Annick Maujean

Parenting and Conduct Problems in Children: Australian Data and Psychometric Properties of the Alabama Parenting Questionnaire

A wealth of research has shown links between parenting style and child behaviour, and the development of conduct problems in young children. Unfortunately, the most common and well-researched measures of parenting do not tap specific dimensions of parenting clearly related to risk for conduct problems in children. Recently, the development of the Alabama Parenting Questionnaire (APQ) appears to have overcome this problem. It has several subscales that were designed to correspond to empirically identified aspects of positive and negative parenting styles important to conduct problems. The current study evaluated the APO with a large community sample of 4- to 9-year-old Australian children. The results showed good internal consistency, validity, and test-retest reliability for the measure. Means, standard deviations, and proposed cut-off scores are presented. These data indicate the APQ is potentially a useful measure for clinicians and researchers working with Australian samples of children with conduct problems and their families.

A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes

ABSTRACT The use of animal-assisted interventions (aaIs) to achieve psychological benefits has expanded rapidly over the last few years. However, this is a vastly under-researched area, and the research to date has been largely descriptive, in the form of case studies, or has used only small groups of participants with no control condition. Remarkably few studies have utilized gold standard randomized controlled designs. The aim of the present review was to examine the current state of the literature in regard to only randomized controlled trials (RCts) examining the psychosocial benefits of aaIs, which is a necessary step in order to move the field forward. A search of relevant databases was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and meta-analyses (PRISma) guidelines. A total of 66,180 articles were identified at the outset; this was reduced to eight articles (involving 7 studies), following the removal of duplicates (39,377), unrelated titles (26,525), and those that did not meet inclusion criteria (270). Findings from the present review suggest that aaIs may be of benefit to a wide range of individuals, including children with autism, and adults with psychological disorders, including schizophrenia. However, further research using well-designed RCts is required to more definitively explore what specific types of aaI are beneficial for specific populations. Recommendations for future research are provided.

New Strategy to Reduce the Global Burden of Stroke

The socioeconomic and health effect of stroke and other noncommunicable disorders (NCDs) that share many of the same risk factors with stroke, such as heart attack, dementia, and diabetes mellitus, is huge and increasing.1–4 Collectively, NCDs account for 34.5 million deaths (66% of deaths from all causes)3 and 1344 million disability-adjusted life years lost worldwide in 2010.2 The burden of NCDs is likely to burgeon given the aging of the world’s population and the epidemiological transition currently observed in many low- to middle-income countries (LMICs).5,6 In addition, there is low awareness in the population about these NCDs and their risk factors,7–10 particularly in LMICs.11 These factors, coupled with underuse of strategies for primary prevention of stroke/NCDs on an individual level and the lack of accurate data on the prevalence and effect of risk factors in different countries and populations have been implicated in the ever-increasing worldwide burden of the NCDs.12–15 Of particular concern is a significant increase in the number of young adults (aged <65 years) affected by stroke,16 and the increasing epidemic of overweight/obesity17 and diabetes mellitus worldwide.18 If these trends continue, the burden of stroke and other major NCDs will increase even faster. The increasing burden of stroke and other major NCDs provide strong support for the notion that the currently used primary prevention strategies for stroke and other major NCDs (business as usual) are not sufficiently effective. The most pertinent solution to this problem is the implementation of new, effective, widely available, and cost-effective prevention and treatment strategies to reduce the incidence and severity distribution of stroke and other major NCDs. The recent INTERSTROKE case-control study, conducted in 22 countries worldwide, provided evidence that, collectively, 10 risk factors accounted …

A Systematic Review of Randomized Controlled Studies of Art Therapy

Abstract This review article examines current knowledge about the efficacy of art therapy based on the findings of 8 randomized controlled trials (RCTs) conducted with adult populations from 2008–2013 that met a high standard of rigor. Of these studies, all but one reported beneficial effects of art therapy. Review findings suggest that art therapy may benefit a range of individuals, including older adults, war veterans, and prison inmates. However, there is a need for further research using RCTs to examine more conclusively art therapy outcomes and the specific populations in which art therapy interventions offer greatest benefit.

Hypotheses about the Psychological Benefits of Horses

BACKGROUND In the last few decades, therapeutic horse-riding has become recognized as a progressive form of therapy, particularly for people with disabilities. Although there is a substantial amount of literature that supports the physical benefit of therapeutic riding, only anecdotal evidence exists in relation to its psychological benefits. OBJECTIVE The purpose of this article is to develop hypotheses about the mechanisms by which therapeutic riding might have a beneficial psychological effect. These hypotheses can then be tested, leading to a more detailed knowledge base. DATA SOURCES PsychINFO, MEDLINE, PROQUEST, Scopus, Web of Science, and CINAHL. STUDY SELECTION Data sources were searched for studies that (a) were related to the psychological effects of therapeutic horse-riding, (b) focused exclusively on therapeutic horse-riding, (c) described, explicitly or implicitly, the mechanism by which therapeutic riding had a beneficial psychological effect. Studies were limited to those published between 2008 and 2012. DATA EXTRACTION Data were extracted by two authors independently. DATA SYNTHESIS Thirty articles met the inclusion criteria. Three potential hypotheses emerged from the literature, namely, (1) the psychological benefits of therapeutic riding are actually unrelated to the horse, (2) the horse provides a particularly positive context within which psychological gains are facilitated, and (3) the horse itself has specific therapeutic qualities that bring about unique changes not otherwise likely to occur. CONCLUSION The challenge for researchers in this area is to design studies that adequately test these competing hypotheses.

