Zur Therapie von ADHS bei komorbiden Autismus-Spektrum-Störungen

Until recently, research on the co-occurrence of ADHD with autism spectrum disorder (ASD) has been limited by the fact that current classification systems did not allow a dual diagnosis of these two neurodevelopmental disorders. Since the DSM-5 permits a double diagnosis of ADHD plus ASD, research on their comorbidity has substantially increased. In addition to shared and distinct etiological factors, studies have revealed a high clinical impact of the combined symptomatology on affected individuals. This article provides a selective overview of evidence-based, mainly pharmacological treatment strategies in ADHD/ASD phenotypes.     

Parent Alcoholism Impacts the Severity and Timing of Children’s Externalizing Symptoms

Although previous studies show that children of alcoholic parents have higher rates of externalizing symptoms compared to their peers, it remains unclear whether the timing of children’s externalizing symptoms is linked to that of their parent’s alcohol-related symptoms. Using a multilevel modeling approach, we tested whether children aged 2 through 17 showed elevated mother-, father- and child-reported externalizing symptoms (a) at the same time that parents showed alcohol-related consequences (time-varying effects), (b) if parents showed greater alcohol-related consequences during the study period (proximal effects), and (c) if parents had a lifetime diagnosis of alcoholism that predated the study period (distal effects). We used integrative data analysis to combine samples from two prospective studies to test these hypotheses. Distal effects of parent alcoholism on increased child externalizing symptoms were large and consistent. In addition, proximal and time-varying effects of parent alcohol symptoms were also found. Implications for preventing escalations in externalizing symptoms among this high-risk population are discussed.     

Smoking in College Women: The Role of Thinness Pressures, Media Exposure, and Critical Consciousness

There are strong social pressures for U.S. females, particularly those of European heritage, to achieve and maintain an extremely low body weight. These pressures are reflected in a variety of media sources, including advertising. We argue that valuing thinness, exposure to thinness-depicting media, and lacking skepticism about tobacco advertisements have adverse effects on young women's decisions about smoking, particularly smoking for weight control. We tested these hypotheses in a study of 188 female undergraduates, both never-smokers and daily smokers. Believing that smoking controls weight, exposure to thinness-depicting media, and low levels of skepticism about tobacco advertising were associated with being a smoker. Among smokers, believing that smoking controls weight, internalizing thinness pressures, and low levels of feminist consciousness were associated with smoking for weight control. Results are discussed with the aim of encouraging public health anti-smoking campaigns targeted at women, and smoking cessation programs that are responsive to the needs of weight-concerned female smokers.     

GROWING UP AND GROWING OLDER: FEMINISM AS A CONTEXT FOR WOMEN'S LIVES

Social science research shows that contemporary women endorse feminist goals at rates similar to women in the 1970s. However, generations may differ in some aspects of their relationship to feminism. This study of 333 university alumnae examined expressions of feminism across three generations. We provide the first empirical evidence to support Stewart and Healy's (1989) prediction about the impact of social events experienced in childhood; only the youngest cohort recalled holding feminist beliefs as children. Additionally, each cohort identified feminist influences from the period coinciding with their own identity-forming adolescence as most important, although feminism was related to other beliefs in a similar way for each cohort. The Women's Movement appears to be internalized differently depending on developmental life stage.     

Social competence in children of alcoholic parents over time

In the current study, the authors tested the hypothesis that children of alcoholic parents (COAs) show deficits in social competence that begin in early childhood and escalate through middle adolescence. Teachers, parents, and children reported on the social competence of COAs and matched controls in a community sample assessed from ages 6 to 15. Hierarchical linear growth models revealed different patterns of change in social competence across development as a function of the reporter of various indicators of competence. Moreover, female COAs showed deficits in social competence in early childhood that receded in adolescence and that varied across subtypes of parent alcoholism. Implications of these findings for understanding the development of social competence in children, and at-risk children in particular, are discussed.     

Group cognitive-behavior therapy for patients failing to respond to pharmacotherapy for panic disorder: a clinical case series.

The last decade has brought exciting advances to the treatment of panic disorder and agoraphobia, and a variety of cognitive-behavioral and pharmacologic treatment strategies offer clear benefit to patients. Nonetheless, treatment nonresponse continues to be a chronic problem, and additional strategies are needed to aid patients who do not respond fully to initial interventions. In the present study, we use 'services' research to document the clinical response of pharmacotherapy nonresponders to a standard program of brief, group cognitive-behavioral therapy. Patients responded well, regardless of whether they had received a full, adequate trial of pharmacotherapy. In addition to its application as an initial treatment for panic disorder, routine application of cognitive-behavioral therapy in pharmacologic treatment algorithms is encouraged, with attention to referral of pharmacotherapy nonresponders to cognitive-behavioral therapy.     

Validating a measure of children's others-concept through population and behavior variables

Data are presented to support the Paired Hands Test (PHT) as a valid measure of the others-concept in children. This construct is defined as a person's general expectancies or perceptions about other people along a positive-negative continuum. Behavioral data are reported which replicate findings from earlier, smaller studies that children who have relatively high others-concepts are likely to interact more positively in small, unsupervised groups than children having relatively low others-concepts. Population data are also given, based upon 1,235 PHT test scores broken down by such variables as sex and socioeconomic status. Additionally, content validity inherent in the nature of the test is discussed. The conclusion drawn is that the data can be best explained by employing the others-concept as a theoretical construct measured by the PHT.