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A wealth of past research has examined the relationship between low physiological arousal and violence or antisocial behavior. Relatively little research; however, has examined the relationship between low physiological arousal and psychopathic traits, with even less having been conducted with juveniles. The current study attempts to fill this gap by evaluating juveniles' physiological arousal using resting heart rate and their levels of psychopathic traits. Results suggest that there is indeed an inverse relationship between resting heart rate and the affective traits of psychopathy (Uncaring, Callousness, and Unemotionality) as well as Thrill or Sensation Seeking in males. No significant relationship was found in females. Implications of the findings as well as study limitations and future directions are discussed.

Although abuse and neglect in the early years of life have been reliably linked to poor mental health outcomes in childhood, only a few studies have examined whether the predictive significance of childhood abuse and neglect endures for symptoms of psychopathology into adulthood. Here we examined to what extent prospectively assessed child abuse and neglect is associated with self-reported symptoms of psychopathology measured from ages 23 through 39 years, controlling for early demographic covariates and self-reported symptoms of psychopathology measured at age 16 years. The sample included 140 participants from the Minnesota Longitudinal Study of Risk and Adaptation. Participants were 49% female and 69% White/non-Hispanic. At the time of their child's birth, 48% of the mothers were teenagers (M = 20.5 years, SD = 3.74), 65% were single, and 42% had completed less than a high school education. Results indicated that childhood abuse and neglect was robustly associated with symptoms of psychopathology in adulthood. Exploratory analyses focusing on specific parametrizations of abuse/neglect suggested that abuse perpetrated by maternal figures (rather than paternal or nonparental figures) was uniquely associated with high levels of self-reported symptoms of psychopathology in adulthood. We found no evidence that any subtype of abuse and/or neglect or abuse/neglect during any particular phase of development uniquely predicted symptoms of psychopathology after controlling for relevant covariates. These results highlight the long-lasting significance of childhood abuse and neglect for reports of mental health in adulthood.

Internalizing psychopathology, including depression and anxiety, has been associated with sleep-wake problems among youth. Although transdiagnostic theories of psychopathology posit that emotion dysregulation explains many of the symptoms associated with internalizing psychopathology, examination of regulatory mechanisms underlying this association is limited, particularly during the transition to early adolescence when risk for affective dysregulation and sleep-wake problems is heightened. Using a longitudinal design with a youth community sample (N = 278), the current study found a positive, indirect effect of internalizing psychopathology (x-bar[subscript age] = 9.84) on later sleep-wake problems (x-bar[subscript age] = 14.53) via higher levels of a more maladaptive emotion regulation strategy (i.e., expressive suppression), with no evidence of an indirect effect of a more adaptive strategy (i.e., cognitive reappraisal; x-bar[subscript age] = 12.02). Findings have important clinical implications for targeting the reduction of maladaptive emotion regulation strategies, such as expressive suppression, in order to address sleep problems among youth with internalizing psychopathology.

For educators to help children exposed to adverse life experiences, it is necessary to understand how adversity impacts different mechanisms of learning, emotion, and planning as these capacities underpin success in schools and beyond. The goal of this paper is to review essential findings on how early life adversity transforms the brain which, in turn, impacts educational outcomes. Part 1 begins by discussing the species-specific and expectant experiences that guide typical development, and then turns to early life adversities and their relationship to both physical and mental health outcomes. Part 2 summarizes four dimensions of adversity--"type," "timing," "term," and "toxicity"--and how each differentially impacts the developing brain, including individual differences in psychopathology. Part 3 discusses the relevance of these findings for educators, highlighting how behavior can be modified to build resilience and greater academic and social-emotional competency.

Adolescent psychopathological (i.e., internalizing and externalizing) symptoms are quite prevalent and decrease well-being in adulthood. Parental symptoms can put adolescents at risk for developing psychopathological symptoms. This study examined the reciprocal, longitudinal associations between parental and adolescent internalizing and externalizing symptoms between and within families, using random-intercept cross-lagged panel models (RI-CLPMs). Participants were 497 Dutch adolescents (43.1% girls; M[subscript age] T[subscript 1] = 13.0 years; mostly medium to high socioeconomic backgrounds) and their parents from the general population. Across six years, adolescents and their mothers and fathers reported annually on their internalizing and externalizing symptoms. Between families, maternal, but not paternal internalizing and externalizing symptoms were consistently associated with adolescent internalizing and externalizing symptoms, while within families, only increases in adolescent internalizing symptoms predicted subsequent increases in maternal internalizing symptoms. These findings suggest that associations within families differ from associations between families, and that within-family processes in the transmission of internalizing symptoms are particularly driven by adolescent-to-mother effects.

Little remains known about the degree to which autistic university students are stigmatized relative to students with other diagnoses. We conducted an online survey with students in New York City (n = 633) and Beirut (n = 274). Students with diagnoses that were perceived as dangerous (e.g., psychopathy) were more stigmatized than students with diagnoses that were perceived as less dangerous (e.g., autism). Disruptive autistic behaviors (described via vignettes) evoked more stigma than withdrawn behaviors. Perceived dangerousness predicted autism stigma. Greater acceptance of inequality, less openness, and lower cognitive empathy co-occurred with heightened stigma towards most conditions. Diagnostic labels were typically less stigmatized than behaviors. Findings suggest that interventions are needed to decrease stigma towards varied diagnoses in collegiate communities.

