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Bornstein MH, Manian N, Henry LM. Infants of mothers with early remitted clinical depression and mothers with no postpartum depression: Adaptive functioning in the second year of life. Infant Ment Health J 2024. [PMID: 38558431 DOI: 10.1002/imhj.22110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 02/23/2024] [Accepted: 02/26/2024] [Indexed: 04/04/2024]
Abstract
Whether and how remitted clinical depression in postpartum motherhood contributes to poor infant adaptive functioning is inconclusive. The present longitudinal study examines adaptive functioning in infants of mothers diagnosed as clinically depressed at 5 months but remitted at 15 and 24 months. Fifty-five U. S. mothers with early, remitted clinical depression and 132 mothers without postpartum depression completed the Vineland Adaptive Behavior Scales about their infants at 15 and 24 months. Between groups, mothers were equivalent in age, ethnicity, marital status, and receptive vocabulary (a proxy for verbal intelligence), and infants were equivalent in age and distribution of gender. Controlling for maternal education and parity, mothers with early, remitted clinical depression and mothers with no postpartum depression rated their infants similarly on communication, daily living skills, and socialization. Mothers with early, remitted clinical depression rated their infants poorer in motor skills. Girls were rated more advanced than boys in communication at 24 months and daily living skills at 15 and 24 months. Rated infant adaptive behavior skills increased from 15 to 24 months. With exceptions, adaptive functioning in infants may be robust to early, remitted maternal depression, and adaptive functioning presents a domain to promote positive development in this otherwise vulnerable population.
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Affiliation(s)
- Marc H Bornstein
- Eunice Kennedy Shriver National Institute of Child Health and Human Development , Bethesda, Maryland, USA
- Institute for Fiscal Studies, London, UK
- UNICEF, New York, New York, USA
| | - Nanmathi Manian
- Eunice Kennedy Shriver National Institute of Child Health and Human Development , Bethesda, Maryland, USA
- University of Maryland, Baltimore County, Maryland, USA
| | - Lauren M Henry
- Eunice Kennedy Shriver National Institute of Child Health and Human Development , Bethesda, Maryland, USA
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Hood CO, Schick MR, Cusack SE, Fahey MC, Giff ST, Guty ET, Hellman N, Henry LM, Hinkson K, Long EE, McCoy K, O'Connor K, Wilborn AP, Reuben A, Sackey ET, Tilstra-Ferrell EL, Walters KJ, Witcraft SM. Short-changing the future: The systemic gap between psychology internship stipends and living wages. Train Educ Prof Psychol 2024; 18:49-58. [PMID: 38464500 PMCID: PMC10923383 DOI: 10.1037/tep0000449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2024]
Abstract
Introduction Providing doctoral internship stipends below living wages may harm interns, the clinical services they provide, and the field of health service psychology as a whole. This study evaluated the extent to which doctoral psychology internship stipends from the 2021-2022 training year for APA-accredited, APPIC-member programs in the US are consistent with living wages in the geographic region where sites are located. Methods We obtained data reflecting internship sites' geographic location and stipends for the 2021-2022 academic year. Using the Massachusetts Institute of Technology Living Wage Calculator, we computed a living wage for the county in which each internship site is located. Descriptive statistics, discrepancies, ratios, and correlations were calculated to reflect the associations between internship sites' stipends and their local living wages. Results The average internship stipend was $31,783, which was lower than the average living wage by $2,091. Stipends ranged widely, from a low of $15,000 to a high of $94,595-reflecting a six-fold difference in wages. Although internship sites in higher cost of living areas paid higher stipends, over two-thirds (67.0%) of sites did not pay a stipend that equaled or exceeded a living wage. Ninety-eight sites (15.3%) had deficits of over $10,000 when comparing their stipends to local living wages, with $33,240 as the highest deficit. Discussion Eliminating obstacles to educating health service psychologists by decreasing the financial burden of training will likely have subsequent critical benefits towards bridging the workforce gap between mental healthcare service needs and available providers, ultimately leading to improved population health.
