Usability of a Smartphone Application to Support the Prevention and Early Intervention of Anxiety in Youth

Mental, emotional, and behavioral disorders are common in youth with anxiety problems being among the most prevalent, typically failing to spontaneously remit, and placing some youth at risk for additional difficulties. Mobile health (mHealth) might be a novel avenue to strengthen prevention efforts for child anxiety, since program effects are generally small. However, although a significant number of mHealth tools have been developed, few have been evaluated in terms of usability (or even clinical effectiveness). Usability testing is the first level of evaluation in responsible mHealth efforts as it is one of the main barriers to usage and adoption. As such, the objective of this research was to evaluate the usability of a smartphone application (app) corresponding to an indicated prevention and early intervention targeting youth anxiety. To accomplish this, 132 children (M_age = 9.65, 63% girls) and 45 service providers (M_age = 29.13, 87% female) rated our app along five established dimensions of usability (ease of use, ease of learning, quality of support information, satisfaction, and stigma). Findings showed that the app was highly and positively rated by youth and providers, with some variations (lower ratings when errors occurred). Path analyses also showed that system understanding was significantly related to greater system satisfaction, but that such relation occurred through the quality of support information offered by the app. Together, this has research and clinical implications as it highlights avenues for advancing youth care via mHealth usability evaluation, including prior to establishing effectiveness.     

To do or not to do? Prospective memory versus response inhibition in autism spectrum disorder and attention-deficit/hyperactivity disorder

In the present research, event-based prospective memory and response inhibition (RI) abilities were investigated in children with ASD (Study 1), with ADHD (Study 2), and their matched neurotypical controls. Children engaged in a categorisation (ongoing) task and, concurrently, in either an event-based prospective memory (PM) or a Go/No-Go secondary task. Results showed that, as compared to their matched controls, ASD children's performance was more impaired in the PM task than in the Go/No-Go task, while the performance pattern of ADHD children was reversed. In the ongoing task, ASD children were as accurate as, but significantly slower than, controls, independently of conditions. ADHD children did not differ from controls in the presence of a concurrent PM task, while they were less accurate than controls in the presence of the go/no-go task. Overall, the two patterns of findings suggest important differences in the way ASD and ADHD children remember and realise intentions requiring opposite behaviours (acting vs stopping).     

Sleep-Related Outcomes Following Early Intervention for Childhood Anxiety

A bidirectional relationship between sleep and anxiety is well-established whereby difficulties in one domain predict problems in the other. Interventions for childhood sleep-related problems also share considerable overlap with interventions for anxiety. Although anxious youth report high rates of sleep-related problems, it is relatively unknown whether anxiety-focused interventions for children produce improvements in sleep-related problems. The current study included N = 25 youth ages 7–16 (13 female; mean age 9.92 years ± 2.6) who participated in an early intervention program for anxiety as part of the Arizona Anxiety Resilience Building Project. Child and parent measures of sleep and anxiety symptoms were examined before and after the 12-week cognitive-behavioral intervention program. Statistically significant decreases in total sleep-related problems, bedtime resistance, sleep anxiety, and pre-sleep arousal were observed at post-intervention, though clinically meaningful change was apparent in only a small portion of the sample. Results suggest that purely anxiety-focused interventions may be useful for reducing certain types of sleep-related problems in anxious children, specifically those that occur during the bedtime/pre-sleep period. However, a lack of clinically meaningful change, in addition to post-intervention sleep-related problem scores above the clinical cut-off in a large proportion of the sample, suggest that the sleep-related problems of anxious youth may require direct attention as part of treatment.     

Poetics in the shadow of the other's language: The melancholic discourse of the trilingual poet Amelia Rosselli

