Development of a Multi-Disciplinary Intervention for the Treatment of Childhood Obesity Based on Cognitive Behavioral Therapy

Along the lines of the evidence-based recommendations, we developed a multi-disciplinary intervention for overweight children 7- to 12-years-old, primarily aiming at helping children to adopt healthier eating habits and a physically active lifestyle. The program combined nutrition intervention, based on a non-dieting approach, with physical activity intervention, implemented through the basic principles of Cognitive Behavioral Therapy (CBT), along with parental support. The program was conducted by dieticians with the collaboration of child psychiatrists and pediatricians. Training and regular supervision upon CBT priniciples application was intended to enhance dieticians' efficiency. The intervention is currently being evaluated to determine its effectiveness in treating childhood obesity.     

Adverse Life Events and Emotional and Behavioral Problems in Adolescence: The Role of Non-verbal Cognitive Ability and Negative Cognitive Errors

The aim of this study was to test whether negative cognitive errors (overgeneralizing, catastrophizing, selective abstraction, and personalizing) mediate the moderator effect of non-verbal cognitive ability on the association between adverse life events (life stress) and emotional and behavioral problems in adolescence. The sample consisted of 430 children (aged 11–15 years) from three state secondary schools in disadvantaged areas in one county in the South East of England. Total difficulties (i.e., emotional symptoms, peer problems, hyperactivity, and conduct problems) were assessed with the Strengths and Difficulties Questionnaire. Adjustment was made for gender, age, ethnicity, special educational needs, exclusion history, family structure, and family socio-economic disadvantage. Adverse life events were measured with Tiet et al.’s (Journal of the American Academy of Child & Adolescent Psychiatry, 37, 1191–1200, 1998) Adverse Life Events Scale. Non-verbal cognitive ability was measured with Raven’s Standard Progressive Matrices Plus. Non-verbal cognitive ability moderated the effect of adverse life events both on total difficulties and on emotional symptoms. Overgeneralizing mediated the moderator effect of non-verbal cognitive ability on the association between adverse life events and total difficulties. Adverse life events were related to a tendency to overgeneralize which was associated with emotional and behavioral problems, but particularly among those adolescents with lower non-verbal cognitive ability.     

Life satisfaction in teenage boys: The moderating role of father involvement and bullying

It has been suggested that bullying at school and low social support are related to relatively poor mental health in schoolchildren. Based on data from 1344 adolescent boys aged 13–19 years in Britain, this study explored whether father involvement, as an underestimated—in the related research—source of social support, can protect against low levels of satisfaction with life. Multiple regression analysis showed that low father involvement and peer victimization contributed significantly and independently to low levels of life satisfaction in adolescent boys. There was also evidence relating to a buffering effect of father involvement in that father involvement protected children from extreme victimization. Aggr. Behav. 28:126–133, 2002. © 2002 Wiley‐Liss, Inc.     

Subjective Well-Being in Midlife: The Role of Involvement of and Closeness to Parents in Childhood

This study used data from the British National Child Development Study to examine the role of parenting in later subjective well-being (SWB). Parenting was defined as mother involvement and father involvement (measured at age 7) and as closeness to mother and closeness to father (measured at age 16). SWB was measured at age 42 and was defined as life satisfaction, psychological functioning (measured with the GHQ-12), and absence of psychological distress (measured with the Malaise Inventory). Control factors were parental social class at birth, parental family structure throughout childhood, domestic tension in the parental home, parental ill mental health in early childhood, psychological maladjustment in adolescence, financial difficulties throughout childhood, educational attainment, self-rated health in early adulthood, and current socio-demographic correlates of SWB (labour force participation, religion and being partnered). It was found that even after adjusting for these factors closeness to mother at age 16 predicted life satisfaction at age 42 in both men and women, whereas mother involvement at age 7 predicted life satisfaction at age 42 in men. Closeness to mother at age 16 was also negatively related to poor psychological functioning at age 42 in women.     

