Can Cognitive‐Behavioral Therapy Be Optimized With Parent Psychoeducation? A Randomized Effectiveness Trial of Adolescents With Major Depression in Puerto Rico

This is a longitudinal randomized control trial on the impact of adding a parent psychoeducation intervention (TEPSI) as part of cognitive‐behavioral therapy (CBT) for adolescents with Major Depressive Disorder (MDD) in a Puerto Rican sample. We tested the efficacy of adding 8 group sessions of TEPSI to 12 sessions of individual CBT on reducing depressive symptoms, MDD diagnosis, and improving family functioning. Participants (n = 121) were randomized to individual CBT with or without TEPSI. No main group effects were found for most patient domains including depression symptoms, as well as presence of adolescent's MDD diagnosis at posttreatment. Results did show a main effect of CBT over time for depression symptoms, suicide ideation, family criticism, and the presence of MDD diagnosis decreasing from pre‐ to postintervention. A year post treatment, almost 70% of adolescents in both conditions (CBT and CBT + TEPSI) remained in remission. A main effect was obtained for treatment in the adolescent's perception of familism and family emotional involvement. The primary hypothesis that family psychoeducation would optimize CBT for depression in adolescents was not supported. Both conditions yielded similar clinical end points. The culturally adapted CBT was found effective with Latino/a adolescents showing clinically significant improvements from pretreatment to posttreatment and remained stable at a 1‐year follow‐up. Regarding family outcomes, adolescents in CBT + TEPSI remained stable from pretreatment to posttreatment on family emotional involvement, while adolescents in CBT‐alone showed an increase. The implication of these findings is discussed.     

Enhancing the National Dialogue on the Prevention of Intimate Partner Violence

Little systematic information exists about how community‐based prevention efforts at the state and local levels contribute to our knowledge of intimate partner violence (IPV) prevention. The Centers for Disease Control and Prevention's (CDC) DELTA FOCUS program funds ten state domestic violence coalitions to engage in IPV primary prevention through approaches addressing the outer layers of the social ecology. This paper explored the ways in which DELTA FOCUS recipients have contributed to a national‐level dialogue on IPV prevention. Previously undefined, the authors define national‐level dialogue and retrospectively apply the CDC Science Impact Framework (SIF) to describe contributions DELTA FOCUS recipients made to it. Authors conducted document review and qualitative content analysis of recipient semi‐annual progress reports from 2014 to 2016 (N = 40) using NVivo. A semi‐structured coding scheme was applied across the five SIF domains: Creating Awareness, Catalyzing Action, Effecting Change, Disseminating Science, and Shaping the Future. All recipients sought to promote IPV prevention by communicating and sharing with non‐CDC‐funded state coalitions, national partners, and other IPV stakeholders information and resources accumulated through practice‐based prevention efforts. Through implementing and disseminating their prevention work in myriad ways, DELTA FOCUS recipients are building practice‐based evidence on community‐based IPV prevention.     

Training School Counselors in Singapore: First Impressions of a Multicultural Challenge

Since the publication of 2 important articles, by E. Tan (2002) on career counseling and by W. H. Chong (2005) on group counseling in schools, changes have taken place in the school counseling field in Singapore. In this article, the authors review these articles and describe the development of the school counseling profession in Singapore based on the American model of counseling.     

Counseling Latinos With Substance Abuse Problems

This article introduces a combination of approaches based on multicultural interventions and sociopolitical themes that provide interventions for working with Latinos with substance abuse problems.     

Developmental and sex-related differences in preschoolers' affective decision making

This study investigated developmental and sex-related differences in affective decision making, using a two-deck version of Children's Gambling Task administered to 3- and 4-year-old children. The main findings were that 4-year-old children displayed better decision-making performance than 3-year-olds. This effect was independent of developmental changes in inductive reasoning, language, and working memory. There were also sex differences in decision-making performance, which were apparent only in 3-year-old children and favored girls. Moreover, age predicted awareness of task and the correlation between the latter and decision-making performance was significant, but only in 4-year-old children. This study thus indicates that there is a remarkable developmental leap in affective decision making, whose effects are apparent around the age of 4, which according to our results, also marks the age when the correlation of declarative knowledge and decision-making performance becomes significant.     

