Treatment practices for childhood posttraumatic stress disorder

OBJECTIVE: This study surveyed practices in treating childhood PTSD among child psychiatrists and non-M.D. therapists with self-identified interest in treating traumatized children. METHOD: An anonymous survey was mailed to 207 child psychiatrists ("medical") and 460 nonphysician ("non-medical") therapists inquiring about current interventions used to treat children with PTSD. RESULTS: Two hundred and forty-seven responses were received: of 77 medical and 82 nonmedical respondents who currently treat children with PTSD, a wide variety of modalities are used. Most preferred modalities among medical responders were pharmacotherapy, psychodynamic, and cognitive-behavioral therapy. Most preferred modalities among nonmedical respondents were cognitive-behavioral, family, and nondirective play therapy. Ninety-five percent of medical respondents used pharmacotherapy for this disorder; most preferred medications to treat childhood PTSD were selective serotonin reuptake inhibitors and alpha-adrenergic agonists. Several significant differences between medical and nonmedical practices were identified. CONCLUSIONS: There is little clinical consensus regarding the effectiveness of the many modalities used to treat traumatized children who have PTSD symptoms; empirical research is particularly needed to evaluate the efficacy of pharmacotherapy and EMDR.     

Mission to Planet Markle: Problem-Based Learning for Teaching Elementary Students Difficult Content and Practices

Research in Science Education - Young children can struggle to learn difficult disciplinary content and important skills for practicing science. Problem-based learning (PBL) may be useful for...     

Maximizing responses to a nationwide faculty survey

Using on-campus facilitators to distribute and retrieve an 11-page questionnaire administered to a nationwide sample of humanities faculty and nonhumanities department chairmen in two-year colleges resulted in an 84% return rate. The 2,000 subjects were drawn from 156 junior/community colleges selected on the basis of geographic locale and type of control. Secondary stratification variables included college size, organization, and curriculum emphasis. Accurate rosters of full-time and part-time faculty were generated from class schedules. Pilot procedures, selection of the college and faculty samples, and the use of facilitators are described.     

Mechanisms of the relation between perinatal problems, early childhood illness, and psychopathology in late childhood and adolescence

Data on perinatal and early childhood somatic and psychological risk factors of a random sample of children were gathered in early to middle childhood and employed to examine the long-term risk of emotional and behavioral problems of late childhood and adolescence. 3 issues were addressed: First, can syndromic specificity of such effects be identified on scaled and diagnostic measures of syndromes? Second, are these effects attributable to excess risk of low-income children for both perinatal and later childhood problems? Third, are the intervening mechanisms identifiable as intellectual impairment, vulnerability to poor health, poor maternal caretaking, maternal rejection, or maternal stress associated with marital problems? Findings indicated that elevated risk was present for all syndromes, both at the scale level and at the diagnostic level. None of the examined intervening mechanisms fully accounted for the effects of early risks.     

Age versus schooling effects on intelligence development

The effect of formal education, as opposed to chronological age, on intelligence development has suffered from inadequate empirical investigation. Most studies of this issue have relied on natural variation in exposure to school among children of the same age, thus confounding differences in schooling with differences in other intelligence-related variables. This difficulty can be overcome by a quasi-experimental paradigm involving comparison between children who differ in both chronological age and schooling. The present study applies this paradigm to the estimation of the independent effects of age and schooling in grades 5 and 6 on raw scores obtained on a variety of general ability tests. The sample included all students in Jerusalem's Hebrew-language, state-controlled elementary schools. The results unambiguously point to schooling as the major factor underlying the increase of intelligence test scores as a function of age and to the larger effect schooling has on verbal than nonverbal tests. These results contribute to our understanding of the causal model underlying intelligence development and call for reconsideration of the conceptual basis underlying the definition of deviation-IQ scores. Some implications of these results concerning the distinction between intelligence and scholastic achievement, the causal model underlying the development of "crystallized" and "fluid" abilities, and the notion of "culture-fair" tests are discussed.     

Organization of attack and other behaviors of White King pigeons exposed to intermittent water presentations

Six water-deprived pigeons were exposed to a fixed-time 90-sec water schedule with and without a conspecific target available. Target contacts and the pigeon’s location in the test chamber during the interreinforcement interval were recorded, and the results were compared with those previously obtained with food reinforcement. Prior to target introduction, water-reinforced birds spent more total time in the front near the reinforcer dispenser and less in the rear than food-reinforced birds and, unlike food-reinforced birds, exhibited postreinforcement drinking-like behaviors near the reinforcer dispenser before moving away from that area. With the target available, the level, topography, and duration of target-directed biting pecks were comparable for food- and water-reinforced pigeons. In contrast, the temporal organization of target pecks reflected the different temporal and spatial organizations of behavior prior to target introduction. For both food- and water-reinforced birds, the time between reinforcers at which a bird was spatially situated halfway between the front and rear of the chamber prior to target presentation was positively correlated with the time at which maximum target contact subsequently occurred.     

Early Relationship Quality From Home to School: A Longitudinal Study

The aim of this investigation was to examine the role of social relationships in the home as predictors of social functioning in the first years of school. Longitudinal data gathered on 156 children from urban, low-income families were used to examine the unique contributions of mother-child attachment classification at ages 1 and 2 years, the child's relationship with another adult caregiver, the child's closeness to a sibling, and the child's status in the family relative to siblings between ages 3 and 4 years, to teacher reports of their own relationship to the child and the child's social skills in the classroom and peer relations. The role of family-based relationships as possible protective factors for children at social or demographic risk for problems in school was also tested. Results indicate that quality of different family relationships provides relatively independent and complementary information about early social functioning in school, with more limited evidence for compensatory or protective processes at work.