Predicting children's internalizing symptoms across development from early emotional reactivity

Current methods of assessing children's emotional reactivity fail to capture individual differences in emotion across contexts that may be meaningfully related to youth psychopathology. We therefore explored the utility of modeling variability in young children's positive and negative emotion across emotionally evocative laboratory tasks to predict later adjustment. At age 3, 409 children completed a battery of laboratory tasks eliciting either positive or negative affect. We used latent difference score (LDS) modeling to predict children's caregiver-reported internalizing symptoms across ages 3, 5, 8, and 11 from variability in their observer-rated positive and negative emotion across laboratory tasks. We found that sex moderated the association between both average and variability measures of children's negative emotion at age 3 and trajectories of their anxious-depressive symptoms across childhood. Measures of emotion variability predicted children's internalizing symptoms above and beyond measures of average emotion. Variability indices also provided unique information about the trajectories of children's symptoms. We discuss implications for the utility of LDS modeling in assessing children's emotional reactivity.     

Workers' perspectives on self-directing mainstream return to work following acute mental illness: Reflections on partnerships

Objective: To examine barriers and facilitators influencing self-direction of return to mainstream work following acute mental illness.Participants: Five individuals who had attempted return to mainstream work following acute mental illness. Methods: In depth, semi-structured qualitative interviews with the five participants selected through purposive sampling. Results: The three main themes related to the workers' self-direction of their return to work experience were (a) worker self-management, (b) workers' 'personal' partnerships and (c) workplace partnerships. Conclusion: Personal and workplace partnerships are integral to supporting workers as they take ownership of their full potential and self-direct return to mainstream work.     

Contrasts in Infant Classical Eyeblink Conditioning as a Function of Premature Birth

The impact of premature birth on associative learning was evaluated using simple delay eyeblink conditioning in which a tone conditional stimulus was paired with an air puff unconditional stimulus. Fourteen preterm (28–31 weeks gestation) and 11 full‐term infants completed at least 3 conditioning sessions, 1 week apart, at 5 months of age (corrected age). Preterm and full‐term groups demonstrated associative learning, as confirmed by comparison with an unpaired control group. Preterm infants, however, exhibited more variability in their learning rates. The majority of full‐term infants and half the preterm infants exhibited rapid acquisition and gradual extinction of conditional responding. A greater proportion of preterm than full‐term infants failed to acquire conditional responding within 2 training sessions. Differences in associative learning rates were not the result of differences in arousal or attentional processes. Diversity in acquisition rates exposed an increased risk for disrupted infant learning due to premature birth.     

An Innovative Behavioral Health Workforce Initiative: Keeping Pace with an Emerging Model of Care

ABSTRACT

Recent policy shifts in health care have created opportunities for social workers to provide services in integrated primary care and behavioral health settings. However, traditionally prepared social workers may not have the skill set necessary to meet practice demands. This article describes a behavioral health workforce initiative that trains master’s of social work students for work in integrated primary care settings with children, adolescents, and transition-age youths. The training model includes field placements in integrated care settings, co-curricular seminars, and advanced clinical electives. This article identifies challenges of creating new field placements and developing new curricula to support students’ acquisition of knowledge and skills required in integrated care settings. Additionally, it presents data on changes in students’ knowledge and confidence.     

The economic consequences of divorce in six OECD countries

This article uses longitudinal data to estimate the short‐ and medium‐term economic effects of divorce in the USA, the UK, Switzerland, Korea, Germany and Australia during the first decade of the 21st century. Based on the data collected during the 2000s, in all of the countries studied, divorce had, on average, negative effects on the equivalised household incomes of women. However, the extent and duration of the negative effects of divorce differed markedly between countries. In all of the countries, the effects of divorce on the equivalised household income of men were smaller than for women. Although, using the available data, it is not possible to definitely explain the differences between countries, the analysis presented in this article has demonstrated that the average economic effects of divorce, particularly for women, are heavily influenced by the social security system, the labour market, family models and the family law system of each country. While the social security system and institutional arrangements such as child support and spousal maintenance do influence women's post‐divorce economic outcomes, what is most important in explaining cross‐country differences is women's labour market earnings and the extent to which re‐partnering occurs.     

The Role of Death in the Addict Family

Drug addiction is a potentially life-threatening problem with suicidal ramifications. Within the family of the addict, the addiction takes on a special, participatory meaning; the addicted member is treated as one undergoing a slow death. These families attach special significance to death and give it considerable emphasis. This appears to arise from unresolved and premature deaths experienced by the family, particularly the parents. The addict is substituted for the deceased member. Treatment can deal with these issues directly through making the mourning explicit. The death issue can also serve as a vehicle for family change.