Parent–adolescent conflict,treatment adherence and glycemic control in Type 1 diabetes: The importance of adolescent externalising symptoms

Parent–adolescent conflict has been demonstrated to relate to treatment adherence and glycemic control in adolescents with Type 1 diabetes. The present longitudinal study investigated how these variables were interrelated over time, and examined whether externalising and internalising symptoms function as mediating variables. A total of 109 adolescents with diabetes participated at four annual time points and completed measures on conflict with parents, internalising and externalising symptoms. Information on treatment non-adherence and glycemic control was obtained from treating physicians. Cross-lagged analyses from a structural equation modelling approach indicated that father–adolescent but not mother–adolescent conflict positively influenced treatment non-adherence over time, which, in turn, was associated with higher glycosylated haemoglobin-values. Further, externalising but not internalising symptoms were found to mediate the pathway from father–adolescent conflict to treatment adherence over time. Finally, mother–adolescent conflict was found to relate indirectly to treatment non-adherence through its relationship with externalising symptoms. Hence, the present longitudinal study provides evidence that externalising symptoms represent an important mechanism through which earlier experiences of parent–adolescent conflict may influence later treatment non-adherence and poorer glycemic control. Implications and suggestions for future research are outlined.     

Family Climate of Adolescents with and Without Type 1 Diabetes: Longitudinal Associations with Psychosocial Adaptation

Family climate is theorized to influence psychosocial functioning of adolescents both with and without type 1 diabetes. Family system theory considers adolescent behavior as a function of the dynamic interactions between family members. In the present multi-informant longitudinal study, we used two-step cluster analysis to empirically derive family climates based on four family dimensions (i.e., cohesion, conflict, organization, and control) at baseline and we related these climates to longitudinal assessments of adolescent psychosocial functioning. Analyses were conducted on a total of 220 adolescents (102 with diabetes, 118 healthy controls), 217 mothers, and 168 fathers. Cluster analysis on the four FES subscales revealed the following four family climates: a cohesive (moderately high on cohesion and moderately low to low on the other dimensions), balanced (high on cohesion and organization, low on conflict), conflictual (high on conflict, low on organization and cohesion), and controlling (high on control, moderately high on conflict and organization, moderately low on cohesion) climate. Adolescents with diabetes were somewhat overrepresented in the balanced climate, and underrepresented in the cohesive and conflictual climate as compared to their healthy peers. Consistent with hypotheses, we found that adolescents raised in cohesive or balanced climates fared better in terms of internalizing symptoms, externalizing symptoms, and self-concept as compared to adolescents raised in conflictual or controlling climates. Additionally, family climate was not associated with differential changes in outcome variables over time. These finding were consistent across informants and across time. Finally, these associations were not moderated by having type 1 diabetes. Suggestions for future research and practical implications are discussed.     

Signals of threat do not capture, but prioritize, attention: a conditioning approach

Research suggests that threatening information captures attention more rapidly than neutral information. However, in most studies threat stimuli differ perceptually from neutral stimuli and are instrumental to perform the task, leaving the question unanswered whether threat is sufficient to capture attention. In experiment 1, we designed a visual search task with stimuli of equal salience (colored circles) that have the potential to lead to efficient search (10 ms/item). In experiment 2, one of the colors (conditioned stimulus, CS+) was made threatening by means of fear conditioning. Participants responded to a target presented in one of the circles. Overall, the search was faster on congruent trials (where the target was presented in the CS+) than on baseline trials (where the CS + was absent). Furthermore, the search was slower on incongruent trials (where the target was presented in another color than the CS+) than on baseline trials. The search on congruent trials was affected by set size (90 ms/item), but to a lesser extent than on baseline trials (105 ms/item). We conclude that threat prioritizes, but does not capture attention.     

