Perceptions of Stress,Coping, and Intervention Preferences among Caregivers of Disadvantaged Children with Asthma

Asthma remains the most prevalent chronic illness among children. Despite the substantial body of literature examining children with asthma, few studies have examined parents’ perspectives of the condition and experiences of caregiver stress. Parents of children with chronic illnesses experience elevated stress and may have limited opportunities to cope with complex emotions while caring for children with asthma. Drawing from focus groups and interviews with African American and Hispanic parents of children with asthma, this qualitative study was conducted as part of a patient-centered engagement process to inform the refinement of an intervention aimed at reducing stress among parents of children with asthma. All data were transcribed and underwent three waves of inductive analysis. The content analysis indicated that the unpredictable nature of asthma and the caregiving burden associated with managing children’s asthma contributed to parents’ stress, and external contexts compounded the impact of these stressors. Parents also reported having difficulty identifying how they coped with stress and employed approaches to coping with stress that they applied intermittently but encountered several barriers to enacting known or available coping strategies. Analyses also revealed that parents desired a multimodal stress reduction intervention that emphasized building relationships, allowed for flexibility, and encouraged staff-parent communication. Whereas African American and Hispanic parents’ experiences of stress and coping strategies were similar, their preferences differed in regards to incorporating technology into the intervention, the credentials of facilitators, and the salience of language preferences. Understanding the complexities of stressors facing caregivers is important for developing interventions to support parents and children coping with asthma, and in particular when working with families from diverse backgrounds.     

Emotion Regulation and Attachment: Unpacking Two Constructs and Their Association

This study examined the association between the security of attachment and processes influencing the development of emotion regulation in young children. A sample of 73 4 1/2-year-olds and their mothers were observed in an emotion regulation probe involving mild frustration for children, and mothers and children were later independently interviewed about how the child had felt. Fewer than half the mothers agreed with children’s self-reports in the emotion they attributed to children (a lower rate than the concordance of observer ratings with children’s self-reports), and higher mother-child concordance was associated with secure attachment and mother’s beliefs about the importance of attending to and accepting their own emotions. Mother-child conversations about recent events evoking children’s negative emotion were also analyzed. Children were less likely to avoid conversing about negative feelings when they were in secure attachments and when mothers were more validating of the child’s perspective. Children’s greater understanding of negative emotions was also significantly associated with higher mother-child concordance and less child conversational avoidance. Taken together, these findings underscore the multiple influences of attachment on emotion regulation and the importance of children’s emotion understanding to these processes.     

Threat interpretation bias as a vulnerability factor in childhood anxiety disorders

The present study examined threat interpretation biases in children 7-12 years of age with separation, social and generalised anxiety disorders (N=15), non-anxious offspring at risk due to parental anxiety (N=16) and non-anxious controls of non-anxious parents (N=14). Children provided interpretations of ambiguous situations to assess cognitive, emotional and behavioural responses. In comparison with non-anxious control children and at-risk children who did not differ from each other, anxious children reported stronger negative emotion and less ability to influence ambiguous situations. These results suggest that threat interpretation bias may be a cognitive factor associated with ongoing childhood anxiety but not a vulnerability factor associated with parental anxiety.     

Effects of language experience on the perception of American Sign Language

Perception of American Sign Language (ASL) handshape and place of articulation parameters was investigated in three groups of signers: deaf native signers, deaf non-native signers who acquired ASL between the ages of 10 and 18, and hearing non-native signers who acquired ASL as a second language between the ages of 10 and 26. Participants were asked to identify and discriminate dynamic synthetic signs on forced choice identification and similarity judgement tasks. No differences were found in identification performance, but there were effects of language experience on discrimination of the handshape stimuli. Participants were significantly less likely to discriminate handshape stimuli drawn from the region of the category prototype than stimuli that were peripheral to the category or that straddled a category boundary. This pattern was significant for both groups of deaf signers, but was more pronounced for the native signers. The hearing L2 signers exhibited a similar pattern of discrimination, but results did not reach significance. An effect of category structure on the discrimination of place of articulation stimuli was also found, but it did not interact with language background. We conclude that early experience with a signed language magnifies the influence of category prototypes on the perceptual processing of handshape primes, leading to differences in the distribution of attentional resources between native and non-native signers during language comprehension.     

Verbal working memory and on-line syntactic processing: Evidence from self-paced listening

Two experiments investigated the relationship between performance on standard tests of verbal working-memory and the on-line construction of syntactic form. In Experiment 1, working-memory was measured in 100 college students on a version of the Daneman and Carpenter (1980) reading-span task, and online syntactic processing was assessed using a self-paced listening task with four sentence types. In Experiment 2, working-memory was measured in 48 college students on two versions of the reading-span task and two other tests of verbal working-memory, and on-line syntactic processing was assessed using the self-paced listening task with an additional sentence type. In both experiments, there was no relationship between working-memory capacity and the increase in processing time seen for the on-line construction of syntactic form for either syntactically more complex or syntactically simpler sentences. The results indicate that the capacity of the working-memory system that is measured by standard working-memory tests does not determine the efficiency of on-line syntactic processing. They are consistent with the view that the working-memory system used for parsing is at least partially separate from that measured by traditional measures of working-memory capacity.     

The experiential loci and sensory qualities of various emotions

Sixty-nine university students were asked to describe the sensations and to identify the loci of those sensations for 34 emotions. The methods of reporting were introspection, retrospection, and recollection. There was no evidence that any method was consistently better than the others. Also, there was no evidence that the reports given were the result of social or linguistic convention rather than reports of actual sensory experience. Cochran's Q test showed that, within each emotion, the kinds of loci cited differed significantly, and that for all but one locus, the frequencies for the emotions differed significantly. Principal component analysis showed six locus factors clustered on stomach, face, head, heart, hands-heart, and eyes. Although not distinctive for all emotions, there were characteristic patterns of sensory loci and sensory qualities as shown by high frequencies of citation. It is suggested that these loci and qualities are one of several components of experienced emotion. The results are seen as supporting subjective or phenomenological studies of emotion, and are discussed with special reference to facial feedback theories of emotion.This research was supported, in part, by a grant from the President's Research Fund of Simon Fraser University.     

The Use of Contextual Information Related to General World Knowledge by Right Brain-Damaged Individuals in Pronoun Resolution

This study investigated the ability of right brain-damaged individuals (RBD) to use contextual information to resolve ambiguous pronouns. Subjects were presented with sentence pairs and required to resolve the ambiguous pronoun in the second sentence. Contrary to the prevailing view that RBD patients have difficulty using contextual information to integrate language, the RBD group demonstrated a normal pattern of response, demonstrating a sensitivity to the pragmatic information contained in the leading sentence. They responded more quickly to sentences with a pragmatically constrained preferred referent than to those sentences for which there was no preferred referent. As well, they chose the preferred referent significantly more often than the non-preferred referent. These results suggest that RBD patients can use contextual information at the level of a minimal discourse (i.e., two sentences).     

Encoding variability and organization in free recall

Measures of category clustering and subjective organization are well-established predictors of performance in free recall tasks. The present studies demonstrate that a measure of encoding variability affords equally powerful and independent prediction of free recall performance. They also illustrate an interaction between encoding processes and organizational activity. In Experiments 1 and 2, the independent contributions of organization and encoding variability are demonstrated in categorizable and uncategorizable lists and in subjects whose recall is expected to increase (adults) or decrease (children) as a function of more varied encodings across trials. In Experiment 3, a category labeling procedure is used to demonstrate that the negative relationship between encoding variability and recall can be reversed by inducing adult-like organizational activity in children.