Compulsive Internet Use Scale for assessment of self-reported problematic internet use in primary school-aged children.

Introduction: The tremendous growth of internet use during past few decades has been primarily led by young people. Despite a plenitude of studies reporting the pros and cons of excessive internet use by adolescents, the internet use of primary school-aged children is under-researched. First, there is lack of reliable and valid cultural invariant self-report instruments for children younger than 11-years-old. Secondly, there is no consensus on whether primary school-aged children can reliably report on their internet use. This study aimed to examine the psychometric properties of the Compulsive Internet Use Scale (CIUS) as reported by primary school-aged children in three different countries/regions. Methods: Paper-pencil format CIUS questionnaires were completed by a total of 691 children aged 8 to 10 years old, 236 of them Latvian, 207 Lithuanian, and 248 Taiwanese, as well as by one of their parents, at two-time points, separated by a one-year interval. The parents also reported on the child's emotional and behavioral difficulties. Methods: Confirmatory factor analysis indicated that for the child self-report, a 10-item CIUS showed the best fit and good psychometric properties: solid structural validity; very good internal consistency; appropriate stability and predictive validity after 1 year; as well as sound sensitivity and specificity when compared to the 14-item CIUS parent-report form. Child self-report CIUS ratings correlated with time online reported by the child and parent and with emotional and behavioral problems reported by the parent. Discussion: This study indicates that children as young as 8-10 years old can reliably and consistently provide valuable information on their problematic use of the internet.

The effects of nature-based interventions on individuals' environmental behaviors: protocol for a systematic review of controlled trials.

Background: The paper presents the rationale and methods of the planned systematic review to understand the effects of nature-based interventions on individuals' environmental behaviors. There is ample evidence that experiences in nature not only enhance human well-being but also help promote people's pro-environmentalism. Nevertheless, synthesized evidence regarding the effects of nature-based interventions on individuals' environmental behaviors is lacking. Methods: This protocol follows the Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines. The planned literature search will be conducted by using APA PsycInfo, APA PsyArticles, PubMed, ERIC, Education Source, GreenFILE, OpenDissertations, Scopus, and WEB of Science. In the protocol, we present search strategies for each specific database. Data items that we will seek to obtain from the selected publications are described in detail and cover general information about included studies, information about studies' methodology and participants, outcomes of the studies, and nature-based and comparative interventions. The outcomes will be behavioral, including aggregated and specific types of environmental behaviors, as well as reported and observed behaviors. Furthermore, the protocol provides a description of the prospective assessment of the risk of bias in both randomized and non-randomized studies. If studies appear sufficiently homogeneous, we will conduct a meta-analysis using the inverse-variance method. Details of the data synthesis are likewise provided in the paper. Results: Dissemination of the results of the planned review will be carried out via a peer-reviewed open-access journal publication. Implications: Given the great need to address current environmental issues, understanding what encourages people to act pro-environmentally is critical. It is expected that the findings of the planned review will provide valuable insights for researchers, educators, and policymakers who are involved in understanding and promoting human environmental behaviors.

Love and affectionate touch toward romantic partners all over the world.

Touch is the primary way people communicate intimacy in romantic relationships, and affectionate touch behaviors such as stroking, hugging and kissing are universally observed in partnerships all over the world. Here, we explored the association of love and affectionate touch behaviors in romantic partnerships in two studies comprising 7880 participants. In the first study, we used a cross-cultural survey conducted in 37 countries to test whether love was universally associated with affectionate touch behaviors. In the second study, using a more fine-tuned touch behavior scale, we tested whether the frequency of affectionate touch behaviors was related to love in romantic partnerships. As hypothesized, love was significantly and positively associated with affectionate touch behaviors in both studies and this result was replicated regardless of the inclusion of potentially relevant factors as controls. Altogether, our data strongly suggest that affectionate touch is a relatively stable characteristic of human romantic relationships that is robustly and reliably related to the degree of reported love between partners.

Could Belief in Fake News Predict Vaccination Behavior in the Elderly?

