Implementation and Preliminary Feasibility of an Individualized,Supportive Approach to Behavioral Care for Parents of Young Children Newly Diagnosed With Type 1 Diabetes

There are significant stressors related to parenting a young child with newly diagnosed type 1 diabetes (T1D). Despite these challenges, there are not yet clearly defined interventions to help promote psychological health and adherence for families with young children with T1D. First STEPS is a tailored stepped care design intervention to positively impact parents’ emotional functioning and children’s glycemic control in young children newly diagnosed with T1D. The First STEPS intervention is derived from a combination of Cognitive Behavioral Theory and Social Cognitive Theory to support family adjustment to T1D, promote parental mastery over T1D tasks, increase coping skills to manage stressors associated with T1D, and build on the strengths of families newly diagnosed with T1D to help them achieve positive health and wellbeing outcomes. We present details about the intervention and describe two pilot participants as case studies. Results indicated that the treatment and delivery model were acceptable to the pilot participants, as evidenced by treatment completion and satisfaction ratings. Future directions for this work include testing the efficacy of this new treatment in a randomized controlled trial.     

Family Conflict Moderates the Relation Between Negative Mood and Youth Internalizing and Externalizing Symptoms

Higher negative (or lower positive) mood is associated with internalizing and externalizing problems among some, but not all youth, suggesting that contextual factors may influence these temperament-symptom relations. Family conflict also is associated with internalizing and externalizing problems, although it is unclear whether family conflict influences the relation between negative mood and symptoms. To address this gap, we examined whether family conflict moderates the relations between temperamental negative mood and internalizing and externalizing symptoms. Participants were 775 youth (69?% male, 76?% Caucasian). Mothers and youth completed questionnaires when youth were ages 10–12 (time 1) and 12–14 (time 2). When exposed to higher family conflict at time 1, children higher in negative mood experienced higher time 2 internalizing and externalizing problems than children lower in negative mood. When exposed to lower family conflict, children’s internalizing and externalizing symptom levels were similar regardless of their levels of negative mood. Findings suggest that interventions aimed at reducing youth’s risk for internalizing and externalizing symptoms should address conflictual interactions within the larger family system, particularly among youth with higher negative mood.     

Factors Associated with Recruitment and Retention in Randomized Controlled Trials of Behavioral Interventions for Patients with Pediatric Type 1 Diabetes

The purpose of this study is to describe recruitment and retention experiences from three behavioral randomized controlled trials conducted among youth with type 1 diabetes. Eligibility, recruitment, and retention data were examined. Study-specific differential study participation and loss-to-follow-up analyses assessed the relations of patient characteristics with treatment completion and 6-month retention. Multivariable logistic regression identified factors independently associated with 6-month retention among all participants. Approximately 70–92 % of randomized participants completed treatment and 58–90 % were retained for follow-up. Older patients and non-Caucasian patients were less likely to enroll. Treatment completion and 6-month retention were less likely among youth who were older, had worse baseline glycemic control, lower household income, and/or unmarried parents. Some subgroups of patients are less likely to participate in research and are more susceptible to loss-to-follow-up. More work is needed to understand the facilitators and barriers to research participation.     

A Big Five approach to self-regulation: personality traits and health trajectories in the Hawaii longitudinal study of personality and health

Self-regulatory processes influencing health outcomes may have their origins in childhood personality traits. The Big Five approach to personality was used here to investigate the associations between childhood traits, trait-related regulatory processes and changes in health across middle age. Participants (N = 1176) were members of the Hawaii longitudinal study of personality and health. Teacher assessments of the participants’ traits when they were in elementary school were related to trajectories of self-rated health measured on 6 occasions over 14 years in middle age. Five trajectories of self-rated health were identified by latent class growth analysis: Stable Excellent, Stable Very Good, Good, Decreasing and Poor. Childhood Conscientiousness was the only childhood trait to predict membership in the Decreasing class vs. the combined healthy classes (Stable Excellent, Stable Very Good and Good), even after controlling for adult Conscientiousness and the other adult Big Five traits. The Decreasing class had poorer objectively assessed clinical health measured on one occasion in middle age, was less well-educated, and had a history of more lifespan health-damaging behaviors compared to the combined healthy classes. These findings suggest that higher levels of childhood Conscientiousness (i.e. greater self-discipline and goal-directedness) may prevent subsequent health decline decades later through self-regulatory processes involving the acquisition of lifelong healthful behavior patterns and higher educational attainment.     

