The relationship between religious beliefs and behaviours and changes in Spiritual Health Locus of Control over time in a national sample of African-Americans

Using data from a sample of African-Americans, the present study examined the role of religious beliefs and behaviours in predicting changes in Spiritual Health Locus of Control (SHLOC), or beliefs about the role that God plays in a person’s health. A national sample of African-American adults was recruited using a telephone survey and re-contacted 2.5 years later. Overall, results indicated that both higher religious beliefs and behaviours predicted increases in Active SHLOC, or the view that one collaboratively works with God to maintain one’s health. However, only religious behaviours predicted increases in Passive SHLOC, or the view that because God is in complete control of health that one’s own behaviours are unnecessary. Among men, religious beliefs predicted strengthening Active SHLOC beliefs, while religious behaviours predicted growing Passive SHLOC beliefs. Among women, religious behaviours predicted strengthening Active and Passive SHLOC beliefs.     

Automatization of personal and impersonal discourse with narrative re-telling as a function of age

When older adults retell an impersonal story, the resulting narratives are typically characterized by more prolixity and less coherence than those produced by younger adults. We aimed to determine whether this pattern is also observed when retelling a personal narrative. Younger and older participants told a personal story three consecutive times. With retelling, no evidence of increased coherence or fluency or reduction in hesitancy was observed for either age group. The nature of autobiographical narrative construction explains why such stories are not subject to automatization. A failure to automatize personal narratives is not, therefore, a symptom of aging.     

Reentry Needs: Men Who Are Young,Hispanic, Older,or With Mental Illness

Perceptions of the needs for successful reentry among incarcerated men from diverse backgrounds were investigated using phenomenological qualitative methods. Twenty‐nine men serving time in a northeastern U.S. correctional facility, which concentrated on treatment of substance use, participated in four focus groups. Young men found it most important to make personal changes, Hispanic men to maintain personal identity, older men to receive structural support, and men with mental illness to connect with family.     

Early Gesture Provides a Helping Hand to Spoken Vocabulary Development for Children with Autism,Down Syndrome,and Typical Development

Typically developing (TD) children refer to objects uniquely in gesture (e.g., point at a cat) before they produce verbal labels for these objects (“cat”). The onset of such gestures predicts the onset of similar spoken words, showing a strong positive relation between early gestures and early words. We asked whether gesture plays the same door-opening role in word learning for children with autism spectrum disorder (ASD) and Down syndrome (DS), who show delayed vocabulary development and who differ in the strength of gesture production. To answer this question, we observed 23 18-month-old TD children, 23 30-month-old children with ASD, and 23 30-month-old children with DS 5 times over a year during parent–child interactions. Children in all 3 groups initially expressed a greater proportion of referents uniquely in gesture than in speech. Many of these unique gestures subsequently entered children’s spoken vocabularies within a year—a pattern that was slightly less robust for children with DS, whose word production was the most markedly delayed. These results indicate that gesture is as fundamental to vocabulary development for children with developmental disorders as it is for TD children.     

Coping with transphobia in employment: Strategies used by transgender and gender-diverse people in the United States

Background: Transgender and gender-diverse (TGD) individuals face stigma in the general public and in the workplace. Research has suggested that TGD individuals may demonstrate unique coping strategies in the workplace in order to manage transphobia in that setting; however, further research is needed to identify the specific strategies that transgender individuals use to deal with transphobia at work.

Method: The present qualitative study utilized the grounded theory methodology to identify the specific coping strategies utilized to deal with transphobia at work. Participants included 45 TGD participants from the northeastern United States.

Results: The results of the study include the identification of eight coping-strategy themes including gender-presentation strategies, gender detachment, relationship navigating, resource utilization, job-performance strategies, maladaptive coping strategies, structural strategies, and power-acquisition strategies.

Conclusions: Implications of the present study suggest the resilience and diverse coping strategies that mental health providers can help TGD workers draw from in dealing with transphobia at work. In addition, there is a need for greater remediation and prevention of employment-related transphobia, including leadership within employment settings, greater legal protections, and enforcement of these laws in the United States.     

Positive reappraisals after an offense: Event-related potentials and emotional effects of benefit-finding and compassion*

Using a within-subjects design, three emotion regulation strategies (compassion-focused reappraisal, benefit-focused reappraisal, and offense rumination) were tested for their effects on forgiveness, well-being, and event-related potentials. Participants (N = 37) recalled a recent interpersonal offense as the context for each emotion regulation strategy. Both decisional and emotional forgiveness increased significantly for the two reappraisal strategies compared to offense rumination. Compassion-focused reappraisal prompted the greatest increase in both decisional and emotional forgiveness. Furthermore, both reappraisal strategies increased positively oriented well-being measures (e.g. joy, gratitude) compared to offense rumination, with compassion-focused reappraisal demonstrating the largest effect on empathy. Late positive potential (LPP) amplitudes in response to unpleasant affect words were larger following the benefit-focused reappraisal strategy, indicating frontal LPP augmentation due to affective incongruence of the unpleasant stimuli with the positive, silver-lining orientation of the benefit-focused reappraisal emotion regulation strategy.     