Gratitude and personal functioning among earthquake survivors in Indonesia

This study examined the potential role of gratitude as a protective factor against posttraumatic stress (PTS) symptomatology and global distress (GD) in the wake of disasters. Using longitudinal methodology, we assessed positive coping, gratitude, PTS symptomatology, and GD among 310 survivors of the 2009 Padang earthquake in Indonesia five and eight months after the disaster. Psychological hardiness and neuroticism were also measured at baseline. A general prototype model was constructed to predict scores on each of the dependent variables (GD and PTS symptomatology) at both time points. Hardiness and neuroticism were associated with GD and PTS at Time 1, but gratitude and positive coping had concurrent associations with these variables at Time 2. The unique association between gratitude and impairment at Time 2 suggests that it may play a role in adjustment to extreme disaster, but that it takes time to do so.     

Attentional prioritisation of threatening information: Examining the role of the size of the attentional window

In line with most models of emotion, research has shown that threatening information receives attentional priority over neutral information. Recently, it has been suggested that the degree to which participants divide their attention across the visual field (the attentional window) may modulate the extent to which salient objects are attentionally prioritised. In the current study, participants were required to identify a target inside one of a variable number of coloured circles. One colour (Conditioned Stimulus, CS +) was fear-conditioned using an electrocutaneous stimulus at tolerance level. This search task was combined with a go/no-go task that required participants to either divide attention across the visual field to create a broad attentional window (global group), or focus their attention on the fixation point to create a narrow attentional window (local group). The results showed that only in the global group was the CS + colour prioritised over the neutral colours, indicating that a broader attentional window leads to enhanced attentional prioritisation of threat. Implications for research on attentional bias to threat are discussed.     

Looking out for danger: An attentional bias towards spatially predictable threatening stimuli

Attentional bias to threat is well established, however, the influence of spatial predictability on this attentional bias has never been investigated. Here we investigated how threat affects attentional capture and disengagement when its spatial location is predictable. Using a visual search paradigm, participants were required to identify a target inside one of a variable number of colored circles. One color (Conditioned Stimulus, CS+) was fear-conditioned using an electrocutaneous stimulus at tolerance level. In the experimental group the CS+ was made spatially predictable (occurred more often at one location in the visual display), while this was not the case in the control group. Results showed no complete automatic capture of attention by the CS+, but the experimental group did show more prioritization of the CS+ and less difficulty to disengage from the CS+ than the control group. Of further importance was the finding that the experimental group also attended to the location that was predictive of the CS+, even when no CS+ was presented. Findings are discussed in terms the effects of predictability on anxiety.     

Parental illness intrusiveness and youth glycaemic control in type 1 diabetes: intergenerational associations and processes

Objective: This study examined associations between the functioning of youth with type 1 diabetes and their parents, including parenting dimensions as intervening mechanisms. The study adds to the existing literature by focusing on (1) the concept of parental illness intrusiveness; (2) the (understudied) periods of adolescence and emerging adulthood; and (3) maternal and paternal functioning. Design: Questionnaires were completed by 317 patient-mother dyads and 277 patient-father dyads. All patients (aged 14–25) had type 1 diabetes. The hypothesised model was compared to an alternative model using structural equation modelling. Main Outcome Measures: Youth reported on depressive symptoms and treatment adherence; Physicians provided HbA_1c-values. Parents reported on illness intrusiveness, depressive symptoms, and their child’s treatment adherence. Patients and parents reported on psychological control and overprotection. Results: The hypothesised path model had a good fit to the data. Parental illness intrusiveness was positively associated with depressive symptoms and both were positively related to overprotection and psychological control. Psychological control was positively related to patients’ depressive symptoms and negatively to treatment adherence. Poorer treatment adherence was associated with worse HbA_1c-values. Conclusion: These findings underscore the relevance of parental illness intrusiveness and emphasise the importance of mothers’ and fathers’ roles throughout adolescence and emerging adulthood.     