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Affiliation(s)
- Caitlyn O Hood
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- Department of Psychiatry; University of Kentucky, Lexington, KY
| | - Melissa R Schick
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- Division of Prevention and Community Research, Yale School of Medicine, New Haven, CT
| | - Shannon E Cusack
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- Virginia Institute of Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA
| | - Margaret C Fahey
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
| | - Sarah T Giff
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC
| | - Erin T Guty
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- Mental Health Service, VA Maryland Health Care System, Baltimore, MD
| | - Natalie Hellman
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- Emory University School of Medicine, Atlanta, GA
| | - Lauren M Henry
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
| | - Kent Hinkson
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- South Central MIRECC, North Little Rock, AR
| | - Erin E Long
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, Medical University of South Carolina, Charleston, SC
| | - Kelsey McCoy
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- Cognitive Behavioral Consultants
| | - Kelly O'Connor
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- Department of Surgery, Virginia Commonwealth University, Richmond, VA
| | - Adaixa Padron Wilborn
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
| | - Aaron Reuben
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
- Psychology & Neuroscience Department, Duke University, Durham, NC
| | - Enoch T Sackey
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
| | - Emily L Tilstra-Ferrell
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
| | - Kyle J Walters
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
| | - Sara M Witcraft
- Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC
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Henry LM, Hansen E, Chimoff J, Pokstis K, Kiderman M, Naim R, Kossowsky J, Byrne ME, Lopez-Guzman S, Kircanski K, Pine DS, Brotman MA. Selecting an Ecological Momentary Assessment Platform: Tutorial for Researchers. J Med Internet Res 2024; 26:e51125. [PMID: 38175682 PMCID: PMC10797510 DOI: 10.2196/51125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 09/25/2023] [Accepted: 10/18/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Although ecological momentary assessment (EMA) has been applied in psychological research for decades, delivery methods have evolved with the proliferation of digital technology. Technological advances have engendered opportunities for enhanced accessibility, convenience, measurement precision, and integration with wearable sensors. Notwithstanding, researchers must navigate novel complexities in EMA research design and implementation. OBJECTIVE In this paper, we aimed to provide guidance on platform selection for clinical scientists launching EMA studies. METHODS Our team includes diverse specialties in child and adolescent behavioral and mental health with varying expertise on EMA platforms (eg, users and developers). We (2 research sites) evaluated EMA platforms with the goal of identifying the platform or platforms with the best fit for our research. We created a list of extant EMA platforms; conducted a web-based review; considered institutional security, privacy, and data management requirements; met with developers; and evaluated each of the candidate EMA platforms for 1 week. RESULTS We selected 2 different EMA platforms, rather than a single platform, for use at our 2 research sites. Our results underscore the importance of platform selection driven by individualized and prioritized laboratory needs; there is no single, ideal platform for EMA researchers. In addition, our project generated 11 considerations for researchers in selecting an EMA platform: (1) location; (2) developer involvement; (3) sample characteristics; (4) onboarding; (5) survey design features; (6) sampling scheme and scheduling; (7) viewing results; (8) dashboards; (9) security, privacy, and data management; (10) pricing and cost structure; and (11) future directions. Furthermore, our project yielded a suggested timeline for the EMA platform selection process. CONCLUSIONS This study will guide scientists initiating studies using EMA, an in vivo, real-time research tool with tremendous promise for facilitating advances in psychological assessment and intervention.
