Identifying correlates of self-stigma in adults who stutter: Further establishing the construct validity of the Self-Stigma of Stuttering Scale (4S)

PurposeThis study was set up to further establish the construct validity of the Self-Stigma of Stuttering Scale (4S) by demonstrating its associations with other established scales and replicating its original factor structure and reliability estimates.MethodWeb surveys were completed by 354 adults who stutter recruited from Board Certified Specialists in Fluency Disorders, and adult chapters of the National Stuttering Association. Participants completed a series of psychometrically validated scales measuring self-stigma, hope, empowerment, quality of life, social support, anxiety, depression, and self-rated speech disruption.ResultsHigher subscale and total stigma scores on the 4S were associated with significantly lower levels of hope, empowerment, quality of life, and social support, and significantly higher levels of anxiety, depression, and self-rated speech disruption. The original factor structure of the 4S was replicated, and reliability estimates of the subscales ranged from adequate to excellent.ConclusionsThe findings of this study support the construct validity of the 4S and its use by clinicians and researchers intending to measure the construct of self-stigma in adults who stutter.Educational objectives: Readers should be able to: (a) distinguish between the various components of self-stigma; (b) describe how the various components of the self-stigma model relate to hope, empowerment, quality of life, and social support, self-rated speech disruption, anxiety, and depression; (c) summarize the psychometric properties of the Self-Stigma of Stuttering Scale (4S) in terms of reliability, factor structure, and construct validity; (d) discuss how the 4S could be used in research and clinical practice.     

Suicide risk assessment: Clinicians’ confidence in their professional judgment

Suicide risk assessment is a critical component of mental health practice for which the stakes are high and the outcomes uncertain. This research examines the consistency with which clinicians make determinations of suicide risk and factors influencing clinical confidence. Seventy-one social workers interviewed two standardized patients performing in scenarios depicting suicidal ideation, judged whether the patient required hospitalization, and completed standardized suicide risk assessment measures. Self-ratings and qualitative interviews explored participants’ confidence in their judgment of risk. Participants had highly divergent views regarding whether or not the risk of suicide was sufficiently high to require hospitalization. However, regardless of the ultimate decision reached, participants were equally confident when recommending either clinical course of action. The variation in risk assessment appraisals in this study, despite at times high rates of confidence in risk appraisals, speaks to the need for ongoing training, consultation, and increased decision support strategies.     

What do We Know about Family Interventions for Psychosis at the Process Level? A Systematic Review

The evidence regarding effectiveness of family interventions for psychosis (FIP) is strong and consistent. However, there is a gap in the research on the process of these interventions, and little is known about their active ingredients. This review aims to identify the active ingredients of FIP. We conducted a systematic literature review, focusing on qualitative research, and analyzed 22 papers in total. We found a single study comprehensively exploring the process of FIP. All other studies focused on particular aspects of process‐related variables. The key elements of FIP seem to be the so‐called “common therapeutic factors”, followed by education about the illness and coping skills training. This review supports the value of a stepped model of intervention according to the needs of the families. However, the evidence reviewed also reveals a gap in the research findings based on the limited research available. FIP are complex, psychosocial interventions with multiple components, and more intensive, qualitative research is needed to establish linkages between process and outcome.     

WISC-IV GAI and CPI profiles in healthy children and children with learning disabilities

IntroductionIn addition to the FSIQ, the General Ability Index (GAI) and the Cognitive Proficiency Index (CPI) are two ancillary scores that can be calculated for the Wechsler Intelligence Scale. The GAI and the CPI have been proposed to assist in identifying cognitive strengths and weaknesses, and thus to provide different views into individual's cognitive abilities.ObjectiveThe purpose of the present study is to provide the frequency of GAI/CPI score difference by direction, the frequency of FSIQ/GAI score difference, and the frequency of FSIQ/CPI score difference, for the French Wechsler Intelligence Scale for Children and Adolescents–Fourth Edition (WISC-IV).MethodThese frequencies are provided for a sample of healthy children (n = 483), and for a sample of children with learning disabilities (LD, n = 370). The GAI comprises verbal comprehension and perceptual reasoning subtests, while CPI comprises working memory and processing speed subtests.ResultsResults indicated that the healthy sample performed better than the LD sample for all composite scores. The FSIQ was lower than the GAI for both groups and this difference was slightly larger for the LD sample (−1.35 points vs. −3.22 points). The GAI was higher than the CPI for both samples, but this difference was not significantly larger for the LD sample (4.2 points vs. 6.16 points). Finally, while the FSIQ was higher than the CPI for both groups, this difference was not larger for the LD sample (2.85 points vs. 2.95 points).ConclusionThese findings support the use of the GAI and the CPI, in addition to the FSIQ.     

