Impact of End-of-Life Circumstances on the Adjustment of Bereaved Siblings of Children Who Died from Cancer

The aim of this study was to examine the impact of end-of-life (EoL) circumstances on grief and internalizing symptoms among bereaved siblings. Bereaved families (N?=?88) were recruited from three sites 3–12 months (M?=?11.57, SD?=?3.48) after their child’s death from cancer. One sibling per family aged 8–17 years (M?=?12.41, SD?=?2.64) was randomly selected to participate. Families completed measures of siblings’ grief and internalizing symptoms, as well as a structured interview about circumstances surrounding the death. Mother and sibling reports of EoL circumstances were generally concordant, except there was a discrepancy between mothers and children about whether or not children expected their sibling’s death (t(75)?=?1.52, p?=?.018). Mother reports of sibling internalizing symptoms were above the normative mean (t(83)?=?4.44, p?≤?.001 (M?=?56.01?±?12.48), with 39% (n?=?33) in the borderline/clinical range. Sibling opportunity to say goodbye was associated with greater grief-related growth (t(79)?=?? 1.95, p?=?.05). Presence at the death and wishing they had done something differently were both associated with greater grief (t(80)?=?? 2.08, p?=?.04 and t(80)?=?? 2.24, p?=?.028, respectively) and grief-related growth (t(80)?=?? 2.01, p?=?.048 and t(80)?=?? 2.31, p?=?.024, respectively). However, findings were primarily unique to sibling report, with few mother-reported effects. The adjustment of bereaved siblings may be affected by certain modifiable circumstances surrounding the death of their brother or sister. A proportion of bereaved siblings had elevated internalizing symptoms irrespective of circumstances at EoL. Further work is needed to understand predictors of adjustment among bereaved siblings to provide better support and optimize their outcomes.

     

THE BEHAVIORAL EFFECTS OF A PROCEDURE USED BY PEDIATRIC OCCUPATIONAL THERAPISTS

Pediatric occupational therapists often use specific activities associated with deep pressure touch as a modality when providing services based in sensory integration theory. This study investigated the effects of these activities contingent on choice responding. Initially, preference assessments identified that activities such as being swaddled in a blanket or sandwiched between halves of a therapy mat were potential reinforcers for each of the three participants. Then, the stimuli were presented contingently under a two‐response concurrent schedule. The results suggested that for each participant, the application of these activities functioned as a positive reinforcer. Given that such activities are often used in pediatric occupational therapy interventions, the clinical implications of these findings are discussed. Copyright © 2012 John Wiley & Sons, Ltd.     

Spiritually based parenting workshop: An outcome study

The present study observed the effects of one spiritually based parenting workshop: Parent and Family Healing. A repeated-measures design using before, after, and 3-week follow-up revealed that in the sample of 65 parents, Parent and Family Healing significantly lowered parents’ stress and negative affect, and increased their parental efficacy and parental satisfaction. These effects were all maintained at the 3-week follow-up. The workshop also significantly increased parents’ positive affect, but this change was not maintained 3 weeks following the workshop. Spirituality level did not change significantly over the course of the workshop or at follow-up, despite the workshop being spiritually based. Participants rated all the spiritual components of the workshop as between somewhat and very helpful. Finally, parents’ free-response answers revealed very positive opinions about the workshop, its effects, and the spiritual approach taken.     

Evaluating risk factors in relation to preschool social–emotional skills using a person-centred approach

Few studies have utilised a person-centred approach when it comes to understanding risk factors in young children. The present study uses this type of approach while examining risk factors in relation to social–emotional skills. Parent reports for 444 preschool-aged children disclosed each child's exposure to eight different risk factors, as well as their social–emotional abilities. A latent class analysis was utilised to examine subgroups of risk, rather than using a cumulative approach, to see whether specific risk factors differentiated participants. Subgroup differences in distal social–emotional skills were then examined. The subgroup with systemic, economic and parent stress risk factors showed the lowest social–emotional abilities, in comparison to subgroups with only systemic or a combination of systemic and economic risks. These results suggest that addressing parent stress may be particularly relevant when considering children's social–emotional development. Implications for interventions and clinical practice are discussed.     

Decision-making quality of younger and older adults in familiar and unfamiliar domains

Age-related differences in purchasing decisions were examined as a function of age and familiarity. On each trial, participants received purchasing options which varied in quality but ultimately cost the same amount of money. On half the trials, participants made decisions about items familiar to younger adults and on the other half of the trials, participants made decisions about products familiar to older adults. The participants’ task was to choose the option that provided the best value for the money. We were particularly interested in participants’ performance when inferencing was required to select the optimal option from the two choices. Younger adults outperformed older adults in unfamiliar but not familiar domains. It appeared that both younger and older adults used inferencing and elaborative processing to make the best decision in familiar domains but that only younger adults used inferencing and elaborative processing in unfamiliar domains.     

The use of auditory feedback and edible reinforcement to decrease toe walking among children with autism

We replicated and extended previous research on the use of auditory feedback to decrease toe walking exhibited by 3 children with autism. After pretreatment screening analyses suggested that toe walking occurred independent of social consequences, we attached squeakers to the heels of each participants' shoes. The squeakers provided auditory feedback when participants walked appropriately (i.e., with a heel-to-toe gait). For all participants, the auditory feedback itself produced increases in appropriate walking. For 1 participant, this feedback was sufficient to reduce toe walking to clinically acceptable levels; however, for 2 other participants, delivery of edible items paired with the auditory feedback was necessary. Intervention effects maintained when the schedule for edible delivery was thinned for all participants. In addition, for 2 participants, effects maintained when the intervention was implemented in a different setting and with a different person with no edibles or a thin schedule of edibles.     

Return of the Candy Witch: Individual differences in acceptance and stability of belief in a novel fantastical being

Recent research indicates that preschoolers make sophisticated choices in accepting testimony as a source of knowledge. Nonetheless, many children accept fantastical beings as real based on misleading testimony. The present study probes factors associated with belief in a novel fantastical figure, the Candy Witch, that 3‐ to 7‐year‐olds heard about at school. Short‐term belief was predicted by an interaction of age, existing beliefs in fantastical figures, and whether the child was ‘visited’ by the Candy Witch. Stability of belief was assessed over the course of 3 weeks and again 1‐year later. First year results revealed three patterns of belief: stable belief, wavering belief and stable non‐belief. First year belief status was not related to age, but older children from the stable belief group were more likely than younger children to disbelieve 1‐year later. The discussion presents a new proposal for the trajectory from belief to disbelief and an updated perspective on the role of individual differences in belief.