Physical activity in infants with Down syndrome receiving a treadmill intervention

Despite the recognized relevance of physical activity in the development and health of children, assessment of physical activity levels (PA-level) in infancy is limited, especially in infants with Down syndrome (DS). Increasing PA-level using a treadmill training (TMT) intervention may benefit infants with motor delays. The purpose of this study was to investigate whether a higher intensity, individualized TMT protocol (HI) would elicit immediate and short-term higher PA-level in infants with DS than a lower intensity, generalized training protocol (LG).Thirty infants with DS were randomly assigned to the LG or the HI group. Training was terminated when the infants could walk three steps independently. Activity monitors were placed on infants’ trunks and legs for a 24-h period every other month during the intervention phase, and at set intervals 1-year post-independent walking onset. Data were analyzed to separate sedentary-to-light activity (Lowact) and moderate-to-vigorous activity (Highact).Overall our results demonstrate that infants receiving the HI TMT had higher levels of Highact than infants in the LG group, factoring out the activity produced by the intervention itself. Infants in the LG group spent more time in Lowact than the HI group. In addition, these results seemed to be retained during the post-intervention follow-up. Despite these exciting results, more work is needed to understand the relationship of the intensity of TMT on PA-level in infants with DS, and whether PA-level and TMT are related to motor milestone achievement and/or health benefits.     

Krankheitsbewältigung bei multipler Sklerose

Zusammenfassung Obwohl ein erheblicher psychosozialer Versorgungsbedarf bei Patienten mit multipler Sklerose (MS) unstrittig ist, stehen die theoretische Aufarbeitung belastender Aspekte des Krankheitsverlaufs wie die Entwicklung standardisierter Interventionsmaßnahmen nach wie vor am Beginn. In vorliegendem Beitrag werden Konzepte und Modelle der Krankheitsbewältigung als geeigneter theoretischer Bezugsrahmen charakterisiert. Im Anschluss an eine knappe Bestandsaufnahme von Versorgungsbedarf und vorhandenen Versorgungsansätzen werden zunächst kurz Modelle der Krankheitsbewältigung (Coping) vorgestellt, die zur Abbildung spezifischer belastender Folgen der MS geeignet erscheinen. Weiterhin werden in einer Befundübersicht neuere Ergebnisse bewältigungsorientierter Forschung dargestellt, die auch erste Berichte zur Evaluation von Bewältigungstrainings einschließen. Ferner werden Ziele und Techniken, die als Bausteine eines umfassenden Trainings zur Bewältigung von Folgen der MS unverzichtbar erscheinen, erörtert. Abschließend werden offene Forschungsfragen, die die Gestaltung von Bewältigungstrainings betreffen, diskutiert.     

Intervention-based school psychology services: Training for child-level accountability; preparing for program-level accountability

This research evaluated the outcomes of a school psychology training practicum by replicating intervention-based service delivery procedures established in prior research. The key components include describing a service delivery model, teaching the model, deriving practice guidelines that fit the model, supporting trainees in carrying out the steps, and evaluating the outcomes. Procedures to determine outcomes were based on single-case design facets including accountability design (A-B), visual analysis of graphic data, and social validity ratings. Meta-analysis techniques included calculation of effect sizes and percent of nonoverlapping data (PND). Goal attainment scaling (GAS) also was used to summarize outcomes. The analyses indicated that the interventions led to positive changes for most children. For example, the median effect size was 1.42 across cases. Social validity evidence showed that consumers judged the outcomes positively. Achieving ideal baseline and technical adequacy checks (e.g., observer agreement, intervention adherence) represented challenges for many consultations. The contributions of the study include describing methods for child- and program-level accountability in training and areas for improvement including further supporting the completion of technical checks for intervention services.     

Parents Plus Systemic,Solution‐Focused Parent Training Programs: Description,Review of the Evidence Base,and Meta‐Analysis

Parents Plus (PP) programs are systemic, solution‐focused, group‐based interventions. They are designed for delivery in clinical and community settings as treatment programs for families with child‐focused problems, such as behavioral difficulties, disruptive behavior disorders, and emotional disorders in young people with and without developmental disabilities. PP programs have been developed for families of preschoolers, preadolescent children, and teenagers, as well as for separated or divorced families. Seventeen evaluation studies involving over 1,000 families have shown that PP programs have a significant impact on child behavior problems, goal attainment, and parental satisfaction and stress. The effect size of 0.57 (p < .001) from a meta‐analysis of 10 controlled studies for child behavior problems compares favorably with those of meta‐analyses of other well‐established parent training programs with large evidence bases. In controlled studies, PP programs yielded significant (p < .001) effect sizes for goal attainment (d = 1.51), parental satisfaction (d = 0.78), and parental stress reduction (d = 0.54). PP programs may be facilitated by trained front‐line mental health and educational professionals.     