The purpose of the present study was to determine if individuals with autism spectrum disorder (ASD) display a unique pattern of responses on the Personality Assessment Inventory-Adolescent (PAI-A). Twenty adolescents between ages 12 and 18 completed the PAI-A, and their scores were compared to matched community and clinical samples from the standardization sample of the PAI-A. Results of a profile analysis indicated the ASD group displayed unique scale elevations, which may help clarify the interpretive quality of the PAI-A with individuals with autism. Clinicians and school psychologists should be aware of this research when selecting tools to evaluate adolescents with ASD.

The adaptation of experimental cognitive tasks into measures that can be used to quantify neurocognitive outcomes in translational studies and clinical trials has become a key component of the strategy to address psychiatric and neurological disorders. Unfortunately, while most experimental cognitive tests have strong theoretical bases, they can have poor psychometric properties, leaving them vulnerable to measurement challenges that undermine their use in applied settings. Item response theory-based computerized adaptive testing has been proposed as a solution but has been limited in experimental and translational research due to its large sample requirements. We present a generalized latent variable model that, when combined with strong parametric assumptions based on mathematical cognitive models, permits the use of adaptive testing without large samples or the need to precalibrate item parameters. The approach is demonstrated using data from a common measure of working memory--the N-back task--collected across a diverse sample of participants. After evaluating dimensionality and model fit, we conducted a simulation study to compare adaptive versus nonadaptive testing. Computerized adaptive testing either made the task 36% more efficient or score estimates 23% more precise, when compared to nonadaptive testing. This proof-of-concept study demonstrates that latent variable modeling and adaptive testing can be used in experimental cognitive testing even with relatively small samples. Adaptive testing has the potential to improve the impact and replicability of findings from translational studies and clinical trials that use experimental cognitive tasks as outcome measures.

While accumulating literature is demonstrating the role of the dopamine transporter (DAT) in predicting emotional-behavioural difficulties in adults of at risk populations, only few studies have focused on the possible association between the methylation status of the DAT promoter and the psychopathological risk of mothers, fathers and children in normative samples. The pattern of methylation of M1-M7 loci present in the 5'-untranslated promoter region (5'-UTR) of DAT1, and parental and offspring psychopathological risk were assessed in a sample of 152 families with 5-year-old-children, employing principal components (PCAs) and cluster analyses. Parents' psychopathological symptoms were assessed through SCL-90/R; children's emotional-behavioural functioning was evaluated through C-TRF. Cluster analysis allowed to form three clusters; cluster 1 is primarily composed by children with low-/middle-risk profiles; most of children with high-risk are in this cluster, and had parents with mild/high psychopathological risk; children in cluster 2 showed low-risk profiles and their parents had low/mild psychopathological risk; children in cluster 3 were predominantly at middle risk and had parents with low psychopathological risk. Analysis of results shows that DNA methylation occurs in different loci of DAT1 according to patterns of psychopathology and that psychopathological risk is specifically associated with hyper-methylation or hypo-methylation of these loci.

The purpose of this study was to explore the potential moderating role of perceived social support (school personnel, friends) and gender in the association between distinct psychopathic traits (callous-unemotional traits, narcissism, impulsivity) with bullying and victimization among 1442 Greek speaking early adolescents. Results suggested that all psychopathic traits were significant risk factors of bullying, whereas only impulsivity was a significant risk factor of victimization. Importantly, narcissism was the stronger explanatory factor of bullying. In addition, school and friend perceived social support acted as protective factors from victimization. ?n addition, school and friend perceived social support moderated the link between narcissism and bullying. Specifically, narcissism was more strongly associated with bullying when school support was low and friend support was high. Finally, gender moderated the relationship only between narcissism and bullying, suggesting that the association between narcissism and bullying was stronger for boys compared to girls. Altogether, these findings highlight the importance of studying the influence of social context on youths with antisocial personality traits and their engagement in bullying and victimization. Findings might have implications for interventions aiming to reduce bullying and victimization.

DC:0-5™: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (ZERO TO THREE, 2016) emphasizes the centrality of relationships for young children's development and psychopathology. The authors share the story of a young child and his mother to illustrate the use of DC:0-5, with an emphasis on how ratings of the primary caregiving relationships and the caregiving environment are used in the assessment process to create a treatment plan for the child and family.

