Beliefs and behaviors associated with the first named heat wave in Seville Spain 2022.

Heat waves pose a substantial and increasing risk to public health. Heat health early warning systems (HHEWSs) and response plans are increasingly being adopted to alert people to the health risks posed by days of extreme heat and recommend protective behaviors. However, evidence regarding the effectiveness of HHEWSs remains limited. We examined the impact of heat wave naming on heat-related beliefs and behaviors to ascertain the potential effectiveness of heat wave naming as a heat health risk communication and management tool. Specifically, we surveyed members of the public exposed to the proMETEO Sevilla HHEWS messaging campaign which in the summer of 2022 applied a name to heat waves considered to pose the greatest risk to public health. During the heat season we evaluated, the proMETEO Sevilla HHEWS campaign applied a name to one heat wave, heat wave "Zoe". Our analysis of the post-survey of 2022 adults indicated that the 6% of participants who recalled the name Zoe unaided reported greater engagement in heat wave safety behaviors and more positive beliefs about naming heat waves and their local governments' heat wave response. These results provide initial evidence for potential utility in naming heat waves as part of HHEWSs and HAPs.

A Statewide Randomized Controlled Trial to Compare Three Models for Implementing Parent Child Interaction Therapy.

OBJECTIVE: This study (NIMH RO1 MH095750; ClinicalTrials.gov Identifier: NCT02543359) evaluated the effectiveness of three training models to implement a well-established evidence-based treatment, Parent-Child Interaction Therapy (PCIT). METHOD: Fifty licensed outpatient clinics, including 100 clinicians, 50 supervisors, and 50 administrators were randomized to one of three training conditions: 1) Learning Collaborative (LC), 2) Cascading Model (CM) or 3) Distance Education (DE). Data to assess training and implementation outcomes were collected at 4 time points coinciding with the training period: baseline, 6- (mid), 12- (post), and 24-months (1-year follow-up). RESULTS: Multi-level hierarchical linear growth modeling was used to examine changes over time in training outcomes. Results indicate that clinicians in CM were more likely to complete training, reported high levels of training satisfaction and better learning experiences compared to the other training conditions. However, supervisors in the LC condition reported greater learning experiences, higher levels of knowledge, understanding of treatment, and satisfaction compared to supervisors in other conditions. Although clinicians and supervisors in the DE condition did not outperform their counterparts on any outcomes, their performance was comparable to both LC and CM in terms of PCIT use, supervisor perceived acceptability, feasibility, system support, and clinician satisfaction. CONCLUSIONS: Through the use of a randomized controlled design and community implementation, this study contributes to the current understanding of the impact of training design on implementation of PCIT. Results also indicate that although in-person training methods may produce more positive clinician and supervisor outcomes, training is not a one-size-fits-all model, with DE producing comparable results on some variables.

Assessing the Link between Adolescents' Awareness of Inequality and Civic Engagement across Time and Racial/Ethnic Groups.

Adolescents' awareness of societal inequality has been linked to higher civic engagement. This study expands prior research by testing whether awareness of inequality differentially motivates prosocial and political forms of civic engagement, whether adults' modeling of civic agency moderates links between awareness of inequality and civic engagement, and whether associations differ by race/ethnicity. Longitudinal data came from 3208 youth (Mage = 14.1, Range = 7-20, 56.1% female, 39.7% White, 38.4% Latinx, 12.3% Black, and 6.9% Asian). Across racial/ethnic groups, awareness of societal inequality predicted increased political behaviors and beliefs 2 years later. Adults' modeling of civic agency predicted certain forms of civic engagement but did not moderate links. The findings advance theory and research on the motivating role of awareness of inequality for political beliefs and actions.

Transitions in risk-behavior profiles among first-year college students.

ObjectiveThe current study utilized a longitudinal person-centered approach (latent transition analysis [LTA]) to assess transitions into and out of risk-behavior profiles during the transition into and throughout the first year of college. Participants: Participants included 579 first-year college students (Mage = 18.13, SD = .94) from a large mid-Atlantic university. Methods: Participants completed surveys at five points throughout their freshman year. Results: LTA suggested that most individuals either abstained from engaging in risk behaviors or transitioned toward profiles of less risk over time. A smaller portion of individuals either began and ended the year in the same risk profile or transitioned into profiles of greater risk. Conclusions: The findings highlight the importance of utilizing person-centered analyses to examine change in multiple health-risk behaviors.

