An Evaluation of a Summer Treatment Program for Adolescents With ADHD

Although adolescents with attention-deficit/hyperactivity disorder (ADHD) experience serious life impairment (Molina et al., 2009; Wolraich et al., 2005), very few effective psychosocial interventions exist to treat this population (Pelham & Fabiano, 2008; Smith, Waschbusch, Willoughby, & Evans, 2000). Intensive child-directed interventions are an important component in the treatment of childhood ADHD (Pelham et al., 2005), yet no study exists that fully evaluates an intensive adolescent-directed intervention. The current investigation is a pilot study of 19 adolescents with ADHD (age range: 11-16) who participated in an 8-week intensive Summer Treatment Program–Adolescent (STP-A) during the summer of 2009. The program was developed to address specific difficulties associated with ADHD in adolescence. As such, the program was designed to be ecologically valid, age appropriate, and parent-involved. Results suggest that almost all adolescents who attended the STP-A benefitted from the program according to parent, self, and staff ratings and objective measures. These ratings also indicated that participants showed moderate improvement in each of the 6 domains targeted by treatment (i.e., conduct problems, adult-directed defiance, social functioning, inattention/disorganization, mood/well-being, and academic skills). All parents indicated that both they and their children benefitted from the program and all but 1 parent indicated that the STP-A was more effective than the treatments they had utilized in the past. A case example is presented to illustrate typical improvement patterns during the STP-A. Discussion addresses the role of the STP-A in the treatment of ADHD in adolescence.     

Choke or thrive? The relation between salivary cortisol and math performance depends on individual differences in working memory and math-anxiety

In the current study, we explored how a person's physiological arousal relates to their performance in a challenging math situation as a function of individual differences in working memory (WM) capacity and math-anxiety. Participants completed demanding math problems before and after which salivary cortisol, an index of arousal, was measured. The performance of lower WM individuals did not depend on cortisol concentration or math-anxiety. For higher WM individuals high in math-anxiety, the higher their concentration of salivary cortisol following the math task, the worse their performance. In contrast, for higher WM individuals lower in math-anxiety, the higher their salivary cortisol concentrations, the better their performance. For individuals who have the capacity to perform at a high-level (higher WMs), whether physiological arousal will lead an individual to choke or thrive depends on math-anxiety.     

Prenatal maternal anxiety and early childhood temperament

The consequences of exposure to prenatal maternal anxiety for the development of child temperament were examined in a sample of 120 healthy, 2-year-old children. Prenatal maternal state and pregnancy-specific anxiety (PSA) were measured five times during pregnancy, and maternal state anxiety was measured again at 2 years post partum. Child temperament was measured at 2 years using the Early Childhood Behavior Questionnaire. The relationship between the trajectory of maternal anxiety across gestation and negative affectivity was evaluated using hierarchical linear growth curve modeling. Higher maternal PSA between 13 and 17 weeks of gestation was associated with increased negative temperament in the children. This association could not be explained by postnatal maternal anxiety, demographic, or obstetric factors. Prenatal maternal state anxiety was not associated with child temperament. These findings demonstrate that PSA early in gestation has a distinctive influence on the developing fetus.     

Assessing hopelessness in terminally ill cancer patients: development of the Hopelessness Assessment in Illness Questionnaire

Hopelessness has become an increasingly important construct in palliative care research, yet concerns exist regarding the utility of existing measures when applied to patients with a terminal illness. This article describes a series of studies focused on the exploration, development, and analysis of a measure of hopelessness specifically intended for use with terminally ill cancer patients. The 1st stage of measure development involved interviews with 13 palliative care experts and 30 terminally ill patients. Qualitative analysis of the patient interviews culminated in the development of a set of potential questionnaire items. In the 2nd study phase, we evaluated these preliminary items with a sample of 314 participants, using item response theory and classical test theory to identify optimal items and response format. These analyses generated an 8-item measure that we tested in a final study phase, using a 3rd sample (n = 228) to assess reliability and concurrent validity. These analyses demonstrated strong support for the Hopelessness Assessment in Illness Questionnaire providing greater explanatory power than existing measures of hopelessness and found little evidence that this assessment was confounded by illness-related variables (e.g., prognosis). In summary, these 3 studies suggest that this brief measure of hopelessness is particularly useful for palliative care settings. Further research is needed to assess the applicability of the measure to other populations and contexts.     