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Affiliation(s)
- Lauren M Henry
- Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, United States
| | - Eleanor Hansen
- Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, United States
| | - Justin Chimoff
- Department of Anesthesiology, Critical Care and Pain Medicine Research, Boston Children's Hospital, Harvard Medical School, Boston, MA, United States
| | - Kimberly Pokstis
- Department of Anesthesiology, Critical Care and Pain Medicine Research, Boston Children's Hospital, Harvard Medical School, Boston, MA, United States
| | - Miryam Kiderman
- Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, United States
| | - Reut Naim
- The School of Psychological Sciences, Tel-Aviv University, Tel-Aviv, Israel
| | - Joe Kossowsky
- Department of Anesthesiology, Critical Care and Pain Medicine Research, Boston Children's Hospital, Harvard Medical School, Boston, MA, United States
| | - Meghan E Byrne
- Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, United States
| | - Silvia Lopez-Guzman
- Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, United States
| | - Katharina Kircanski
- Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, United States
| | - Daniel S Pine
- Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, United States
| | - Melissa A Brotman
- Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, United States
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Siciliano RE, Anderson AS, Vreeland AJ, Gruhn MA, Henry LM, Watson KH, Liu Q, Cole DA, Ebert J, Kuhn T, Compas BE. Physiology and emotions: Within individual associations during caregiver-adolescent conflict. Psychophysiology 2023; 60:e14397. [PMID: 37537701 DOI: 10.1111/psyp.14397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 06/30/2023] [Accepted: 07/10/2023] [Indexed: 08/05/2023]
Abstract
Concordance between physiological and emotional responses is central to models of emotion and has been shown to correspond to effective responses and well-being in adults. A deeper understanding of physiological-emotional concordance during ecologically relevant scenarios is essential to then determine if these associations predict mental health problems or can serve as a helpful biomarker of risk or resilience in adults and youth. The present study assessed the minute-to-minute associations between sympathetic (i.e., skin conductance level [SCL]) and parasympathetic (i.e., respiratory sinus arrhythmia [RSA]) nervous system activity and self-reported emotions, assessed via video-mediated recall procedures, during a parent-adolescent conflict discussion task. Associations between emotion ratings and physiological activity were assessed in adolescents (N = 97; ages 10-15) and their adult caregivers (N = 97). Utilizing a multilevel modeling approach, findings demonstrated a significant positive association between SCL and emotion ratings for youth, suggesting that increased engagement and alertness contributed to more positive emotion. RSA was unrelated to emotion ratings. The presence of significant variability in associations indicated the presence of potential moderators. This could include clinically relevant processes (e.g., emotion regulation, relationship quality, and mental health). Future research should continue to build on findings to determine if, when, and for whom, physiological-emotional concordance occurs, and whether the degree of concordance predicts risk for mental and physical health problems.
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Affiliation(s)
- Rachel E Siciliano
- Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA
| | - Allegra S Anderson
- Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA
| | - Allison J Vreeland
- Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA
| | - Meredith A Gruhn
- Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA
| | - Lauren M Henry
- Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA
| | - Kelly H Watson
- Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA
| | - Qimin Liu
- Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA
| | - David A Cole
- Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA
| | - Jon Ebert
- Department of Psychiatry, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Tarah Kuhn
- Department of Psychiatry, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Bruce E Compas
- Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee, USA
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Henry LM, Manian N, Esposito G, Bornstein MH. The Home Environments of Infants of Mothers with Early, Remitted Clinical Depression and No Depression during the First Two Years Postpartum. Children (Basel) 2023; 10:1471. [PMID: 37761432 PMCID: PMC10528664 DOI: 10.3390/children10091471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 07/20/2023] [Accepted: 07/25/2023] [Indexed: 09/29/2023]
Abstract
The current study examines stability, continuity, and group and gender differences in the home environments of infants of mothers with early, remitted clinical depression and no postpartum depression, overcoming methodological variations in the extant literature. Fifty-five mothers diagnosed with clinical depression (major or minor depression, dysthymia, or depressive disorder not otherwise specified) at 5 months and fully remitted by 15 and 24 months, and 132 mothers with no postpartum depression (Mage = 32.47; 69.7% European American) completed the Home Observation for Measurement of the Environment (HOME) Inventory Infant/Toddler version when their infants were 15 and 24 months old. No differences in stability estimates of the HOME scales were found between the groups. In terms of continuity, controlling for maternal education and infant birth order, HOME responsivity, involvement, and total score decreased, while HOME acceptance increased between 15 and 24 months in the full sample. There were no effects of group or gender. Results may point to the home environment as a key protective factor for infants of mothers with early, remitted clinical depression, or findings may suggest improved maternal parenting cognitions and practices following remission.
