Search

Several mental health programs have been developed in clinics and transported into schools, which has great potential for increasing access to intervention for students who may not be otherwise served. However, such programs may lack consideration of the complexity and constraints of schools, including the diversity of student needs and backgrounds, raising questions about their effectiveness in this context. This study evaluates the efficacy an evidence-based clinical program--the Incredible Years® Dina Dinosaur School small group treatment program--under such realistic conditions. A total of 138 first- and second-grade students identified as having self-regulation difficulties were randomized to Business as Usual or intervention, which included delivery of 34 group and 12 individual recess coaching sessions over 6 months, teacher consultation and in-service presentations, and three parent workshops. Multi-method outcome measures were collected before and after the intervention and at 6-month follow-up, evaluating self-regulation, disruptive behavior, social competence, and academic proficiency. The results indicated few significant main effects and consistently small effect sizes. Effects were generally larger for self-regulation and oppositional defiant disorder (ODD) outcomes as well as for students at risk for ODD; however, meaningful improvement on functional school outcomes was limited. Findings suggest less impact than clinic-based delivery which typically includes a parent program component, although reduced effects may also be related to lower fidelity in some of the child groups. The results contribute to understanding transportability and have useful implications for school mental health programming. [For the corresponding grantee submission, see ED618482.]

This study investigated the utility of including teacher-reported callous-unemotional (CU) behaviors in the assessment of disruptive behaviors in school-based research. Participants included 138 first- and second-grade children (68% male; 76% eligible for free or reduced-price lunch; 61% Black, 9% Latinx, 23% White, and 7% multiracial) who completed assessments during the baseline assessment of an intervention study. Results indicated that teachers could distinguish CU from traditional indicators of disruptive behavior, including attention deficit hyperactivity disorder (ADHD) behaviors and conduct problems (CP). When considered alone, there was mixed evidence for the utility of CU behaviors. Although higher levels of CU behaviors explained unique variation in teacher-reported social competence and global impairment, CU behaviors did not explain unique variation in disciplinary infractions, classroom behavior, or academic functioning after accounting for ADHD and CP behaviors. A different pattern of results was evident when CU was considered in conjunction with ADHD and CP behaviors. Latent profile analyses identified three subgroups of participants (i.e., a nondisruptive group, an ADHD group, and a comorbid group, who exhibited elevated levels of ADHD, CP, and CU). Compared to the nondisruptive group, the ADHD group exhibited higher rates of off-task classroom behavior and worse academic functioning. The comorbid group exhibited moderate-to-large differences from both groups on teacher-reported and objective outcomes. The implications of these results are discussed with respect to the potential value of incorporating CU behaviors, which are becoming prominent in clinical psychology and psychiatry, into school-based research and for school psychology practice.

Chromoblastomycosis, an implantation mycosis, is a neglected tropical disease that causes decreased quality of life, stigma, and disability. The global burden of disease is unknown and data on disease epidemiology and outcomes are severely limited by a lack of access to needed diagnostic tools and therapeutics. The World Health Organization outlined targets for chromoblastomycosis in the Road Map for Neglected Tropical Diseases 2021–2030, but little progress has been made in initiating and implementing an effective control program globally. This lack of guiding policy and progress led to the recent formation of a Global Chromoblastomycosis Working Group which has developed a global chromoblastomycosis strategy. We describe this strategy, which outlines specific steps needed to improve technical progress, strategy and service delivery, and enablers. Clinicians, researchers, public and government officials, patients, and policy makers can align their time, expertise, and resources to improve the lives of communities affected by chromoblastomycosis through this strategy. [ABSTRACT FROM AUTHOR]

Few studies examine how racial-ethnic peer discrimination experiences of Latinx youth vary across the race-ethnicity of the perpetrator. In a sample of 170 Latinx early adolescents (M[subscript age] = 12.86 years, range = 10.33-15.23; 51% female), we identified 4 latent profiles of youth: (a) relatively low likelihood of experiencing discrimination regardless of peers' racial-ethnic group (38%; low discrimination); (b) relatively high probability of experiencing discrimination from the majority outgroup peers (33%; outgroup); (c) relatively high likelihood of experiencing discrimination from ingroup peers (14%; ingroup); (d) the highest probability of discrimination experiences across the in- and outgroup (15%; high discrimination group). Overall, Latinx youth classified in a typology characterized by a higher likelihood of experiencing discrimination from both ingroup and outgroup peers also reported the worst internalizing and externalizing symptoms relative to those in the low discrimination typology.

