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An Exploratory Study of Obsessive-Compulsive Behavior and School Problems Associated with Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) 儿童急性发作性神经精神综合征(acute onset Neuropsychiatric Syndrome, PANS)与强迫行为和学校问题相关的探索性研究
Q2 Social Sciences Pub Date : 2023-10-03 DOI: 10.1080/15377903.2023.2263391
Maura A. Miglioretti, Ara J. Schmitt, Kara E. McGoey, M. Tina Benno
AbstractPediatric acute-onset neuropsychiatric syndrome (PANS) is an increasingly studied disorder that has been linked to negative neuropsychiatric outcomes, with the most frequently cited consequence being rapid onset of obsessive-compulsive symptoms. Little is known, however, about the educational impacts of this disorder on school-aged children. This study aimed to learn (1) what school-related problems do parents report in children with PANS?; (2) with what frequency do school-aged children with PANS receive formal special services at school?; (3) what types and severity of obsessions and compulsions are exhibited by school-aged children with PANS?; and (4) does OCD symptom severity classification predict the presence of a school special service plan? Parents (n = 208) of children with PANS participated in this study by completing a survey that included the Children’s Yale-Brown Obsessive-Compulsive Scale Parent Report (CY-BOCS-PR) and additional questions regarding child school performance and participation in formal special services at school. Anxiety and inattention, among a variety of other school-based problems, are reported at school in this population. Approximately 60% of the children received some form of school special services across their educational career. A variety of mild to severe obsessive-compulsive behaviors were reported in the children, though the severity of those behaviors did not predict the existence of a school special services plan. School psychologists must be prepared to evaluate children with PANS and recommend evidence-based interventions.Keywords: PANSOCDschool problemsspecial services Disclosure statementNo potential conflict of interest was reported by the author(s)
【摘要】小儿急性发作神经精神综合征(PANS)是一种越来越被研究的疾病,它与负面的神经精神预后有关,最常被引用的后果是快速发作的强迫症症状。然而,人们对这种疾病对学龄儿童的教育影响知之甚少。本研究旨在了解(1)pan儿童的家长报告了哪些与学校有关的问题?(2)患有pan的学龄儿童在学校接受正规特殊服务的频率是多少?(3)学龄期pan患儿表现出哪些类型和严重程度的强迫行为?(4)强迫症症状严重程度分类能否预测学校特殊服务计划的存在?pan患儿的家长(n = 208)通过填写儿童耶鲁-布朗强迫症量表家长报告(CY-BOCS-PR)以及关于儿童学校表现和参加学校正式特殊服务的附加问题参与了本研究。据报道,在这一人群的学校里,焦虑和注意力不集中,以及其他各种基于学校的问题。大约60%的儿童在其整个教育生涯中接受过某种形式的学校特殊服务。据报道,这些孩子有各种轻微到严重的强迫行为,尽管这些行为的严重程度并不能预测学校特殊服务计划的存在。学校心理学家必须做好评估pan儿童的准备,并推荐基于证据的干预措施。关键词:pansocd学校问题特殊服务披露声明作者未报告潜在利益冲突
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引用次数: 0
The Effect of the Primary Project Program on School Attendance in Early Childhood 小学项目计划对幼儿就学的影响
IF 1 Q2 Social Sciences Pub Date : 2023-08-01 DOI: 10.1080/15377903.2023.2236982
B. S. Lotyczewski, Renae A. Whittington, Lynn Smith, Shelley M Sanyshyn, E. Duprey, Marjorie Allan, Joseph P. McFall, Ann Marie White
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引用次数: 0
‘It’s a Process’: Preliminary Educator Perceptions of Tier 2 Implementation Barriers, Facilitators, and Attitudes “这是一个过程”:教育工作者对第2层实施障碍、促进因素和态度的初步认识
IF 1 Q2 Social Sciences Pub Date : 2023-07-22 DOI: 10.1080/15377903.2023.2236974
Sara C. McDaniel, Carlson H. Coogler, Kelly W. Guyotte
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引用次数: 0
Considerations for Mental Health Screening and Referrals: Implications from a School-University Case Study 心理健康筛查和转诊的考虑因素:来自中小学案例研究的启示
IF 1 Q2 Social Sciences Pub Date : 2023-07-22 DOI: 10.1080/15377903.2023.2236958
Victor Villarreal
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引用次数: 0
Ethical and Legal Considerations in Balancing Mental Health of Sexual and Gender Minority Students and Parental Consent 平衡性少数民族和性别少数民族学生心理健康与父母同意的伦理与法律思考
IF 1 Q2 Social Sciences Pub Date : 2023-06-12 DOI: 10.1080/15377903.2023.2221202
Chun Chen, R. Nadler, J. Sharkey, Chunyan Yang
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引用次数: 0
LEADERS: A Psychoeducational Support Group for College-Bound High School Students with Autism Spectrum Disorder (ASD) LEADERS:一个针对自闭症谱系障碍(ASD)高中生的心理教育支持小组
IF 1 Q2 Social Sciences Pub Date : 2023-06-08 DOI: 10.1080/15377903.2023.2221201
Kaitlyn Ayala
Abstract During life transitions, individuals with autism spectrum disorder (ASD) face unique challenges. When navigating the transition from high school to higher education, individuals with ASD confront increased vulnerability in social situations, decreased likelihood of program completion, and increased risk of mental health problems. To help these individuals successfully navigate this transition, high school mental health professionals should consider including them in a psychoeducational support group which focuses on the development of executive functioning skills, regulation and coping skills, and social skills and which allows for the practice and role-playing of newly learned skills as well as the discussion of ideas and personal experiences. A proposed curriculum (LEADERS) is discussed, along with the logistical and ethical considerations of running the proposed group.
