Development of a Family-based Program to Reduce Risk and Promote Resilience Among Families Affected by Maternal Depression: Theoretical Basis and Program Description

Depression is a family matter. It not only diminishes the quality-of-life of the depressed person, but also strains the resources of the family unit and increases the children's risk of developing significant problems that start early and persist into adulthood. Although treatment of a parent's depression is critical, many families also need professional intervention to reduce children's risk. This article reviews the evidence on needs of these families and shows that the theoretical and clinical evidence exists to support the design of interventions for families affected by maternal depression. A preventive intervention developed from this foundation is described, the Keeping Families Strong (KFS) program, that is designed to promote resilience and reduce the risk for psychological disorders in children of parents with depression. The pilot study on the KFS program, conducted in adult mental health outpatient settings, is described. Families participate in 10 meetings 90 min each, with a group for parents and for children (10 years and older) conducted concurrently. The program structure and content are described, the challenges of implementing a family preventive intervention in actual clinical settings are discussed, and a case example is provided, as well as preliminary outcome data on ten families. In sum, we provide a strong rationale for the potential of preventive interventions for families affected by maternal depression.     

What is learned from experience in a probabilistic environment?

Three experiments explored what is learned from experience in a probabilistic environment. The task was a simulated medical decision‐making task with each patient having one of two test results and one of two diseases. The test result was highly predictive of the disease for all participants. The base rate of the test result was varied between participants to produce different inverse conditional probabilities of the test result given the disease across conditions. Participants trained using feedback to predict a patient's disease from a test result showed the classic confusion of the inverse error, substituting the forward conditional probability for the inverse conditional probability when tested on it. Additional training on the base rate of the test result did little to improve performance. Training on the joint probabilities, however, produced good performance on either conditional probability. The pattern of results demonstrated that experience with the environment is not always sufficient for good performance. That natural sampling leads to good performance was not supported. Further, because participants not trained on joint probabilities did, however, know them but still committed the confusion of the inverse error, the hypothesis that having joint probabilities would facilitate performance was not supported. The pattern of results supported the conclusion that people learn all the necessary information from experience in a probabilistic environment, but depending upon what the experience was, it may interfere with their ability to recall to memory the appropriate sample set necessary for estimating or using the inverse conditional probability. Copyright © 2004 John Wiley & Sons, Ltd.     

Gender Differences in Delay of Gratification: A Meta-Analysis

A series of meta-analyses were conducted to test Bjorklund and Kipp's hypothesis that due to selection pressures operating during evolution, women and girls are better able than men and boys to delay gratification (Bjorklund & Kipp, 1996). A total of 38 effect sizes were derived from 33 studies in which participants made one or more choices between a small (or less preferred) immediate reward and a large (or more preferred) delayed reward. Overall, there was a small female advantage (r = .058). Further analyses revealed that the female advantage was larger when continuous measures (r = .096) rather than dichotomous measures were used (r = .021). No evidence was found for the gender gap changing systematically with age. Discussion focuses primarily on alternative explanations for the gender difference found here. Consideration is also given to how the female advantage in delay of gratification might be reflected in real-life situations.     

The interaction between specific and general information in category learning and representation: unitization and parallel interactive processing

We investigated the effects of specific stimulus information on the use of rule information in a category learning task in 2 experiments, one presented here and an intercategory transfer task reported in an earlier article. In the present experiment photograph--name combinations, called identifiers, were associated with 4 demographic attributes. The same attribute information was shown to all participants. However, for one group of participants, half of the identifiers were paired with attribute values repeated over presentation blocks. For the other group the identifier information was new for each presentation block. The first group performed less well than the second group on stimuli with nonrepeated identifiers, indicating a negative effect of specific stimulus information on processing rule information. Application of a network model to the 2 experiments, which provided for the growth of connections between attribute values in learning, indicated that repetition of identifiers produced a unitizing effect on stimuli. Results suggested that unitization produced interference through connections between irrelevant attribute values.     

