Development of a parent training program for children with pervasive developmental disorders

Parent delivered interventions based on applied behavior analysis (ABA) for children with Pervasive Developmental Disorders (PDDs) have been evaluated using primarily single‐subject design methodology or small case series. While the results of these evaluations are encouraging, an important next step is to standardize the interventions to allow for replication across sites, in studies with large samples and measures of long‐term, clinically meaningful outcomes such as improvements in children's functioning and their relationships with parents. Accordingly, the Research Units on Pediatric Psychopharmacology and Psychosocial Interventions (RUPP Autism Network) assembled a detailed manual for a structured behavioral parent training (PT) program, developed treatment fidelity and training procedures, and conducted a pilot, feasibility study. The PT program is part of a large scale, multisite study intended to determine the efficacy of combined pharmacological treatment and behavioral intervention to improve behavior and adaptive functioning in children with PDD. This paper discusses the rationale for this project. A companion paper provides the results of our feasibility study on the PT program. Copyright © 2007 John Wiley & Sons, Ltd.     

Spatial and temporal episodic memory retrieval recruit dissociable functional networks in the human brain

Imaging, electrophysiological studies, and lesion work have shown that the medial temporal lobe (MTL) is important for episodic memory; however, it is unclear whether different MTL regions support the spatial, temporal, and item elements of episodic memory. In this study we used fMRI to examine retrieval performance emphasizing different aspects of episodic memory in the context of a spatial navigation paradigm. Subjects played a taxi-driver game ("yellowcab"), in which they freely searched for passengers and delivered them to specific landmark stores. Subjects then underwent fMRI scanning as they retrieved landmarks, spatial, and temporal associations from their navigational experience in three separate runs. Consistent with previous findings on item memory, perirhinal cortex activated most strongly during landmark retrieval compared with spatial or temporal source information retrieval. Both hippocampus and parahippocampal cortex activated significantly during retrieval of landmarks, spatial associations, and temporal order. We found, however, a significant dissociation between hippocampal and parahippocampal cortex activations, with spatial retrieval leading to greater parahippocampal activation compared with hippocampus and temporal order retrieval leading to greater hippocampal activation compared with parahippocampal cortex. Our results, coupled with previous findings, demonstrate that the hippocampus and parahippocampal cortex are preferentially recruited during temporal order and spatial association retrieval--key components of episodic "source" memory.     

Consumer credit card use: the roles of creditor disclosure and anticipated emotion

In response to federal legislative reform aimed, in part, at reducing consumer bankruptcy filings, the authors conducted 2 experiments examining the role of affect in purchasing behavior. In Experiment 1, they examined consumer debtors, and in Experiment 2, they examined nondebtors. In both experiments, they investigated purchasing decisions made during a simulated online shopping trip, with some participants receiving standard disclosures of interest rates and money owed and with other participants receiving information under the new enhanced disclosure regulations. Results demonstrated support for the influence of anticipated affect in credit card use among both debtors and nondebtors and indicated that anticipated emotion may moderate the impact of the enhanced disclosure regulations.     

Conceptualizations of respect: qualitative and quantitative evidence of four (five) themes

Respect is a term used frequently in the vernacular and psychological literature. However, frequency of use has not yielded a coherent body of psychological research on the topic, perhaps because of its elusive and contextual nature. Examining the divergent literature on respect yields 4 general themes in how it is conceptualized: (a) social rules, (b) equality, (c) caring, and (d) social power. In this study, the author used qualitative and quantitative assessment to explore the soundness of these themes. The 4 themes emerged in each of the different methods, and there was evidence of convergence of the themes across methods. A 5th unexpected theme, personal attributes, was revealed in the qualitative measures. This study provides an empirical foundation for acknowledging the complexity and potential importance of respect. Understanding the thematic variability in how respect is conceptualized will improve research, theory, and application.     