In this paper, I propose a psychoanalytic reading of some of the writings of Amelia Rosselli, a trilingual poet who, at the age of seven, lost her father Carlo, who was persecuted and murdered by Mussolini's regime. History and her history conflate into personal and collective trauma which defies human possibilities to work through and mourn. Rosselli's work testifies to such predicament of the human subject of the 20th century, his/her dislocation, alienation and internal irreconcilable divisions. In particular I examine Diary in three tongues, which is the most autobiographical of her works and a self‐analytic piece, written after the conclusion of her second analysis. In the Diary, Rosselli employs textual strategies which convey the fragmentation and destructuring of language, where her traumatic experience resides as a wound inflicted to the symbolic order. I propose that her writings contain her unconscious memories in an estranged and melancholic language which becomes the crucible to express her impossible mourning, in a complex mixture of Eros and Thanatos which allowed her to survive psychically and to create a very personal experimental poetic discourse which made her a literary figure of international acclaim. My primary engagement will be with Freud's theory of mourning and melancholia and its successive elaboration by Kristeva, who maintains that the melancholic discourse finds its expression in the pre‐verbal and infra‐verbal aspects of language, which she calls ‘semiotics’, in dialectic articulation with its symbolic components. Drawing on literary texts, significant inferences can be made on the psychoanalytic listening to the prosodic aspects of language as the carrier of inchoate forms of representation of that which exceeds language: trauma, raw affects, mnemic traces, that is, the unrepresented and/or unrepresentable.     

The relationship between maternal psychiatric disorder and very young children's coping behaviors

The coping behavior of high-risk infants aged 4 to 36 months was investigated. Two groups of infants (n = 60) (mothers with and without psychiatric disorders) were rated using the Early Coping Inventory (ECI), an observational measure. Results indicated that children whose mothers had chronic psychiatric disorders demonstrated significantly less effective coping behavior on all subscales of the ECI (Sensorimotor Organization, Reactive Behavior, and Self-Initiated Behavior) and on 47 of the 48 items. The at-risk children's behavior was found to be more “situationally effective”; that is, behavior used effectively in one type of situation was not generalized to other types of situations. The greatest discrepancy between the groups was in self-initiated behavior. No significant effects of demographic variables or type or severity of psychiatric disorder were found. Implications for treatment of this high-risk group are discussed. © 1997 Michigan Association for Infant Mental Health     

An overview of the literature on sexual harassment: Perpetrator,theory, and treatment issues

Sexual harassment has been recognized as a serious problem in the literature over the past 30 years. In this paper, we review the existing research surrounding the phenomenon of sexual harassment, paying particular attention to factors of relevance for understanding perpetrators of sexual harassment. We also provide an overview of the perplexing nature of sexual harassment and the various concerns that have surrounded the topic leading to its recognition. The different theoretical perspectives and models of sexual harassment (sociocultural, organizational, sex-role spillover, natural/biological, socio-cognitive, and four-factor) are also considered and reviewed. Finally, lack of empirical evidence and focus on assessment and treatment for harassers is recognized in this paper, and several suggestions are made for future research and treatment avenues relating to the sexual harasser.     

Italian Adagio: Every Law has Its Loophole

Science and Engineering Ethics - The Italian law of December 2010 establishes new criteria and parameters for the evaluation of faculty members. The parameters are represented by the number of...     

Problematic internet use and academic achievement: a focus on interpersonal behaviours and academic engagement

In accordance with the Self-Determination Theory, the interpersonal behavior of others can support or thwart the basic psychological needs and influence the well-being of students. Furthermore, several studies have shown that problematic internet use has a negative influence on the academic field. However, no studies have investigated the impact of need-supportive and need-thwarting interpersonal behaviors (using the SDT theoretical framework) on internet addiction, academic engagement, and academic achievement. For this reason, the main purpose of this study is to investigate the relationship between students’ perceptions of others’ behaviors that supported or thwarted their basic psychological needs, internet addiction, and academic engagement and the impact on academic achievement through two studies. In the first study, 889 students (age: M?=?20.26, SD?=?3.16), were used to investigate the dimensionality of the Italian version of the Interpersonal Behaviour Questionnaire (IBQ) and the reliability, convergent and concurrent validity. In the second study, 515 students (age: M?=?20.26, SD?=?3.16) were tested to investigate the mediating role of problematic internet use on the relationship between students’ perceptions of others’ behaviors that supported or thwarted their basic psychological needs and academic engagement and the impact on academic achievement. The results of the first study suggested that the Italian version of the IBQ shows good psychometric characteristics in the Italian context. The results of the second study confirmed the mediating role of problematic internet use and academic engagement as mediators between students’ perceptions of need-thwarting interpersonal behaviors and academic achievement.