Caregiving Burden and Parent–Child Quality of Life Outcomes in Neurodevelopmental Conditions: The Mediating Role of Behavioral Disengagement

The aim of this study was to analyze the direct and indirect effects, via parents’ behavioral disengagement coping, of caregiving burden on the quality of life (QL) of parents and their children with neurodevelopmental conditions. Self-completion questionnaires on the target variables were administered to a sample of 156 parents who had a child with a neurodevelopmental condition, namely epilepsy (n = 65) and cerebral palsy (n = 91). Structural equation modeling was used to test a mediation model and ascertain direct and indirect effects among study variables. Significant direct effects of caregiving burden on parents’ and their children’s QL were found. Additionally, caregiving burden had a significant indirect effect on parents’ QL, via behavioral disengagement, but not on their children’s QL. Finally, this model was found to be invariant across conditions and patients’ age groups. Caregiving burden may be elected as a strategic intervention target to improve parent–child QL outcomes in neuropediatric settings. Parents should be encouraged to avoid or reduce behavioral disengagement coping in relation to their caregiving stress, and alternatively adopt active coping strategies that may positively affect their children’s QL and impede or attenuate the deleterious effects of caregiving burden on their own QL.     

On predicting others’ words: Electrophysiological evidence of prediction in speech production

The present study investigated whether lexical processes that occur when we name objects can also be observed when an interaction partner is naming objects. We compared the behavioral and electrophysiological responses of participants performing a conditional go/no-go picture naming task in two different conditions: individually and jointly with a confederate participant. To obtain an index of lexical processing, we manipulated lexical frequency, so that half of the pictures had corresponding names of high-frequency and the remaining half had names of low-frequency. Color cues determined whether participants should respond, whether their task-partner should respond, or whether nobody should respond. Behavioral and ERP results showed that participants engaged in lexical processing when it was their turn to respond. Crucially, ERP results on no-go trials revealed that participants also engaged in lexical processing when it was their partner’s turn to act. In addition, ERP results showed increased response inhibition selectively when it was the partner’s turn to act. These findings provide evidence for the claim that listeners generate predictions about speakers’ utterances by relying on their own action production system.     

Therapeutic activities and the assimilation model: A preliminary exploratory study on the Insight stage

The assimilation model describes the process of change assuming that the self is enriched when there is a dialogue between nondominant voices or problematic experiences and the dominant voices. This dialogue is best seen in the Insight stage. The aim of this paper is to study the Insight stage during the assimilation process in relation to the main therapeutic activities performed by the therapist. All the Insights from the assimilation process of a patient, María, were analysed. In assimilation terms, María could be described through the nondominant voices of “dizziness,” “tiredness,” and “inability to cope with daily demands,” and through the dominant voices of “control,” “overcome and solve,” and “why something is happening.” María showed a successful assimilation of her problematic experiences. The therapeutic context was the Linguistic Therapy of Evaluation (LTE), a kind of cognitive therapy based on the theory of General Semantics. María was considered a good outcome case in the LTE sample. Results showed that there were some general therapeutic activities related to these Insights. A high percentage of activities pointed to one of the main issues of LTE: the development of an extensional orientation. At the same time, some of these activities were related to María’s voices. Results are discussed in relation to the relevance of the development of an extensional orientation for the assimilation process; how voices are recognized or challenged in therapy, and to the importance of considering relationship issues during the assimilation process.     

What messages can foster safer sex among young women? Experimental evidence concerning the role of emotions and moral norms

Through a 2 × 2 × 2 quasi experimental design (N = 254), this research investigated if a social campaign eliciting positive emotions and activating moral norms might enhance condom negotiation skills, intended and estimated condom among young women with or without past sexual experience with casual partners. Emotions had a main effect on one of the six condom negotiation strategies we considered; for most of the other variables an interaction effect with moral norms and/or past behaviour emerged. Concerning estimated condom use, positive emotions worked better than negative ones when moral norms were salient. With respect to negotiations skills, positive rather than negative emotions seemed more effective for women with past causal sexual experience. In women without this kind of experience, positive emotions seemed to work better when moral norms were salient. Moral norms had a main effect on negotiation self-efficacy, but not in the predicted direction: when moral norms were more salient women were found to be less confident about their negotiation ability. These results suggest that a message which makes moral norms salient should at the same time elicit positive emotions in order to be effective; moreover, messages should be carefully tailored according to women’s past behaviour.     