Antagonistic pleiotropy at the human IL6 promoter confers genetic resilience to the pro-inflammatory effects of adverse social conditions in adolescence

The authors tested the evolutionary genetic hypothesis that the functional form of an asymmetrically risky Gene × Environment interaction will differ as a function of age-related antagonistic pleiotropy (i.e., show opposite effects in young vs. old individuals). Previous studies have identified a polymorphism in the human IL6 promoter (rs1800795; IL6-74 G/C) that interacts with adverse socioenvironmental conditions to promote chronic inflammation in older adults (elevated C-reactive protein). This study identifies a protective effect of the same polymorphism in 17- to 19-year-old adolescents confronting socioeconomic adversity. Over 60% of the environmental risk contribution to the IL6 × Socioeconomic Status interaction could be accounted for by interpersonal stress and adult role burden. Thus, the IL6-174G allele does not represent an undifferentiated risk factor but instead sensitizes inflammatory biology to socioenvironmental conditions, conferring either genetic vulnerability or resilience depending on the developmental "somatic environment" that interacts with social conditions to influence gene expression.     

Reversing the hands of time: changing the mapping from seeing to saying

To describe a scene, speakers must map visual information to a linguistic plan. Eye movements capture features of this linkage in a tendency for speakers to fixate referents just before they are mentioned. The current experiment examined whether and how this pattern changes when speakers create atypical mappings. Eye movements were monitored as participants told the time from analog clocks. Half of the participants did this in the usual manner. For the other participants, the denotations of the clock hands were reversed, making the big hand the hour and the little hand the minute. Eye movements revealed that it was not the visual features or configuration of the hands that determined gaze patterns, but rather top-down control from upcoming referring expressions. Differences in eye-voice spans further suggested a process in which scene elements are relationally structured before a linguistic plan is executed. This provides evidence for structural rather than lexical incrementality in planning and supports a "seeing-for-saying" hypothesis in which the visual system is harnessed to the linguistic demands of an upcoming utterance.     

The relationship between testosterone and route-learning strategies in humans

The relationships between route-learning strategies and circulating testosterone and estradiol levels were investigated in men and women. Testosterone and estradiol concentrations were measured by salivary assays and route-learning strategies were assessed using a direction-giving paradigm based on a novel map. Testosterone was positively correlated with the use of male-biased route-learning strategies in men, but not in women. These findings suggest sex-specific patterns of relationships between circulating testosterone and spatial processing, which apply to everyday spatial behavior.     

The effects of jury size, evidence complexity, and note taking on jury process and performance in a civil trial

A total of 567 jury-eligible men and women who were assigned to 6- or 12-person juries saw a videotaped civil trial that contained either I or 4 plaintiffs. Half the juries took notes, whereas the remainder did not. Six-person juries that did not take notes awarded multiple plaintiffs the highest amounts of compensation. Six-person juries also gave the highest punitive damages when they did not take notes and judged multiple plaintiffs. The punitive awards of 6-person juries were highly variable compared with 12-person juries. Multiple plaintiffs also increased the unpredictability of jury punitive awards. Twelve-person juries deliberated longer, recalled more probative information, and relied less than 6-person juries on evaluative statements and nonprobative evidence. Limitations and implications are discussed.     

Fear of abandonment as a mediator of the relations between divorce stressors and mother-child relationship quality and children's adjustment problems

This study examines whether fear of abandonment mediates the prospective relations between divorce stressors and mother–child relationship quality and adjustment problems of children of divorce. Participants were 216 children, ages 8–12, and their primary residential mothers. Children reported on divorce stressors and fear of abandonment; mothers and children reported on mother–child relationship quality and internalizing and externalizing problems. Structural equation models indicated that Time 1 fear of abandonment mediated the relation between Time 1 divorce stressors and Time 2 internalizing and externalizing problems. Time 1 fear of abandonment also mediated the relation between Time 1 mother–child relationship quality and Time 2 internalizing and externalizing problems. Implications of these results for understanding variability in children's postdivorce adjustment problems and interventions for divorced families are discussed.     

Mental rotation is suppressed during saccadic eye movements

We examined whether mental rotation is suppressed during saccadic eye movements. Subjects judged whether a character was normal or mirror-reversed while making no, short, or long saccades. Reaction time was longer under saccade than under no-saccade conditions and was longer when a long saccade rather than a short saccade was made, but only when the characters varied in orientation. These results indicate that mental rotation is suppressed during saccadic eye movements. The implications for theories of cognitive suppression during saccades are discussed.