Assessment of the Effectiveness of Genetic Counseling by Telephone Compared to a Clinic Visit

Maternal serum screening, also known as the triple screen, is used during pregnancy to assess the risk of carrying a fetus with specific chromosome abnormalities or open spina bifida. All women in British Columbia who screen positive are eligible for genetic counseling and are offered amniocentesis. The purpose of this study is to determine what differences (if any) exist in patients' understanding and/or anxiety when genetic counseling for a positive triple screen is conducted in person versus over the telephone. Each patient who participated was given the choice of having genetic counseling in person or over the telephone, this after a randomized design failed to elicit any participants. Using a written postcounseling questionnaire, each patient was assessed for her understanding of the information presented in the session, and her anxiety regarding her risk. In this small pilot study, no large differences were detected in patients' understanding or anxiety when genetic counseling was conducted by telephone versus in person.     

Depression in the early postpartum period and attachment to children—in mothers of NICU infants

Depression in early puerperium was evaluated in terms of maternal attachment in mothers of children admitted to the neonatal intensive care unit (NICU) in comparison to a control group of mothers of full‐term infants. A survey including Zung's self‐rating depression scale (ZSDS), a postpartum maternal attachment scale and items addressing the mother's feelings and peripheral conditions was conducted on mothers of children admitted to the NICU. Among the 153 mothers who gave valid responses, positive ZSDS scores of over 40 were seen in 61.8%. In terms of the children's disorder, strong depressive tendency was noted among mothers of low birth weight infants. Significant correlation was noted between the ZSDS and the ‘core maternal attachment’ (negative correlation) and ‘anxiety regarding children’ (positive correlation) subscales of postpartum maternal attachment. Path analysis revealed the father's positive reaction in learning of the pregnancy resulted in elevation of the ‘core maternal attachment’ score, in contrast to the control group mothers. Copyright © 2003 John Wiley & Sons, Ltd.     

An observational measure of children's behavioural style: Evidence supporting a multi‐method approach to studying temperament

This study demonstrates the potential utility of the Behavioural Style Observational System (BSOS) as a new observational measure of children's behavioural style. The BSOS is an objective, short and easy to use measure that can be readily adapted to a variety of home and laboratory situations. In the present study, 160 mother–child dyads from the Concordia Longitudinal Risk Project (CLRP) were observed during an 11‐min behavioural sample. Videotaped interactions were coded using the BSOS for children's mood, activity level, vocal reactivity, approach to toys, mood consistency and adaptability. Comparisons between the BSOS observational ratings and mothers' ratings of the child on the EAS Temperament Survey (EAS) provided support for modest congruence between these two measurement systems, and revealed a differential predictive pattern of children's functioning. Specifically, the observation‐based BSOS predicted children's cognitive performance and adaptive behaviour during testing, whereas the mother‐rated EAS predicted maternal ratings of children's internalizing and externalizing behaviour problems. Both measures were found to independently predict mothers' ratings of parenting stress. Overall, the findings imply that neither observational measures nor maternal ratings alone are sufficient to understand children's behavioural style, and that comprehensive evaluations of children's temperament should optimally include both types of measures. Copyright © 2004 John Wiley & Sons, Ltd.     

'Reverberation time', dreaming and the capacity to dream

In this paper the author suggests that understanding the roots of the subjective sense of time can throw light on the disturbances in psychic time which are found in particular in the more severe pathologies. She introduces the argument that the roots of the development of the sense of time rest on a primitive sense of time she calls 'reverberation time'. By this notion she refers to the particular quality of the earliest 'back and forth' internalized exchange with the mother in which the auditory dimension plays a significant part. Referring to a wide range of literature and clinical examples, the author thus suggests that the subjective sense of time is created by the reverberation between mother and infant. Disturbances in this area will be reflected in the pathological 'arresting' of time which is observed in the different pathologies and, in particular, around the negotiation of the depressive position and the oedipal situation. Extending this argument, the author goes on to suggest that it is the internalization of this experience of 'reverberation' which lies at the heart of the experience of dreaming; she considers that dreaming understood as an internal dialogue points both to its roots in the relationship to the maternal object and to its fundamental role in psychic life. The author concludes that 'reverberation time' is also the building block of a psychoanalysis, leading to 'unfreezing' psychic time and enabling the reconnection of 'here and now' with 'there and then' in a flexible way which promotes open possibilities, and that this takes place via the analyst's reverie, or time of reverberation.     

Reactive and Regulative Temperament in Youths: Psychometric Evaluation of the Early Adolescent Temperament Questionnaire-Revised

The present study examined the psychometric properties of the self-report version of the Early Adolescent Temperament Questionnaire-Revised (EATQ-R), which is a scale for measuring reactive and regulative temperament traits, in a large sample of children and adolescents (N = 1,055). The results indicated that the internal consistency was acceptable for most EATQ-R temperament scales. Further, principal components analysis of the instrument yielded a structure with nine components, which generally reflected the temperament scales of the EATQ-R. The test–retest stability of the scale was moderate to good, whereas the parent–child agreement was rather low. Finally, the scale correlated in a theoretically meaningful way with children’s self-reports of personality and psychopathology. It can be concluded that the EATQ-R is a useful scale for measuring aspects of reactive and regulative temperament in children and adolescents, although there is certainly room for improving the instrument.

