General health status in young people with intellectual disabilities with and without Down syndrome in, and transitioning from, special education: findings from the National Longitudinal Transitions Study-2.

BACKGROUND: There has been little prior investigation of the general health of young people with intellectual disabilities across transition, nor separately for youth with intellectual disabilities with or without Down syndrome, despite general health being a strong predictor of subsequent health service use, hospital admissions and mortality in the general population. We aimed to investigate general health status in youth with intellectual disabilities with and without Down syndrome over the transitional period and quantify the extent to which personal characteristics, parental relationship and household income are associated with general health status. METHODS: The National Longitudinal Transitions Study-2 includes a nationally representative sample of youth receiving special education services aged 13-17 years at wave 1, followed up over 10 years in five waves of data collection. Data on general health status of youth with intellectual disabilities with and without Down syndrome were obtained from parent reports. We summarised overall demographics and general health status and plotted general health status for those who had health data available for all five waves. We then used random-effects ordered logistic regression to investigate whether wave of data collection, age, sex, Down syndrome, ethnicity, parental relationship status and household income are associated with general health status. RESULTS: At wave 1, data on intellectual disabilities were available on 9008/9576 (94.1%) young people, and 871/9008 (9.7%) of them had intellectual disabilities, of whom 125/871 (14.4%) had Down syndrome. Youth with intellectual disabilities with or without Down syndrome had low rates of excellent or very good health. Across waves 1-5, there was a shallow gradient in the proportion of youth with intellectual disabilities reporting excellent/very good health, from 57.7% at 13-17 years to 52.6% at 21-25 years, being more marked for those without Down syndrome (57.8% at 13-17 years to 51.8% at 21-25 years). However, contrary to our expectations, an ordinal measure of general health status did not decline over this transitional period and did not differ between youth with and without Down syndrome. There was a gradient with higher income associated with better health, significantly so over $50 001 (odds ratio = 0.559, 95% confidence interval 0.366-0.854). Poorer health was experienced by youth with Hispanic, Latino or Spanish ethnicity (odds ratio = 1.790, 95% confidence interval 1.051-3.048). Female sex and parental relationship status were not associated with health status. CONCLUSIONS: Young people with intellectual disabilities have bad health, and require support across all ages, including transition. Schools, teachers and staff in transitional services should consider health, and health care and support during transitional planning due to change in service provision and be aware of ethnicity and the stressful effects of low household income. This is important as interventions based on provision of greater support can prevent adverse consequences.

A national study of Chinese youths' attitudes towards students with intellectual disabilities.

BACKGROUND: In recent years, there has been a global effort to support the inclusion of students with intellectual disabilities (ID) in schools and classrooms. China in particular has recently enacted laws that provide for inclusive educational opportunities for students with ID. There are many barriers, however, to successfully including students with ID in regular education schools and classrooms, one of which is negative attitudes. Over the past decade, much research has focused on documenting the attitudes of the adult public; however, adults only represent one segment of society as it is youth who play a critical role in the successful inclusion and acceptance of students with ID in schools and classrooms. The aim of this study was to replicate a previous study of middle school-aged youths' attitudes towards the inclusion of peers with ID conducted with youth in the USA with similar aged youth in China. METHODS: A survey was conducted with a random sample of 4059 middle school-aged youth in China on their attitudes towards students with ID. Students' attitudes were measured in terms of their perceptions of the capabilities of students with ID, their beliefs about and expectations regarding the inclusion of students with ID and their willingness to interact with students with ID both in and out of school. RESULTS: The findings indicated that youth in China (1) perceive students with ID as moderately, rather than mildly, impaired; (2) believe that students with ID can not participate in their academic classes; (3) view inclusion as having both positive and negative effects on them personally; and (4) do not want to interact with a peer with ID in school, particularly on academic tasks. Structural equation modelling showed that youths' perceptions of the competence of students with ID significantly influenced their willingness to interact with these students and their support of inclusion. CONCLUSIONS: The findings replicated previous research conducted with middle school-aged youth in the USA and are discussed from a cultural perspective and in terms of the current special education policies and practices in China.

Social perception in children with intellectual disabilities: the interpretation of benign and hostile intentions.

