The Reliability and Validity of a Brief Self-Report Questionnaire to Screen for Mental Health Problems: The Health Dynamics Inventory

Mental health problems are underrecognized in medical settings, leading to inadequate treatment. The present paper describes the development of the Health Dynamics Inventory (HDI), a brief, self-report questionnaire developed to evaluate mental health functioning. The HDI was written to evaluate the three aspects of mental disorders as described in the Diagnostic and Statistical Manual of Mental Disorders (DSM): (1) the experience of emotional or behavioral symptoms; (2) emotional distress; and (3) psychosocial impairment. This study evaluated the psychometric properties and construct validity of its items, scales, and subscales. Results indicated that the items distinguish patients from nonpatients, that the instrument's scales and subscales are reliable, and that the scales and subscales discriminates between persons with mental health concerns or diagnosable problems and those without such concerns or problems. The utility of the instrument for screening mental health problems in primary care settings is discussed.     

Few Preschool Boys and Girls with ADHD are Well-Adjusted During Adolescence

To estimate the prevalence of being well-adjusted in adolescence, boys and girls with (n = 96) and without (n = 126) attention-deficit/hyperactivity disorder (ADHD) were assessed seven times in eight years starting when they were 4–6 years of age. Symptoms of ADHD, ODD/CD, and depression/anxiety in addition to social skills and social preference were gathered using multiple methods and informants. Being well-adjusted was defined by surpassing thresholds in at least four of the five domains. At the 7- and 8-year follow-up, when youth were 11–14 years old, probands were significantly less likely to be well-adjusted relative to age- and ethnicity-matched control children. Only a minority of children with ADHD was well-adjusted in adolescence when emotional, behavioral, and social domains were considered simultaneously. Even when their ADHD symptoms improved over time, most probands exhibited significant impairment 7–8 years after their initial assessment.     

Maternal Characteristics Associated with Television Viewing Habits of Low-Income Preschool Children

Few studies have examined maternal characteristics associated with heavy or inappropriate television viewing on the part of their children. We investigated the relationship between children’s television viewing habits and maternal depressive symptoms and parenting beliefs. The participants were 175 low income children (mean age = 62.1 months) and their mothers who participated in a larger national study of Early Head Start eligible children. Our sample included families from two predominantly rural sites. Mothers completed a survey about the amount of time their children spend watching television during the week and on the weekend, and the types of programs they watch, as well as questionnaires related to maternal depression and parenting attitudes. According to mothers’ report, most of the young children in our sample exceeded the total viewing time recommended by the American Academy of Pediatrics (maximum 2 h per day), and the majority watched at least some programming designed for adult audiences. Maternal depressive symptoms and beliefs about parenting were associated with heavier viewing on the part of the child, as well as with viewing of age-inappropriate content.     

Prevalence of Child and Adolescent Exposure to Community Violence

Emerging as one of the most significant health issues facing American youth today, child and adolescent exposure to community violence has generated much interest across multiple disciplines. Most research to date has focused on documenting the prevalence of community violence and the emotional and behavioral ramifications. This paper provides an overview of the current literature regarding prevalence of youth exposure to community violence, and identifies those areas where further research is warranted. In addition to examining overall rates of community violence exposure, this paper reviews the prevalence of different types of community violence, such as weapon use, physical aggression, and crime-related events. Predictors of community violence exposure, including gender, age, race, socioeconomic status, behavior patterns, and geography, are discussed.     

Amie Thomasson's Easy Approach to Ontology

Philosophers have long debated whether abstract objects such as numbers and properties exist, but in recent years philosophical debate about what things exist has been ratcheted up more than a notch to question whether even ordinary objects such as pineapples and tables exist. One view has it that all existence questions are difficult questions whose answers hang on achieving an ontological theory that succeeds in carving nature at its joints. Some proponents of this view further claim to have succeeded in that carving, even without the benefit of any instrument sharper than the a priori arguments conjured in their armchairs, and to have discovered, alas, that no ordinary concrete objects exist. Naturally, many of us have been made to wonder what premise in the argument for that conclusion enjoys a plausibility greater than that of the negation of the argument's conclusion. In her remarkable new book, Ontology Made Easy, Amie Thomasson strives to do much more than that in defense of common‐sense ontology. But not only for common‐sense ontology. She propounds a unified approach to all existence questions—whether about the existence of dogs, shoes or tables, or about the existence of numbers, propositions or fictional characters—according to which existence questions “are not deep and difficult subjects for metaphysical dispute, but rather questions to be resolved straightforwardly by employing our conceptual competence, often combining this with empirical investigations” (20). Thomasson calls her way of resolving existence questions the easy approach to ontology, and to that I now turn.