Predictors of Health-Related Quality of Life over Time Among Adolescents and Young Adults with Sickle Cell Disease

Little is known about what factors affect the health-related quality of life (HRQoL) of adolescents and young adults (AYAs) with sickle cell disease (SCD), and how their HRQoL changes over time. This retrospective study included 87 AYAs attending a SCD Adolescent Clinic who completed a measure of HRQoL at each visit over the course of approximately 1.3 years. Results suggested that the following were associated with poorer physical HRQoL: being female, more healthcare utilization events, and presence of internalizing symptoms. Internalizing and externalizing symptoms were the only factors correlated with poorer psychosocial HRQoL. Generalized linear mixed models indicated that physical and psychosocial HRQoL improved among all participants during the assessment period, and those with externalizing behaviors reported faster improvement in physical HRQoL over time. AYAs with SCD may benefit from early mental health screening and intervention to optimize clinical care.     

Experiences of Countertransference: Reports of Clinical Psychology Students

While historically linked with psychoanalysis, countertransference is recognised as an important component of the experience of therapists, regardless of the therapeutic modality. This study considers the implications of this for the training of psychologists. Fifty‐five clinical psychology trainees from four university training programmes completed an anonymous questionnaire that collected written reports of countertransference experiences, ratings of confidence in managing these responses, and supervision in this regard. The reports were analysed using a process of thematic analysis. Several themes emerged including a desire to protect or rescue clients, feeling criticised or controlled by clients, feeling helpless, and feeling disengaged. Trainees varied in their reports of awareness of countertransference and the regularity of supervision in this regard. The majority reported a lack of confidence in managing their responses, and all reported interest in learning about countertransference. The implications for reflective practice in postgraduate psychology training are discussed.     

Sex differences in childhood sexual abuse and suicide-related behaviors

Child sexual abuse and suicide-related behaviors are associated, but it remains unclear if the strength of this association differs in boys and girls. In a systematic review of this association in children and youth, we identified 16 relevant studies, all cross-sectional surveys of students. The association is stronger in boys specific to suicide attempt(s). Adjustments for potential confounding variables explained some, but not all of this sex difference. While additional research would strengthen causal inferences, this sex difference may be influenced by the nature and timing of child sexual abuse as well as the sex of the perpetrator, which in turn shapes the disclosure of these events.     

Monitoring memory errors: the influence of the veracity of retrieved information on the accuracy of judgements of learning

The current study examined the degree to which predictions of memory performance made immediately or at a delay are sensitive to confidently held memory illusions. Participants studied unrelated pairs of words and made judgements of learning (JOLs) for each item, either immediately or after a delay. Half of the unrelated pairs (deceptive items; e.g., nurse-dollar) had a semantically related competitor (e.g., doctor) that was easily accessible when given a test cue (e.g., nurse-do_ _ _r) and half had no semantically related competitor (control items; e.g., subject-dollar). Following the study phase, participants were administered a cued recall test. Results from Experiment 1 showed that memory performance was less accurate for deceptive compared with control items. In addition, delaying judgement improved the relative accuracy of JOLs for control items but not for deceptive items. Subsequent experiments explored the degree to which the relative accuracy of delayed JOLs for deceptive items improved as a result of a warning to ensure that retrieved memories were accurate (Experiment 2) and corrective feedback regarding the veracity of information retrieved prior to making a JOL (Experiment 3). In all, these data suggest that delayed JOLs may be largely insensitive to memory errors unless participants are provided with feedback regarding memory accuracy.     

Distinguishing norm-based from exemplar-based coding of identity in children: evidence from face identity aftereffects

Children's performance on face identification tests improves dramatically between age 4 and adolescence, yet the source of this improvement is controversial. We used face identity aftereffects to examine whether changes in the organization of face-space during childhood could be a source of this improvement. Specifically we tested whether 7- to 9-year-old children, like adults, show patterns of aftereffects predicted by coding facial identity relative to a norm or the patterns predicted by exemplar-based coding. Consistent with use of norm-based coding children's aftereffects were larger (a) for opposite than non-opposite adapt-test pairs equated for perceptual similarity, and (b) for adaptors far from the average than for adaptors closer to the average. In addition, face identity aftereffects were present by age 5, suggesting adult-like face-space properties by 5, though we did not conduct specific tests to distinguish norm-based from exemplar-based coding in this age group. We conclude that children's poor face identification skills cannot be attributed to a failure to use norm-based coding.     

Measuring memory monitoring with judgements of retention (JORs)

Most prior research has examined predictions of future memory performance by eliciting judgements of learning (JOLs). In six experiments, we explored monitoring with an alternative prospective measure. Specifically, participants made judgements of retention (JORs) predicting how long (in min) they would be able to remember information. Results revealed that participants provided relatively short predictions of how long they would remember information. Further, participants' JORs were sensitive to recall performance as well as manipulations that influenced memory performance indicating that they were able to effectively monitor learning using JORs. JORs influenced study decisions as well, with participants selecting more items for restudy following JORs than following JOLs or no monitoring judgement. However, restudy selection did not vary between a JOR and a JOL condition framed in terms of forgetting. Thus, we suggest that, much like forget-framed JOLs, JORs may bring different information-such as memory failure-to mind. In all, the inferential mechanisms underlying metacognitive monitoring with JOLs extends to monitoring when measured with JORs. Assessing monitoring with JORs provides information not available with JOLs (i.e., memory duration estimates) and a different basis for study decisions from remember-framed JOLs.     

Chaplains' Engagement with Suicidality among Their Service Users: Findings from the VA/DoD Integrated Mental Health Strategy

Chaplains play an important role in supporting the mental health of current and former military personnel; in this study, the engagement of Department of Veterans Affairs (VA), Army, Navy, and Air Force chaplains with suicidality among their service users were examined. An online survey was used to collect data from 440 VA and 1,723 Department of Defense (DoD) chaplains as part of the VA/DoD Integrated Mental Health Strategy. Differences were noted for demographics, work setting characteristics, encountering suicidality, and self‐perceived preparation for dealing with suicidality. Compared to DoD chaplains, VA chaplains encounter more at‐risk service users, yet feel less prepared for dealing with suicidality.