Adolescents' Evaluations of Political Leaders: The Case of President Donald Trump.

The current study explored youths' views of President Donald Trump using quantitative ratings and open-ended responses from a diverse sample of 1,432 U.S. adolescents from three geographic regions. Adolescent demographic characteristics (i.e., gender, race, geographic location) were systematically associated with their views about Trump. Open-ended responses demonstrated substantial variability in youths' rationales for approving or disapproving of the president. Adolescents' attitudes were informed by knowledge of the president's leadership attributes, political views and policies, and their own experiences. Findings indicate that adolescents draw upon and synthesize a broad range of information when formulating their political views and coordinate this knowledge with their own opinions and experiences when evaluating political figures.

Similarities and Differences in Adolescents' Organized and Civic Activity Networks across Rural and Non-Rural Communities.

Youth are often involved in multiple organized and civic activities simultaneously, resulting in complex patterns or "networks" of participation. Little research has examined the network structure of adolescents' organized and civic participation and whether these networks vary across communities. Examining activity networks may help identify specific forms of participation that are more widely and strongly connected with other activities, and may thus provide a gateway for becoming multiply involved. Youth (N= 902; Mage = 15.90; 55.7% female) from a rural (n= 476) and non-rural (n= 426) community completed measures assessing engagement in 25 civic and organized activities. Network analysis indicated that activities in the rural community had greater network density relative to the non-rural community. Volunteering to clean up the neighborhood was most central to both networks. Church attendance and community sports were more central for the rural network, whereas protesting and school arts were more central for the non-rural network. These findings suggest that volunteer activities may serve as a "hub" for organized and civic activity participation and highlight similarities and differences in the co-occurrence of activities across two distinct communities.

A reanalysis of a randomized trial on meditation for migraine headaches: Distraction is not enough but meditation takes time.

OBJECTIVE: Migraine headaches affect about approximately 15% of the population and some notable efforts have been made to develop meditation interventions to address pain and mood among this population. However, key active ingredients and the necessary duration of meditation interventions to produce an effect are still unknown. The purpose of this study is to assess key meditation ingredients that positively impact mood and headache factors across different meditation techniques and to establish an initial time or" dose" needed to reach proactive treatment efficacy. METHOD: In this longitudinal study, three active management forms of meditation were compared to a cognitive distraction meditation to assess the effects on migraine headaches and emotions over a 30 day period when practiced 20 min per day. RESULTS: The active group showed significant decreases in anger (p = .005) and migraine pain (p = .002) over time. Further analysis showed that the bulk of the change for the active management group occurred in the final 10 days, after 20 days of practice of the technique (p < .05). CONCLUSION: This suggests that cognitively active forms of meditation are more effective in reducing migraine headache pain and negative mood than distraction techniques. However, individuals engaging in these strategies need to consistently practice these techniques for approximately 20 days to proactively reduce migraine headache pain and negative mood.

Examining Character Structure and Function Across Childhood and Adolescence.

Character strengths are an integral component of positive youth development that can promote flourishing. Developmental principles posit constructs become increasingly complex with age, yet this process has not been examined with character. Using a socioeconomically and ethnically diverse sample of 2,467 youth ages 9-19, bifactor models were estimated across elementary, middle, and high school-age groups to examine age differences in character structure and function. With successive age, a greater number of specific character strength factors were identified, suggesting character structure becomes more differentiated across adolescence. Results linking character bifactor models to indicators of positive functioning also supported differentiation in character function across ages. Findings point to the need for theoretical and empirical considerations of character structure and function across development.

Adolescents' Civic Engagement: Concordant and Longitudinal Associations Among Civic Beliefs and Civic Involvement.

Associations between adolescent civic and organized activities (volunteering, standard political, social movement, school/community, religious) and civic beliefs (comprised of should, obligation, and respect judgments) were examined. Cross-sectional models (N = 703, Mage  = 15.87) indicated domain specificity between adolescent civic beliefs and behaviors. Longitudinal models (n = 219, Mage  = 15.39) indicated that adolescents' standard political beliefs predicted greater levels of standard political involvement one year later, and school/community activities predicted greater standard political beliefs a year later. Youth volunteering predicted lower standard political beliefs, and standard political involvement predicted lower community service beliefs one year later. Findings support the assessment of adolescent sociomoral civic beliefs and demonstrate how civic experiences and civic beliefs can mutually promote each other during adolescence.

