47 results on '"Kristel Thomassin"'
Search Results
2. Feasibility, Acceptability, and Usability of Physiology and Emotion Monitoring in Adults and Children Using the Novel Time2Feel Smartphone Application
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Kristel Thomassin, Sadie McVey Neufeld, Nida Ansari, and Natasha Vogel
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emotion ,physiology ,electrodermal activity ,wearable device ,experience sampling method ,Chemical technology ,TP1-1185 - Abstract
The present study tests the feasibility, acceptability, and utility of the novel smartphone application—Time2Feel—to monitor family members’ emotional experiences, at the experiential and physiological level, and their context. To our knowledge, Time2Feel is the first of its kind, having the capability to monitor multiple members’ emotional experiences simultaneously and survey users’ emotional experiences when experiencing an increase in physiological arousal. In this study, a total of 44 parents and children used Time2Feel along with the Empatica E4 wrist-wearable device for 10 days. Engagement rates were within the acceptable range and consistent with previous work using experience sampling methods. Perceived ease of use and satisfaction fell mostly in the moderate range, with users reporting challenges with connectivity. We further discuss how addressing connectivity would increase acceptability. Finally, Time2Feel was successful at identifying physiological deviations in electrodermal activity for parents and children alike, and even though responses to those deviation-generated surveys were largely consistent with random survey responses, some differences were noted for mothers and fathers. We discuss the implications of using Time2Feel for understanding families’ emotional and stressful experiences day-to-day.
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- 2023
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3. Evaluating a Modular Approach to Therapy for Children With Anxiety, Depression, Trauma, or Conduct Problems (MATCH) in School-Based Mental Health Care: Study Protocol for a Randomized Controlled Trial
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Sherelle L. Harmon, Maggi A. Price, Katherine A. Corteselli, Erica H. Lee, Kristina Metz, F. Tony Bonadio, Jacqueline Hersh, Lauren K. Marchette, Gabriela M. Rodríguez, Jacquelyn Raftery-Helmer, Kristel Thomassin, Sarah Kate Bearman, Amanda Jensen-Doss, Spencer C. Evans, and John R. Weisz
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randomized controlled effectiveness trial ,anxiety ,depression ,trauma ,conduct problems ,children and adolescents ,Psychology ,BF1-990 - Abstract
Introduction: Schools have become a primary setting for providing mental health care to youths in the U.S. School-based interventions have proliferated, but their effects on mental health and academic outcomes remain understudied. In this study we will implement and evaluate the effects of a flexible multidiagnostic treatment called Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems (MATCH) on students' mental health and academic outcomes.Methods and Analysis: This is an assessor-blind randomized controlled effectiveness trial conducted across five school districts. School clinicians are randomized to either MATCH or usual care (UC) treatment conditions. The target sample includes 168 youths (ages 7–14) referred for mental health services and presenting with elevated symptoms of anxiety, depression, trauma, and/or conduct problems. Clinicians randomly assigned to MATCH or UC treat the youths who are assigned to them through normal school referral procedures. The project will evaluate the effectiveness of MATCH compared to UC on youths' mental health and school related outcomes and assess whether changes in school outcomes are mediated by changes in youth mental health.Ethics and Dissemination: This study was approved by the Harvard University Institutional Review Board (IRB14-3365). We plan to publish the findings in peer-reviewed journals and present them at academic conferences.Clinical Trial Registration:ClinicalTrials.gov ID: NCT02877875. Registered on August 24, 2016.
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- 2021
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4. The Cascade Effect of Parent Dysfunction: An Emotion Socialization Transmission Framework
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Jessica A. Seddon, Rita Abdel-Baki, Sarah Feige, and Kristel Thomassin
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emotion ,psychopathology ,emotion regulation ,parental emotion socialization ,parent-child relations ,Psychology ,BF1-990 - Abstract
The current study tested a preliminary cascade model of parent dysfunction—i.e., internalizing psychopathology and emotion dysregulation—whereby parent dysfunction is transmitted to children through the impact of parental emotion socialization on child emotion regulation. Participants were 705 mothers (Mage = 36.17, SD = 7.55) and fathers (Mage = 35.43, SD = 6.49) of children aged 8 to 12 years who self-reported on their internalizing psychopathology, emotion regulation difficulties, and emotion socialization practices, and on their child’s internalizing psychopathology and emotion regulation. Using a split sample method, we employed a data-driven approach to develop a conceptual model from our initially proposed theoretical model with the first subsample (n = 352, 51% mothers), and then validated this model in a second subsample (n = 353, 49% mothers). Results supported a model in which the transmission of dysfunction from parent to child was sequentially mediated by unsupportive parental emotion socialization—but not supportive parental emotion socialization—and child emotion dysregulation. The indirect effects from the final model did not differ by parent gender. Findings provide preliminary support for a mechanism by which maternal and paternal internalizing psychopathology and emotion dysregulation disrupt parental emotion socialization by increasing unsupportive emotion socialization practices, which impacts children’s development of emotion regulation skills and risk for internalizing psychopathology.
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- 2020
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5. Specific coping strategies moderate the link between emotion expression deficits and nonsuicidal self-injury in an inpatient sample of adolescents
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Kristel Thomassin, Camille Guérin Marion, Myriam Venasse, and Anne Shaffer
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Nonsuicidal self-injury ,Adolescent ,Coping ,Pediatrics ,RJ1-570 ,Psychiatry ,RC435-571 - Abstract
Abstract Background Non-suicidal self-injury (NSSI) is a behavior of increasing prevalence in adolescents with links to various negative mental health and adjustment outcomes. Poor emotion expression has been linked with NSSI use, whereas the use of adaptive coping strategies has been identified as a protective factor against NSSI. The current study examined whether specific coping strategies moderate the relation between poor emotion expression and NSSI, and whether moderation is conditional on adolescent gender. Methods Ninety-five adolescents hospitalized on an acute care inpatient psychiatric unit completed questionnaires measuring NSSI, emotion expression and use of specific coping strategies (i.e., problem-focused coping, positive reframing coping, support seeking, avoidance, and distraction). Results Results indicated that poor emotion expression was positively associated with NSSI. Positive reframing and support seeking emerged as significant moderators of the poor emotion expression—NSSI link. This result was not conditional upon adolescent gender. Problem-focused coping, avoidance, and distraction did not emerge as significant moderators. Conclusions Encouraging youth to use particular coping strategies might protect against the negative impact of emotion expression deficits for both boys and girls.
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- 2017
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6. A Review of Behavioral Observation Coding Approaches for the Trier Social Stress Test for Children
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Kristel Thomassin, Jacquelyn Raftery-Helmer, and Jacqueline Hersh
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Trier Social Stress Test ,children and adolescents ,review ,observational methods ,stress response ,Psychology ,BF1-990 - Abstract
The Trier Social Stress Test (TSST) has become one of the most widely-used protocols for inducing moderate psychosocial stress in laboratory settings. Observational coding has been used to measure a range of behavioral responses to the TSST including performance, reactions to the task, and markers of stress induced by the task, with clear advantages given increased objectivity of observational measurement over self-report measures. The current review systematically examined all TSST and TSST-related studies with children and adolescents published since the original work of Kirschbaum et al. (1993) to identify behavioral observation coding approaches for the TSST. The search resulted in 29 published articles, dissertations, and master's theses with a wide range of coding approaches used. The take-home finding from the current review is that there is no standard way to code the Trier Social Stress Test for Children (TSST-C), which appears to stem from the uniqueness of investigators' research questions and sample demographics. This lack of standardization prohibits conclusive comparisons between studies and samples. We discuss relevant implications and offer suggestions for future research.