Naloxone differentially alters parental aggression by female mice towards conspecific intruders of differing sex

Lactating mice respond differently to male and female conspecific intruders, displaying defensive attack towards the former and offensive attack towards the latter. Two studies are reported in which the effects of naloxone on this differential response pattern were assessed. In the first study, lactating residents were pretreated with saline or naloxone (0.5, 2.5 mg/kg) and consecutively confronted with intruders of differing sex. Results suggested that attack (offensive) against female conspecifics is more sensitive to the inhibitory effects of opiate-receptor blockade than attack (defensive) on males. This conclusion was strengthened in a follow-up study, in which independent groups of lactating residents were used to further examine the effects of naloxone (0.5 mg/kg) on response to male and female intrusion. Analysis indicated that this low dose of naloxone significantly inhibited attack on female, but not on male, intruders. Indeed, in response to male, but not to female, intrusion, naloxone-treated residents showed a significant increase in fear-related behaviour. Findings are discussed in relation to the motivational differences in the response of lactating mice to intruders of differing sex and to possible mechanisms underlying the reported differential effects of opiate-receptor blockade.     

大学生气质类型、父母教养方式与孤独感的关系研究

采用量表法以349名大学生为被试研究了气质类型、父母教养方式和孤独感的关系.(1)差异检验表明:女性大学生的亲情孤独感、总体孤独感多于男生,且气质类型上更情绪化;城市大学生的社会性得分显著高于来自乡村大学生;在爱情孤独和总体孤独感上存在显著的专业差异,理工类大学生体验到更多的孤独感尤其是爱情孤独感.(2)相关分析表明:大学生孤独感的各个维度与其气质类型中的社会性以及父母教养方式中的大多因素显著相关.(3)回归分析进一步表明:母亲情感温暖对总体孤独感有显著预测作用;母亲情感温暖、父亲严惩、母亲干涉保护对亲情孤独感因子有显著预测作用;社会性、父亲严惩对爱情孤独感因子有显著预测作用;母亲情感温暖、母亲干涉保护、父亲干涉对社交孤独感因子有显著预测作用.     

青少年的气质与烟酒使用:交互效应检验

考察气质(意志控制、愤怒挫折、感觉寻求)对青少年烟酒使用的主效应,气质与教养方式(权威、专制、纵容)对烟酒使用的交互效应以及气质间的交互效应.采用随机整群抽样的方法,选取660名青少年为被试,匿名完成气质问卷、教养方式问卷和烟酒使用问卷.结果显示:(1)在控制了性别、年龄、社会经济地位后,气质对青少年烟酒使用具有预测作用,低意志控制、高愤怒挫折、高感觉寻求正向预测烟酒使用;(2)教养方式调节部分气质因素与烟酒使用的关系,具体为:权威和专制教养缓冲感觉寻求的风险作用,符合风险缓冲模型;纵容教养增强感觉寻求的风险作用,符合风险增强模型;(3)气质内部在影响青少年烟酒使用时也存在交互作用,愤怒挫折增强感觉寻求的风险作用,符合风险增强模型.因此,烟酒使用是气质与教养方式及气质间交互作用的产物.     

教养方式、气质对青少年攻击的影响：独特、差别与中介效应检验

运用“多前因变量－多结果变量”框架, 探讨教养方式、气质对青少年直接和间接攻击有无独特效应与差别效应, 以及规范信念(认为攻击他人是正确和可接受的)在其中的中介作用。660名青少年(平均年龄14.14岁, 女生364人)报告了教养方式、气质特征、攻击信念和攻击行为的情况。多重和多元回归分析表明：(1)教养方式(权威、专制、纵容)对直接攻击独特效应不显著, 气质(意志控制、愤怒挫折、感觉寻求)对直接攻击有独特效应; 教养方式(权威、专制、纵容)和气质(意志控制、感觉寻求)对间接攻击有独特效应。(2)教养方式(权威、专制、纵容)与直接攻击的联系显著弱于其与间接攻击的联系, 而气质(愤怒挫折、感觉寻求)与直接攻击的联系则显著强于其与间接攻击的联系。(3)两类规范信念与两类攻击具有不完全的特异性联系, 而且直接规范在气质(意志控制、感觉寻求)与两类攻击之间具有中介作用, 间接规范在教养方式(权威)与间接攻击、气质(愤怒挫折)与两类攻击之间具有中介作用。因此, 教养方式和气质对不同形式攻击行为的影响不同, 且这种影响可以部分地由规范信念加以解释。