The Role of BIS Sensitivity in the Relationship Between Family Enmeshment and Child Anxiety

Previous work has demonstrated that three overarching vulnerabilities–genetic, environmental, and temperamental–contribute to the development of child anxiety. The purpose of our study was to assess: (a) the relationship between an environmental vulnerability, family enmeshment, and child anxiety; (b) whether parental anxiety accounts for this relationship; and (c) whether this relationship is mediated by levels of child Behavioral Inhibition System sensitivity, a highly persistent temperamental variable demonstrating positive associations with child anxiety. Our study included 38 Canadian parent–child dyads from an urban area, of which 33 children were Caucasian and 18 were girls. Children were aged 9 or 11 years (M = 10.21, SD = 1.07). Children completed measures of anxiety and sensitivity towards threat and parents completed measures of family enmeshment. The results supported a significant positive relationship between family enmeshment and child anxiety; parental anxiety did not account for this relationship; and the relationship was partially mediated by Behavioral Inhibition System sensitivity. Specifically, when the effect of Behavioral Inhibition System sensitivity was controlled for, the association between family enmeshment and child anxiety became non-significant. The results suggest that family enmeshment is associated with levels of child anxiety largely through the function of children’s sensitivity to threat. Enmeshed families may increase children’s susceptibility to anxiety through their effect on child temperament, specifically sensitivity to threat.     

Impact of Caregiver Factors on Youth Service Utilization of Trauma-Focused Cognitive Behavioral Therapy in a Community Setting

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an increasingly available evidence-based therapy that targets the mental health symptoms of youth who have experienced trauma. Limited research has examined how to engage and retain families in TF-CBT services in community settings. Using a mixed-methods approach, the goal of this exploratory study was to identify caregiver factors that impact youth enrollment and completion of community-delivered TF-CBT. The study included 41 caretakers of youth referred to therapy at a local child advocacy center following a forensic assessment substantiating youth trauma exposure. Caregiver factors examined include caregiver demographics, trauma exposure, and mental health symptomology. Results from multivariate logistic regressions indicate that caregivers reporting more children residing in the household were significantly more likely to enroll youth in therapy (OR 2.27; 95 % CI 1.02, 5.03). Qualitative analyses further explicate that parents with personal trauma or therapy experiences expressed positive opinions regarding therapy services for youth, and were more likely to enroll in or complete services. Findings suggest that caregivers with personal traumatic experience and related symptomatology view therapy as important and are more committed to their child receiving therapy. Future research on service utilization is warranted and should explore offering parental psychoeducation or engagement strategies discussing therapy benefits to parents who have not experienced trauma and related mental health symptomatology.     

Psychosocial Stimulation: A Qualitative Study on Kenyan Mother’s Motives and Challenges to Promote Children’s Development

Interventions designed to enhance the mental and socio-emotional development of children in low and middle income countries through improving psychosocial stimulation are the subject of national and international organizations research and programs. Before new interventions can be designed and tested in low income countries, it is important to understand what psychosocial stimulation mothers are already providing, how beliefs influence the stimulation used, and what challenges are faced by mothers when trying to do this. We aimed to find out what types of stimulation are being commonly used by mothers in Kenya, alongside exploring the beliefs and associated challenges in providing psychosocial stimulation. This is a qualitative study using focus group discussions held in Kisumu, a regional urban centre in Western Kenya, with 35 mothers caring for at least one child under the age of 5 years. Mothers in this study identified four key themes of commonly employed stimulation: singing, play, dancing and story-telling. A range of challenges were raised such as ensuring their child’s basic physiological needs were met, managing marital conflict, and trusting non-familial caregivers, with mothers concerned that their child may be mistreated through accidental or purposeful harm. Findings indicate that mothers in a low income country are faced with multiple challenges when trying to provide psychosocial stimulation for their child’s development. It is important to consider these results when designing an intervention for this setting.     

Staff Intervention and Youth Behaviors in a Child Welfare Residence

The aim of this study was to explore the bidirectional relationship between youth behaviours, more specifically opposition and aggression, and the types of interventions used by staff within a child welfare residential setting. Intervention forms were completed by staff after their interventions with youth. A total of 278 micro-interactions between staff and youth were coded from 84 forms. Generalised estimating equations were conducted controlling for past aggression during the intervention. Reminding youth of rules and using constraining methods were the interventions used with greater frequency when youth were oppositional or aggressive. These two interventions were also found to increase the odds of opposition and aggression among youth.     