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- 2018
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7. A transdiagnostic, modular approach to treating pica in young girl
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Rachel Moline, Kristel Thomassin, and Sharon Hou
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Clinical Psychology ,Pediatrics, Perinatology and Child Health ,Developmental and Educational Psychology ,Applied Psychology - Published
- 2023
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8. Problems in Emotion Regulation in Child and Adolescent Anxiety Disorders Section: Diagnostic Components of Child and Adolescent Anxiety Disorders
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Kristel Thomassin, Marni L. Jacob, Kara B. West, Molly E. Hale, and Cynthia Suveg
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- 2022
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9. Typologies of Non-Suicidal Self-Injury Functions and Clinical Correlates Among Inpatient Youth
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Leah Sack, Jessica A. Seddon, Linda Sosa-Hernandez, and Kristel Thomassin
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Psychiatry and Mental health ,Pediatrics, Perinatology and Child Health ,Developmental and Educational Psychology - Abstract
This study identified typologies of specific non-suicidal self-injury (NSSI) functions among youth admitted for psychiatric hospitalization and investigated clinically relevant correlates. Inpatient youth (n = 68) aged 10-17 years reported on their reasons to engage in NSSI, frequency and severity of NSSI, and symptoms of borderline personality disorder (BPD). A latent class analysis using youth's specific NSSI functions as indicators found two NSSI function typologies, which were differentially associated with clinical correlates. The Multiple Functions class (n = 28) endorsed to "feel something," "punish self," "escape feelings," "relieve anxiety," "stop feeling self-hatred," "stop feeling angry," "show much they are hurting," and "create a hurt that can be soothed." Conversely, the Single/Avoidant Function class (n = 40) endorsed one primary function-i.e., to "escape feelings." Youth in the Multiple Functions class reported significantly more frequent self-injury and greater BPD symptomology. The present study illustrates the importance of examining constellations of specific NSSI functions in inpatient care settings, given their unique associations with NSSI frequency and features of BPD. These findings could inform targeted psychological screening and, in turn, guide the implementation of interventions for elevated NSSI frequency and BPD symptomology among inpatient youth, based on NSSI functions endorsed.
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- 2022
10. Implicit attitudes about gender and emotion are associated with mothers’ but not fathers’ emotion socialization
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Kristel Thomassin and Jessica A. Seddon
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media_common.quotation_subject ,Emotion socialization ,05 social sciences ,Socialization ,050109 social psychology ,Anger ,050105 experimental psychology ,Developmental psychology ,Sadness ,0501 psychology and cognitive sciences ,Implicit attitude ,Psychology ,General Psychology ,media_common - Published
- 2019
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11. A Thematic Analysis of Parents’ Gendered Beliefs About Emotion in Middle Childhood Boys and Girls
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K. Jacky Chan, Oana Bucsea, Emma Carter, and Kristel Thomassin
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Expression (architecture) ,05 social sciences ,050109 social psychology ,0501 psychology and cognitive sciences ,Thematic analysis ,Psychology ,Middle childhood ,Focus group ,Social Sciences (miscellaneous) ,050104 developmental & child psychology ,Qualitative research ,Developmental psychology - Abstract
This study examined mothers’ and fathers’ ( N = 102) beliefs about emotion and emotion expression in boys and girls aged 8 to 12 years using a mixed-methods design. Parents attended two focus group sessions 2 weeks apart. A thematic analysis of the group transcripts resulted in six themes: value in the experience and expression of emotion, vulnerability in the experience and expression of emotion, multiple influences on children’s learning about emotion, distinct expectations for emotion displays at home versus in public, gender roles influence emotion expectations, and generational shift in emotion-related expectations. Identified themes were consistent with previous research, yet new themes emerged relevant to gender and gender roles within society. Implications of gender-related roles and expectancies are discussed.
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- 2019
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12. Practitioners' Use and Evaluation of Transdiagnostic Youth Psychotherapy Years After Training and Consultation Have Ended
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Kristel Thomassin, Lauren Krumholz Marchette, and John R. Weisz
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Adult ,Male ,Mental Health Services ,050103 clinical psychology ,medicine.medical_specialty ,Adolescent ,Health informatics ,Health administration ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Outcome Assessment, Health Care ,medicine ,Humans ,0501 psychology and cognitive sciences ,Child ,Referral and Consultation ,business.industry ,Mental Disorders ,Health Policy ,Public health ,05 social sciences ,Public Health, Environmental and Occupational Health ,Middle Aged ,030227 psychiatry ,Psychotherapy ,Clinical trial ,Psychiatry and Mental health ,Family medicine ,Anxiety ,Female ,Pshychiatric Mental Health ,medicine.symptom ,business ,Psychology - Abstract
We examined practitioners’ use of the transdiagnostic Modular Approach to Therapy for Children (MATCH) 7 years after learning MATCH for a clinical trial. The practitioners (N = 29; Mage = 52.10, SD = 12.29, 86% women, 97% white) reported using MATCH with 55% of their caseload; use of the various MATCH modules ranged from 39 to 70%. Use was positively associated with amount of MATCH experience in the trial, perceived effectiveness, and ease of implementation. Patterns of specific module use did not consistently match strength of prior evidence (e.g., exposure was least used of the anxiety modules), suggesting challenges for implementation science.
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- 2019
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13. Development and Validation of the Praise, Indulgence, and Status Parenting Scale
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Lauren Wilson, Joshua D. Miller, W. Keith Campbell, Amos Zeichner, Rachel A. Vaughn-Coaxum, and Kristel Thomassin
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Adult ,Male ,050103 clinical psychology ,Psychometrics ,Health, Toxicology and Mutagenesis ,media_common.quotation_subject ,050109 social psychology ,Behavioral Symptoms ,Article ,Developmental psychology ,Indulgence ,Arts and Humanities (miscellaneous) ,Humans ,0501 psychology and cognitive sciences ,Parent-Child Relations ,Praise ,Child ,media_common ,Parenting ,05 social sciences ,Reproducibility of Results ,16. Peace & justice ,Self Concept ,Emotional Regulation ,Clinical Psychology ,Scale (social sciences) ,Female ,Psychology - Abstract
The overarching aim of this study was to develop and validate a new scale (i.e., the Praise, Indulgence, and Status Parenting Scale [PISPS]) to measure modern parenting practices and behaviors consistent with instilling ideals of specialness (i.e., the notion that one is special), self-esteem, and status in children. In 2 studies on emerging adults (Study 1: N = 582, M(age) = 19.46; Study 2: N = 464, M(age) = 19.58), the PISPS was developed and validated using classical test theory (Study 1) and further refined using item–response theory (Study 2). Results from both studies indicated a 3-factor structure with factors differentially linked with correlates of interest including parenting strategies, self-esteem, narcissism, entitlement, and internalizing symptoms. Study 3 further validated the PISPS in a sample of parents (N = 638, M(age) = 35.79) reporting on their parenting and their child’s emotion regulation and symptoms of psychopathology. Overall, findings support the PISPS, its psychometric properties, and its unique contribution to child symptoms.
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- 2019
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14. Racial-ethnic differences in positive emotion socialization: Links to child emotional lability
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Chelsea Reaume, Jessica A. Seddon, Scott Colwell, Leah Sack, Sofia Do Rosario, and Kristel Thomassin
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Developmental and Educational Psychology - Published
- 2022
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15. The Cascade Effect of Parent Dysfunction: An Emotion Socialization Transmission Framework
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Sarah Feige, Jessica A. Seddon, Rita Abdel-Baki, and Kristel Thomassin
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emotion regulation ,Emotion socialization ,05 social sciences ,lcsh:BF1-990 ,parental emotion socialization ,emotion ,psychopathology ,parent-child relations ,050105 experimental psychology ,Developmental psychology ,03 medical and health sciences ,0302 clinical medicine ,Split sample ,lcsh:Psychology ,Internalizing psychopathology ,Psychology ,0501 psychology and cognitive sciences ,030217 neurology & neurosurgery ,General Psychology ,Psychopathology ,Original Research - Abstract
The current study tested a preliminary cascade model of parent dysfunction-i.e., internalizing psychopathology and emotion dysregulation-whereby parent dysfunction is transmitted to children through the impact of parental emotion socialization on child emotion regulation. Participants were 705 mothers (M age = 36.17, SD = 7.55) and fathers (M age = 35.43, SD = 6.49) of children aged 8 to 12 years who self-reported on their internalizing psychopathology, emotion regulation difficulties, and emotion socialization practices, and on their child's internalizing psychopathology and emotion regulation. Using a split sample method, we employed a data-driven approach to develop a conceptual model from our initially proposed theoretical model with the first subsample (n = 352, 51% mothers), and then validated this model in a second subsample (n = 353, 49% mothers). Results supported a model in which the transmission of dysfunction from parent to child was sequentially mediated by unsupportive parental emotion socialization-but not supportive parental emotion socialization-and child emotion dysregulation. The indirect effects from the final model did not differ by parent gender. Findings provide preliminary support for a mechanism by which maternal and paternal internalizing psychopathology and emotion dysregulation disrupt parental emotion socialization by increasing unsupportive emotion socialization practices, which impacts children's development of emotion regulation skills and risk for internalizing psychopathology.