Willingness to get a vaccine was important during the COVID-19 pandemic. Previous studies suggest that vaccine hesitation during the pandemic could have been related to truth discernment, belief in information, exposure to misinformation, attitudes to vaccines, and conspiracy beliefs. Previous studies were mostly with younger adults, and studies with older adults are lacking. This study aimed to analyze the relationship between the trust or belief in fake online news (print news was not included), truth discernment, attitudes, and willingness to be vaccinated during the COVID-19 pandemic while controlling for some significant factors/variables that could affect vaccination in a sample of older adults. There were 504 pre-retirees and retirees participating in this study. Participants from Lithuania age ranged from 50 to 90 years old (M = 64.37, SD = 9.10), 58.3 percent were females. Results from several path models predicting the participants willingness to get a vaccine suggested that stronger conspiracy beliefs and skeptical attitudes toward vaccination would be related to lower willingness to get vaccinated. Participants who disbelieved in the headlines were already vaccinated. Therefore, it seems that discernment (the ability to distinguish which information is true and which is not) is not related to the willingness to vaccinate.

Unmet Healthcare Needs Predict Depression Symptoms among Older Adults.

Risk factors for depression in older adults include significant interpersonal losses, increasing social isolation, and deteriorating physical abilities and health that require healthcare. The effects of unmet healthcare needs on depression in older adults are understudied. This study aimed to analyze the association between unmet healthcare needs and symptoms of depression, sleep, and antidepressant medication while controlling for other significant factors among older adults. For this study, we used a multinational database from The Survey of Health, Ageing and Retirement in Europe (SHARE), containing data of individuals aged 50 and older. The final sample used in this research consisted of 39,484 individuals from 50 to 100 years (mean - 71.15, SD ± 9.19), 42.0 percent of whom were male. Three path models exploring relationships between symptoms of depression at an older age and unmet healthcare needs were produced and had a good model fit. We found that unmet healthcare needs were directly related to depression, activity limitations were related to depression directly and through unmet healthcare needs, whereas financial situation mostly indirectly through unmet healthcare needs. We discuss how depression itself could increase unmet healthcare needs.

A tailored Internet-delivered modular intervention based on cognitive behavioral therapy for depressed older adults: a study protocol for a randomized controlled trial.

BACKGROUND: Depression is most common among the elderly and is associated with major impairment. With limited accessible treatments available, remotely provided interventions are needed. Internet-based interventions have been proven effective for a number of mental and somatic health problems. However, the elderly population has received relatively limited attention in previous studies. This study aims to address this gap by investigating the effectiveness of a tailored Internet-delivered modular intervention based on cognitive behavioral therapy (CBT). METHODS: A minimum of 60 participants will be recruited and randomly assigned to groups in a two-armed parallel controlled trial with a waiting list. The intervention group will have access to an 8-week therapist-supported modular intervention. The waiting list group will be instructed to wait for 8 weeks and then granted access to the intervention for 8 weeks. Pre, post, and 3-, 12-, and 24-month follow-up assessments are planned for measuring changes in depression symptoms, anxiety symptoms, and psychological well-being using PHQ-9, GDS, GAD-7, and WHO-5. Primary outcomes of all the participants will be analyzed using the intention-to-treat principle, and within- and between-group effect sizes will be calculated. DISCUSSION: Internet-based interventions could help address the existing treatment gap for depressed older adults. However, to date, the effectiveness of Internet-based CBT (ICBT) for depressed older adults has only been tested in a few studies. This trial will demonstrate if Internet-based CBT is effective for this population when compared to a waiting list control. Further analysis of secondary outcomes and participant behavior in the intervention will potentially reveal effectiveness moderating factors. TRIAL REGISTRATION: ClinicalTrials.gov NCT04728204. Registered on 15 January 2021. https://www.clinicaltrials.gov/ct2/show/NCT04728204?term=NCT04728204&draw=2&rank=1.

Children's Internet Use Profiles in Relation to Behavioral Problems in Lithuania, Latvia, and Taiwan.

