An empirical examination of sex differences in scoring preschool children's aggression

Sex differences in adults’ observations and ratings of children’s aggression was studied in a sample of preschool children (N = 89, mean age = 44.00 months, SD = 8.48). When examining the direct observations made by trained observers, male observers, relative to female observers, more frequently recorded aggressive bouts, especially of boys. On rating scales assessing aggression, trained male raters also gave higher aggressive ratings than female raters. Lastly, we compared the ratings of trained female raters and female teachers on the same scale and found no differences. Results are discussed in terms male raters’ and observers’ prior experiences in activating their experiential schemata where males’ greater experience in aggression, relative to that of females, leads them to perceive greater levels of aggression.     

A Piagetian approach to infant referential behaviors

Near the end of the first year of life, infants begin producing referential behaviors that in adults indicate joint attention, or coordinating shared attention to an object with another person. These behaviors have been interpreted in the social cognitive literature as an indication that infants realize they are sharing attention to an object with another person. In this paper, we address theory and research on infant referential behaviors described as joint attention and offer an alternative explanation for the presence of these behaviors. Using Piaget's constructivist theory, we show how research in this area can be interpreted without assuming that infants have advanced social cognitive abilities. We argue that infants’ referential behaviors are motor signifiers of thought and that infants recognize humans as particularly relevant objects for their goal-directed behaviors. Finally, we describe how the field of infant joint attention research should proceed if a comprehensive understanding of infant cognitive processes is to be desired.     

Mother-to-Daughter Disclosure After Divorce: Are There Costs and Benefits?

To investigate the association between post-divorce mother-to-daughter disclosure regarding sensitive topics and adolescent daughters' adjustment and closeness to mother, we collected data from 62 adolescent girls within the first two years after their mother's divorce. Analyses revealed that most mothers in the current sample have disclosed to their daughters to some degree about the five sensitive topic areas studied. In accordance with structural family systems theory, we found that detailed mother-to-daughter disclosures regarding financial concerns, negativity toward ex-husband, job ups-and-downs, and personal concerns were clearly associated with greater daughter psychological distress, but not with greater feelings of mother-daughter closeness, as existing retrospective research would have predicted. Daughters' worrying about their mothers explained (mediated) the link between maternal disclosure and daughter's distress to some extent. We discuss methodological issues as well as the valuable contributions that future, more contextualized research could make to understanding the conditions under which detailed mother-to-adolescent disclosure may be more or less risky.     

Overlapping and Distinct Cognitive Impairments in Attention-Deficit/Hyperactivity and Autism Spectrum Disorder without Intellectual Disability

Attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) are commonly comorbid, share genetic liability, and often exhibit overlapping cognitive impairments. Clarification of shared and distinct cognitive effects while considering comorbid symptoms across disorders has been lacking. In the current study, children ages 7–15 years assigned to three diagnostic groups:ADHD (n?=?509), ASD (n?=?97), and controls (n?=?301) completed measures spanning the cognitive domains of attention/arousal, working memory, set-shifting, inhibition, and response variability. Specific processes contributing to response variability were examined using a drift diffusion model, which separately quantified drift rate (i.e., efficiency of information processing), boundary separation (i.e., speed-accuracy trade-offs), and non-decision time. Children with ADHD and ASD were impaired on attention/arousal, processing speed, working memory, and response inhibition, but did not differ from controls on measures of delayed reward discounting, set-shifting, or interference control. Overall, impairments in the ASD group were not attributable to ADHD symptoms using either continuous symptom measures or latent categorical grouping approaches. Similarly, impairments in the ADHD group were not attributable to ASD symptoms. When specific RT parameters were considered, children with ADHD and ASD shared impairments in drift rate. However, children with ASD were uniquely characterized by a wider boundary separation. Findings suggest a combination of overlapping and unique patterns of cognitive impairment for children with ASD as compared to those with ADHD, particularly when the processes underlying reaction time measures are considered separately.     

Investigation of the Use of a Family Health History Application in Genetic Counseling

The paper-based pedigree is the current standard for family health history (FHH) documentation in genetic counseling. Several tools for electronic capture of family health data have been developed to improve re-use and accessibility, data quality and standardization, ease of updating, and integration with electronic medical records. One such tool, the tablet-based Proband application, provides a flexible approach to data capture in dynamic and diverse clinical settings. This study compared Proband FHH collection to paper-based methods and investigated the usability of Proband in a clinical setting. After one use by 23 genetic counselors and students, Proband had 91% accuracy with a FHH audio scenario, which was significantly less (p?<?0.001) than paper’s 96% accuracy. These differences were attributed to incorrect or missing ages of grandparents (p?<?0.001) and great-aunts/uncles (p?=?0.012) and missing documentation of consanguinity (p?<?0.001). Possible explanations for these differences include greater experience with paper FHH documentation and pre-populated prompts for consanguinity on the paper template used. Proband’s perceived usability increased with use, with individual System Usability Scores increasing between first and last use (p?=?0.033). We conclude that tools for dynamic, provider-driven FHH documentation such as Proband show promise for improving risk assessment accuracy and quality patient care.     

Effects of Situational Judgment Test Format on Reliability and Validity

Single-response situational judgment tests (SRSJTs) differ from multiple-response SJTs (MRSJTS) in that they present test takers with edited critical incidents and simply ask test takers to read over the action described and evaluate it according to its effectiveness. Research comparing the reliability and validity of SRSJTs and MRSJTs is thus far extremely limited. The study reported here directly compares forms of a SRSJT and MRSJT and explores the reliability, convergent validity, and predictive validity of each format. Results from this investigation present preliminary evidence to suggest SRSJTs may produce internal consistency reliability, convergent validity, and predictive validity estimates that are comparable to those achieved with many traditional MRSJTs. We conclude by discussing practical implications for personnel selection and assessment, and future research in psychological science more broadly.     

Primary Care Behavioral Health Provider Training: Systematic Development and Implementation in a Large Medical System

The expansion of integrated, collaborative, behavioral health services in primary care requires a trained behavioral health workforce with specific competencies to deliver effective, evidence-informed, team-based care. Most behavioral health providers do not have training or experience working as primary care behavioral health consultants (BHCs), and require structured training to function effectively in this role. This article discusses one such training program developed to meet the needs of a large healthcare system initiating widespread implementation of the primary care behavioral health model of service delivery. It details the Department of Defense’s experience in developing its extensive BHC training program, including challenges of addressing personnel selection and hiring issues, selecting a model for training, developing and implementing a phased training curriculum, and improving the training over time to address identified gaps. Future directions for training improvements and lessons learned in a large healthcare system are discussed.     

Quadratic Associations Between Empathy and Depression as Moderated by Emotion Dysregulation

Empathic tendencies have been associated with interpersonal and psychological benefits, but empathy at extreme levels or in combination with certain personal characteristics may contribute to risk for depression. This study tested the moderating role of cognitive emotion regulation in depression's association with empathy using nonlinear models. Young adults (N = 304; 77% female; M = 19 years) completed measures of cognitive emotion regulation strategies, depression, and affective and cognitive empathy. Individuals with good regulation had low levels of depression overall and their depression symptoms were lowest when levels of affective empathy were average. Individuals with poor regulation had high levels of depression overall, particularly when levels of empathy were moderate to high. Extremely high and low levels of cognitive empathy were associated with elevated depression, and this association was not moderated by regulation. These findings suggest tendencies to respond empathically to others’ needs is neither an adaptive nor maladaptive characteristic but rather moderate empathy, particularly in the context of good regulation, may offer the greatest protection against depression.