Posttraumatic growth after childbirth: a prospective study

A growing body of research has examined the potential for positive change following challenging and traumatic events, this is known as posttraumatic growth (PTG). Childbirth is a valuable opportunity to extend previous work on PTG as it allows the role of different variables to be considered prospectively. The aim of this study was to prospectively examine correlates of PTG after birth, including sociodemographic and obstetric variables, social support and psychological distress, using a prospective, longitudinal design. A total of 125 women completed questionnaires during their third trimester of pregnancy and 8 weeks after birth. At least a small degree of positive change following childbirth was reported by 47.9% of women; however, average levels of growth were lower than generally reported in other studies. A regression model of age, type of delivery, posttraumatic stress symptoms during pregnancy and general distress after birth significantly predicted 32% of the variance in growth after childbirth. The strongest predictors of growth were operative delivery (β 0.23-0.30) and posttraumatic stress symptoms in pregnancy (β 0.32). These findings emphasise the importance of assessing pre-event characteristics when considering the development of PTG after a challenging event.     

Body dissatisfaction from adolescence to young adulthood: Findings from a 10-year longitudinal study

Given mixed findings regarding the unique trajectories of female and male adolescents’ body dissatisfaction over time, comprehensive longitudinal examinations are needed. This 10-year longitudinal, population-based study, with 1902 participants from diverse ethnic/racial and socioeconomic backgrounds in the Minneapolis/St. Paul metropolitan area, examined changes in body dissatisfaction from adolescence to young adulthood. Results revealed that: (a) female and male participants’ body dissatisfaction increased between middle and high school, (b) body dissatisfaction increased further during the transition to young adulthood, and (c) this increase was associated with an increase in BMI over time, such that the upward trend in body dissatisfaction became nonsignificant when BMI was controlled. These results highlight a trend in which diverse female and male youth are increasingly dissatisfied with their bodies as their BMI increases from middle school to young adulthood, and emphasize the need for targeted prevention efforts to intervene in this trajectory and mitigate potential harm.     

Developmental picture norms: Relationships between name agreement,familiarity, and visual complexity for child and adult ratings of two sets of line drawings

Developmental differences in name agreement, familiarity, and visual complexity in response to line drawings of common objects were obtained from children and adults. Sixty-one pictures were taken from the Peabody Picture Vocabulary Test-Revised and 259 pictures were taken from the set normed for adults by Snodgrass and Vanderwart (1980). Although there were some differences between the two sets of pictures, the present results replicated the relative independence of these three measures, which was reported by Snodgrass and Vanderwart for adults. Children and adults showed substantial agreement on the names of the pictures. Although the children’s ratings were lower on all measures, the differences were trivial for most pictures. We concluded that judgments of familiarity, complexity, and the names of line drawings of common objects are based primarily on information processing accomplished prior to age 7.     

Evaluation of two instrumental procedures for use with embedded-figures subtest of Purdue Motion-Picture Screening Test.

The purpose of this study was to determine if modification of the materials used by young Ss in responding affected their performance on a motion picture screening device. Modification of the modes of measuring responses increased the total performance of 24 kindergarten Ss; however, there appeared to be little relationship with standardized reading achievement test scores for first and second grade Ss. The approaches used appeared applicable with kindergarten Ss.     

Effects of spacing repetitions on children's memory

Two experiments examined the effect of spacing repetitions within a word list on the free recall performance of elementary school children. In the first experiment, spacing repetitions facilitated recall, and the function relating recall of repeated items to the spacing between repetitions was the same throughout the age range investigated (first, third, and sixth graders). But, the function for these elementary school children reached asymptote at a much shorter spacing than the function typically reported for adults. The second experiment was designed to test an encoding variability explanation of spaced-repetition effects in elementary school children. Results for both third- and sixth-grade children were consistent with the hypothesis that differential encoding of repetitions facilitates performance and that spaced repetitions are remembered better because they are more likely to be differentially encoded. A theoretical framework was discussed that may be able to encompass both these results and another finding in the literature which indicates that differential encoding can sometimes impair rather than facilitate children's memory performance.     

