A Comparison of Behavioral Parent Training Programs for Fathers of Children With Attention-Deficit/Hyperactivity Disorder

Few behavioral parent training (BPT) treatment studies for attention-deficit/hyperactivity disorder (ADHD) have included and measured outcomes with fathers. In this study, fathers were randomly assigned to attend a standard BPT program or the Coaching Our Acting-Out Children: Heightening Essential Skills (COACHES) program. The COACHES program included BPT plus sports skills training for the children and parent-child interactions in the context of a soccer game. Groups did not differ at baseline, and father ratings of treatment outcome indicated improvement at posttreatment for both groups on measures of child behavior. There was no significant difference between groups on ADHD-related measures of child outcome. However, at posttreatment, fathers who participated in the COACHES program rated children as more improved, and they were significantly more engaged in the treatment process (e.g., greater attendance and arrival on time at sessions, more homework completion, greater consumer satisfaction). The implications for these findings and father-related treatment efforts are discussed.     

The influence of negligence, intention, and outcome on children’s moral judgments

Piaget (1932) and subsequent researchers have reported that young children’s moral judgments are based more on the outcomes of actions than on the agents’ intentions. The current study investigated whether negligence might also influence these judgments and explain children’s apparent focus on outcome. Children (3–8 years of age) and adults (N = 139) rated accidental actions in which the valences of intention, negligence, and outcome were varied systematically. Participants of all ages were influenced primarily by intention, and well-intentioned actions were also evaluated according to negligence and outcome. Only two young children based their judgments solely on outcome. It is suggested that previous studies have underestimated children’s use of intention because outcome and negligence have been confounded. Negative consequences are considered to be important because children assume that they are caused by negligence. The findings indicate that young children can show sophisticated understanding of the roles of intention and negligence in moral judgments.     

Counseling Juvenile Offenders: A Program Evaluation

This article reviews the results of the effectiveness of counseling services provided by the Juvenile Counseling and Assessment Program (JCAP) of the Juvenile Court of Clarke County, Georgia. Individual and group counseling services were provided for 55 male and female adjudicated delinquent youths, ages 9 to 17, over a period of 4 to 6 months. The recidivism rates of the youths who had received counseling services were compared to the recidivism rates of a control group that had not received counseling services.     

The cultural mosaic: a metatheory for understanding the complexity of culture

Workforce population trends have increased the numbers and kinds of culturally diverse people who work together. Researchers in organizational behavior have often examined culture through values; however, cultural values can be based on collections of people other than traditional nation states. A cultural mosaic is presented as a framework to identify demographic, geographic, and associative features underlying culture. An individual's unique collage of multiple cultural identities yields a complex picture of the cultural influences on that person. Developments in chaos and complexity theories are proposed as a theoretical base for study on the complexity of culture at the individual level. Additional developments in network theory serve as a theoretical base for cultural research at the group level. The cultural mosaic is described as a complex system with localized structures, linking cultural tiles in ordered and chaotic ways. Research propositions examining multiple cultural identities at individual and group levels are discussed.     

Anxiety and depression in Greek nursing and medical personnel

The relatively low number of nurses compared to physicians in Greece and the few available studies on the psychological problems of the health professionals led to comparison of anxiety and depression for 76 Greek nursing personnel (20 men, M age: 32.8 yr., SD: 3.8 yr., and 56 women, M age: 36.6 yr., SD: 7.7 yr.) and 66 doctors (35 men, M age: 35.9 yr., SD: 8.9 yr. and 31 women, M age: 32.7 yr., SD: 8.1 yr.) using validated translations of the Spielberger State-Trait Anxiety Inventory and the Beck Depression Inventory. Male nurses had the lowest scores on trait anxiety, while female doctors had the highest scores, followed by female nurses. Depression scores were not different between doctors and nurses, regardless of sex. Age and depression scores were positively correlated (Spearman rho = .31) only for the female nurses. The findings suggest that interventions for diagnosis and stress management in the health-care workplace should be equally targeted for nursing and medical personnel.     

