Associations Among Anxiety Disorders and Non-anxiety Disorders,Functional Impairment and Medication in Children and Adolescents

This is a study of comorbid anxiety disorders and how they affect the clinical picture of comorbid cases. The sample consisted of 576 Spanish children aged 8 to 17 years receiving psychiatric outpatient consultation that were evaluated using a semi-structured diagnostic interview for both parents and children. A specific association of homotypic comorbidity among anxiety disorders that was independent of the presence of other disorders was found. There was heterotypic comorbidity between anxiety and depressive disorders, ADHD, anorexia and tic disorders. Relationships between non-anxiety disorders were, in general, independent of anxiety, but anxiety moderated the relationship between ADHD-Conduct disorder and Conduct disorder-enuresis. Comorbid anxiety increased difficulties in social interaction, was related with higher global impairment and had an impact on consultation and medication. Anxiety disorder comorbidity should be well recognized in order not to disregard the treatment of all present disorders.     

Dimensional analysis of a categorical diagnostic interview: the DICA-IV

The aim of this study is to obtain dimensions from a categorical diagnostic interview. 512 children aged 8 to 17 attending public centers for children's mental health and presenting some form of psychological disorder were interviewed with the "Diagnostic Interview for Children and Adolescents" (DICA-IV). Analysis of the principal components indicate that a two-dimensional model (externalizing-internalizing) satisfactorily explain the data collected from the children and their parents. The data from the adolescents are better represented by a three-dimensional model (attention problems-internalizing-antisocial behavior). The factor scales show good internal consistency and significantly relate to other criteria of psychopathology and incapacity (concurrent validity). These results show that it is possible to use DICA-IV to obtain categorical and dimensional indicators simultaneously. The latter are particularly sensitive for measuring changes over the course of disorders.     

Examining the Psychometric Properties of the Utrecht Work Engagement Scale in Two Spanish Multi‐occupational Samples

The aim of this study was to provide some evidence of reliability and validity of the 15‐item Spanish version of the Utrecht Work Engagement Scale (UWES) between two multi‐occupational samples. In two different studies, 525 human services employees (study 1; males = 233; females = 292) and 409 multi‐occupational employees (study 2; males = 179; females = 230) completed the Spanish UWES. In study 1, our results revealed satisfactory levels of reliability for each subscale. In addition, the confirmatory factor analysis revealed that the three‐factor model fitted better than the one‐factor model and supported the theoretical three‐factor structure (vigor, dedication, and absorption). Furthermore, results from the multi‐sample analysis found strict factorial invariance of the Spanish UWES across gender, suggesting that the UWES factors show the same composition and interpretation in both groups. In study 2, our results once again confirmed the same three‐factor structure for the Spanish UWES. We found support for theoretically proposed two‐factor model including: (1) emotional exhaustion and depersonalization and (2) all three dimensions of engagement plus personal accomplishment. We also found evidence of convergent, discriminant, and incremental validity with respect to burnout, life satisfaction, and perceived stress. In short, our results provide empirical support for structural validity of the Spanish UWES in multi‐occupational workers.     

Características diferenciales de los niños con puntuaciones extremas en el Children's Depression Inventory

Resumen

Se describen las características diferenciales de la población de niños con puntuaciones altas (≥19) y bajas (≤5) en el Children's Depression Inventory (Kovacs, 1983) a partir de la información de distintas fuentes. Se evaluaron 148 niños de 4.^o de EGB de los cuales 68 presentaban puntuaciones ≤5 y 80 presentaban puntuaciones ≥19, respecto a nivel de depresión, estilo atribucional, variables cognitivas y rendimiento escolar. Los niños con puntuaciones altas versus los de puntuaciones bajas presentaban mayor severidad de la sintomatología depresiva, un estilo atribucional más depresógeno, menor rendimiento en los subtests de inteligencia que evalúan cierre perceptivo, formación de conceptos no verbales y comprensión de la lectura, su rendimiento escolar fue inferior, tuvieron más problemas de conducta según informaron los padres, eran menos felices según el profesor y menos populares y más deprimidos según sus compañeros.     