This study explored the profiles of elementary-school-aged children's Internet use in relation to their emotional and behavioral problems. Participating in this cross-sectional study were 877 child-parent dyads from Latvia, Lithuania, and Taiwan. Children (8-10 years old) provided information on three variables: the amount of time they spent online, frequency of online activities, and knowledge of how to do things online. Latent profile analysis including these three variables provided a four-class solution for child Internet use. A comparison between Latvia, Lithuania, and Taiwan on the percentage of the sample distribution in each class showed that there was no difference between sites for the high class (high ratings on all three variables). The largest differences were for the low and average classes (low and average ratings on all three variables, namely, time online, frequency, and knowledge): the Lithuanian and Taiwanese samples were similar in that a higher percentage of each sample was in the low class, whereas the Latvian sample had children equally distributed between the low class and the average class. Analysis of the data from the entire sample for differences in parent-reported child behavioral difficulties suggested that children in the high class had an elevated level of behavioral problems and compulsive Internet use.

Patients' resilience and distress over time: Is resilience a prognostic indicator of treatment?

BACKGROUND: Resilience is a positive adaptation or the ability to maintain mental health despite experiencing difficulty. Many researchers are linking resilience with many aspects of life, most often with better mental health. Resilience can affect health status and symptoms, but conversely, it can also be affected by health status or symptoms. From the literature it appears that resilience can even be a predictor of psychiatric symptoms. Resilience can predict severity of symptoms, but the question is whether symptoms can also affect resilience over time when previous levels of resilience are controlled for. The aim of this study was to explore the relationship of resilience scores and the expression of distress in the context of treatment over time. METHODS: Ninety-five patients diagnosed with affective and anxiety disorders from a clinical sample treated psychotherapeutically with (N=81) or without (N=14) a pharmacological treatment at a psychotherapy day center participated in the study. All the participants were assessed three times: at the beginning of the treatment, after treatment (after 6weeks), and after a follow-up interval of 6months after the end of therapy. The Resilience Scale for Adults and the Clinical Outcomes in Routine Evaluation Outcome Measure were used in the study. RESULTS: All distress indicators were expressed more before the treatment compared to right after the treatment or half a year after the treatment. Distress indicators were more stable from Time 1 to Time 2, while from Time 2 to Time 3 they were less stable. In this study, resilience increased during the treatment and stayed stable after the treatment. Looking at bidirectional relationships between distress indicators and resilience over time, the results of this study suggest that levels of resilience have a prognostic value for the reduction of symptoms over the course of treatment. However, decrease in distress does not predict increase in resilience. CONCLUSIONS: Levels of resilience measured by RSA scores seem to have a certain prognostic value for the reduction of symptoms over the course of treatment. Perception of self was the strongest predictor of lower levels of distress over time when distress and perception of self-stability are controlled for. Results suggest that decreased distress indicators are not directly related to increasing resilience over six weeks or over six months. Considering that resilience is rather stable over time and indicators are less stable, it is possible that resilience could be increased by personal or environmental factors, and a decrease in distress is not a contributing factor. In this study distress decreased over time, while resilience characteristics increased for the whole sample. Patients in this study underwent treatment, and decreases in global distress were a result of treatment. An increase in resilience over time supports the effectiveness of treatment. However, there were no significant differences between treatment types while evaluating models. Results suggest that treatments (psychotherapy or psychopharmacological with psychotherapy) were equally effective for the chosen patients.

Developmental trajectories of mother reported regulatory problems from toddlerhood to preschool age.

Developmental trajectories of mother-reported regulatory problems of typically developing children from age one and a half to four years old and possible predictors of various trajectories are analyzed in this study. Participants were 281 children born as full-term babies and their mothers. The attention and behavior regulation (ABR) problems and emotion regulation (ER) problems scales derived from maternal ratings on CBCL/1½-5 were used. Also, data on the neonate's functioning, problem behaviors in infancy, maternal postpartum depressiveness, SES, maternal self-efficacy, and parenting practices were gathered prospectively at different time points and were analyzed as factors of regulatory problems. The latent class analysis for ABR problems over time suggested a 4-class solution: 35% of children were classified as having stable low, 27.6% - stable medium, 22.6% - decreasing and 14.1% - stable high levels of problems. Analysis of ER problems suggested a 3-class solution: 65% showed stable low, 25.1% - decreasing and 9.2% - increasing level of problems. Results showed the significance of maternal self-efficacy in predicting mother-rated emotional and behavioral regulation problems. Young maternal age and non-marital status resulted as risk factors for ABR problems, and lower maternal education differentiated the increasing from decreasing ER problems trajectories. Maternal depressiveness was found to be an additional risk factor for stable high ABR problems as opposed to decreasing trajectory, and lower scores of supportive responses predicted increasing vs. decreasing ER problems. Apgar scores were added only for high vs. medium ABR problems, and behavior problems in infancy for increasing vs. low ER problems trajectory in the study sample. Female gender was a stable predictor for a trajectory of low ABR problems. Early risk factors related with high ABR problems or increasing ER problems trajectories that may be important targets for intervention practices as well as further research are discussed.

