Promoting “Healthy Futures” to Reduce Risk Behaviors in Urban Youth: A Randomized Controlled Trial

There is increasing evidence of the interconnection between educational and health outcomes. Unfortunately wide disparities exist by both socioeconomic status and race/ethnicity in educational and vocational success. This study sought to promote urban youths’ career readiness as a way to reduce involvement in risk behaviors. Two hundred primarily African‐American youth (ages 14–21) were recruited from a pediatric primary care clinic. Youth randomized to the intervention received three motivational interviewing sessions focused around expectations and planning for the future. Baseline and 6‐month follow‐up assessments included measures of career readiness and risk behavior involvement (i.e., physical fighting, alcohol and marijuana use). At 6‐months, youth randomized to the intervention condition showed increased confidence in their ability to perform the behaviors needed to reach their college/career goals. Additionally, youth randomized to the intervention arm showed decreased fighting behavior (adjusted rate ratio: .27) and marijuana use (adjusted rate ratio: .61). Assisting urban youth in thinking and planning about their future holds promise as a way to reduce their involvement in risk behaviors. This study also demonstrated that motivational interviewing could be used to promote positive behaviors (i.e., career readiness).     

Educating Counselors to Practice Interprofessionally Through Creative Classroom Experiences

Interprofessional education is a creative endeavor that seeks to prepare health professionals to collaborate within and outside of their profession to better serve clients. This article reports on the experiences and attitudes of counselors-in-training toward this approach before and after a semester-long interprofessional course. Results from quantitative and qualitative assessments show changes in attitudes and readiness for interprofessional education and practice.     

Cognitive,emotional and social development in adolescents born to substance using women

The aim of this article is to investigate the long‐term developmental consequences of being born to a substance‐using mother, focusing on cognitive functions, attention, emotional and social development. The longitudinal sample comprised 48 adolescents aged 12–16 at the time of follow‐up assessments, which included the Wechsler Intelligence Scale for Children‐III, the Test of Everyday Attention for Children, The Tower of London test and the Strengths and Difficulties Questionnaire. The adolescents scored significantly lower than the norms on Wechsler's subtests and Full‐Scale IQ, and on The Everyday Attention test. There were few differences on the Strengths and Difficulties Questionnaire. The girls reported significantly more hyperactivity than the British norms, and the teachers reported higher impact scores in boys, compared to the British norms. Thus, the results on cognitive consequences of maternal substance use appear to be very substantial while the emotional and social consequences do not. The results suggest serious negative effects of substance exposure in utero on attention and cognitive functioning in general.     

Manualized Group Cognitive-Behavioral Therapy for Social Anxiety in At-Risk Mental State and First Episode Psychosis: A Pilot Study of Feasibility and Outcomes

Social anxiety has received scant attention in studies of schizophrenia and related psychoses. However, some data suggest it may be an obstacle to vocational and functional outcome. This pilot study investigated the feasibility of a group-based cognitive behavioral therapy (CBGT) to reduce social anxiety in those at risk for developing psychosis or in the early phase. Twenty-nine patients with first-episode psychosis (FEP) or at ultra high risk for developing psychosis or often referred to as at-risk mental state (ARMS) with comorbid social anxiety attended a CBGT intervention weekly for 14 weeks in 90-minute sessions. Baseline, post-treatment, and follow-up ratings of social anxiety were measured using the Social Interaction Anxiety Scale, the Social Phobia Inventory, and the Brief Social Phobia Scale. Psychotic symptoms and general psychopathology were also measured before and after the intervention. Results suggest that the proposed CBGT is feasible and beneficial for socially anxious patients at risk, or with experience of, psychosis. Participants significantly improved on three outcome measures of social anxiety after completing this intervention (all p’s < .002). Participants who completed treatment also showed a significant reduction on measures of depression and negative symptoms. Future research should examine the relative efficacy of this brief manualized CBGT intervention for the treatment of social anxiety and psychotic symptoms in a larger randomized controlled trial.     

Parental Discipline,Child Inhibitory Control and Prosocial Behaviors: The Indirect Relations via Child Sympathy

Journal of Child and Family Studies - Parents’ discipline and children’s inhibitory control are important predictors of children’s prosocial behaviors. Yet few studies have...     

