Predictors of Termination of Parental Rights Following Allegations of Child Maltreatment

Extant research has identified important risk factors for single and recurrent child maltreatment. Parental substance use, severe mental illness, and intimate partner violence (IPV) are among the risk factors significantly associated with child maltreatment. However, there is a paucity of research that examines whether empirically supported risk factors are significantly associated with psychologists’ assessments of parental fitness and courts’ decisions regarding reunification following allegations of child maltreatment. Thus, in an effort to elucidate the process through which reunification or termination of parental rights is achieved in cases of child maltreatment, the current study (1) examined the relative importance of different varieties of psychopathology in predicting outcomes; and history of IPV on evaluations of parental risk and fitness made by an assessing forensic psychologist, and the factors associated with courts’ decisions regarding the termination of parental rights. The sample consisted of a large sample of parents (n = 320) seeking reunification following allegations of child maltreatment. Results demonstrated that the prevalence of substance use disorders, IPV perpetration, and severe mental illness was significantly higher than in the general population. Results further indicated that drug diagnoses and severe mental illness were associated with psychologist-assessed higher parental unfitness. Finally, results indicated that parental substance use, severe mental illness, IPV, and the psychologist’s assessment of parental fitness were not significantly associated with the court’s termination of parental rights rulings. The clinical and research implications of the study’s findings are discussed

Peer-Facilitated Cognitive Dissonance versus Healthy Weight Eating Disorders Prevention: A Randomized Comparison

Research supports the efficacy of both cognitive dissonance (CD) and healthy weight (HW) eating disorders prevention, and indicates that CD can be delivered by peer-facilitators, which facilitates dissemination. This study investigated if peer-facilitators can deliver HW when it is modified for their use and extended follow-up of peer-facilitated CD as compared to previous trials. Based on pilot data, we modified HW (MHW) to facilitate peer delivery, elaborate benefits of the healthy-ideal, and place greater emphasis on consuming nutrient dense foods. Female sorority members (N=106) were randomized to either two 2-hour sessions of CD or MHW. Participants completed assessment pre- and post-intervention, and at 8-week, 8-month, and 14-month follow-up. Consistent with hypotheses, CD decreased negative affect, thin-ideal internalization, and bulimic pathology to a greater degree post-intervention. Both CD and MHW reduced negative affect, internalization, body dissatisfaction, dietary restraint, and bulimic pathology at 14 months

Reducing Eating Disorder Risk Factors: A Controlled Investigation of a Blended Task-Shifting/Train-the-Trainer Approach to Dissemination and Implementation

Recent advances in psychological intervention research have led to an increase in evidence-based interventions (EBIs), yet there remains a lag in dissemination and implementation of EBIs. Task-shifting and the train-the-trainer (TTT) model offer two potential strategies for enhancing reach of EBIs. The Body Project, an EBI found to prevent onset of eating disorders, served as the vehicle for this dissemination/implementation study. The primary aim of this study was to determine if training of peer-leaders for the Body Project could be task-shifted to undergraduate students using a hybrid task-shifting/TTT model. Our secondary aim was to determine if subgroups of participants evidenced different trajectories of change through 14-month follow-up. Regarding the first aim, we found almost no evidence to suggest that a presence of a doctoral-level trainer yielded superior participant outcomes compared to training by undergraduates alone. Regarding Aim 2, almost all classes for all variables evidenced improvement or a benign response. Additionally, for three key risk factors (thin-ideal internalization, body dissatisfaction, and ED symptoms) virtually all trajectories showed improvement. This study provides initial support for the use of a blended task-shifting/TTT approach to dissemination and implementation within prevention generally, and further support for broad dissemination of the Body Project specifically

Reducing Eating Disorder Risk Factors: A Controlled Investigation of a Blended Task-Shifting/Train-the-Trainer Approach to Dissemination and Implementation

Recent advances in psychological intervention research have led to an increase in evidence-based interventions (EBIs), yet there remains a lag in dissemination and implementation of EBIs. Task-shifting and the train-the-trainer (TTT) model offer two potential strategies for enhancing reach of EBIs. The Body Project, an EBI found to prevent onset of eating disorders, served as the vehicle for this dissemination/implementation study. The primary aim of this study was to determine if training of peer-leaders for the Body Project could be task-shifted to undergraduate students using a hybrid task-shifting/TTT model. Our secondary aim was to determine if subgroups of participants evidenced different trajectories of change through 14-month follow-up. Regarding the first aim, we found almost no evidence to suggest that a presence of a doctoral-level trainer yielded superior participant outcomes compared to training by undergraduates alone. Regarding Aim 2, almost all classes for all variables evidenced improvement or a benign response. Additionally, for three key risk factors (thin-ideal internalization, body dissatisfaction, and ED symptoms) virtually all trajectories showed improvement. This study provides initial support for the use of a blended task-shifting/TTT approach to dissemination and implementation within prevention generally, and further support for broad dissemination of the Body Project specifically

Arrest History and Intimate Partner Violence Perpetration in a Sample of Men and Women Arrested for Domestic Violence

