COGNITIVE AND SOCIOEMOTIONAL FUNCTIONING AT 4½ YEARS IN CHILDREN BORN TO MOTHERS WHO HAVE RECEIVED TREATMENT FOR SUBSTANCE‐ABUSE PROBLEMS WHILE PREGNANT

Cognitive and socioemotional functioning at 4½ years of age were examined in children born to mothers with substance‐abuse problems (n = 22) recruited from residential treatment institutions while pregnant, and then compared to children born to mothers with mental health problems (n = 18) and children from a low‐risk group (n = 26). No significant group differences in cognitive functioning were found, but the children born to mothers with substance‐abuse problems showed more caregiver‐reported socioemotional problems than did the low‐risk children, like the children born to mothers with mental health problems. Birth weight had an effect on internalizing problems at 4½ years and mediated the relation between group and socioemotional problems, although not when controlling for caregiver education, single parenthood, and anxiety and depression. At 4½ years, 7 children born to mothers with substance‐abuse problems were placed in foster care. These children had lower birth weight and higher caregiver‐rated internalizing problems. In addition to emphasizing the importance of the quality of the prenatal environment, this study suggests that families with previous substance abuse are in need of long‐term follow‐up to address socioemotional problems and enhance further positive child cognitive development. The foster‐placed children may be in particular need of long‐term follow‐up.     

Birth cohort change in the vocational interests of female and male college students

The purpose of this research was to investigate the extent to which vocational interests have changed across birth cohorts of college students to better understand how socio-cultural factors may have an impact on career development. Using meta-analytic data collection methods, dissertations and journal articles presenting interests scores representing Holland's RIASEC typology from the Strong Interest Inventory and Strong Campbell interest inventory were gathered. With samples spanning a time period from 1976 to 2004, relations between cohort year and interests were examined with weighted regressions. A salient aspect of our results was an increase in the Enterprising interests of females and decrease in the Realistic and Investigative interests of males. This finding, along with a reduction in differences between female and male Investigative, Enterprising, and Conventional interests from earlier to more recent cohorts parallels movement of American culture toward egalitarian views of gender and provides evidence for the effect of sociocultural factors on interests.     

论医学模式转变对助产土在产程守护中角色转变的影响

伴随着医学模式的转变,助产士在产程守护中的角色由单一守护者的角色向全面、多重角色转变,助产士的工作内容与职责也相应发生变化。现代医学模式下助产士的角色转变对医疗效果有良好的改进,体现了“以人为本”的医疗文化理念,同时也对助产士的要求更为全面。     

Pastoral Ministry and the Fleshly Body

This paper will explore the fleshly body of the pastor/priest/liturgist/caregiver and its engagement with the fleshly bodies of the ones given to their care. Its purpose is to address the physicality of being involved in pastoral ministry.     

关于低出生体重儿诊疗最优化原则的思考

出生体重及低出生体重发生率是衡量社会发展和妇幼保健状况的重要指标。低出生体重不仅直接增加新生儿和婴儿的患病率和死亡率,而且与儿童的远期预后如生长发育落后、智力低下、脑瘫及成年期胰岛素抵抗密切相关。通过运用诊疗最优化的原则,对低出生体重儿进行预防,及早干预治疗,可提高其生命质量。     

Predictors of early vocabulary growth in children born preterm and full term: A study of processing speed and medical complications

Delays in expressive vocabulary may be harbingers of long-term language difficulties. In toddlers born full term (FT), individual differences in language processing speed are associated with variation in expressive vocabulary growth. Children born preterm (PT) are at increased risk for persistent language deficits. Here, we evaluate predictors of early vocabulary growth in PT toddlers in relation to two sources of variability: language processing speed and medical complications of prematurity. Vocabulary growth from 16 to 30 months (adjusted for degree of prematurity) was modeled longitudinally using parent reports in English-speaking FT (n = 63; ≥37 weeks, ≥2495 g) and PT (n = 69; ≤32 weeks, <1800 g) children, matched on sex and socioeconomic status. Children were tested in the “looking-while-listening task” at 18 months to derive a measure of language processing speed. Each PT child was assessed for number of medical complications (13 maximum), based on medical chart reviews. PT and FT children displayed similar vocabulary trajectories; however, birth group disparities began to emerge by 30 months. PT children were slower in language processing speed than FT children. Critically, language processing speed predicted expressive vocabulary size at 30 months; interactions with birth group were not significant (all p > .20). In PT children, faster language processing speed predicted stronger outcomes regardless of number of medical complications; slower processing speed and more medical complications predicted poorer outcomes. Faster processing speed reflected favorable neuropsychological processes associated with faster expressive vocabulary growth that overrode the impact of medical complications on language outcomes in PT children.     

Birth-order and sex differences in the frequency of referral of children for psychological treatment: A partial replication and extension

A previous study of two-child families by Lahey, Hammer, Crumrine, and Forehand (1980) found that firstborn children were more likely to be referred for psychological treatment than second-borns and that males were more likely to be referred than females. Furthermore, there was a significant interaction between these two variables. In the present study, a new sample of two-child families from the same clinic was studied, confirming the previous findings of significant birth-order and sex effects but not the interaction. Separate analyses indicated that both birth-order and sex effects were significant for children given externalizing diagnoses, but only the birth-order effect was significant for heterogeneous internalizing diagnoses. Similarly, an analysis of only children revealed a significant sex effect for externalizers but not internalizers. A combined sample of two-child families independent of diagnosis (N=425)suggests that there are reliable associations of birth order and sex, but not the interaction, with referral rates in two-child families. Referred children were significantly more likely to have a female sibling than would be expected by chance, regardless of birth order or sex, suggesting that these children may look more deviant by comparison to female, vs. male, siblings, thus increasing the likelihood of clinic referral. The potential utility of birth order and sex as demographic marker variables for etiological research is discussed.