The Intersection of Emotional and Sociocognitive Competencies with Civic Engagement in Middle Childhood and Adolescence.

Civic developmental theory anticipates connections between normative developmental competencies and civic engagement, but little previous research has directly studied such links. The current study sought to contribute to civic development theory by examining associations between emotional and sociocognitive competencies (empathy, emotion regulation, prosocial moral reasoning, future-orientation) and civic engagement (volunteering, informal helping, political behaviors and beliefs, environmental behaviors, social responsibility values, civic skills). Data came from a geographically and racially diverse sample of 2467 youth (Mage = 13.4, Range: 8-20 years, 56% female). The results indicated that empathy and future-orientation significantly predicted nearly all forms of civic engagement, whereas emotion regulation and prosocial moral reasoning were uniquely associated with specific forms of civic engagement. Exploratory multi-group models indicated that empathy and emotion regulation were more strongly associated with civic engagement among younger youth and prosocial moral reasoning and future-orientation were more strongly related to civic engagement among older youth. The findings help to advance developmental theory of youth civic engagement.

A matter of fact? Adolescents' assumptions about crime, laws, and authority and their domain-specific beliefs about punishment.

This study examined adolescents' beliefs about the amount of punishment individuals should receive for violating different laws and whether these beliefs are connected with their informational assumptions (i.e., perceived facts) about crime, laws, and authority. American adolescents (N = 340; Mage = 16.64, 58.2% female) reported their judgments concerning the appropriate punishment for violating laws regulating domain-specific behaviors and their informational assumptions regarding the prevalence and causes of crime, beliefs that authority is knowledgeable, and the purpose of punishment. Greater internal attributions for crime was associated with stronger punishment judgments for violating laws that regulate moral and conventional issues. Greater beliefs that punishment teaches right from wrong was associated with stronger punishment judgments for violating laws that regulate drug-related prudential issues, and lower punishment judgments for violating laws that regulate personal issues. Greater beliefs that authorities are more knowledgeable than others was associated with stronger punishment judgments for violating laws that regulate personal issues.

Differential and Domain-Specific Associations Among Right-Wing Authoritarianism, Social Dominance Orientation, and Adolescent Delinquency.

Using a dual-process model (DPM) framework, this research examined whether right-wing authoritarianism (RWA) and social dominance orientation (SDO) are differentially associated with adolescent delinquency. In Study 1 ( N = 847; Mage = 15.96) and Study 2 ( N = 340; Mage = 16.64), adolescents completed measures of RWA, SDO, and engagement in different forms of delinquency. In Study 2, adolescents also reported their beliefs about obeying different laws. Across both studies, adolescents who endorsed greater RWA engaged in lower levels of delinquency and those who endorsed greater SDO engaged in higher levels of delinquency. Findings from Study 2 suggest that these associations are contingent on the domain-specific purpose of the law being violated and are also present with adolescents' beliefs about their obligation to obey laws. These results extend the DPM, demonstrating that RWA and SDO are differentially linked with youth delinquency.

Physical Activity and Quit Motivation Moderators of Adolescent Smoking Reduction.

OBJECTIVES: We examined participant characteristics as moderators of adolescents' smoking cessation outcomes as a function of intervention: Not-on-Tobacco (N-O-T), N-O-T with a physical activity (PA) module (N-O-T+FIT), or Brief Intervention (BI). METHODS: We randomly assigned youth (N = 232) recruited from public high schools to an intervention, and measured their baseline levels of PA and motivation to quit. The number of cigarettes/day for weekdays and weekends was obtained at baseline and 3-month follow-up. RESULTS: Across timepoints, cigarette use declined for youth in N-O-T (p = .007) and N-O-T+FIT (ps < .02), but not BI (n.s.). For N-O-T+FIT youth, the steepest declines in weekday smoking occurred for those with high PA levels (p = .02). Weekend cigarette use decreased for N-O-T+FIT youth with moderate-high levels of intrinsic motivation to quit (ps < .04). CONCLUSIONS: Adolescents may benefit from interventions designed to address the barriers faced during a quit attempt, including their motivation to make a change and their engagement in other healthy behaviors such as physical activity.

Constructing tailored parental monitoring strategy profiles to predict adolescent disclosure and risk involvement.

•Many parents use multiple monitoring strategies in different combinations over time to monitor their adolescents.•Adolescents of parents who use multiple strategies reported greater risk involvement.•Parents who solicited information only from adolescents had greater knowledge and adolescent disclosure.