Task complexity,student perceptions of vocabulary learning in EFL,and task performance

Background. The study deepened our understanding of how students’ self‐efficacy beliefs contribute to the context of teaching English as a foreign language in the framework of cognitive mediational paradigm at a fine‐tuned task‐specific level. Aim. The aim was to examine the relationship among task complexity, self‐efficacy beliefs, domain‐related prior knowledge, learning strategy use, and task performance as they were applied to English vocabulary learning from reading tasks. Sample. Participants were 120 second‐year university students (mean age 21) from a Chinese university. Method. This experiment had two conditions (simple/complex). A vocabulary level test was first conducted to measure participants’ prior knowledge of English vocabulary. Participants were then randomly assigned to one of the learning tasks. Participants were administered task booklets together with the self‐efficacy scales, measures of learning strategy use, and post‐tests. Data obtained were submitted to multivariate analysis of variance (MANOVA) and path analysis. Results. Results from the MANOVA model showed a significant effect of vocabulary level on self‐efficacy beliefs, learning strategy use, and task performance. Task complexity showed no significant effect; however, an interaction effect between vocabulary level and task complexity emerged. Results from the path analysis showed self‐efficacy beliefs had an indirect effect on performance. Our results highlighted the mediating role of self‐efficacy beliefs and learning strategy use. Conclusions. Our findings indicate that students’ prior knowledge plays a crucial role on both self‐efficacy beliefs and task performance, and the predictive power of self‐efficacy on task performance may lie in its association with learning strategy use.     

Empathy,Depressive Symptoms,and Self-Esteem in Adolescence: The Moderating Role of the Mother–Adolescent Relationship

A large body of literature provides support for the role of empathy as a prominent factor in socio-emotional development and functioning. Although deficits in empathy are known to associate with maladaptive behaviors, less literature documents the effects of excessive empathy, which has been found to relate to various internalizing problems such as depression. There are two types of empathy, cognitive and affective, which manifest themselves in different ways and thus, have differential effects on outcomes. Therefore, in a sample of 724 Belgian adolescents (M_age?=?13.83?±?.96), the present study sought to elucidate the effects of cognitive and affective empathy on depressive symptoms and self-esteem. We also explored the interactive effects of empathy and adolescent perceived mother–child relationship quality in the prediction of our outcomes. Results revealed affective and cognitive empathy predicted outcomes concurrently, with affective empathy predicting more maladaptive outcomes and cognitive empathy predicting more positive outcomes. Interaction effects emerged between affective empathy and the relationship quality indicators. However, no interactions occurred with cognitive empathy. Further, longitudinal data revealed only cognitive empathy had long-term effects (predicting positive outcomes such as lower levels of depression and higher levels of self-esteem) suggesting that cognitive empathy may be a protective factor. Limitations and suggestions for future research are discussed.     

Deliberation in citizenship education: how the school context contributes to the development of an open classroom climate

Schools are expected to contribute to preparing students for engaged citizenship. Research shows that open classroom discussions on political issues have a positive effect on political attitudes and behaviour. However, a deeper understanding of why students perceive their classrooms as open for discussion is missing. The purpose of this study is to examine how deliberative democratic theory can be used to explain such perceptions. We argue that the openness of the discussion climate is positively affected by, on the one hand, a context of good student–teacher relations characterised by fairness and respect, and, on the other hand, by the level of collective efficacy, which is the perception of responsiveness of the school towards student demands. Using multilevel analyses on the European data of the International Civic and Citizenship Education Study (ICCS 2009), we find that these predictors are significant at the student level and the school level. This means that both the individual experience of a student as well as the average school’s score on good student–teacher relations and collective efficacy affect how students perceive the discussion climate. Our findings, based on high-quality survey data from 22 countries, are a significant contribution to clarifying the underlying mechanism leading to an open classroom climate. As such discussions have proven to be an effective way to stimulate political engagement, we conclude that a school context characterised by fairness and responsiveness, should not be overlooked by schools and policy.