Objective: This study examined the associations between insomnia, anxiety, and depression in college women with eating disorders (EDs). Participants: Six hundred and ninety women from 28 US colleges who screened positive for an ED were assessed for psychiatric comorbidities. Women were, on average, 22.12 years old, mostly White (60.1%) and undergraduates (74.3%). Methods: Two mediation models were tested to determine if depression and/or anxiety mediated the relationship between insomnia and ED symptomatology. Results: One-fifth of the sample (21.7%) reported clinically moderate and severe levels of insomnia. Both depression (B = 0.13, p < 0.001) and anxiety (B = 0.13, p < 0.001) significantly mediated the relationship between insomnia and ED psychopathology. Conclusions: Insomnia is relatively common in college-age women with EDs. Findings suggest that this association between ED and sleep disturbances can be explained, in part, by changes in depression and anxiety. Clinicians should consider incorporating mental health assessments for insomnia, depression, and anxiety into current ED prevention, intervention, and screening efforts on college campuses.

Objective: Depression and anxiety are major concerns among students. Unfortunately, there are disparities between the mental health of majority culture students (White; Judeo-Christian) and that of Indigenous students. Although mindfulness, self-compassion, and reappraisal are correlated with symptoms of psychopathology among White students, these relationships have never been examined among Indigenous students. Participants: Undergraduate Indigenous students recruited from a Canadian institution. Methods: We administered self-report measures of depression, anxiety, dispositional mindfulness, self-compassion, and emotion regulation strategies (cognitive reappraisal and emotional suppression). Results: 37.5% (n = 33) and 40.9% (n = 36) reported significant symptoms of depression or anxiety, respectively. Dispositional mindfulness and self-compassion were negatively and strongly associated with depression symptoms (r = -0.58 and r = -0.58, respectively). Further, both constructs were also negatively and strongly associated with anxiety symptoms (r = -0.55 and r = -0.53, respectively). We also found a negative correlation between reappraisal and depression and anxiety symptoms. Conclusions: Mindfulness, self-compassion, and reappraisal are associated with depression and anxiety symptoms among this sample of Indigenous students.

Major developmental theories been a resource to early childhood education researchers and educators. They help to explain how child development unfolds, sources of vulnerability and protection that influences child development, and how the course of development may be altered by prevention and intervention efforts. Understanding factors which may support or compromise development and integrating this knowledge into their work with children and their families are key to supporting healthy developmental outcomes and creating trusting partnerships with caregivers.

This study conducted two meta-analyses to synthesize the association between children's language skills and two broad-band dimensions of psychopathology: internalizing and externalizing. Pooled estimates across 139 samples (externalizing k = 105; internalizing k = 90) and 147,305 participants (age range: 2-17 years old; mean % males: 53.75; mean % White participants: 55.59; mean % minority participants: 43.12) indicated small but significant associations between child language skills and externalizing problems (Hedges' g = 0.22) and between language skills and internalizing problems (Hedges' g = 0.23). The association between language difficulties and externalizing problems was stronger amongst males and in children with low versus high sociodemographic risk. Implications of the results for theory and practice are discussed.

Psychiatric disorders in individuals with co-occurring autism spectrum disorders (ASD) and intellectual disability (ID) are common, but diagnosis presents many challenges. The Psychopathology in Autism checklist (PAC) is among the very few instruments specifically developed for this group of individuals. The psychometric properties of the PAC (i.e. criterion validity, specificity, sensitivity and predictive values) were explored by comparing scores with assessments on the Aberrant Behavior Checklist (ABC) and examining how well assessment by the PAC at referral predicts final clinical diagnoses. Results indicated a significant correlation with the ABC, further supporting the validity of the PAC. Sensitivity and Specificity for specific diagnoses were variable, although positive predictive value for "any diagnosis' was relatively high. The study confirms the potential value of the PAC as a screening checklist but highlights the need for clinical diagnosis to be based on a multimodal, multidisciplinary assessment.

Diverse mechanisms account for the familial aggregation of certain personality traits and externalizing psychopathology. We explored the roles of positive and negative parenting as mediators of longitudinal associations between parents' maladaptive personality traits and their children's inattention/hyperactivity problems. We collected self, informant and observational measures of parent personality, parenting and child symptoms from a community sample of 409 children (208 girls) and their primary caregiver across three waves of data collection at child ages 3, 5 and 8 years. Primary caregiver's negative temperament, mistrust and aggression were positively associated with children's symptoms of hyperactivity/inattention. While parenting was unrelated to self-reported traits, responsive parenting mediated negative associations between informant-reported maladaptive parent traits and children's hyperactivity/inattention. In addition, informant-reported trait aggression predicted boys' ADHD symptoms via hostile parenting. Findings implicate mechanisms that may underlie intergenerational transmission and continuity of inattention/hyperactivity and highlight the importance of multi-informant, multi-method approaches when studying relationships between parent traits and child outcomes.

Little research evidence exists for the mechanisms through which cyberbullying develops and is maintained. The purpose of the present was to investigate a social-ecological diathesis-stress model for cyberbullying. The study examined the unique and interactive effects of psychopathic traits, moral disengagement and school climate on cyberbullying and cybervictimization. A sample of 407 adolescents aged 15-18 years completed the Youth Psychopathic Inventory, the Moral Disengagement Scale, the School Climate Bullying Survey and the Personal Experiences Checklist. The structural equation models performed provided support for a social-ecological diathesis-stress model for cyberbullying and cybervictimization. Different effects were present for participants differing in the levels of self-reported psychopathy and gender. Implications for research and practice are discussed.