Resilience in a reborn nation: Validation of the Lithuanian Resilience Scale for Adults (RSA).

BACKGROUND: Resilience, as an ability to withstand or rebound from crisis or adversity, is becoming an increasingly significant concept in health promotion and well-being. Individuals exhibiting resilience use skills or resources flexibly to solve situational demands. The Resilience Scale for Adults (RSA) may be used to assess protective resources, and the aim of the present study was to validate the Lithuanian translation. METHODS: The translated RSA was administered to a clinical (n=125) and a non clinical sample (n=499) to examine the discriminant validity of the RSA items with a confirmatory factor analysis, the internal consistency as well as construct validity by correlating it with the Quick Psycho-Affective Symptoms Scan (QPASS). RESULTS: The internal consistency, the test-retest stability and the factor structure were replicated as adequate, thus indicating good psychometric properties and support of discriminant validity. Females reported more resilience resources for the domains of social competence, family cohesion and social resources compared to men. The RSA subscales correlated negatively with the QPASS scores, and patients reported significantly less resilience resources than non-patients, thus indicating construct validity. CONCLUSIONS: Valid psychometric tools for research purposes and routine every-day use are urgently needed in Lithuania, a young nation still under numerous challenges due to social, economic and political transitions. The RSA represents a reliable and valid tool for assessing protective factors. Assessing resilience factors may extend the understanding of factors relevant for mental health problems as well as treatment prognosis beyond the capabilities of mere symptom oriented approaches.

Translating the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM) into Lithuanian.

BACKGROUND: There are no standardized tools in Lithuanian feasible for ongoing routine use to measure the effectiveness of psychotherapeutic treatment. The CORE-OM is a widely used 34-item self-report measure for such purpose. AIMS: To explore the reliability, validity and sensitivity of the Lithuanian translation of CORE-OM questionnaire. METHODS: A validation study of the CORE-OM was conducted in the psychiatric clinic attached to Vilnius University. A Lithuanian translation of the English original CORE-OM was prepared by a team of translators. Then 39 psychotherapy outpatients and 187 students were asked to complete the Lithuanian version of the CORE-OM; 66 were tested twice to determine test-retest stability. Analysis included both internal and test-retest reliability, acceptability, influence of gender, principal component analysis and criteria for reliable and clinically significant change. RESULTS: Internal and test-retest reliability were good (0.61-0.94), though somewhat lower for the risk domain (α: 0.57-0.79, Spearman's rho 0.25-0.60). Differences between scores of the clinical and non-clinical samples were large and significant (P < 0.001). Some of the Lithuanian criteria for clinically significant change were a bit lower than those of the original UK criteria (e.g. well-being) and others higher (symptoms, functioning, overall score), illustrating the need for local exploration. CONCLUSIONS: In spite of small differences in psychometric properties from the original, the Lithuanian version of the CORE-OM was reliable and sensitive in both clinical and non-clinical settings. It has the potential to become a practical, sensitive and reliable tool for psychotherapists in Lithuania.

Directions of effects between adolescent psychopathic traits and parental behavior.

The present study examined the directions of effects between adolescent psychopathic traits and parental behaviors. The data are from a community-based cohort-sequential study. Data were collected annually over 4 years. Participants were 875 adolescents, aged 13-15 at Time 1, and we analyzed their reports of negative and positive parental behavior, delinquency, and psychopathic traits. In results from cross-lagged models, adolescent psychopathic traits predicted changes over time in all of the parental behaviors at nearly all of the time intervals, whereas the prediction from parental behaviors to psychopathic traits was inconsistent across parenting measures and time intervals. These findings suggest that parental behavior is more a reaction than a predictor of psychopathic traits in adolescence.