Stress in remote work: two studies testing the Demand-Control-Person model

The popularity of remote work continues to rise, but uncertainty remains about how it influences employee well-being. We extend the Demand-Control-Person (DCP) model to test both person and job factors as important considerations in remote work, suggesting that emotional stability influences the utility of autonomy as a job resource in protecting employees from strain. Additionally, we test self-determination theory (SDT), positioning need satisfaction for autonomy, relatedness, and competence as mechanisms explaining the relationship between remote work and strain. In two field studies, high–emotional stability employees reporting high levels of autonomy experienced the lowest levels of strain, with negative relationships between extent of remote work and strain. In contrast, low–emotional stability employees who also have high autonomy appear more susceptible to strain, and this may increase when they work remotely more often. Our multilevel structural equation modelling revealed that high–emotional stability employees with high autonomy appear best positioned to meet their needs for autonomy and relatedness, even when remote work is more frequent; these in turn reduced the likelihood of strain. Thus, our results support the DCP and SDT models, revealing theoretical and practical implications for designing and managing remote work arrangements.     

DEVELOPMENT OF THE PARENT‐CHILD PLAY SCALE FOR USE IN CHILDREN WITH FEEDING DISORDERS

The Parent‐Child Play Scale was developed as a scale that complements the Parent‐Child Feeding Scale, created by I. Chatoor et al. (1997), to evaluate mother–infant/toddler interactions in two different caregiving contexts of a young child's everyday life, specifically play and feeding. This Play Scale can be used with infants and toddlers ranging in age from 1 month to 3 years and provides reliable global ratings of mother–child interactions during 10 min of videotaped free‐play in a laboratory setting. The scale consists of 32 mother and infant/toddler interactive behaviors which are rated by trained observers from videotaped observations. Four subscales are derived: Dyadic Reciprocity, Maternal Unresponsiveness to Infant's/Toddler's Cues, Dyadic Conflict, and Maternal Intrusiveness. Construct validity and interrater and test‐retest reliability of the Play Scale have been demonstrated. This Play Scale discriminates between children with and without feeding disorders as well as between children with different subtypes of feeding disorders as defined by the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, Revised (DC:0–3R) (Feeding Disorder of State Regulation, Feeding Disorder of Caregiver‐Infant Reciprocity, and Infantile Anorexia). It can be used for research or clinical practice in the diagnosis and treatment of early feeding problems, to assess the pervasiveness of mother–infant/toddler difficulties and to monitor changes following therapy.     

‘Journey in the world of professions and work’: A career intervention for children

A structured ten-unit training was devised to stimulate some career adaptability resources such as optimism and hope toward the future, curiosity, career exploration, and occupational knowledge in children. Ten classes, for a total of 154 children (79 boys and 75 girls) with a mean age of 10.65 years (SD = 1.24), were randomly assigned to either the experimental, who was the focus of the intervention, or control group. At post-test the experimental group held significantly more hope, optimism, curiosity, career exploration, occupational knowledge, information, planning, and time perspective than the control group. The pattern of effect sizes strengthens the idea that the training enhanced experimental participants’ some career adaptability resources.     

Efficacy of an adaptation of the Best Possible Self intervention implemented through positive technology: a randomized control trial

Best possible Self (BPS) is a positive psychological intervention based on positive future thinking. It has been shown to be effective in improving well-being and depressive symptoms over short periods of time. Positive technology is a scientific approach designed to increase well-being through Information and Communication Technologies. To assess the efficacy of the BPS implemented through a positive technology application in improving optimistic thinking, affect and depressive symptoms, during a one-month period, with two follow-ups one and three months later. Randomized, single-blind control trial. Central randomization was performed by an independent researcher using computer software to generate lists allocating participants to treatments. Recruitment was carried out through advertisements at two universities. Randomized participants were 78 young adults who were assigned to the e-BPS condition (n = 38) or to a control group (n = 40). Participants were asked to visualize their BPS each day using a Positive Technology Application. The Control condition consisted of thinking and writing about daily activities, also through technologies. Affect, future expectations, and depressive symptoms were measured in different time frames. 78 participants were analyzed using intention-to-treat analyses. Results showed that BPS was effective in improving future expectations measures and reducing depressive symptoms until the post-training. However, these effects were not maintained in the three-month follow-up period. This study indicates that BPS can be effectively adapted for implementation through positive technologies. Factors such as the variety of exercises and the instructions can play a role in maintaining the changes in the long term. Trial registration clinicaltrails.gov Identifier: NCT02321605.     

Spanish drivers' beliefs about speed. Speeding is a major issue of road safety

Extending and updating our knowledge concerning drivers' motivational and cognitive processes is of essential importance if we are to apply policies with long-lasting effects. This study presents data from a representative national survey analyzing the Spanish drivers' beliefs about speed, the risks of speeding, the degree of violation of speed-limits and the reasons for speeding. Results indicate that Spanish drivers rate speeding as a serious offence, yet not among the most dangerous ones. All in all, they claim to comply mostly with the speed limits. However, some interesting violation patterns emerge: observance is lower for generic speed limits according to road type (vs. specific limits shown by certain road signs), and particularly in motorways (vs. single carriageways and urban areas). Risk perception and reasons for speeding emerge as the main factors predicting the levels of speed violations reported. Results suggest that any effective intervention strategy should consider such factors, namely the link between speed, road safety, and drivers' specific reasons for speeding.