Maternal Depression and Youth Internalizing and Externalizing Symptomatology: Severity and Chronicity of Past Maternal Depression and Current Maternal Depressive Symptoms

Maternal depression is a well-documented risk factor for youth depression, and taking into account its severity and chronicity may provide important insight into the degree of risk conferred. This study explored the degree to which the severity/chronicity of maternal depression history explained variance in youth internalizing and externalizing symptoms above and beyond current maternal depressive symptoms among 171 youth (58 % male) ages 8 to 12 over a span of 3 years. Severity and chronicity of past maternal depression and current maternal depressive symptoms were examined as predictors of parent-reported youth internalizing and externalizing symptomatology, as well as youth self-reported depressive symptoms. Severity and chronicity of past maternal depression did not account for additional variance in youth internalizing and externalizing symptoms at Time 1 beyond what was accounted for by maternal depressive symptoms at Time 1. Longitudinal growth curve modeling indicated that prior severity/chronicity of maternal depression predicted levels of youth internalizing and externalizing symptoms at each time point when controlling for current maternal depressive symptoms at each time point. Chronicity of maternal depression, apart from severity, also predicted rate of change in youth externalizing symptoms over time. These findings highlight the importance of screening and assessing for current maternal depressive symptoms, as well as the nature of past depressive episodes. Possible mechanisms underlying the association between severity/chronicity of maternal depression and youth outcomes, such as residual effects from depressive history on mother–child interactions, are discussed.     

Rapid automatized naming (RAN) in children with ADHD: An ex-Gaussian analysis

Children with ADHD demonstrate increased frequent “lapses” in performance on tasks in which the stimulus presentation rate is externally controlled, leading to increased variability in response times. It is less clear whether these lapses are also evident during performance on self-paced tasks, e.g., rapid automatized naming (RAN), or whether RAN inter-item pause time variability uniquely predicts reading performance. A total of 80 children aged 9 to 14 years—45 children with attention-deficit/hyperactivity disorder (ADHD) and 35 typically developing (TD) children—completed RAN and reading fluency measures. RAN responses were digitally recorded for analyses. Inter-stimulus pause time distributions (excluding between-row pauses) were analyzed using traditional (mean, standard deviation [SD], coefficient of variation [CV]) and ex-Gaussian (mu, sigma, tau) methods. Children with ADHD were found to be significantly slower than TD children (p < .05) on RAN letter naming mean response time as well as on oral and silent reading fluency. RAN response time distributions were also significantly more variable (SD, tau) in children with ADHD. Hierarchical regression revealed that the exponential component (tau) of the letter-naming response time distribution uniquely predicted reading fluency in children with ADHD (p < .001, ΔR² = .16), even after controlling for IQ, basic reading, ADHD symptom severity and age. The findings suggest that children with ADHD (without word-level reading difficulties) manifest slowed performance on tasks of reading fluency; however, this “slowing” may be due in part to lapses from ongoing performance that can be assessed directly using ex-Gaussian methods that capture excessively long response times.     

Specificity of peer difficulties to social anxiety in early adolescence: categorical and dimensional analyses with clinical and community samples

Background and Objectives: We investigated the specificity of social difficulties to social anxiety by testing associations of social anxiety and other anxiety presentations with peer acceptance and victimization in community and treatment-seeking samples of adolescents aged 12–14 years.

Design: Cross-sectional, quantitative survey.

Methods: Adolescents from the community (n?=?116) and a clinical setting (n?=?154) completed ratings of anxiety symptoms, perceived social acceptance, and peer victimization. Their parents also completed ratings of the adolescents’ anxiety and social acceptance.

Results: Social acceptance was lowest among adolescents with social anxiety disorder (SAD) and lower among adolescents with other anxiety disorders than in the community sample. Anxiety symptoms were negatively correlated with social acceptance, but these associations were not unique to social anxiety symptoms. Girls in the community sample reported more overt victimization than girls with SAD and with other anxiety diagnoses. Relational victimization was associated with social and nonsocial anxiety symptoms only in the community sample.

Conclusions: Our findings supplement recent laboratory-based observational studies on social functioning among adolescents with SAD and other anxiety disorders. Although social anxiety may be associated with unique social skill deficits and impairment, concerns about peer relations should also be considered among adolescents with other anxiety symptoms.     

Family-Focused Treatment for Childhood Depression: Model and Case Illustrations

Although the evidence base for treatment of depressive disorders in adolescents has strengthened in recent years, less is known about the treatment of depression in middle to late childhood. A family-based treatment may be optimal in addressing the interpersonal problems and symptoms frequently evident among depressed children during this developmental phase, particularly given data indicating that attributes of the family environment predict recovery versus continuing depression among depressed children. Family-Focused Treatment for Childhood Depression (FFT-CD) is designed as a 15-session family treatment with both the youth and parents targeting two putative mechanisms involved in recovery: (a) enhancing family support, specifically decreasing criticism and increasing supportive interactions; and (b) strengthening specific cognitive-behavioral skills within a family context that have been central to CBT for depression, specifically behavioral activation, communication, and problem solving. This article describes in detail the FFT-CD protocol and illustrates its implementation with three depressed children and their families. Common themes/challenges in treatment included family stressors, comorbidity, parental mental health challenges, and inclusion/integration of siblings into sessions. These three children experienced positive changes from pre- to posttreatment on assessor-rated depressive symptoms, parent- and child-rated depressive symptoms, and parent-rated internalizing and externalizing symptoms. These changes were maintained at follow-up evaluations 4 and 9 months following treatment completion.     

