Open-Trial Pilot of Parent-Child Interaction Therapy for Children With Autism Spectrum Disorder

In this pilot study, the effectiveness and feasibility of Parent-Child Interaction Therapy (PCIT) for decreasing disruptive behavior was evaluated in 17 young children with Autism Spectrum Disorder (ASD). PCIT is a behaviorally based play therapy which targets the parent-child relationship through live coaching of play interactions and the implementation of consistent discipline techniques. Following an average of 19 sessions, disruptive behavior as measured by multiple indices significantly decreased. Congruently, parents increased positive parental following skills and decreased negative parental leading skills across the course of treatment. In addition, parents reported increased levels of child functional communication and prosocial behavior. High levels of parent acceptability of the intervention were also noted. Effect sizes were medium to large across measured dependent variables, including parent report and behavioral observations. Implications for the clinical use of PCIT within an ASD population and future research with controlled outcome studies are discussed.     

One-session treatment of specific phobias: a detailed description and review of treatment efficacy

One-Session Treatment (OST) is a form of massed exposure therapy for the treatment of specific phobias. OST combines exposure, participant modeling, cognitive challenges, and reinforcement in a single session, maximized to three hours. Clients are gradually exposed to steps of their fear hierarchy using therapist-directed behavioral experiments. Although there are several studies in the literature examining the efficacy of OST, little has been done to summarize this research. In the following review, research on and empirical support for OST are reviewed with an emphasis on the types of stimuli, samples, and methodologies utilized. Research generally supports OST's efficacy, although replication by independent examiners using adult and child samples is needed using more rigorous comparisons (e.g., psychological placebo or other treatments). Overall, OST continues to be a promising treatment for specific phobias; however, a great deal more investigation is needed to identify mechanisms of change, mediators, and moderators.     

Assessing Parental Readiness to Change: A Psychometric Evaluation of the READI-SF in a Community Sample

Engagement in behavioral parent training programs continues to be a barrier to service delivery. Parental readiness is an important construct for understanding parental engagement in parent training services, as these programs place a high level of action-oriented demands on caregivers. The present study examines the performance of one parental readiness measure, the Readiness, Efficacy, Attributions, Defensiveness, and Importance Scale—Short Form (READI-SF) in a community-based sample. Participants included 103 families of children ages three to seven recruited from an urban charter school. Mothers completed an abbreviated version of the READI as well as indices of child disruptive behavior and a second measure of parental readiness. The psychometric properties and factor structure of the READI-SF are explored as well as indices of reliability and validity. Exploratory factor analysis revealed a three-factor model of readiness to change, treatment readiness, and perceived importance of the problem. Analyses also supported the validity and clinical utility of the measure, as READI-SF scores were found to predict attendance at a one-time parenting group. Lastly, the study examines the relationship between parental readiness and child disruptive behavior. Limitations and future directions are discussed.     

Fear of Anxiety in Fearful Adults: An Analysis of Heterogeneity Among Phobia Types

Fear of anxiety, the fear of developing physiological symptoms associated with anxiety, is investigated in this study and the extent to which fear of anxiety is differentially present in the various subtypes of specific phobias. Participants were 260 undergraduate students divided into those having fears corresponding to one of the specific phobia types and those having no reported fears. Participants completed a variety of measures including the Agoraphobic Cognitions Questionnaire and the Body Sensations Questionnaire. Results indicated fearful participants had more fear of anxiety than non-fearful participants. In addition, non-fearful participants reported significantly less frequent catastrophic cognitions than fearful participants of the situational and other types. Non-fearful control participants also reported less fear of bodily sensations than fearful participants of the animal and other subtypes. This study provides supporting evidence that the phenomenon of fear of anxiety is present in fears similar to specific phobias.     

Parenting Adolescents: Examining the Factor Structure of the Alabama Parenting Questionnaire for Adolescents

The Alabama Parenting Questionnaire (APQ) is a well studied assessment of parenting practices for school-age children, especially in relation to child externalizing behaviors. Given the developmental changes between school-age children and adolescents and subsequent changes to parenting approaches during that time, the utility of a public-accessed measure to span across a broad age range is of high clinical and empirical importance. This study investigated the psychometric properties of the APQ in a community sample of 376 parents of adolescents. In an Exploratory Factor Analysis the data suggested a 4-factor solution similar in composition to the original 5-factor model. Proposed factors for the APQ when given to parents of adolescents included Positive and Involved Parenting, Parental Monitoring, Discipline Practices, and Discipline Process.     

A Retrospective Examination of the Role of Parental Anxious Rearing Behaviors in Contributing to Intolerance of Uncertainty

Worry is a central component to anxiety, and intolerance of uncertainty (IU) is an identified factor contributing to worry. It has been noted that parenting behaviors play a role in the anxious development of youth, specifically with regard to these constructs. We sought to examine the relationship of parenting behaviors in the development of IU. Internet-based assessments of current anxiety, worry, and depression were correlated with retrospective reports of parental behavior. It was found that IU was significantly correlated with worry, anxiety, and depression. Additionally, in several mediation analyses, it was noted that IU was a mediator between perceived anxious rearing and both worry and anxiety, but not depression. The implications of these results and internet-based methodology are discussed, particularly in terms of the novel findings from IU mediation analyses.     

The Broader Autism Phenotype,Social Interaction Anxiety,and Loneliness: Implications for Social Functioning

Recent research has begun to focus on the subclinical presentation of autistic-like traits in individuals, a construct termed the broader autism phenotype (BAP). The presence of the BAP has been established in both first-degree relatives of individuals with autism as well as in the general population. The current study aimed to examine how self-reported BAP characteristics, social interaction anxiety, and fear of negative evaluation relate to social functioning (specifically, loneliness) in a sample of college students. Results showed that for all subjects, BAP, social interaction anxiety, and fear of negative evaluation did not predict loneliness in a regression model. However, for males these predictors accounted for approximately 48 % of the variance in loneliness scores. Among males, individuals rating themselves as having lower social skills, lower imagination, and higher social interaction anxiety were more likely to also report feeling lonely. These results indicate that the predictors used may function differently among males and females. Although BAP characteristics and social interaction anxiety may not be important correlates of social functioning for females in this sample, they appear to be very important for males’ subjective feelings of loneliness.     

The Effects of Hurricane Katrina on Females with a Pre-Existing Fear of Storms

The purpose of this study was to determine the effects of Hurricane Katrina on those with preexisting storm fear. Participants were divided into two groups, those with a fear of storms and control participants with no reported fears of any specific stimuli. Differences were examined on measures of exposure to and distress from trauma, fear, coping self-efficacy, and demographic variables. The participants were 62 female undergraduate college students who completed an online survey examining the effects of Hurricane Katrina. Despite no differences in the overall occurrence of trauma between the two groups, storm-fearful participants reported significantly more overall distress from their exposure when compared to the non-fearful participants. Those with storm-fears also reported significantly poorer coping self-efficacy following the storm than those who were not fearful. Overall, individuals with a fear of storms reported experiencing greater psychological impact and poorer coping self-efficacy from the same degree of storm exposure.