Intimate partner violence (IPV) is a serious and prevalent problem throughout the United States. Currently, individuals arrested for domestic violence are often court mandated to batterer intervention programs (BIPs). However, little is known about the arrest histories of these individuals, especially women. The current study examined the arrest histories of men (n = 303) and women (n = 82) arrested for domestic violence and court-referred to BIPs. Results demonstrated that over 30% of the entire sample had been previously arrested for a non-violent offense, and over 25% of the participants had been previously arrested for a violent offense other than domestic violence. Moreover, men were arrested significantly more frequently for violence-related and non-violent offenses than their female counterparts. In addition, men were more likely than women to have consumed binge-levels of alcohol prior to the offense that led to their most recent arrest and court-referral to a BIP. Lastly, arrest history was positively associated with physical and psychological aggression perpetration against an intimate partner for men only, such that more previous arrests were associated with more frequent aggression. These results provide evidence that many men and women arrested for domestic violence have engaged in a number of diverse criminal acts during their lifetimes, suggesting that BIPs may need to address general criminal behavior

Psychological Abuse, Mental Health, and Acceptance of Dating Violence Among Adolescents

Purpose Existing literature indicates that acceptance of dating violence is a significant and robust risk factor for psychological dating abuse perpetration. Past work also indicates a significant relationship between psychological dating abuse perpetration and poor mental health. However, no known research has examined the relationship between acceptance of dating violence, perpetration of dating abuse, and mental health. In addition to exploring this complex relationship, the present study examines whether psychological abuse perpetration mediates the relationship between acceptance of dating violence and mental health (i.e., internalizing symptoms of depression, anxiety, and hostility). Methods Three waves of longitudinal data were obtained from 1,042 ethnically diverse high school students in Texas. Participants completed assessments of psychological dating abuse perpetration, acceptance of dating violence, and internalizing symptoms (hostility and symptoms of anxiety and depression). Results As predicted, results indicated that perpetration of psychological abuse was significantly associated with acceptance of dating violence and all internalizing symptoms. Furthermore, psychological abuse mediated the relationship between acceptance of dating violence and internalizing symptoms. Conclusions Findings from the present study suggest that acceptance of dating violence is an important target for the prevention of dating violence and related emotional distress

A Preliminary Examination of Weight Based Psychological Aggression in Intimate Relationships

This two-part study examined a new form of intimate partner aggression termed weight based psychological aggression. Past work supports a theoretical and empirical relationship between intimate partner aggression and eating disorder symptoms. Additionally, negative events within romantic relationships are related to major risk factors of eating disorders (e.g.. body dissatisfaction, body consciousness). In the current studies, a new measure that assessed weight based psychological aggression was examined to explore its factor structure and psychometric properties. A second aim of these studies was to further examine the weight based psychological aggression construct and how it related to eating disorder symptoms. Emotion dysregulation is one important factor that may explain the relationship between weight based psychological aggression and disordered eating behaviors (e.g., eating disorder symptoms, body consciousness). Intimate partner aggression victimization was also included in the mediational model to further examine the mediating effect of emotion dysregulation on the relationship between intimate partner aggression and disordered eating behaviors. Results from the current studies supported the factor structure of the weight based psychological aggression measure and the convergent validity. The convergent validity was partially supported, and the discriminant validity was supported. Results from the mediation analyses indicated a significant effect supporting emotion regulation as a mediator of the relationship between the Guilt/Pressure subscale of the new measure and eating disorder symptoms. However, fit indices indicated poor model fit, decreasing confidence in the theoretical models. Emotion dysregulation did not mediate the relationship between the Retaliatory/Coercive subscale of the new measure and disordered eating behaviors (e.g., eating disorder symptoms, body consciousness). The mediating effect of emotion regulation on intimate partner aggression and disordered eating (e.g., eating disorder symptoms, body consciousness) was also not significant. Results from the current studies support the need for continued research, particularly among clinical samples. Implications for research and treatment are discussed

The Relationship between Eating Disorder Symptoms and Treatment Rejection among Young Adult Men in Residential Substance Use Treatment

Research has demonstrated that individuals with substance use disorders (SUDs) and comorbid mental health problems evidence heightened negative consequences, including poorer treatment outcomes, a higher risk for relapse, and mortality compared to individuals with a single disorder. In this study, we focus on the comorbidity between SUDs and eating disorder (ED) symptomatology, as EDs are similarly associated with high rates of relapse, morbidity, and mortality. Of particular importance is research examining treatment rejection among individuals in treatment for SUDs with cooccurring ED symptomatology. This study seeks to add to the literature by examining treatment rejection among young adult men in residential treatment for SUDs ( N = 68) with cooccurring ED symptomatology. Results from hierarchical regression analyses indicated that ED symptoms were significantly associated with treatment rejection after controlling for alcohol and drug use and problems and depression symptoms. Although this is a preliminary study, the results add to a growing body of research examining the comorbidity between SUDs and ED symptomatology. Future research examining this relationship is needed to further elucidate the treatment patterns among individuals with comorbid ED symptoms and substance use diagnoses