Family Intervention Effects on Co-occurring Early Childhood Behavioral and Emotional Problems: A Latent Transition Analysis Approach

This study used latent transition analysis (LTA) to examine changes in early emotional and behavioral problems in children age 2 to 4 years resulting from participation in a family-centered intervention. A sample of 731 economically disadvantaged families was recruited from among participants in a national food supplement and nutrition program. Families with toddlers between age 2 and 3 were randomized either to the Family Check-Up (FCU) or to a nonintervention control group. The FCU’s linked interventions were tailored to each family’s needs. Assessments occurred at age 2, 3, and 4. The FCU followed age 2 and age 3 assessments. Latent class analyses were conducted on mother reports of behavior and emotional problems from age 2 to 4 to study transitions among the following four groups: (a) externalizing only, (b) internalizing only, (c) comorbid internalizing and externalizing, and (d) normative. LTA results revealed that participation in the FCU increased the likelihood of transitioning from either the comorbid or the internalizing class into the normative class by age 4. These results suggest family interventions in early childhood can potentially disrupt the early emergence of both emotional and behavioral problems.     

Preschoolers' aggression and parent-child conflict: a multiinformant and multimethod study

This multiinformant and multimethod study (N=47) investigated the link between the parent-child relationship system and the display of physical and relational aggression with peers at school during early childhood. Children (mean age=43.54 months, SD=8.02) were observed (80min/child) during free play, and parents and teachers were asked to complete several standard measures. Intercorrelations between aggression subtypes revealed moderate to high levels of correlation for parents and teachers and no significant association for observations of physical and relational aggression. Interinformant agreement was examined, and teachers and parents were found to significantly agree for both physical and relational aggression, and teachers and observers also significantly agreed for both subtypes of aggression. Results of regression analyses suggest that parent-child conflict was uniquely associated with relational aggression among peers when controlling for physical aggression and gender. Ways in which these findings build on the extant literature are discussed.     

Lutherans in Public—Four Lively Options

Abstract : The basic question regarding faith and the public square is not whether religion should become public. Rather, we should ask: how ought religion to become public? This article reviews four models: (1) the ethics of character, according to which ethically formed individuals exert indirect and unintentional influence on the public square; (2) the ethics of conscience with its indirect and intentional influence: (3) the church as social conscience with direct and intentional influence; and (4) the church with power exerting direct and intentional action. Generally, it is best for Lutherans to let direct action be carried on by the laity according to the first two models; yet, when rare yet extraordinary circumstances call for it, the church as an institution may resort to models three and four and take direct action.     

The Making of the Reliably Religious Boy

In Men, Religion, and Melancholia: James, Otto, Jung, and Erikson (D. Capps, 1997) and Men and Their Religion: Honor, Hope, and Humor (D. Capps, 2002), I argued that men are no less religious than women, but their religiousness is different from that of women because it has its psychological origins in the emotional separation between a boy and his mother around the ages of three to five. Employing Freud’s “Mourning and Melancholia” (S. Freud, 1917/1963) essay, I suggested that their religiousness is rooted in an ontological state of melancholy (which is different from the psychological state of depression). In Men and Their Religion I identified the religions of honor and of hope as the primary forms of male melancholic religion, and suggested that humor is a third form that may come to one’s assistance when one experiences the limitations of the other two religions. In this article, I focus on my own early adolescent years (age 11–14) and explain how one boy became reliably religious, that is, how he embraced or internalized the religions of honor and of hope. In the companion article, I will explain how these two religions were relativized—and thereby preserved—by the religion of humor.     

Ministers’ Perceptions of Depression: A Model to Understand and Improve Care

While depression is a significant worldwide health problem, fewer than half of individuals seek care. Faith-based communities may play an important role in improving the knowledge of and linkage to depression care. Focus groups of Caucasian and African-American clergy were conducted to explore these issues. Using a grounded theory approach five themes emerged, including explanatory models of depression, barriers and facilitators to care, and recommendations for involving religious communities. A model of depression care pathways was constructed that integrates secular and spiritual approaches. The findings highlight the need for targeted interventions to build trust between clergy and mental health professionals. Teresa L. Kramer, Ph.D., is Chief Psychologist and Associate Professor of Psychiatry in the College of Medicine, University of Arkansas for Medical Sciences in Little Rock. She has conducted research in child, adolescent and adult mental health assessment, outcomes, and quality of care. Her current research on adolescent depression is funded through a Research Career Development Award from the National Institute of Mental Health. She is currently developing faith-based programs to educate ministers and their congregations about depression-related illness. Dean Blevins, Ph.D., teaches in the Department of Psychiatry, College of Medicine, at the university and is associated with the Center for Mental Health & Outcomes Research, Central Arkansas Veterans Healthcare System, and the South Central Mental Illness, Research, and Clinical Center in Little Rock. Terri L. Miller, Ph.D., also teaches in the Department of Psychiatry. Martha Phillips, Ph.D., is at the Department of Human Services in Little Rock. Vanessa Davis and Billy Burris are employed at the Division of Behavioral Health Services, also in Little Rock.     

