Current Status of Psychosocial Intervention Research for Pediatric Outpatient Surgery

We reviewed 20 published studies of psychosocial interventions (i.e., preoperative preparation, parental presence) for children undergoing outpatient surgical procedures. The effectiveness of different intervention strategies on child and parent outcomes is summarized. Few positive effects were found for any of the psychosocial interventions. However, only a small number of randomized controlled trials were conducted and many of the studies using quasi-experimental designs had significant methodological problems that limited the interpretation of their findings. Research recommendations are described such as strengthening methodological rigor, making intervention strategies relevant to outpatient surgery, and using developmentally appropriate intervention strategies.     

Attitudes of African Americans Toward Participation in Medical Research

The underrepresentation of African Americans in medical research is problematic for several reasons, including disparities in health outcomes, differences in metabolism of pharmacological agents, and accurate assessment of health needs and costs. This paper investigates factors contributing to African Americans' lower likelihood of consenting to participation in medical research. In Study 1, three focus groups were conducted to assess concerns about research participation and to generate further hypotheses for questionnaire development. Study 2 presented a hypothetical clinical trial and collected questionnaire data on attitudes about participation. Both studies revealed a greater likelihood to mistrust the medical establishment among African American students. However, suspicion did not contribute to a decreased likelihood of participation. Several recommendations are offered regarding the recruitment of African Americans in research.     

Peer influences on risk behavior: an analysis of the effects of a close friend

Cross-sectional research suggests that peer influence has a moderate to strong impact on adolescent risk behavior. Such estimates may be inflated owing to third-variable confounds representing either friendship selection effects or the operation of parallel events. Approximately 1,700 peer dyads in Grades 7 to 11 were studied over a 1-year period to estimate the influence of closest friends on sexual activity and binge drinking. Analyses suggested that peer influence was small but reliable when both selection effects and parallel events were taken into account. Peer influence varied as a function of individual-peer similarity and maternal relations but not in accord with other theoretical predictions. It is suggested that the magnitude of peer effects in previous research may be overestimated in many contexts.     

Resource scarcity and outcome conflict in time-sharing performance

The efficacy of the resource-scarcity and outcome-conflict views in explaining dual-task interference was examined. A discrete—continuous task pair was purposely chosen to allow fine-grained analysis of time-shared performance. The relative priority of the dual task was manipulated by a secondary task technique to test for performance tradeoff that would be indicative of resource allocation. The temporal predictability of the discrete stimuli was manipulated to examine possible strategic avoidance of interference. The moment-by-moment data did not reveal any evidence for a switching strategy. It was concluded that the intricate interference patterns could be more easily interpreted within the resource framework than within the outcome-conflict framework.     

Using a modified lag task to measure adult age differences in working memory

Four groups of adults, ages 40 to 70+ years, took the Modified Lag Task which requires that participants remember lists of words and subsequently recall the first, second, or third word from the end of the list. Previously, the task showed convergent validity with the operation span (a complex span measure) and a divergent validity with the digit span (a simple span measure). To establish predictive validity, the present study was designed to assess if this task could separate four age groups in working memory performance. The present study found support for the validity of the Modified Lag Task; however, additional research is warranted to further develop the construct validity of this task.     

Children’s first and second-order false-belief reasoning in a verbal and a low-verbal task

We can understand and act upon the beliefs of other people, even when these conflict with our own beliefs. Children’s development of this ability, known as Theory of Mind, typically happens around age 4. Research using a looking-time paradigm, however, established that toddlers at the age of 15 months old pass a non-verbal false-belief task (Onishi and Baillargeon in Science 308:255–258, 2005). This is well before the age at which children pass any of the verbal false-belief tasks. In this study we present a more complex case of false-belief reasoning with older children. We tested second-order reasoning, probing children’s ability to handle the belief of one person about the belief of another person. We find just the opposite: 7-year-olds pass a verbal false-belief reasoning task, but fail on an equally complex low-verbal task. This finding suggests that language supports explicit reasoning about beliefs, perhaps by facilitating the cognitive system to keep track of beliefs attributed by people to other people.     

Experiences of Support Staff with Expanding and Strengthening Social Networks of People with Mild Intellectual Disabilities

A supportive social network is crucial for facilitating social inclusion. The social networks of people with intellectual disabilities (ID) are often small and typically include very little contact with friends and acquaintances who do not have ID. Professionals can play an important role in strengthening and expanding the social networks of clients. In this study, experiences with interventions aimed at doing this were examined. Six group interviews were held with a total of 27 professionals. The results showed interventions to strengthen social networks (e.g. attention to the maintenance of contact with network members) and interventions to expand social networks (e.g. participation in leisure time activities and working with volunteers). However, a large number of impeding factors was mentioned, such as the limited size of the social networks, characteristics of the client, different perceptions and clients falling between the cracks when it comes to leisure time. The large number of impeding factors shows the strengthening and expansion of social networks to be complicated in actual practice. Recommendations are thus made to strengthen and expand the social networks of clients in an innovative manner which also takes these impeding factors into account. Copyright © 2013 John Wiley & Sons, Ltd.     

Academic achievement and behavioral health among Asian American and African American adolescents: testing the model minority and inferior minority assumptions

The present study tested the model minority and inferior minority assumptions by examining the relationship between academic performance and measures of behavioral health in a subsample of 3,008 (22 %) participants in a nationally representative, multicultural sample of 13,601 students in the 2001 Youth Risk Behavioral Survey, comparing Asian Americans (N = 408) and African Americans (N = 2,600). Specifically, the study examined associations of students’ self-reported grades with suicide risk, substance abuse, and violent behaviors. The findings revealed that high academic performance is a protective factor against behavioral health problems for both ethnic groups. The results raise questions about the focus on high achievement among Asian Americans versus academic underachievement among African Americans. Implications for theory, research, training and practice in addressing the mental health implications of achievement behavior in Asian American and African American youth are discussed.