What Happens Next? Follow-Up From the Children's Toddler School Program

This study was a follow-up of a group of 29 children diagnosed with autism spectrum disorders at age 2 who attended an inclusive toddler program until age 3. Children ranged in age from 4 to 12 years at the time of the parent survey and follow-up testing. The majority of children were placed in a special education (noninclusive) preschool class, but among the children who were in elementary school at the time of follow-up, 63% were in general education classroom placement. Diagnoses of autism spectrum disorders remained stable, socialization skills remained a weakness, and child-related parental stress remained high despite average cognitive and language skills in the majority of children. Social skill development and support remained a service need.     

Child sexual abuse and subsequent relational and personal functioning: The role of parental support

This study examined the role of nonoffending parental support in the relationship between child sexual abuse (CSA) and later romantic attachment, psychiatric symptoms, and couple adjustment. Of 348 adults engaged in stable romantic relationship, 59 (17%) reported sexual abuse. In this subgroup, 14% (n = 8) reported parental intervention after the abuse was disclosed (i.e., support), 15% (n = 9) reported a lack of parental intervention after abuse disclosure (i.e., nonsupport), and 71% (n = 42) reported that their nonabusive parent(s) was(were) unaware of their abuse. Results indicated that, compared to other groups, CSA survivors with nonsupportive parents reported higher levels of anxious attachment, psychological symptoms, and dyadic maladjustment. In contrast, CSA survivors with supportive parent(s) expressed psychological and couple adjustment equivalent to non-abused participants, and lower attachment avoidance, relative to all other groups. Path analysis revealed that insecure attachment completely mediated the relationship between perceived parental support after CSA and later psychosocial outcomes. An actor–partner interdependence model showed different patterns for men and women and highlighted the importance of considering relational dynamics in dyads of CSA survivors. Overall, the results suggest that perceived parental support serves as a protective factor among those exposed to CSA.     

Cumulative trauma and symptom complexity in children: A path analysis

Multiple trauma exposures during childhood are associated with a range of psychological symptoms later in life. In this study, we examined whether the total number of different types of trauma experienced by children (cumulative trauma) is associated with the complexity of their subsequent symptomatology, where complexity is defined as the number of different symptom clusters simultaneously elevated into the clinical range. Children's symptoms in six different trauma-related areas (e.g., depression, anger, posttraumatic stress) were reported both by child clients and their caretakers in a clinical sample of 318 children. Path analysis revealed that accumulated exposure to multiple different trauma types predicts symptom complexity as reported by both children and their caretakers.     

How might we better design support for postdocs?

Abstract

Internationally, career prospects for postdocs, whether salaried on a Principal Investigator’s (PI) grant or a fellowship, are precarious. Yet, many aspire to permanent research-teaching positions, and to achieve this goal they often strive to gain PI funding to demonstrate their research potential. Like many developers in research-intensive universities, we are responsible for supporting postdocs. Yet, it was unclear what actual support they needed. Further, studies show postdocs seldom access formal institutional support. Thus, we undertook a needs assessment. We describe here our substantive learning about supporting aspiring and new PIs, and then reflect more generally on the value of needs assessments in academic development practice.     

Analysis of the relationship between neonaticide and denial of pregnancy using data from judicial files

ObjectivesUsing judicial files on neonaticides, (1) to examine the frequency of the association between neonaticide and denial of pregnancy; (2) to assess the accuracy of the concept of denial of pregnancy; (3) to examine its usefulness in programs to prevent neonaticides.MethodsQuantitative and qualitative analyses of data collected from judicial files during a population-based study carried out in 26 courts in 3 regions of France over a 5-year period.ResultsThere were 32 cases of neonaticides identified; 24, perpetrated by 22 mothers, were solved by police investigation. Aged 26 years on average, the mothers had occupations that resembled those of the general population and 17 had jobs, 13 were multiparous and 11 lived in a couple relationship. No effective contraception was used by women in 20 cases. Psychopathology was rare but mothers shared a personality profile marked by immaturity, dependency, weak self esteem, absence of affective support, psychological isolation and poor communication with partners. No pregnancy was registered nor prenatal care followed. Two (perhaps 3) pregnancies were undiscovered until delivery. No typical denial of pregnancy was observed in the other cases. Pregnancies were experienced in secrecy, with conflicting feelings of desire and rejection of the infant and an inability to ask for help. Those around the mothers, often aware of the pregnancy, offered none. In the absence of parallel clinical data, it is not possible to calculate the frequency of the association between neonaticide and denial of pregnancy.ConclusionsThe term ‘denial of pregnancy’ cannot fully reflect the complexity of emotions and feelings felt by all perpetrators of neonaticide and is used differently by different professionals. The term itself and its excessive generalization contribute to pathologizing women while absolving those around them and has little operational value in preventing neonaticides. The authors suggest rethinking the terms presently used to describe the phenomenon of pregnancy denial.     

Digital Module 04: Diagnostic Measurement: Modeling Checklists for Practitioners https://ncme.elevate.commpartners.com

In this ITEMS module, we provide a didactic overview of the specification, estimation, evaluation, and interpretation steps for diagnostic measurement/classification models (DCMs), which are a promising psychometric modeling approach. These models can provide detailed skill‐ or attribute‐specific feedback to respondents along multiple latent dimensions and hold theoretical and practical appeal for a variety of fields. We use a current unified modeling framework—the log‐linear cognitive diagnosis model (LCDM)—as well as a series of quality‐control checklists for data analysts and scientific users to review the foundational concepts, practical steps, and interpretational principles for these models. We demonstrate how the models and checklists can be applied in real‐life data‐analysis contexts. A library of macros and supporting files for Excel, SAS, and Mplus are provided along with video tutorials for key practices.