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Affiliation(s)
- Lauren M. Henry
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20892, USA;
| | - Nanmathi Manian
- Westat, Rockville, MD 20850, USA;
- Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD 21250, USA
| | - Gianluca Esposito
- Department of Psychology and Cognitive Science, University of Trento, 38068 Rovereto, Italy;
| | - Marc H. Bornstein
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20892, USA;
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Henry LM, Watson KH, Cole DA, Torres S, Vreeland A, Siciliano RE, Anderson AS, Gruhn MA, Ciriegio A, Broll C, Ebert J, Kuhn T, Compas BE. Mean-level correspondence and moment-to-moment synchrony in adolescent and parent affect: Exploring associations with adolescent age and internalizing and externalizing symptoms. Dev Psychopathol 2023; 35:809-822. [PMID: 35387703 PMCID: PMC9881583 DOI: 10.1017/s0954579422000062] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Interactions with parents are integral in shaping the development of children's emotional processes. Important aspects of these interactions are overall (mean level) affective experience and affective synchrony (linkages between parent and child affect across time). Respectively, mean-level affect and affective synchrony reflect aspects of the content and structure of dyadic interactions. Most research on parent-child affect during dyadic interactions has focused on infancy and early childhood; adolescence, however, is a key period for both normative emotional development and the emergence of emotional disorders. We examined affect in early to mid-adolescents (N = 55, Mage = 12.27) and their parents using a video-mediated recall task of 10-min conflict-topic discussions. Using multilevel modeling, we found evidence of significant level-2 effects (mean affect) and level-1 effects (affective synchrony) for parents and their adolescents. Level-2 and level-1 associations were differentially moderated by adolescent age and adolescent internalizing and externalizing symptoms. More specifically, parent-adolescent synchrony was stronger when adolescents were older and had more internalizing problems. Further, more positive adolescent mean affect was associated with more positive parent affect (and vice versa), but only for dyads with low adolescent externalizing problems. Results underscore the importance of additional research examining parent-child affect in adolescence.
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Affiliation(s)
- Lauren M. Henry
- Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Kelly H. Watson
- Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - David A. Cole
- Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Sofia Torres
- Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Allison Vreeland
- Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | | | | | - Meredith A. Gruhn
- Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Abagail Ciriegio
- Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Cassandra Broll
- Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Jon Ebert
- Vanderbilt University Medical Center, Nashville, TN, USA
| | - Tarah Kuhn
- Vanderbilt University Medical Center, Nashville, TN, USA
| | - Bruce E. Compas
- Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
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Henry LM, Philip R, Elijovich L. Role of echocardiography in timing of endovascular intervention for vein of galen malformations. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00365-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Anderson AS, Siciliano RE, Henry LM, Watson KH, Gruhn MA, Kuhn TM, Ebert J, Vreeland AJ, Ciriegio AE, Guthrie C, Compas BE. Adverse childhood experiences, parenting, and socioeconomic status: Associations with internalizing and externalizing symptoms in adolescence. Child Abuse Negl 2022; 125:105493. [PMID: 35091303 PMCID: PMC8826588 DOI: 10.1016/j.chiabu.2022.105493] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 01/07/2022] [Accepted: 01/11/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Adverse childhood experiences (ACEs), low socioeconomic status (SES), and harsh parenting practices each represent well-established risk factors for mental health problems. However, research supporting these links has often focused on only one of these predictors and psychopathology, and interactions among these variables in association with symptoms are not well understood. OBJECTIVE The current study utilized a cross-sectional, multi-informant, and multi-method design to investigate the associations of ACEs, SES, parenting, and concurrent internalizing and externalizing problems in adolescents. PARTICIPANTS AND SETTING Data are from a volunteer sample of 97 adolescents and their caregivers recruited from 2018 to 2021 in a southern U.S. metropolitan area to sample a range of exposure to ACEs. METHODS Multiple linear regression models were used to assess associations among adolescents' ACEs exposure, SES, observed parenting practices, and symptoms of internalizing and externalizing psychopathology. RESULTS Lower SES was associated with higher levels of internalizing and externalizing symptoms, while higher ACEs exposure and observed parenting were related to externalizing but not internalizing symptoms. Associations of adolescents' exposure to physical abuse and perceived financial insecurity with externalizing symptoms were moderated by warm and supportive parenting behaviors. Conversely, harsh parenting was linked to increased levels of externalizing symptoms, particularly in the context of low income. CONCLUSIONS Findings suggest that the presence of multiple risk factors may incur greater vulnerability to externalizing problems, while warm and supportive parenting practices may provide a buffer against externalizing problems for adolescents exposed to physical abuse. Links between ACEs, SES, parenting, and youth adjustment should continue to be explored, highlighting parenting as a potentially important and malleable intervention target.