摘要在生命过渡过程中,自闭症谱系障碍(ASD)患者面临着独特的挑战。在从高中到高等教育的过渡过程中,自闭症谱系障碍患者在社会环境中的脆弱性增加,完成课程的可能性降低,出现心理健康问题的风险增加。为了帮助这些人成功地度过这一转变,高中心理健康专业人员应该考虑将他们纳入一个心理教育支持小组,该小组专注于发展执行功能技能、调节和应对技能,以及社交技能,允许练习和扮演新学到的技能,以及讨论想法和个人经历。讨论了拟议课程(LEADERS),以及运营拟议团队的后勤和道德考虑。
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引用次数: 0
Exploring Judgment and Decision-Making in School Psychology: Setting an Agenda 探索学校心理学中的判断与决策:设定议程
IF 1 Q2 Social Sciences Pub Date : 2023-06-08 DOI: 10.1080/15377903.2023.2221191
Adelle K. Sturgell, Ethan R. Van Norman
Abstract Problem-solving frameworks have the potential to promote objective data-based decisions that increase the likelihood students are matched to appropriate evidence-based interventions. Unfortunately, cognitive biases, heuristics, and fallacies can lead to erroneous conclusions within problem-solving frameworks. Some of these effects have been well-studied within special education and related fields, while the effects of lesser-known biases that have not garnered the same level of attention have been extensively investigated in fields like finance and medicine. Previous educational decision-making research has focused largely on special education evaluation processes. The purpose of this paper is twofold. First, we highlight lesser-known cognitive biases that may impact educational decision making. Second, we discuss how said biases can be researched within problem-solving frameworks and challenged in practice.
摘要问题解决框架有可能促进基于数据的客观决策,增加学生获得适当循证干预的可能性。不幸的是,在解决问题的框架内,认知偏见、启发法和谬论可能会导致错误的结论。其中一些影响在特殊教育和相关领域已经得到了很好的研究,而金融和医学等领域已经对鲜为人知的偏见的影响进行了广泛的研究。以往的教育决策研究主要集中在特殊教育评估过程上。本文的目的是双重的。首先,我们强调了可能影响教育决策的鲜为人知的认知偏见。其次,我们讨论了如何在解决问题的框架内研究上述偏见,并在实践中提出质疑。
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引用次数: 0
Systematic Literature Review and Meta-Analysis of Coping Power: Effects and Implications for Implementation 应对能力的系统文献回顾与元分析:对实施的影响与启示
IF 1 Q2 Social Sciences Pub Date : 2023-04-10 DOI: 10.1080/15377903.2023.2196946
Sara C. McDaniel, Laci Watkins, Jason C. Chow, Megan Fedewa, Sharon Nemer
Abstract Coping Power (CP) is an evidence-based intervention that reduces externalizing behaviors in students who are identified as aggressive or disruptive. CP is based on a cognitive-behavioral model and involves child-focused group sessions and parent-focused sessions. A large body of research has demonstrated the effectiveness of CP, but to date there has not been a systematic review or meta-analysis of published CP studies. Therefore, the purpose of this work was to conduct a systematic review examining the characteristics, methodological rigor, and social validity of CP studies and to conduct a selective meta-analysis to examine the effects of CP across studies and to identify potential moderators of intervention effectiveness. The 21 studies included in the review indicate that the CP intervention is supported by rigorous research, effectively reduces maladaptive behavior, and has demonstrated multiple indicators of social validity. A selective meta-analysis of 12 studies indicates that CP has resulted in small to moderate reductions in externalizing behavior, although these findings were not statistically significant. Intervention dosage, agent, and parent/caregiverparticipation did not moderate effects. Limitations, implications for future research, and recommendations for clinical practice are provided.
