Exploring the associations between coping patterns for everyday stressors and mental health in young schoolchildren

The purposes of this study were to explore the structure of coping with everyday stressors in a young nonclinical population and examine the relationship between coping and mental health. A total of 1324 children from 91 second-grade classes in 35 schools participated. Mental health was assessed using the parent and teacher forms of the Strengths and Difficulties Questionnaire (Goodman, 1997), and coping was assessed by the Kidcope (Spirito et al., 1988) self-report checklist. Exploratory and confirmatory factor analyses suggested a three-factor structure of coping. Latent-variable regression analysis indicated that coping categories including both active and emotional strategies were associated with fewer mental health problems, whereas withdrawal and oppositional coping strategies were associated with greater mental health problems. With some important exceptions, the results replicated previous studies of adults and adolescents. The need for new, more comprehensive coping assessments is highlighted.     

Treating PTSD in refugees and asylum seekers within the general health care system. A randomized controlled multicenter study

Objective

There has been uncertainty about whether refugees and asylum seekers with PTSD can be treated effectively in standard psychiatric settings in industrialized countries. In this study, Narrative Exposure Therapy (NET) was compared to Treatment As Usual (TAU) in 11 general psychiatric health care units in Norway. The focus was on changes in symptom severity and in the diagnostic status for PTSD and depression.

Method

Refugees and asylum seekers fulfilling the DSM-IV criteria for PTSD (N = 81) were randomized with an a-priori probability of 2:1 to either NET (N = 51) or TAU (N = 30). The patients were assessed with Clinician Administered PTSD Scale, Hamilton rating scale for depression and the MINI Neuropsychiatric Interview before treatment, and again at one and six months after the completion.

Results

Both NET and TAU gave clinically relevant symptom reduction both in PTSD and in depression. NET gave significantly more symptom reduction compared to TAU as well as significantly more reduction in participants with PTSD diagnoses. No difference in treatment efficacy was found between refugees and asylum seekers.

Conclusions

The study indicated that refugees and asylum seekers can be treated successfully for PTSD and depression in the general psychiatric health care system; NET appeared to be a promising treatment for both groups.

ClinicalTrials.gov registry number

NCT00218959.     

The Factor Structure of MASC Youth Report in Norwegian School Children

Identifying children with symptoms of anxiety before they develop clinical disorders is important. The objective of our study was to examine the latent factor structure of the MASC (youth report version) in a large self-selected sample of school children in 4th to 6th grade, and examine if the measure had a comparable factor structure for gender and age. Gender and age differences in anxiety symptoms were also examined. Children (N?=?1686, 53.8% female) were recruited from schools during pretest of an ongoing randomized, controlled, indicative intervention. Latent variable modelling was used to determine the underlying concepts of the MASC. We found good model fit for the four-factor model, however some items on the Harm/Avoidance scale had low factor loadings. Invariance analysis indicated that the MASC had similar factor structure (comparable meaning) for boys and girls and for younger and older children in this sample. Girls scored significantly higher than boys on all subscales and on the Total Anxiety scale. Age differences were only found on the Separation Anxiety scale. Overall, the original four-factor structure of the MASC was confirmed within a large sample of school children and was invariant across gender and age. However, the Harm/avoidance scale warrants some attention. The MASC is a potentially useful measure to be used for screening purposes in a school setting.     

Loving styles: relationships with personality and attachment styles

We investigated the ability of the major personality dimensions, some of their underlying facet scales, and attachment styles to predict primary and secondary loving styles, as conceptualized by Lee. Personality was assessed using the International Personality Item Pool, and attachment styles through an inventory devised by Collins and Read. Respondents were 302 undergraduate students (212 females; 90 males) who participated in the study in exchange for course credit. Results of regression path analysis showed that N was the only personality dimension without direct predictive links to loving styles. Instead, the influence of N was through an anxious attachment style. There were no personality predictors of Agape, and similarities were also observed between these results and those obtained in Hong Kong. The results are discussed with reference to previous studies and some suggestions for further research are also noted. Copyright © 2003 John Wiley & Sons, Ltd.     

Estimating major sources of measurement error in individual intelligences scales: Taking our heads out of the sand

Four ubiquitous major sources of measurement error for individual intelligence scales were identified and discussed. It was argued that where these sources cannot be directly investigated, they should be estimated rather than ignored. The typical magnitude of error arising from each of content sampling, time sampling, scoring, and administration was estimated; their composite was found to produce a far larger standard error of measurement than manuals of individual intelligence tests typically report. Implications for practitioners are discussed.     

Profile validity standards for MMPI and MMPI-2 F scales

Although numerous indices of validity have been developed for the MMPI and MMPI-2, interest in the F scale and its variants continues, especially among practicing clinicians. The use of the binomial for assessing standards for random answering and possibly for judgments of malingering offers another approach for the interpretation of F-scale scores. The theoretical binomial distribution and Monte Carlo data are in accord. Cut-off scores of 24 for the MMPI and 23 for the MMPI-2 suggest random responses, and scores of 40 and 37, respectively, suggest clinical interpretation rather than randomness of responding.     

Assessment of memory functioning among an aging sample

To provide additional basic normative data and an enhanced understanding of memory functioning of older individuals, 100 subjects equally divided into 5-yr. age intervals from 60 to beyond 80, evenly split by sex and socioeconomic status, and balanced for racial composition were tested on 19 memory measures commonly used in clinical and neuropsychological assessment. While analyses indicated that 10 measures were significantly related to age, performance was quite stable from 60-74 years, dropping primarily at the oldest age intervals. No significant age-related differences were found on the remaining 9 measures, and in all instances considerable variability was evident. The study provides evidence against stereotypes that our population as a whole shows a generalized or severe memory decline with advancing age. Clearly, no one should hastily assume limitations in memory which would routinely disqualify older individuals in work, independent living, and decision-making. Recommendations are made for practicing clinicians who must choose instruments appropriate for normal and abnormal subjects.     

Development of an Intervention for Foster Parents of Young Foster Children with Externalizing Behavior: Theoretical Basis and Program Description

Foster parents are often faced with serious externalizing behaviors of their foster child. These behavioral problems may induce family stress and are related to less effective parenting and often increase. Foster children with behavioral problems are also more at risk of placement breakdown. An intervention to support foster parents of young foster children with externalizing behaviors is necessary to improve the effectiveness of foster placements. Based on research on effective parenting interventions and special needs of foster children, a treatment protocol was developed. This paper describes theoretical foundations for the content and form of the intervention and gives an overview of the modular treatment protocol. Preliminary outcomes of this intervention as well as challenges and future developments and research activities are discussed.