Supporting postsecondary access for Latino adolescents is important due to the size of the population and mixed evidence of progress. In order to better understand the college-going and school belonging attitudes of Latinos, we used an exploratory latent profile analysis to identify the "educational affiliation" profiles present in a sample of Latino seventh- to 10th-grade students in the Southeastern United States. In addition, we investigated how proximal peer processes (support and discrimination) functioned to differentiate membership in the educational affiliation profiles. We found that a three-typology profile was the best fit to the data (low, moderate, and high educational affiliation), and that peer support was more likely to be associated with membership in the high profile (compared with low profile and moderate profile), while peer discrimination was more likely to be associated with membership in the moderate profile (as compared with the high profile). Implications for conceptualizing college readiness are offered.

Background: In 2021, a large petroleum leak contaminated a water source that supplied drinking water to military and civilians in Oahu, Hawaii. Methods: We conducted an Assessment of Chemical Exposures (ACE) survey and supplemented that information with complementary data sources: (1) poison center caller records; (2) emergency department visit data; and (3) a key informant questionnaire. Results: Among 2,289 survey participants, 86% reported -1 new or worsening symptom, 75% of which lasted -30 days, and 37% sought medical care. Most (n - 1,653, 72%) reported new mental health symptoms. Among equally observable symptoms across age groups, proportions of children -2 years experiencing vomiting, runny nose, skin rashes, and coughing (33, 46, 56, and 35%, respectively) were higher than other age groups. Poison center calls increased the first 2 weeks after the contamination, while emergency department visits increased in early December 2021. Key informant interviews revealed themes of lack of support, mental health symptoms, and long-term health impact concerns. Discussion: This event led to widespread exposure to petroleum products and negatively affected thousands of people. Follow-up health surveys or interventions should give special consideration to longer-term physical and mental health, especially children due to their unique sensitivity to environmental exposures. [ABSTRACT FROM AUTHOR]

Objective: Although vaccination reduces the risk of severe COVID-19, fatal COVID-19 cases after vaccination can occur. We examined the characteristics of decedents with COVID-19–related mortality to help inform discussions about vaccination, boosters, and mitigation strategies. Methods: We examined COVID-19–related deaths in Kentucky resulting from infections occurring from July 1 through August 13, 2021. We used records from case investigations, medical records, the Kentucky Health Information Exchange, and the Kentucky Immunization Registry to determine demographic information, vaccination status, and underlying health conditions, including calculation of the Charlson Comorbidity Index (CCI). We calculated mortality incidence rates by vaccination status by using data for unvaccinated and fully vaccinated populations in Kentucky as of July 1, 2021. Results: In total, 777 COVID-19–related deaths occurred in Kentucky during the study period; 592 (76.2%) occurred among unvaccinated people. Compared with unvaccinated decedents, fully vaccinated decedents were older (median age, 77 vs 65 years; P <.001), had higher comorbidity levels (median CCI, 3 vs 1; P <.001), and were more likely to have immunocompromised health status (26.4% vs 16.0%; P =.003). Diabetes, hypertension, heart disease, and chronic lung disease were more common among vaccinated decedents than among unvaccinated decedents. Unvaccinated adults had a significantly higher risk of death than fully vaccinated adults (incidence rate ratio for age 20-49 years: 20.5 [95% CI, 6.5-64.8]; 50-64 years: 14.6 [95% CI, 9.4-22.7]; ≥65 years: 10.2 [95% CI, 8.3-12.4]). Conclusions: Immunocompromised health status, older age, and higher comorbidity were prevalent among fully vaccinated decedents, suggesting adults with these characteristics may benefit from additional protection strategies. Further understanding of the protection of additional and booster doses is needed. [ABSTRACT FROM AUTHOR]

The article reports that a pediatric nephrologist alerted The Gambia's Ministry of Health to a cluster of cases of acute kidney injury among young children at the country's sole teaching hospital, leading to a request for assistance from the Centers for Disease Control and Prevention. Further measures to bolster pharmaceutical quality control and event-based public health surveillance are needed to prevent similar outbreaks in the future.

