Life Events and Social Rhythms in Bipolar Spectrum Disorders: A Prospective Study

This study examined the social zeitgeber theory, which suggests that affective symptoms are caused by life events disrupting vulnerable individuals’ social and circadian rhythms. Undergraduate participants were selected based on a 2-phase screening process, including a semistructured diagnostic interview. The final sample consisted of 101 bipolar spectrum participants and 100 demographically matched normal controls. Participants who completed up to 3 follow-up visits, approximately every 4 months, as part of a longitudinal study were included in the current study. Life events did not predict social rhythm regularity and social rhythm regularity inconsistently predicted affective symptoms. However, life events, particularly social rhythm disruption (SRD) events, did predict depressive symptoms and episodes, and less consistently predicted hypo(manic) symptoms and episodes. Thus, the current study obtained mixed support for social zeitgeber theory.     

Evaluating Pastoral Effectiveness: To Measure or Not to Measure

Interviews were conducted with 101 senior pastoral leaders from a variety of denominations in order to identify the ways in which pastors and those in authority positions over senior pastoral leaders measure their own effectiveness. The findings of these interviews revealed 23 measures of effectiveness in five categories, including leader outcomes, congregational outcomes, and objective outcomes. Based on the effectiveness taxonomy described in the current study, a process is suggested for a preliminary discussion among church leadership teams, congregational boards, and denominations to identify their primary mission, constituencies served, and related effectiveness priorities.     

Development and initial reliability and validity of a new measure of distorted maternal representations: The Mother–Infant Relationship Scale

Distorted maternal representations (DMRs)—mother's ideas, understanding, and feelings about the infant—shape early interaction and the emerging relationship. Distorted interactions reportedly affect infant attachment and socioemotional development and may be associated with maternal early adversity and trauma. Limited measures are available that could be used as screening tools of DMRs. The aims of this study were to (a) describe the development of the Mother–Infant Relationship Scale (MIRS) and (b) to evaluate its psychometric properties. The development and validation of the MIRS closely followed standard guidelines for the development of psychometric tests. Psychometric properties were examined across two samples: 78 adult psychiatric patients with features of borderline personality and 86 individuals from a nonclinical sample (N = 164). The scale demonstrated excellent internal consistency (Cronbach's α = .91) for the clinical sample and adequate internal consistency (.78) for the nonclinical sample, excellent test-retest reliability (intraclass correlation coefficient = .81), and good concurrent validity with an observational (Pearson's correlation coefficients = −.35 to −.54) and a representational measure (.53). Factor analysis revealed three components: DMRs specific to (a) maternal hostility/rejection of the infant, (b) issues about parenting/attachment, and (c) anxiety/helplessness about infant care. Findings suggest that the MIRS is a reliable and valid screening tool of DMRs. Potential uses in clinical and research settings are discussed.     

Field validity of the Psychopathy Checklist-Revised in sex offender risk assessment

Several studies have concluded that scores from Hare's (2003) Psychopathy Checklist-Revised (PCL-R) predict reoffense among sexual offenders, but most of those studies examined the predictive validity of scores from trained research staff, not clinicians in the field scoring the measure as part of actual forensic assessments. Therefore, we examined the field validity of PCL-R scores that forensic evaluators assigned to 333 male sexual offenders who underwent evaluations during a civil commitment selection process. Overall, no PCL-R score was a significant predictor of sexually violent recidivism. Facet 4 was the only PCL-R score with an area under the curve (AUC) greater than .50 (AUC = .53, p = .85) and the only PCL-R score that approached statistical significance for predicting the combined category of violent or sexually violent offending (AUC = .63, p = .08). However, scores from a subset of evaluators revealed stronger predictive effects, indicating that predictive validity was higher for scores from some evaluators than others. Overall, these results suggest that the stronger predictive validity values in controlled research studies may not apply to all evaluators when the PCL-R is administered in the field.     

Happiness and Well-Being of Young Carers: Extent, Nature and Correlates of Caring Among 10 and 11 Year Old School Children

Young carers often take on practical and/or emotional caring responsibilities that would normally be expected of an adult. For many of these children and young people, caring has been shown to have a detrimental effect on their lives. For example, caring at a young age appears to be associated with poor health and well-being, bullying and poorer educational outcomes. However, previous research has tended to be retrospective, carried out using small surveys of secondary school-aged children or to use qualitative methods with young people associated with caring projects. In contrast, little is known about the extent and nature of caring undertaken by younger children. This paper reports findings from a random sample survey of 10 and 11 year old children in the final year of their primary school education. 4,192 children completed the Kids’ Life and Times (KLT) online survey in 2011. Twelve percent of respondents to KLT said they helped look after someone in their household who was sick, elderly or disabled. Supporting previous qualitative research, this survey showed that children who were carers had poorer health and well-being, reported less happiness with their lives, were more likely to be bullied at school and had poorer educational aspirations and outcomes than their peers who were not carers. These findings suggest that teachers need to discuss the issue of caring with children in the classroom in a general and supportive way so that young carers feel able to confide in them and seek support if they need it.     