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- 2020
16. Perceived Negative Peer Relationships Moderate the Association between Childhood Emotional Abuse and Nonsuicidal Self-injury
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Anne Shaffer, Funlola Are, Hannah M. Rea, Amber R. Madden, and Kristel Thomassin
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050103 clinical psychology ,05 social sciences ,Developmental and Educational Psychology ,0501 psychology and cognitive sciences ,Peer relationships ,Life-span and Life-course Studies ,Psychology ,Association (psychology) ,Psychological abuse ,050104 developmental & child psychology ,Clinical psychology - Published
- 2018
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17. A Literature Review of Cultural Stereotypes Associated with Motherhood and Fatherhood
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Marta Young, Sophie-Claire Valiquette-Tessier, Kristel Thomassin, and Julie Gosselin
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White (horse) ,media_common.quotation_subject ,05 social sciences ,Cultural stereotypes ,050109 social psychology ,Gender studies ,Stereotype ,050903 gender studies ,0501 psychology and cognitive sciences ,0509 other social sciences ,Psychology ,Nuclear family ,Social Sciences (miscellaneous) ,media_common - Abstract
In many societies, the iconic image of the family is that of a White, American middle-class, first-marriage nuclear family with two heterosexual parents and biological children. Research, however, ...
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- 2018
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18. Profiles of Emotion Deficits and Adolescent Nonsuicidal Self-Injury in an Inpatient Sample
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Elise Quint, Anne Shaffer, Kristel Thomassin, and Sage Sezlik
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Male ,Cultural Studies ,050103 clinical psychology ,Adolescent ,media_common.quotation_subject ,Child Behavior ,Anger ,Severity of Illness Index ,Behavioral Neuroscience ,Severity of illness ,Developmental and Educational Psychology ,Humans ,0501 psychology and cognitive sciences ,Age of Onset ,Child ,Self report ,media_common ,Inpatients ,05 social sciences ,Diagnostic and Statistical Manual of Mental Disorders ,Disruptive, Impulse Control, and Conduct Disorders ,Sadness ,Adolescent Behavior ,Emotion awareness ,Female ,Self Report ,Age of onset ,Psychology ,Self-Injurious Behavior ,Social Sciences (miscellaneous) ,050104 developmental & child psychology ,Clinical psychology - Abstract
This study examined profiles of specific emotion deficits, including poor emotion awareness, reluctance to express emotion, sadness inhibition and dysregulation, and anger inhibition and dysregulation. Self-report questionnaires assessed adolescents' emotion skills and nonsuicidal self-injury (NSSI) engagement, frequency, severity, methods, and age of onset. Latent profile analysis yielded a three-profile solution: Low Deficit (LD; n = 49), Unaware/Anger Dysregulated (UAD; n = 24), and Anger Inhibited (AI; n = 20) profiles. Adolescents in the UAD profile were more likely to engage in NSSI, displayed a higher NSSI frequency, and reported a higher number of NSSI methods when compared to adolescents in the LD profile. No links emerged for NSSI severity or age of onset.
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- 2017
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19. Preschoolers’ genetic, physiological, and behavioral sensitivity factors moderate links between parenting stress and child internalizing, externalizing, and sleep problems
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Cynthia Suveg, Anne Shaffer, Molly Davis, Joanie Bilms, Kristel Thomassin, and Steven R. H. Beach
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biology ,05 social sciences ,Parenting stress ,medicine.disease_cause ,Sleep in non-human animals ,Developmental psychology ,03 medical and health sciences ,Behavioral Neuroscience ,0302 clinical medicine ,Developmental Neuroscience ,5-HTTLPR ,Developmental and Educational Psychology ,biology.protein ,medicine ,Psychological stress ,0501 psychology and cognitive sciences ,Allele ,Vagal tone ,Psychology ,030217 neurology & neurosurgery ,Serotonin transporter ,Negative emotionality ,050104 developmental & child psychology ,Developmental Biology - Abstract
This study examined three potential moderators of the relations between maternal parenting stress and preschoolers' adjustment problems: a genetic polymorphism-the short allele of the serotonin transporter (5-HTTLPR, ss/sl allele) gene, a physiological indicator-children's baseline respiratory sinus arrhythmia (RSA), and a behavioral indicator-mothers' reports of children's negative emotionality. A total of 108 mothers (Mage = 30.68 years, SDage = 6.06) reported on their parenting stress as well as their preschoolers' (Mage = 3.50 years, SDage = 0.51, 61% boys) negative emotionality and internalizing, externalizing, and sleep problems. Results indicated that the genetic sensitivity variable functioned according to a differential susceptibility model; however, the results involving physiological and behavioral sensitivity factors were most consistent with a diathesis-stress framework. Implications for prevention and intervention efforts to counter the effects of parenting stress are discussed.
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- 2017
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20. A systematic review of the effectiveness of behavioural treatments for pica in youths
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Rachel L. Moline, Sharon Hou, Julia Chevrier, and Kristel Thomassin
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Time-out ,Evidence-based practice ,Punishment (psychology) ,Adolescent ,MEDLINE ,Psychological intervention ,PsycINFO ,Clinical Psychology ,Treatment Outcome ,Behavior Therapy ,Intervention (counseling) ,medicine ,Pica ,Humans ,Pica (disorder) ,medicine.symptom ,Psychology ,Child ,Reinforcement, Psychology ,Clinical psychology - Abstract
Pica is the persistent consumption of non-nutritive, nonfood substances and is associated with adverse health complications. However, there is limited research on interventions for pica in youth. The objective of this study is to systematically review the empirical evidence for the effectiveness of behavioural interventions for pica in children and adolescents and to generate treatment recommendations. A systematic search yielded 823 articles extracted from five databases: CINALH, Family and Society Studies Worldwide, Medline, PsycINFO, and Web of Science. Two reviewers completed initial sorting based on article titles and abstracts. Five reviewers completed sorting based on full article review. Thirty articles were included and double coded for demographic information, co-morbid conditions, and intervention characteristics. These studies were case studies involving behavioural treatments for pica. Seventeen behavioural interventions were categorized into four treatment approaches: reinforcement-based, response interruption, "other" interventions, and punishment-based procedures. Interventions that resulted in near-zero rates of pica were deemed effective. Findings showed support for contingent reinforcement, discrimination training as part of a combination treatment, physical restraint, time out, and contingent aversive stimulus. No evidence supported the effectiveness of response interruption procedures, including response blocking and visual facial screen. Other coded procedures did not appear effective. We recommend that the least restrictive procedures are implemented first, including a combination treatment with contingent reinforcement and discrimination training. As needed, more restrictive procedures can be added to the treatment package. This review will facilitate future empirical work and assist clinicians with treatment options for pica in youth. High-quality trials are needed.
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- 2019
21. Development and Validation of the Parents’ Gendered Emotion Beliefs Scale
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Jessica A. Seddon, Rachel A. Vaughn-Coaxum, and Kristel Thomassin
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050103 clinical psychology ,05 social sciences ,Factor structure ,Article ,Developmental psychology ,Convergent validity ,Expression (architecture) ,Scale (social sciences) ,Internal consistency ,Developmental and Educational Psychology ,0501 psychology and cognitive sciences ,Emotional development ,Life-span and Life-course Studies ,Psychology ,050104 developmental & child psychology ,Psychopathology ,Qualitative research - Abstract
OBJECTIVES: The aim of the current research was to develop and validate a parent, self-report questionnaire to measure parents’ gendered beliefs about emotion. METHODS: Scale items were first developed based on a previous qualitative study examining emotions, parenting, and gender in a sample of parents. The Parents’ Gendered Emotion Beliefs scale (PGEB) was validated in a sample of 704 parents of middle childhood youth. RESULTS: Item-response theory analyses indicated a three-factor solution with factors measuring beliefs consistent with: gendered emotion expression, gender-neutral emotion expression, and gendered emotion socialization. All factors showed good internal consistency with alphas ranging from 0.79 to 0.90. Analyses then examined convergent validity by correlating PGEB factors to established measures of broad emotion beliefs, emotion socialization, family expressiveness, and child emotion regulation and psychopathology. CONCLUSIONS: Overall, findings support the PGEB, its factor structure and psychometric properties, and its potential to contribute to our understanding of the role of gender in emotion socialization and children’s emotional development.