Resource-dependent effects during sex categorization

The limited capacity of face perception resources in the left cerebral hemisphere was examined using a sex categorization task. One study tested the hypothesis that sex categorization is impeded whenever feature extraction resources in the left hemisphere are simultaneously being utilized by another task. This hypothesis was tested by presenting prime faces for either 32 ms or 320 ms to either the left or right visual-field just before centrally presented target faces were categorized by sex. Results showed that sex categorization was slower after prime faces were presented for 32 ms in the right visual-field compared to the left visual-field. This difference was not found after the 320 ms prime length. The results are interpreted in the context of a neurocognitive model of social perception and suggest that efficient sex categorization depends, in part, on the availability of facial feature extraction resources in the left hemisphere.     

Effects of intertrial interval, orientation, and adaptation on orientation discrimination measured with a yes-no signal detection paradigm

This paper describes a performance measure of lateral dominance, the Target Tests, which provides separate assessments of manual speed and accuracy within a relatively simple paper-and-pencil format. The Target Tests were administered to 111 normal adults, and scores were examined with respect to handedness, familial left-handedness, and sex. The tests significantly differentiated between right- and left-handers. Target scores were substantially correlated with the Harris Tests of Lateral Dominance, suggesting adequate reliability and validity. The means, standard deviations, and ranges for the preferred and nonpreferred hands for both handedness groups were nearly identical. The Target Tests provide a convenient instrument for assessing motoric lateralization of speed and accuracy in clinical and research settings.     

Dimensions of perceived social support in clinically depressed and nondepressed female caregivers

The relationship between social support and depression was studied in 165 women caring for frail family members. The Arizona Social Support Interview Schedule (Barrera, Sandler, & Ramsay, 1981), which includes 4 dimensions of availability and use of resources and satisfaction with and need for support, was used to examine 7 categories of supportive activity. Depression was assessed according to Research Diagnostic Criteria (Spitzer, Endicott, & Robins, 1978) with the Schedule of Affective Disorders and Schizophrenia (Endicott & Spitzer, 1978). There were no differences in overall satisfaction with received support in comparisons of depressed and nondepressed caregivers. However, depressed caregivers (n = 87) reported a higher incidence of negative interactions with others. Both groups appeared to have equal access to social support, with nondepressed caregivers (n = 78) reporting significantly greater use of those resources.     

An experimental evaluation of tokens as conditioned reinforcers in retarded children

Since the publication of experimental reports by Wolfe (1936) and Cowles (1937), that tokens could be established as conditioned reinforcers, many accounts have appeared on the implementation of token systems in human subjects. Tokens have been successfully used as prosthetic motivational devices in a great variety of situations and subjects, such as retarded children (Birnbrauer, Wolf, Kidder and Tague, 1965), adult psychotics (Ayllon and Azrin, 1969), delinquent children and adolescents (Tyler, 1967; Phillips and Wolf, 1968), low achievers in schools (Clark, Lachowicz and Wolf, 1968), emotionally disturbed children (Hewett, Taylor and Artuso, 1969) and in normal classroom settings (O'Leary, Becker, Evans and Saudargas, 1969). In these reports, administration of tokens usually produced an increase in the frequency of desirable social and productive behavior. However, none of these studies showed that the effect of the tokens depended on their role as conditioned reinforcers based on the standard exchange systems being used. No assessment was provided about the separate contribution of the social reinforcement operations involved in dispensing tokens in a social setting.A suggestion about the possible confounding effects of social reinforcement in token administration comes from the failure to establish token systems in subjects who are partially unresponsive to social reinforcement (Hamblin et al., 1970; Ribes and Souza e Silva, in preparation). The present research was conducted with the aim of isolating the effects of conditioned reinforcement as such—apart from those produced by the social reinforcement provided in the delivery of tokens.     

Contextual Competence: Multiple Manifestations Among Urban Adolescents

The authors develop and validate multidimensional and contextual profiles of competence among low-income, urban, middle adolescents (N = 560). The assessment of contextual competence was based on youth self-reports of involvement, performance, and relationship quality in the peer, school, athletic, employment, religious, and cultural contexts. A principal components analysis of these engagement indices revealed the six expected components with the addition of a component labeled self-in-context. To identify holistic, multidimensional profiles of contextual competence, scores along the seven domains were cluster analyzed. Nine clusters emerged, each representing a distinct constellation of youth experience. Profiles were associated with demographic variables and youth adjustment. Profiles reflecting high engagement in two or more contexts predicted higher self-esteem and lower depression. In contrast, profiles marked by high engagement in the contexts of athletics or employment predicted more serious delinquency. The authors discuss the implications of these findings for future research and intervention.