Addressing the Person of the Therapist in Supervision: The Therapist's Inner Conversation Method

In this study a method of retrospective case supervision is presented aimed at helping the supervisee to become a better self‐supervisor. The method pays special attention to the therapist's self‐reflection and has the therapist's inner conversation as a central concept. The starting point of the method is an assignment in which the supervisee reflects on a case using a tape‐assisted recall procedure. The method helps trainees to develop experiential expertise to become more flexible and effective therapists. A case example of one training group of novice family therapists illustrates the use of the method.     

Teaching metaphorical extensions of private events through rival‐model observation to children with autism

The study evaluated the efficacy of observational learning using the rival‐model technique in teaching three children with autism to state metaphorical statements about emotions when provided a picture, as well as to intraverbally state an appropriate emotion when provided a scenario and corresponding metaphorical emotion. The results provide a preliminary evaluation of how an observational teaching strategy may be effective in teaching children with autism to correctly tact emotions when given metaphors.     

The therapeutic effect of peace counselling among Nigerian secondary school teachers

This study examines the therapeutic effect of peace counselling among Nigerian secondary school teachers. 450 Nigerian secondary school teachers voluntarily participated in this study; 225 teachers (103 male and122 female) were used as control group while 225 teachers (103 male and 122 female) were exposed to peace counselling. Those in the treatment group participated in smaller groups made up of 25 teachers each. The teachers in the control group were also given peace counselling after the completion of the study. Two research questions were raised to guide the direction of the study. Teaching related Element of Peace Disturbance Scale (TEPDS) was used as the research instrument to collect pre‐ and post treatment data. Analysis of covariance was employed in the data analysis. The results showed that a significant difference existed between the control and the treatment groups with the latter ascertaining a higher degree of peace than the former. Also a significant difference was recorded between the male and female teachers who were exposed to peace counselling in their expressed peace level. Implications for peace counselling among all teachers functioning at all levels of education and their students were discussed.     

Counselling children and young people: A review of the evidence for its effectiveness

This paper summarises and presents the results of a BACP commissioned systematic scoping review on the research evidence on counselling children and young people. The methodology was based on a structured, hierarchical, systematic approach to searching and reviewing the research literature. Inclusion criteria defined the scope of the review in relation to a range of issues in counselling children and young people: behavioural problems and conduct disorders; emotional problems including anxiety, depression and post‐traumatic stress; medical illness; school‐related issues; self‐harming practices and sexual abuse. Four groups of counselling approaches were examined: cognitive‐behavioural; psychoanalytic; humanistic; and creative therapies. The findings indicate that the four therapeutic approaches are effective to a greater or lesser degree in relation to the range of issues. Although the findings show that there is little or no evidence for the effectiveness of some therapies for particular issues, this may not reflect the lived experience of children and young people engaged in counselling in a range of community and institutional settings. Instead, the absence of evidence is likely to reflect a lack of published studies that fit the inclusion criteria for this review.     

禅修对创造性思维的影响

禅修是一种能够对人类心理有广泛影响的训练工具。作为两种重要、相似但又不同的禅修方式, 冥想和正念对创造性思维中的发散思维和聚合思维产生了不同影响。在发散思维方面, 冥想主要通过对注意调控和无意识激活影响以及对解题动机和情绪的有效调控两方面显著增强了发散思维, 尤其是认知灵活性; 在聚合思维方面, 正念和冥想的影响相当复杂, 主要是通过聚合思维所需的执行功能和可能涉及表征重构来促进定势转移或功能固着的消除。就机制而言, 禅修对创造性思维的影响总体上不仅得益于走神时的无意识关联加工, 而且受禅修中诱发的情绪效应的调节。基于这些, 对未来研究的趋势进行了展望。     

Effectiveness of risk awareness perception training in dynamic simulator scenarios involving salient distractors

The Risk Awareness Perception Training (RAPT) has been shown to improve latent hazard anticipation in young drivers. However, previous evaluation scenarios in a driving simulator often lacked either dynamic road environment features or control for such variations. The current study investigated whether the effectiveness of RAPT persists even in the presence of dynamic and salient distractors. Twenty RAPT-trained drivers and twenty-one Placebo-trained young drivers (aged 18–21) drove through eight simulated driving scenarios with latent hazards. A pedestrian avatar served as a distractor and was placed across from the latent hazard location. In half of the scenarios, the pedestrian remained static while in the other half the pedestrian started to move, without potential interference with the driver’s travelling path, as the drivers approached the latent hazard. Consistent with previous research, RAPT-trained drivers demonstrated better latent hazard anticipation performance than Placebo-trained drivers regardless of dynamic movement of the pedestrian avatar. Additionally, RAPT-trained drivers adopted wider scanning patterns and fixated more frequently on both the latent hazard and the pedestrian compared to Placebo-trained drivers. The results imply that RAPT may protect drivers from being distracted by dynamic stimuli and allow them to scan safety–critical areas containing latent hazards. Furthermore, RAPT may not only improve tactical hazard anticipation skills, but also modal hazard anticipation skills in young drivers.