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- 2019
22. Meta-analysis of the effectiveness of the Trier Social Stress Test in eliciting physiological stress responses in children and adolescents
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Kristel Thomassin, Violeta J. Rodriguez, Jacqueline Hersh, Yannick Provencher, Patrick R. Labelle, Jacquelyn N. Raftery-Helmer, and Jessica A. Seddon
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endocrine system ,Adolescent ,Hydrocortisone ,Endocrinology, Diabetes and Metabolism ,Social Interaction ,Blood Pressure ,Neuropsychological Tests ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Heart Rate ,Stress, Physiological ,Heart rate ,Trier social stress test ,Medicine ,Humans ,Child ,Biological Psychiatry ,Salivary cortisol ,Physiological Stress Responses ,Endocrine and Autonomic Systems ,business.industry ,030227 psychiatry ,Respiratory Sinus Arrhythmia ,Psychiatry and Mental health ,Autonomic nervous system ,Meta-analysis ,business ,030217 neurology & neurosurgery ,Stress, Psychological ,Clinical psychology - Abstract
The Trier Social Stress Test (TSST) is known to reliably induce physiological stress responses in adult samples. Less is known about its effectiveness to elicit these responses in youth samples. We performed a meta-analysis of stress responses to the TSST in youth participants. Fifty-seven studies were included representing 5026 youth participants. Results indicated that the TSST was effective at eliciting stress responses for salivary cortisol (sCort; effect size [ES] = 0.47, p = 0.006), heart rate (HR; ES = 0.89, p 0.001), pre-ejection period (PEP; ES = -0.37, p 0.001), heart rate variability (HRV; ES = -0.33, p = 0.028), and systolic blood pressure (ES = 1.17, p 0.001), as well as negative affect (ES = 0.57, p = 0.004) and subjective anxiety (ES = 0.80, p = 0.004) in youth samples. Cardiac output (ES = 0.15, p = 0.164), respiratory sinus arrhythmia (ES = -0.10, p = 0.064), and diastolic blood pressure (ES = 2.36, p = 0.072) did not reach statistical significance. Overall, effect sizes for the TSST varied based on the physiological marker used. In addition, several physiological markers demonstrated variance in reactivity by youth age (sCort, HR, HRV, and PEP), gender (sCort), type of sample (i.e., clinical versus community sample; sCort and HR), duration of TSST (sCort, HR, HRV, negative affect, and subjective anxiety), number of judges present in TSST (HR and subjective anxiety), gender of judges (sCort), and time of day the marker was assessed (morning versus afternoon/evening; sCort). Overall, the findings provide support for the validity of the TSST as a psychosocial stressor for inducing physiological and psychological stress responses in children and adolescents, but also highlight that some markers may capture the stress response more effectively than others.
- Published
- 2019
23. 'You Want Me to Do What?!' Ethical Considerations When Conducting Exposure Tasks With Youth With Anxiety
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Kristel Thomassin, Anna M. Jones, and Cynthia Suveg
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Code of conduct ,050103 clinical psychology ,Debriefing ,media_common.quotation_subject ,education ,05 social sciences ,Applied psychology ,Deception ,behavioral disciplines and activities ,030227 psychiatry ,Competence (law) ,03 medical and health sciences ,Psychiatry and Mental health ,0302 clinical medicine ,Harm ,Informed consent ,Pediatrics, Perinatology and Child Health ,medicine ,Anxiety ,0501 psychology and cognitive sciences ,Confidentiality ,medicine.symptom ,Psychology ,media_common ,Clinical psychology - Abstract
Exposure tasks are a key ingredient in the treatment of anxiety symptoms and disorders in youth. Because exposure tasks involve the purposeful induction of a stress response, ethical considerations are warranted. In the current article, specific ethical considerations in the implementation of exposure tasks with youth populations are discussed, including those that are relevant prior to the use of exposures (i.e., clinician judgment and competence and informed consent) and those that are relevant as exposures are being implemented (i.e., avoiding harm, deception, debriefing, and limits of confidentiality). Suggestions and recommendations for keeping with standards and guidelines of the American Psychological Association Ethical Principles of Psychologists and Code of Conduct are offered.
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- 2016
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24. Mother and father repertoires of emotion socialization practices in middle childhood
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Katherine Bailey, Jessica A. Seddon, Linda Sosa-Hernandez, Kristel Thomassin, and Leah Sack
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Child psychopathology ,Emotion socialization ,05 social sciences ,Ethnic group ,050301 education ,Middle childhood ,Developmental psychology ,Developmental and Educational Psychology ,0501 psychology and cognitive sciences ,Expressivity (genetics) ,Psychology ,0503 education ,Negative emotion ,050104 developmental & child psychology ,Psychopathology - Abstract
This study identified profiles of parental responses to children's positive and negative emotion expression using latent profile analysis and examined socio-cultural, family, parent, and child correlates of these profiles. Parents (N = 870) of children aged 8–12 completed self-report measures of their responses to children's positive and negative emotion expression, ethnicity, income, family expressivity, parent and child emotion regulation and psychopathology. Four profiles of parental emotion socialization emerged: the teach and problem-focused parent, supportive parent, balanced parent, and hyper-engaged parent. These profiles significantly differed by income, ethnicity, family expressivity, parent and child emotion dysregulation and psychopathology symtoms. Parents in the supportive and teach and problem-focused profiles reported enhanced child emotion regulation and fewer child psychopathology symptoms compared to the balanced and hyper-engaged parents. Findings highlight the importance of considering constellations of parent responses to children's broad range of emotions, and socio-cultural, family, parent, and child correlates of these patterns.
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- 2020
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25. Efficient Monitoring of Treatment Response during Youth Psychotherapy: The Behavior and Feelings Survey
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Jacqueline Hersh, Jacquelyn N. Raftery-Helmer, Rachel A. Vaughn-Coaxum, Spencer C. Evans, Patrick Mair, John R. Weisz, Mei Yi Ng, Nancy Lau, Kristel Thomassin, and Erica H. Lee
- Subjects
Male ,050103 clinical psychology ,Psychotherapist ,Adolescent ,Psychometrics ,media_common.quotation_subject ,Emotions ,Poison control ,Child Behavior ,Suicide prevention ,Occupational safety and health ,Article ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Injury prevention ,Item response theory ,Developmental and Educational Psychology ,Humans ,0501 psychology and cognitive sciences ,Longitudinal Studies ,Child ,media_common ,05 social sciences ,Discriminant validity ,Human factors and ergonomics ,Reproducibility of Results ,030227 psychiatry ,Psychotherapy ,Clinical Psychology ,Treatment Outcome ,Feeling ,Female ,Psychology - Abstract
OBJECTIVE. An emerging trend in youth psychotherapy is measurement-based care (MBC): treatment guided by frequent measurement of client response, with ongoing feedback to the treating clinician. MBC is especially needed for treatment that addresses internalizing and externalizing problems, which are common among treatment-seeking youths. A very brief measure is needed, for frequent administration, generating both youth- and caregiver-reports, meeting psychometric standards, and available at no cost. We developed such a measure to monitor youth response during psychotherapy for internalizing and externalizing problems. METHOD. Across 4 studies, we used ethnically diverse, clinically relevant samples of caregivers and youths aged 7–15 to develop and test the Behavior and Feelings Survey (BFS). In Study 1, candidate items identified by outpatient youths and their caregivers were examined via an MTurk survey, with item response theory methods used to eliminate misfitting items. Studies 2–4 used separate clinical samples of youths and their caregivers to finalize the 12-item BFS (6 internalizing and 6 externalizing items), examine its psychometric properties, and assess its performance in monitoring progress during psychotherapy. RESULTS. The BFS showed robust factor structure, internal consistency, test-retest reliability, convergent and discriminant validity in relation to three well-established symptom measures, and slopes of change indicating efficacy in monitoring treatment progress during therapy. CONCLUSIONS. The BFS is a brief, free, youth- and caregiver-report measure of internalizing and externalizing problems, with psychometric evidence supporting its use for MBC in clinical and research contexts.
