Exploring the Structure of Adolescent Problem Behaviors and the Associated Adult Outcomes

This study expands on previous research on adolescent problem behaviors by examining whether different constellations of problem behavior in adolescence differentially impact outcomes during emerging adulthood. Data from the in-home interviews of waves 2 and 3 of the National Longitudinal Study of Adolescent Health (Add Health) were used to examine these relationships. Latent class analysis, using nineteen problem behaviors measured at wave 2, identified three classes of adolescents representing “low risk, abstainers,” “sexually-active, experimenters,” and a “high risk, diverse behavior” group. Multivariate logistic regression analyses were then used to identify class differences (measured at wave 3) in social stability, general health and service utilization, and criminal justice system involvement during emerging adulthood. Important class differences in the likelihood of negative outcomes during early adulthood were identified. The implications of these findings and suggestions for future research are discussed.     

Spanish- and English-Speaking Pregnant Women’s Views on cfDNA and Other Prenatal Screening: Practical and Ethical Reflections

The rapid clinical implementation of cell-free DNA (cfDNA) screening, a non-invasive method of prenatal genetic screening, has outpaced research on its social and ethical implications. This study is the first to compare the ethical and practical views of Spanish- and English-speaking pregnant women in the United States about cfDNA screening. Semi-structured interviews were conducted with diverse Spanish- and English-speaking women who had received prenatal care at a large academic medical center. Of the 24 interviewees, ten were Latinas who were interviewed in Spanish; English-language interviews were conducted with seven non-Hispanic Asian and seven non-Hispanic White women. Participants held positive opinions concerning the accuracy of cfDNA screening and often noted that it would enhance preparedness. Participants also expressed concerns about the possibility of inaccurate results and the potentially negative effects of cfDNA screening on the experience of pregnancy. Differences emerged between Spanish and English speakers in their portrayals of their relationships with prenatal health care providers, the extent to which they questioned providers’ advice, their ethical concerns, and their informational needs. We emphasize the importance of customizing prenatal test counseling to the needs of the individual patient, providing educationally appropriate counseling and literature, and mitigating potential language barriers.     

Childhood contact predicts hemispheric asymmetry in cross-race face processing

Participants typically process same-race faces more quickly and more accurately than cross-race faces. This deficit is amplified in the right hemisphere of the brain, presumably due to its involvement in configural processing. The present research tested the idea that cross-race contact tunes cognitive and perceptual systems, influencing this asymmetric race-based deficit in face processing. Participants with high and low levels of contact performed a lateralized recognition task with same- and cross-race faces. Replicating prior work, participants with minimal contact showed cross-race deficits in processing that were larger in the right hemisphere. For participants with more contact, this lateralized deficit disappeared. This effect of contact seems to be independent of race-based attitudes (e.g., prejudice).     

Adjustment to Acute Leukemia: The Impact of Social Support and Marital Satisfaction on Distress and Quality of Life Among Newly Diagnosed Patients and Their Caregivers

Little is known about the specific patterns of adjustment among newly diagnosed acute leukemia patients and their caregivers. This study examined the trajectories of patient and caregiver distress over time as well as the extent to which marital satisfaction and social support moderated these trajectories among those with significant-other caregivers. Forty six patient-caregiver dyads provided ratings at four time points: within 1 week of diagnosis (T1), 2 week follow-up (T2), 6 week follow-up (T3) and 12 week follow-up (T4). As anticipated, patients and caregivers reported higher levels of distress around the time of diagnosis than they did during subsequent time points. Marital satisfaction was a significant predictor of distress among patients, whereas among caregivers, social support predicted distress and quality of life. Results support the inclusion of relational variables such as social support and relationship satisfaction in the assessment of newly diagnosed patients and families in order to best identify those at risk for distress over time.     

Interactive effects of subjective memory complaints and hypertension on learning and memory performance in the elderly

This study evaluated whether the relation between subjective memory complaints and cognitive performance is influenced by the presence of hypertension in the elderly. One hundred and five healthy older adults, 70–89 years of age, with and without hypertension treatment or diagnosis, completed a scale of subjective memory complaints. Participants were divided into those with mild memory concerns and those with minimal or no complaints. All participants completed a battery of neuropsychological tests including measures of verbal and nonverbal memory. After controlling for differences in age, gender, education, and overall intellectual ability, there were significant main effects for memory concerns and significant interactions for memory complaints and hypertension on several measures of memory performance. There were no main effects for hypertension on memory performance. Simple effects analyses of the interactions showed that the hypertensive complainers demonstrated poorer performance on measures of long-term memory and greater reliance on short-term recall than the hypertensive non-complainers. There were no differences in memory performance for the non-hypertensive groups. Among healthy elderly community-dwelling adults, those with mild subjective memory complaints in the context of hypertension demonstrated greater objective cognitive difficulties than those without hypertension as well as a greater reliance on a less efficient learning strategy. These findings suggest that memory concerns in the presence of hypertension may be important when evaluating treatment efficacy in these individuals and for identifying differences in cognitive aging.     

Compared to what? The effects of a frame of reference on older adults’ subjective memory

It is often unclear what comparisons older adults make when evaluating their own memory. If thinking about their memory relative to others, they may assess their own abilities differently than if comparing it to their past capabilities. To test the effect of reference frames on memory assessments and memory performance, we randomly assigned 120 older adults to one of three conditions in which we manipulated frames of reference (control, past-self comparison, or other adults comparison) on a memory self-efficacy questionnaire. Participants also completed general and specific memory predictions and an objective memory test. Participants in the past-self condition reported significantly lower global memory self-efficacy compared with the other adults and control conditions. No condition differences emerged for memory predictions, objective memory, or the likelihood of over- or underpredicting memory performance. These findings suggest that reference frames impact global memory self-efficacy, but do not influence the accuracy of subjective memory judgments.     

Community Screening for Preschool Child Inhibition to Offer the ‘Cool Little Kids’ Anxiety Prevention Programme

Temperamental inhibition has been identified as a key risk factor for childhood anxiety and internalizing problems. An efficacious early prevention programme for shy/inhibited children has been developed; however, accurate, efficient and acceptable screening is needed to support wider implementation. We explore community screening options in the context of a trial implementing the Cool Little Kids prevention programme for anxiety disorders. In comparison to the Australian Temperament Project's inhibition scale, we examine the Strengths and Difficulties Questionnaire's (SDQ) ability to screen for inhibited preschool children. Parents of 6307 children aged 3 to 6 years enrolled in preschool programmes from eight socio‐economically diverse districts in Melbourne, Australia, first completed the measures of inhibition and SDQ. Parents with inhibited children then enrolled in the Cool Little Kids randomized trial (n = 545). Of these, 88% provided feedback about inhibition screening. Parents allocated to the intervention also provided feedback on the Cool Little Kids parenting programme. Results demonstrated that parents of preschool children (i) find inhibition screening acceptable, (ii) take up this parenting programme and (iii) report favourable feedback. The SDQ emotional symptoms subscale demonstrated acceptable sensitivity but insufficient specificity to identify inhibited preschool children. Presenting parents with a brief, validated inhibition scale could be a low‐cost option for identifying inhibited preschool children in the community to offer early anxiety prevention. Copyright © 2014 John Wiley & Sons, Ltd.