A key aspect of social perception is the interpretation of others' intentions. Children with intellectual disabilities (IDs) have difficulty interpreting benign intentions when a negative event occurs. From a cognitive processing perspective, interpreting benign intentions can be challenging because it requires integration of conflicting information, as the social cues accompanying the negative event convey non-hostile intentions. The present study examined how children with ID process conflicting social information in a more diverse set of situational circumstances than was investigated previously, including situations involving hostile intentions. We hypothesised that when conflicting information in a social situation consists of mixed social cues that convey insincere benign intentions (a type of hostile intentions), children with ID would have difficulty arriving at an accurate interpretation, just as they do when a negative event is accompanied by cues that convey benign intentions. We also hypothesised that when a negative event is accompanied by cues that convey benign intentions, the presence of a highly salient negative event would pose added interpretation difficulty for these children. Methods Participants (58 children with ID and 189 children without ID in grades 2-6) viewed 13 videotaped vignettes. In each vignette, social cues that accompanied a negative event provided information about the intentions of the character that caused the event. After presenting each vignette, we asked the child questions designed to assess aspects of social perception, including his/her interpretation of intentions. Vignettes represented three types of situations that pose conflicting information: (1) a conflict between a negative event and social cues, which conveyed benign intentions (five items); (2) the presence of conflicting social cues that conveyed insincere benign intentions (four items); and (3) additional items designed to examine the effect of the salience of negative event and cues on accurate interpretation of benign intentions (four items). Teachers completed rating scales of social behaviour, enabling us to examine whether the ability to interpret intentions when conflicting information is present is related to children's social behaviour. Results Children with ID had lower interpretation accuracy than children without ID for all three social situations that presented conflicting information. Children with ID appeared to have particular difficulty interpreting benign intentions when a negative event (but not the social cue) was made salient. For children with ID, interpretation accuracy and teacher-rated social behaviour were related. Conclusions Results demonstrated that the presence of conflicting information poses cognitive processing challenges in a variety of social situations, making it difficult for children with ID to arrive at accurate interpretations. Children with ID were less likely than children without ID to interpret intentions accurately, not just when the social cues conveyed benign intentions, but also when mixed social cues conveyed hostile intentions. In addition, when social cues accompanying a negative event convey benign intentions, the relative salience of the negative event and the cues can affect interpretation accuracy for children with ID. Discussion focuses on implications for understanding the cognitive component of the social domain of adaptive behaviour, for explaining gullibility in children with ID and for instructional practices.

Mild hypoxia disrupts recollection, not familiarity.

Yonelinas et al. (2002) found that hypoxic patients exhibited deficits in recollection that left familiarity relatively unaffected. In contrast, Manns, Hopkins, Reed, Kitchener, and Squire (2003) studied a group of hypoxic patients who suffered severe and equivalent deficits in recollection and familiarity. We reexamine those studies and argue that the discrepancy in results is likely due to differences in the hypoxic groups that were tested (i.e., differences in amnestic severity, subject sampling methods, and patient etiology). Yonelinas et al. examined memory in 56 cardiac arrest patients who suffered a brief hypoxic event, whereas Manns et al. examined a group of severely amnesic patients that consisted of 2 cardiac arrest patients, 2 heroin overdose patients, 1 carbon monoxide poisoning patient, and 2 patients with unknown etiologies. We also consider an alternative explanation proposed by Wixted and Squire (2004), who argued that the two patient groups suffered similar deficits, but that statistical or methodological artifacts distorted the results of each of Yonelinas et al.'s experiments. A consideration of those results, however, indicates that such an explanation does not account for the existing data. All of the existing evidence indicates that recollection, but not familiarity, is disrupted in mild hypoxic patients. In more severe cases of hypoxia, or those with more complex etiologies such as heroin overdose, more profound deficits may be observed.

Separation anxiety in parents of adolescents: theoretical significance and scale development.

Parents of adolescents commonly face separation-related issues associated with children's increasing independence and imminent leave-taking. The aims of this investigation were (1) to develop a reliable and valid measure of parental emotions associated with separation and (2) to validate the measure by relating it to other attributes (attachment relationship quality, parent-child communication, and parent-adolescent differentiation) assessed in mothers, fathers, and their adolescents. The newly constructed, 35-item Parents of Adolescents Separation Anxiety Scale (PASAS) was administered to 686 parents of teenagers in grades 6, 8, 10, and 12 or college-bound freshmen and seniors. Factor analyses supported formation of two subscales: Anxiety about Adolescent Distancing (AAD) and Comfort with Secure Base Role (CSBR); both subscales showed distinctive patterns of change with child age. Parents' reports indicated that healthy adult attachment styles were associated with lower AAD and higher CSBR scores; children of parents who had higher AAD scores reported lower quality of attachment to both mothers and fathers.

Sample Size in Factor Analysis: The Role of Model Error.

This article examines effects of sample size and other design features on correspondence between factors obtained from analysis of sample data and those present in the population from which the samples were drawn. We extend earlier work on this question by examining these phenomena in the situation in which the common factor model does not hold exactly in the population. We present a theoretical framework for representing such lack of fit and examine its implications in the population and sample. Based on this approach we hypothesize that lack of fit of the model in the population will not, on the average, influence recovery of population factors in analysis of sample data, regardless of degree of model error and regardless of sample size. Rather, such recovery will be affected only by phenomena related to sampling error which have been studied previously. These hypotheses are investigated and verified in two sampling studies, one using artificial data and one using empirical data.

