Potential traumatic events in early childhood and behavioural resilience: a longitudinal case control study

Abstract

Resilience can be evidenced when an exposure to potentially traumatic event (PTE) has no negative impact on behavior. This study explored the effects of exposure to PTE applying a longitudinal design with 592 children (mean age 4 years) followed across three years. Children who had experienced a PTE and those who had not, were compared over time. Behavioral difficulties and prosocial behaviour for children experiencing PTE did not differ from those who had not experienced a PTE suggesting resilience among the exposed children. PTE in itself seems to carry minimal risk for symptoms of behaviour difficulties among preschool children.     

Does Evidence-Based Medicine Apply to Psychiatry?

Evidence-based psychiatry (EBP) has arisen through the application of evidence-based medicine (EBM) to psychiatry. However, there may be aspects of psychiatric disorders and treatments that do not conform well to the assumptions of EBM. This paper reviews the ongoing debate about evidence-based psychiatry and investigates the applicability, to psychiatry, of two basic methodological features of EBM: prognostic homogeneity of clinical trial groups and quantification of trial outcomes. This paper argues that EBM may not be the best way to pursue psychiatric knowledge given the particular features of psychiatric disorders and their treatments. As a result, psychiatry may have to develop its own standards for rigour and validity. This paper concludes that EBM has had a powerful influence on how psychiatry investigates and understands mental disorders. Psychiatry could influence EBM in return, reshaping it in ways that are more clinically useful and congruent with patients’ needs.     

A priori perceptual entitlement,knowledge‐first

Tyler Burge notably offers a truth‐first account of perceptual entitlement in terms of a priori necessary representational functions and norms: on his account, epistemic normativity turns on natural norms, which turn on representational functions. This paper has two aims: first, it criticises Tyler Burge's truth‐first a priori derivation on functionalist and value‐theoretic grounds. Second, it develops a novel, knowledge‐first a priori derivation of perceptual entitlement. According to the view developed here, it is a priori that we are entitled to believe the deliverances of our perceptual belief formation system, in virtue of the latter's constitutive function of generating knowledge.     

Googling Politics: How Offloading Affects Voting and Political Knowledge

Studies suggest that individuals are less likely to process information they can easily look up. Instead of committing information to memory, they rely on the Internet to store information for them—a phenomenon known as “offloading.” We examine the effects of offloading on political knowledge and voting behavior. Using data from a 10-wave panel experiment designed to study information processing in two distinct information environments, we demonstrate that people whose environment is conducive to offloading learn more during an election campaign than individuals whose information environment is not conducive to offloading, even though they look at less information during the campaign. Individuals in the offloading condition also make better vote choices despite examining less information. These results suggest that offloading reduces cognitive load, thereby freeing up processing space in working memory, which can increase learning of information that is accessed, and improve decision-making.     

Children's objective and subjective sleep disruptions: links with afternoon cortisol levels.

OBJECTIVE: The purpose of this study was to determine possible relations between the quality and amount of children's sleep and cortisol in healthy children. DESIGN: Children's sleep was monitored with actigraphs for 7 nights. Children came to the laboratory to provide saliva samples, which were used to assess cortisol. Children reported on their sleepiness and sleep/wake problems. Sixty-four healthy children participated (M = 8.75 years; SD = .55). MAIN OUTCOME MEASURES: Self-reported sleepiness and sleep/wake problems, actigraphy-measured total sleep minutes, sleep efficiency, minutes awake after sleep onset, and sleep activity, and afternoon cortisol levels. Results: After controlling for demographic variables and child characteristics, higher levels of cortisol were related to increased subjective sleep problems and objective measures of shorter sleep duration and poorer sleep quality. CONCLUSION: These findings are of importance for understanding critical facets of children's health and well-being, and are noteworthy given the high prevalence of sleep disruptions in otherwise normally developing children in the United States.     

Perpetration of Aggressive Behaviors Against Peers and Teachers as Predicted by Student and Contextual Factors

This study uses an ecological/contextual theory to explore how students’ perpetration of violence and other aggressive behaviors is associated with individual factors such as gender, age, and perception of school climate, and contextual factors such as cultural affiliation, school climate, and teacher characteristics among 4th‐ through 6th‐grade Jewish and Arab students in Israel. A questionnaire testing the use of aggressive behavior in school was completed by 120 homeroom teachers and 3,375 students. The results of the study show that levels of perpetration of violence and other aggressive behaviors vary between classes (15.20% directed against students and 7.33% directed against teachers). At the teacher–classroom level, higher levels of perpetration were found in classes with a lower percentage of girls and in classes with fewer or less clear and consistent policies to deal with aggressive behaviors. At the individual level, gender and perception of school climate were found to be associated with levels of perpetration of aggression. The “Discussion” section highlights the importance of improving school climate in order to deal more effectively with violence and aggressive behaviors in schools. Aggr. Behav. 38:253‐262, 2012. © 2012 Wiley Periodicals, Inc.     

