Assessing Psychosocial Impairment in the Pediatric Emergency Department: Child/Caregiver Concordance

The objective of this study was to examine the level of agreement between child- and caregiver-reports of the child’s psychosocial problems presenting to a Pediatric Emergency Department (PED) using a validated screening tool. This was an anonymous, prospective, cross-sectional, multi-informant (child and caregiver) study assessing cognitive, emotional, and behavioral problems and physical complaints in children and adolescents presenting to a PED. Three-hundred and fifty-eight children and adolescents (8–18 years old) and their caregivers participated. Children completed the Youth-Pediatric Symptom Checklist (PSC-Y), while their caregivers completed the Pediatric Symptom Checklist–35 (PSC-35) to measure psychosocial impairment. The child’s physical complaints (e.g., chief complaint, chronicity, other medical problems, medications) and demographic information were assessed using an investigator-developed patient background questionnaire completed by the caregivers. Physical complaints (e.g., chief complaint, chronicity, other medical problems, medications) were assessed using an investigator-developed patient background questionnaire. Agreement between child- and caregiver- reports was analyzed using Cohen’s kappa coefficient. Differences between child and caregiver-reported scores were determined by t-tests. Poor to moderate agreement was found between child- and caregiver-reports of attention problems (κ = .355), externalizing problems (κ = .340), internalizing problems (κ = .065), and total PSC score (κ = .410). Both children and caregivers should complete the psychosocial screener to maximize the accuracy of assessment and the identification of impairment.     

Associations between sociocultural pressures to be thin, body distress, and eating disorder symptomatology among Chilean adolescent girls

This study explored the relationships between perceived sociocultural pressure to fulfill the thin beauty ideal, body distress, and the presence of eating disorder symptoms. Participants were 437 Chilean adolescent girls from Arica, northern Chile, aged 13-18. Results showed significant associations between perceived pressure from social agents to be thin and the presence of disrupted eating attitudes and behavior. The perceived influence of advertising, verbal messages and social situations related to eating and dieting emerged as the strongest predictors of eating disorders symptoms. Influence of advertising was also the strongest predictor of body image distress. Age differences emerged in perceived sociocultural pressure to be thin, with older participants reporting higher sociocultural pressure to fulfill the slender beauty ideal. This paper provides information about body distress and associated disturbances, a phenomenon which has seldom been studied in non-Western countries, but which has important health implications.     

Sexually coercive tactics used by university students: a clear role for primary psychopathy

Current research suggests that people with psychopathic traits engage in sexual coercion as an alternative mating strategy. Research overlooks the relation between psychopathic traits and coercive behavior in male and female samples that engage in dating quite frequently. Male and female university students reported on their current relationship styles and their use of minor and severe sexually coercive tactics. Results indicate that primary psychopathy (using the Levenson's SRPS), but not secondary psychopathy, predicts the use of all measures of sexual coercion for both females and males, although males were more likely to exploit an intoxicated partner than females. Additionally, females with high levels of primary psychopathy were more likely to use physical forms of coercion. The findings show that the primary psychopathy features (callousness, charm, and selfishness) predict a shortterm mating strategy that focuses on gaining sex through minor forms of coercion and manipulation.     

How do therapists ally with adolescents in family therapy? An examination of relational control communication in early sessions

Sequential analyses examined associations between the working alliance and therapist-adolescent communication patterns in 10 Spanish cases of brief conjoint family therapy. Early sessions with strong versus problematic alliances, rated by observers, were selected for coding of relational control communication patterns. No differences were found in the frequency of exchanges, but competitive responding by the therapists (reflecting an interpersonal struggle for control) was significantly more likely in problematic alliance sessions than in strong alliance sessions. Cases in which the adolescent's alliance with the therapist remained positive from Session 1 as compared with Session 3 showed a decrease in the likelihood of competitive symmetry. Notably, when the quality of the alliance deteriorated over time, the therapists were increasingly more likely to respond to the adolescents' domineering messages in a competitive manner. Results underscore the need to avoid competitive responding in order to ally with adolescents in conjoint family treatment.     

Future-oriented emotions in the prediction of binge-drinking intention and expectation: the role of anticipated and anticipatory emotions

The Theory of Planned Behavior (TPB) offers a parsimonious explanation of purposive behavior, but in the study of healthy and risk behaviors its sufficiency may be questioned. Working with binge-drinking, a very common risk behavior in Spanish undergraduate students, we used two strategies for improving predictions from TPB: using behavioral intention (BI) and behavioral expectation (BE) as proximal antecedents of behaviors and adding as new predictors two future-oriented emotions (anticipated and anticipatory). Hierarchical regression analyses show that while anticipated emotions improved TPB explanations of BI, anticipatory emotions improved the explanations of BE. The present results show the influence of future emotions in the prediction of behavioral intention and behavioral expectation.     

