Associations Between Maternal Mental Health and Child Emotional and Behavioral Problems: Does Prenatal Mental Health Matter?

This study examined associations between elevated symptoms of prenatal depression or anxiety and offspring emotional and behavioral problems during mid to late childhood taking into account the impact of later maternal mental health symptoms. The sample consisted of 2,891 women and their children (49 % male) from a prospective, community-based study, the Avon Longitudinal Study of Parents and Children. Women completed measures of depressive (Edinburgh Postnatal Depression Scale) and anxious (Crown Crisp Experiential Index) symptoms at regular intervals beginning in pregnancy. Mothers and teachers assessed offspring emotional and behavioral problems using the Strengths and Difficulties Questionnaire when children were 10–11 years old. Multivariable regression models were fit to address study hypotheses. Exposure to elevated symptoms of maternal depression during pregnancy was associated with increased total offspring emotional and behavioral problems, even after controlling for later maternal mental health problems and a range of sociodemographic and psychosocial characteristics, according to mothers’ but not teachers’ reports. Similarly, children exposed to elevated symptoms of maternal anxiety during pregnancy were reported to have increased total emotional and behavioral problems by mothers but not by teachers. We found support for modest associations between elevated symptoms of maternal depression and anxiety during the prenatal period and certain domains of offspring emotional and behavioral problems in mid to late childhood above and beyond the impact of later maternal mental health problems. These findings highlight the need for additional clinical and research attention to the prenatal period and to both maternal depression and anxiety.     

ACOUSTIC ANALYSIS OF ORAL PRODUCTIONS OF INFANTS LATER DIAGNOSED WITH AUTISM AND THEIR MOTHER

Research on early signs of autism in social interactions often focuses on infants’ motor behaviors; few studies have focused on speech characteristics. This study examines infant‐directed speech of mothers of infants later diagnosed with autism (LDA; n = 12) or of typically developing infants (TD; n = 11) as well as infants’ productions (13 LDA, 13 TD). Since LDA infants appear to behave differently in the first months of life, it can affect the functioning of dyadic interactions, especially the first vocal productions, sensitive to expressiveness and emotions sharing. We assumed that in the first 6 months of life, prosodic characteristics (mean duration, mean pitch, and intonative contour types) will be different in dyads with autism. We extracted infants’ and mothers’ vocal productions from family home movies and analyzed the mean duration and pitch as well as the pitch contours in interactive episodes. Results show that mothers of LDA infants use relatively shorter productions as compared to mothers talking to TD infants. LDA infants’ productions are not different in duration or pitch, but they use less complex modulated productions (i.e., those with more than two melodic modulations) than do TD. Further studies should focus on developmental profiles in the first year, analyzing prosody monthly.     

Psychological Entitlement and Ambivalent Sexism: Understanding the Role of Entitlement in Predicting Two Forms of Sexism

Recent research has shown that narcissistic men in the United States express more ambivalent sexism than their non-narcissistic counterparts. The present study sought to extend these findings by hypothesizing that psychological entitlement would be a predictor of ambivalent sexism but that that this relationship may vary by gender. Given entitlement’s associations with hostility and aggression and the previously established link between narcissism and sexism in men, we hypothesized that entitlement would predict hostile sexism in men. Given that entitlement is characterized by a pervasive sense of deservingness for special treatment and goods, we expected that entitled women would endorse attitudes of benevolent sexism. These hypotheses were tested using two cross-sectional samples in the U.S.—a sample of undergraduates from a private university in the Midwest (N?=?333) and a web-based sample of adults across the U.S. (N?=?437). Results from regression analyses confirmed that psychological entitlement is a robust predictor of ambivalent sexism, above and beyond known predictors of sexism such as low openness and relevant covariates such as impression management. In addition, entitlement was a consistent predictor of benevolent sexism in women, but not in men, and a consistent predictor of hostile sexism in men, but not in women. These relationships were largely robust, persisting even when relevant covariates (e.g., socially desirable responding, trait openness) were controlled statistically, although in one sample the link between entitlement and hostile sexism in men was reduced to non-significance when benevolent sexism was controlled for statistically. Implications of these findings are discussed.     

Psychophysiological and Neuropsychological Characteristics of Non-Incarcerated Adult Males with Higher Levels of Psychopathic Personality Traits

Although much research on psychopathic individuals has been conducted in incarcerated settings, there is increasing interest in studying adults with higher levels of psychopathic traits in the general population. The present study investigated differences in psychophysiological response and neuropsychological functioning between undergraduate males with higher levels of psychopathic traits (higher-p) and undergraduate males with lower levels of psychopathic traits (lower-p). Participants completed self-report measures and neuropsychological measures, and skin conductance response was measured during a risk-taking and affective-picture viewing task. Consistent with previous findings among samples of incarcerated psychopaths, higher-p adults exhibited diminished responses to aversive and positive affective stimuli and were more disinhibited on a motoric response inhibition task. Contrary to expectations, higher-p adults made marginally better decisions on a risky decision making task. Findings were discussed in relation to Gao and Raines’ (Behavioral Sciences & the Law 28(2) 194–210, 2010) model of the neurobiological underpinnings of adults with higher levels of psychopathic traits in non-incarcerated settings, and offer evidence that higher-p adults have both adaptive and non-adaptive traits.     

