Early Developmental Screening for Children in Foster Care

Limited data exist about the ideal timing of developmental screening for young children entering foster care, and current best practice recommends screening by 1 month into care to prioritize resources for evaluation. Therefore, we aimed to: (1) compare detection rates for potential developmental delay (DD) at foster care entry before and after implementation of a developmental screen and (2) examine accuracy of developmental screening when performed at entry and 1 month into care. Charts of 124 children <6 years evaluated for an initial foster care health assessment (IFCHA) were reviewed to determine baseline detection rates for potential DD. The Parents’ Evaluation of Developmental Status (PEDS) screening tool was then prospectively administered to 167 children <6 years during their IFCHA to determine detection rates. One month following the IFCHA, caregivers were re-contacted, and the screen was re-administered. Accuracy of the initial PEDS screen was compared to the 1 month PEDS screen by calculation of sensitivity and specificity. At baseline, potential DD was detected in 34 % of children at the IFCHA compared to 46 % after implementation of the PEDS (P = 0.041). Compared to the 1 month screen, the early screen had a sensitivity of 75 % and specificity of 88 %. Use of a developmental screening tool at foster care entry increased detection of potential DD, and the results remained consistent with screening 1 month later. These results support use of a developmental screen for children in foster care and suggest that screening be performed as early as possible to expedite necessary evaluations and referrals.     

Subtypes of Adaptive and Maladaptive Perfectionism in Anorexia Nervosa: Associations with Eating Disorder and Affective Symptoms

Perfectionism is hypothesized to contribute to the etiology of anorexia nervosa (AN). However, there is little research regarding whether individuals with AN can be classified according to maladaptive (e.g., evaluative concerns) and adaptive (e.g., high personal standards) facets of perfectionism that predict distinct outcomes and might warrant different intervention approaches. In this study, a latent profile analysis was conducted using data from adults with AN (n?=?118). Frost Multidimensional Perfectionism Scale (Frost et al. Cognitive Therapy and Research, 14(5), 449–46, 1990) subscales were used to identify subgroups differing according to endorsed perfectionism features (e.g., adaptive and maladaptive perfectionism). Generalized linear models were used to compare subgroups on eating disorder and affective symptoms measured through questionnaire and ecological momentary assessment. Four subgroups were identified: (a) Low Perfectionism; (b) High Adaptive and Maladaptive Perfectionism; (c) Moderate Maladaptive Perfectionism; and (d) High Maladaptive Perfectionism. Subgroups differed on overall eating disorder symptoms (p?<?.001), purging (p?=?.005), restrictive eating (p?<?.001), and body checking (p?<?.001) frequency, depressive (p?<?.001) and anxiety (p?<?.001) symptoms, and negative (p?=?.001) and positive (p?<?.001) affect. The Low Perfectionism group displayed the most adaptive scores and the Moderate and High Maladaptive Perfectionism groups demonstrated the most elevated clinical symptoms. The High Adaptive and Maladaptive Perfectionism group demonstrated low affective disturbances, but elevated eating disorder symptoms. Results support the clinical significance of subtyping according to perfectionism dimensions in AN. Research is needed to determine if perfectionism subtyping can enhance individualized treatment targeting in AN.     

Transdiagnostic Theory and Application of Family-Based Treatment for Youth with Eating Disorders

This paper describes the transdiagnostic theory and application of family-based treatment (FBT) for children and adolescents with eating disorders. We review the fundamentals of FBT, a transdiagnostic theoretical model of FBT and the literature supporting its clinical application, adaptations across developmental stages and the diagnostic spectrum of eating disorders, and the strengths and challenges of this approach, including its suitability for youth. Finally, we report a case study of an adolescent female with eating disorder not otherwise specified (EDNOS) for whom FBT was effective. We conclude that FBT is a promising outpatient treatment for anorexia nervosa, bulimia nervosa, and their EDNOS variants. The transdiagnostic model of FBT posits that while the etiology of an eating disorder is unknown, the pathology affects the family and home environment in ways that inadvertently allow for symptom maintenance and progression. FBT directly targets and resolves family level variables, including secrecy, blame, internalization of illness, and extreme active or passive parental responses to the eating disorder. Future research will test these mechanisms, which are currently theoretical.     

Do in-vivo behaviors predict early response in family-based treatment for anorexia nervosa?

The aim of the study is to explore whether identified parental and patient behaviors observed in the first few sessions of family-based treatment (FBT) predict early response (weight gain of 1.8 kg by session four) to treatment. Therapy film recordings from 21 adolescent participants recruited into the FBT arm of a multi-site randomized clinical trial were coded for the presence of behaviors (length of observed behavior divided by length of session recording) in the first, second and fourth sessions. Behaviors that differed between early responders and non-early responders on univariate analysis were entered into discriminant class analyses. Participants with fewer negative verbal behaviors in the first session and were away from table during the meal session less had the greatest rates of early response. Parents who made fewer critical statements and who did not repeatedly present food during the meal session had children who had the greatest rates of early response. In-vivo behaviors in early sessions of FBT may predict early response to FBT. Adaptations to address participant resistance and to decrease the numbers of critical comments made by parents while encouraging their children to eat might improve early response to FBT.     