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Affiliation(s)
| | | | | | | | | | | | - Jon Ebert
- Vanderbilt University Medical Center, USA
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Siciliano RE, Murphy LK, Prussien KV, Henry LM, Watson KH, Patel NJ, Lee CA, McNally CM, Markham LW, Compas BE, Jordan LC. Cognitive and Attentional Function in Children with Hypoplastic Left Heart Syndrome: A Pilot Study. J Clin Psychol Med Settings 2021; 28:619-626. [PMID: 33222094 PMCID: PMC8140062 DOI: 10.1007/s10880-020-09753-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/10/2020] [Indexed: 01/14/2023]
Abstract
While survival for children with hypoplastic left heart syndrome (HLHS) has improved, compromised cardiac output and oxygen delivery persist, and children show cognitive deficits. Most research has assessed young children on broad cognitive indices; less is known about specific indices in older youth. In this pilot study, cognitive function and attention in youth ages 8 to 16 years with HLHS (n = 20) was assessed with the Wechsler Intelligence Scale for Children - Fifth Edition (WISC-V) and NIH Toolbox Cognition Battery (NTCB); parents completed the Child Behavior Checklist. Children scored significantly lower than normative means on the WISC-V Full Scale IQ, Verbal Comprehension, Visual Spatial, Working Memory, and Processing Speed indices, and the NTCB Fluid Cognition Composite; effect sizes ranged from medium to large. Attention problems had a large significant effect. Child age corresponded to lower visual spatial scores. Findings highlight the importance of assessing multiple cognitive indices for targeted intervention and investigating age and disease factors as potential correlates in larger samples.
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Affiliation(s)
- Rachel E Siciliano
- Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Lexa K Murphy
- Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Kemar V Prussien
- Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Lauren M Henry
- Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Kelly H Watson
- Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Niral J Patel
- Department of Pediatrics, Division of Pediatric Neurology, Vanderbilt University Medical Center, 2200 Children's Way, Nashville, TN, DOT 11212, USA
| | - Chelsea A Lee
- Department of Pediatrics, Division of Pediatric Neurology, Vanderbilt University Medical Center, 2200 Children's Way, Nashville, TN, DOT 11212, USA
| | - Colleen M McNally
- Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Larry W Markham
- Department of Pediatrics, Division of Pediatric Cardiology, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Bruce E Compas
- Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA
| | - Lori C Jordan
- Department of Pediatrics, Division of Pediatric Neurology, Vanderbilt University Medical Center, 2200 Children's Way, Nashville, TN, DOT 11212, USA.
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Bornstein MH, Henry LM, Manian N. Language development in children of clinically depressed mothers in remission: Early experience effects. Dev Psychol 2021; 57:876-887. [PMID: 34424006 DOI: 10.1037/dev0001182] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
We compared language comprehension and production across the second year of life in children of clinically depressed mothers who later remitted with children of nondepressed mothers. Altogether, 157 mother-child dyads participated: 46 with mothers diagnosed at infant age 5 months as having major, minor, or other depressive disorders who fully remitted by 15 and 24 months and 111 with nondepressed mothers. The majority of mothers (mean [M] age = 32.8 years) were married, European American, and college educated. The groups did not differ on most sociodemographic indices, and analyses controlled for residual group differences in maternal education and child birth order. Children of early clinically depressed mothers understood fewer words at 15 months (by maternal report on the MacArthur Communicative Development Inventory [MCDI]) and 24 months (by experimenter-administered Reynell Developmental Language Scales [RDLS]) than children of nondepressed mothers. Children of nondepressed mothers increased in language comprehension from 15 to 24 months, whereas children of early clinically depressed mothers did not. Aggregating over 15 and 24 months, nondepressed mothers reported that their children expressed more words than clinically depressed mothers reported their children expressed; experimenter assessment revealed no difference between the two groups. Maternal clinical depression in the first 5 months is related to reduced language comprehension and production during the second year of life even in children whose mothers remit, indicating an early experience effect of maternal clinical depression in muting child language development. Future research should identify the mechanisms by which this early experience effect occurs to inform targeted early preventative interventions for at-risk children. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
- Marc H Bornstein
