Distraction intervention for preschoolers undergoing intramuscular injections and subcutaneous port access.

This study evaluated a distraction intervention designed to reduce the distress of preschool children undergoing repeated chemotherapy injections. Twenty-nine children aged 2-5 years were randomly assigned either to distraction by a developmentally appropriate electronic toy or to a wait-list control. Children who received the distraction intervention demonstrated lower overt behavioral distress and were rated by parents and nurses as less anxious than children in the control condition. The improvements were maintained over the 8-week intervention. The results suggest that a developmentally appropriate, multisensory, variable-distracting activity that requires active cognitive processing and active motor responses may be a viable cost-effective alternative to more time-intensive parent-training programs for preschool-age children.     

Visual imagery and memory: Do retrieval strategies affect what the mind's eye sees?

A variety of visual mental imagery tasks have been shown to activate regions of visual cortex that subserve the perception of visual events. Here fMRI was used to examine whether imagery‐related visuocortical activity is modulated if imagery content is held constant but there is a change in the memory retrieval strategy used to invoke imagery. Participants were scanned while visualising common objects in two different conditions: (a) recalling recently encoded pictures and (b) based on their knowledge of concrete nouns. Results showed that retrieval‐related activations in frontal cortex were bilateral when pictures were visualised but left‐lateralised when nouns were visualised. In posterior brain regions, both imagery conditions led to activation in the same set of circumscribed areas in left temporal‐parietal cortex, including a region of the left fusiform gyrus that has previously been implicated in visual imagery. These findings suggest that the posterior network activated during imagery did not vary with strategic task‐related changes in the frontal network used to retrieve imagery content from memory.     

The tripartite influence model of body image and eating disturbance: A replication with adolescent girls

The tripartite influence model of body image and eating disturbance is a recent theoretical approach that includes a test of direct (peer, parental, and media factors) and mediational links (internalization of societal appearance standards, appearance comparison processes) as factors potentially leading to body dissatisfaction and eating disturbance. The theory was evaluated in the current study in a sample of 391 adolescent females. A structural equation model that evaluated the tripartite model replicated previous findings reported by Keery, van den Berg and Thompson (2004) [Keery, H., van den Berg, & Thompson, J. K. (2004). A test of the tripartite influence model of body image and eating disturbance in adolescent girls. Body Image: An International Journal of Research, 1, 237–251.]. Additionally, a second model extended these findings, suggesting that peer and media influences are more important than parental influences. The results are discussed in light of the need for prevention programs to incorporate formative influences and mediational processes in the construction of intervention strategies.     

Implementation of Effective Treatments of Preschool Behavior Problems in a Clinic Setting

Epidemiological data indicate that nearly 20% of preschool aged children have significant behavioral problems. Parents typically consult their child’s primary care provider, who frequently refers to child psychologists for treatment regarding these difficulties. Psychologists skilled in providing effective services for young children are in short supply, limiting accessibility, and parents often are reluctant to follow up with a mental health specialist, suggesting low acceptability. The Behavior Consultation Clinic is a structured clinic for preschool children designed to address these issues of effectiveness, accessibility and acceptability. A retrospective review of 550 patients seen over a 5-year period found that half were seen for one therapy session. Review of the remaining patients found that slightly more than half showed improvement (32% successful discharge with improvement, 24% premature discharge with improvement) with a typical range of two to seven half-hour sessions, about a quarter did not improve, and the remaining patients were referred to a higher level of service. These data indicate that a structured, brief clinic that focuses on the needs of preschool children utilizing evidence-based approaches can be effective, acceptable, and accessible. The Behavior Consultation Clinic also serves as a training clinic for psychology interns and pediatric medical residents.     

A Web-Based Contingency Management Program With Adolescent Smokers

The present study evaluated a new 30-day Web-based contingency management program for smoking abstinence with 4 daily-smoking adolescents. Participants made 3 daily video recordings of themselves giving breath carbon monoxide (CO) samples at home that were sent electronically to study personnel. Using a reversal design, participants could earn money for continued abstinence during the treatment phases (CO ≤ 5 ppm). All participants were compliant with the treatment (submitting 97.2% of samples), and all achieved prolonged abstinence from smoking.