Secondary attention-deficit/hyperactivity disorder following perinatal and childhood stroke: impact on cognitive and academic outcomes

This cross-sectional retrospective clinical research study examines a large group of children followed within a pediatric stroke program and a developmental attention-deficit/hyperactivity disorder (ADHD) clinic at the Hospital for Sick Children, between May 2004 and June 2016. All children with a history of stroke who participated in a neuropsychological assessment between the ages of 4 and 18 years were considered for inclusion. From a sample of 275 participants with a history of stroke, 36 children (13.1%) received a diagnosis of secondary ADHD. Children with secondary ADHD were younger at the time of stroke and more likely to be identified as having a presumed perinatal stroke and persistent seizures than children without secondary ADHD diagnoses. There were no differences in pattern of lesion, size, or laterality between children who developed secondary ADHD and those who did not. Children with secondary ADHD had the lowest scores across all cognitive and academic measures compared to children with stroke-only and developmental ADHD. Findings highlight the added risk of receiving a diagnosis of secondary ADHD following pediatric stroke. Implications for future research and directed intervention are discussed.     

中职女生社交自卑感及其与家庭功能、心理健康的关系:一项交叉滞后研究

为探讨中职女生社交自卑感的特点及其与家庭功能、心理健康的关系,采用社交自卑感量表、家庭亲密度与适应性量表和中学生心理健康量表对来自河南省内2所中等职业学校的1066名一年级中职女生进行间隔半年的两次问卷调查。结果发现：（1）89.21%的中职女生有社交自卑感体验,中职女生的社交自卑感与家庭社会经济地位相关显著,农村生源中职女生的社交自卑感显著高于城市生源中职女生;（2）家庭适应性可以边缘预测随后的社交自卑感,心理健康可以显著预测随后的社交自卑感;（3）社交自卑感、家庭功能和心理健康的关系模式在城市生源和农村生源的中职女生中具有较强的稳定性;（4）来自再婚/离异家庭中职女生的心理健康对随后的社交自卑感的预测作用高于来自完整家庭的中职女生。本研究表明,中职女生存在比较明显的社交自卑感,社交自卑感与家庭功能、心理健康之间存在动态联系。     

Gender differences in posttraumatic stress symptoms among former prisoners of wars’ adult offspring

Objectives: The lifetime risk for posttraumatic stress disorder (PTSD) and PTSD symptoms (PTSS) among primary and secondary female victims is known to be higher than for male. This study assessed gender differences in PTSS among former prisoners of war’s (ex-POWs) adult offspring and the associations with their fathers’ and mothers’ PTSS and the parental bonding with them.

Design: A correlative study.

Methods: A sample of 79 Israeli father–mother-offspring ex-POW triads from the 1973 Yom Kippur War completed self-report measures. Fathers were assessed in 2008, mothers were assessed in 2011 and their adult offspring took part in 2014.

Results: Sons of ex-POWs reported higher levels of PTSS as compared to daughters of ex-POWs. However, fathers’ PTSS was positively related to daughters’ PTSS, but not significantly related to sons’ PTSS. Daughters’ PTSS were also associated with both parents’ lower care and higher overprotection, while sons’ PTSS were associated only with fathers’ lower care and higher overprotection.

Conclusions: Among adult offspring of ex-POWs, sons are at greater risk for psychological distress in the form of PTSS. Nevertheless, the intergenerational transmission of captivity-related PTSS from both fathers and spouses to their offspring is more prominent among daughters of ex-POWs.     

Coping strategies of former prisoners of war mediate the intergenerational transmission of posttraumatic stress symptoms

Objectives: Certain coping strategies, characterized by emotional coping or disengagement/ avoidance, have been linked to posttraumatic stress disorder (PTSD) and PTSD symptoms (PTSS). However, the role of primary trauma victims’ coping strategies in the intergenerational transmission of PTSS is still lacking. This prospective study assessed the mediating role of former prisoners of war’s (ex-POWs) coping strategies in the associations between ex-POWs’ PTSS and their adult offspring’s secondary PTSS in relation to their fathers’ captivity and psychiatric symptomatology.

Design: A correlational, prospective study.

Method: A sample from the 1973 Yom Kippur War composed of 79 Israeli ex-POW father-offspring dyads completed self-report measures. Fathers were assessed in 2001 and 2008, and their adult offspring participated in 2014.

Results: ex-POWs’ problem-focused coping strategies of active coping and planning, as well as disengagement-oriented coping strategies of alcohol and substance use and venting of emotions, were negatively associated with offspring’s PTSS and psychiatric symptomatology. Importantly, ex-POWs’ venting of emotions mediated the link between ex-POWs’ PTSS and their offspring’s secondary PTSS.