Professional Identity Development: A Grounded Theory of Transformational Tasks of Counselors

The purpose of this qualitative grounded theory study was to investigate practicing counselors' professional identity development at nodal points during their career. Through the use of 6 focus groups of beginning, experienced, and expert counselors, 26 participants shared their experiences, and 6 themes emerged to form a theory of transformational tasks of professional identity development. Through these tasks, counselors encountered issues of idealism toward realism, burnout toward rejuvenation, and compartmentalization toward congruency.     

Medical Students’ Efforts to Integrate and/or Reclaim Authentic Identity: Insights from a Mask-Making Exercise

Medical students’ mask-making can provide valuable insights into personal and professional identity formation and wellness. A subset of first- and second-year medical students attending a medical school wellness retreat participated in a mask-making workshop. Faculty-student teams examined student masks and explanatory narratives using visual and textual analysis techniques. A quantitative survey assessed student perceptions of the experience. We identified an overarching theme: “Reconciliation/reclamation of authentic identity.” The combination of nonverbal mask-making and narrative offers rich insights into medical students’ experience and thinking. This activity promoted reflection and self-care, while providing insight regarding personal and professional development.     

Worry and rumination: do they prolong physiological and affective recovery from stress?

Background: Anxiety and depression have been linked to repetitive negative self-regulation styles in the form of worry and rumination respectively. Following predictions of the metacognitive model [Wells, A., & Matthews, G. (1994). Attention and emotion: A clinical perspective. Hove: Erlbaum], the current study compared the effect on recovery from stress of three strategies: worry, rumination, and distraction using a stress exposure paradigm. It was predicted that worry and/or rumination would be associated with delayed recovery on physiological and/or self-report indices when compared to distraction.

Method: Fifty-four participants were randomly assigned to one of the self-regulation conditions and then completed a modified version of the Trier Social Stress Test [TSST; Kirschbaum, C., Pirke, K. M., & Hellhammer, D. H. (1993). The “TSST” – A tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology, 28, 76–81. doi:10.1159/000119004]. Skin conductance and negative affect (NA) measurements were obtained at six different time points.

Results: Skin conductance indicated a prolonged recovery in the rumination condition when compared with the distraction condition. Individuals in the worry condition reported an immediate-delayed recovery from stress marked by higher NA scores in comparison to the distraction condition.

Conclusions: These findings may provide important insights into the effects of different forms of repetitive negative thinking on physiological and psychological recovery from stress. The different response patterns observed are discussed within the context of the metacognitive model.     

Change in Maternal Stress for Families in Treatment for their Children with Oppositional Defiant Disorder

Our objective was to predict change in maternal stress over the course of a randomized clinical trial comparing the efficacy of two interventions for Oppositional Defiant Disorder (ODD): Parent Management Training and Collaborative & Proactive Solutions. In a secondary analysis of data collected from this randomized clinical trial, we examined whether children’s self-reported positive relations with their parents impacted responsiveness to treatment, which in turn impacted maternal stress. One hundred thirty-four children and their parents (38.1% female, ages 7–14, M age?=?9.51, SD?=?1.77) were tracked across three time points: pre-treatment; one-week post-treatment; and six-month post-treatment. Hierarchical linear models tested change in children’s reports of positive relations with parents, clinician reports of ODD severity, and maternal reports of parenting stress. Models then tested multilevel mediation from positive relations with parents, through ODD severity, onto maternal stress. Hypothesized indirect effects were supported such that children’s reports of positive views toward parents uniquely predicted reductions in ODD severity over time, which in turn uniquely predicted reductions in maternal stress. Results highlight the promise of potential secondary benefits for parents following interventions for children with oppositional problems. Furthermore, results underscore the importance of the parent–child relationship as both a protective factor and as an additional target to complement interventions for child disruptive behaviors.     

Predictive Relationship Between Parental Beliefs and Accommodation of Pediatric Anxiety

Behavior performed by parents to assist a youth in avoiding or alleviating anxiety, known as accommodation, is ubiquitous among pediatric anxiety disorders and strongly related to poor treatment outcome. According to cognitive-behavioral theory, the beliefs parents hold regarding accommodation should predict parental accommodating behavior. Unfortunately, little is known about the beliefs parents hold regarding accommodation, as there exists no validated measure of this construct. First, the psychometric properties were examined for the Parental Accommodation Scale (PAS), a novel measure of parental accommodating behavior frequency (PAS-Behavior scale) and parental beliefs about accommodation (PAS-Belief scale). Second, the relationship between parental beliefs about accommodation and accommodation frequency was examined. Results provide preliminary evidence of the internal consistency and convergent validity of the PAS. Stronger positive beliefs about accommodation significantly predicted accommodation frequency, even after controlling for youth anxiety severity. Specifically, beliefs that accommodation prevents youth from losing behavioral and emotional control significantly predicted accommodation frequency. Therefore, efforts to decrease accommodation in clinical settings should involve correcting maladaptive parental beliefs about accommodation, with a particular emphasis on beliefs regarding the necessity of accommodation in preventing a youth from losing behavioral and emotional control.