摘要应对能力(CP)是一种基于证据的干预措施,可以减少被认定为攻击性或破坏性的学生的外化行为。CP基于认知-行为模型,包括以儿童为中心的小组会议和以父母为中心的会议。大量研究已经证明了CP的有效性,但迄今为止,还没有对已发表的CP研究进行系统综述或荟萃分析。因此,这项工作的目的是对CP研究的特征、方法学严谨性和社会有效性进行系统综述,并进行选择性荟萃分析,以检查CP在各研究中的影响,并确定干预有效性的潜在调节因素。综述中的21项研究表明,CP干预得到了严格研究的支持,有效地减少了适应不良行为,并证明了社会有效性的多项指标。一项对12项研究的选择性荟萃分析表明,CP导致了外化行为的小到中度减少,尽管这些发现在统计学上并不显著。干预剂量、药物和父母/照顾者的参与并没有中度影响。提供了局限性、对未来研究的影响以及对临床实践的建议。
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引用次数: 1
More than Just a Game: A Guide to Using Randomized Group Contingencies in Schools 《不只是游戏:在学校中使用随机群体偶然性指南
IF 1 Q2 Social Sciences Pub Date : 2023-04-06 DOI: 10.1080/15377903.2023.2196944
Veronica R. DiStasi, Meghan A. Deshais, Jason C. Vladescu, Ruth M. DeBar
Abstract Group contingencies are evidence-based behavioral interventions frequently employed in educational settings. Group contingencies are composed of four distinct parameters: (1) a criterion, (2) a reward, (3) target students, and (4) target behaviors. Although it is common practice for teachers to reveal these parameters to students before the intervention begins (i.e. a traditional group contingency), doing so may threaten intervention effectiveness, acceptability and feasibility. One approach that has emerged in the literature to protect against these threats is randomizing group contingencies. In randomized group contingencies, some or all parameters of the group contingency are undisclosed to students to safeguard against the aforementioned threats. Given the need for maximally effective, empirically supported behavioral interventions in schools, a practical guide to using randomized group contingencies in classrooms could be useful to educators. Thus, the goal of this paper is threefold: (a) to identify drawbacks of traditional group contingencies that threaten to adversely impact their effectiveness and acceptability in schools, (b) to describe how randomized group contingencies can protect against those threats, and (c) to outline practical advantages of using randomized group contingencies in schools.
摘要群体突发事件是教育环境中经常采用的循证行为干预措施。群体偶然性由四个不同的参数组成:(1)标准,(2)奖励,(3)目标学生,(4)目标行为。尽管教师在干预开始前向学生透露这些参数是常见的做法(即传统的群体偶然性),但这样做可能会威胁干预的有效性、可接受性和可行性。文献中出现的一种防范这些威胁的方法是随机化群体突发事件。在随机的群体偶然性中,群体偶然性的部分或全部参数不对学生公开,以防范上述威胁。考虑到学校需要最大限度地有效、经验支持的行为干预,在课堂上使用随机群体突发事件的实用指南可能对教育工作者有用。因此,本文的目标有三个:(a)确定传统群体意外事件的缺点,这些缺点可能会对其在学校的有效性和可接受性产生不利影响;(b)描述随机群体意外事件如何抵御这些威胁;(c)概述在学校中使用随机群体意外情况的实际优势。
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引用次数: 0
Impact of State-Level Changes to School-Based Autism Identification Criteria 州一级对校本自闭症识别标准变化的影响
IF 1 Q2 Social Sciences Pub Date : 2023-03-31 DOI: 10.1080/15377903.2023.2182857
Jonathan Safer-Lichtenstein, Jillian C. Hamilton, L. L. McIntyre
Abstract School and medical settings often use different identification criteria for autism spectrum disorder (ASD), a neurodevelopmental disability affecting social-communication, behavioral patterns, and sensory experiences. Further, individual states may use varied definitions for special education eligibility. On January 1, 2019, the State of Oregon began implementing overhauled statewide criteria and evaluation requirements for ASD special education eligibility that directly align with current medical system criteria specified in the Diagnostic and Statistical Manual, Fifth Edition (DSM-5). Immediately following these changes, and then again 1 year later in January of 2020 (prior to the COVID-19 pandemic), we surveyed school-based practitioners across the state about their ASD evaluation practices as well as their knowledge, training, and beliefs regarding the newly revised standards. Our results indicated that practitioners felt more familiar with and had received better training on the new standards after a full year of implementation and that 58% of practitioners had changed their evaluation procedures in some way. However, 74% of practitioners reported that despite these changes, there was no difference in the number of students being found eligible for an ASD diagnosis, indicating that the real-world impact of the statewide policy change might be more limited than initially believed. Limitations and future directions are discussed.
自闭症谱系障碍(ASD)是一种影响社会沟通、行为模式和感觉体验的神经发育障碍,学校和医疗机构通常使用不同的识别标准。此外,各州对特殊教育资格的定义也各不相同。2019年1月1日,俄勒冈州开始实施全面改革的ASD特殊教育资格的全州标准和评估要求,这些标准和评估要求直接符合《诊断与统计手册》第五版(DSM-5)中规定的现行医疗系统标准。紧接着这些变化,然后在一年后的2020年1月(COVID-19大流行之前),我们对全州的学校从业人员进行了调查,了解他们的ASD评估实践以及他们对新修订标准的知识、培训和信念。我们的结果表明,在实施了整整一年之后,从业人员对新标准感到更加熟悉,并接受了更好的培训,58%的从业人员在某种程度上改变了他们的评估程序。然而,74%的从业人员报告说,尽管有这些变化,但被发现符合ASD诊断条件的学生数量并没有差异,这表明全州范围内政策变化的实际影响可能比最初认为的要有限。讨论了局限性和未来发展方向。
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引用次数: 0
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Journal of Applied School Psychology
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