Health Beliefs and Practices in an Isolated Polygamist Community of Southern Utah

Short Creek is a largely closed and isolated community on the border between Utah and Arizona, made up of the sister towns of Hildale, Utah, and Colorado City, Arizona. Beginning from childhood, the 6,000 or so members of the Fundamentalist Church of Jesus Christ of Latter-Day Saints (FLDS) are brought up in a lifestyle of plural marriage, meaning a marriage among one man and more than one woman, and are surrounded by their peers in “the covenant.” A lifestyle of plural marriage is likely to affect the health of community members, but its effects have not been studied because of the community’s isolation and distrust of outsiders. This paper addresses several questions that arise in contemplating the health of the Short Creek community: What are the health beliefs in this community, and what are their historical bases? Where do families seek medical care, and for what or at what threshold of illness or injury? What is the attitude of care providers serving this community, and how are the providers viewed by the community? More broadly, this paper examines the ways in which polygamy configures health. In order to meet this objective, this paper aims first to provide a brief account of this community’s history and demographic profile, followed by a discussion of health care in this community and how it is affected by the practice of plural marriage, with the data comprised of qualitative interviews with health care providers to the community. The goals of this project are to gain a rich, historically nuanced understanding of the health of community members, and to identify directions for further academic and policy research. Our findings indicate that health in this community is shaped by limited resources, an attitude of health fatalism, and a profound insularity and corresponding isolation from the outside world.     

EVALUATION OF ERRORLESS COMPLIANCE TRAINING IN A GENERAL EDUCATION CLASSROOM

Errorless compliance training (ECT) is a success‐based, nonaversive intervention to reduce child noncompliance that has been shown to be effective in both home and special education settings. In the current study, ECT was evaluated in a multiple‐baseline across‐subjects design with three kindergarten students who displayed noncompliant behavior in their general education classrooms. The researcher delivered a range of classroom requests to each student to determine the probability of compliance for each request. Requests were then arranged in a hierarchy, ranging from those initially yielding high compliance probabilities (level 1) to those yielding low compliance (level 4). At the beginning of treatment, students were presented with a high number of level 1 requests and provided verbal praise for compliance. Over several weeks, lower probability requests were faded in. The three students demonstrated considerable improvement in compliance levels during and following treatment. Improved compliance generalized to low‐probability requests not used in treatment. When the teacher delivered requests, results of generalization were mixed. The results provide preliminary support for the use of errorless compliance training in the general education setting. Copyright © 2014 John Wiley & Sons, Ltd.     

Two rooms,two representations? Episodic‐like memory in toddlers and preschoolers

Episodic memory involves binding together what‐where‐when associations. In three experiments, we tested the development of memory for such contextual associations in a naturalistic setting. Children searched for toys in two rooms with two different experimenters; each room contained two identical sets of four containers, but arranged differently. A distinct toy was hidden in a distinct container in each room. In Experiment 1, which involved children between 15 and 26 months who were prompted with a very explicit cue (a part of the hidden toy), we found a marked shift in performance with age: while 15‐ to 20‐month‐olds concentrated their searches on the two containers that sometimes contained toys, they did not distinguish between them according to context, but 21–26‐month‐olds did. However, surprisingly, without toy cues, even the youngest children showed a fragile ability to disambiguate the two containers by room context. In Experiment 2, we tested 34‐ to 40‐month‐olds and 64‐ to 72‐month‐olds without toy cues. The 5‐year‐olds were nearly perfect, and the 3‐year‐olds showed a significant preference for the correct container given only the context. In Experiment 3, we filled in the age range, and also investigated the effects of the use of labels (i.e. names of experimenters and rooms) and of familiarization time, in groups of 34‐ to 40‐month‐olds, 42‐ to 48‐month‐olds, and 50‐ to 56‐month‐olds. Neither labels nor familiarization time had an effect. Across experiments, there was regular age‐related improvement in context‐based memory. Overall, the results suggest that children's episodic memory may undergo an early qualitative change, yet to be precisely characterized, and that continuing increments in the use of contextual cues occur throughout the preschool period. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=DkwEFw0UEz4&list=PLwxXcOKHPC0llAPVcJyW4EtzlA934A2Rz&index=1