Ministers’ Perceptions of Depression: A Model to Understand and Improve Care

While depression is a significant worldwide health problem, fewer than half of individuals seek care. Faith-based communities may play an important role in improving the knowledge of and linkage to depression care. Focus groups of Caucasian and African-American clergy were conducted to explore these issues. Using a grounded theory approach five themes emerged, including explanatory models of depression, barriers and facilitators to care, and recommendations for involving religious communities. A model of depression care pathways was constructed that integrates secular and spiritual approaches. The findings highlight the need for targeted interventions to build trust between clergy and mental health professionals. Teresa L. Kramer, Ph.D., is Chief Psychologist and Associate Professor of Psychiatry in the College of Medicine, University of Arkansas for Medical Sciences in Little Rock. She has conducted research in child, adolescent and adult mental health assessment, outcomes, and quality of care. Her current research on adolescent depression is funded through a Research Career Development Award from the National Institute of Mental Health. She is currently developing faith-based programs to educate ministers and their congregations about depression-related illness. Dean Blevins, Ph.D., teaches in the Department of Psychiatry, College of Medicine, at the university and is associated with the Center for Mental Health & Outcomes Research, Central Arkansas Veterans Healthcare System, and the South Central Mental Illness, Research, and Clinical Center in Little Rock. Terri L. Miller, Ph.D., also teaches in the Department of Psychiatry. Martha Phillips, Ph.D., is at the Department of Human Services in Little Rock. Vanessa Davis and Billy Burris are employed at the Division of Behavioral Health Services, also in Little Rock.     

E-mail, decisional styles, and rest breaks.

E-mail is a common but problematic work application. A scale was created to measure tendencies to use e-mail to take breaks (e-breaking); and self-esteem and decisional style (vigilance, procrastination, buck-passing, hypervigilance) were used to predict the self-reported and actual e-mail behaviors of 133 participants (students and marketing employees). Individuals who were low in defensive avoidance (buck-passing) engaged in more e-mailing per week, both in time spent on e-mail and message volume. E-breakers were more likely to engage in behavioral procrastination and spent more time on personal e-mail.     

Talking to primary care patients about weight: a study of GPs and practice nurses in the UK

Evidence-based guidance recommends that primary care health practitioners should deliver brief interventions to their patients to change behaviours to reduce overweight and obesity. This cross-sectional study investigates UK general practitioners' (GPs) and practice nurses' communication about overweight with their overweight and obese patients. Forty general practitioners and 47 practice nurses in two inner-London primary care organizations completed a questionnaire about past practice and concerns. When there was no identified medical problem, 38% of GPs and 14% of practice nurses reported raising the issue on less than 50% of occasions. Practice nurses were more likely than GPs to raise the issue of weight, both when there was no medical problem and when there was a medical problem. When they did raise the issue of overweight, only 9% did so in the context of presenting possible solutions to weight loss or in discussions about health promotion. Fifty two per cent of GPs and 28% of practice nurses had concerns about raising the issue of overweight; the most common being that patients would react emotionally to the message. These results suggest that there is considerable room for improvement in the frequency with which primary care practitioners address the questions of weight in their overweight patients, especially amongst doctors. Training to increase skills and confidence in communicating about weight is recommended.     

Health education and agency: a comprehensive program for young women in the Mixteca region of Mexico

The Si yo estoy bien, mi familia también ("If I am OK then so is my family") is a health and agency education program that was provided over a period of 3 years to 39,000 rural women in Oaxaca, Mexico. The purpose of the article is to describe the development, implementation and evaluation of the program. The theoretical rationale and strategy of this intervention are described, as well as the construction of the program and the implementation. Moreover, an evaluation of the various stages of the program is provided, to enable an assessment of its efficacy, and the scope for dissemination and scaling up.     

Nursing specialty and burnout

We examined the relationship between perceived control and burnout among three nursing specialties: nurse practitioners, nurse managers, and emergency nurses. Survey data were collected from 228 nurses from 30 states. Findings indicated that emergency nurses had the least control and the highest burnout, whereas nurse practitioners had the most control and the least burnout. Mediational analyses showed that expected control, hostility, and stressor frequency explained differences between specialties in burnout. The implications of these findings for interventions that reduce burnout and promote nursing retention are discussed.     

The attribution of attention: 9-month-olds' interpretation of gaze as goal-directed action

The current study distinguishes between attributions of goal-directed perception (i.e. attention) and non-goal-directed perception to examine 9-month-olds' interpretation of others' head and eye turns. In a looking time task, 9-month-olds encoded the relationship between an actor's head and eye turns and a target object if the head and eye turns were embedded in a sequence of multiple, variable actions with equifinal outcomes, but not otherwise. This evidence supports the claim that infants of this age may attribute perception, at least goal-directed perception, to others and undermines arguments that gaze-following at this age consists only of uninterpreted reflexes. The evidence also suggests alternative interpretations of the typical errors infants make in standard gaze-following procedures. Implications for infants' understanding of perception and attention in both human and non-human agents are discussed.