Cognitive Behavior Therapy for Women With Generalized Anxiety Disorder in the Perinatal Period: Impact on Problematic Behaviors

Generalized anxiety disorder (GAD) is the most frequently diagnosed anxiety disorder among women in the perinatal period (pregnancy to one year postpartum). Recent studies have examined the relationship between problematic behaviors and GAD symptoms. Studies in nonperinatal samples indicate that adults with GAD engage in avoidance and safety behaviors and these behaviors are associated with greater symptom severity. Little research has examined the use of problematic behaviors among pregnant or postpartum women. However, preliminary research suggests that these behaviors may have a negative impact on both anxious women and their children. Our aim was to examine the extent to which women with GAD in pregnancy or the postpartum engage in problematic behaviors and whether cognitive behavioral therapy is effective in reducing these behaviors. Fifty-eight women with GAD in pregnancy or postpartum were recruited from a larger clinical trial (Clinicaltrials.gov ID NCT02850523) evaluating the effectiveness of group-based cognitive behavioral therapy (CBGT) for perinatal anxiety disorders. The results indicated that women with perinatal GAD reported high levels of avoidance and safety behaviors and greater engagement in these behaviors was associated with higher levels of worry and related symptoms. CBGT was effective in reducing GAD symptoms and problematic behaviors and a bidirectional relationship was found between changes in worry and problematic behaviors during treatment. Limitations and future directions are discussed.     

Physical Activity Among Urban Children with Asthma: Does Sleep Matter?

Journal of Clinical Psychology in Medical Settings - The present study examined associations between sleep and physical activity among a diverse sample of 97 urban children (ages 7–9) with...     

“It Depends on What You Mean by ‘Disagree’”: Differences between Parent and Child Perceptions of Parent–Child Conflict

We examined a new structured interview of parent?Cchild conflict that assesses parent and child perceptions of behavioral conflict about daily life topics (e.g., doing chores, homework), and whether discrepancies exist on beliefs about these topics. In a sample of 100 parents and children ages 10 to 17?years (M?=?13.5?years, 52 males, 57?% African-American), informants could reliably distinguish between perceived behavioral conflicts and perceived discrepant beliefs about topics. These scores were also significantly related to questionnaire reports of parent?Cchild conflict. Parent and child questionnaire reports did not significantly differ, yet on the structured interview, parents reported significantly greater levels of perceived conflict and discrepant beliefs relative to child reports. Additionally, structured interview reports of conflict demonstrated incremental validity by relating to child self-reports of delinquent behaviors, when accounting for questionnaire conflict reports. The findings have implications for increasing understanding of the links between parent?Cchild conflict and psychosocial outcomes.     

An Experimental Test of Whether Informants can Report About Child and Family Behavior Based on Settings of Behavioral Expression

Researchers and practitioners conduct multi-informant assessments of child and family behavior under the assumption that informants have unique perspectives on these behaviors. These unique perspectives stem, in part, from differences among informants in the settings in which they observe behaviors (e.g., home, school, peer interactions). These differences are assumed to contribute to the discrepancies commonly observed in the outcomes of multi-informant assessments. Although assessments often prompt informants to think about setting-specific behaviors when providing reports about child and family behavior, the notion that differences in setting-based behavioral observations contribute to discrepant reports has yet to be experimentally tested. We trained informants to use setting information as the basis for providing behavioral reports, with a focus on parental knowledge of children’s whereabouts and activities. Using a within-subjects controlled design, we randomly assigned 16 mothers and adolescents to the order in which they received a program that trains informants to use setting information when providing parental knowledge reports (Setting-Sensitive Assessment), and a control program involving no training on how to provide reports. Relative to the control program, the Setting-Sensitive Assessment training increased the differences between mother and adolescent reports of parental knowledge, suggesting that mothers and adolescents observe parental knowledge behaviors in different settings. This study provides the first experimental evidence to support the assumption that discrepancies arise because informants incorporate unique setting information into their reports.     

