolescents (N?=?106, 64.8 % female, M _age ?=?14.63), as an extension to previous validation efforts using this measure. Concurrent validity was examined with established interview-based and self-report measures of suicide ideation and suicide intent. The SITBI demonstrated adequate agreement with other measures, suggesting adequate validity for the suicide ideation, attempt, plan, and gesture modules in a sample of inpatient adolescents.     

Neurodynamics inside therapeutic interaction: a case study with simultaneous EEG recording / La neurodinámica en el contexto de la interacción terapéutica: un estudio de caso con una grabación simultánea de EEG

Recent research on processes of psychotherapy has focused on the study of patient-therapist regulation. Evidence concerning verbal and nonverbal coordination as predictors of therapeutic alliance and outcome in psychotherapy has been cumulating. These, along with others results in the field of social neuroscience, suggest that behavioural coordination may have neurophysiological correlates, which play a role in the regulatory process in psychotherapy. Here we introduce an observational paradigm and analytic method to assess the joint neurodynamic activity of patient and therapist. Additionally we report results from ongoing psychotherapy sessions. Our work highlights the involvement of brain activity in the psychotherapeutic process and provides novel insights on how psychotherapy works, in order to further the understanding of the embodied characteristic of the therapeutic interaction.     

Group Activities to Promote Early Rehabilitation in an Acute Psychiatric Ward: A Relationship-Based Approach Focusing on Movies

Our Psychiatry Institute has a long-standing tradition of providing training in the importance of relational and emotional skills and helping relationships. Here we describe techniques that are routinely used on our psychiatric ward (Maggiore della Carità Hospital, Novara, Italy) to promote early rehabilitation of acute psychiatric inpatients. We focus on the Cinema group, which is typical of our approach to informal, therapeutic group activity. Targeting social and relational issues as adjunct to treatment as usual is useful in acute settings and can begin at an early stage of hospitalization. Our intervention is designed to improve patients’ coping strategies, relational and communication skills, and overall quality of life.