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
| | - Lauren M Henry
- Department of Psychology and Human Development, Vanderbilt University
| | - Nanmathi Manian
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
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Bornstein MH, Manian N, Henry LM. Clinically depressed and typically developing mother-infant dyads: Domain base rates and correspondences, relationship contingencies and attunement. Infancy 2021; 26:877-900. [PMID: 34343395 DOI: 10.1111/infa.12427] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 07/11/2021] [Accepted: 07/15/2021] [Indexed: 11/28/2022]
Abstract
Maternal depression is associated with adverse outcomes in infants. Unfavorable parenting practices likely constitute one pathway of risk transmission from mother to infant, but definitional and methodological variation in the extant literature precludes a comprehensive or conclusive understanding of potential underlying mechanisms. This study aimed to illuminate the role of maternal clinical depression in mother-infant interaction by turning a microanalytic lens on four substantive relationship issues: base rates, correspondences, contingencies, and attunement. Several maternal parenting practices (aggregated into social, didactic, and language domains) and several infant behaviors (aggregated into social, exploration, and non-distress vocalization domains) were microcoded to 0.10 s from naturalistic hour long interactions of clinically depressed mothers (n = 60) and matched non-depressed controls (n = 60) with their 5-month-olds. Clinically depressed mothers spontaneously engaged their infants less didactically, were less contingent to their infants in social, didactic, and language domains, and were less attuned with their infants than were non-depressed mothers. Infants of clinically depressed mothers vocalized non-distress less than infants of non-depressed mothers. These differences unveil key disadvantages in the everyday lived experiences of infants of clinically depressed mothers. The findings advance understanding of maternal depression and its effects and have implications for identifying infants at risk on account of their mothers' clinical depression.
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Affiliation(s)
- Marc H Bornstein
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA.,Institute for Fiscal Studies, London, UK.,UNICEF, New York City, New York, USA
| | - Nanmathi Manian
- University of Maryland, Baltimore County, Baltimore, Maryland, USA
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Henry LM, Gracey K, Shaffer A, Ebert J, Kuhn T, Watson KH, Gruhn M, Vreeland A, Siciliano R, Dickey L, Lawson V, Broll C, Cole DA, Compas BE. Comparison of three models of adverse childhood experiences: Associations with child and adolescent internalizing and externalizing symptoms. J Abnorm Psychol 2021; 130:9-25. [PMID: 33271039 PMCID: PMC8687696 DOI: 10.1037/abn0000644] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
Exposure to adverse childhood experiences (ACEs) is prevalent and confers risk for psychopathology later in life. Approaches to understanding the impact of ACEs on development include the independent risk approach, the Dimensional Model of Adversity and Psychopathology (DMAP) distinguishing between threat and deprivation events, and the cumulative risk approach. The present research provides an empirical confirmation of DMAP and a comparison of these three approaches in predicting internalizing and externalizing symptoms in youth. In Study 1, mental health professionals (N = 57) rated ACEs as threat or deprivation events. These ratings were used to create composites to represent the DMAP approach in Study 2. With cross-sectional and longitudinal data from children and adolescents in state custody (N = 23,850), hierarchical linear regression analyses examined independent risk, DMAP, and cumulative risk models in predicting internalizing symptoms, disinhibited externalizing symptoms, and antagonistic externalizing symptoms. All three approaches produced significant models and revealed associations between exposure to ACEs and symptoms. Individual risk accounted for significantly more variance in symptoms than cumulative risk and DMAP. Cumulative risk masked differential associations between ACEs and psychological symptoms found in the individual risk and DMAP approaches. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
- Lauren M. Henry
- Department of Psychology and Human Development, Vanderbilt
University
| | - Kathy Gracey
- Department of Psychiatry, Vanderbilt University Medical
Center
| | - April Shaffer
- Department of Psychiatry, Vanderbilt University Medical
Center
| | - Jon Ebert
- Department of Psychiatry, Vanderbilt University Medical
Center
| | - Tarah Kuhn
- Department of Psychiatry, Vanderbilt University Medical
Center
| | - Kelly H. Watson
- Department of Psychology and Human Development, Vanderbilt
University
| | - Meredith Gruhn
- Department of Psychology and Human Development, Vanderbilt
University
| | - Allison Vreeland
- Department of Psychology and Human Development, Vanderbilt
