Mental Health Services in Kentucky Nursing Homes: A Survey of Administrators

National surveys have shown that mental health problems are prevalent in long-term care and suggest that these settings are largely underserved by mental health services. Nursing home administrators are gatekeepers for mental health services in nursing homes. Administrators of Kentucky nursing homes were surveyed regarding their perceptions of mental health problems, current and future services use, satisfaction with services, and need for consultation. The response rate was 24%. Administrators appeared to underestimate mental health problems among residents. Most facilities were using at least one type of mental health service, but fewer residents received services than would be expected given the problem prevalence. Psychological services were underused, in spite of the fact that behavior management stood out as a major need. Psychiatry was more frequently used, but with less satisfaction. Results indicate significant financial and logistical barriers to mental health services. Future work is needed on developing, assessing, and disseminating models of effective service provision to long-term care.     

Assessing the quality of child investigative interviewing in the Netherlands

Using evidence‐based guidelines to interview children is an important means to obtain complete and accurate accounts. In the current study, we examined the quality of child investigative interviewing in the Netherlands. To examine this, we compared the Dutch Scenario Model with the National Institute of Child Health and Human Development Protocol and interviews from countries that did not follow a specific protocol. Our principal result was that Dutch child interviewers rarely asked recommended open prompts that are known to elicit detailed and accurate testimonies from children. Furthermore, we found that the scenario model contained the highest number of directive questions compared with interviews from other countries. Our findings show that the Dutch Scenario Model is not well aligned with current research‐based recommendations for interviewing children.     

The Five Minute Speech Sample as a Measure of Parent–Child Dynamics: Evidence from Observational Research

Use of the Five Minute Speech Sample in parenting research has become increasingly widespread in recent years, raising important questions about how it maps onto other more established methods for assessing parent–child dynamics. Given the historical emphasis on direct observation as a gold standard in such assessment, our aim was to examine associations between the Five Minute Speech Sample and direct observational coding of parent–child interactions, and to evaluate the assumption that the Five Minute Speech Sample reflects moment-to-moment exchanges between parents and children. A systematic search of three databases conducted identified 25 relevant studies (total N?=?2945 child participants). These studies focused largely on four distinct systems for coding the Five Minute Speech Sample, and reported on distinct developmental periods ranging from infancy (17 months) through to adolescence (17 years). In 20 of 25 studies, the Five Minute Speech Sample was significantly associated with observations of parent–child interactions. These associations were apparent in all age groups examined, yet findings for fathers were somewhat more mixed than mothers. Available evidence suggests that the Five Minute Speech Sample holds strong potential as a brief but richly informative tool for indexing parent–child dynamics—particularly affective dimensions of the parent–child relationship—in both research and clinical contexts.     

Gender Symmetry and Asymmetry in Violent Relationships: Patterns of Mutuality Among Racially Diverse Women

Three patterns of mutual intimate partner violence (IPV) are proposed, based on frequency and severity: Male primary perpetrator (MPP), female primary perpetrator (FPP), and symmetrical (SYM). Patterns and effects of ethnicity were examined with 445 African American, Euro-American, and Mexican American low-income women experiencing mutual IPV. More relationships were classified as MPP (54%) than SYM (35%) or FPP (11%). Comparing women's and men's perpetration of several types of IPV (e.g., threats, severe physical) indicated MPP-pattern women experienced all IPV types more often and were more likely to sustain injury than their male partners. Fewer gender differences were found in the FPP pattern. Racial/ethnic groups were more similar than different; previously reported differences may be explained by variation in socioeconomic status. The larger part of the study was funded by grant R49/CCR610508 from the National Center for Injury Prevention and Control of the Centers for Disease Control and Prevention, awarded to the third author. This article was also made possible by grant 2001-WT-BX-0504 from the National Institute of Justice awarded to the first and third authors. These agencies are not responsible for the results. Portions of this paper were presented by the first and third authors at the International Family Violence Conference in Portsmouth, NH, July, 2003.     

An Exploratory and Confirmatory Factor Analysis of the Affective Control Scale in an Undergraduate Sample

A considerable amount of clinical research interest has recently developed regarding emotion dysregulation and psychopathology. Many have suggested that distinct affective management deficits may characterize anxiety and mood pathology. Despite increased research attention, efforts to validate and sufficiently investigate the psychometric properties of many self-report measures of affect regulation have been lacking. The current study examined the response behavior of 1566 undergraduate participants who completed the Affective Control Scale (ACS). The ACS assesses fear of intense emotion, and it is frequently used in empirical research. The present investigation examined the structural qualities of the measure using exploratory and confirmatory factor analytic techniques. Findings suggest the original four rationally-derived subscales do not adequately fit the observed response patterns. Rather, results indicated that a five-factor solution that included a subscale measuring emotion mismanagement better represented response behavior. Additional normative data and bivariate correlations with other measures of emotion regulation and affect are presented.     