Assessing the Incidence and Perceptions of Sexual Harassment Behaviors Among American Undergraduates

A nine-item scale of sexual harassment behaviors was developed and tested in a two-study sequence. In the first study, male and female college students with job experience rated the frequency with which they experienced these behaviors from both supervisors and co-workers. Revisions were made on the basis of these results, and the revised scale was administered to a different yet similar sample to measure the perceptions of each behavior as sexual harassment. Results of both studies showed a significant difference for the ratings of supervisor and co-worker behaviors.     

Transportation Across Media: Repeated Exposure to Print and Film

“Transportation into a narrative world” is a state of immersion into a story (Green & Brock, 2000 Green, M. C. and Brock, T. C. 2000. The role of transportation in the persuasiveness of public narratives. Journal of Personality and Social Psychology, 79(5): 701–721. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Transportation entails imagery, emotional response, and attentional focus. Two studies investigated whether transportation was affected by the medium of story presentation, especially when the narrative was experienced for a second time (e.g., watching the movie version of a previously read story). Study 1 (N = 88) showed that people who read a novel before viewing the film version were more transported into the film compared to nonreaders. In Study 2 (N = 71) participants came to the lab on two separate occasions to either read a passage or watch a movie clip. Reading followed by watching provided the greatest transportation. Furthermore, high need for cognition individuals were more transported when reading, whereas low need for cognition individuals were more transported when watching a narrative.     

Child Effortful Control as a Mediator of Parenting Practices on Externalizing Behavior: Evidence for a Sex-Differentiated Pathway across the Transition from Preschool to School

An explanatory model for children’s development of disruptive behavior across the transition from preschool to school was tested. It was hypothesized that child effortful control would mediate the effects of parenting on children’s externalizing behavior and that child sex would moderate these relations. Participants were 241 children (123 boys) and their parents and teachers. Three dimensions of parenting, warm responsiveness, induction, and corporal punishment, were assessed via maternal report when children were 3 years old. Child effortful control at age 3 was measured using laboratory tasks and a mother-report questionnaire. Mothers and teachers contributed ratings of child externalizing behavior at age 6. Results showed that the hypothesized model fit the data well and that the pattern of associations between constructs differed for boys and girls. For boys, parental warm responsiveness and corporal punishment had significant indirect effects on children’s externalizing behavior three years later, mediated by child effortful control. Such relations were not observed for girls. These findings support a sex-differentiated pathway to externalizing behavior across the transition from preschool to school.     

Visuospatial memory and phonological loop in learning from multimedia

The dual‐task paradigm was used to show how visuospatial working memory and the phonological loop are involved in processing scientific texts and illustrations presented via computer. In experiment 1, two presentation formats were compared: text‐only and text‐with‐illustrations. With a concurrent tapping task, the beneficial effect of illustrations disappeared, while a concurrent articulatory task impaired performance similarly in both presentation formats. An analysis of individual differences revealed that this pattern of results was present in high, but not low spatial span subjects. These results support the selective involvement of visuospatial working memory in processing illustrated texts. In Experiment 2, the text‐only presentation format was compared to an illustrations‐only format. The concurrent articulatory task selectively impaired text‐only processing, compared with processing illustrations‐only. In addition, this pattern of results was found for high, but not low digit span subjects. These results suggest that individual differences define the extent to which the two subsystems of working memory are involved in learning from multimedia. These two subsystems would be mainly involved in the maintenance of a visual trace of illustrations and of a verbatim representation of linguistic information respectively, these representations being the basis for higher‐level comprehension processes. Copyright © 2002 John Wiley & Sons, Ltd.     

Working-memory capacity and reading comprehension in young and older adults

Summary This study investigates the role of working-memory capacity in reading comprehension in young and older subjects. A task yielding separate measures for processing and storage components was used to assess working-memory capacity. A French version of the Nelson-Denny test was administered as a measure of abilities that underlie reading comprehension. In the working-memory task, recall performances were lower in older subjects. Nevertheless, the intercorrelations suggested that the age-related impairment was probably linked to the processing component. Mean scores on the reading-comprehension test did not differ between groups. However, scores were correlated with processing time on the working-memory task in younger subjects, but with storage capacity in older subjects.