"I Like the Feeling of Connecting With People": A Mixed-Methods Study of Nursing Assistants Experiences Across the Care Continuum.

Nursing assistants (NAs) are critical professionals across the long-term care continuum. Despite the demands of NAs, these frontline personnel experience workplace challenges and turnover at a disproportionate rate compared to other professionals. Much research has explored the experiences of nursing assistants using federal survey data and national datasets. Guided by a socio-ecological model and the job-demands resource model, this study utilized a sequential mixed-methods approach to uncover a more nuanced understanding of NA workplace experience. Results from this combined qualitative (N = 17) and quantitative (N = 354) study found that there are several workplace aspects, such as organizational culture and supervisor relationships, that contribute to NA experiences across system levels. Further exploration of direct care tasks directly from nursing assistants is necessary to understand full intentions.

Intergenerational cascade processes from parental childhood adversity to child emotional and behavioral problems.

BACKGROUND: Parental adverse childhood experiences (ACEs) may transmit to the next generation and influence children's emotional and behavioral problems. Relatively little evidence exists on the underlying pathways of this intergenerational transmission at the family- and individual-level. OBJECTIVE: This study examined the intergenerational cascade processes of parental ACEs on children's emotional and behavioral problems via family cohesion, children's ACEs, and children's self-control. PARTICIPANTS AND SETTING: 283 children (52 % male, Mage = 10.47 years) and their parents (61.1 % mothers, Mage = 38.62 years) were recruited for a 2-month longitudinal study with surveys administered at three time points. METHOD: Mediation models examined the intergenerational effects of parental ACEs (T1/T3) and family cohesion (T1) as reported by parents, and children's ACEs (T1) and children's self-control (T2) as reported by children, on children's internalizing and externalizing problems (T3) as reported by parents. RESULTS: Family cohesion, children's ACEs, and children's self-control sequentially mediated the link between parental ACEs and children's externalizing problems (indirect effect = 0.004, 95 % CI [0.001, 0.014]). Parental ACEs were directly linked with children's internalizing problems (ß = 0.191, SE = 0.075, p = .011). CONCLUSIONS: Findings demonstrated intergenerational cascades of distal and proximal risk processes from parental ACEs to children's behavioral problems. These findings have implications for future interventions on children's externalizing problems that aim at improving family cohesion and children's self-control for families exposed to childhood adversity.

Callous-Unemotional Traits in Adolescents' Daily Life: Associations with Affect and Emotional and Conduct Problems.

Intensive longitudinal methods (e.g., daily diary) inform understanding of dynamic processes by parsing within-person state-like fluctuations from stable between-person trait-like differences. In this exploratory study, we investigated whether self-reported callous-unemotional (CU) traits (callousness, uncaring) demonstrated daily fluctuations, as well as whether daily CU traits were associated with multiple forms of daily emotional and behavioral functioning. A sample of 99 adolescents (55.8% female; Mage = 14.60 years) provided baseline information and completed a naturalistic 30-day diary reporting on CU traits, positive and negative affect, and emotional and conduct problems in their daily lives. Dynamic structural equation modeling revealed that many CU traits items showed within-person autoregressive and cross-lagged links; however, there was substantial between-person variation in within-person fluctuations across items. At the subscale level, cross-day associations were observed between callousness and uncaring, conduct problems and uncaring, positive affect and callousness, negative affect and emotional problems, and emotional problems and negative affect. By harnessing intensive longitudinal data, our findings provide preliminary state-level evidence of CU traits, as well as functional information with regards to CU traits and emotional and behavioral problems in daily life. We consider the implications of our findings in terms of informing future CU traits intensive longitudinal evaluations.

A Systematic Review of the Biological Correlates and Consequences of Childhood Maltreatment and Adverse Childhood Experiences.

Childhood maltreatment (CM) and adverse childhood experiences (ACEs) are two primary forms of interpersonal victimization that have been associated with a host of deleterious health outcomes. Studies over the past decade have begun to use a range of biologically informed methods to better understand the role biology plays in the relationship between CM, ACEs, and later life outcomes. This line of research has shown that both forms of victimization occur at sensitive periods of development, which can increase the likelihood of "getting under the skin" and influence health and behavior across the life course. This review examines the current state of knowledge on this hypothesis. One hundred and ninety-nine studies are included in this systematic review based on criteria that they be written in English, use a biologically informed method, and be conducted on samples of humans. Results reveal that latent additive genetic influences, biological system functioning captured by biomarkers, polygenic risk scores, and neurobiological factors are commonly associated with exposure and response to CM and ACEs. The implication of these findings for the existing body of research on early life victimization and recommendations for future research and policy are discussed.