A systematic review of the efficacy of equine-assisted interventions on psychological outcomes

Much research attests to the beneficial effects of equine interventions on physical development and ability. However, less is known about the possible psychological benefits of horse activities, such as therapeutic riding or interactions with horses. Although there is public consensus that horses can have psychological benefits, it is an under-researched area and conclusions are largely based on anecdotal data. The little empirical evidence that is available about the efficacy of equine-assisted interventions on psychological outcomes tends to be mixed and is often difficult to interpret due to the lack of rigorous research designs. The purpose of this review was to examine the current state of the literature regarding the psychological effects of equine-assisted interventions, and to make recommendations for future research. Findings from this review suggest that equine-assisted interventions hold much promise, particularly in terms of child/adolescent social and behavioural issues, and perhaps adult affective disorders. However, the current state of the literature does not allow us to definitively conclude that equine-assisted interventions are efficacious. Well-designed randomised controlled trials are greatly needed in this area, as it is an appreciation of the need to standardise and document equine-assisted interventions and outcomes in future research.

Planning following stroke: a relational complexity approach using the Tower of London

Planning on the 4-disk version of the Tower of London (TOL4) was examined in stroke patients and unimpaired controls. Overall TOL4 solution scores indicated impaired planning in the frontal stroke but not non-frontal stroke patients. Consistent with the claim that processing the relations between current states, intermediate states, and goal states is a key process in planning, the domain-general relational complexity metric was a good indicator of the experienced difficulty of TOL4 problems. The relational complexity metric shared variance with task-specific metrics of moves to solution and search depth. Frontal stroke patients showed impaired planning compared to controls on problems at all three complexity levels, but at only two of the three levels of moves to solution, search depth and goal ambiguity. Non-frontal stroke patients showed impaired planning only on the most difficult quaternary-relational and high search depth problems. An independent measure of relational processing (viz., Latin square task) predicted TOL4 solution scores after controlling for stroke status and location, and executive processing (Trail Making Test). The findings suggest that planning involves a domain-general capacity for relational processing that depends on the frontal brain regions.

The daily living self-efficacy scale: a new measure for assessing self-efficacy in stroke survivors

Abstract Purpose: To develop and examine the psychometric properties of the Daily Living Self-Efficacy Scale (DLSES) designed to assess stroke survivors’ self-efficacy in daily functioning. Method: Two groups of participants (N = 424) were recruited, a stroke survivor group (n = 259) who were recruited through two stroke associations in Australia and a non-stroke group (n = 165) who were the partners/carers of the stroke survivors (n = 93) and members of the community in Queensland, Australia (n = 72). Principal Component Analyses (PCA) were used to assess the factor structure of the scale and investigations of internal consistency, test--retest reliability, convergent and discriminant validity were conducted. Results: The final measure is a 12-item scale comprising two subscales: self-efficacy for psychosocial functioning and self-efficacy for activities of daily living. The scale demonstrated high internal consistency, temporal stability and convergent validity, and it discriminated well between the stroke and non-stroke groups. Conclusion: The DLSES is a psychometrically sound measure of self-efficacy in psychosocial functioning and self-efficacy in activities of daily living appropriate for stroke survivors, regardless of level of physical impairment. Implications for Rehabilitation A key factor that may influence outcome following a stroke is the level of self-efficacy that stroke survivors have in their ability to function in their daily life. The DLSES provides a measure of this ability that may be useful in enhancing preparation for the return to the community. The DLSES assesses self-efficacy in two important areas of daily functioning – activities of daily living and psychosocial functioning. This new measure can be administered to stroke individuals regardless of the nature or degree of physical impairment.

Relational processing following stroke

The research examined relational processing following stroke. Stroke patients (14 with frontal, 30 with non-frontal lesions) and 41 matched controls completed four relational processing tasks: sentence comprehension, Latin square matrix completion, modified Dimensional Change Card Sorting, and n-back. Each task included items at two or three levels of relational complexity. Relational processing was impaired in the stroke groups. This was due mainly to items at the intermediate ternary-relational level of complexity. Less complex binary-relational items and more complex quaternary-relational items (the latter are difficult for adults generally) were less sensitive to stroke status. Impairment was greater in frontal than non-frontal stroke patients. Positive inter-correlations among measures supported the domain-general nature of relational processing. Implications for assessment and intervention are discussed.

Verbal learning and memory following stroke

Abstract Objective: The research examined whether verbal learning and memory impairment previously observed 1 year after left hemisphere stroke endures over a longer period and whether stroke sufferers compensate for their impairments using working memory. Methodology: Twenty-one persons with left hemisphere lesions; 20 with right hemisphere lesions only and 41 matched controls completed the Hopkins Verbal Learning Test-Revised (HVLT-R), a working memory test (Letter-Number Sequencing, LNS) and the Boston Naming Test (BNT). Results: Persons with left hemisphere damage performed more poorly on HVLT-R than controls. They showed poorer immediate recall, delayed recall, recognition and learning, but intact retention, suggesting an encoding impairment. BNT and LNS scores predicted recall in this group. HVLT-R performance of persons with right hemisphere lesions only was comparable to controls. BNT (not LNS) predicted recall in these groups. Conclusions: Persons with left hemisphere damage relied more on working memory and recruited diverse left hemisphere regions to compensate for their impaired encoding. Implications: Tasks requiring verbal encoding and memory are effortful following left hemisphere stroke. This should be recognized and accommodated.