Comparing Paper-and-Pencil and Internet Survey Methods Conducted in a Combat-Deployed Environment

The Unit Behavioral Health Needs Assessment Survey (UBHNAS) is a tool used to aid behavioral health providers in assessing the needs of service members of a military unit. Traditionally, the survey has been administered by paper-and-pencil; however, implementing the survey via the Internet may be a faster and easier way to administer the survey. There are, however, potential drawbacks to Internet survey administration, and previous studies comparing the 2 methods have yielded inconsistent findings. Using a between-subjects design with a combat-deployed military sample, the present study compared the 2 survey administration methods. Specifically, we assessed comparability for (a) psychological constructs, (b) auxiliary measures (such as completion time, frequency of missing data, and length of written comments), and (c) ratings and perceptions of the UBHNAS, and preference in methodology. The method of survey administration did not predict differences in the psychological outcome variables. However, participants in the paper-and-pencil condition reported higher rates of comfort answering questions, belief that responses would remain anonymous, and frankness and honesty in answering questions. Nevertheless, participants in both conditions preferred to take the survey via the Internet as opposed to paper-and-pencil in the future. Finally, participants in the Internet condition completed the survey faster and tended to write longer comments, although in terms of the comments being informative, there was no difference between the groups. Based on our findings, we recommend the use of the Internet for administering the UBHNAS; however, we caution that there may be tradeoffs regarding concerns about comfort, honesty, and anonymity.     

Much ado about norming: The Behavior Rating Inventory of Executive Function

The Behavior Rating Inventory of Executive Function (BRIEF) is a rating scale designed to assess executive functions in everyday life that is widely used in school and clinical settings and in research studies. It has been recently suggested, however, that the limited geographic stratification of the standardization sample renders the measure overly sensitive. We evaluated this hypothesis by examining BRIEF scores across studies of typically developing children and adolescents. Thirty-nine studies were identified that included at least one of three possible index scores. Mean scores across studies were (a) within one to two T-score units from the standardization sample mean of 50, (b) tended to be slightly lower than 50, and (c) were unrelated to geographic location (US Census regions or internationally). These findings refute recent claims that the BRIEF is overly sensitive and further add to the large body of literature supporting the validity of the measure.     

The Evaluation of Family Functioning by the Family Assessment Device: A Systematic Review of Studies in Adult Clinical Populations

A large body of research, documenting the impact of a family's functioning on health outcomes, highlights the importance of introducing the evaluation of patients' family dynamics into clinical judgment. The Family Assessment Device (FAD) is a self‐report questionnaire designed to assess specific dimensions of family functioning. This qualitative systematic review, which follows PRISMA guidelines, aimed to identify the FAD's clinimetric properties and to report the incremental utility of its inclusion in clinical settings. A thorough literature search was performed, using both computerized and manual searches, yielding a total of 148 studies that were included in this review. The FAD has been extensively used in a variety of research contexts. In the majority of studies it was able to discriminate between clinical populations and controls and among groups of patients with different illnesses. The FAD also showed good test–retest and concurrent reliability, and modest sensitivity to change after treatment. FAD‐dysfunctional family functioning was related to several patient clinical outcomes, including lower recovery rates and adherence to treatment, longer recovery time, poorer quality of life, and increased risk of relapse and drop‐out. The present review demonstrates that the FAD is a suitable instrument for the evaluation of family functioning both in clinical and research settings.     

Reliability and Validity of a Short Version of the General Functioning Subscale of the McMaster Family Assessment Device

The General Functioning 12‐item subscale (GF12) of The McMaster Family Assessment Device (FAD) has been validated as a single index measure to assess family functioning. This study reports on the reliability and validity of using only the six positive items from the General Functioning subscale (GF6+). Existing data from two Western Australian studies, the Raine Study (RS) and the Western Australian Child Health Survey (WACHS), was used to analyze the psychometric properties of the GF6+ subscale. The results demonstrated that the GF6+ subscale had virtually equivalent psychometric properties and was able to identify almost all of the same families who had healthy or unhealthy levels of functioning as the full GF12 subscale. In consideration of the constraints faced by large‐scale population‐based surveys, the findings of this study support the use of a GF6+ subscale from the FAD, as a quick and effective tool to assess the overall functioning of families.     