Capturing Hassles and Uplifts in Adolescents' Daily Lives: Links with Physical and Mental Well-Being.

Despite the salient impacts of daily experiences, scarce research has measured various daily minor experiences and evaluated their influences on adolescent well-being in their daily life. This study assessed the exposure to multiple aspects of daily hassles and uplifts in adolescents' daily lives, and examined the links between the level, types, and diversity of these exposures and adolescents' daily physical and mental well-being. Ninety-nine adolescents (12-17 years old, M = 14.6, 51.5% White, 53.5% female) completed a 30-day daily diary study. Multilevel modeling revealed different associations between the level and types of daily hassles and uplifts and adolescent well-being on the same day. Experiencing diverse daily hassles was linked with more emotional problems, and experiencing diverse daily uplifts was related with lower negative affect. The findings underscore the importance of including level, types, and diversity of both daily hassles and uplifts in research to better characterize adolescents' daily experiences. The findings also highlight the concurrent and potential cumulative effects of daily minor social events and mundane experiences in adolescent development in their daily lives.

The association between the 2D:4D ratio and psychopathic characteristics.

Prior research has identified relations between prenatal testosterone exposure and various antisocial and criminal behaviors. However, less is known about the association between prenatal testosterone exposure and personality traits, such as psychopathy. This study used self-report and biometric data from a sample of undergraduates (n = 491) at a large southwestern university to examine the association between prenatal testosterone exposure (measured by the 2D:4D ratio) and three dimensions of psychopathy (i.e., callousness, egocentricity, and antisocial behavior). Analyses were stratified by sex to explore sex-specific biological underpinnings of psychopathy in young adulthood. Results showed that males scored significantly higher in psychopathic traits and reported significantly lower 2D:4D ratios, compared to females. Additionally, 2D:4D ratios were negatively associated with egocentricity in males, but not females. These findings contribute to a growing literature on the organizational effects that prenatal testosterone exposure may have on the development of different dimensions of psychopathy.

Testosterone, cortisol, and criminal behavior in men and women.

Only two studies to date have considered the joint effects of testosterone and cortisol on direct measures of criminal behavior. The current study extends this earlier work by incorporating the direct and interactive effects of baseline hormone measures and hormone change scores in response to social stress. The current study also extends prior work by considering distinct measures of different criminal behavior types and sex differences. Analyses based on a large sample of undergraduates indicated that testosterone had a positive and statistically significant association with impulsive and violent criminal behavior. The interaction of testosterone with cortisol had a negative association with income generating crime. Simple slopes analyses of this interaction indicated testosterone had a positive association with income generating crime when cortisol was low (-1 SD). Associations between hormones and criminal behavior were not moderated by sex.

Examining the within- and between-person structure of a short form of the positive and negative affect schedule: A multilevel and dynamic approach.

Increasing research uses intensive longitudinal designs to examine antecedents and consequences associated with dynamic affective processes. These studies often rely on the Positive and Negative Affect Schedule (PANAS) to measure affect. Studies assessing the structure of the PANAS are largely cross-sectional in nature and cannot always disentangle within-person variability from between-person differences in affect. A paucity of studies examines structural similarities and differences in affect at the between- and within-person levels, and few have done so with short-form versions of the PANAS. This study investigates the multilevel factor structure of the 10-item PANAS-short-form in a sample of young adults (n = 272) measured daily consecutively over 1 month. Additionally, dynamic relations between positive and negative affect, depressive symptoms, stress, and physical symptoms were examined. Results support a three factors within and two factors between multilevel structural model. Distinct dynamic relations were observed among positive affect, negative affect, stress, and physical symptoms at the within level. Positive and negative affect were correlated with depressive symptoms, stress, and physical symptoms at the between level. Findings indicate the need to disentangle structural components of positive and negative affect when conducting intensive longitudinal studies to examine correlates linked to dynamic affective processes. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Examining the Relationship Between Victimization, Psychopathy, and the Acceptance of Rape Myths.

Rape myths are attitudes that implicitly and explicitly blame victims for their own sexual victimization. Greater adherence to rape myths is linked to several negative outcomes, including the neutralization of gender-based violence and the perpetration of sexual violence. Few studies have considered how previous life experiences and individual-level traits influence the development and greater adherence to rape myths. The current study examines how traits associated with the three-factor model of psychopathy (i.e., egocentric, callous, and antisocial dimensions) and adherence to traditional gender roles mediate the relationship between prior childhood/adolescent victimization and the acceptance of rape myths in a sample of college men and women (N = 789). Path modeling indicates that experiences of psychological victimization (before age 16) increased egocentric psychopathic traits, which then increased the acceptance of rape myths in men. In women, however, sexual victimization (before age 16) increased the acceptance of traditional gender roles, which then influenced the acceptance of rape myths. Additionally, the egocentric facet of psychopathy exerted indirect effects on the acceptance of rape myths through traditional views on gender roles in both men and women. These findings highlight the need to continue to examine egocentric personality traits in relation to the development of rape myths in adolescent and young adult populations. Directions for collegiate programming are discussed.