Perceptions of coparenting in foster care

Although literature supports the association between harmonious coparenting practices and lowered child problems, little is known about coparenting influences among family constellations in the foster care system. Via a compilation of a new coparenting practices measure, we examined similarities and differences on foster parent-derived perceptions of support/flexibility, shared communication, conflict/triangulation, and total coparenting between foster and biological parents and their independent contribution to child internalizing and externalizing problems. Self-reports were gathered from foster parents (N=80) in 2 groups: kin and nonkin. As compared with nonkin, kin foster parents reported higher perceived support/flexibility, shared communication, and total coparenting. A tendency for higher conflict/triangulation among kin foster parents was also found. After considering foster parent group, psychological distress, and harsh discipline, hierarchical regression analyses revealed that perceived total coparenting and conflict/triangulation contributed to child internalizing and externalizing problems. Results support the linkage between perceptions of coparenting and child problems among caregivers (foster and biological alike) in kin and nonkin arrangements and highlight training in coparenting in general, and conflict management in particular, as an important intervention focus to reduce the high level of child problems in this vulnerable population.     

Sex differences in oppositional defiant disorder

The goal was to analyze the sex differences in symptoms, comorbidity and functional impairment in outpatient children with Oppositional Defiant Disorder (ODD). A sample of 343 children, aged 8 to 17 years and diagnosed with ODD, were assessed with a semi-structured diagnostic interview and dimensional measures of psychopathology and functional impairment. Boys with ODD more frequently displayed the symptoms "deliberately annoys" and "blames others", presented comorbid ADHD, and had greater functional impairment in school and community contexts; girls presented higher comorbidity with internalizing symptomatology (anxiety, depression and somatic complaints). Given that some clinical differences are apparent in ODD between boys and girls, it is necessary to consider the sex of the patient in order to identify and treat this disorder efficiently and effectively in boys and in girls.     

Generalization of money-handling though training in equivalence relationships

This research used a matching-to-sample procedure and equivalence learning process with language and verbal tasks. In the study, an application of the equivalence relationship of money was used with several kinds of euro coins presented. The sample consisted of 16 children (8 in the experimental group and 8 in the control group) aged 5 years. The prerequisite behaviors, the identification of coins and the practical use of different euro coins, were assessed in the pre and post phases for both groups. The children in the experimental group performed an equivalence task using the matching-to-sample procedure. This consisted of a stimulus sample and four matching stimuli, using a series of euro coins with equivalent value in each set. The children in the control group did not undergo this training process. The results showed a large variability in the children's data of the equivalence tests. The experimental group showed the greatest pre and post changes in the statistically significant data. They also showed a greater generalization in the identification of money and in the use of euro coins than the control group. The implications for educational training and the characteristics of the procedure used here for coin equivalence are discussed.     

Effectiveness of Beck Depression Inventory-II subscales in screening for major depressive disorders in adolescent psychiatric inpatients

The Beck Depression Inventory-II (BDI-II) was administered to 45 male and 55 female psychiatric inpatients who were 12 to 17 years old, and the Mood Module from the Primary Care Evaluation of Mental Disorders (PRIME-MD) was used to determine whether these patients met criteria for a diagnosis of a DSM-IV major depressive disorder (MDD). Binormal receiver-operating-characteristic (ROC) analyses found that BDI-II total scores, Cognitive subscale scores, Noncognitive subscale scores, and embedded BDI FastScreen for Medical Patients subscale scores were comparably effective in differentiating inpatients who were and were not diagnosed with a MDD; the areas under the ROC curves were, respectively, .92 (95% confidence interval [CI]: .85-.96), .90 (95% CI: .82-.95), .90 (95% CI: .83-.95), and .90 (95% CI: .83-.95).     

Cross-cultural differences in female university students' attitudes toward homosexuals: a preliminary study

62 Caucasian, 61 Hispanic, and 44 Asian female undergraduates completed the Index of Homophobia by Hudson and Ricketts, seven items from the Attitudes Toward Lesbians and Gay Men Scale by Herek, and three questions on Affectional Orientation toward homosexuals from D'Augelli and Rose. Overall, familiarity with homosexuals as measured by self-reported number of homosexual friends correlated negatively with scores on the homophobia measures, but there were no significant differences among the groups' reported number of homosexual friends. Asian students scored significantly higher on the homophobia measures than Caucasian students. Both Asian and Hispanic students endorsed the statement significantly more often than Caucasian students that the university would be better if only heterosexuals attended. No significant differences in scores were found regarding attitudes toward lesbians versus gay men.