Child Maltreatment in DSM‐5 and ICD‐11

Child maltreatment is widespread and has a tremendous impact on child victims and their families. Over the past decade, definitions of child maltreatment have been developed that are operationalized, face valid, and can be reliably applied in clinical settings. These definitions have informed the revised Diagnostic and Statistical Manual (American Psychiatric Association, 2013) and are being considered for the International Classification of Disease–11 (World Health Organization). Now that these definitions are available in major diagnostic systems, primary healthcare providers and clinicians who see children and families are poised to help screen for, identify, prevent, and treat child maltreatment. This article reviews the definitions of maltreatment in these diagnostic systems, along with assessment and screening tools, and empirically supported prevention and intervention approaches.     

Cognitive distortions in sexual aggressors against children: An examination of the Abel and Becker Cognition Scale (ABCS)

IntroductionCognitive distortions are generally considered a key factor in the evaluation and treatment of sexual aggressors against children.AimThe aim of this study was to examine the discriminant properties of the Abel and Becker Cognition Scale.Method and resultsThe results of analyses of covariance, in a sample of 265 aggressors against children, do not support ABCS's discriminating properties.ConclusionLimits and implications for future researches are discussed.     

Therapeutic Assessment with couples

Therapeutic Assessment can be helpful to many types of couples, including (1) those who are considering marriage and wish to know each other more deeply, (2) long-term couples who are in distress and considering separating, and (3) couples who have decided to separate but wish to better understand why they were unable to stay together. This article comprises the first complete case study of Therapeutic Assessment (TA) with couples. I describe how those steps common to all forms of TA (initial sessions, extended inquiries, assessment intervention sessions, and summary/discussion sessions) differ when applied to couples. I also discuss the use of the Consensus Rorschach as an assessment intervention with long-term distressed couples engaged in problematic projective identification. The case example involves a young heterosexual couple married for 12 years who were at an impasse in couples therapy. The assessment helped the partners explore mutual conflicts around the expression of anger and dependency needs, and to resolve a power imbalance within the couple. Long-term follow-up showed that the Therapeutic Assessment helped the couple have more compassion for each other and move beyond the destructive role-lock they had fallen into. Also, the referring therapist reported that the TA helped resolve the impasse in the couples’ therapy.     

Parent Perspectives on the Use of Group Well-Child Care to Address Toxic Stress in Early Childhood

We sought to understand the experiences of parents who participated in Group Well-Child Care (GWCC) and Trauma-Informed GWCC (TI-GWCC). Three focus groups and design sessions with parents from either standard GWCC or TI-GWCC (N = 17) were conducted and synthesized into common themes using thematic analysis. Focus group themes included: (1) GWCC can empower parents to recognize toxic stress; (2) Parents identify ways that they role model behaviors for their child(ren); (3) Activities that facilitate reflection on attachment and anger management encourage intentional parenting practices. Our qualitative findings suggest that TI-GWCC supports the prevention of childhood adversity by creating connections between parents, helping families understand and identify toxic stress, and teaching parenting practices that mitigate stressors.     

Early—but modest—gender differences in focal aspects of childhood temperament

The best evidence for gender differences in child temperament is in the broad areas of effortful control and surgency, and to an extent negative affectivity, domains that encompass temperament dimensions of inhibitory control, activity level, and shyness. We examined the influence of child gender in a methodologically comprehensively assessed twin sample. We used mother, father, and Laboratory Temperament Assessment Battery (Lab-TAB) ratings to assess temperament in 3 year-olds. Boys had higher levels of activity level and lower levels of shyness and inhibitory control than girls across all methods of assessment. Then, more rigorous testing showed that patterns of mean gender differences for opposite-sex twin pairs in our sample were very consistent with overall sample gender differences and the magnitude of these gender differences was consistent across assessment methodology. We then asked: are these more gendered dimensions of temperament associated with one another, and are associations different across gender? The answer to both questions is, yes. Shyer children have lower activity level and higher inhibitory control, and those with higher inhibitory control are less active. Gender differences did appear in the intercorrelations between parent ratings of shyness and inhibitory control with only girls showing significant associations within and across these dimensions.     

Step Three: Assessing Readiness for OAM (Older Adult Ministry)

SUMMARY

Assessing existing programs as well as the readiness of the congregation to receive new programs in the area of older adult ministry is an essential building block. An assessment of existing ministries is essential to discovering what needs to be developed. At the same time, the strengths and challenges of a congregation to develop and maintain an expanded older adult ministry is also important to assess so that starting points can be identified and needs filled. Often, the secondary gain of any congregational assessment is the ability to hear all of the voices within the congregation, help congregants to feel like they have participated in the process and to prepare them to expect something new. Tools for assessing existing programs as well as the readiness of the congregation are shared and explained.