Domain Specificity in Adolescents' Concepts of Laws: Associations Among Beliefs and Behavior.

Using detailed vignettes and scale measures, concepts of laws regulating domain-specific issues and engagement in delinquency were assessed among 340 9th through 12th graders (Mage = 16.64, SD = 1.37). Adolescents distinguished between laws that regulate moral, drug-related prudential, conventional, personal, and multifaceted issues in their criterion judgments and justifications. Youths' ratings of the importance of laws, obligation to obey laws, and deserved punishment for breaking different laws also followed domain-consistent patterns. Adolescents' engagement in moral, drug-related prudential, and multifaceted forms of delinquency was associated with less supportive judgments about laws within the same domain. Findings contribute to civic development research by demonstrating domain specificity in adolescents' beliefs about laws and suggest that these beliefs are linked with engagement in similar types of delinquency.

Associations Between Food-Related Parenting Behaviors and Adolescents' Engagement in Unhealthy Eating Behaviors.

Food-related parenting behaviors have the potential to impact youth eating behaviors and nutrition knowledge. The present study examined associations between parental behaviors specific to eating (i.e., rules, solicitation, and the creation of a health-focused home environment) and specific unhealthy eating behaviors prevalent during adolescence. Additional analyses examined whether such associations were explained by adolescent nutrition knowledge. A total of 145 adolescents ( M = 14.48, SD = 1.75 years) and their mothers ( M = 43.52, SD = 6.76 years) completed questionnaires as part of a larger study investigating parent-adolescent communication. Mothers' food-related parenting behaviors were not directly associated with adolescents' engagement in unhealthy eating behaviors. However, more parental rules were associated with greater adolescent nutrition knowledge. In addition, mothers' creation of a health-focused home environment was indirectly associated with less fast food consumption through greater adolescent nutrition knowledge. Implications and future directions are discussed.

Measurement of smoking behavior: Comparison of self-reports, returned cigarette butts, and toxicant levels.

A basic tenet of empirical research on cigarette smoking behavior is the systematic assessment of patterns of use. However, the large majority of extant research relies on smokers' retrospective reports of their average number of cigarettes per day (CPD), a measure that may be variable in terms of reliability and validity. Using data from 3 previously published studies of non-treatment-seeking daily smokers (combined N = 89), this analysis examined the reliability of self-reported CPD, the consistency of returned cigarette butts each day over 4 consecutive 24-hr periods, the validity of self-reported CPD compared with returned cigarette butts, and the relationship of CPD and returned cigarette butts to toxicant exposure. Results showed that self-reported CPD was reliable across telephone and in-person screening interviews (r = .87, p < .01). Although average self-reported CPD and returned cigarette butt counts did not differ significantly, t(87) = -1.5 to 0.3, all ns, butt counts revealed a wider range of variability in daily smoking behavior. In addition, self-reported cigarette use exhibited substantial digit bias (Whipple's index = 413.8), meaning that participants tended to round their estimates to values ending in 0 or 5. Cigarette butt counts, but not self-reported CPD, were significantly associated with exposure to smoke toxicants. However, this former relationship was revealed to be linear, but not curvilinear, in nature. These findings have implications for both research and treatment efforts, as researchers often rely on accurate assessment of CPD to predict a variety of smoking-related outcomes. (PsycINFO Database Record

A Social Domain Approach to Informant Discrepancies in Parental Solicitation and Family Rules.

An extensive body of research has explored the effects of parental monitoring on adolescent outcomes, but studies consistently find substantial discrepancies between parent and adolescent reports of different monitoring behaviors. Little research has examined whether parents and adolescents are more or less discrepant when reporting on parents' rules or solicitation for different adolescent problem and health risk behaviors and few studies have explored potential explanatory variables to explicate individual variability in parent-adolescent discrepant reporting. To address this gap in the literature, the current study examined discrepancies in mother-adolescent reports of family rules and solicitation across five distinct adolescent behaviors: personal behaviors and four different risk behaviors (alcohol-related, cyber, over- and under-eating). Participants were 143 mother-adolescent dyads (Adolescent M age  = 14.42, SD = 1.73, range = 12-18, 81 % white, 60 % female). Mean-level discrepancies between maternal and adolescent reports significantly differed by category of adolescent behavior and also varied as a function of reported parental monitoring behavior (rules vs. solicitation). Discrepancies in mother-adolescent reports of behavior-specific rules and solicitation were positively associated with discrepancies in mother and adolescent judgments of the harmfulness of the activities. The results demonstrate that discrepancies in mother-adolescent reports of family process differ by category of adolescent behavior and may be undergirded by differences in mother and adolescent informational assumptions about the potential harm involved with different activities.

