J.W. Veerman

Hostile Attribution of Intent and Aggressive Behavior: A Meta-Analysis

A meta-analytic review was conducted to explain divergent findings on the relation between childrens aggressive behavior and hostile attribution of intent to peers. Forty-one studies with 6,017 participants were included in the analysis. Ten studies concerned representative samples from the general population, 24 studies compared nonaggressive to extremely aggressive nonreferred samples, and 7 studies compared nonreferred samples with children referred for aggressive behavior problems. A robust significant association between hostile attribution of intent and aggressive behavior was found. Effect sizes differed considerably between studies. Larger effects were associated with more severe aggressive behavior, rejection by peers as one of the selection criteria, inclusion of 8- to-12-year-old participants, and absence of control for intelligence. Video and picture presentation of stimuli were associated with smaller effect sizes than was audio presentation. Staging of actual social interactions was associated with the largest effects. The importance of understanding moderators of effect size for theory development is stressed.

Emotions in social information processing and their relations with reactive and proactive aggression in referred aggressive boys.

We studied emotional aspects of social information processing (SIP) and their specific relations with reactive and proactive aggression in 54 boys ages 7 to 13 who had been referred for aggressive behavior problems and a comparison group. Participants listened to vignettes concerning provocations by peers and answered questions concerning SIP, own and peers emotions, and emotion regulation. Aggressive boys attributed more hostile intent, happiness, and less guilt; reported more anger; mentioned less adaptive emotion-regulation strategies; generated more aggressive responses; and evaluated aggressive responses less negatively than comparison boys. Hypothesized specific relations with reactive and proactive aggression were found, except for emotion regulation that was negatively related with both kinds of aggression. Potentially confounding effects of socially desirable answering, verbal intelligence, and recall of vignettes were controlled for.

The Effects of Emotion Regulation, Attribution, and Delay Prompts on Aggressive Boys' Social Problem Solving

Boys with aggressive behavior problems are frequently taught to “stop and think” before they act. In provocative situations, pausing to monitor their own feelings, to consider the feelings of others, or to delay their response is believed to reduce aggressive behavior. This study aimed to test these assumptions. Thirty-two highly aggressive boys in special education and 31 normal comparison boys were presented vignettes concerning provocation by a peer and given specific cognitive assignments. Participants were either asked to (1) monitor and regulate their own emotions, (2) consider the provocateurs emotions and intentions, (3) wait 10 s, or (4) answer a factual question. The cognitive assignments differentially affected response aggressiveness. Monitoring and regulation of own emotions reduced aggressiveness in the aggressive group. Considering the peers emotions and intentions tended to decrease aggressiveness in the normal comparison group and increase aggressiveness in the aggressive group. Delay increased response aggressiveness in the aggressive group as well. Answering factual questions had no effect on response aggressiveness. Implications for cognitive–behavioral interventions for aggressive boys are discussed.

Effective components of feedback from Routine Outcome Monitoring (ROM) in youth mental health care: study protocol of a three-arm parallel-group randomized controlled trial.

BackgroundRoutine Outcome Monitoring refers to regular measurements of clients’ progress in clinical practice, aiming to evaluate and, if necessary, adapt treatment. Clients fill out questionnaires and clinicians receive feedback about the results. Studies concerning feedback in youth mental health care are rare. The effects of feedback, the importance of specific aspects of feedback, and the mechanisms underlying the effects of feedback are unknown. In the present study, several potentially effective components of feedback from Routine Outcome Monitoring in youth mental health care in the Netherlands are investigated.Methods/DesignWe will examine three different forms of feedback through a three-arm parallel-group randomized controlled trial. 432 children and adolescents (aged 4 to 17 years) and their parents, who have been referred to mental health care institution Pro Persona, will be randomly assigned to one of three feedback conditions (144 participants per condition). Randomization will be stratified by age of the child or adolescent and by department. All participants fill out questionnaires at the start of treatment, one and a half months after the start of treatment, every three months during treatment, and at the end of treatment. Participants in the second and third feedback conditions fill out an additional questionnaire. In condition 1, clinicians receive basic feedback regarding clients’ symptoms and quality of life. In condition 2, the feedback of condition 1 is extended with feedback regarding possible obstacles to a good outcome and with practical suggestions. In condition 3, the feedback of condition 2 is discussed with a colleague while following a standardized format for case consultation. The primary outcome measure is symptom severity and secondary outcome measures are quality of life, satisfaction with treatment, number of sessions, length of treatment, and rates of dropout. We will also examine the role of being not on track (not responding to treatment).DiscussionThis study contributes to the identification of effective components of feedback and a better understanding of how feedback functions in real-world clinical practice. If the different feedback components prove to be effective, this can help to support and improve the care for youth.Trial registrationDutch Trial Register NTR4234

Psychopathic Traits of Dutch Adolescents in Residential Care: Identifying Subgroups.

The present study examined whether a sample of 214 (52.8% male, M age = 15.76, SD = 1.29) institutionalized adolescents could be classified into subgroups based on psychopathic traits. Confirmatory Factor Analyses revealed a relationship between the subscales of the Youth Psychopathic traits Inventory (YPI) and the three latent constructs of the original model on which it is based. Latent Class Analyses showed that adolescents showing psychopathic traits could be classified into three subgroups. The first group showed low scores on the grandiose/manipulative dimension, the callous/unemotional dimension, and the impulsive/irresponsible dimension (normal group). The second group scored moderate on the grandiose/manipulative dimension and the callous/unemotional dimension and high on the impulsive/irresponsible dimension (impulsive, non-psychopathic-like group). The third group scored high on all three dimensions (psychopathy-like group). The findings revealed that the impulsive, non-psychopathic like group scored significantly higher on internalizing problem behavior compared to the normal group, while the psychopathy-like and the impulsive, non-psychopathic-like group both scored higher on externalizing problem behavior compared to the normal group. Based on a self-report delinquency measure, it appeared that the psychopathy-like group had the highest delinquency rates, except for vandalism. Both the impulsive and psychopathy-like group had the highest scores on the use of soft drugs.