A Tailored Approach to Family-Centered Genetic Counseling for Cystic Fibrosis Newborn Screening: The Wisconsin Model

This article describes the development of a tailored family-centered approach to genetic counseling following abnormal newborn screening (NBS) for cystic fibrosis (CF). A genetic counseling consortium reviewed research literature, selected theoretical frameworks, and incorporated counseling psychology micro skills. This innovative intervention integrated theories and empirically validated techniques. Pilot testing and parent feedback confirmed satisfaction with and feasibility of the approach designed to (a) minimize parents’ distress, (b) facilitate parents’ understanding, (c) increase parents’ capacities to use genetic information, and (d) enhance parents’ experiences with genetic counseling. Counselors engage in a highly interactive process of evaluating parents’ needs and tailoring assessments and interventions that include a therapeutic environment, the family’s emotional needs, parents’ informational needs, and a follow-up plan. This promising new model is the first to establish a theory-driven, evidence-based standard for genetic counseling in the context of NBS for CF. Additional research will evaluate the model’s efficacy in clinical practice.     

Putting the relationship between social anxiety and alcohol use into context: A daily diary investigation of drinking in response to embarrassing events

The goal of this study was to clarify mixed findings regarding the association between dispositional social anxiety and drinking among college students by using a daily diary method to examine whether a within-person social-contextual event moderated the relationship between social anxiety and alcohol use. College students (n = 476) completed a measure of dispositional social anxiety and then for 30 days reported whether they experienced an embarrassing event in public and the amount of alcohol they drank each day. We examined whether experiencing an embarrassing event moderated the relationship between dispositional social anxiety and alcohol use for same-day, same-evening, next-day, and next-evening drinking. While there was a positive relationship between dispositional social anxiety and alcohol use on evenings when an embarrassing event occurred earlier that day, this appeared to be driven by a reduction in drinking among those low in social anxiety. Individuals with high social anxiety drank in the evening regardless of embarrassing event occurrence. Results suggest that people with low social anxiety show an adaptive response to embarrassing events by lowering drinking on such evenings, while those with high social anxiety may drink to reduce their already high levels of anxiety independent of daily social events.     

Snacking while watching TV impairs food recall and promotes food intake on a later TV free test meal

Eating while viewing TV may impair memory of food intake and promote over‐consumption on a later meal. In Experiment 1, females ate a similar amount of snack–food either with or without TV. Later, participants who had snacked with TV ate more food on a TV‐free lunch and were less accurate in recalling their earlier snack–food intake. Experiment 2 explored whether the nature of the TV content might alter these effects. Using a similar design, females watched boring, sad or funny TV, or no‐TV at all. Relative to the no‐TV control, all TV while snacking conditions ate a similarly greater amount on the later TV‐free test lunch. Recall accuracy for the snack phase was also similarly poorer in all TV conditions. These findings suggest that eating with TV per se impacts on later food intake, and a mnemonic‐based explanation seems to be the best account for these findings. Copyright © 2010 John Wiley & Sons, Ltd.     

Testing effects for common versus proper names

The present study examines the testing effect as a function of item meaningfulness. In Experiments 1 and 2 participants studied lists of words that could serve as proper names or occupations (e.g., Mr Baker or baker), with the items given in a name context for one group and an occupation context for a second group. During an intervening phase participants restudied some items and were given a cued recall test (Experiment 1) or a free recall test (Experiment 2) on other items. On a final free recall test memory was better for tested items than studied items in both the name and occupation contexts. Experiment 3 followed the same procedure as Experiment 1, except that participants studied lists of proper names that do not have alternative uses in the English language (e.g., Mr Anderson) or studied concrete nouns (e.g., letter). Tested items were better remembered on a final test than studied items, and there was no interaction with type of study material. These results show that the testing effect extends to proper names, material that is commonly assumed to differ from common names on several dimensions.     

Perceptions of parental attitudes toward body and eating: associations with body image among Black and White college women

This study examined Black and White young women's perceptions of parental body- and eating-related attitudes and behaviors from growing up and the relations of these parental factors with their current body image. Female undergraduates (97 Black women, 179 White women) completed questionnaires of perceptions of parental attitudes/behaviors related to body image and eating and of their current body image, operationalized as weight/shape concern. Results indicated that perceived parental communication was more strongly related to body image than perceived parental modeling in both ethnic groups, and that there were some differences in how frequently Black and White women reported encountering specific maternal messages about the body or eating. Perceived parental modeling and communication constructs were related to body image in similar ways for both ethnic groups after controlling for BMI. Future research directions are discussed.     

Remote control and children's understanding of robots

Children use goal-directed motion to classify agents as living things from early in infancy. In the current study, we asked whether preschoolers are flexible in their application of this criterion by introducing them to robots that engaged in goal-directed motion. In one case the robot appeared to move fully autonomously, and in the other case it was controlled by a remote. We found that 4- and 5-year-olds attributed fewer living thing properties to the robot after seeing it controlled by a remote, suggesting that they are flexible in their application of the goal-directed motion criterion in the face of conflicting evidence of living thing status. Children can flexibly incorporate internal causes for an agent’s behavior to enrich their understanding of novel agents.