The European Early Promotion Project: A new primary health care service to promote children's mental health

The number of children in Europe with significant psychologic and social problems is large and increasing. This article describes an innovative crosscultural method of working with families to promote the psychosocial well being of children and prevent the development of psychologic and social problems. A study designed to evaluate the effects of the service is also presented. Primary health care workers in five European countries have been trained to conduct promotional interviews with all prospective mothers in their area one month before and one month after birth. They have also been taught to work with mothers identified as in need of support as a parent by using a specific counselling model to try to prevent the onset of child mental health difficulties. Effects of the intervention on children's psychologic development and family adaptation are being evaluated at two years in comparison with matched groups not receiving the intervention. ©2002 Michigan Association for Infant Mental Health.     

The relationship between dimensional self-concept and juvenile gang involvement: implications for prevention,intervention, and court referred diversion programs

In this investigation we assessed 427 youths from an area with considerable gang activity to determine the way in which self-concept is related to gang involvement, and to assess how gang involvement fluctuates as a function of gender and grade level. Product moment correlations revealed a significant negative association between gang involvement and the self-concept dimensions of competence, affect, academic, family, and global; however, only the relationship with competence self-concept remained significant after adjusting for alpha inflation. Discriminant analysis revealed a significant predictive relationship between self-concept and classifi-cation into high or low gang-involved groups. Males were found to be significantly more gang involved than females, but no differences were found by grade level (although a significant gender by grade interaction was present). Implications for field-based prevention/intervention efforts and court referred diversion programs are discussed. ©1997 John Wiley & Sons, Ltd.     

Comparative study of hostility in depressive patients with and without a suicide attempt history

Hostility in association with depression seems to be connected to suicidal behavior. This study aimed to evaluate hostility and its dimensions in relation to depression in patients who suffered from diagnosed depression with and without a suicide attempt history. The study included 168 participants; 58 patients with depression and suicide attempt history, 55 patients with depression without a suicide attempt history and 55 healthy controls. Hostility was assessed with the Hostility and Direction of Hostility Questionnaire, while depression with the Beck Depression Inventory (BDI). Patients with depression and a suicide attempt history compared with the patients without attempt history presented statistically significantly higher total hostility (28.71 ± 6.43 vs 24.20 ± 7.66), extroverted hostility (17.16 ± 4.37 vs 14.15 ± 4.63), acting out hostility (6.03 ± 2.09 vs 4.73 ± 1.93), and self criticism (6.95 ± 2.12 vs 5.89 ± 2.32). No statistically significant differences were found between the two clinical groups in depression according to the BDI. Moreover depressive patients with suicide attempt history scored higher in all the hostility dimensions than the controls. Therefore, it could be suggested that hostility and especially its extrapunitive dimensions are associated with suicidal behavior, since no differences in depression were recorded between the two clinical groups.     

Sex and sport-related differences in satisfaction among Greek swimmers

The purpose was to test the applicability of the Scale of Athlete Satisfaction for Greek swimmers and to assess sex and sport-related differences for swimers' mean satisfaction. The sample of 351 Greek swimmers comprised 186 males and 165 females competing in five categories of the National Swimming Championhip in Greece. Their mean age was 16 yr. (SD=2; range 13 to 28 years). A confirmatory factor analysis supported the factorial validity of the scale. Analysis indicated that sex, weekly practice schedule, and sport experience differentiated facets of satisfaction among these swimmers. This scale is reliable and valid for measuring athletes' satisfaction with individual sports.     

Reliability of 2D:4D measurements using a direct method suitable for clinical settings

The second to fourth digit ratio (2D:4D) indicates androgen exposure during early development. Numerous methods are used in the assessment of 2D:4D, however, some are not reliable enough and others are difficult to perform in large epidemiological studies. We assessed the reliability of 2D:4D using a direct method with a caliper, and compared it with a computer-assisted analysis on scanned images. Both methods were moderately correlated, but the scan method produced slightly lower 2D:4D. The main source of variation was differences between subjects (real variation). Reliability was higher among men and among younger participants. All reliability coefficients were higher than 0.8 when three repeated measurements were averaged. Our results suggest that reliability is influenced by participants’ characteristics. Digit ratios determined directly with calipers are reliable when repeated measurements are averaged.     

