Does Parent Training Format Affect Treatment Engagement? A Randomized Study of Families at Social Risk

We examined whether parent engagement in parent training (PT) differed based on PT format (parent group-based with video versus mastery-based individual coaching with child) in an economically disadvantaged sample of families seeking behavioral treatment for their preschool children in an urban mental health clinic. Parents (N?=?159; 76.1% mothers, 69.8% African American, 73% low-income) were randomized to one of two interventions, Chicago Parent Program (parent group?+?video; CPP) or Parent–Child Interaction Therapy (individualized mastery-based coaching; PCIT). Parent engagement indicators compared were PT attendance and completion rates, participation quality, and parent satisfaction. Risk factors predictive of PT attrition (parent depression, psychosocial adversity, child behavior problem severity, length of wait time to start PT) were also compared to determine whether they were more likely to affect engagement in one PT format versus the other. No significant differences were found in PT attendance or completion rates by format. Clinicians rated parents’ engagement higher in PCIT than in CPP while satisfaction with PT was rated higher by parents in CPP compared to PCIT. Never attending PT was associated with more psychosocial adversity and externalizing behavior problems for CPP and with higher baseline depression for PCIT. Parents with more psychosocial adversities and higher baseline depression were less likely to complete PCIT. None of the risk factors differentiated CPP completers from non-completers. Delay to treatment start was longer for PCIT than CPP. Strengths and limitations of each PT format are discussed as they relate to the needs and realities of families living in urban poverty.     

Comradery,community, and care in military medical ethics

Medical ethics prohibits caregivers from discriminating and providing preferential care to their compatriots and comrades. In military medicine, particularly during war and when resources may be scarce, ethical principles may dictate priority care for compatriot soldiers. The principle of nondiscrimination is central to utilitarian and deontological theories of justice, but communitarianism and the ethics of care and friendship stipulate a different set of duties for community members, friends, and family. Similar duties exist among the small cohesive groups that typify many military units. When members of these groups require medical care, there are sometimes moral grounds to treat compatriot soldiers ahead of enemy or allied soldiers regardless of the severity of their respective wounds.     

Psychological distance and emotional experience: what you see is what you get

Recent research suggests that perceiving negative emotion-eliciting scenes approaching intensifies the associated felt emotion, while perceiving emotion-eliciting scenes receding weakens the associated felt emotion (Muhlberger, Neumann, Wieser, & Pauli, 2008). In the present studies, we sought to extend these findings by examining the effects of imagining rather than perceiving such changes to negative emotion-eliciting scenes. Across three studies, we found that negative scenes generally elicited less negative responses and lower levels of arousal when imagined moving away from participants and shrinking, and more negative responses and higher levels of arousal when imagined moving toward participants and growing, as compared to the responses elicited by negative scenes when imagined unchanged. Patterns in responses to neutral scenes undergoing the same imagined transformations were similar on ratings of emotional arousal, but differed on valence-generally eliciting greater positivity when imagined moving toward participants and growing, and less positivity when imagined moving away from participants and shrinking. Moreover, for these effects to emerge, participants reported it necessary to explicitly imagine scenes moving closer or farther. These findings have implications for emotion regulation, and suggest that imagined spatial distance plays a role in mental representations of emotionally salient events.     

The role of phonology in a letter detection task

In two experiments, we investigated whether onsets and rimes have a role in the processing of written English. In both experiments, participants detected letter targets (e.g., t) in nonwords like vult faster than in nonwords like vust. This finding is consistent with Selkirk's (1982) view that sonorants (e.g., the /l/ of vult) cohere with preceding short vowels and are part of the vowel nucleus. In contrast, the /t/ of vust is part of the syllable's coda st and so is harder to isolate. Experiment 2 demonstrated that the time required for one to detect single-member codas following vowel digraphs (e.g., the t in veet) was similar to the time to detect the same target letter following a postvocalic sonorant (e.g., the t in vult). No evidence was found for onsets. The results provide support for a phonological organization among letters of printed rimes.     

Age-related changes in deferred imitation between 6 and 9 months of age

Six- and 9-month-old human infants were tested in a deferred imitation paradigm in which an experimenter performed a single action with a novel object. Although infants of both ages imitated the action when tested immediately, only the 9-month-olds exhibited imitation after a 24-h delay.     