Auditory mismatch negativity: detecting spectral contrasts in a modulated noise

The ability to detect sinusoidal spectral envelope from an unmodulated (flat) spectrum has shown a strong correlation with speech perception in quiet and noisy listening conditions in normal hearing, hearing-impaired, and cochlear implant users. In this study, the mismatch negativity (MMN) was collected from 10 normal-hearing adult listeners and used to determine if modulation detection thresholds derived electrophysiologically correlate with the psychophysically measured spectral modulation detection thresholds. MMNs were present for most participants with spectral contrasts of 10 and 20 dB, suggesting that the MMN may be a promising neurophysiologic measure of spectral envelope perception when nonbehavioral measures are desired.     

How does it feel? Workplace bullying,emotions and musculoskeletal complaints

The present study examines experienced emotions among self-labelled victims of ongoing workplace bullying and tests whether emotions mediate the relationship between exposure to bullying and health in the form of musculoskeletal complaints. A total of 1,024 employees from a Norwegian public transport company participated in the study, in which 116 self-labelled victims were identified. Ten positive and 10 negative emotions were measured (PANAS). The results showed significant differences in emotional experiences between victims and non-victims regarding all 10 negative emotions and one out of 10 positive emotions. Victims felt less "interested" and more "afraid," "upset," "angry," "guilty," "nervous," "hostile," "frustrated," "ashamed," "scared" and "stressed" than did non-victims. Further, the results pointed to both positive and negative emotions as mediators of the relationship between exposure to bullying and musculoskeletal complaints. In particular the negative emotion "stress" acted as a significant mediator regarding this relationship. Hence, emotions seem to be central to understanding the detrimental effects of bullying on the victims' health.     

Embodied perception of reachable space: how do we manage threatening objects?

This study aimed at determining whether the size of reachable space is affected by the level of danger of some everyday manipulable objects. Two possibilities are examined: Dangerous objects affect the size of reachable space because of long-term semantic knowledge of their potential hurtful value or the on-line relation between objects’ dangerous attributes and the body. The experimental paradigm combined the danger value (dangerous/not dangerous) and the orientation of objects (e.g. pointing away from/towards the perceiver). Reachability judgments measured the size of peripersonal space, and perception of objects’ danger was estimated through questionnaires. Results revealed that, whatever the estimated level of objects’ danger, the extent of peripersonal space was reduced when the threatening part of dangerous objects was oriented towards participants, not when oriented away. This suggests that the characteristics of the here and now body-objects interaction are crucial in affecting the boundary of peripersonal space.     

Formula: see text]Substance exposure in utero and developmental consequences in adolescence: A systematic review

Background: The impacts of maternal substance use have been observed in both research and clinical experience. Several studies have shown that preschool children are at heightened risk of developing various cognitive, behavioral, and socioemotional difficulties. Most knowledge has been generated concerning alcohol consumption during pregnancy and the postnatal effects thereof. Less is known about substance use other than alcohol (for instance, opiates, marijuana, and cocaine) during pregnancy and the long-term developmental consequences. Objective: The aims of this review are to identify relevant published data on adolescents who have been exposed in utero to alcohol and/or other substances and to examine developmental consequences across functions and mental health at this point in life. Methods: PubMed, Embase, and PsychInfo were searched for publications during the period of 1980-2011 and titles and abstracts selected according to prespecified broad criteria. Results: Twenty-five studies fulfilled all of the specific requirements and were included in this review. Most research covered prenatal alcohol exposure. Other substances, however, included cocaine, marijuana, opiates, and poly-substances. Results showed that prenatal exposure to alcohol has long-term cognitive, behavioral, social, and emotional developmental consequences depending on amount and timing of exposure in utero. Less evidence exists for long-term consequences of exposure in utero to other substances than alcohol. However, recent brain-imaging studies have provided important evidence of serious effects of other substance exposure on the developing brain and recent follow-up studies have found an association with deficits in language, attention, areas of cognitive performance and delinquent behavior in adolescence.