Background: Oppositional Defiant Disorder (ODD) appears more prevalent among children with intellectual disabilities (ID) as compared to children with typical development. However, it remains unclear what drives this difference. Methods: Data from 70 youth with typical development (TD) and 20 youth with ID were drawn from (The Collaborative Family Study). The relationships between child temperament and parent psychopathology (age 3), parenting behavior and child behavior problems (age 5), and ODD diagnosis (age 13) were explored via structural equation modeling. The predicted model was examined in the total sample, among children with and without ID separately, and with status (TD vs. ID) as a predictor. Conclusion: Many of the predicted relationships hold true for youth with and without ID. However, we found an unexpected relationship between negative-controlling parenting and child externalizing behavior problems for children with ID. The positive role of parental intrusiveness for children with ID is discussed, although limitations are noted due to the small sample size and preliminary nature of this study.

Recent research has suggested that both the Honesty-Humility dimension, psychopathic traits and cheating attitudes are important predictors of academic dishonesty. The present study examined: (1) the incremental role of triarchic psychopathic traits in academic cheating over the Honesty-Humility dimension; (2) the incremental role of cheating attitudes over personality; and (3) the mediating role of cheating attitudes in the relationship between different psychopathic components and academic cheating. Two-hundred-and-ninty-seven students (59% female, 23 years on average) completed several questionnaires: the Triarchic Psychopathy Measure (TriPM), The HEXACO-PI-R Honesty-Humility scale, Attitudes Toward Cheating Scale, and the Academic Cheating Behaviours Scale. As expected, triarchic psychopathy added incremental variance in explaining academic cheating, after controlling for Honesty-Humility. Cheating attitudes explained additional 24% after controlling for personality traits. Meanness lead to more lenient attitudes toward cheating, which lead to more academic cheating behaviours. On the other hand, the effects of boldness and disinhibition were not mediated by attitudes towards cheating. Overall, the results suggest that the psychopathic traits display the effects on the academic cheating via several different mechanisms. The findings have both important theoretical and practical implications.

This article analyzes modern theoretical and conceptual models of social anxiety disorder (SAD) (cognitive, metacognitive, psychopathological) with a view to determine specific features of psychological mechanisms of disorders studied in various approaches, to identify similarities and differences in conceptual SAD models, their heuristic specifics and efficiency in the diagnostics and practice of psychological intervention. The authors demonstrated psychopathological mechanisms related to SAD origin and development shows the effectiveness of psycho-pathological approach to diagnostics and therapy. Analyzing the psychopathological approach, the authors revealed that the key mechanisms, which cause SAD, are specific disturbances of target regulation of mental activity and mediation of anxiety during evaluation, changes in the "motive-goal-means" system, social behavior aberrations and distortion of selectivity in mental activity. The comparative analysis revealed that maximum diagnostic and therapeutic efficacy is achieved during combined application of the models in the psychological practice.

The present investigation targets the empirical validation of the correlation surface between psychopathology and ego-strength suggested by Eysenck. The sample comprised 37 middle aged adults from the Grand Duchy of Luxembourg. Established hypotheses could not be verified and results even significantly tended in the opposite direction. The findings are discussed in the light of an eventual revision of the theoretical conception of Eysenck and its potential adaptation to the measured constructs.

Memoirs and autobiographies can be rich sources of real-world information for students in psychology classes. These resources have been used in adult-oriented abnormal psychology classes, but have yet to be explored for use in courses on abnormal child psychology. This manuscript reviews the use of memoirs and autobiographies in adult-oriented abnormal psychology classes and then explores the use of memoirs and autobiographies in abnormal child psychology classes. In the Appendix, lists of memoirs and autobiographies are provided that instructors can use as a resource in the selection of books for abnormal child psychology classes. Data are analyzed regarding undergraduate students' opinions about the use of memoirs in an abnormal child psychology class and an investigation of learning outcomes for classes with and without assigned memoirs is provided. Overall, the use of memoirs and autobiographies appears to be a promising way of enhancing the teaching of abnormal child psychology.

Differential diagnosis of autism spectrum disorder (ASD) among intellectually-able adults often presents a clinical challenge, particularly when individuals present in crisis without diagnostic history. The Personality Assessment Inventory (PAI) is a multiscale personality and psychopathology instrument utilized across clinical settings, but to date there are no published normative data for use of the PAI with adults with ASD. This study provides normative PAI data for adults diagnosed with ASD, with effect size comparisons to the PAI clinical standardization sample and an inpatient sample. Additionally, a discriminant function was developed and cross-validated for identification of ASD-like symptomatology in a clinical population, which demonstrates promise as a screening tool to aid in the identification of individuals in need of specialized ASD assessment.