Influences on parent perceptions of inclusive practices for their children with mental retardation.

Influences on parent perceptions regarding the practice of integrating students with significant cognitive disabilities into general education classrooms were examined. Findings confirmed that perceptions were significantly influenced by characteristics of the parent and the child as well as by factors associated with the child's placement history. Further, factors influencing these perceptions differed according to varying dimensions of inclusion being considered. We argue that the efficacy of any specific type of educational model cannot be determined without a consideration of the complex dynamics involved in the interplay between individual child characteristics, parent and family values, and the perceived role of the school.

Ruminations on aging changes in mental abilities and their heritability: comment on Finkel, Pedersen, Plomin, and McClearn (1998).

The Swedish Adoption/Twin Study of Aging is a semilongitudinal study of the aging of mental abilities in monozygotic and dizygotic twins. In the article by D. Finkel, N. L. Pedersen, R. Plomin, and G. E. McClearn (1998), data from 602 individuals were used to investigate developmental changes on 14 measures of mental ability as well as changes in the heritability of these abilities. This commentary details a number of problems with the design and analysis of data reported by Finkel et al., problems that leave the results difficult to interpret, and then provides suggestions for more fruitful approaches for analyzing data from such studies in the future.

Measuring problem behaviors in children with mental retardation: dimensions and predictors.

Scores from the Child Behavior Checklist (CBCL; Achenbach, 1991a) and the Client Development Evaluation Report (CDER; California Department of Developmental Services, 1980) for 67 children and adolescents with mental retardation were examined to evaluate the factorial validity of the instruments. Four factor analyses were conducted. The initial factor analysis of CBCL data failed to confirm the presence of the five first-order factors previously reported for the CBCL standardization sample (Achenbach, 1991b). Second, the higher-order factors of Externalizing and Internalizing behaviors, similar to the structure reported for the CBCL standardization sample (Achenbach, 1991b), were confirmed on the present sample. Third, the two CDER factors of Personal Maladaption and Social Maladaption, previously identified by Widaman, Gibbs, and Geary (1987), were also confirmed. Finally, a higher-order factor analysis of the two factor scores from the CBCL and two factor scores from the CDER was conducted to study the congruence between the CBCL Externalizing and CDER Social Maladaption dimensions, and between the CBCL Internalizing and CDER Personal Maladaption factors. Moderate levels of congruence were found. Next, child characteristics, including level of mental retardation, age, and four dimensions of adaptive behavior, were used as predictors of problem behavior. No child characteristics were significantly related to the CBCL Externalizing dimension, but child age and level of mental retardation were significant predictors of the CBCL Internalizing dimension. CDER Cognitive Competence predicted CDER Social Maladaption, and child age predicted CDER Personal Maladaption. The findings are discussed in relation to previous studies of problem behaviors of children and adolescents with mental retardation.

A production task evaluation of individual differences in mental addition skill development: internal and external validation of chronometric models.

A production task paradigm for obtaining reaction times to mental addition stimuli was used for internal and external validation of chronometric models of mental addition processing. The first analysis explored the internal validity of extant chronometric models and found that three models, (a) a tabular memory network retrieval strategy (PRODUCT), (b) a nontabular memory network retrieval strategy (ERROR RATE), and (c) a computational strategy (MIN), were able to encompass individual differences in strategy choice for 155 individuals from Grades 2 to 8 and 111 college students. Patterns of convergent and discriminant validity for these models were also demonstrated. The second analysis explored the external validity of relations among (a) two traditionally measured factor analytic dimensions of ability, Numerical Facility and Perceptual Speed; (b) two information processing dimensions presumed to underlie mental addition. Addition Efficiency and Speediness; and (c) a digit-span measure of Short-Term Memory. We specified a series of two-group (grade school and college) structural equation models to represent the relations among all measures and showed that individual differences in the apparently calculative processes that underlie the traditionally defined ability dimension of Numerical Facility are highly related to individual differences in Addition Efficiency and Speediness of information processing.

Construct validity of dimensions of adaptive behavior: a multitrait-multimethod evaluation.

The construct validity of four dimensions of adaptive and maladaptive behavior was investigated using the multitrait-multimethod matrix procedure of Campbell and Fiske (1959). Measures of four traits--cognitive competence, social competence, social maladaption, and personal maladaption--were obtained on a sample of 157 persons with moderate, severe, or profound mental retardation using each of three methods of measurement--standardized assessment instrument, day shift staff ratings, and evening shift staff ratings. Applying the Campbell and Fiske rules of thumb and recently proposed structural equation modeling techniques to the data demonstrated strong convergent validity, clear discriminant validity, and only moderate levels of method variance in the observed measures. Implications of the results for the assessment of adaptive behavior and its dimensional structure were discussed.