University
| | - Rachel Siciliano
- Department of Psychology and Human Development, Vanderbilt
University
| | - Lindsay Dickey
- Department of Psychology and Human Development, Vanderbilt
University
| | - Victoria Lawson
- Department of Psychology and Human Development, Vanderbilt
University
| | - Cassandra Broll
- Department of Psychology and Human Development, Vanderbilt
University
| | - David A. Cole
- Department of Psychology and Human Development, Vanderbilt
University
| | - Bruce E. Compas
- Department of Psychology and Human Development, Vanderbilt
University
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Henry LM, Steele EH, Watson KH, Bettis AH, Gruhn M, Dunbar J, Reising M, Compas BE. Stress Exposure and Maternal Depression as Risk Factors for Symptoms of Anxiety and Depression in Adolescents. Child Psychiatry Hum Dev 2020; 51:572-584. [PMID: 31729628 PMCID: PMC7225034 DOI: 10.1007/s10578-019-00940-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Little research has explored the implications of stress inside and outside of the family as a risk factor for psychological symptoms in adolescents of depressed mothers. In a sample of 115 adolescents and their mothers with and without depression histories, adolescents' family and peer stress exposure was measured through the Responses to Stress Questionnaire, and adolescents' anxious/depressed symptoms were measured with the Youth Self Report and Child Behavior Checklist. Mothers reported their current depression symptoms on the Beck Depression Inventory-II. Results suggest that adolescents of mothers with depression histories and current depression symptoms experience more family and peer stress than adolescents of nondepressed mothers. In multiple linear regression analyses, current maternal depression symptoms moderated the relation between adolescent peer stress and adolescent anxious/depressed symptoms, such that peer stress was associated with anxious/depressed symptoms when maternal depression symptoms were average or high, but not when maternal depression symptoms were low.
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Affiliation(s)
- Lauren M. Henry
- Department of Psychology and Human Development, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA
| | - Ellen H. Steele
- Department of Psychology and Human Development, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA
| | - Kelly H. Watson
- Department of Psychology and Human Development, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA
| | - Alexandra H. Bettis
- Department of Psychology and Human Development, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA
| | - Meredith Gruhn
- Department of Psychology and Human Development, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA
| | - Jennifer Dunbar
- Department of Psychology and Human Development, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA
| | - Michelle Reising
- Department of Psychology and Human Development, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA
| | - Bruce E. Compas
- Department of Psychology and Human Development, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA
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Henry LM, Forehand R, Watson KH, Gruhn M, Bettis AH, McKee LG, Compas BE. Parental Depressive Symptoms and Parenting: Associations with Children's Coping in Families of Depressed Parents. Parent Sci Pract 2018; 18:281-296. [PMID: 33343236 PMCID: PMC7747799 DOI: 10.1080/15295192.2018.1529453] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
OBJECTIVE This multi-method study examined parental depressive symptoms and levels of harsh/intrusive and warm/responsive parenting as correlates of secondary control coping (acceptance, cognitive reappraisal, distraction) in children of parents with a history of depression. DESIGN The sample included 165 parents with a history of major depressive disorder and their 9- to15-year-old children. Parents provided self-reports of their current depressive symptoms; videorecordings of parent-child interactions were coded to determine parenting behaviors; and children reported their use of secondary control coping strategies. RESULTS Harsh/intrusive parenting related to less, and warm/responsive parenting related to greater, use of secondary control coping strategies in children. Parents' current depressive symptoms were only conditionally related to children's use of secondary control coping strategies, such that depressive symptoms moderated the relation between warm/responsive parenting behaviors and child secondary control coping. When parental depressive symptoms were low or average, warm/responsive parenting was positively related to children's secondary control coping. When parental depressive symptoms were high, warm/responsive parenting was not associated with children's secondary control coping. CONCLUSIONS The association between positive parenting behaviors and children's coping is contingent on current levels of parents' depressive symptoms. Efforts to enhance children's coping skills should target both parental depressive symptoms and parenting skills.