Autistic adults who have a history of committing crimes present a major problem for providers of services in terms of legal disposal options and possible interventions, and greater understanding of this group and their associated needs is required. For this reason, we aimed to investigate the face validity of a proposed sub-typology of autistic adults detained in secure psychiatric hospitals in the United Kingdom. Initially, a focus group was completed with psychiatrists, clinical psychologists, healthcare workers, family members and autistic adults who had been detained in hospital, leading to revisions of the sub-typology. Following this, a consensus rating exercise of 10 clinical vignettes based on this sub-typology with three rounds was completed with 15 psychiatrists and clinical psychologists; revisions to the vignettes to improve clarity were made following each round. The findings indicated that these subtypes possess face validity and raters were able to classify all 10 clinical case vignettes into the sub-typology, and percentage of agreement ranged from 96% to 100% for overall subtype classification. This study suggests that the further validity of the sub-typology should be investigated within a larger study, as these subtypes have the potential to directly inform the hospital care pathway such that length of stay can be minimised.

Although autism spectrum disorder (ASD) is associated with significant mental health concerns, little is known about suicidality, particularly among youth. To address this critical gap in the literature, the current study examined the predictive validity of (1) demographics, (2) core autism symptoms, (3) cognitive abilities and adaptive behavior, (4) comorbid psychopathology, and (5) medical problems, for suicide-related behaviors among autistic youth (N = 481; M[subscript age] = 11.56 years). As indices of suicide-related behaviors, parents reported on whether the child had ever (1) talked about killing themselves, and (2) engaged in deliberate self-harm or attempted suicide. These two suicide-related outcomes had distinct clinical correlates, including child age, parental education, restricted and repetitive behaviors, IQ and adaptive behavior, affective and conduct problems, and medical concerns.

Exposure to childhood adversity is common and associated with a host of negative developmental outcomes. The most common approach used to examine the consequences of adversity exposure is a cumulative risk model. Recently, we have proposed a novel approach, the dimensional model of adversity and psychopathology (DMAP), where different dimensions of adversity are hypothesized to impact health and well-being through different pathways. We expect deprivation to primarily disrupt cognitive processing, whereas we expect threat to primarily alter emotional reactivity and automatic regulation. Recent hypothesis-driven approaches provide support for these differential associations of deprivation and threat on developmental outcomes. However, it is not clear whether these patterns would emerge using data-driven approaches. Here we use a network analytic approach to identify clusters of related adversity exposures and outcomes in an initial study (Study 1: N = 277 adolescents aged 16-17 years; 55.1% female) and a replication (Study 2: N = 262 children aged 8-16 years; 45.4% female). We statistically compare our observed clusters with our hypothesized DMAP model and a clustering we hypothesize would be the result of a cumulative stress model. In both samples we observed a network structure consistent with the DMAP model and statistically different than the hypothesized cumulative stress model. Future work seeking to identify in the pathways through which adversity impacts development should consider multiple dimensions of adversity.

We compared the presence of autistic and comorbid psychopathology and functional impairments in young adults who received a clinical diagnosis of Pervasive Developmental Disorders Not Otherwise Specified or Asperger's Disorder during childhood to that of a referred comparison group. While the Autism Spectrum Disorder group on average scored higher on a dimensional ASD self- and other-report measure than clinical controls, the majority did not exceed the ASD cutoff according to the Autism Diagnostic Observation Schedule. Part of the individuals with an ASD diagnosis in their youth no longer show behaviors that underscribe a clinical ASD diagnosis in adulthood, but have subtle difficulties in social functioning and a vulnerability for a range of other psychiatric disorders.

Although item response models have grown in popularity in many areas of educational and psychological assessment, there are relatively few applications of these models in experimental psychopathology. In this article, we explore the use of item response models in the context of a computerized cognitive task designed to assess visual working memory capacity in people with psychosis as well as healthy adults. We begin our discussion by describing how item response theory can be used to evaluate and improve unidimensional cognitive assessment tasks in various examinee populations. We then suggest how computerized adaptive testing can be used to improve the efficiency of cognitive task administration. Finally, we explore how these ideas might be extended to multidimensional item response models that better represent the complex response processes underlying task performance in psychopathological populations.

Little is known about the role children's processing of emotions plays in altering children's vulnerability to interparental conflict. To address this gap, the present study examined whether the mediational cascade involving children's exposure to interparental conflict, their insecure responses to interparental conflict, and their psychological problems varied as a function of children's preexisting biases to attend to angry, fearful, sad, and happy expressions. Participants included 243 children (M age = 4.60 years) and their parents assessed at 3 annual measurement occasions. Moderated-mediation analyses within a cross-lagged autoregressive design indicated that the indirect paths among interparental conflict, emotional insecurity, and psychological problems were significant for children who exhibited greater attentional biases toward angry and fearful emotions. Greater attention to anger and fear specifically moderated the first link in the mediational path. Interparental conflict was a significantly stronger predictor of emotional insecurity for children who attended to angry and fearful cues longer. Consistent with environmental sensitivity theories, children with attentional biases to angry and fearful emotions exhibited disproportionately higher levels of emotional insecurity following exposure to heightened interparental conflict but also lower levels of emotional insecurity after experiencing minimal interparental conflict.