The role of the psychosocial safety climate in coping with workplace bullying: A grounded theory and sequential tree analysis

Workplace bullying is a severe workplace stressor that affects both employees and organizations. Despite a wealth of research of the prevalence of workplace bullying and its correlates, little research has been done on the process of bullying. In a qualitative study, based on the grounded theory approach, we examine the role of psychosocial safety climate (PSC) in influencing employees’ coping strategies and ultimately the escalation of bullying. Interviews were conducted with 20 Malaysian workers from various organizational settings, who also completed a 12-item PSC scale. The analysis revealed that coping strategies took the form of a modified exit-voice-loyalty-neglect (EVLN) model, whereby acquiescence replaced loyalty in the matrix. In turn, five escalation patterns of bullying were identified, linked to the coping options used by employees. We found that employees tended to voice in high PSC contexts, which led to swift resolution of bullying. In low PSC contexts, employees tended to neglect or acquiesce before exiting the organization because the bullying remained unresolved, which was revealed in four different trajectories of escalation without resolution. These results emphasize the influence of the organizational climate for psychosocial safety in shaping the coping options available to bullied workers, and the likely success of these strategies.     

Computer program to generate operant schedules

A computer program for programming schedules of reinforcement is described. Students can use the program to experience schedules of reinforcement that are typically used with nonhuman subjects. A cumulative recording of a student’s responding can be shown on the screen and/or printed with the computer’s printer. The program can also be used to program operant schedules for animal subjects. The program was tested with human subjects experiencing fixed ratio, variable ratio, fixed interval, and variable interval schedules. Performance for human subjects on a given schedule was similar to performance for nonhuman subjects on the same schedule.     

Toddlers from Low-Income Families Have Below Normal Mental, Motor, and Behavior Scores on the Revised Bayley Scales

This study examined scores on the original and revised Bayley Scales of Infant Development (BSID-II) for 87 infants and toddlers from low-income families. Infants' scores were consistent with scores from the normative sample. In contrast, toddlers obtained mental, motor, and behavioral scores that were lower than scores from the normative sample. Mental, motor, and behavioral scores from the BSID-II were correlated for toddlers, but not for infants, suggesting that the interrelationship between behavior and development increases with age. These findings are consistent with longitudinal studies demonstrating a decline in developmental performance among toddlers from low-income families. They demonstrate that the vulnerability of toddlers can not be explained by outdated test norms. The findings may be partially explained by canalization theory in which early development is guided by species-specific self-righting processes that protect infants from all but the most devastating environmental influences or by a lack of enriching caregiving practices for toddlers in low-income families. With the restandardization of the BSID-II, more toddlers will qualify for early intervention. Recommendations are provided for prevention programs to reduce the vulnerability demonstrated among low-income toddlers.     

Is self-esteem the primary predictor of disordered eating?

This study examined whether self-esteem is the primary predictor of disordered eating. A survey measured levels of self-esteem and a variety of other health behaviors in 196 male and 263 female undergraduate students. We conducted stepwise regressions to determine which of several variables (self-esteem, high stress, poor coping skills, maladaptive perfectionism, gender) best predicted disordered eating. The results indicated that self-esteem was the secondary predictor for bulimia, drive for thinness, and body dissatisfaction. Future research should further investigate how self-esteem interacts with other predictor variables to better determine the relationship between self-esteem and disordered eating.     

Quality benchmarks in undergraduate psychology programs

Performance benchmarks are proposed to assist undergraduate psychology programs in defining their missions and goals as well as documenting their effectiveness. Experienced academic program reviewers compared their experiences to formulate a developmental framework of attributes of undergraduate programs focusing on activity in 8 domains: curriculum, assessment issues, student learning outcomes, program resources, student development, faculty characteristics, program climate, and administrative support. A continuum of performance was conceptualized for each attribute in each of the domains to characterize underdeveloped, developing, effective, and distinguished achievement for undergraduate programs. The authors hope to inspire a national conversation about program benchmarks in psychology in order to improve program quality, encourage more effective program reviews, and help optimally functioning programs compete more successfully for resources on the basis of their distinguished achievements.     

African American adolescent mothers and grandmothers: A multigenerational approach to parenting

This study is an adaptation and extension of Apfel and Seitz’s (Family Relations, 40(4), 421–429, 1991) models of adolescent parenting and adolescent-grandmother relationships to a sample of 148 African American, first-time adolescent mothers and their 6-month-old infants. The Parental Supplemental model, in which adolescent mothers and grandmothers shared caregiving, described 63% of Apfel and Seitz’s (1991) sample and 66% of the current sample. Shared caregiving was not associated with conflict in the adolescent mother–grandmother relationship. Adolescent mothers who had caregiving responsibilities and a supportive adolescent-grandmother relationship also reported competence in their parenting role. Findings provide support for Apfel and Seitz’s Parental Apprentice model, in which young mothers gain competence through direct caregiving experience in the context of a supportive relationship.