Integrating Systems of Care in California for Youth with Severe Emotional Disturbance IV: Educational Attendance and Achievement

Empirical results are presented from school-based interventions in three California counties that are pioneering participants in a carefully evaluated effort to create an innovative system of care for youth with severe emotional disturbance. Data are presented about the educational attendance and achievement of youth enrolled in clinical and academic programs designed to provide collaborative mental health and education services. Attendance levels were uniformly high. The youth were below expected grade level as measured by standardized tests at program admission. Across programs, two counties demonstrated grade level increases of one year or more for one year in school on all subscales of established measures of educational achievement. The third county demonstrated increases of slightly less than one year on two of three subscales of the educational achievement measures. These results are the first from a multisite demonstration of integrated education and mental health programs embedded within a broader system of care for youth. The findings, combined with those from our prior studies, illustrate that is possible to reduce and control placements in restrictive levels of care while improving the academic performance of a vast majority of the youth enrolled in specialized programs within the care systems.     

Recognition of Facial Expressions of Emotion by Children with Emotional and Behavioral Disorders

Interpreting and responding appropriately to facial expressions of emotion are important aspects of social skills. Some children, adolescents, and adults with various psychological and psychiatric disorders recognize facial expressions less proficiently than their peers in the general population. We wished to determine if such deficits existed in a group of 133 children and adolescents with emotional and behavioral disorders (EBD). The subjects were receiving in-patient psychiatric services for at least one of substance-related disorders, adjustment disorders, anxiety disorders, mood disorders or disruptive behavior disorders. After being read stories describing various emotional reactions, all subjects were tested for their ability to recognize the 6 basic facial expressions of emotion depicted in Ekman and Friesen's (1976) normed photographs. Overall, they performed well on this task at levels comparable to those occurring in the general population. Accuracy increased with age, irrespective of gender, ethnicity, or clinical diagnosis. After adjusting for age effects, the subjects diagnosed with either adjustment disorders, mood disorders, or disruptive behavior disorders were significantly more accurate at identifying anger than those without those diagnoses. In addition, subjects with mood disorders identified sadness significantly more accurately than those without this diagnosis, although the effect was greatest with younger children.     

国外关于幼儿道德判断的近期研究

简要介绍国外近年来从信息加工和情绪归因的角度对幼儿道德判断进行的研究。这些研究揭示：幼儿道德判断受记忆、理解因素的影响;其发展表现为整合信息能力和根据不同情境分化地使用不同判断标准的能力不断提高;幼儿道德认知与情绪反应有不一致的现象。     

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.     

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。     

What is told when the story is retold? Consistency of victimization reports in psychiatric patients

The use of retrospective self‐reports is a major methodological concern when ascertaining the occurrence of victimization experiences, with additional concerns when assessing psychiatric patients. The test for consistency can overcome some of these concerns, increasing the confidence in the information reported. Our aim was twofold: (1) to know the consistency of victimization reports; and (2) to test the role of changes on emotional distress in predicting report discrepancies, in a sample of 34 adult psychiatric patients. Participants were assessed twice, with a year interval. Sexual abuse was the experience that presented the higher level of consistency for childhood victimization, while assault with a weapon had the higher consistency level for adolescent and adult victimization. We found that increases on emotional distress predicted report discrepancies, and more specifically, increases in the report of victimization. Our results displayed acceptable consistency levels, suggesting some stability in the reporting of victimization over time. Considering that inconsistencies tended either to increases and decreases in the reporting of victimization, it would be important to consider the impact of such experiences when intervening with psychiatric patients.     

A performance comparison between the two language versions of the Affective Go/No‐Go test: A randomised crossover study

The purpose of this randomised crossover study is to validate the Korean version of the Affective Go/No‐go (AGN) test. The Korean words for the AGN test were selected after careful evaluation of emotional valences, word length and frequency. Fifteen Korean advanced learners of English were administered both Korean and English versions, yielding 30 data points. The performance of both language versions was compared for each of the AGN test parameters (response latency, commission error and omission error) using two‐way analysis of variance (ANOVA). Intraclass correlation coefficients (ICCs) were estimated to evaluate associations between the two versions. The ICCs were high for response latencies of all valences and commission errors of positive and neutral words, but not for that of negative words and omission errors of all valences. A similar pattern of test results, as revealed by the high ICCs and non‐significant interaction effects between language and word valence, suggests that the psychometric properties of the AGN test may be comparable over different language versions.