In a cross-sectional study of 89 736 adolescents in Kentucky, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination provided an estimated protection against infection of 81% when the highly transmissible Delta variant was predominant. Vaccination provided added benefit to those with a history of prior infection. These findings support the recommendation that all adolescents receive SARS-CoV-2 vaccination. [ABSTRACT FROM AUTHOR]

Although COVID-19 mRNA vaccines demonstrated high efficacy in clinical trials (1), they were not 100% efficacious. Thus, some infections postvaccination are expected. Limited data are available on effectiveness in skilled nursing facilities (SNFs) and against emerging variants. The Kentucky Department for Public Health (KDPH) and a local health department investigated a COVID-19 outbreak in a SNF that occurred after all residents and health care personnel (HCP) had been offered vaccination. Among 83 residents and 116 HCP, 75 (90.4%) and 61 (52.6%), respectively, received 2 vaccine doses. Twenty-six residents and 20 HCP received positive test results for SARS-CoV-2, the virus that causes COVID-19, including 18 residents and four HCP who had received their second vaccine dose >14 days before the outbreak began. An R.1 lineage variant was detected with whole genome sequencing (WGS). Although the R.1 variant has multiple spike protein mutations, vaccinated residents and HCP were 87% less likely to have symptomatic COVID-19 compared with those who were unvaccinated. Vaccination of SNF populations, including HCP, is critical to reduce the risk for SARS-CoV-2 introduction, transmission, and severe outcomes in SNFs. An ongoing focus on infection prevention and control practices is also essential. [ABSTRACT FROM AUTHOR]

The article focuses on the Suspected Recurrent SARS-CoV-2 Infections among residents of a skilled Nursing Facility during a Second COVID-19 Outbreak. Topics discussed the Kentucky Department for Public Health and a local health department conducted an investigation at a skilled nursing facility (SNF) that experienced a second COVID-19 outbreak; and maintaining physical distance, wearing face coverings or masks, and frequent hand hygiene are critical mitigation strategies.

Although laboratory evidence suggests that antibody responses following COVID-19 vaccination provide better neutralization of some circulating variants than does natural infection (1,2), few real-world epidemiologic studies exist to support the benefit of vaccination for previously infected persons. This report details the findings of a case-control evaluation of the association between vaccination and SARS-CoV-2 reinfection in Kentucky during May-June 2021 among persons previously infected with SARS-CoV-2 in 2020. Kentucky residents who were not vaccinated had 2.34 times the odds of reinfection compared with those who were fully vaccinated (odds ratio [OR] = 2.34; 95% confidence interval [CI] = 1.58-3.47). These findings suggest that among persons with previous SARS-CoV-2 infection, full vaccination provides additional protection against reinfection. To reduce their risk of infection, all eligible persons should be offered vaccination, even if they have been previously infected with SARS-CoV-2. [ABSTRACT FROM AUTHOR]

Objectives: Familism values serve to provide key cultural scripts in Latinx families, and these values have been associated with positive psychosocial outcomes for Latinx youth (Stein et al., 2014). Yet, how familism values intersect with the experience of positive emotions remains relatively unknown. In particular, familism pride may be an important positive emotion that links familism values to positive psychosocial outcomes. To fill this gap in the literature, the current study developed a measure of familism pride and examined its unique prediction to psychosocial outcomes.Method: Self-report survey data were collected from 2 samples of Latinx emerging adults who were part of a psychology subject pool at a comprehensive university in Los Angeles designated as an Hispanic-serving institution. Sample 1 (n = 352) was 72.2% women with a mean age of 18.9 years, whereas Sample 2 was 68.6% women with a mean age of 19.3 years.Results: Factor analyses supported that familism pride was distinct from familism values (familial support, obligation, reference, respeto). Familism pride was associated with fewer depressive symptoms and greater experience of joy when controlling for familism values in both samples.Conclusions: Our study underscores the importance of examining emotional processes in the study of familism and suggests a new dimension of familism that has not received research attention. (PsycINFO Database Record (c) 2019 APA, all rights reserved). [ABSTRACT FROM AUTHOR]