Impact of Depression and Anxiety on the Quality of Life of Constipated Patients

Constipation negatively affects quality of life (QOL), however, the specific mechanisms through which this relationship occurs are unclear. The present study examined anxiety and depression as potential mediators of the relationship between constipation severity and QOL in a sample of 142 constipated patients. Results indicated that depression symptom severity mediated the relationship between constipation severity and mental health-related QOL. For patients meeting diagnostic criteria for Major Depressive Disorder, indirect effects were observed in the relationship between constipation severity and both physical and mental health-related QOL. Anxiety did not contribute to this model. Treating depression may be useful in improving QOL in severely constipated patients, which highlights the importance of psychological screening and treatment referrals in primary care settings.     

Linking executive function skills and physiological challenge response: Piecewise growth curve modeling

This study employed piecewise growth curve modeling to examine how children's executive function (EF) skills relate to different components of children's physiological response trajectory – initial arousal, reactivity, and recovery. The sample included 102 ethnically diverse kindergarteners, whose EF skills were measured using standard tasks and observer ratings. Physiological response was measured via changes in respiratory sinus arrhythmia (RSA) in response to a laboratory socio‐cognitive challenge. Children's cool and hot EF skills were differentially related to both linear and quadratic components of RSA response during the challenge. Greater hot EF skills and assessor report of EF skills during laboratory visit were related to quicker RSA recovery after the challenge. These findings demonstrate that children's physiological response is a dynamic process that encompasses physiological recovery and relates to children's self‐regulation abilities.     

Frontal brain asymmetry in depression with comorbid anxiety: a neuropsychological investigation

The approach-withdrawal model posits that depression and anxiety are associated with a relative right asymmetry in frontal brain activity. Most studies have tested this model using measures of cortical brain activity such as electroencephalography. However, neuropsychological tasks that differentially use left versus right frontal cortical regions can also be used to test hypotheses from the model. In two independent samples (Study 1 and 2), the present study investigated the performance of currently depressed individuals with or without a comorbid anxiety disorder and healthy controls on neuropsychological tasks tapping primarily left (verbal fluency) or right (design fluency) frontal brain regions. Across both samples, results indicated that comorbid participants performed more poorly than depressed only and control participants on design fluency, while all groups showed equivalent performance on verbal fluency. Moreover, comorbid participants showed "asymmetrical" performance on these two tasks (i.e., poorer design [right frontal] relative to verbal [left frontal] fluency), whereas depressed only and control participants showed approximately symmetrical profiles of performance. Results from these two samples suggest an abnormal frontal asymmetry in neurocognitive performance driven primarily by right frontal dysfunction among anxious-depressed individuals and highlight the importance of considering comorbid anxiety when examining frontal brain functioning in depression.     

Lynch Syndrome Patients’ Views of and Preferences for Return of Results Following Whole Exome Sequencing

Whole exome sequencing (WES) uses next generation sequencing technology to provide information on nearly all functional, protein-coding regions in an individual’s genome. Due to the vast amount of information and incidental findings that can be generated from this technology, patient preferences must be investigated to help clinicians consent and return results to patients. Patients (n?=?19) who were previously clinically diagnosed with Lynch syndrome, but received uninformative negative Lynch syndrome genetic results through traditional molecular testing methods participated in semi-structured interviews after WES testing but before return of results to explore their views of WES and preferences for return of results. Analyses of interview results found that nearly all participants believed that the benefits of receiving all possible results generated from WES outweighed the undesirable effects. The majority of participants conveyed that relative to coping with a cancer diagnosis, information generated from WES would be manageable. Importantly, participants’ experience with Lynch syndrome influenced their notions of genetic determinism, tolerance for uncertain results, and family communication plans. Participants would prefer to receive WES results in person from a genetic counselor or medical geneticist so that an expert could help explain the meaning and implications of the potentially large quantity and range of complicated results. These results underscore the need to study various populations with regard to the clinical use of WES in order to effectively and empathetically communicate the possible implications of this new technology and return results.