Screening for Significant Behavior Problems in Diverse Young Children Living in Poverty

The development and use of first line screening instruments is an essential first step in assessing behavior disorders in very young children. The Early Childhood Behavior Screen (ECBS) is a parent-report measure for behavior disorders and is normed on young children (1–5 years old) living in poverty. The current study presents psychometric support for the discriminative validity of the ECBS’s 10-item Challenging Behavior Scale (CBS) as a first-line screener for externalizing behavior problems for preschool aged-children in poverty. The study’s sample included 673 participants (M age years = 2.81; 63.2 % male; 65.8 % African American) that all met the federal definitional standard for living in poverty. A confirmatory factor analysis was run to provide support for the ECBS factor structure. Receiver operating characteristics (ROC) curve analyses were used to test the CBS’s ability to distinguish between 428 clinic-referred children and 245 non-clinic-referred children. Results showed an acceptable fit model for the ECBS, providing further evidence of its construct validity. Optimal cut-scores by child age derived from the ROC curve analyses were provided with corresponding levels of sensitivity, specificity, and positive and negative predictive values. Sensitivity rates for cut scores ranged from 0.76 to 0.83 and specificity rates ranged from 0.88 to 0.95. Acceptable test–retest reliability and good internal consistency also was observed. The CBS quickly identifies young children from low-income, urban, diverse populations that may be at-risk for developing significant behavior disorders and should be considered by health care professionals who work with very young children.     

Visualizing actions from a third‐person perspective: effects on health behavior and the moderating role of behavior difficulty

Visualizing behavior from a third‐person (vs. first‐person) perspective can produce stronger motivation to enact the behavior. However, the effects of perspective on health behaviors have been mixed. Hypothesizing that the difficulty of the visualized behavior might moderate the effect of perspective, two experiments manipulated the difficulty of the visualized behaviors (fruit/vegetable consumption; exercise) plus perspective and subsequently measured motivation (Experiments 1 and 2) and behavior (Experiment 2). In both experiments, the third‐person perspective produced stronger motivation to perform the easier, but not the more difficult, behavior. This effect extended to behavior in Experiment 2. Under certain conditions, encouraging people to visualize behavior from a third‐person perspective could represent a useful and cost‐effective means of promoting health behavior change.     

A Social Priming Data Set With Troubling Oddities

A recent paper by Chatterjee, Rose, and Sinha (2013) reported impressively large “money priming” effects: incidental exposure to concepts relating to cash or credit cards made participants much less generous with their time and money (after cash primes) or much more generous (after credit card primes ). Primes also altered participants’ choices in a word-stem completion task. To explore these effects, we carried out re-analyses of the raw data. A number of strange oddities were brought to light, including a dramatic similarity of the filler word-stem completion responses produced by the 20 subjects who contributed most to the priming effects. We suggest that these oddities undermine the credibility of the paper and require further investigation.     

How I feel: a self-report measure of emotional arousal and regulation for children

This article details the development and preliminary validation of a multidimensional self-report measure of emotion for 8- to 12-year-old children--the How I Feel (HIF). Item generation and selection occurred via 2 pilot administrations (ns = 250 and 378, respectively). Ten experts provided data on content validity. Exploratory factor analysis and subsequent confirmatory factor analysis with samples of 406, 524, 349, and 349 3rd-through 6th-grade children supported a 3-factor model, including the frequency and intensity of (a) positive emotion, (b) negative emotion, and (c) positive and negative emotion control. Results showed moderate longitudinal stability for 120 children over 2 years. Concurrent validity was established. The HIF can be useful in understanding the interplay between arousal and control in social-emotional adjustment in school-age children.     

Interpersonal communication and personality: Self and other perspectives

This study was designed to examine the links between the personality of group members and their styles of communication in task groups meeting over a three-month period. Comprehensive measures of personality and of communication styles were taken from the perspectives both of the actor (the self) at the beginning of the group's life and his or her fellow group members (the others) at the end of the group's life. Even after extensive group interaction, these two sets of ratings converged only when observable characteristics were being measured (e.g., extraversion in personality or precision in communication). Self-rated personality across eight dimensions predicted two of the three self-rated dimensions of communication style (Verbal Engagement and Attentiveness to the Other) at only moderate levels; the actor's personality rated on the same eight dimensions by others predicted the actor's communication style as rated by these same others on all three dimensions (Verbal Engagement, Attentiveness to the Other, and Feelings versus Silence), and at much stronger levels than did self-ratings of personality. Both personality and communication styles as rated by others were able to predict the key social outcomes of the actor's likability and task contribution, whereas self-ratings were not. Ratings derived from the self and those derived from others about the self thus appear to develop from different sources of information and relate to different outcomes. The links between personality and communication style are largely confined to the perspective (self versus other) from which they were measured.     

Repetition blindness reveals differences between the representations of manipulable and nonmanipulable objects

We used repetition blindness to investigate the nature of the representations underlying identification of manipulable objects. Observers named objects presented in rapid serial visual presentation streams containing either manipulable or nonmanipulable objects. In half the streams, 1 object was repeated. Overall accuracy was lower when streams contained 2 different manipulable objects than when they contained only nonmanipulable objects or a single manipulable object. In addition, nonmanipulable objects induced repetition blindness, whereas manipulable objects were associated with a repetition advantage. These findings suggest that motor information plays a direct role in object identification. Manipulable objects are vulnerable to interference from other objects associated with conflicting motor programs, but they show better individuation of repeated objects associated with the same action. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Stakeholders’ Opinions on the Implementation of Pediatric Whole Exome Sequencing: Implications for Informed Consent

Advances in whole genome and whole exome sequencing (WGS/WES) technologies have led to increased availability in clinical settings. Currently, there are few guidelines relating to the process and content of informed consent for WGS/WES, nor to which results should be returned to families. To address this gap, we conducted focus groups to assess the views of professionals, parents, and adolescents for the future implementation of WES. The discussions assessed understanding of the risks and benefits of WES, preferences for the informed consent discussion, process for return of results, and the decision-making role of the pediatric patient. Professional focus group participants included bioethicists, physicians, laboratory directors, and genetic counselors. Parent focus groups included individuals with children who could be offered sequencing due to a potential genetic cause of the child’s condition. On-line discussion groups were conducted with adolescents aged 13–17 who had a possible genetic disorder. We identified discrepancies between professionals and patient groups regarding the process and content of informed consent, preference for return of results, and the role of the child in decision-making. Professional groups were concerned with the uncertainty regarding professional obligations, changing interpretation in genomic medicine, and practical concerns of returning results over time. Parent and adolescent groups focused on patient choice and personal utility of sequencing results. Each group expressed different views on the role of the child in decision-making and return of results. These discrepancies represent potential barriers to informed consent and a challenge for genetic counselors regarding the involvement of pediatric patients in decision-making and return of results discussions.     

The effect of health value and ethnicity on the relationship between hardiness and health behaviors

Associations among hardiness, health value, and health protective behaviors were examined as a function of ethnicity among 80 African American and 100 European American college students. The role of health value as moderator versus mediator in the hardiness-health behavior link was explored. Racial differences in correlations among hardiness, control, and commitment were found, with stronger relations for African American than European Americans. Moderate positive relations between hardiness, control, commitment, and health value for African American, as contrasted with weak relations between commitment and health value for European Americans, were also shown. A partial mediational effect for health value with personal distress and moderator effects for health value with personal distress and health habits were found for African American only. Race predicted hardiness variables, tobacco and alcohol use, personal distress, and health habits beyond what was accounted for by occupation and income. The ramifications of these data with regard to future studies on hardiness, health value, and health behaviors for African American are discussed.