Working memory and spatial judgments: Cognitive load increases the central tendency bias

Previous work demonstrates that memory for simple stimuli can be biased by information about the distribution of which the stimulus is a member. Specifically, people underestimate values greater than the distribution’s average and overestimate values smaller than the average. This is referred to as the central tendency bias. This bias has been explained as an optimal use of both noisy sensory information and category information. In largely separate literature, cognitive load (CL) experiments attempt to manipulate the available working memory of participants in order to observe the effect on choice or judgments. In two experiments, we demonstrate that participants under high cognitive load exhibit a stronger central tendency bias than when under a low cognitive load. Although not anticipated at the outset, we also find that judgments exhibit an anchoring bias not described previously.     

Improving Treatment Response for Paediatric Anxiety Disorders: An Information-Processing Perspective

Cognitive behavioural therapy (CBT) is considered the treatment of choice for paediatric anxiety disorders, yet there remains substantial room for improvement in treatment outcomes. This paper examines whether theory and research into the role of information-processing in the underlying psychopathology of paediatric anxiety disorders indicate possibilities for improving treatment response. Using a critical review of recent theoretical, empirical and academic literature, the paper examines the role of information-processing biases in paediatric anxiety disorders, the extent to which CBT targets information-processing biases, and possibilities for improving treatment response. The literature reviewed indicates a role for attentional and interpretational biases in anxious psychopathology. While there is theoretical grounding and limited empirical evidence to indicate that CBT ameliorates interpretational biases, evidence regarding the effects of CBT on attentional biases is mixed. Novel treatment methods including attention bias modification training, attention feedback awareness and control training, and mindfulness-based therapy may hold potential in targeting attentional biases, and thereby in improving treatment response. The integration of novel interventions into an existing evidence-based protocol is a complex issue and faces important challenges with regard to determining the optimal treatment package. Novel interventions targeting information-processing biases may hold potential in improving response to CBT for paediatric anxiety disorders. Many important questions remain to be answered.     

Flexible job search behaviour among unemployed jobseekers: antecedents and outcomes

The interest in flexible job search behaviour (FJSB) among unemployed jobseekers, i.e., the extent to which jobseekers also look for jobs that deviate from their studies and earlier work experience, has grown considerably in recent years. Yet, there is large disagreement on both its consequences and drivers. Career scholars as well as policymakers believe that FJSB is important for unemployed and can improve their employment prospects. However, evidence from human resource (HR) literature raises doubts whether FJSB can enhance re-employment success. Similarly, whereas the career literature links FJSB to positive attitudes, such as career adaptability, the HR literature suggests that people searching flexibly may feel pushed into this behaviour due to more negative reasons, like few labour market perspectives. The aim of this study is examining these opposing expectations. We focus on three FJSB types: flexibility with respect to pay/hierarchical level, skill use and commuting time. Hypotheses are tested using two-wave data with 672 unemployed. Results indicate, among others, that career-adaptable people are not inclined to search more flexibly. In addition, FJSB may in certain cases hamper people’s re-employment likelihood. People searching more flexibly also more often became underemployed and as such experienced a more negative job quality.     

Examining the Intensity and Frequency of Experience of Discrete Positive Emotions

Research into positive emotions has grown significantly over the last decade. This has focused typically on aggregate positive emotions, despite increasing evidence for differential outcomes from discrete positive emotions. We examined the intensity and frequency of experience of 50 discrete positive emotions in a sample of 500 participants. Results showed that the most frequently experienced positive emotions were Interested, Curious, Friendly, Amused and Positive. The most intensely experienced positive emotions were Happy, Optimistic, Friendly, Interested and Determined. Women scored higher than men on the frequency of experience of 12 positive emotions; men scored higher for Ecstatic only. Women scored higher than men on the intensity of experience of 6 positive emotions, whereas men scored higher on the intensity of experience of three positive emotions. Analyses with age showed findings broadly consistent with the U-curve of life satisfaction across the life span. The discussion focuses on how these data can inform and support future positive emotions research, and the importance of considering discrete positive emotions.     

The right to preventive health care

The right to health care is a right to care that (a) is not too costly to the provider, considering the benefits it conveys, and (b) is effective in bringing about the level of health needed for a good human life, not necessarily the best health possible. These considerations suggest that, where possible, society has an obligation to provide preventive health care, which is both low cost and effective, and that health care regulations should promote citizens’ engagement in reasonable preventive health care practices.