Deficits in emotion regulation (ER) are commonly observed in individuals with ASD and may contribute to elevated rates of psychiatric comorbidity. The objective of this study was to understand the relationship between ER (self-and caregiver-reported) and clinician-assigned mood and anxiety disorders in emerging adults with ASD (n = 27). Individuals with an anxiety or mood disorder demonstrated significantly greater involuntary engagement (IE) for ER than those without an anxiety or unipolar depression diagnosis. Furthermore, those without anxiety or depression reported significantly more voluntary engagement (VE). However, consistent with prior findings outside of ASD, IE appears closely associated with internalizing diagnoses, even when VE is also utilized. Research on clinical approaches to reduce reliance on involuntary approaches to emotion management should be pursued.

Frequency of feeding problems, gastrointestinal (GI) symptoms, challenging behavior, sensory problems and comorbid psychopathology were assessed using the following questionnaires: Screening Tool for Feeding Problems for Children, GI Symptoms Inventory, Behavior Problems Inventory Short Form, Short Sensory Profile, and Autism Spectrum Disorder-Comorbidity Child (ASD-CC) in 136 children and adolescents with ASD. Eighty-four percent had food selectivity, followed by food refusal (78.7%), rapid eating (76.5%), chewing problems (60.3%), food stealing (49.3%) and vomiting (19.1%). Higher rates of GI symptoms, challenging behavior, and sensory issues were found in those who presented with rapid eating, food refusal and food stealing than those without these problems. Comorbid psychopathology predicted rapid eating, food selectivity and food refusal.

Background: Most families of children with behavior problems do access treatment. Objective: The purpose of this study was to test a parental measure of readiness to seek help for their child's behavior problems. Method: Data was collected annually from 148 parents at their child's first contact with either mental health services or juvenile justice court or services. Psychopathology, service use, and factors related to service use were assessed. The majority of the sample was male (64%) and Black/African American (63%) with a mean age of 11.93 years (SD = 2.75). We administered a measure specifically developed for this study to assess stages of change in parents' readiness to seek help for their child's behavior problems. We used confirmatory factor analysis (CFA) to evaluate the stages of change and regression modeling to assess construct and criterion validity of the resulting readiness score. Results: CFA of the revised subscales showed acceptable fit. Readiness scores were associated with current and future use of specialty mental health services. Higher readiness scores were associated with parents perceiving their child's behavior as worse compared to peers, more child attention-deficit/hyperactivity disorder symptoms, and greater parental burden. Higher readiness scores were not associated with total family resources, symptoms of oppositional defiant disorder or conduct disorder. Conclusion: Scores from this measure were associated with factors that predict service engagement, and predict current and future mental health service utilization. These results indicate construct and criterion validity of measuring parental help-seeking for child behavior problems within a stages of change framework.

The term 'pathological demand avoidance' was first coined in 1983. In recent years, diagnostic tools have emerged to enable practitioners to identify, name and treat pathological demand avoidance and, at least in the United Kingdom, there is an increasing number of children who attract this label. In addition to what are defined as the core 'deficits' of autism, including assumed difficulties in social communication, difficulties in social interaction and restrictive interests, children with pathological demand avoidance are thought to have an extreme anxiety-driven need to control their environment and control the demands and expectations of others. This article will argue that we must exercise extreme caution in accepting the validity of pathological demand avoidance and will suggest that it can be seen as an attempt to psychiatarise autistic children's resistance, which, in so doing, restricts their agency. First, it will draw on the arguments put forward by some autistic scholars who have claimed that pathological demand avoidance is better understood as rational demand avoidance -- an understandable and rational response to the circumstances that one finds oneself in. Second, it will consider the intersection between autism and childhood. When one of the defining characteristics of pathological demand avoidance is an inability to recognise and, presumably, respect social hierarchy, children's competencies as social actors and active meaning makers of their world can easily become pathologised as defiance. Finally, the article will address the intersections of autism, childhood and gender. Girls are much less likely to be diagnosed as having an autism spectrum condition than boys are, with a ratio traditionally estimated at approximately 1:4. However, pathological demand avoidance diagnoses are fairly evenly spread between boys and girls. It will be argued that it is girls' resistance to the ordinary and everyday demands of her as a girl and her subsequent rejection or transgression of those expectations that is being pathologised.

Over the past decades, reports from official authorities and the media have suggested that there is a 'crisis' in young people's mental health. However, there is considerable uncertainty regarding how to interpret the data referred to in these alarming reports. The present article draws on 'the minority voices' of young people and theories developed by Ian Hacking to undertake a critical analysis of the conceptualisation of young people's mental health. According to Hacking, systems of classifications formulate general truths about people and frame the suffering of individuals in specific ways. Classification changes people. However, young people are social actors who interact with classifications of their mental health and by doing so they could cause classifications to be redrawn. Hacking refers to these feedback effects as 'looping effects'. Based on 51 interviews with 15-year-olds, this article explores how young people interact with psychiatric labels associated with their wellbeing such as "anxiety" and "depression." We demonstrate how the participants gave new meaning to these psychiatric labels, devalued and gave nuance to them, and by doing so transformed them into "cultural categories" rather than "diagnostic categories." We discuss the potential looping effects related to young people's mental health and how the present findings can inform policy practice.