Objectives: Cultural value endorsement and ethnic-racial identity promote Latino/a adolescent positive adaptation and mitigate the negative impacts of perceived ethnic-racial discrimination. This study explored the intergenerational process of how adolescents develop these cultural characteristics in concert with their experiences of discrimination, focusing on the role of youth-reported maternal ethnic-racial socialization processes.Method: Participants included 175 Latino/a adolescent-mother dyads recruited from the 7th and 8th grades in an understudied emerging immigrant destination. We tested the effects of maternal cultural characteristics (i.e., familism, private regard, and perceived discrimination) on the same adolescent outcomes through youth-reported maternal ethnic-racial socialization practices (i.e., cultural socialization, preparation for bias, promotion of mistrust, and familism socialization, a novel construct introduced in this study).Results: Three significant indirect pathways were identified. Higher maternal private regard was associated with both higher youth familism and higher youth private regard through greater youth-reported familism socialization, and higher maternal private regard was associated with more perceived youth discrimination through greater youth-reported preparation for bias.Conclusion: Our results highlight maternal private regard as particularly important for understanding how youth perceptions of socialization processes encourage the development of adolescent cultural characteristics and the benefit of using specific assessment tools, such as a familism socialization measure, to identify how ethnic-racial socialization processes serve as intergenerational links. Directions for future research and implications for intervention are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved). [ABSTRACT FROM AUTHOR]

Few studies examine how racial-ethnic peer discrimination experiences of Latinx youth vary across the race-ethnicity of the perpetrator. In a sample of 170 Latinx early adolescents (Mage = 12.86 years, range = 10.33-15.23; 51% female), we identified 4 latent profiles of youth: (a) relatively low likelihood of experiencing discrimination regardless of peers' racial-ethnic group (38%; low discrimination); (b) relatively high probability of experiencing discrimination from the majority outgroup peers (33%; outgroup); (c) relatively high likelihood of experiencing discrimination from ingroup peers (14%; ingroup); (d) the highest probability of discrimination experiences across the in- and outgroup (15%; high discrimination group). Overall, Latinx youth classified in a typology characterized by a higher likelihood of experiencing discrimination from both ingroup and outgroup peers also reported the worst internalizing and externalizing symptoms relative to those in the low discrimination typology. [ABSTRACT FROM AUTHOR]

An increasing number of youth are exhibiting social, emotional, and behavioral problems that hinder their ability to function at grade level. Subsequently, school mental health services have not been able to address the need for services particularly among students who are minority and poor. A mixed methodology study was conducted to determine the treatment outcomes from a brief strength-based leadership training group for primarily students who are African American and poor. Pre-post scores on three scales and focus group data revealed significant positive changes in regard to internal areas of functioning and social skills, anger management skills, and school attitude. Gender and age significantly impacted outcomes. [ABSTRACT FROM AUTHOR]

Given adversity associated with discrimination, it is important to identify culturally relevant factors that may protect against its harmful effects. Using latent variable interactions, this study examined the moderating effects of cultural assets on the association between multiple types of discrimination and adolescents' adjustment. Participants included 174 seventh‐ and eighth‐grade Latino adolescents (51% girls); majority were of Mexican origin. Peer discrimination was associated with higher internalizing symptoms, whereas cultural assets predicted higher academic motivation above and beyond racial–ethnic discrimination, demonstrating a promotive effect. Adolescents' Latino cultural assets also protected against higher levels of externalizing symptoms in the context of high peer discrimination and foreigner objectification. The discussion focuses on the conceptual and applied implications of these findings. [ABSTRACT FROM AUTHOR]

The article presents the discussion on assessing the incident's impact on civilian health in the affected area. Topics include persons in thousands of households offered temporary housing and alternative drinking water provided to users of affected water where HDOH requested epidemiologic assistance; and reported improvement in symptoms after switching to an alternative water source.