An exploratory analysis of testosterone, cortisol, and aggressive behavior type in men and women.

Increasing evidence indicates that the interaction between testosterone and cortisol is associated with variation in aggressive behavior. However, results are mixed. The current study further explored the association between testosterone, cortisol, and both reactive and proactive aggression in a large sample of university students. Models considered direct and interactive effects between baseline measures of testosterone and cortisol as well as change in hormones in response to a social stressor. In women, baseline cortisol had a negative direct association with reactive aggression and was further associated with reactive aggression in interaction with baseline testosterone (positive interaction). Hormones were unrelated to reactive aggression in men. Baseline cortisol had a negative direct association with proactive aggression in women. In contrast, the association between change in cortisol and proactive aggression was positive. Cortisol was not associated with proactive aggression in men. In addition, testosterone was not related to proactive aggression either directly or in interaction with cortisol in either men or women. Collectively, these results show that the association between hormones and aggression varies across aggressive behavior type and across sex.

Further Evaluation of the Associations Between Psychopathic Traits and Symptoms of PTSD and Depression in a Nonclinical Sample.

Examining psychopathic traits at the factor or facet level has revealed that various aspects of psychopathy may be differentially related, even in opposing directions, to important outcomes (e.g., intelligence, emotion regulation). Empirical work on relations between psychopathy and internalizing disorders, such as posttraumatic stress disorder (PTSD) and depression, has provided evidence for a positive association with antisocial traits. However, findings for the affective domain have been more equivocal. The current study (N = 732) sought to replicate past findings of the positive association of antisocial psychopathic traits with higher levels of PTSD and depressive symptoms, and to further explore associations between affective traits of psychopathy and these disorders using two measures of psychopathy. Results confirmed prior findings of a positive correlation between antisocial features and self-reported PTSD/Depression symptom severity, but they did not provide evidence for any association with affective traits. Future research using longitudinal designs is needed to begin establishing temporal ordering of the psychopathy-internalizing relationship.

Skin conductance, heart rate and aggressive behavior type.

The current study tested the association between physiology and aggressive behavior type in a large sample of University students (N = 509). Measures of aggression were gathered with the Reactive and Proactive Aggression Questionnaire. Analyses used raw aggressive behavior type scores and residualized measures of aggressive behavior type, which account for the overlap between reactive and proactive aggression. Measures of physiology included skin conductance and heart rate, both at rest and in response to a minor social stressor. Analyses assessed the association between aggressive behavior type and measures of physiology in the full sample and in sex specific sub-samples. Results indicated that resting skin conductance was positively associated with proactive aggression in the full sample and among females. Skin conductance in response to stress had a positive association with reactive aggression both in the full sample and among males. Skin conductance responsivity was negatively associated with proactive aggression among males. Findings further strengthen previous work suggesting that the etiologies of reactive and proactive aggression are distinct and may vary across sex.

The relationship between the MAOA-uVNTR polymorphism, delinquent peer affiliation, and antisocial behavior with a consideration of sex differences.

With the advent of new and more readily usable gene sequencing techniques, researchers have been able to examine the interactions between genes and the environment (G X E) within a multitude of scientific perspectives. One area that G X E interactions have been implicated in is the development of antisocial behavior (ASB). Antisocial behavior consists of a wide range of maladaptive behaviors and has been at the forefront of public health and mental health concerns for decades. One genetic polymorphism that has been associated with ASB is MAOA-uVNTR. Meta-analytic studies have found the low-activity MAOA-uVNTR polymorphism to be associated with ASB from early childhood through adulthood. Recently, studies have begun to examine the independent and interactive G X E relationship between MAOA-uVNTR and deviant peer affiliation on ASB. Inconsistent with the broader literature, these findings suggest an interaction between high-activity MAOA-uVNTR and deviant peer affiliation on ASB in a mixed sex sample. The current study re-examines the relationship between MAOA-uVNTR, peer delinquency, and ASB with a consideration of sex differences in 291 college participants. Findings indicate an interaction between the low-activity allele of the MAOA-uVNTR and peer delinquency in predicting ASB. Results are also specific to differences between the sexes. Implications and future research are discussed.