- Published
- 2019
26. A Review of Behavioral Observation Coding Approaches for the Trier Social Stress Test for Children
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Jacqueline Hersh, Kristel Thomassin, and Jacquelyn N. Raftery-Helmer
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endocrine system ,Demographics ,Trier Social Stress Test ,lcsh:BF1-990 ,review ,050105 experimental psychology ,Trier social stress test ,Psychology ,0501 psychology and cognitive sciences ,General Psychology ,observational methods ,05 social sciences ,Stress induced ,stress response ,Observational methods in psychology ,bacterial infections and mycoses ,lcsh:Psychology ,children and adolescents ,Psychosocial stress ,Research questions ,Observational study ,Systematic Review ,050104 developmental & child psychology ,Clinical psychology ,Coding (social sciences) - Abstract
The Trier Social Stress Test (TSST) has become one of the most widely-used protocols for inducing moderate psychosocial stress in laboratory settings. Observational coding has been used to measure a range of behavioral responses to the TSST including performance, reactions to the task, and markers of stress induced by the task, with clear advantages given increased objectivity of observational measurement over self-report measures. The current review systematically examined all TSST and TSST-related studies with children and adolescents published since the original work of Kirschbaum et al. (1993) to identify behavioral observation coding approaches for the TSST. The search resulted in 29 published articles, dissertations, and master's theses with a wide range of coding approaches used. The take-home finding from the current review is that there is no standard way to code the Trier Social Stress Test for Children (TSST-C), which appears to stem from the uniqueness of investigators' research questions and sample demographics. This lack of standardization prohibits conclusive comparisons between studies and samples. We discuss relevant implications and offer suggestions for future research.
- Published
- 2018
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27. Community Mental Health Settings as a Context for Evidence-Based Practice
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Lauren Krumholz Marchette, Heather A. MacPherson, Jacqueline Hersh, John R. Weisz, Lauren C. Santucci, and Kristel Thomassin
- Subjects
Evidence-based practice ,Applied psychology ,Context (language use) ,Psychology ,Mental health - Abstract
One avenue for improving access to quality mental health care for children, adolescents, and their families is to provide services in the communities where they live. There has been growing support for the implementation of evidence-based practice in community mental health settings to address the complex needs of diverse young clients. Evidence-based practice encompasses psychometrically sound assessments and empirically supported treatments with appreciation of the culture of communities in which they are provided. This chapter reviews the background of the community mental health movement, describes community mental health settings and the current status of youth evidence-based practices in community care contexts, and explores barriers to and prospects for bringing tested practices for youths into community-based care.
- Published
- 2018
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28. When the torch is passed, does the flame still burn? Testing a 'train the supervisor' model for the Child STEPs treatment program
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Adam S. Weissman, Amanda Jensen-Doss, Lauren Krumholz Marchette, Erica H. Lee, Jacqueline Hersh, Jacquelyn N. Raftery-Helmer, Ana M. Ugueto, J. Lindsey Tweed, Kristel Thomassin, Jenny Herren, Sarah Kate Bearman, Daniel M. Cheron, John R. Weisz, and Alisha Alleyne
- Subjects
Conduct Disorder ,Male ,050103 clinical psychology ,medicine.medical_specialty ,Adolescent ,Health Personnel ,Poison control ,PsycINFO ,Suicide prevention ,Occupational safety and health ,03 medical and health sciences ,0302 clinical medicine ,Injury prevention ,medicine ,Humans ,0501 psychology and cognitive sciences ,Child ,Depressive Disorder ,05 social sciences ,Traumatic stress ,Mental health ,Anxiety Disorders ,030227 psychiatry ,Psychotherapy ,Psychiatry and Mental health ,Clinical Psychology ,Treatment Outcome ,Family medicine ,Anxiety ,Female ,medicine.symptom ,Psychology - Abstract
OBJECTIVE We assessed sustainability of an empirically supported, transdiagnostic youth psychotherapy program when therapist supervision was shifted from external experts to internal clinic staff. METHOD One hundred sixty-eight youths, aged 6-15 years, 59.5% male, 85.1% Caucasian, were treated for anxiety, depression, traumatic stress, or conduct problems by clinicians employed in community mental health clinics. In Phase 1 (2.7 years), 1 group of clinicians, the Sustain group, received training in Child STEPs (a modular transdiagnostic treatment + weekly feedback on youth response) and treated clinic-referred youths, guided by weekly supervision from external STEPs experts. In Phase 2 (2.9 years), Sustain clinicians treated additional youths but with supervision by clinic staff who had been trained to supervise STEPs. Also in Phase 2, a new group, External Supervision clinicians, received training and supervision from external STEPs experts and treated referred youths. Phase 2 youths were randomized to Sustain or External Supervision clinicians. Groups were compared on 3 therapist fidelity measures and 14 clinical outcome measures. RESULTS Sustain clinicians maintained their previous levels of fidelity and youth outcomes after switching from external to internal supervision; and in Phase 2, the Sustain and External Supervision groups also did not differ on fidelity or youth outcomes. Whereas all 34 group comparisons were nonsignificant, trends with the largest effect sizes showed better clinical outcomes for internal than external supervision. CONCLUSIONS Implementation of empirically supported transdiagnostic treatment may be sustained when supervision is transferred from external experts to trained clinic staff, potentially enhancing cost-effectiveness and staying power in clinical practice. (PsycINFO Database Record
- Published
- 2018
29. Building Evidence-Based Interventions for the Youth, Providers, and Contexts of Real-World Mental-Health Care
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Lea Petrovic, John R. Weisz, Kristel Thomassin, and Lauren C. Santucci
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Evidence-based practice ,Applied psychology ,Psychological intervention ,Mental health ,Clinical Practice ,Work (electrical) ,Intervention (counseling) ,Evidence based interventions ,Pediatrics, Perinatology and Child Health ,Developmental and Educational Psychology ,Mental health care ,Life-span and Life-course Studies ,Psychology ,Social psychology - Abstract
Efforts to identify empirically supported treatments (ESTs) for youth's mental health problems are valuable, but the descriptor empirically supported does not guarantee that a treatment will work well in everyday clinical use. The voltage drop often seen when ESTs move from efficacy studies to clinical practice contexts may reflect limited exposure to real-world conditions during development and testing. One result may be interventions that are focused more narrowly and are more linear than the clinical practice they are designed to enhance. In this article, we suggest three strategies for building and refining ESTs that are robust for real-world application: (a) designing interventions to fit the contexts of youth treatment, (b) structuring interventions that can be tailored to fit individual youth characteristics, and (c) building programs for nontraditional intervention contexts. In addition, we describe how to develop interventions that are ready for practical implementation: the deployment-focused model.
- Published
- 2015
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30. Shrinking the Gap Between Research and Practice: Tailoring and Testing Youth Psychotherapies in Clinical Care Contexts
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Lauren S. Krumholz, John R. Weisz, Kristel Thomassin, Lauren C. Santucci, and Mei Yi Ng
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Child Psychiatry ,Biomedical Research ,Evidence-based practice ,Psychotherapist ,Adolescent ,business.industry ,Mental Disorders ,Age Factors ,Psychological intervention ,General Medicine ,Psychotherapy ,Clinical Practice ,Psychiatry and Mental health ,Clinical Psychology ,Adolescent Psychiatry ,Intervention (counseling) ,Intervention research ,Usual care ,Humans ,Medicine ,Resizing ,Clinical care ,Child ,business - Abstract
Most youth psychotherapy research involves conditions quite unlike the clinical practice it is designed to strengthen. Most studies have not tested interventions with clinically referred youths and practicing clinicians in clinical care settings, nor have they tested whether new treatments produce better outcomes than usual practice. Limited exposure to real-world conditions and questions may partially explain why empirically supported treatments show such modest effects when tested under more representative conditions, against usual care. Our deployment-focused model calls for intervention development and testing with the kinds of participants (e.g., clients and clinicians) and in the contexts (e.g., clinics) for which the interventions are ultimately intended, and for randomized comparisons to usual clinical care. Research with the Child STEPs (system and treatment enhancement projects) treatment approach illustrates the methods and potential benefits of the deployment-focused model. Findings supporting Child STEPs are but one part of a rich research matrix needed to shrink the gap between intervention research and clinical practice.