Parental monitoring and youth behavior problems: moderation by callous-unemotional traits over time.

Prior research suggests that parents' monitoring behaviors are related to the conduct problems of children but not to the conduct problems of children with callous-unemotional traits. However, these studies have been cross-sectional. The present short-term longitudinal study investigates the bidirectional influences of parental monitoring and youth problem behaviors, while also examining the potential moderating influence of callous-unemotional traits. We assessed adolescents (Mean age = 14.5 years; SD = 1.8) and parents at two time points. Youths reported their callous-unemotional traits and delinquency, while parents reported their child's conduct problems, and their parenting behaviors to track and control their child's activities. We found support for a child-driven change in parents' monitoring behaviors over time. Specifically, children with high callous-unemotional traits had parents who reduced their monitoring behaviors over time, and their different types of monitoring behaviors were less synchronous over time. In addition, parents of youths with high callous-unemotional traits showed a trend toward not being stable in their surveillance efforts over time. Moreover, greater behavioral control for youths high on callous-unemotional traits did not lead to parents' greater knowledge about their youths. In fact, having less knowledge was related to decreases in parental control, when youths were high on callous-unemotional traits. The present study supports the importance of personality in shaping how parents actively monitor their children.

Who shapes whom in the family: reciprocal links between autonomy support in the family and parents' and adolescents' coping behaviors.

Coping research has neglected the study of the reciprocal links between parents' and adolescents' coping behaviors and the potential influence of parental support for the development of adolescent autonomy. This study, therefore, analyzed the coping behaviors of fathers, mothers, and children (53% females) in 196 families who participated in a four-year longitudinal study that started when the child was an early adolescent. The results of cross-lagged panel design models examining direct links between parents' and their children's coping styles suggested that parents and children do not affect each others' abilities to cope with family stress over time. However, indirect relationships between parents' and children's coping styles via autonomy support in the family were found. Both the parents' and adolescents' perceptions of autonomy support in the family were important in shaping their respective coping styles. The child's individual characteristics (e.g., gender and physical maturity) had a greater influence on the fine-tuning of mothers' coping behaviors than on the fathers'. The findings underscore the significance of autonomy-enhancing parent-child interactions for the development of adolescent coping.

Comparing differential responses within child protective services: a longitudinal examination.

This study examines the efficacy of a family differential response program to lower rates of (1) reentry into child protective services (CPS) and (2) child removal. Data were collected over 20 months from one region of British Columbia, Canada. Comparisons between family development response (FDR) and cases assigned to regular investigation (INV) suggest that FDR does not decrease recidivism to CPS. However, fewer children in the FDR group were removed than children in the INV group.

Cross-cultural comparisons of child-reported emotional and physical abuse: rates, risk factors and psychosocial symptoms.

OBJECTIVES: This study was designed to assess the incidence of child emotional and physical abuse, associated risk factors and psychosocial symptoms in a cross-cultural comparison between post-communist bloc countries. METHOD: One-thousand one-hundred forty-five children ages 10-14 from Latvia (N = 297), Lithuania ( N = 300), Macedonia (N = 302), and Moldova (N = 246) participated in the study. They completed questionnaires assessing their experience of emotional or physical abuse, and provided information about family risk-factors and psychosocial symptoms, including PTSD-related symptoms. RESULTS: Incidence rates of maltreatment differed by country, as did levels of reported psychosocial symptoms. Incidence of emotional and physical abuse differed by region, with higher levels of abuse reported in the rural regions. In all four countries, a similar association between emotional/physical abuse and psychosocial symptoms was found, with the uniformly largest correlation between emotional abuse and anger. When examining the combined scores of emotional and physcial abuse, even higher correlation's were found, particularly in relation to anger and depression. In all four countries, parental overuse of alcohol was associated with emotional and/or physical abuse. CONCLUSIONS: Findings show differences by country in child-reported levels of emotional and physical abuse, but similar patterns of correlation with psychosocial symptoms and the risk factors of parental alcohol overuse and living in a rural area.