Path analytic examination of a cognitive model of PTSD

Ehlers and Clark (2000) developed a cognitive model of posttraumatic stress disorder (PTSD) symptom maintenance which implicated the role of posttraumatic cognitions and aspects of the trauma memory in maintaining symptoms via an increased sense of current threat. The aim of the current study was to empirically test a variant of this model using path analysis. Participants in the current study were 514 undergraduates at a midwestern university who reported experiencing at least one traumatic event. Path analyses examined various models of the possible relationships between one’s posttraumatic cognitions and the centrality of the traumatic event to the sense of self (considered an aspect of memory integration) in predicting current level of PTSD symptoms. Results indicate that both event centrality and posttraumatic cognitions are unique and independent predictors of current symptom level. Overall, the results of this study support aspects of Ehlers and Clark’s cognitive model of PTSD; cognitive appraisals of the self and centrality of the event were highly related to levels of distress. However, the current study suggests that overly integrated trauma memories may lead to greater distress and not poorly integrated ones as suggested by Ehlers and Clark.     

Rightward collisions and their association with pseudoneglect

Whereas right parietal damage can result in left hemineglect, the general population shows a subtle neglect of the right hemispace-known as pseudoneglect. A recent study has demonstrated that people collide to the right more often and attributed this bias to pseudoneglect. [Nicholls, M. E. R., Loftus, A., Meyer, K., & Mattingley, J.B. (2007). Things that go bump in the right: The effect of unimanual activity on rightward collisions. Neuropsychologia, 45, 1122-1126]. Nicholls examined the effect of unimanual activation by requiring participants to fire projectiles at a target whilst walking and found that the rightward bias was exaggerated or reversed when the left and right hands were active, respectively. However, the act of aiming at a target may have inadvertently biased walking trajectory to the right. The current study addressed this issue by requiring participants (n=149) to walk through a narrow doorway three times whilst entering text into a phone using the (a) left, (b) right or (c) both hands. Despite the fact that entering text into a phone should produce no rightward bias, participants bumped to the right more often. Unlike previous research, no effect of unimanual activation was observed. This lack of effect was attributed to the smaller hand movements for entering numbers compared to firing a toy gun. Finally, this study showed an association for the first time between biases in observable bumping and line bisection performance-suggesting that unilateral bumping is related to pseudoneglect.     

The Use of Stimulant Medication and Behavioral Interventions for the Treatment of Attention Deficit Hyperactivity Disorder: A Survey of Parents’ Knowledge, Attitudes, and Experiences

We examined parents’ knowledge, attitudes, and information sources regarding Attention-Deficit/Hyperactivity Disorder (ADHD), including treatment with stimulant medication and behavioral interventions. Responses from parents with a child diagnosed with ADHD and parents without a child diagnosed with ADHD were also compared. Participants consisted of 146 parents of elementary age children from Wisconsin. The surveyed parents were aware of issues surrounding ADHD and the use of stimulant medication, but there were several areas where they possessed inaccurate or incomplete factual information. Parents who had a child diagnosed with ADHD rated the effects of stimulant medication more positively and side effects as less severe than other parents. They also rated behavioral interventions as less effective on all questions. Implications of the study are discussed.     

Enhancing children's event recall after long delays

The effects of context reinstatement as means of enhancing 5‐ and 6‐year‐old children's event memory in repeated interviews after a 6‐month delay were examined. Children were interviewed immediately after the event (baseline interview) and twice at a 6‐month delay, with 24 hours between interviews. The first 6‐month interview was conducted in a perfect‐context reinstatement (n = 15), imperfect‐context reinstatement (n = 16), or no‐context reinstatement (n = 15) condition. The second 6‐month interview was conducted 24 hours later with no‐context reinstatement for all children. Context reinstatement attenuated the effects of delay on recall. The accuracy of the details reported was greater in the perfect‐context compared to the imperfect‐context and no‐context conditions. Details repeated between the immediate‐baseline interview and in the first 6‐month interview were more accurate than details repeated between the first and second 6‐month interview. There was no increase in recall (hypermnesia) across the first and second 6‐month interviews in any condition. Practical implications of these findings are discussed. Copyright © 2006 John Wiley & Sons, Ltd.