- Published
- 2015
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31. Emotion-Focused Cognitive-Behavioral Therapy for Youth with Anxiety Disorders: A Randomized Trial
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Marni L. Jacob, Anna M. Jones, Cynthia Suveg, Diana Morelen, Monica Whitehead, Kristel Thomassin, and Molly Davis
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Male ,050103 clinical psychology ,medicine.medical_specialty ,Generalized anxiety disorder ,medicine.medical_treatment ,Emotions ,Psychological intervention ,law.invention ,Self-Control ,Randomized controlled trial ,law ,Outcome Assessment, Health Care ,Developmental and Educational Psychology ,medicine ,Humans ,0501 psychology and cognitive sciences ,Psychiatry ,Child ,Cognitive Behavioral Therapy ,05 social sciences ,Separation anxiety disorder ,medicine.disease ,Moderation ,Anxiety Disorders ,Cognitive behavioral therapy ,Psychiatry and Mental health ,Anxiety ,Female ,medicine.symptom ,Psychology ,Anxiety disorder ,050104 developmental & child psychology ,Clinical psychology - Abstract
Difficulties with emotion regulation are a core feature of anxiety disorders (ADs) in children and adults. Interventions with a specific focus on emotion regulation are gaining empirical support. Yet, no studies to date have compared the relative efficacy of such interventions to existing evidence-based treatments. Such comparisons are necessary to determine whether emotion-focused treatments might be more effective for youth exhibiting broad emotion-regulation difficulties at pretreatment. This study examined an emotion-focused cognitive-behavioral therapy (ECBT) protocol in comparison to traditional cognitive-behavioral therapy (CBT) in a sample of children with a primary anxiety disorder diagnosis. Moderation analyses examined whether children with higher levels of emotion dysregulation at pretreatment would show greater levels of improvement in ECBT than CBT. Ninety-two youth ages 7 to 12 years (58% male) with a primary diagnosis of separation anxiety disorder, generalized anxiety disorder, or social phobia were included. Participants were randomly assigned to ECBT or CBT. Results showed that youth in both conditions demonstrated similar improvements in emotion regulation and that pretreatment levels of emotion dysregulation did not moderate treatment outcomes. Additional analyses showed that ECBT and CBT were similarly effective on diagnostic, severity, and improvement measures. Future work is needed to further explore the ways that emotion regulation is related to treatment outcome for anxious youth.
- Published
- 2017
32. Reciprocal Positive Affect and Well-Regulated, Adjusted Children: A Unique Contribution of Fathers
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Cynthia Suveg and Kristel Thomassin
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Social Psychology ,Reciprocity (social psychology) ,Child psychopathology ,Developmental and Educational Psychology ,Affect (psychology) ,Psychology ,Reciprocal ,Education ,Psychopathology ,Developmental psychology - Abstract
SYNOPSIS Objective. The study investigated real-time, sequential exchanges of affect in both mother–child and father–child dyads within a triadic framework. Child emotion dysregulation was examined as a mechanism by which parent–child reciprocal positive and negative affect are associated with child psychopathology symptoms. Design. Fifty-one mother–father–child (aged 7–12 years) triads participated in an emotion discussion task, and behavioral observations were coded for negative and positive affect. Parents completed measures of child psychopathology symptoms and emotion regulation skills. Results. Although mothers exhibited greater levels of positive emotional reciprocity than fathers, father–child reciprocal positive affect was uniquely associated with child symptoms of psychopathology. Child emotion dysregulation mediated the relation between paternal reciprocal positive affect and child symptoms; mediational models did not hold for mothers. Conclusions. Fathers play a unique role in boys’ and girls’...
- Published
- 2014
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33. Exposure to Maternal- and Paternal-Perpetrated Intimate Partner Violence, Emotion Regulation, and Child Outcomes
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Diana Morelen, Hilary G. Harding, Laura L. Bradbury, Kristel Thomassin, and Anne Shaffer
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Sociology and Political Science ,education ,social sciences ,behavioral disciplines and activities ,Developmental psychology ,Clinical Psychology ,Child Report ,Intervention (counseling) ,mental disorders ,population characteristics ,Domestic violence ,Psychology ,Law ,Social Sciences (miscellaneous) ,Quality of Life Research ,Clinical psychology - Abstract
The current study examined the relationship of maternal- and paternal-perpetrated intimate partner violence (IPV) to children’s internalizing and externalizing symptomatology. Mother-child dyads (N = 53; child ages 8–11) reported maternal- and paternal-perpetrated IPV exposure and measures of child symptomatology. Results demonstrated that: (a) maternal- and paternal-perpetrated IPV have similar but not identical relations with child outcomes, (b) mothers’ and children’s reports of paternal-perpetrated IPV were positively related, (c) mother and child report of maternal- and paternal-perpetrated IPV related to child emotional and behavior problems, and (d) emotion dysregulation mediated the link between IPV exposure and child outcomes. Notably, findings differed by reporters. Results support emotion dysregulation as one mechanism through which IPV exposure may lead to child behavior problems, with implications for clinical intervention.
- Published
- 2012
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34. Parental Autonomy Support Moderates the Link Between ADHD Symptomatology and Task Perseverance
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Cynthia Suveg and Kristel Thomassin
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Adult ,Male ,Persistence (psychology) ,media_common.quotation_subject ,Context (language use) ,behavioral disciplines and activities ,Developmental psychology ,Task (project management) ,Parental autonomy ,Developmental and Educational Psychology ,medicine ,Parenting styles ,Humans ,Attention deficit hyperactivity disorder ,Parent-Child Relations ,Child ,Problem Solving ,media_common ,Parenting ,Social Support ,Middle Aged ,medicine.disease ,Psychiatry and Mental health ,Attention Deficit Disorder with Hyperactivity ,Personal Autonomy ,Pediatrics, Perinatology and Child Health ,Task analysis ,Female ,Psychology ,Autonomy ,Clinical psychology - Abstract
The current study investigated the moderating role of mother and father autonomy support in the link between youth Attention-Deficit Hyperactivity Disorder (ADHD) symptoms and task perseverance. ADHD symptomatology was assessed using a multi-informant composite of mother, father, and teacher ratings, and youth perseverance and parental support of autonomy were examined using a behavioral observation paradigm (i.e., difficult puzzle task). Results indicated that youth who were rated as exhibiting more symptoms of ADHD persevered less on a difficult puzzle task and that this relationship was moderated by parental level of autonomy support. In the context of high parental autonomy support, the negative relation between ADHD and perseverance became nonsignificant. Findings indicate that supporting youth autonomy may have significant implications for their development and that it would be valuable to aid parents in developing the appropriate skills necessary for them to successfully support their child's autonomy.
- Published
- 2012
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35. Family emotion expressivity, emotion regulation, and the link to psychopathology: Examination across race
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Anna M. Jones, Diana Morelen, Kristel Thomassin, Cynthia Suveg, and Marni L. Jacob
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Adult ,Male ,Adolescent ,Emotions ,White People ,Developmental psychology ,Young Adult ,Race (biology) ,Asian People ,Humans ,Expressivity (genetics) ,Young adult ,Internal-External Control ,General Psychology ,Retrospective Studies ,White (horse) ,Psychopathology ,Mental Disorders ,Socialization ,Black or African American ,Expression (architecture) ,Female ,Family Relations ,Psychology - Abstract
Research has established links between parental emotion socialization behaviours and youth emotional and psychological outcomes; however, no study has simultaneously compared these relations for White, Black, and Asian individuals. In this study, emerging adults identifying as White (n= 61), Black (n= 51), or Asian (n= 56) retrospectively reported on parents' emotion socialization behaviours during childhood, existing emotion regulation (ER) skills, and current psychopathology symptoms. Asian participants reported fewer positive displays of emotions in their families during childhood than White and Black participants. Despite this difference, low expression of positive emotions in families during childhood did not relate to negative outcomes for Asian participants but was linked for White and Black participants. Overall, Asian participants reported more difficulties with ER than Black or White participants, and relations between ER difficulties and psychopathology varied by racial group. The findings emphasize the need to consider race when conducting research on emotion functioning with families and highlight emotion dysregulation as a potential treatment target for White, Black, and Asian individuals.
