Differences in Caregiver Self-Efficacy and Satisfaction Related to Sexual Abuse of Offspring

Research suggests parents of sexually abused children may experience negative perceptions of themselves and their parenting abilities following the victimization of their children, which may influence the recovery process in treatment for these families. This study assessed perceived self-efficacy and parenting satisfaction among female caregivers of sexually abused children and female caregivers whose children were not victimized. Results indicated that caregivers of child victims had significantly lower levels of perceived parenting efficacy than their counterparts. There were no significant differences found between groups with regard to parenting satisfaction. The results highlight the importance of evaluating perceived parenting competence in the treatment of nonoffending caregivers in order to facilitate optimal treatment of the child victim and all members of the family system.     

Positive Manhood Development: A Look at Approaches and Concerns from the Frontline

This mixed methods study, using the perspectives of administrators and frontline workers, identified the key developmental needs of African American boys involved in manhood development programs. Five conceptual themes emerged: values and behavior; men needed for guidance; successful organizations; economics and systems; and stable quality parenting. Themes from the conceptual clusters are compared to themes in the positive youth development literature, specifically the 40 developmental assets framework proposed by the Search Institute. The resulting distinctive ecological focus is rarely discussed in the youth development literature and may have implications for youth development interventions that target positive African American manhood development.     

Mental Rotation of Dynamic,Three‐Dimensional Stimuli by 3‐Month‐Old Infants

Mental rotation involves transforming a mental image of an object so as to accurately predict how the object would look if it were rotated in space. This study examined mental rotation in male and female 3‐month‐olds, using the stimuli and paradigm developed by Moore and Johnson (2008) . Infants were habituated to a video of a three‐dimensional object rotating back and forth through a 240° angle around the vertical axis. After habituation, infants were tested both with videos of the same object rotating through the previously unseen 120° angle, and with the mirror image of that display. Unlike females, who fixated the test displays for approximately equal durations, males spent significantly more time fixating the familiar object than the mirror‐image object. Because familiarity preferences like this emerge when infants are relatively slow to process a habituation stimulus, the data support the interpretation that mental rotation of dynamic three‐dimensional stimuli is relatively difficult—but possible—for 3‐month‐old males. Interpretation of the sex differences observed in 3‐ and 5‐month‐olds’ performances is discussed.     

Multiple Co-occurring Behaviours among Gamblers in Treatment: Implications and Assessment

A substantial portion of gamblers in treatment may have co-occurring mental health disorders including substance use disorders, especially alcohol dependency, personality disorders, affective disorders, anxiety disorders and impulse control disorders. Co-occurring mental health disorders affect treatment seeking, the treatment process and its outcome, quality of life and functioning in many mental health disorders. Participants in this study were 78 adults enrolled in state-supported out-patient services for pathological gambling and current Gamblers Anonymous attendees. The majority of participants (76.6%) had co-occurring behaviours; 55.8% had multiple co-occurring behaviours. Participants with multiple co-occurring behaviours were more likely to report that a co-occurring behaviour increased the severity of their gambling symptoms. A dose/response relationship between number of co-occurring behaviours and severity of gambling problems was found. Co-occurring behaviours can interact with gambling behaviour. Brief, validated screening instruments are available for screening and diagnosing co-occurring behaviours among gamblers presenting for treatment.     

Prediction based classification for longitudinal biomarkers

Assessment of circulating CD4 count change over time in HIV-infected subjects on antiretroviral therapy (ART) is a central component of disease monitoring. The increasing number of HIV-infected subjects starting therapy and the limited capacity to support CD4 count testing within resource-limited settings have fueled interest in identifying correlates of CD4 count change such as total lymphocyte count, among others. The application of modeling techniques will be essential to this endeavor due to the typically non-linear CD4 trajectory over time and the multiple input variables necessary for capturing CD4 variability. We propose a prediction based classification approach that involves first stage modeling and subsequent classification based on clinically meaningful thresholds. This approach draws on existing analytical methods described in the receiver operating characteristic curve literature while presenting an extension for handling a continuous outcome. Application of this method to an independent test sample results in greater than 98% positive predictive value for CD4 count change. The prediction algorithm is derived based on a cohort of n = 270 HIV-1 infected individuals from the Royal Free Hospital, London who were followed for up to three years from initiation of ART. A test sample comprised of n = 72 individuals from Philadelphia and followed for a similar length of time is used for validation. Results suggest that this approach may be a useful tool for prioritizing limited laboratory resources for CD4 testing after subjects start antiretroviral therapy.