Secrets and Disclosures: How Young Children Handle Secrets

The authors examined the influence of content and verbal cues on young children's understanding of secret information and of its disclosure. Participants were 209 5- and 6-year-old children in an experiment where a puppet, named Zinc, was the protagonist. Children were asked to whom Zinc would disclose a list of pieces of information, some of which are considered secrets. Children could choose between Zinc's friend, a nonfriend, both friend and nonfriend, or nobody. Participants were divided in 2 experiment groups: In the first group a prior verbal cue was given to the participants that some information might be secret, whereas in the second group no prior cue was presented. Results showed that young children, similar to older individuals, differentiated between secrets and nonsecrets partly on the basis of content, and chose to withhold secrets more than nonsecrets or to share secrets more with friends than with nonfriends, following the restrictive self-disclosure pattern. In contrast, young children did not withhold nonsecret information, but they shared it with friends and nonfriends. However, when given verbal cues regarding potential secrecy of the information, young children chose more restrictive disclosure patterns for all types of content.     

Egocentric updating of remote locations

The study examined whether people update remote spatial locations in unfamiliar environments during physical movement. Participants learned a layout of objects from one perspective and carried out perspective-taking trials after physically rotating to a new perspective in either the same room as learning or in an adjacent room. Prior to rotation in the adjacent room participants were instructed to visualize the objects as being around them. Responses to perspective-taking trials involved either pointing or verbal labeling. In both testing environments, participants pointed more efficiently from imagined perspectives aligned with either the initial learning perspective or their current facing orientation than from a novel imagined perspective; this indicates that they had updated the encoded spatial relations during the physical rotation and treated remote objects as immediate. Differences in performance among perspectives were less pronounced for verbal labeling in both environments, suggesting that this response mode is more flexibly used from imagined perspectives.     

THE EFFECT OF A TOKEN ECONOMY ON DIETARY COMPLIANCE FOR CHILDREN ON HEMODIALYSIS

Adherence to dietary restrictions is a recurring problem for children on hemodialysis. The effect of behavior modification in maintaining dietary control is reported for four patients aged 11 to 18 years. Weight gain, potassium level, and blood urea nitrogen were utilized as criteria measures. A token reinforcement program implemented by the hemodialysis team resulted in significant changes in the dietary pattern of the children. The average weight gain between dialysis sessions for the four subjects during treatment was reduced by 45% and the degree of weight fluctuation was lessened. Potassium levels and BUN were controlled to their appropriate level for subjects who initially exceeded the criterion level. With the withdrawal of weight gain from the contingency system, increase of weight gain between dialysis sessions was noted for all subjects.     

The Comprehension of Syntactic and Affective Prosody by Adults with Autism Spectrum Disorder Without Accompanying Cognitive Deficits

The present study investigates the comprehension of syntactic and affective prosody in adults with autism spectrum disorder without accompanying cognitive deficits (ASD w/o cognitive deficits) as well as age-, education- and gender-matched unimpaired adults, while processing orally presented sentences. Two experiments were conducted: (a) an on-line sentence completion task containing local subject/object ambiguities and (b) an affective prosody task exploring the comprehension of six emotions. The syntactic prosody task revealed that the experimental group performed similar to the control group on the fillers and the object condition. On the other hand, the ASD w/o cognitive deficits group manifested lower accuracy compared to the unimpaired controls in the subject reading condition, as well as slower reaction times in all conditions. In the affective prosody task, the experimental group performed significantly worse than the controls in the recognition of the emotion of surprise, whereas no differences between the experimental and the control group were attested in the recognition of all other emotions. A positive correlation was found between the two tasks in the ASD w/o cognitive deficits group. Thus, individuals with ASD w/o cognitive deficits face slight difficulties with the decoding of prosody, both the syntactic and the affective one. More specifically, these difficulties are attested in the most difficult conditions, i.e. the subject reading and the emotion of surprise.