„Pervasive refusal syndrome“

Pervasive refusal syndrome (PRS), as a new psychiatric disorder among children and adolescents, was first described 1991 by Lask et al. It is characterized by a determined refusal of the child to eat, talk, walk, care for themselves or participate in daily activities. An organic explanation for the symptoms is absent. The observed refusal of functions can be either active or passive. Children also demonstrate a clear resistance to help or treatment. This paper presents a case study that depicts PRS from the therapists’ and the patients’ viewpoint and helpful elements in therapy are evinced from both points of view.     

Eltern und Patienten als Subjekt der Behandlung

Background

There are hardly any alternatives to inpatient treatment for children and adolescents in need of intensive psychiatric treatment. In the randomized study BeZuHG (“behandelt zu Hause gesund werden”, treated at home become healthy), equality of treatments could be shown in the outcome parameters when comparing TAU (inpatient treatment) and the new treatment module BeZuHG (early discharge followed by intensive home treatment enhanced by clinical elements). Patient satisfaction with each treatment module was evaluated at follow-up.

Material and methods

In this study 144 parents and patients of the intervention group (n?=?79) and the control-group (n?=?65) were interviewed after an average of 8 months. Information on expectations, experience with BeZuHG, changes in communication and interaction within the family as well as problem solving strategies (and sustainability of the changes), overall satisfaction and treatment suggestions for modification of the BeZuHG treatment were collected in semistructured telephone interviews.

Results

The following aspects in the BeZuHG treatment were rated as important by parents and patients: support and help with transfer problems, single sessions, a trusting therapeutic relationship as well as treatment setting at home. Enhanced problem solving skills as well as improved family communication were noticed. In the intervention group 70?% would prefer the BeZuHG setting to inpatient care and 46?% in the control group.

Conclusion

The BeZuHG concept is a good and functional alternative to inpatient treatment. Continuity in treatment and therapeutic relationships are essential for successful treatment at home. Positive treatment results within the family as well as the patient remain stable at follow-up after 8 months.     

They’re (not) playing our song: (Ir)religious identity moderates the effects of listening to religious music on memory,self-esteem,and mood

Previous research suggests that listening to music can enhance memory and well-being. However, what is often missing from this analysis is consideration of the social dimensions of music—for example, its capacity to affirm or threaten listeners’ social identities. This study examined whether (ir)religious music that was potentially identity-affirming or identity-threatening (Christian hymns, Buddhist chants, classical, or no music) would affect Christians’ and Atheists’ (N = 267) well-being and memory performance while listening. Analyses revealed significant interactions between (ir)religious group and music type on memory, self-esteem, and mood. Listening to music that potentially threatened one's religious identity appeared to undermine both performance self-esteem and actual memory performance, while increasing feelings of hostility. This pattern was found for Christians (vs. Atheists) who listened to Buddhist chants. Conversely, Atheists’ performance self-esteem (and to some degree their memory performance) was lowest, and their hostility highest, when they listened to Christian hymns. In this way, listening to music that potentially threatened one's religious group identity (or lack thereof) appeared to be detrimental for memory, self-esteem, and mood. These results bridge research on the psychology of religion, music psychology, and social identity theorizing by demonstrating that the effects of music on memory and well-being may reflect important (even sacred) social identities, with potential implications for individual well-being and intergroup relations.     

Exposure Quality in Cognitive Behavioral Treatment for Youth Anxiety Disorders—Predictors and Associations with Outcomes

Journal of Child and Family Studies - To optimize cognitive behavioral therapy (CBT) outcomes for anxiety disorders in youth, more knowledge is needed about how specific CBT components work....     

Phonological skills and their role in learning to read: a meta-analytic review

The authors report a systematic meta-analytic review of the relationships among 3 of the most widely studied measures of children's phonological skills (phonemic awareness, rime awareness, and verbal short-term memory) and children's word reading skills. The review included both extreme group studies and correlational studies with unselected samples (235 studies were included, and 995 effect sizes were calculated). Results from extreme group comparisons indicated that children with dyslexia show a large deficit on phonemic awareness in relation to typically developing children of the same age (pooled effect size estimate: -1.37) and children matched on reading level (pooled effect size estimate: -0.57). There were significantly smaller group deficits on both rime awareness and verbal short-term memory (pooled effect size estimates: rime skills in relation to age-matched controls, -0.93, and reading-level controls, -0.37; verbal short-term memory skills in relation to age-matched controls, -0.71, and reading-level controls, -0.09). Analyses of studies of unselected samples showed that phonemic awareness was the strongest correlate of individual differences in word reading ability and that this effect remained reliable after controlling for variations in both verbal short-term memory and rime awareness. These findings support the pivotal role of phonemic awareness as a predictor of individual differences in reading development. We discuss whether such a relationship is a causal one and the implications of research in this area for current approaches to the teaching of reading and interventions for children with reading difficulties.     

Eating-related problems among 13-15 year old Swedish adolescents: Frequency and stability over a one-year period

Viborg, N., Wångby‐Lundh, M., Lundh, L.‐G. & Johnsson P. (2012). Eating‐related problems among 13‐15 year old Swedish adolescents: Frequency and stability over a one‐year period. Scandinavian Journal of Psychology 53, 401–406. The frequency of eating‐related problems in young adolescents, and their stability over a one‐year period, was studied by the RiBED‐8 (Risk Behaviours related to Eating Disorders, 8 items) in a community sample of 13–15 year old adolescents who took part in a prospective study with a 2‐wave longitudinal design. The RiBED‐8 was found to have good reliability and construct validity among the girls, although it did not show equally convincing psychometric properties among boys. With a cut‐off of at least three critical answers on the RiBED‐8, 28.5–31.0% of the girls were seen as risk cases for the development of eating disorder. Of those girls who were risk cases at Time 1, a majority (68.8%) remained so at Time 2; of those girls who were not risk cases at Time 1, 16.1% became risk cases at Time 2. It is suggested that the RiBED‐8 is a brief, easily administered instrument that may be potentially useful in screening for eating‐related problems among girls.     

Injustice for All or Just for Me? Social Value Orientation Predicts Responses to Own Versus Other's Procedures

In two experiments, the authors investigated how differences in social value orientation predict evaluations of procedures that were accorded to self and others. Proselfs versus prosocials were either granted or denied an opportunity to voice an opinion in a decision-making process and witnessed how someone else was either granted or denied such an opportunity. Consistent with the hypothesis, procedural evaluations of both proselfs and prosocials were influenced by own procedure when other was granted voice, but only proselfs were influenced by own procedure when other was denied voice. These findings were particularly attributable to prosocials' tendency to evaluate a situation where no-voice procedures are applied consistently between persons more positively than proselfs. It is concluded that proselfs are focused on procedural justice and injustice for self more than prosocials, whereas prosocials value equality in procedures more than proselfs-even when equality implies injustice for all.     

Social change as an important goal or likely outcome: how regulatory focus affects commitment to collective action

The results of three experiments showed that regulatory focus influences the way in which the importance and likelihood of social change affect individuals' commitment to collective action. In Studies 1 (N= 82) and 2 (N= 153), the strength of participants' chronic regulatory focus was measured. In Study 3 (N= 52), promotion or prevention focus was experimentally induced. The results showed that for individuals under promotion focus, commitment to collective action depended on the perceived likelihood that through this action important social change would be achieved. Individuals under prevention focus were willing to commit to collective action when they attached high importance to its goal, regardless of the extent to which they believed that attainment of this goal was likely. Implications of these results for work on regulatory focus and collective action are discussed.