Reducing the Risk of Internalizing Symptoms among High‐risk Hispanic Youth through a Family Intervention: A Randomized Controlled Trial

Familias Unidas is an intervention that has been found to be efficacious in preventing and reducing substance use, sexual risk, and problem behaviors among Hispanic youth. While it does not specifically target youth internalizing symptoms, the intervention works to strengthen parenting and family factors associated with reduced risk of internalizing symptoms (i.e., depression, anxiety symptoms). This study examines the effects of Familias Unidas on internalizing symptoms among high‐risk youth, as well as the role of family level factors in the intervention's effects. A total of 242 12–17‐year‐old Hispanic youth with a history of delinquency and their primary caregivers were recruited from the school and juvenile justice systems, and randomly assigned to the Familias Unidas intervention or community practice control. A linear latent growth model was used to examine intervention effects on the trajectory of adolescent internalizing symptoms from baseline to 6 and 12 months post‐baseline. Results show that the Familias Unidas intervention was more efficacious than control in reducing youth internalizing symptoms. Baseline youth externalizing and internalizing symptoms did not moderate the intervention's effects on the trajectory of youth internalizing symptoms. While parent – adolescent communication did not significantly moderate the intervention's effects, changes in parent – adolescent communication mediated the intervention's effects on internalizing symptoms, showing stronger intervention effects for youth starting with poorer communication. Findings indicate that the Familias Unidas intervention can reduce internalizing symptoms among high‐risk Hispanic youth, and that improving parent – youth communication, a protective family factor, may be one of the mechanisms by which the intervention influences youth internalizing symptoms.     

Why did Tiger Woods shoot 82? A commentary on

In a recent article, Toner and Moran (2015) argued that athletes need to pay conscious attention to body movements, and that an external focus of attention would not be effective for continued improvement at the elite level. Their arguments appear to be based on misunderstandings of the attentional focus literature. In this commentary, I clarify that adopting an external focus does not imply that performers are not aware of their body movements. Rather, an external focus (i.e., focusing attention of the intended movement effect) refers to the preparation of movement execution. I maintain that an external focus is necessary to optimize performance and learning at any level of performance.     

New Opportunities

Sexual assault is a pervasive problem in the U.S. military, especially against women. Bystander intervention is increasingly promoted as important for reducing sexual violence, and it may be particularly helpful in contexts with high rates of sexual violence. Bystander training encourages and enables people to intervene safely and stop sexual violence. In this study, we drew from an ecological model to investigate intrapersonal, microsystem, and exosystem factors that predicted Service members' assumption of personal responsibility to intervene in an alcohol‐involved sexual assault. Moreover, we examined how these predictors played a role in decisions about how to intervene: confronting the perpetrator, assisting the victim, or finding someone to help. We analyzed data from 24,610 active duty personnel collected by the Department of Defense. Several factors significantly related to Service members' bystander intentions: gender, rank, morale, attitudes about sexual assault, training, and trust in the military sexual assault system predicted the likelihood and method of bystander intervention. These findings help identify how and why people intervene (or fail to intervene) when they witness situations that could develop into sexual violence.     

Enhancing Social Responsibility and Prosocial Leadership to Prevent Aggression,Peer Victimization,and Emotional Problems in Elementary School Children

Testing the theories that form the basis of prevention programs can enhance our understanding of behavioral change and inform the development, coordination, and adaptation of prevention programs. However, theories of change showing the linkages from intervention program components to risk or protective factors to desired outcomes across time are rarely specified or tested. In this 2‐year longitudinal study, we test the theory that increases in two protective factors (i.e., children's prosocial leadership and their teachers’ expectations of social responsibility) targeted by the WITS Programs (Walk Away, Ignore, Talk it Out, and Seek Help) would be associated with declines in peer victimization, aggression, and emotional problems. Participants included Canadian students, in grades 1–4 at baseline (n = 1329) and their parents and teachers. Consistent with our theory of change, variability in program implementation (adherence and integration) and in children's use of program skills (child responsiveness) are related to increases in both protective factors. Increases in these protective factors are associated with subsequent declines in children's aggression, victimization, and emotional problems. We discuss how enhancement of these protective factors may operate to improve child outcomes and the need for theory‐based research to refine and improve the effectiveness of intervention strategies and to improve program scale‐up.     

Clinical interventions and prevention for Asian American children and families: Current status and needed research

The current status of clinical interventions and prevention for Asian American children and/or adolescents and their families was assessed through a review of the literature on conceptual frameworks, cultural variables and related issues, and empirical studies. Five proposed approaches to treatment or prevention were examined. Some factors that might account for the slow progress of treatment research in this area were also discussed. These included conceptual and methodological issues; the paucity of data on psychopathology in this population; their low service-utilization rates; and societal images, values, and needs. Some needed directions for future research are suggested.     