Ambitious mothers – successful daughters: Mothers' early expectations for children's education and children's earnings and sense of control in adult life

Background . Mothers' expectations for their children's educational attainment are related to children's educational and occupational attainment. Studies have yet to establish, however, the long‐term links between maternal expectations and offspring earnings, which are not always related to occupational attainment especially in women, or between maternal expectations and offspring sense of control and self‐efficacy, which are pivotal factors in career choice and development. Aims . To explore the role of mothers' expectations for their children's educational attainment in children's earnings attainment and sense of control later in life. Method . Data from sweeps of the 1970 British Cohort Study (BCS70) were used. The study sample was those cohort members with complete information on all the variables of interest. The study sample (N = 3,285) was more educated and less disadvantaged than the whole sample. If cohort members of this type are more likely to have a mother who has high expectations, then our results are biased downwards, which suggests that we underestimate the effect of expectations on our two outcome variables. Results . Mothers' expectations at the age of 10 were positively related to daughters' sense of control at the age of 30 even after controlling for ethnicity, educational attainment, and concurrent partner, parent, and labour market participation status, as well as the following confounding variables (measured at the ages of 0–10): general ability and general ability squared, locus of control, emotional and behavioural problems and emotional and behavioural problems squared, socio‐economic disadvantage, parental social class, parental family structure, and mothers' education, child‐rearing attitudes, and mental health. Mothers' expectations had no effect on sons' adult outcomes. Conclusions . Given that women are particularly at risk for poor psychological and economic outcomes in adulthood, and that this study likely underestimated the effect of expectations on these two outcomes, this is an important conclusion.     

Who benefits from psychotherapies for adult depression? A meta-analytic update of the evidence

It is not clear whether specific target groups for psychotherapies in adult depression benefit as much from these treatments as other patients. We examined target groups that have been examined in randomized trials, including women, older adults, students, minorities, patients with general medical disorders, and specific types of depression, and we examined where patients were recruited. We conducted subgroup and multivariate metaregression analyses in a sample of 256 trials (with 332 comparisons) comparing psychotherapy with an inactive control condition. Only 22% of the studies had low risk of bias (RoB), heterogeneity was high and there was a considerable risk of publication bias. A meta-regression analysis among low RoB studies showed that effect sizes found for studies among women, older adults, patients with general medical disorders, patients recruited from primary care, and patients scoring above a cut-off on a self-rating depression scale, did not differ significantly from effect sizes from other studies. For other target groups, the number of low RoB studies was too small to draw any conclusion. We found few indications that psychotherapies for adult depression are more or less effective in women, older adults, patients with comorbid general medical disorders, and primary care patients.     

Parental Socialization in Childhood and Offspring Materialist and Postmaterialist Values in Adult Life1

This study used data from the British National Child Development Study (NCDS) to examine the role of parental socialization in offspring materialist and postmaterialist values in adult life. It was found that for both genders, educational attainment was positively associated with postmaterialist values. Poor relations with father in adolescence and absence of partner in adult life predicted postmaterialist values in women, and religiosity and absence of financial difficulties in childhood predicted materialist values in men.     

Neighbourhood,school and family determinants of children's aspirations in primary school

Aspirations can be important for young children as well as adolescents. However, there is little research on the determinants of aspirations in young children. We carried out this study to investigate the early contextual (neighbourhood, school and family) determinants of occupational aspirations in primary school children. Our sample comprised children from the Millennium Cohort Study who lived in England in the beginning of our study period (n = 10,086; 5,126 boys). Occupational aspirations were measured at age 7 years, while their contextual determinants were measured in the previous data sweeps, at ages 3 and 5 years. We fitted structural equation models to test the role of family and neighbourhood socio-economic status (SES) and child ethnicity in predicting aspirations both directly and via their associations with parental involvement, household chaos, school-level achievement and child cognitive ability. We found that the only significant determinants of aspirations at age 7 years were family SES and ethnicity, and only in boys. Family SES and ethnicity were also related to parental involvement, household chaos, cognitive ability and school-level achievement, but none of these factors predicted aspirations. Supplementary analysis showed that family SES was a particularly powerful determinant of the aspirations of white compared to non-white boys.