Predicting dental attendance from dental hygienists’ autonomy support and patients’ autonomous motivation: A randomised clinical trial

Objective: To test the hypothesis that a Self-Determination Theory (SDT) intervention designed to promote oral health care competence in an autonomy-supportive way would predict change in caries competence relative to standard care. Further, to test the SDT process path-model hypotheses with: (1) the intervention and individual differences in relative autonomous locus of causality (RALOC) predicting increases in caries competence, which in turn would positively predict dental attendance; (2) RALOC negatively predicting dental anxiety, which would negatively predict dental attendance; (3) RALOC and caries disease referred to the dentist after an autonomy-supportive clinical exam directly positively predicting dental attendance; and (4) the intervention moderating the link between RALOC and dental attendance.

Design: A randomised two-group experiment was conducted at a dental clinic with 138 patients (M_age = 23.31 yr., SD = 3.5), with pre- and post-measures in a period of 5.5 months.

Results: The experimental model was supported. The SDT path model fit the data well and supported the hypotheses explaining 63% of the variance in dental attendance.

Conclusions: Patients personality (RALOC) and hygienists promoting oral health care competence in an autonomy-supportive way, performance of autonomy-supportive clinical exams and reductions of anxiety for dental treatment have important practical implications for patients’ dental attendance.     

Attention and executive function in children with and without single-suture craniosynostosis

Children with single-suture craniosynostosis (SSC) have higher rates of learning disabilities and related neurocognitive problems than unaffected peers. Executive function (EF) and attention are thought to be areas of particular vulnerability, though studies to date have been limited by small sample sizes and a lack of control groups. We evaluated 179 school-aged children with SSC (cases) and 183 unaffected controls at an average age of 7 years using clinician-administered and parent and teacher report measures of EF and attention. Among children with SSC, we examined differences as a function of suture location (sagittal, metopic, unicoronal, or lambdoid) and age of corrective surgery. We used linear regression analyses, adjusted for potential confounders, to compare the two groups on all outcome measures. Cases scored lower than controls on most measures, though the magnitude of these differences was small and most were statistically insignificant. The largest relative deficit was on a measure of inhibitory control. Results changed little in sensitivity analyses adjusting for potential attrition bias and for the effects of developmental and academic interventions. Among cases, there were few differences in relation to the location of suture fusion or timing of surgery. Overall, we found limited evidence of broad deficits in EF or attention in children with SSC relative to unaffected controls. Neurocognitive development for children with SSC appears to be variable, across affected children and outcomes assessed. Further research is needed to understand the potential sources of this variability.     

Longitudinal Evaluation of the Role of Academic and Social Impairment and Parent-Adolescent Conflict in the Development of Depression in Adolescents with ADHD

Older adolescents with attention-deficit/hyperactivity disorder (ADHD) have a significantly increased likelihood of developing comorbid depression. It is important to evaluate factors during the early adolescent period that may contribute to this risk. A predominant theory is that impairment and failure experiences lead to the development of low-self efficacy and depression, and that parent and family factors also play a role. In a sample of 326 young adolescents with ADHD (Mage?=?12), the present study evaluated whether parent-adolescent conflict mediated the association between social and academic impairment and the development of depression. This study builds upon prior work by evaluating these associations longitudinally and by using a multi-rater approach, including the parent, adolescent, and teacher perspectives. Social and academic impairment directly predicted depression controlling for baseline levels of depression and change in ADHD symptoms. The association between social impairment and depression was partially mediated by parent-adolescent conflict. Mediation through conflict was not found for academic impairment, and the association between academic impairment and depression was no longer significant when accounting for conflict. These findings highlight the importance of social impairment in the development of depression in adolescents with ADHD. Caregivers may play an important role in determining whether adolescents with ADHD internalize social impairment and failure experiences and develop depressive symptoms. Implications of these findings in terms of the importance of interventions focused on parent-adolescent conflict are discussed.     

Facilitating Communication of Ideas and Evidence to Enhance Mental Health Service Quality: Coding the Treatment Services Literature Using the Child and Adolescent Needs and Strengths-Mental Health Assessment Scales

The evidence-base services literature is continually growing, providing the field with rich and important sets of information regarding what works for treating different types of youth and families. Given this burgeoning of information, the PracticeWise Evidence-Based Services (PWEBS) Literature Database has been developed to aid in summarizing and delivering aggregated evidence-based treatment information to providers in the field. Meanwhile, the Child and Adolescent Needs and Strengths-Mental Health (CANS-MH) Scale is a youth mental health assessment tool that was developed by a separate team to assist with treatment planning. In the present study, we developed and tested a system for linking these two related ontological systems so that scientific knowledge can be more widely aggregated and made available to a wider set of audiences for enhanced mental health service delivery. Results revealed the following. First, a construct mapping comparison revealed that the CANS-MH and PWEBS ontologies share a strong core of overlapping content, particularly in the areas of Youth Behavioral/Emotional Needs, Youth Risk Behaviors, and Life Domain Functioning. Second, the CANS-MH areas were able to be used to reliably code the following components of published randomized treatment studies: (a) population sample characteristics (e.g., did the characteristics of the treatment study participant population relate to each CANS-MH area?), and (b) outcome measure targets (e.g., did the treatment study outcome measure target areas relate to each CANS-MH area?). The reliability achieved from this coding process supported the linkage between the CANS-MH areas and the PWEBS Literature Database information. Lastly, high agreement was achieved between an automated translation algorithm and the final ratings from the manual coding of published treatment studies using the CANS-MH scale. The importance of such linkages for the communication of ideas, information, and evidence across differing subfields is discussed, as well as examples of achieving enhanced quality of mental health services by linking system ontologies.