Perception of affective prosody in patients at an early stage of relapsing–remitting multiple sclerosis

Cognitive dysfunction is well known in patients suffering from multiple sclerosis (MS) and has been described for many years. Cognitive impairment, memory, and attention deficits seem to be features of advanced MS stages, whereas depression and emotional instability already occur in early stages of the disease. However, little is known about processing of affective prosody in patients in early stages of relapsing–remitting MS (RRMS). In this study, tests assessing attention, memory, and processing of affective prosody were administered to 25 adult patients with a diagnosis of RRMS at an early stage and to 25 healthy controls (HC). Early stages of the disease were defined as being diagnosed with RRMS in the last 2 years and having an Expanded Disability Status Scale (EDSS) of 2 or lower. Patients and HC were comparable in intelligence quotient (IQ), educational level, age, handedness, and gender. Patients with early stages of RRMS performed below the control group with respect to the subtests ‘discrimination of affective prosody’ and ‘matching of affective prosody to facial expression’ for the emotion ‘angry’ of the ‘Tübingen Affect Battery’. These deficits were not related to executive performance. Our findings suggest that emotional prosody comprehension is deficient in young patients with early stages of RRMS. Deficits in discriminating affective prosody early in the disease may make misunderstandings and poor communication more likely. This might negatively influence interpersonal relationships and quality of life in patients with RRMS.     

Patterns of Adolescents’ Romantic Activities: Associations with Psychosocial Adjustment

Using data on 15 year-old adolescents’ (N?=?770) romantic socializing, dating, and romantic relationships, we identified four clusters of romantic involvement: abstaining (9.2% of adolescents), socializing with relationships (20.3% of adolescents), socializing with dating (20.8% of adolescents), and socializing (49.7% of adolescents). We then tested if depressive symptoms, externalizing behavior, or social dissatisfaction differed between adolescents in the different romantic involvement clusters. Externalizing behavior and social dissatisfaction, but not depressive symptoms, differed between the clusters. Adolescents in the abstaining or socializing clusters reported less externalizing behavior than those in the other two clusters. Adolescents in the abstaining cluster reported greater social dissatisfaction than those in the other three clusters, which did not differ from each other. Finally, we found that gender did not moderate the associations between youths’ pattern of romantic involvement and their psychosocial adjustment.     

Sexuality among wounded veterans of Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND): Implications for rehabilitation psychologists

OBJECTIVE: The sexual lives of returning Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) veterans have only been discussed minimally in the psychological literature. Given the nature of military social and cultural contexts, the potential for exposure to combat-related stressors that may lead to posttraumatic stress disorder (PTSD), and the risk of traumatic brain injury secondary to physical injury, the potential for significant psychological and relational ramifications exists. This article focuses on the intimate relationships and sexuality of returning OIF/OEF/OND veterans within the context of their personal cultural variables and the diverse experience of being a part of military life. CONCLUSIONS: Culturally competent assessment and evidenced-based treatment approaches are highlighted to offer clinicians initial strategies to begin treatment of sexuality issues within the returning Veteran population. These clinical tools are discussed within a positive psychology approach that emphasizes healthy sexuality as a part of overall satisfactory quality of life.     

Skin conductance level reactivity moderates the association between harsh parenting and growth in child externalizing behavior

Skin conductance level reactivity (SCLR) was examined as a moderator of the association between harsh parenting at age 8 years and growth in child externalizing behavior from age 8 to age 10 (N = 251). Mothers and fathers provided reports of harsh parenting and their children's externalizing behavior; children also provided reports of harsh parenting. SCLR was assessed in response to a socioemotional stress task and a problem-solving challenge task. Latent growth modeling revealed that boys with higher harsh parenting in conjunction with lower SCLR exhibited relatively high and stable levels of externalizing behavior during late childhood. Boys with higher harsh parenting and higher SCLR exhibited relatively low to moderate levels of externalizing behavior at age 8, but some results suggested that their externalizing behavior increased over time, approaching the same levels as boys with higher harsh parenting and lower SCLR by age 10. For the most part, girls and boys with lower harsh parenting were given relatively low and stable ratings of externalizing behavior throughout late childhood. Results are discussed from a developmental psychopathology perspective with reference to models of antisocial behavior in childhood.