Extending the 'cross-disorder' relevance of executive functions to dimensional neuropsychiatric traits in youth.

BACKGROUND: Evidence that different neuropsychiatric conditions share genetic liability has increased interest in phenotypes with 'cross-disorder' relevance, as they may contribute to revised models of psychopathology. Cognition is a promising construct for study; yet, evidence that the same cognitive functions are impaired across different forms of psychopathology comes primarily from separate studies of individual categorical diagnoses versus controls. Given growing support for dimensional models that cut across traditional diagnostic boundaries, we aimed to determine, within a single cohort, whether performance on measures of executive functions (EFs) predicted dimensions of different psychopathological conditions known to share genetic liability. METHODS: Data are from 393 participants, ages 8-17, consecutively enrolled in the Longitudinal Study of Genetic Influences on Cognition (LOGIC). This project is conducting deep phenotyping and genomic analyses in youth referred for neuropsychiatric evaluation. Using structural equation modeling, we examined whether EFs predicted variation in core dimensions of the autism spectrum disorder, bipolar illness, and schizophrenia (including social responsiveness, mania/emotion regulation, and positive symptoms of psychosis, respectively). RESULTS: We modeled three cognitive factors (working memory, shifting, and executive processing speed) that loaded on a second-order EF factor. The EF factor predicted variation in our three target traits, but not in a negative control (somatization). Moreover, this EF factor was primarily associated with the overlapping (rather than unique) variance across the three outcome measures, suggesting that it related to a general increase in psychopathology symptoms across those dimensions. CONCLUSIONS: Findings extend support for the relevance of cognition to neuropsychiatric conditions that share underlying genetic risk. They suggest that higher-order cognition, including EFs, relates to the dimensional spectrum of each of these disorders and not just the clinical diagnoses. Moreover, results have implications for bottom-up models linking genes, cognition, and a general psychopathology liability.

Multimorbidity and COPD Medication Receipt Among Medicaid Beneficiaries With Newly Diagnosed COPD.

BACKGROUND: Multimorbidity is highly prevalent among patients with COPD. The association between multimorbidity and COPD medication management is not well researched. The aim of this study was to examine the association between multimorbidity and COPD medication receipt among Medicaid beneficiaries with newly diagnosed COPD. METHODS: A retrospective longitudinal dynamic cohort design was used, and data were extracted from Medicaid Analytic eXtract files from 2005 to 2008. Medicaid beneficiaries with newly diagnosed COPD (N = 19,060) were identified using the International Classification of Diseases, 9th Revision, Clinical Modification, for COPD. This code (for commonly co-occurring conditions with COPD) was used to create a multimorbidity variable. These conditions included anxiety, arthritis, bipolar disorder, cardiovascular diseases, depression, diabetes, hypertension, hyperlipidemia osteoporosis, and schizophrenia. Medicaid beneficiaries with newly diagnosed COPD were categorized as: (1) physical multimorbidity only, (2) psychiatric multimorbidity only, (3) both physical and psychiatric multimorbidity, and (4) no multimorbidity. Receipt of COPD medications (short- or long-acting bronchodilators, inhaled corticosteroids) was identified using National Drug Codes. Bivariate relationships between multimorbidity and COPD medication receipt were tested using the chi-square test of independence. The associations between multimorbidity and COPD medication receipt were analyzed with logistic and multinomial logistic regression analyses. RESULTS: Among Medicaid beneficiaries with newly diagnosed COPD, 81.9% had at least one co-occurring chronic condition. After controlling for subject characteristics, adults with multimorbidity were less likely to receive COPD medications compared with those without any inflammation-related multimorbidity. For example, those with physical multimorbidity were less likely to receive short-acting bronchodilators (adjusted odds ratio [OR] 0.76, 95% CI 0.69-0.83), long-acting bronchodilators (adjusted OR 0.84, 95% CI 0.76-0.92), and inhaled corticosteroids (adjusted OR 0.75, 95% CI 0.68-0.82) compared with those with no inflammation-related multimorbidity. CONCLUSIONS: The prevalence of multimorbidity is very high among Medicaid beneficiaries with newly diagnosed COPD. Our findings indicate poor COPD medication management among those with multimorbidity.