Conclusions: Ex-POWs with PTSS might expose their offspring to dysregulated mood, behaviors, and cognitions. Special awareness should be given to the venting of emotions coping style as possible mechanism for the intergenerational transmission of captivity-related PTSS.     

Pilot Evaluation of a University-Based Training in Trauma-Informed Services for Gang Intervention Workers

The purpose of this pilot study was to investigate the feasibility and efficacy of a course designed to bring trauma-informed practices into community-based intervention programming for gang-involved youth and families. There have been no formally evaluated trauma trainings for gang intervention workers to date. Thirty gang intervention workers completed a University-based course on trauma, which aimed to raise the level of knowledge regarding trauma exposure and its effects on youth, increase intervention workers’ confidence in their ability to identify and respond to posttraumatic stress reactions among clients, and build resilience among staff. Pre-post results revealed that participants significantly improved in their knowledge related to trauma and confidence in their ability to respond to trauma among clients. Participants also rated themselves significantly higher on these domains compared to gang intervention workers who did not take the course. Participants rated the course positively on dimensions that are associated with staff members’ willingness to implement evidence-based interventions following training. The findings indicate a number of important recommendations for supporting gang intervention workers and integrating trauma-informed practices into gang intervention services.     

Some Predictors of Primary Control of Development in Three Transitional Periods of Life

In the context of some personal control (mastery) theories (e.g., J. Heckhausen & R. Schultz, 1995; Gutmann, 1964), primary, secondary, and tertiary personal control of development among subjects in three transitional periods of life were investigated (D. J. Levinson, C. N. Darrow, E. B. Klein, M. H. Levinson, & B. McKee, 1978). Results confirmed the expectation that primary control decrease whereas secondary control increase with age. Tertiary control was the same in all transitional periods. There were some differences in contribution of predictors of primary control in the early, middle, and late period of transition. From the group of variables relating to personality traits, optimism proved a good predictor of primary control in the young and middle aged, whereas in old people who have the lowest primary control, none of the personality traits proved predictive. The importance of goals related to knowledge and competence (GKC) was a significant predictor in all three (age) groups.     

The cost of caring–the impact of secondary trauma on assumptions,values and beliefs

The aim of this paper is to look at the impact of working with distressed and traumatized clients. The paper describes a survey involving 430 care workers who regularly work with distressed or traumatized clients. The survey involved the participants completing a 21-item beliefs inventory describing their supervision or support and recording whether they had any spiritual or religious beliefs. A factor analysis of the results of the inventory found four factors, three of which involved the negative impact of the work on beliefs while the fourth gave an indication of the positive beliefs or post trauma growth that comes from working in this area. The results showed that while doing a good job and experiencing fulfilment were higher in carers who experienced lower levels of distressing experiences and beliefs, an increase in competence and improved learning opportunities were associated with higher levels of challenge. A review of the information provided on supervision and support showed that there was a wide variation in the sources of support for the different professions. While around 46% of the carers had spiritual beliefs only 29% were members of a religious group. The discussion looked at the implication of the results of the survey including the possible benefit of using the carer belief inventory to identify carers who may be vulnerable to secondary trauma or compassion fatigue. The need to provide support to all professions undertaking caring work with distressed or traumatized clients was highlighted.     

Adaptive adjustment of vocational aspirations among German youths during the transition from school to work

The transition from school to work is a central developmental task with long-term implications for the financial and social status of individuals. We argue that dynamic adjustments of aspirations play a decisive role for a successful outcome of the school to work transition, particularly in the context of the German vocational training system. Latent growth curve analyses conducted on the self-reported occupational aspirations of German adolescents (N = 414) surveyed in a 5-wave longitudinal study during their senior school year support this assumption. Based on expectancy-value-models of achievement, we delineated an adaptive trajectory of aspirations as starting off with relatively high aspirations and subsequently gradually downgrading them until s is attained. Such a trajectory of adjustment should maximize both expectancy (i.e., probability of obtaining an apprenticeship position at all) and value (i.e., training position with promotion potential). Finally, we showed empirically that the trajectory conceptually proposed as most adaptive was characteristic for youth who reported phase-adequate goal engagement strategies as suggested by the life-span theory of control.     

异地复学震区中小学生PTSD及心理健康状况的调查

创伤后应激障碍（Posttraumatic Stress Disorder, PTSD）是指突发性、威胁性或灾难性生活事件导致个体延迟出现和长期持续存在的精神障碍,其临床表现以再度体验创伤为特征,并伴有情绪的易激惹和回避行为,影响患者的心理健康。采用创伤后应激障碍自评量表和症状自评量表对异地复学的震区中小学生进行测量,了解他们的PTSD及心理健康状况。结果表明：震区中小学生PTSD和SCL-90的检出率都较高;不同性别、不同年级学生受地震的负性影响不同,其心理健康状况也有差别