The Socialization of Emotion (Eisenberg, Cumberland, & Spinrad, 1998; Eisenberg, Spinrad, & Cumberland, 1998) model creates a theoretical framework for understanding parents' direct and indirect influences on children's emotional development, including the influence of parent characteristics on subsequent emotion specific parenting. Large numbers of children live in families with fathers who have alcohol problems, setting the stage for cascading risk across development. For instance, fathers' alcohol problems are a marker of risk for higher family conflict, increased parental depression and antisociality, and less sensitive parenting, leading to dysregulated child emotion and behavior. We examined a conceptual model for emotion socialization in a community sample of alcoholic and nonalcoholic father families (N = 227) recruited in infancy (i.e., 12 months) with follow-ups to adolescence (i.e., 15-19 years), and examined if hypothesized paths differed by child sex or group status (alcoholic vs. nonalcoholic families). Results indicated significant indirect effects between parent psychopathology and sensitivity in early childhood to both adaptive (e.g., emotion regulation) and maladaptive (e.g., aggression and peer delinquency) outcomes in middle childhood to adolescence via child negative emotionality and supportive emotion socialization. There were significant differences by child sex and alcohol group status. Implications for intervention and prevention are discussed.

Psychopathology is prevalent in Williams (WS), fragile X (FXS) and Prader-Willi (PWS) syndromes. However, little is known about the potential correlates of psychopathology in these groups. A questionnaire study was completed by 111 caregivers of individuals with WS (n = 35); FXS (n = 50) and PWS (n = 26). Mean age was 26 years (range 12-57 years); 74 (67%) were male. Multiple regression analyses indicated that higher rates of health problems and sensory impairments predicted higher psychopathology in WS (p < 0.0001). In PWS, poorer adaptive ability predicted higher overall psychiatric disturbance (p = 0.001), generalised anxiety (p = 0.006) and hyperactivity (p = 0.003). There were no significant predictors in FXS. This study highlights dissociations in the potential risk markers of psychopathology between genetic syndromes. Implications for intervention are discussed.

Continued human and animal research has strengthened evidence for aberrant excitatory-inhibitory neural processes underlying autism and schizophrenia spectrum disorder psychopathology, particularly psychosocial functioning, in clinical and nonclinical populations. We investigated the extent to which autistic traits and schizotypal dimensions were modulated by the interactive relationship between excitatory glutamate and inhibitory GABA neurotransmitter concentrations in the social processing area of the superior temporal cortex using proton magnetic resonance spectroscopy. In total, 38 non-clinical participants (20 females; age range = 18-35 years, mean (standard deviation) = 23.22 (5.52)) completed the autism spectrum quotient and schizotypal personality questionnaire, and underwent proton magnetic resonance spectroscopy to quantify glutamate and GABA concentrations in the right and left superior temporal cortex. Regression analyses revealed that glutamate and GABA interactively modulated autistic social skills and schizotypal interpersonal features (p[subscript corr] < 0.05), such that those with high right superior temporal cortex glutamate but low GABA concentrations exhibited poorer social and interpersonal skills. These findings evidence an excitation-inhibition imbalance that is specific to psychosocial features across the autism and schizophrenia spectra.

Existing research on opioid misuse and child outcomes is scattered across subfields and nascent compared to scholarship regarding consequences for adults. This scoping review synthesizes studies examining postnatal consequences of parent opioid misuse for children. Findings from 52 studies showed a descriptive connection between parental opioid misuse and a range of adverse child outcomes including accidental poisonings, psychopathology, and child welfare system contact. It was unclear if connections between opioid misuse and child outcomes were due to opioids specifically or to related risk factors. Studies comparing opioids to other substances were inconclusive and few studies measured potential parenting mechanisms that may explain the association between opioid misuse and child outcomes.

Parents of children with autism spectrum disorder appear to experience high levels of psychological distress, yet little is known about the prevalence of psychological disorders in this population. The aim of this systematic review and meta-analysis was to estimate the proportion of these parents who experience clinically significant psychopathology. Articles reporting proportions of psychological disorders in a sample of parents of children with autism spectrum disorder were located. The initial search returned 25,988 articles. Thirty-one studies with a total sample of 9208 parents were included in the final review. The median meta-analytic proportions were 31% (95% confidence interval = [24%, 38%]) for depressive disorders, 33% (95% confidence interval = [20%, 48%]) for anxiety disorders, 10% (95% confidence interval = [1%, 41%]) for obsessive-compulsive disorder, 4% (95% confidence interval = [0%, 22%]) for personality disorders, 2% (95% confidence interval = [1%, 4%]) for alcohol and substance use disorders and 1% (95% confidence interval = [0%, 5%]) for schizophrenia spectrum disorders. Significant heterogeneity was detected in these categories. Further research is needed to gain more insight into variables that may moderate parental psychopathology. This review and meta-analysis is the first to provide prevalence estimates of psychological disorders in parents of children with autism spectrum disorder.