Risk perception as a function of risk exposure amongst rock climbers

ObjectivesThe first objective was to examine the extent to which climbers' climbing safety perceived competence (CSPC) and perceived own absolute (POAR) and comparative (PCR) risk of getting seriously injured whilst climbing is related to risk exposure. The second objective was to examine which variables influence POAR and PCR.MethodTwo hundred and thirty-five climbers (M = 32, SD = 10.2 years of age) completed the following questionnaires: a CSPC scale specifically developed to assess perceived ability to practice climbing safely; indirect measures of PCR, consisting in the subtraction of the participants' assessment of their own risks from their assessment of other climbing referents' risks; and the Life Orientation Test-Revised, measuring dispositional optimism (DO). Participants were approached in their practices sites from Mediterranean regions, and were divided into groups based on their climbing practice's risk exposure; that is, high risk: traditional climbing (TRAD; n = 42); moderate risk: leading (LEAD; n = 89); and low risk: either top-roping (TOP; n = 51) or indoor bouldering (IND; n = 53).ResultsAnalyses of variance showed that TRAD expressed higher CSPC and higher POAR than the other groups. PCR also differed amongst the groups. More specifically, TRAD expressed comparative pessimism and LEAD expressed comparative optimism, as their POAR was, respectively, higher and lower than their perceived average climber's risk. TOP and IND perceived their own risk in a similar way to that of the average climber. Regression analyses showed that DO did not influence POAR or PCR. Past injury episode was positively related to POAR and negatively related to the propensity to express comparative optimism, though only amongst TRAD and LEAD.ConclusionsClimbers' risk perception accurately reflected their risk exposure. Climbers whose climbing modality involves higher risks acknowledged so when evaluating their own absolute and comparative risks of getting seriously injured whilst climbing.     

Coping with Family Conflict: What’s Helpful and What’s Not for Low-income Adolescents

Family conflict is exacerbated by poverty-related stress and is detrimental to adolescent mental health. Adolescent coping with family conflict has the potential to buffer or exacerbate the negative effects of family conflict on internalizing symptoms. We examined coping with family conflict among 82 low-income adolescents (53.7% female, mean age = 13.5 years at Time 1, SD = 1.98; range 11–18), and their primary caregivers (95% female, mean age = 34.9 years, SD = 7.45). Adolescents were 25.9% Caucasian, 28.4% African American, 38.3% Hispanic, and 7.4% Other (Multi-racial, Native American, or Asian). Results show that family conflict is more strongly associated with internalizing symptoms for adolescents under high levels of poverty-related stress. Regression analyses indicate that secondary control coping moderates the effects of family conflict on internalizing symptoms. In addition, analyses reveal that disengagement coping exacerbates symptoms across time for both adolescent girls and boys. Regression analyses also suggest that primary control coping is helpful for coping with family conflict, but only for girls. Results highlight the importance of examining coping concurrently and across time as well as including moderating effects of gender. Intervention efforts targeting low-income adolescents should incorporate the instruction of secondary control strategies for coping with family conflict.     

Learning new problem-solving strategies leads to changes in problem representation

Children sometimes solve problems incorrectly because they fail to represent key features of the problems. One potential source of improvements in children's problem representations is learning new problem-solving strategies. Ninety-one 3rd- and 4th-grade students solved mathematical equivalence problems (e.g., 3 + 4 + 6 = 3 + __) and completed a representation assessment in which they briefly viewed similar problems and either reconstructed each problem or identified it in a set of alternatives. Experimental groups then received a lesson about one or both of two solution strategies, the equalize strategy and the add–subtract strategy. A control group received no instruction. All children completed posttest assessments of representation and problem solving. Children taught the equalize strategy improved their problem representations more than those not taught it. This pattern did not hold for the add–subtract strategy. These results indicate that learning new strategies is one source of changes in problem representation. However, some strategies are more effective than others at promoting accurate problem representation.     

Recognition,discrimination and categorization of smiling by 5-month-old infants

Perceiving emotions correctly is foundational to the development of interpersonal skills. Five-month-old infants’ abilities to recognize, discriminate and categorize facial expressions of smiling were tested in three coordinated experiments. Infants were habituated to four degrees of smiling modeled by the same or different people; following habituation, infants were presented with a new degree of smile worn by the same and by a new person (Experiment 1), a new degree of smile and a fearful expression worn by the same person (Experiment 2) or a new degree of smile and a fearful expression worn by new people (Experiment 3). Infants showed significant novelty preferences for the new person smiling and for the fearful expressions over the new degree of smiling. These findings indicate that infants at 5 months can categorize the facial expression of smiling in static faces, and yet recognize the same person despite changes in facial expression; this is the youngest age at which these abilities have been demonstrated. The findings are discussed in light of the significance of emotion expression face processing in social interaction and infants’ categorization of faces.