Evaluating the Effectiveness of a Group CBT for Parents of ADHD Children

Improvements in parenting skills do not necessarily lead to improvements in child and parent outcomes for children with attention deficit and hyperactivity disorder (ADHD). Cognitive factors such as parental cognitions and parenting self-efficacy may influence such outcomes. Clinical research on the effects of cognitive-behaviour therapy (CBT) on parental cognitions, parenting self-efficacy and mental health in Chinese parents of children with ADHD is lacking. This quasi-experimental study intended to assess the effects of a culturally attuned group CBT treatment on the mental health and quality of life of Chinese parents aged 26–58 years, with children with ADHD in Hong Kong. Participants in the experimental group received group CBT and standard treatment and their counterparts in the control group received standard treatment. Primary outcome variables of mental health and quality of life and process variables including parenting stress, parenting efficacy and dysfunctional attitudes were measured at baseline, post-treatment and 3-month follow-up. Data were analysed using 2?×?3 ANCOVAs, Cohen’s d statistics and multiple mediation analyses. Group by time interactions were found for most outcome variables. Effect size statistics indicated that group CBT had small to moderate effects on most outcome variables at post-treatment and follow-up assessments. The effect of CBT on mental health was mediated by the reduction in parenting stress and the effect of CBT on quality of life was mediated by the reductions in parenting stress and dysfunctional attitudes. Given its potential benefit, it is worth considering incorporating this group CBT programme into interventions for Chinese parents with ADHD children.     

Prisonomics and the use of psychotropic drugs on incarcerated offenders: ethical considerations

The authors discuss the ethical considerations involved in using psychotropic medications with incarcerated offenders. Medications cannot be used as tool of oppression. Medication cannot be used to justify overpopulation, to quietly terminate prisoners, and must be administered by licensed health professionals. There must be informed consent.     

Correlates of motives for suicide

Analysis of a large sample of suicide notes from 262 suicides in Australia showed separated/divorced suicides and suicides who abused alcohol were more likely to give love/romance as a precipitant for suicide while those who used gas (natural or car exhaust) were more likely to give depression and guilt as a motive.     

MORE ON THE STRUCTURE OF MALE ROLE NORMS

This study assessed the structure of a widely used measure of masculinity ideology, the Male Role Norms Scale (Thompson & Pleck, 1986), using data from four samples of male college students (total N= 656) at two large, public universities (one Midwestern, one Eastern-Central). Exploratory factor analysis suggested a four-factor model best fit the data in the exploratory sample (sample 1; N = 210). The four factors were Status/ Rationality, Antifemininity, Tough Image, and Violent Toughness. A series of confirmatory factor analyses on a validation sample (samples 2, 3, and 4; N = 446), tested four models based on theory (i.e., Brannon, 1976) and previous research (i.e., Thompson & Pleck, 1986). Results from Study 1, our exploratory analysis, indicated that the four-factor model derived from the exploratory sample in Study 1 provided the best fit for the validation sample data of all models tested and also provided a good fit in absolute terms, according to several model-data fit indices. Implications for the assessment of masculinity ideology and suggestions for future research are discussed.     

Predictors of Family Functioning Among Clergy and Spouses: Influences of Social Context and Perceptions of Work-Related Stressors

We wished to identify predictors of family functioning from models including perceptions of stresses associated with mobility, financial compensation, intrusiveness to family boundaries, expectations on time demands, and the lack of social support. Data were collected from 136 randomly selected couples from six denominations in which husbands were clergy. Participants completed a survey that included the Clergy Family Life Inventory which assessed perceptions of five work-related stressors and the Self Report Measure of Family Functioning scale which measured 12 dimensions of family functioning. Separate regression models were tested for husbands and wives and these analyses indicated that no single stressor seemed influential for all 12 dimensions of family functioning. However, for both husbands and wives, family boundary intrusiveness, lack of social support, and mobility stresses influenced their competence in numerous areas of family functioning. In addition, husbands and wives experienced similar effects of stress among several dimensions of family functioning (e.g. enmeshment, family organization, democratic family atmosphere expressiveness).     

Social stress and community psychology

Two questions that embarrass community psychologists are: "What do community psychologists do?" "What's the difference between community psychology and clinical psychology?" A conceptual model is proposed to help to find answers to these questions. The model describes a process whereby psychosocial stress leads to psychopathology. The argument is developed that the apparently disparate activities of community psychologists are uniformly directed at undermining the stress process but, given the complexity of this process, vary because they tackle it at different points.     

Personal versus situational determination of anticipation and control of the occurrence of stressful life events

A wide variety of laboratory and clinical studies have indicated that stressful events are most harmful when they are perceived as uncontrollable. However, these studies diverge on the question of whether perceptions of control of stressful events are determined by environmental contingencies associated with the events or by a stable expectancy of the perceiver. In a community study 118 respondents were asked to report stressful life events experienced in the last year and were then asked to what extent they anticipated and controlled the occurrence of each event. Data were collected in two waves 1 year apart. Analysis of the reliability, within each wave, of perceptions of control does not indicate a strong personal expectancy effect. It does show some evidence of environmental determination of perceptions, but this result is not consistent on the two waves. These results are interpreted in relation to the issue of ways of reducing harmful effects of stressful life events.