Background: There is no study to date that has examined the association between history of abuse and adaptive functioning deficits in youth with co-occurring and psychotic disorders or mood disorders. Method: This study used a retrospective chart review of 98 youth under the age of 18 (Mean age = 16.06 years) with co-occurring intellectual impairment (Mean IQ = 63.9) and psychotic disorders, mood disorders, or other psychiatric disorders. Using multimediation models in the path analytic framework, this study examined the relationships between psychiatric diagnosis (based on DSM-IV criteria), cognitive functioning (Full Scale IQ Scores), adaptive functioning (Socialization, Communication, Motor Skills, Daily Living Skills), and the presence of the history of physical, sexual, and/or emotional abuse/neglect. Results: A very high incidence of all three forms of abuse was present in the study sample, with more than three-quarters of the youth having experienced at least one form of abuse and more than half having experienced two or the three forms of abuse. A history of sexual abuse was significantly and directly associated with an increased incidence of mood disorders. Mood disorders were the strongest predictors of adaptive functioning deficits. Youth with schizophrenia spectrum disorder scored significantly lower in communication skills than those with bipolar disorder. Conclusion: Results are discussed in terms of the need for treatment studies and further investigations of the relationship between childhood maltreatment and adaptive functioning in youth with intellectual impairment and psychiatric disorders.

Introduction: Intellectual disability (ID) is characterized by limitations in cognitive and adaptive functioning. The aim of this study is to examine sociodemographic characteristics, perinatal and childhood risk factors, and prevalence of psychiatric and biomedical comorbidities in children with ID. Methods: 260 patients with ID were included in the study (mean age: 8.42 [plus or minus] 3.59, 61% male, 75% mild ID). The Ankara Developmental Screening Inventory, the Wechsler Intelligence Scale for Children--Revised, and the Porteus Maze Test were used to assess the intelligence of the participants. An additional questionnaire was used to investigate their sociodemographic characteristics and birth, developmental, and medical histories. Results: Adverse perinatal/neonatal events (p < 0.001), biomedical comorbidities (p < 0.001) and seizure/convulsion history (p < 0.001) were strongly associated with the moderate-severe ID. The children with mild ID had more emotional-social deprivation (p = 0.022). Low socioeconomic situation, parental education, and teenage parenthood were risk factors for stimulus deficiency. While internalizing disorders were more common in those with mild ID and among girls, externalizing disorders were more common in those with moderate-severe ID and among boys. Conclusion: Interventions to perinatal/neonatal events may reduce the rate of moderate-severe ID. Evaluation of psychiatric and medical comorbidities and elimination of emotional-social deprivation should be fundamental components of the services offered to children with ID.

Childhood psychopathology is a large and concerning problem within the school setting. High prevalence rates of childhood psychopathology and resulting poor student outcomes reiterates the need for school service personnel to possess a basic understanding of the major therapeutic approaches to mollifying the difficulties presented by students. Three of these approaches are psychoanalysis, person-centered, and cognitive-behavioral therapy. This article provides teachers and varied school personnel with a working understanding of the theoretical foundations of each these therapies, as well as how each of these approaches conceptualizes childhood mental health disorders. Further, personnel are provided with an introduction to simple methods of addressing student psychological distress derived from each of the theories. These methods of redress include fostering student-teacher attachment, providing students with unconditional positive regard, and challenging cognitive distortions.

Background: Eating disorders (ED) are a concern on college campuses, yet comprehensive education and awareness is low. Few studies have investigated knowledge of disordered eating not fitting prototypical depictions or recognition of disordered eating in males. Purpose: To assess college students' ability to identify behavioral symptoms of ED in men and women. Methods: We explored problem identification ability after reading vignettes depicting either males or females displaying ED behaviors aligned with anorexia, bulimia, and binge eating disorder, and a healthy control vignette. Ordinal logistic was used to examine the effect of vignette target gender, participant gender, and disorder depicted on identification. Results: Approximately half of the sampled students correctly categorized vignettes as EDs. Participants were most likely to correctly identify the bulimia scenario as an ED, followed by anorexia, and binge-eating, and were more likely to identify ED if the vignette target was a woman. Discussion: The findings suggest awareness of behavioral presentations of ED, particularly in males, is low. This may stem from prototypical depictions of ED in the media and existing education material. Translation to Health Education Practice: Health education can focus on observable, behavioral symptoms of ED to improve identification in college students.

The historiography of child guidance has focused primarily on the United States, where it first developed before travelling across the English-speaking world. The rapid expansion of child guidance in the interwar years was enabled by private philanthropy, which provided fellowships to foreign professionals to study in the United States. This article focuses upon the transnational transfer of child guidance, the dynamic psychology on which it was based, and the accompanying psychopathologisation of child-rearing culture to a non-English speaking country, the Netherlands. First, it discusses the development of child guidance and the reception of dynamic psychology in the United States and Britain. Next, it analyses the transfer to the Netherlands. It turns out that the Dutch did not copy the American model, but adapted it to fit their conditions and created a more diverse child guidance landscape, in which educational psychology played a less important role than child psychiatry.