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Affiliation(s)
- Lauren M Henry
- Lauren M. Henry, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203. . Rex Forehand, Kelly H. Watson, Meredith Gruhn, Alexandra H. Bettis, Laura G. McKee, and Bruce E. Compas are associated with Vanderbilt University and the University of Vermont
| | - Rex Forehand
- Lauren M. Henry, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203. . Rex Forehand, Kelly H. Watson, Meredith Gruhn, Alexandra H. Bettis, Laura G. McKee, and Bruce E. Compas are associated with Vanderbilt University and the University of Vermont
| | - Kelly H Watson
- Lauren M. Henry, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203. . Rex Forehand, Kelly H. Watson, Meredith Gruhn, Alexandra H. Bettis, Laura G. McKee, and Bruce E. Compas are associated with Vanderbilt University and the University of Vermont
| | - Meredith Gruhn
- Lauren M. Henry, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203. . Rex Forehand, Kelly H. Watson, Meredith Gruhn, Alexandra H. Bettis, Laura G. McKee, and Bruce E. Compas are associated with Vanderbilt University and the University of Vermont
| | - Alexandra H Bettis
- Lauren M. Henry, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203. . Rex Forehand, Kelly H. Watson, Meredith Gruhn, Alexandra H. Bettis, Laura G. McKee, and Bruce E. Compas are associated with Vanderbilt University and the University of Vermont
| | - Laura G McKee
- Lauren M. Henry, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203. . Rex Forehand, Kelly H. Watson, Meredith Gruhn, Alexandra H. Bettis, Laura G. McKee, and Bruce E. Compas are associated with Vanderbilt University and the University of Vermont
| | - Bruce E Compas
- Lauren M. Henry, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203. . Rex Forehand, Kelly H. Watson, Meredith Gruhn, Alexandra H. Bettis, Laura G. McKee, and Bruce E. Compas are associated with Vanderbilt University and the University of Vermont
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Berger CT, Carlson J, Brumme CJ, Brumme ZL, Hartman K, Henry LM, Kadie C, Brockman MA, Harrigan R, Heckerman D, Brander C. P16-41. Evidence for in vivo immune selection pressure exerted by HLA class I restricted CTL responses to anti-sense encoded HIV sequences. Retrovirology 2009. [PMCID: PMC2767771 DOI: 10.1186/1742-4690-6-s3-p270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Abstract
We investigated the effects of contingent reinforcement (Intervention 1) and contingent reinforcement with modeling (Intervention 2) on speaker and listener behaviors in 5 people with severe dementia. Intervention 1 generally increased listener behavior; there was no clear effect on tacting, but echoic behavior increased in the one case investigated. Given the weak baseline repertoires of these clients and the paucity of other effective interventions, even the small increases in verbal behaviors found here are important. Further gains may be achieved, for example, if reinforcement opportunity per trial type were to be increased from one to several per day or if participants were trained to echo the listener stimulus in mand compliance tasks.
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Affiliation(s)
- L M Henry
- University of Wales, Bangor, United Kingdom
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Abstract
An adolescent with pelvic calcification, autoamputation of the right uterine adnexa, and surface endometriosis of the left ovary is presented. The differential diagnosis of pelvic calcifications in adolescent females is discussed.
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Affiliation(s)
- L M Henry
- Department of Pediatrics, University of Cincinnati, Ohio
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Henry MM, Henry LM, Henry LM. Preventing eyelid disease. J Ark Med Soc 1981; 78:100. [PMID: 6455407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Henry MM, Henry LM, Henry LM. A possible cause of chronic cystic maculopathy. Ann Ophthalmol 1977; 9:455-7. [PMID: 869422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
An apparent increase in incidence of chronic cystic maculopathy following cataract surgery in our patients prompted an analysis of changes in surgical procedure. The important change was in the increased amount and duration of exposure to the operating lights. Previous animal research by various authors suggested to us the precipitating factor was a photic maculopathy. Various methods of avoiding excessive exposure of the patient's eye to the operating lights are discussed.
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Henry MM, Henry LM, Henry LM. An improved method of using 10-0 nylon in cataract wound closure. Ophthalmic Surg 1977; 8:131-2. [PMID: 327369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Henry MM, Henry LM, Henry LM. Protecting the macula during eye surgery. J Ark Med Soc 1976; 73:203-4. [PMID: 135750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Affiliation(s)
- L M Henry
- Eye Department of the Royal Infirmary, Edinburgh, under the charge of A.H.H. Sinclair, M.D., F.R.C.S.Edin., and E.H. Cameron, M.B., F.R.C.S.Edin., and the Ear and Throat Department under the charge of J.S. Fraser, M.B., F.R.C.S.Edin
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