Évaluation de la compréhension écrite de récits chez l’enfant de 7 à 10 ans : vers des profils de compreneurs

IntroductionThe aim of the study was to investigate reading comprehension skills in 7 to 10-year-old children and to present a new tool for assessing reading comprehension skills in elementary school children. Two aspects of text comprehension were assessed: literal comprehension skills and inference generation (with two subtypes of inferences, coherence inferences and knowledge-based inferences).MethodTwo narratives of varying length and complexity have been constructed and presented to 498 French-speaking children from second grade to fifth grade.ResultsThe results showed an evolution of performance with school level. Children's scores also depended on the type of comprehension skill evaluated (literal versus inferential) and difficulty of texts. Furthermore, cluster analysis yielded five profiles that clearly differ on children's ability to respond to either literal questions, coherence inferential questions, or knowledge-based inferential questions.ConclusionThe existence of different profiles of comprehenders is discussed in terms of theoretical implications. Finally, some limitations and way of improvement are presented.     

Valoración de un programa de habilidades interpersonales en niños superdotados

Certain research studies report that a number of gifted children show social adaptation issues, as well as problems with social and interpersonal skills, while others consider that this does not occur. In this regard, Neihart, Reis, Robinson and Moon (2002) speaks of a resilience approach versus a risk approach. From the risk viewpoint, this paper presents the benefits of applying training programs in interpersonal skills as to prevent potential problems in gifted children. For this reason, we aim to evaluate the effectiveness of a training program for solving interpersonal problems in this population. Participants include 40 gifted children aged 7 to 13, divided into a treatment group and a control – waitlisted – group. Program application results show significant differences in direct assessment measurements in the treatment group. An increase in effect sizes between the treatment group and the control group is also detected, in favor of the former, and a relationship between the children's learning potential and the benefits obtained is also confirmed. In short, the training program proves effective in interpersonal problem-solving skill improvement in children with high intellectual capacity.     

A systematic review of psychopathy in women within secure settings

The construct of psychopathy has been comparatively understudied in women, and to date there has been no attempt to systematically review the literature related to psychopathy in women. This review assimilates the existing evidence in relation to the prevalence and factor structure of psychopathy in women within secure settings. An extensive systematic search was performed using 11 electronic databases and four search engines; citation, author and reference list searching was also performed. After removing duplicates and appraising the study’s eligibility by title, 261 publications were appraised against minimum quality and eligibility threshold criteria, resulting in 28 remaining publications with data on 2545 participants. Quality appraisal was conducted by two raters, with excellent inter-rater reliability (kappas = .7−.9). A narrative synthesis was then performed. PCL-R based prevalence rates ranged from 1.05% to 31% (with a cut-off criterion of 30), with variations in multiple factors, such as geographical location and type of sample setting. The factor model with the most support from the reviewed studies was Cooke & Michie’s (2001) 3-Factor model. The apparent gender differences in the prevalence rates, factor structure and item expression of psychopathy, presents implications for the assessment and general conceptualisation of the construct in women within secure settings.     

L’évaluation cognitive de la lecture au collège : synthèse des principaux outils de dépistage et de diagnostic des troubles spécifiques de la lecture et cognitifs associés

As reported by the Programme for International Student Assessment (PISA, 2012), almost 20% of French teenagers show difficulties in reading (OCDE, 2014). What are the French language tools the practitioner or educationalist (teacher, school doctor, psychologist, and speech-language pathologist) use to assess specific reading disorders for middle school students? The tools assessing reading comprehension skills, word-level reading skills and reading-related skills are presented by distinguishing the tools developed for screening of reading difficulties (the purpose of which is to detect early disease or risk factors for disease in large numbers of apparently healthy individuals) than them developed for diagnosing of reading difficulties (the purpose of which is to establish the presence [or absence] of disease as a basis for treatment decisions in symptomatic or screen positive individuals). This synthesis allows to identify their interests and limits, and to consider new tools respecting five essential criteria: (1) the tool structure must be based on recent theoretical models specific at the middle school, (2) the tool must assess reading comprehension skills (with control of listening comprehension skills) and the mastery of two word-level reading procedures (lexical and sublexical), (3) the tool must measure a set of reading-related skills such as phonological awareness, phonological short-term memory, rapid serial naming and morphological awareness, (4) the experimental material (vocabulary control) and the standardization must be recent or updated and (5) the speed must be measured accurately.     

Computerized Cognitive Tests (CCT) in elderly: A psychometric review

Introduction/aim

Computerized Cognitive Tests (CCT) play an increasing role in the assessment of elderly cognitive impairment. In this framework, it is important to review the psychometric data of the available CCT in the detection of cognitive decline.