“Transient structures”: The effects of practice and distractor grouping on within-dimension conjunction searches

It has been stated that whereas between-dimension (color × orientation) conjunctions can be searched in a “parallel” fashion, within-dimension (color × color) conjunctions are necessarily searched in a “serial self-terminating” fashion (Wolfe et al., 1990). We explored the effects of practice (within 1-h experimental session) and distractor grouping on within-dimension conjunction search tasks. In Experiments 1 and 3, the stimuli were rectangles formed by two adjacent squares; in Experiment 2, the stimuli were plus signs formed by two segments and an intersection. In Experiments 1 and 2, observers were assigned to one of two experimental conditions: In one, all the distractors shared a simple feature (the color blue); in the other, distractors did not share that simple feature. In the first condition, search became more efficient with practice and observers’ performance was characterized by a shallow reaction time (RT) × set size slope; in the second condition, observers’ performance did not improve as much with practice. We propose that the differential effects of practice between these two experimental conditions can be explained in terms of distractor grouping induced by the shared color of the distractors. Experiment 3 showed that, with practice, a shallow RT × set size slope characterized observers’ search for a color × color target among four different distractors that shared a common color. The present results contradict a main tenet of some current visual search models— namely, that within-dimension conjunctions cannot be searched in parallel, and question the validity of using RT × set size slope functions to distinguish between preattentive versus attentive search.     

A Dispositional and Situational Assessment of Children's Coping: Testing Alternative Models of Coping

ABSTRACT Dispositional and situational measures of children's coping were developed using a theoretically based approach. Two studies ( N 1 = 217; N 2 = 303) assessed the psychometric characteristics of these measures in fourth- through sixth-grade children. Confirmatory factor analyses indicated that a four-factor model of dispositional coping (active, distraction, avoidant, and support seeking) provided a better fit to the data than either the problemversus emotion-focused (Lazarus & Folkman, 1984) or passive versus active (Billings & Moos, 1981) coping models. The four-factor model was largely invariant with respect to age and gender. Moderate to high correlations were found between the parallel subscales of the dispositional and situational measures of coping. Although the four factor structures of the dispositional and situational measures were generally similar, factor loadings and correlations between dimensions were not equivalent.     

Reproductive Endocrinologists’ Utilization of Genetic Counselors for Oncofertility and Preimplantation Genetic Diagnosis (PGD) Treatment of <Emphasis Type="Italic">BRCA1/2</Emphasis> Mutation Carriers

Genetic counselors believe fertility preservation and preimplantation genetic diagnosis (PGD) discussions to be a part of their role when counseling BRCA1/2 mutation-positive patients. This study is the first to explore reproductive endocrinologists’ (REI) practices and attitudes regarding involvement of genetic counselors in the care of BRCA1/2 mutation carriers seeking fertility preservation and PGD. A survey was mailed to 1000 REIs from Reproductive Endocrinology & Infertility (SREI), an American Society for Reproductive Medicine (ASRM) affiliate group. A 14.5 % response rate was achieved; data was analyzed using SPSS software. The majority of participating REIs were found to recommend genetic counseling to cancer patients considering fertility preservation (82 %) and consult with a genetic counselor regarding PGD for hereditary cancer syndromes (92 %). Additionally, REIs consult genetic counselors regarding PGD patient counseling (88 %), genetic testing (78 %), and general genetics questions (66 %). Two areas genetic counselors may further aid REIs are: elicitation of family history, which is useful to determine fertility preservation and PGD intervention timing (32 % of REIs utilize a cancer family history to determine intervention timing); and, interpretation of variants of uncertain significance (VOUS) as cancer panel genetic testing becomes more common (36 % of REIs are unfamiliar with VOUS). Given our findings, the Oncofertility Consortium® created an online resource for genetic counselors focused on fertility preservation education and communication strategies.     

Evidence-based psychological treatments for late-life anxiety

This project identified evidence-based psychotherapy treatments for anxiety disorders in older adults. The authors conducted a review of the geriatric anxiety treatment outcome literature by using specific coding criteria and identified 17 studies that met criteria for evidence-based treatments (EBTs). These studies reflected samples of adults with generalized anxiety disorder (GAD) or samples with mixed anxiety disorders or symptoms. Evidence was found for efficacy for 4 types of EBTs. Relaxation training, cognitive-behavioral therapy (CBT), and, to a lesser extent, supportive therapy and cognitive therapy have support for treating subjective anxiety symptoms and disorders. CBT for late-life GAD has garnered the most consistent support, and relaxation training represents an efficacious, relatively low-cost intervention. The authors provide a review of the strengths and limitations of this research literature, including a discussion of common assessment instruments. Continued investigation of EBTs is needed in clinical geriatric anxiety samples, given the small number of available studies. Future research should examine other therapy models and investigate the effects of psychotherapy on other anxiety disorders, such as phobias and posttraumatic stress disorder in older adults.