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- 2012
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36. Emotion Socialization in the Context of Family Risks: Links to Child Emotion Regulation
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Anne Shaffer, Kristel Thomassin, Cynthia Suveg, and Laura L. Bradbury
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Extant taxon ,Emotion socialization ,Developmental and Educational Psychology ,Psychological distress ,Household income ,Emotional expression ,Context (language use) ,Emotional development ,Life-span and Life-course Studies ,Psychology ,Educational attainment ,Developmental psychology ,Clinical psychology - Abstract
The current study expands upon the extant literature by examining the influence of contextual risk factors (e.g., parental psychological distress, household income, educational attainment) on parental responses to children’s emotional experiences. Participants included 97 ethnically and demographically diverse mother–child dyads with children ranging in age from 7 to 12. Mothers reported indicators of supportive and unsupportive emotion socialization practices, and measures of child emotion regulation and emotion dysregulation. Higher scores on the familial risk index were positively related to increased emotion dysregulation and negatively related to decreased emotion regulation through mediated effects of mothers’ unsupportive reactions to children’s negative emotional expressions. These findings suggest the importance of considering contextual influences on the emotion socialization process and offer potential avenues to foster adaptive emotional development in the context of high risk.
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- 2011
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37. Links Between Maternal and Child Psychopathology Symptoms: Mediation Through Child Emotion Regulation and Moderation Through Maternal Behavior
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Cynthia Suveg, Kristel Thomassin, Diana Morelen, and Anne Shaffer
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Adult ,Male ,Mediation (statistics) ,Child psychopathology ,media_common.quotation_subject ,Emotions ,Mothers ,Context (language use) ,Developmental psychology ,Maternal psychopathology ,Adaptation, Psychological ,Developmental and Educational Psychology ,Humans ,Child ,Maternal Behavior ,Internal-External Control ,media_common ,Parenting ,Mental Disorders ,Self-control ,Middle Aged ,Moderation ,Mother-Child Relations ,Psychiatry and Mental health ,Pediatrics, Perinatology and Child Health ,Female ,Psychology ,Developmental psychopathology ,Psychopathology - Abstract
This study examined the intergenerational transmission of psychopathology symptoms with 7-12 year-old children (N = 97; 44 boys, 53 girls, M age = 9.14, SD = 1.38) and their mothers (M age = 38.46, SD = 6.86). Child emotion regulation mediated the links between maternal psychopathology and child internalizing and externalizing symptoms. In turn, the indirect effect was dependent on the level of maternal support in response to youth's expressions of negative emotions when considering particular constellations of maternal reactions and type of psychopathology symptoms. The findings indicate that the relations between maternal and child psychopathology symptoms and child emotion regulation are complex and vary by context. Regardless of the complexity, however, for both internalizing and externalizing symptoms in youth, the results suggest that building adaptive emotion regulation skills is an important target for prevention among children who are at risk for problems due to exposure to maternal psychopathology.
- Published
- 2011
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38. Electronic Diaries: A Feasible Method of Assessing Emotional Experiences in Youth?
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Marni L. Jacob, Mary E. Payne, Cynthia Suveg, and Kristel Thomassin
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Clinical Psychology ,Positive emotion ,Parent reports ,Emotion awareness ,Emotional functioning ,Psychology ,Emotion intensity ,Electronic diary ,Clinical psychology ,Compliance (psychology) ,Psychopathology - Abstract
The primary goal of this study was to examine whether electronic diaries are a feasible method of monitoring transitory emotional states with a school-age, community sample of youth. A second goal was to examine preliminary relations between indices of emotional functioning captured via electronic diaries and other measures of child emotional and psychological functioning. Participants included 38 youth between the ages of 7 and 12 (51% males, M age = 9 [1.52] years and 49% females, M age = 9 [1.94] years) and their mothers (M age = 39 years) and fathers (M age = 42 years). Children were prompted to indicate the intensity of their current emotion four times a day for 1 week using Palm Tungsten E2s. Youth also completed self-report measures of emotion intensity, awareness, and dysregulation. Parents completed measures of child emotion regulation and symptoms of externalizing and internalizing psychopathology. Sixty percent of the prompts were answered as intended. Higher levels of positive emotion intensity based on electronic diary ratings were negatively related to parent reports of adaptive emotion regulation and were positively related to youths’ reports of emotion dysregulation and poor emotion awareness. Given that the electronic diary data offered unique information on youth emotional functioning, strategies to increase compliance with the diaries are suggested.
- Published
- 2009
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39. Understanding the medically unexplained: emotional and familial influences on children's somatic functioning
- Author
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Marni L. Jacob, Cynthia Suveg, Kristel Thomassin, and J. Gilleland
- Subjects
Adult ,Male ,Parents ,Somatic cell ,Emotions ,Poison control ,Suicide prevention ,Occupational safety and health ,Injury prevention ,Developmental and Educational Psychology ,medicine ,Humans ,Parent-Child Relations ,Child ,Somatoform Disorders ,Family Health ,Psychiatric Status Rating Scales ,Public Health, Environmental and Occupational Health ,Human factors and ergonomics ,medicine.disease ,Data Interpretation, Statistical ,Pediatrics, Perinatology and Child Health ,Female ,Psychology ,Psychosocial ,Somatization ,Clinical psychology - Abstract
Background Many youth experience impairing, unexplained somatic complaints. Psychosocial models of child somatization have primarily focused on parent somatic functioning. Although helpful in understanding child somatization, this narrow focus on parental factors leaves a large proportion of the variance unaccounted for when explaining children's general somatic functioning. The goal of this investigation is to extend current models of child somatization by collectively examining the influence of parent somatization and child emotional functioning. Methods Forty‐two children (50% male; M age = 9.11) reported on their somatic symptoms, emotion awareness skills, and negative affect. Parents reported on their own somatic symptoms and their child's somatic symptoms and emotion regulation skills. Results Regression analyses indicated that poor awareness of emotional experiences and frequency of negative effect predicted child‐reported somatic symptoms. Parental somatic symptoms and parent reports of children's emotion regulation difficulties predicted mother‐reported child somatic symptoms. Only parental somatic symptoms significantly predicted father‐reported child somatic symptoms. Conclusions These results suggest that models of child somatization should consider both family – (e.g. parent somatization) and child‐level (e.g. emotional functioning) variables. The discrepancies between parent and child report of youth somatic symptoms underscore the importance of including multiple reporters on symptomatology in research and clinical settings. Suggestions for future research are provided.
- Published
- 2009
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40. Common and Specific Emotion-related Predictors of Anxious and Depressive Symptoms in Youth
- Author
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Cynthia Suveg, Janice Zeman, Kristel Thomassin, and Brian J. Hoffman
- Subjects
Male ,Coping (psychology) ,medicine.medical_specialty ,Emotions ,Anxiety ,Models, Psychological ,Affect (psychology) ,Structural equation modeling ,Adaptation, Psychological ,Developmental and Educational Psychology ,medicine ,Humans ,Autoregulation ,Child ,Psychiatry ,Conceptualization ,Depression ,Awareness ,medicine.disease ,United States ,Affect ,Psychiatry and Mental health ,Psychophysiology ,Pediatrics, Perinatology and Child Health ,Female ,medicine.symptom ,Psychology ,Anxiety disorder - Abstract
This study examined whether specific emotion-related constructs may be uniquely related to anxious or depressive symptoms in youth. Although anxiety and depression are comorbid in both youth and adult populations, delineation of these disorders is a worthwhile endeavor given that such differentiation may lead to a clearer conceptualization of the disorders that in turn may facilitate more efficient diagnosis and effective treatment. Children in the 4th and 5th grades (N = 187; M age = 10 years, 3 months) completed measures to assess symptoms of anxiety and depression and emotion-related functioning. Using structural equation modeling, emotion-related variables were identified that were common to both anxiety and depression (poor emotion awareness, emotion dysregulation, poor emotion regulation coping, high frequency of negative affect), most strongly related to depression (low frequency of positive affect), and most distinctly associated with anxiety (frequency of emotion experience, somatic response to emotion activation). The findings suggest that comprehensive theoretical formulations of anxiety and depression in youth should consider emotion-related variables. The results also suggest potential avenues that may facilitate more efficient assessment and treatment of such youth.
