Suicidal behavior among youth with severe emotional disturbance

The purpose of this study was to replicate an investigation of risk behaviors associated with suicidal behavior in public high school students, in a population of high school age youth with severe emotional disturbance (SED). Subjects for the study were clients of the South Carolina Continuum of Care (COC) (N=83). Information on suicidal thoughts and acts, aggressive behaviors, substance use and physical recklessness was gathered using a modified version of the self-report National Youth Risk Behavior Survey. Four percent of the youth reported seriously considering suicide, 8% reported planning how they would attempt suicide, 10% reported actually attempting suicide at least once, and 6% reported attempts requiring medical treatment Of the 13 youth who reported attempting suicide, four (31%) did not report planning an attempt. All suicidal behaviors except thoughts occurred more in girls than boys with SED. Alcohol and illicit drug use were associated with suicidal behavior, with larger odds ratios for attempts than for thoughts/plans. Youth with SED who use alcohol and illicit substances are particularly at risk of suicidal behavior. A high index of suspicion is appropriate when evaluating suicidal risk in girls with SED, especially in the presence of known alcohol or substance use.Continuum of Care for Emotionally Disturbed Children Division, S. C. Office of the Governor.     

Crisis for community mental health: The use of groups in the struggle for survival

The task of community mental health is to provide quality services to clients despite funding cutbacks. This paper describes the recent evolution in conceptualization and service delivery in one center. The outcomes are a philosophy that is customer oriented, and treatment that draws upon brief techniques, in group and long term contexts.     

Primary Prevention Mental Health Programs: The Future is Exciting

Current outcome research on primary prevention mental health programs is encouraging and the future is exciting. Data continue to accumulate regarding the efficacy of preventive intervention. Exemplary programs can prevent multiple problems across different outcome domains suggesting the need for collaboration among preventionists across disciplines and research areas. The commentators on our review (Durlak and Wells, 1997) offered many useful suggestions to improve the next generation of research. Most recommendations fall broadly under the rubric of increasing the precision of theory, design, and program evaluation. If current recommendations for improving future research are followed, the next reviewers of primary prevention mental health programs for children and adolescents will have a more complete and useful database for analysis.     

The Experience of Caregiving Among Mothers of Adults Suffering from Psychotic Disorders: Factors Associated with Their Psychological Distress

To identify correlates of psychological distress among multiple indicators, 99 women with adult children suffering from a psychotic disorder were interviewed. The women, who were recruited through hospitals and self-help groups, represented different socioeconomic levels. A face-to-face standardized interview was conducted, mainly in the participants' homes. Multiple hierarchical regression analysis showed that dimensions of burden and social support were strongly associated with distress reported by the participants. The negative interactions that participants had with their main confidant or spouse constituted a more powerful correlate than their perception of the quality of this relationship. Furthermore, a perception of their own health as poorer is a strong correlate of their distress. Since no control group was studied simultaneously, these results suggest, but do not prove, the presence of differences between mothers of adults with psychotic disorders and other mothers.     

Psychological Distress and Help Seeking in Rural America

The implications of exposure to acute and chronic stressors, and seeking mental health care, for increased psychological distress are examined. Research on economic stress, psychological distress, and rural agrarian values each point to increasing variability within rural areas. Using data from a panel study of 1,487 adults, a model predicting changes in depressive symptoms was specified and tested. Results show effects by size of place for men but not for women. Men living in rural villages of under 2,500 or in small towns of 2,500 to 9,999 people had significantly greater increases in depressive symptoms than men living in the country or in larger towns or cities. Size of place was also related to level of stigma toward mental health care. Persons living in the most rural environments were more likely to hold stigmatized attitudes toward mental health care and these views were strongly predictive of willingness to seek care. The combination of increased risk and less willingness to seek assistance places men living in small towns and villages in particular jeopardy for continuing problems involving depressed mood.     

Modifying food purchases in supermarkets with modeling, feedback, and goal-setting procedures

We compared several procedures designed to modify consumer food purchases with the objectives of reducing fat and increasing carbohydrate content, and reducing dollar expenditures on food. Participants were 126 volunteer community households which, after a 7-week baseline period, were randomly assigned to video-modeling, video-modeling-feedback, video-lecture, video-lecture-feedback, participant-modeling, video-modeling-discussion, and control conditions. The main dependent measure was a weekly record of food purchases, convertible to percentages of nutrients and dollar expenditures. Results indicated that modeling-feedback and participant-modeling procedures were most effective (e.g., 6% reduction of total fat consumption, 19% dollar savings). Strategies to refine and automate modeling and feedback in supermarkets that may benefit consumers, corporations, and government are discussed.     

父母自主支持对青少年积极情绪适应的影响:基本心理需要满足的中介与调节作用模型

本研究旨在考察父母自主支持对青少年积极情绪适应的影响及其作用机制。采用生活满意度问卷、积极情感消极情感量表、父母自主支持量表、自尊量表以及基本心理需要量表对1912名初中生被试进行调查。结果表明：（1）父母自主支持对青少年生活满意度、积极情绪、自尊和基本心理需要满足有显著正向预测作用;（2）基本心理需要满足在父母自主支持对青少年生活满意度、自尊和积极情绪影响中的中介作用显著;（3）基本心理需要满足在父母自主支持与积极情绪、生活满意度之间起着调节作用。本研究结果揭示了基本心理需要满足在父母自主支持和积极情绪适应之间的“双重作用”。     

父母冲突与中学生应对方式的关系:教养方式和情绪安全感的链式中介作用

为了探讨父母冲突、父母教养方式、情绪安全感和应对方式的关系,研究采用量表对北京市和河南省1322名初一到高二的学生进行调查。结果表明：父母冲突直接影响中学生的应对方式,且存在三条路径：通过父母教养方式的单独中介作用影响中学生的积极应对方式和父母消极教养方式的单独中介作用影响中学生的消极应对方式;通过情绪不安全感的单独中介作用影响中学生的应对方式;通过父母消极教养方式和情绪不安全感的链式中介作用影响中学生的应对方式。因此减少和避免父母冲突,提高中学生的情绪安全感,同时给予中学生积极教养方式,减少和避免消极教养方式,有利于中学生积极应对方式的发展。     

A Review of Experimental Research on Embodied Creativity: Revisiting the Mind–Body Connection

A growing body of experimental work highlights the potential value of unstructured, interactive, or spontaneous motions, including gestures, dance, shifting body postures, physical object-manipulation, drawing, etc. to favorably impact creative performance. However, despite these favorable findings, to our knowledge, no systematic review has been conducted to explore the totality of evidence for embodied activities in this arena. Thus, the objective of this paper was to systematically evaluate the potential effects of embodied experimental manipulations on traditionally assessed creativity outcomes. A systematic review was conducted utilizing PubMed, PsychInfo, Sports Discus, and Google Scholar databases. The 20 studies evaluated employed a variety of methodological approaches regarding study design, embodied manipulation, and selection of specific creativity outcomes. Despite these variations, embodied movement robustly enhanced creativity across nearly all studies (90%), with no studies showing a detrimental effect. Based on the evaluation of the studies reviewed, several common themes emerged. These included the relevance of symbolic metaphors and distributed embodied cognitions, selection of embodied modality, specific measurement considerations, as well as the importance for implementing true, inactive control conditions in embodied creativity research. This review expands on these findings and places them in the context of improving future embodied creativity research.