Children's perceptions of and beliefs about facial maturity

The author studied children's and young adult's perceptions of facial age and beliefs about the sociability, cognitive ability, and physical fitness of adult faces. From pairs of photographs of adult faces, participants (4-6 years old, 8-10 years old, 13-16 years old, and 19-23 years old) selected the one face that appeared younger, older, better at remembering, smarter, more caring, friendlier, healthier, or stronger. Pairings consisted of faces at different adult age levels (young adults, middle-age adults, older adults, and very old adults.) Older participants were more sensitive to age differences in older faces and to faces more proximal in age. Children and adolescents believed that very old adult faces appeared to be less cognitively able than middle-aged faces (for children) and young adult faces (for adolescents). Very old male faces were judged to be less sociable. Old and very old faces were judged to be less physically fit than young and middle-aged faces. Significant positive correlation coefficients were found between the youngest children's abilities to discriminate between the adult faces of proximal age and youthful biases when selecting faces appearing to be more sociable and cognitively able. The results are discussed with respect to the development of facial information-processing skills and how those skills may be associated with the development of and changes in beliefs about older adults.     

Emotion context insensitivity in major depressive disorder

The present study tested 3 competing views of how depression alters emotional reactivity: positive attenuation (reduced positive), negative potentiation (increased negative), and emotion context insensitivity (ECI; reduced positive and negative). Normative and idiographic stimuli that elicited happy, sad, and neutral states were presented to currently depressed, formerly depressed, and healthy control individuals while experiential, behavioral, and autonomic responses were measured. Currently depressed individuals reported less sadness reactivity and less happiness experience across all conditions than did the other participants, and they exhibited a more dysphoric response to idiographic than to normative stimuli. Overall, data provide partial support for the positive attenuation and ECI views. Depression may produce mood-state-dependent changes in emotional reactivity that are most pronounced in emotion experience reports.     

About the Contributors

Biography

About the Contributors     

Alcohol,Fear, and Woman Abuse

Although there is ample evidence that alcoholusage is associated with greater frequency, incidenceand severity of spouse battering, there is alsoconsiderable evidence which does not support a direct linkage. This research investigates aheretofore neglected area, the role of substance use ininducing fear in victims. As part of a larger study ofthe police response to battering, 419 female victims of male offenders participated in intensiveinterviews; the sample consisted of 69.9% Black and28.9% White women. All the women had been victims of atleast one occurrence of misdemeanor-level abuse, and many were in chronically abusive relationships.The women participating in this study were moderatelyeducated and relatively young, with a mean age of 30years old. Relationship status was bimodal with roughly equal numbers of married and cohabitingcouples; there were relatively few who were divorced orseparated from their assailants, or were ex-cohabitants.The male partners of women represented in this sample were extremely heavy drinkerscompared to a national sample. The quantity andfrequency of alcohol use was less predictive ofthreatening or physically battering behavior than wasmale drunkenness. Frequent drunkenness was highly correlated withboth threats and with battering. Similarly, victims'fear of their partners was much more strongly associatedwith how frequently they were drunk than with drinking itself.     

Blockade of NR2B-Containing NMDA Receptors Prevents BDNF Enhancement of Glutamatergic Transmission in Hippocampal Neurons

Application of brain-derived neurotrophic factor (BDNF) to hippocampal neurons has profound effects on glutamatergic synaptic transmission. Both pre- and postsynaptic actions have been identified that depend on the age and type of preparation. To understand the nature of this diversity, we have begun to examine the mechanisms of BDNF action in cultured dissociated embryonic hippocampal neurons. Whole-cell patch-clamp recording during iontophoretic application of glutamate revealed that BDNF doubled the amplitude of induced inward current. Coexposure to BDNF and the NMDA receptor antagonist AP-5 markedly reduced, but did not entirely prevent, the increase in current. Coexposure to BDNF and ifenprodil, an NR2B subunit antagonist, reproduced the response observed with AP-5, suggesting BDNF primarily enhanced activity of NR2B-containing NMDA receptors with a lesser effect on non-NMDA receptors. Protein kinase involvement was confirmed with the broad spectrum inhibitor staurosporine, which prevented the response to BDNF. PKCI19-31 and H-89, selective antagonists of PKC and PKA, had no effect on the response to BDNF, whereas autocamtide-2-related inhibitory peptide, an antagonist of CaM kinase II, reduced response magnitude by 60%. These results demonstrate the predominant role of a specific NMDA receptor subtype in BDNF modulation of hippocampal synaptic transmission.