Early identification of mental health problems in schools: The status of instrumentation

When embedded within a continuum of mental health services including both prevention and treatment, school-based mental health identification programs can promote improved academic and mental health functioning among students. This article describes the scientific status of assessment instrumentation that may be used for early mental health identification in schools. Currently available instruments are described in terms of their ability to accurately detect youth with mental health problems. Implications for selecting mental health screening and assessment instruments and integrating them into schools are discussed. Finally, a range of approaches to early identification in schools as well as some of the broader ethical and practical issues related to the integration of these strategies into a school-wide continuum of services are presented.     

Achievement strategies during university studies predict early career burnout and engagement

To examine whether individuals’ achievement strategies measured during university studies would have an impact on work burnout and work engagement measured 10, 14 and 17 years later, 292 university students completed the SAQ strategy questionnaire three times while at university, and the work burnout inventory three times and work engagement inventory twice during their early career. The results showed that optimism increased during university, while task-avoidance did not change. Moreover, high and increasing optimism during university predicted a high level of work engagement and low level of burnout 10, 14 and 17 years later. By contrast, a high level of task-avoidance during university predicted a low level of work engagement and high level of burnout during the early career.     

A randomised controlled trial of the effectiveness of writing as a self-help intervention for traumatic injury patients at risk of developing post-traumatic stress disorder

The study investigated the effects of writing and self-help information on severity of psychological symptoms in traumatic injury patients at risk for developing post-traumatic stress disorder (PTSD). Patients attending Accident and Emergency (A & E), were screened for Acute Stress Disorder and randomised to an information control group (n = 36) or a writing and information group (n = 31). Participants in both groups received an information booklet one-month post-injury. Participants in the writing group also wrote about emotional aspects of their trauma during three 20-min sessions, five to six weeks post-injury. Psychological assessments were completed within one month and at three and six months post-injury. There were significant improvements on measures of anxiety, depression and PTSD over time. Differences between groups on these measures were not statistically significant. However, subjective ratings of the usefulness of writing were high. In conclusion, the results do not currently support the use of writing as a targeted early intervention technique for traumatic injury patients at risk of developing PTSD.     

Preschool Pretend Play Behaviors and Early Adolescent Creativity

Individual differences in creativity across the lifespan have been identified, but little research has focused on the development of creativity during early adolescence. This project examined individual differences on two measures of creativity in early adolescence as well as the predictability of adolescent creativity from pretend play behaviors during the preschool years. Realistic role‐play behavior was assessed at age 5 for 127 children who later completed two creative thinking tasks (TCT‐DP and the Alternative Uses Measure) when the children were 10–15 years of age. Realistic role‐play when the children were age 5 significantly predicted their scores during early adolescence on the Alternative Uses Measure but not the TCT‐DP. Significant sex differences were found for amount of time engaged in realistic role‐play at age 5 and performance on the TCT‐DP, with girls engaging in more role‐play at age 5 and scoring higher on the TCT‐DP during early adolescence than boys. No sex differences were observed for the Alternative Uses Measure. These results suggest that preschool role‐play behaviors represent early creativity and are tapping aspects of creativity development that are manifested in early adolescence.     

Brief experimental analysis of early reading interventions

The purpose of this study was to investigate how brief experimental analyses (BEAs) could be used to identify effective interventions for Kindergartners (2 girls and 2 boys, 5 years and 7-10 months old) with low performance and/or growth slope in letter sound fluency (LSF). Interventions were tested within a multielement design with brief mini-reversals until an intervention yielding at least 20% improvement on a specific subskill measure or a curriculum-based measure of LSF was identified. BEA-identified interventions were implemented one-on-one for 5 to 9 weeks. A multiple-baseline design across participants showed large intervention effects (average adjusted d = 2.4) on general outcome measures, supporting treatment validity of BEAs. Findings extend the BEA literature to younger participants, early reading interventions, and early reading measures.