Anxiety in Children with Mood Disorders: A Treatment Help or Hindrance?

This study examined the role of comorbid anxiety in treatment outcome for children with mood disorders (N = 165; age 8–11) participating in Multi-Family Psychoeducational Psychotherapy (MF-PEP). Assessments occurred at baseline, 6, 12, and 18 months for two randomly assigned groups: immediate treatment and 1-year wait-list. Most children (69%) had comorbid anxiety disorders. Baseline comorbid anxiety, as reported on the Children’s Interview for Psychiatric Syndromes (ChIPS), was associated with higher Children’s Depression Rating Scale- Revised (CDRS-R) scores but not Young Mania Rating Scale (YMRS) scores. Higher levels of anxiety symptoms were associated with lower Children’s Global Assessment Scale (C-GAS) scores. Participation in MF-PEP did not significantly reduce anxiety symptoms (p = 0.62). However, presence of comorbid anxiety did not impede reduction in depressive (CDRS-R, p = 0.74) or manic (YMRS scores, p = 0.94) symptoms following MF-PEP. More baseline anxiety symptoms were associated with greater improvement in C-GAS scores post-treatment (p = 0.02). Implications are discussed.     

Finding Female Fulfillment: Intersecting Role-Based and Morality-Based Identities of Motherhood, Feminism, and Generativity as Predictors of Women’s Self Satisfaction and Life Satisfaction

Focused on 113 U.S. mothers of college-aged daughters, we extend the existent role-based identity literature to address role- and morality-based identities and their ties to women’s fulfillment. Specifically, women’s identities as mothers, feminists, and generative individuals were assessed for their associations with each other, as well as their unique and combined associations with women’s self satisfaction and life satisfaction. Across the results, generativity yielded the greatest significance. Women with higher generativity identity report having higher self satisfaction and life satisfaction; women who were highly committed to mothering have stronger associations between generativity and life satisfaction. Women with strong generativity identities also tend to identify themselves as feminists. Feminist and mothering identity were not related to one another nor directly tied to satisfaction with one’s self nor life. Implications are discussed regarding continued assessment of role- and morality-based identity intersections as well as to the functions and limitations of the three identities and their assessment featured herein.     

Cluster subtypes within the precontemplation stage of change for sun protection behavior

The aim of this study is to identify replicable cluster subtypes within the precontemplation stage of change for sun protection. Secondary data analysis of baseline data from a sample of participants in a home-based expert system intervention was performed. Three random samples were selected from participants in the precontemplation stage (N = 570). Cluster analyses were performed using the scales of pros, cons, and self-efficacy. Interpretability of pattern, pseudo F-test, and dendograms were used to determine the number of clusters. A four-cluster solution replicated across subsamples. Significant differences between clusters on the nine processes of change and on behavioral measures were found. Cluster solutions were robust, interpretable and with good initial external validity. They replicated patterns found for other behaviors, demonstrating long-term predictability and providing basis for tailored interventions.     

Amplifying and Attenuating Inequity in Collaborative Learning: Toward an Analytical Framework

Abstract

Research on collaborative learning has focused on its potential to foster successful problem solving. Less attention, though, has been given to issues of equity. In this article, we investigate how inequity can become amplified and attenuated within collaborative learning through small interactional moves that accumulate to produce broader patterns of equity or inequity. Our theoretical perspective utilizes Boaler’s notion of relational equity and introduces what we term participatory equity. Research was conducted in a computer science course co-taught by the authors and taken by upper-elementary students. Data sources include audio recordings of students’ collaborative interactions, ethnographic field notes, student work, and student surveys. This article focuses on a single student, Jason, and his dyadic interactions, and builds upon our previous analyses of his interactions with four higher-performing partners. Findings reveal how the interplay between classroom structures and student enactments shaped two types of inequity during collaborative learning. We conclude by discussing implications for theorizing and analyzing equity and inequity, as well as pedagogical considerations for structuring collaborative learning to attenuate inequity.     

Measurement Skills in Low-Income Elementary School Students: Exploring the Nature of Gender Differences

In this research, we examined overall performance and gender differences in measurement skills in elementary-school students from low-income families. In Study 1, accuracy and error patterns were analyzed in a large sample of fourth-graders; in Study 2 error patterns and strategy usage were examined with a smaller sample of fourth-graders. Study 1 showed no main effect of gender on students’ performance. Instead, as predicted, the direction of gender difference varied as a function of problem type: boys outperformed girls on spatial/conceptual measurement, whereas girls outperformed boys on formula-based measurement, as well as on a test of computation skills. Study 2 revealed both similarities and differences in the way boys and girls approached measurement problems. Girls appeared to have specific difficulty with spatial/conceptual problems where objects and measurement units were not pictorially presented. When recording their solutions, girls generally wrote down calculations while boys made drawings. Overall, the students performed poorly in measurement; strategy analysis allowed for examination of common weaknesses, indicating possible ways of improving performance of underserved groups.     