Inhibition in task switching: The reliability of the n − 2 repetition cost

The n???2 repetition cost seen in task switching is the effect of slower response times performing a recently completed task (e.g. an ABA sequence) compared to performing a task that was not recently completed (e.g. a CBA sequence). This cost is thought to reflect cognitive inhibition of task representations and as such, the n???2 repetition cost has begun to be used as an assessment of individual differences in inhibitory control; however, the reliability of this measure has not been investigated in a systematic manner. The current study addressed this important issue. Seventy-two participants performed three task switching paradigms; participants were also assessed on rumination traits and processing speed—measures of individual differences potentially modulating the n???2 repetition cost. We found significant n???2 repetition costs for each paradigm. However, split-half reliability tests revealed that this cost was not reliable at the individual-difference level. Neither rumination tendencies nor processing speed predicted this cost. We conclude that the n???2 repetition cost is not reliable as a measure of individual differences in inhibitory control.     

A Case Series of Family-Based Therapy for Weight Restoration in Young Adults with Anorexia Nervosa

This case series aims to examine the preliminary efficacy, acceptability and feasibility of Family-Based Treatment to promote weight restoration in young adults with anorexia nervosa. Four young adults with sub/threshold anorexia nervosa were provided 11–20 sessions of Family-Based Treatment for young adults with pre-, post- and follow-up assessments. At post- and follow-up, 3/4 participants were in the normal weight range, 3/4 were in the non-clinical range on the Eating Disorders Examination and reported being not/mildly depressed. At post-treatment, 2/4 were in the good psychosocial functioning range and by follow-up, 3/4 were in this range. These results suggest that Family-Based Treatment for young adults with anorexia nervosa is a promising treatment.     

The behavioural self-regulation strategies of Indian South African university students: An exploratory study

This study explored the race-related self-regulation strategies of eight Indian South African university students (females: n = 4) attending a historically white university. Interactive qualitative analysis of their race-related experiences revealed that the students felt that they had been judged as being different, which resulted in overwhelming unwanted emotions, primarily anger and sadness. Moreover, the students reported the use a range of self-regulation strategies (such as introspection, engaging with trusted others, managing the situation, tolerating the experience of being judged, and making friends with people from other races) in a specific sequence to enhance their social acceptance on the campus. The findings suggest that adaptive self-regulation may enhance the social outcomes of historically disadvantaged, racial minority students.     

The validity of personality,service orientation,and reading comprehension measures as predictors of Flight Attendant training performance

The present study examined the predictive power of Big Five personality dimensions, a situational measure of service orientation and a reading comprehension measure as predictors of Flight Attendant training criteria. The criteria consisted of multiple ratings made by trainers of trainees across a number of training dimensions. At least partial data was collected on 424 Flight Attendant trainees. Results indicated significant correlations between all three predictors and a number of the training criteria.The authors would like to thank the Editor and two anonymous reviewers for their help revising this article.     

Minding the gap: spatial perseveration error in dogs

We investigated a combination of perseveration and detour behaviour in 50 domestic dogs (Canis familiaris). They were required to make a detour through a gap at one end of a straight barrier in order to reach a target. After one, two, three or four repeats, the gap was moved to the opposite end of the barrier, and the detour behaviour of the dogs was recorded. Although the dogs could solve simple detour tasks (80% correct in the first trial), they committed a perseveration error of following the previously learned route despite the clearly visible change in the location of the gap. This ‘misbehaviour’ occurred in 29 of 30 dogs after only two learning trials. They never reached a 100% correct performance level again even after four runs through the second gap location. The results suggest that dogs are reluctant to unlearn acquired spatial motor responses and reinforced navigation, which has important implications for experimental design, everyday dog training and our understanding of their mental capacities.     

Cue-switch costs in task-switching: cue priming or control processes?

In the explicitly cued task-switching paradigm, two cues per task allow separation of costs associated with switching cues from costs of switching tasks. Whilst task-switch costs have become controversial, cue-switch costs are robust. The processes that contribute to cue-switch costs are under-specified in the literature: they could reflect perceptual priming of cue properties, or priming of control processes that form relevant working memory (WM) representations of task demands. Across two experiments we manipulated cue-transparency in an attention-switching design to test the contrasting hypotheses of cue-switch costs, and show that such costs emerge from control processes of establishing relevant WM representations, rather than perceptual priming of the cue itself. When the cues were maximally transparent, cue-switch costs were eradicated. We discuss the results in terms of recent theories of cue encoding, and provide a formal definition of cue-transparency in switching designs and its relation to WM representations that guide task performance.