Effects of positive youth development programs on school, family, and community systems

A review of efforts at social system change in 526 universal competence-promotion outcome studies indicated that 64% of the interventions attempted some type of microsystemic or mesosystemic change involving schools, families, or community-based organizations in an attempt to foster developmental competencies in children and adolescents. Only 24% of the reports provided quantitative data on the change that occurred in targeted systems. However, studies containing the necessary information produced several mean effect sizes that were statistically significant, and ranged from modest to large in magnitude. These data indicate that attempts to change social systems affecting children and adolescents can be successful. Future work should measure more thoroughly the extent to which the systemic changes that are targeted through intervention are achieved, and investigate how such changes contribute to the development and sustainability of the outcomes that might be demonstrated by participants of competence-promotion programs. The authors wish to thank David Wilson for supplying the macros used to calculate study level effect sizes and Mark Lipsey for supplying the SPSS macros used to weight effect sizes and calculate mean effects across studies. This study was supported in part by a grant from the William T. Grant Foundation (#2212) awarded to the first and last authors.     

Violations of information structure: an electrophysiological study of answers to wh-questions

This study investigates brain responses to violations of information structure in wh-question-answer pairs, with particular emphasis on violations of focus assignment in it-clefts (It was the queen that silenced the banker). Two types of ERP responses in answers to wh-questions were found. First, all words in the focus-marking (cleft) position elicited a large positivity (P3b) characteristic of sentence-final constituents, as did the final words of these sentences, which suggests that focused elements may trigger integration effects like those seen at sentence end. Second, the focusing of an inappropriate referent elicited a smaller, N400-like effect. The results show that comprehenders actively use structural focus cues and discourse-level restrictions during online sentence processing. These results, based on visual stimuli, were different from the brain response to auditory focus violations indicated by pitch-accent [Hruska, C., Steinhauer, K., Alter, K., & Steube, A. (2000). ERP effects of sentence accents and violations of the information structure. In Poster presented at the 13th annual CUNY conference on human sentence processing, San Diego, CA.], but similar to brain responses to newly introduced discourse referents [Bornkessel, I., Schlesewsky, M., & Friederici, A. (2003). Contextual information modulated initial processes of syntactic integration: the role of inter- versus intrasentential predictions. Journal of Experimental Psychology: Learning, Memory and Cognition, 29, 871-882.].     

Randomized trial of a brief depression prevention program: an elusive search for a psychosocial placebo control condition

This trial compared a brief group cognitive-behavioral (CBT) depression prevention program to a waitlist control condition and four placebo or alternative interventions. High-risk adolescents with elevated depressive symptoms (N=225, M age=18, 70% female) were randomized to CBT, supportive-expressive group intervention, bibliotherapy, expressive writing, journaling, or waitlist conditions and completed assessments at baseline, termination, and 1- and 6-month follow-up. All five active interventions showed significantly greater reductions in depressive symptoms at termination than waitlist controls; effects for CBT and bibliotherapy persisted into follow-up. CBT, supportive-expressive, and bibliotherapy participants also showed significantly greater decreases in depressive symptoms than expressive writing and journaling participants at certain follow-up points. Findings suggest there may be multiple ways to reduce depressive symptoms in high-risk adolescents, although expectancies, demand characteristics, and attention may have contributed to the observed effects.     

Determinants of Parental Monitoring and Preadolescent Sexual Risk Situations Among African American Families Living in Urban Public Housing

We investigated determinants of parental monitoring and the association between parental monitoring and preadolescent sexual risk situations among low-income, African American families living in urban public housing. Preadolescents and their parents or caregivers who participated in a longitudinal study of familial and contextual influences on HIV/AIDS risk provided data on parental monitoring and preadolescent sexual risk situations. Data were also collected on parent risk factors (psychological distress, maternal age at first childbirth); preadolescent risk factors (responsiveness to parents, peer pressure) and contextual factors (parenting help, household type, friendship, partner presence, and perception of religious guidance) that were hypothesized to predict parental monitoring levels. Results showed that greater parental monitoring predicted less sexual risk situations. Further, instrumental and emotional supports were both significant predictors of parental monitoring, but parent and preadolescent risk factors were not strongly associated with parental monitoring. These results were similar for male and female preadolescent youth. Our findings suggest that preventive interventions to reduce sexual risk situations for urban, African American youth should consider parental monitoring. In addition, contextual factors such as strong parental friendship networks and instrumental help may enable parents to provide closer monitoring of youth.     

Child and Adolescent Tobacco and Substance Use within the Context of ADHD: Implications for Prevention and Treatment

Tobacco, alcohol, marijuana, and other forms of substance use among children and adolescents is a significant public health concern. At present, one high-risk population of great concern is those affected with Attention-Deficit/Hyperactivity Disorder (ADHD) and those with subthreshold ADHD-like symptoms. The prevalence of tobacco and substance use is considerable within this population, and ADHD and ADHD-like symptoms often present as comorbid conditions. To further the understanding of this problem, a review is provided of youth tobacco and substance use and their biobehavioral influences in the context of ADHD. Using primary care as an example, opportunities for tobacco and substance use prevention and treatment within this high-risk population are examined.