The effects of sleep deprivation on the attentional functions and vigilance

The study of sleep deprivation is a fruitful area of research to increase our knowledge of cognitive functions and their neural basis. In the current work, 26 healthy young adults participated in a sleep deprivation study, in which the Attentional Networks Test for Interactions and Vigilance (ANTI-V) was performed at 10a.m. after a night of normal sleep and again at 10 a.m. after 25.5-27.5 h of total sleep deprivation. The ANTI-V is an experimental task that provides measures of alerting, orienting and executive control attentional functions. Compared with previous versions, the ANTI-V includes a vigilance task, more reliable auditory alerting signals, non-predictive peripheral orienting cues, and also a neutral no-cue condition allowing the analysis of reorienting costs and orienting benefits. Thus, new evidence to evaluate the influence of sleep deprivation on attentional functioning is provided. Results revealed differences in both tonic and phasic alertness after sleep deprivation. Vigilance performance was deteriorated, while a warning tone was more helpful to increase participants' alertness, resulting in slightly faster RT and, in particular, fewer errors. The reorienting costs of having an invalid spatial cue were reduced after sleep loss. No sleep deprivation effect on the executive control measure was found in this study. Finally, since no control group was used, particular precautions were taken to reduce the influence of potential practice effects.     

Tolerance towards dating violence in Spanish adolescents

The study of intimate partner violence among adolescent and young couples in Spain remains unattended, although such abuses are well known and more frequent than in adulthood. The aim of this study is, on the one hand, to provide epidemiological information on dating relationships, and on the other hand, to identify attitudes towards violence. 2205 women enrolled in schools in diverse provinces of Spain, participated in the study. Average age was near 19 years (SD= 2.25). The Dating Violence Questionnaire (DVQ, in Spanish, CUVINO), a questionnaire that assesses both frequency and distress associated with violent behavior, was used. The DVQ allowed differentiating between groups of women self-labeled as abused and not abused on the basis of the frequency of sustained violence, although the levels of distress in the face of violence were statistically similar in both groups. Implications for future research and prevention programs are discussed.     

Spanish adaptation of the Perceived Acceptance Scale (PAS) in university students

The main objective of the present study was to adapt the Perceived Acceptance Scale (PAS), developed by Brock, Sarason, Sanghvi and Gurung to evaluate the cognitive component of perceived social support, to the Spanish language. In a sample of 855 university students registered for the first time in different degree courses, the reliability, dimensionality and external validity of the scale scores were analyzed. The results show adequate internal consistency in both the subscales (friends, family, father and mother) and in the overall scale. The factorial structure, derived from a confirmatory factorial analysis, fitted the theoretical model proposed by the authors of the scale. The scale scores showed evidence of convergent and discriminant validity from the observed relationships with the measures of perceived social support. The psychometric properties of the adapted scale provide an adequate measuring instrument for evaluating perceived acceptance in Spanish university students.     

Emotion,Decision, and Risk: Betting on Gambles versus Betting on People

We examined the effects of two emotions, fear and anger, on risk‐taking behavior in two types of tasks: Those in which uncertainty is generated by a randomizing device (“lottery risk”) and those in which it is generated by the uncertain behavior of another person (“person‐based risk”). Participants first completed a writing task to induce fear or anger. They then made choices either between lotteries (Experiment 1) or between actions in risky two‐person decisions (Experiments 2 and 3). The experiments involved substantial real‐money payoffs. Replicating earlier studies (which used hypothetical rewards), Experiment 1 showed that fearful participants were more risk‐averse than angry participants in lottery‐risk tasks. However—the key result of this study—fearful participants were substantially less risk‐averse than angry participants in a two‐person task involving person‐based risk (Experiment 2). Experiment 3 offered options and payoffs identical to those of Experiment 2 but with lottery‐type risk. Risk‐taking returned to the pattern of Experiment 1. The impact of incidental emotions on risk‐taking appears to be contingent on the class of uncertainty involved. For lottery risk, fear increased the frequency of risk‐averse choices and anger reduced it. The reverse pattern was found when uncertainty in the decision was person‐based. Further, the effect was specifically on differences in willingness to take risks rather than on differences in judgments of how much risk was present. The impact of different emotions on risk‐taking or risk‐avoiding behavior is thus contingent on the type, as well as the degree, of uncertainty the decision maker faces. Copyright © 2010 John Wiley & Sons, Ltd.