The implementation of Families First in the Netherlands: A one year follow-up

This study examined whether the American family preservation program Families First was successfully implemented in the Netherlands. Data were collected on 250 children of 177 families who received Families First. At the start of treatment 78% of the children appeared to have serious behavioral problems, 67% of the parents experienced a high level of parental stress, and 63% of the children went through a substantial number of life events during the year preceding the treatment. On average the treatments had the intended duration (about 4 weeks), intensity (about 10 hours a week) and availability (during working hours as well as in evenings and in weekends), and family workers did adhere to important guidelines of treatment delivery. One year after treatment 76% of the children were still living at home. Moreover, childrens behavioral problems, parental stress and the number of life events turned out to be significantly decreased. It was concluded that Families First had reached its intended target group, delivered the treatment as intended, and achieved its intended outcomes, suggesting a successful implementation in the Netherlands.

Psychometric properties of the Dutch version of the Evidence-Based Practice Attitude Scale (EBPAS)

BackgroundThe Evidence-Based Practice Attitude Scale (EBPAS) was developed in the United States to assess attitudes of mental health and welfare professionals toward evidence-based interventions. Although the EBPAS has been translated in different languages and is being used in several countries, all research on the psychometric properties of the EBPAS within youth care has been carried out in the United States. The purpose of this study was to investigate the psychometric properties of the Dutch version of the EBPAS.MethodsAfter translation into Dutch, the Dutch version of the EBPAS was examined in a diverse sample of 270 youth care professionals working in five institutions in the Netherlands. We examined the factor structure with both exploratory and confirmatory factor analyses and the internal consistency reliability. We also conducted multiple linear regression analyses to examine the association of EBPAS scores with professionals’ characteristics. It was hypothesized that responses to the EBPAS items could be explained by one general factor plus four specific factors, good to excellent internal consistency reliability would be found, and EBPAS scores would vary by age, sex, and educational level.ResultsThe exploratory factor analysis suggested a four-factor solution according to the hypothesized dimensions: Requirements, Appeal, Openness, and Divergence. Cronbach’s alphas ranged from 0.67 to 0.89, and the overall scale alpha was 0.72. The confirmatory factor analyses confirmed the factor structure and suggested that the lower order EBPAS factors are indicators of a higher order construct. However, Divergence was not significantly correlated with any of the subscales or the total score. The confirmatory bifactor analysis endorsed that variance was explained both by a general attitude towards evidence-based interventions and by four specific factors. The regression analyses showed an association between EBPAS scores and youth care professionals’ age, sex, and educational level.ConclusionsThe present study provides strong support for a structure with a general factor plus four specific factors and internal consistency reliability of the Dutch version of the EBPAS in a diverse sample of youth care professionals. Hence, the factor structure and reliability of the original version of the EBPAS seem generalizable to the Dutch version of the EBPAS.

Staff behavior toward children and adolescents in a residential facility: a self-report questionnaire.

The purpose of the present study was to examine psychometric properties of the Staff Behavior toward Clients questionnaire (SBC), a self-report measure for care staff working with children and adolescents with mild to borderline intellectual disabilities in residential care. Ninetynine care staff completed the SBC and the Strengths and Difficulties Questionnaire (SDQ) for 99 of their clients. Factor analysis revealed four factors (i.e. behavior regulation, client-directed care, teaching and empowerment). Results indicated excellent internal consistency of all factors and ability of the SBC to detect differences in client populations with respect to behavior problems. These data suggest that the SBC could provide a reliable and valid measure of staff behavior toward clients in residential facilities.

Bejegening van cliënten in de jeugdzorg. Een onderzoek naar relevante aspecten

SamenvattingBinnen de jeugdzorg zijn de laatste jaren verschillende verschuivingen zichtbaar, waarbij de cliënt een meer actieve en meer centrale rol krijgt toebedeeld in het eigen hulpverleningsproces. Deze ontwikkelingen hebben gevolgen voor de bejegening: de wijze waarop de hulpverlener de cliënt tegemoet treedt. In dit onderzoek is getracht inzicht te krijgen in de aspecten die van belang zijn bij een goede cliëntbejegening. Op basis van informatie verzameld bij ex-cliënten en hulpverleners zijn via een kwalitatieve analyse 24 aspecten van bejegening achterhaald. Deze zijn onder te verdelen in acht categorieën. Op basis van de onderzoeksresultaten wordt een instrument geconstrueerd waarmee de kwaliteit van de bejegening in kaart gebracht kan worden.

Opvoedingsbelasting in kaart gebracht. Een kennismaking met de Opvoedingsbelastingvragenlijst (OBVL)

SamenvattingIedere ouder ervaart bij tijd en wijle weleens stress bij het opvoeden. Wanneer deze stress niet van tijdelijke aard is of wanneer de stress erg hoog wordt, kan professionele hulp ingeschakeld worden. Het vaststellen van de aard en ernst van de opvoedingsstress is dan van belang. De Opvoedingsbelastingvragenlijst (OBVL) is een recent ontwikkeld instrument hiervoor. De uitkomsten van het hier beschreven onderzoek geven positieve aanwijzingen voor de betrouwbaarheid en validiteit van de OBVL. De OBVL is ontwikkeld voor instellingen voor jeugdzorg, maar is ook op andere terreinen van zorg voor kinderen goed bruikbaar. De lijst is geschikt voor screening, diagnostiek en evaluatie van behandelingen.