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.     

Gami-Chunghyuldan ameliorates memory impairment and neurodegeneration induced by intrahippocampal Aβ 1-42 oligomer injection

Soluble oligomeric forms of amyloid beta (AβO) are regarded as a main cause of synaptic and cognitive dysfunction in Alzheimer’s disease (AD) and have been a primary target in the development of drug treatments for AD. The present study utilized a mouse model of AD induced by intrahippocampal injection of AβO (10 μM) to investigate the effects of Gami-Chunghyuldan (GCD), a standardized multi-herbal medicinal formula, on the presentation of memory deficits and neurohistological pathogenesis. GCD (10 and 50 mg/kg/day, 5 days, p.o.) improved AβO-induced memory impairment as well as reduced neuronal cell death, astrogliosis, and microgliosis in the hippocampus. In addition, GCD prevented AβO-triggered synaptic disruption and cholinergic fiber loss. These results suggest that GCD may be useful in the prevention and treatment of AD.     

Upgrading the science and technology of assessment and diagnosis: laboratory and clinic-based assessment of children with ADHD

Reviews the usefulness of clinic-based and laboratory-based instruments and paradigms for diagnosing attention deficit hyperactivity disorder (ADHD) and monitoring treatment effects. Extant literature examining the performance of normal children and those with ADHD on an extensive range of neurocognitive tests, tasks, and experimental paradigms indicates that particular types of instruments may be more reliable than others with respect to detecting between-group differences. We review task parameters that may distinguish the more reliable from less reliable instruments. The value of clinic-based and laboratory-based instruments for monitoring treatment response in children with ADHD is questionable when evaluated in the context of ecologically relevant variables such as classroom behavior and academic functioning. We present a general conceptual model to highlight conceptual issues relevant to designing clinic-based and laboratory-based instruments for the purposes of diagnosing and monitoring treatment effects in children with ADHD. Application of the model to currently conceptualized core variables indicates that attention and impulsivity-hyperactivity may represent correlative rather than core features of the disorder. We discuss implications of these findings for designing the next generation of clinic-based and laboratory-based instruments.     

Effects of repetition and response deadline on associative recognition in young and older adults

The present study examined the joint effects of repetition and response deadline on associative recognition in older adults. Young and older adults studied lists of unrelated word pairs, half presented once (weak pairs) and half presented four times (strong pairs). Test lists contained old (intact) pairs, pairs consisting of old words that had been studied with other partners (rearranged lures), and unstudied pairs (new lures), and participants were asked to respond "old" only to intact pairs. In Experiment 1, participants were tested with both short and long deadlines. In Experiment 2, the tests were unpaced. In both experiments, repetition increased hit rates for young and older adults. Young adults tested with a long deadline showed reduced (Experiment 1) or invariant (Experiment 2) false alarms to rearranged lures when word pairs were studied more often. Young adults tested with a short deadline and older adults tested under all conditions had increased false alarm rates forstrong rearranged pairs. Implications of these results for theories of associative recognition and cognitive aging are explored.     

Suicide ideation and its relationship to depressed mood in a community sample of adolescents in Hong Kong.

A sample of 996 Chinese adolescents in Hong Kong provided information about their suicide ideation. Their depressive symptoms were measured by the Chinese Beck Depression Inventory (C-BDI), and a broad range of stressors were also assessed as potential predictors to level of suicide ideation. The stressors and C-BDI scores predicted 33% of the variance in suicide ideation. In boys, most of the prediction was attributable to C-BDI scores, suggesting that depression mediated the effects of stressors. In girls, C-BDI scores, perceptions of low parental caring, and high conflict with parents had additive effects in predicting level of suicide ideation. This study contributes needed information about a non-Western population and highlights gender differences.     

Social comparison, individualism-collectivism, and self-esteem in china and the United States

Possible differences in social comparison choices between individualistic and collectivistic cultures and individuals were explored among a sample of 235 student participants from the United States and China, focusing on self-esteem as a possible mediating variable. A self-report social comparison measure was developed and factor analyzed. Correlations revealed that higher collectivism scores were associated with an increased desire to compare in general, an increased desire to make upward comparisons, and a decreased desire to make downward comparisons. It is speculated that upward self-improvement comparisons for the sake of the group may be more common for those high in collectivism.     

Vietnamese Amerasians: Predictors of Distress and Self-Destructive Behavior

There have been few empirical studies of Vietnamese Amerasians, children fathered by United States servicemen and civilians during the Vietnam War. In this study, the authors investigated pre- and postmigration variables that predict psychological distress and self-destructive behavior. The sample (N = 169) was selected from 10 cities throughout the United States. Multivariate regression analyses were used to determine the predictors of distress. Results revealed that observing traumatic events rather than actually experiencing trauma was a significant predictor of psychological distress. Participants with frequent cognitions about loss of significant people, places, or both were more likely to report psychological distress and self-destructive behavior. Implications for research and practice are discussed in relationship to cross-cultural counseling with at-risk populations, including individuals from inner cities and war-stricken environments.     

Resistance to Group or Personal Insults in an Ingroup or Outgroup Context

This experiment was designed to evaluate the effect of different types of insults in different social contexts on the victim's resistance to the attack. In a teaching exercise, which was purportedly measuring their intelligence, students were insulted for their incompetence by their teacher in various situations: when alone, in front of an ingroup member, or in front of an outgroup member. In half the cases this personal insult was augmented by one impugning the competence of the student's academic ingroup as well. Direct resistance showed a complex pattern of results, reflecting concerns about managing an impression of group loyalty and personal detachment. Measures of indirect resistance showed higher levels in the public, as opposed to the private contexts, and were conceptualised as reflecting esteem deflation. These results thus amplify and extend into the logic of a collectivist culture hypotheses (Felson, 1978) about aggression as impression management.     

Quantification of Conflicts of Interest in an Online Point-of-Care Clinical Support Website

Science and Engineering Ethics - Online medical reference websites are utilized by health care providers to enhance their education and decision making. However, these resources may not adequately...     

Relations between neighborhood factors, parenting behaviors, peer deviance, and delinquency among serious juvenile offenders

The present study examined relations among neighborhood structural and social characteristics, parenting practices, peer group affiliations, and delinquency among a group of serious adolescent offenders. The sample of 14-18-year-old boys (N=488) was composed primarily of economically disadvantaged, ethnic-minority youth living in urban communities. The results indicate that weak neighborhood social organization is indirectly related to delinquency through its associations with parenting behavior and peer deviance and that a focus on just 1 of these microsystems can lead to oversimplified models of risk for juvenile offending. The authors also find that community social ties may confer both pro- and antisocial influences to youth, and they advocate for a broad conceptualization of neighborhood social processes as these relate to developmental risk for youth living in disadvantaged communities.