- Published
- 2008
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41. Coparental Affect, Children's Emotion Dysregulation, and Parent and Child Depressive Symptoms
- Author
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Steven R. H. Beach, Cynthia Suveg, Justin A. Lavner, Molly Davis, and Kristel Thomassin
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Adult ,Male ,Parents ,050103 clinical psychology ,Coparenting ,Social Psychology ,media_common.quotation_subject ,Emotions ,Poison control ,Child Behavior ,Affect (psychology) ,Developmental psychology ,Injury prevention ,Humans ,0501 psychology and cognitive sciences ,Affective Symptoms ,Parent-Child Relations ,Child ,media_common ,Depression ,05 social sciences ,Socialization ,Human factors and ergonomics ,Sadness ,Clinical Psychology ,Happiness ,Female ,Psychology ,Social Sciences (miscellaneous) ,050104 developmental & child psychology ,Clinical psychology - Abstract
Children's emotion dysregulation and depressive symptoms are known to be affected by a range of individual (parent, child) and systemic (parent-child, marital, and family) characteristics. The current study builds on this literature by examining the unique role of coparental affect in children's emotion dysregulation, and whether this association mediates the link between parent and child depressive symptoms. Participants were 51 mother-father-child triads with children aged 7 to 12 (M age = 9.24 years). Triads discussed a time when the child felt sad and a time when the child felt happy. Maternal and paternal displays of positive affect were coded, and sequential analyses examined the extent to which parents were congruent in their displays of positive affect during the emotion discussions. RESULTS indicated that interparental positive affect congruity (IPAC) during the sadness discussion, but not the happiness discussion, uniquely predicted parent-reported child emotion dysregulation, above and beyond the contributions of child negative affect and parental punitive reactions. The degree of IPAC during the sadness discussion and child emotion dysregulation mediated the association between maternal, but not paternal, depressive symptoms and child depressive symptoms. FINDINGS highlight the unique role of coparental affect in the socialization of sadness in youth and offer initial support for low levels of IPAC as a risk factor for the transmission of depressive symptoms in youth. Language: en
- Published
- 2015
42. Emotion socialization and ethnicity: an examination of practices and outcomes in African American, Asian American, and Latin American families
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Diana, Morelen and Kristel, Thomassin
- Subjects
Black or African American ,family emotion environment ,emotion socialization ,child emotion development ,Asian ,Emotions ,Socialization ,Ethnicity ,Humans ,Family ,Hispanic or Latino ,Focus: Psychiatry and Psychology - Abstract
The current review paper summarizes the literature on parental emotion socialization in ethnically diverse families in the United States. Models of emotion socialization have been primarily developed using samples of European American parents and children. As such, current categorizations of “adaptive” and “maladaptive” emotion socialization practices may not be applicable to individuals from different ethnic backgrounds. The review examines current models of emotion socialization, with particular attention paid to the demographic breakdown of the studies used to develop these models. Additionally, the review highlights studies examining emotion socialization practices in African American, Asian American, and Latin American families. The review is synthesized with summarizing themes of similarities and differences across ethnic groups, and implications for culturally sensitive research and practice are discussed.
- Published
- 2013
43. Emotion Regulation in Childhood Anxiety
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Marni L. Jacob, Diana Morelen, Kristel Thomassin, and Cynthia Suveg
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Psychotherapist ,medicine ,Childhood anxiety ,Anxiety ,Emotional functioning ,medicine.symptom ,Psychology ,Construct (philosophy) ,Psychopathology ,Developmental psychology - Abstract
The field of psychology is in the midst of an “emotion revolution,” reflecting the emerging role of emotion theory in clinical research and practice (Samoilov & Goldfried, 2000; Southam-Gerow & Kendall, 2002). Although many researchers have commended this trend, there is also an ongoing call for more clinical research that is founded on emotion theory and expands our understanding of the relations between the development of psychopathology, including anxiety disorders (ADs), and various emotional constructs (Hannesdottir & Ollendick, 2007; Suveg, Southam-Gerow, Goodman, & Kendall, 2007). Emotion regulation is one such construct.
- Published
- 2011
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44. Simulated dyslexia in postsecondary students: description and detection using embedded validity indicators
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Jennifer H. Lindstrom, Chris Coleman, Kristel Thomassin, Will Lindstrom, and Candice M Southall
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Male ,Multivariate statistics ,Malingering ,Deception ,Adolescent ,media_common.quotation_subject ,Neuropsychological Tests ,Developmental psychology ,Dyslexia ,Fluency ,Young Adult ,Arts and Humanities (miscellaneous) ,Communication disorder ,Reading (process) ,Developmental and Educational Psychology ,medicine ,Cluster Analysis ,Humans ,Language disorder ,Students ,media_common ,Analysis of Variance ,Univariate ,Reproducibility of Results ,medicine.disease ,Psychiatry and Mental health ,Clinical Psychology ,Neuropsychology and Physiological Psychology ,Reading ,Learning disability ,Female ,Self Report ,medicine.symptom ,Psychology ,Cognitive psychology - Abstract
The current investigation identified characteristics that discriminated authentic dyslexia from its simulation using measures common to postsecondary learning disability evaluations. Analyses revealed accurate simulation on most achievement measures but inaccurate feigning on neurolinguistic processing measures, speed on timed tasks, and error quantity. The largest group separations were on rapid naming, speeded orthographic, and reading fluency tasks. Simulators accurately feigned dyslexia profiles on cut-score and discrepancy diagnostic models but not on the more complex aspects of the clinical judgment model. Regarding simulation detection, a multivariate rule exhibited the greatest classification accuracy, followed by univariate indices developed from rapid naming tasks. The findings of the current study suggest that aspects of a comprehensive evaluation may aid in the detection of simulated dyslexia.
- Published
- 2010
45. The Emotion Dysregulation Model of Anxiety: a preliminary path analytic examination
- Author
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Cynthia Suveg, Gene A. Brewer, Diana Morelen, and Kristel Thomassin
- Subjects
Adult ,Male ,Adolescent ,media_common.quotation_subject ,Emotions ,Anxiety ,Models, Psychological ,Social Environment ,Developmental psychology ,Young Adult ,Risk Factors ,Surveys and Questionnaires ,medicine ,Humans ,Psychological testing ,Family ,Behavioral inhibition ,Young adult ,Temperament ,media_common ,Emotional Intelligence ,Psychiatric Status Rating Scales ,Psychological Tests ,Mechanism (biology) ,Emotional intelligence ,Social environment ,Psychiatry and Mental health ,Clinical Psychology ,Inhibition, Psychological ,Female ,medicine.symptom ,Psychology - Abstract
Both temperamental (e.g., behavioral inhibition) and environmental (e.g., family emotional environment) factors are associated with etiology and maintenance of anxiety; however, few studies have explored mechanisms through which these risk factors operate. The present study investigation of a developmental model of anxiety (i.e., the Emotion Dysregulation Model of Anxiety; EDMA) that hypothesizes that emotion dysregulation is the mechanism through which temperamental and emotion parenting variables relate to anxiety. Emerging adults (N=676, M age=19.5) retrospectively reported on behavioral inhibition and emotion parenting factors in childhood, and current emotion regulation skills and symptoms of anxiety. Results of path analyses provide initial support for the EDMA. Emotion dysregulation fully mediated the relationship between behavioral inhibition and anxiety and partially mediated the relationship between family emotional environment and anxiety.
- Published
- 2010
46. Big Feelings: A Study on Children's Emotions in Therapy
- Author
-
Centre for Addiction and Mental Health, Canadian Institutes of Health Research (CIHR), and Kristel Thomassin, Associate Professor
- Published
- 2025
47. Emotion Focused Family Therapy for Parents of Children With Mental Health Difficulties
- Author
-
Kristel Thomassin, Associate Professor
- Published
- 2024
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