Aging Effects on Recollection and Familiarity: The Role of White Matter Hyperintensities

ABSTRACT

Previous studies have indicated that aging is associated with declines in recollection whereas familiarity-based recognition is left largely unaffected. The brain changes underlying these recollection declines are yet not well understood. In the current study we examined the role of white matter integrity as measured by white matter hyperintensities (WMH) on age-related changes in recollection and familiarity. Recognition was measured using a remember/know procedure (Experiment 1) and a source-memory process-dissociation procedure (Experiment 2). Robust age related declines in recollection were observed, but there was no evidence that white matter damage was related to the observed memory declines. Although future studies with larger samples will be necessary to fully characterize the role of WMH in normal age-related declines in different types of memory, the results suggest that declines in recollection are not strongly related to the brain changes indexed by WMHs.     

Screening for Muir-Torre Syndrome Using Mismatch Repair Protein Immunohistochemistry of Sebaceous Neoplasms

Screening for the Muir-Torre variant of Lynch Syndrome (LS) using Mismatch Repair (MMR) gene immunohistochemistry (IHC) on sebaceous neoplasms (SNs) is technically feasible. To date, research into the clinical utility of MMR IHC for this indication is limited. We conducted a retrospective chart review of 90 patients with MMR IHC completed on at least one SN from January 2005 to May 2010. SNs included were adenomas, epitheliomas, carcinomas and basal and squamous cell carcinomas with sebaceous differentiation. Of the 90 patients, 13 (14 %) had genetically confirmed or fulfilled clinical criteria for a diagnosis of MTS and 51 patients (57 %) presented with an abnormal MMR IHC result (loss of one or more MMR proteins) on at least one SN. Abnormal IHC had a sensitivity of 85 %, specificity of 48 %, positive predictive value (PPV) of 22 % and negative predictive value (NPV) of 95 % when evaluating for MTS. When personal or family history of colorectal cancer (≥2 family members with a history of colorectal cancer) was taken into consideration, ignoring IHC results, sensitivity was 92 %, specificity was 99 %, PPV was 92 % and NPV was 99 %. MMR IHC on SNs when used to screen for MTS has poor diagnostic utility. We recommend that MMR IHC not be performed routinely on SNs when the patient does not have either personal or family history of colorectal cancer.     

Embodied self-awareness among South African social services therapist-practitioners: An exploratory study

We explored South African social service therapist-practitioners’ experiences of their own lived body in the context of practice. The participants consisted of a convenience sample of 13 therapist-practitioners registered with the Health Professions Council of South Africa and the South African Council for Social Service Professions, in private practice (n?=?9) or government departments (n?=?4) in the Western Cape and Gauteng Provinces of South Africa. They provided data on their embodied self-awareness by means of naïve sketches and/or drawings, experiential body awareness activities, and in-depth one-on-one semi-structured interviews. Findings from the thematic analysis of the data indicated bodily self-awareness; including experiences of bodily felt sensations while doing therapy, intuitive knowing, a sense of warning/ danger, and a sense of the body-schema-in-relation. Most of the therapist-practitioners reported a tendency to deny, suppress, or control their sensory cues or to rationalise them. Embodied self-awareness appears to be a true phenomenon among South African therapist-practitioners.     

Best Practices for Teaming and Collaboration in the Interconnected Systems Framework

The Interconnected Systems Framework (ISF) blends school mental health practices, systems, and resources into all levels of a multitiered system of supports (e.g., positive behavior interventions and supports). The ISF aims to improve mental health and school performance for all students by emphasizing effective school-wide promotion and prevention; early identification; and social-emotional, behavioral, and mental health intervention. Teaming is 1 of 3 foundational components of quality ISF implementation at school, district, and state levels. After introducing the ISF, the authors highlight the core implementation components (i.e., teaming, data-based decision making, and evidence-based practices) and then elaborate on characteristics of well-functioning ISF teams. The authors provide a case example to illustrate each characteristic and review 5 measures teams may consider using to evaluate their functioning and SF implementation.     

SubsMatch 2.0: Scanpath comparison and classification based on subsequence frequencies

Our eye movements are driven by a continuous trade-off between the need for detailed examination of objects of interest and the necessity to keep an overview of our surrounding. In consequence, behavioral patterns that are characteristic for our actions and their planning are typically manifested in the way we move our eyes to interact with our environment. Identifying such patterns from individual eye movement measurements is however highly challenging. In this work, we tackle the challenge of quantifying the influence of experimental factors on eye movement sequences. We introduce an algorithm for extracting sequence-sensitive features from eye movements and for the classification of eye movements based on the frequencies of small subsequences. Our approach is evaluated against the state-of-the art on a novel and a very rich collection of eye movements data derived from four experimental settings, from static viewing tasks to highly dynamic outdoor settings. Our results show that the proposed method is able to classify eye movement sequences over a variety of experimental designs. The choice of parameters is discussed in detail with special focus on highlighting different aspects of general scanpath shape. Algorithms and evaluation data are available at: http://www.ti.uni-tuebingen.de/scanpathcomparison.html.