Common Factor Analysis Versus Principal Component Analysis: Differential Bias in Representing Model Parameters?

The aim of the present article was to reconsider several conclusions by Velicer and Jackson (1990a) in their review of issues that arise when comparing common factor analysis and principal component analysis. Specifically, the three conclusions by Velicer and Jackson that are considered in the present article are: (a) that common factor and principal component solutions are similar, (b) that differences between common factor and principal component solutions appear only when too many dimensions are extracted, and (c) that common factor and principal component parameters are equally generalizable. In contrast, Snook and Gorsuch (1989) argued recently that principal component analysis and common factor analysis led to different, dissimilar estimates of pattern loadings, terming the principal component loadings biased and the common factor loadings unbiased. In the present article, after replicating the Snook and Gorsuch results, an extension demonstrated that the difference between common factor and principal component pattern loadings is inversely related to the number of indicators per factor, not to the total number of observed variables in the analysis, countering claims by both Snook and Gorsuch and Velicer and Jackson. Considering the more general case of oblique factors, one concomitant of overrepresentation of pattern loadings is an underrepresentation of intercorrelations among dimensions represented by principal component analysis, whereas comparable values obtained using factor analysis are accurate. Differences in parameters deriving from principal component analysis and common factor analysis were explored in relation to several additional aspects of population data, such as variation in the level of communality of variables on a given factor and the moving of a variable from one battery of measures to another. The results suggest that principal component analysis should not be used if a researcher wishes to obtain parameters reflecting latent constructs or factors.

Multitrait-multimethod models in aging research.

The multitrait-multimethod matrix is a versatile tool for structuring the design and analysis of studies in many areas of psychology, including the aging of psychological processes. The basic goal for which the multitrait-multimethod matrix was developed is the establishment of the construct validity of measures. With newer forms of analyzing multitrait-multimethod data, particularly those using structural equation modeling, it is possible to specify models and employ model comparisons for an even broader goal: the more adequate generalization of conclusions across the facets included in the study. Topics addressed in this paper include the design of multitrait-multimethod studies, the specification of an array of structural models for such data, model comparisons that allow the estimation of the degree of convergent validity, discriminant validity, and method variance exhibited by a set of measures, and the extension of structural models to more than a single group, which allows the testing of questions regarding means, as well as the traditional tests of differences in variance and covariance. The procedures discussed are then explicated by describing the representation of data from a hypothetical four-group study of memory employing a form of design that is common in research on aging. Strengths and weaknesses of the structural modeling approach to the analysis of multitrait-multimethod data are discussed.

Differences in adolescents' self-concept as a function of academic level, ethnicity, and gender.

The relations of dimensions of self-concept of adolescents with their academic level, ethnicity, and gender were investigated. A self-concept inventory assessing 11 aspects of self-concept was administered to a sample of 1,140 eight-grade students stratified with regard to academic level (regular class, educationally marginal, learning handicapped), ethnicity (white, black, and Hispanic), and gender. Results showed that regular class students had higher levels of self-concept on most scales than did students who were educationally marginal or learning handicapped; the latter two groups showed few differences. Black students had higher self-concept ratings than did white and Hispanic students on most scales. An interaction on two academically related dimensions of self-concept revealed that white students who were educationally marginal had the lowest level of academic and verbal self-concept. Implications of the results for theories of self-concept formation were discussed.

Validation of the parenting style survey for parents of children with mental retardation.

A validation study was performed in order to assess the content, construct, and criterion-related validities of the Parenting Style Survey, an instrument assessing parental behavior in families with a child who has mental retardation. Subjects were the primary careproviders of 29 individuals with moderate mental retardation. Data corroborating the validity of the Parenting Style Survey were derived from home visits, individuals experienced in developmental psychology, careproviders for individuals with mental retardation, and the Family Environment Scale (Moos, 1974). The Parenting Style Survey is a reliable and valid measure of parenting behaviors for individuals who have a child with mental retardation living at home.

Expectancy models of alcohol use.

The primary goal of the present article is to compare expectancy models with competing attitude models of alcohol use. First, several methodological issues in expectancy research were addressed, to more adequately compare the theoretical models. Study 1 examined the effect of possible self-report biases on associations among expectancy constructs and alcohol use. In Studies 2 and 3, the basic distinction between general factors of positive and negative alcohol expectancies was investigated in both cross-sectional and prospective models. Alternative predictions that were based on competing expectancy and attitude theories were evaluated primarily in Study 3. Results from these studies supported the validity of the expectancy constructs and the proposed distinctions among expectancy and attitude constructs-in terms of strong discriminant validity, absence of self-report bias, and differential prediction of alcohol use. Furthermore, the findings favored certain expectancy models over alternative attitude models of alcohol use, reaffirming the usefulness of the expectancy framework.