This study used latent profile analysis to develop coping typologies of 340, 14- to16-year-old Mexican American adolescents (M = 14.46, SD = 0.69). Three typologies were identified: (a) opposition coping (adolescents who tended to use anger and venting emotions), (b) support-seeking coping (adolescents who relied on seeking support), and (c) escape and opposition coping (adolescents who relied on anger, venting, substance-use coping, behavioral avoidance, and peer support). Three key parental behaviors (support, knowledge, psychological control) of mothers and fathers and adolescent gender were examined as predictors of the coping typologies. Results indicated that parental support and knowledge, particularly from mothers, predicted membership into the support-seeking coping typology relative to the other two typologies. Girls were more likely than boys to utilize support-seeking coping than opposition coping. Gender socialization norms that may have influenced these results are discussed. [ABSTRACT FROM AUTHOR]

This study tested whether cumulative support (i.e., parental, interparental, peer, and teacher) was associated with decreases in youths’ loneliness and social anxiety during early adolescence. The unique associations of support sources and moderating effects of youth gender also were examined. Participants included 416 youth in sixth grade at the beginning of the study (mean age = 11.86, SD = .69; 91% European American). Cumulative support during sixth grade was associated with decreased loneliness and social anxiety across early adolescence, and it was found that the association with decreased social anxiety was stronger for boys than girls. Parental and peer support were uniquely associated with decreased loneliness and social anxiety, respectively. The protection offered by multiple sources of support for developmental tasks across early adolescence is discussed. [ABSTRACT FROM AUTHOR]

The purpose of this article was to examine whether recollections of mothers’ emotion socialization practices during childhood are linked to adult emotional well-being as indexed by depression, trait anger, and cardiac vagal tone, and whether these effects vary for African American and European American women. Participants included 251 women (128 European American, 123 African American) who ranged in age from 18 to 44 years (M = 25 years). Multigroup confirmatory factor analyses indicated strong measurement and factor invariance across African American and European American participants. Remembered nonsupportive emotion socialization was linked with elevated depressive symptoms for European American women but not African American women and with elevated trait anger for both groups. Remembered supportive emotion socialization was linked with higher resting vagal tone for both groups. The results provide some support for the view that nonsupportive emotion socialization may be more detrimental for European Americans than African Americans. [ABSTRACT FROM AUTHOR]

The current study tested whether young adult's recollected reports of their mother's punitive reactions to their negative emotions in childhood predicted anger expression in young adulthood and whether emotional closeness weakens this association. Further, a three-way interaction was tested to examine whether emotional closeness is a stronger protective factor for young women than for young men. Results revealed a significant three-way interaction (gender × emotional closeness × maternal punitive reactions). For young men, maternal punitive reactions to negative emotions were directly associated with increased anger expressions. Maternal punitive reactions to young women's negative emotions in childhood were associated with increased anger in adulthood only when they reported low maternal emotional closeness. Findings suggest that maternal emotional closeness may serve as a buffer against the negative effects of maternal punitive reactions for women's anger expression in young adulthood. [ABSTRACT FROM PUBLISHER]

Objectives: Latina mothers in emerging immigrant communities experience heightened risk for depressive symptoms because of the convergence of multiple risk factors rooted in economic, cultural, and familial experiences. Previous research with Latina/o adolescents has found that discrimination, and not acculturative stress, predicts depressive symptoms; however, no research to our knowledge has examined the relative impact of both discrimination and acculturative stress in Latina mothers.Method: The present study expands this literature by examining how both universal (i.e., economic hardship and parent-child conflict) and cultural stressors (i.e., discrimination and acculturative-based family conflict) predict maternal depressive symptoms in a sample of 169 Latina mothers in an emerging immigrant context.Results: Results found that the presence of universal stressors for Latina mothers does indeed significantly predict depressive symptoms, and that uniquely, 1 type of cultural stressor (i.e., acculturative-based family conflict) predicts depressive symptoms above and beyond the universal stressors.Conclusions: These findings indicate that it is important to examine how cultural stressors may have differential impact for youth and their parents; thus, more work should examine the impact of acculturative-based family conflict for Latina mothers. (PsycINFO Database Record (c) 2019 APA, all rights reserved). [ABSTRACT FROM AUTHOR]