Social information processing, normative beliefs about aggression and parenting in children with mild intellectual disabilities and aggressive behavior

Background High levels of aggressive behavior in children with mild intellectual disabilities to borderline intellectual functioning (MID-BIF) are associated with deviant social information processing (SIP) steps. The current study investigated deviant SIP as a mediating mechanism linking both children’s normative beliefs about aggression and parenting to aggressive behavior in children with MID-BIF. Additionally, the mediating role of normative beliefs about aggression in linking parenting and deviant SIP was investigated. Methods 140 children with MID-BIF in community care in the Netherlands, their parent(s) or caretaker(s), and their teacher participated in this cross-sectional study. Structural equation modeling was performed to test mediations. Models were run separately for parent and teacher reports of aggression, and included three deviant SIP steps (interpretation, response generation, response selection). Results A total indirect effect through deviant SIP steps was found from normative beliefs about aggression to teacher-reported aggression, but not to parent-reported aggression. An indirect effect was found from positive parenting through normative beliefs about aggression to deviant SIP. Conclusion The results of this study suggest that, next to deviant SIP and parenting, normative beliefs about aggression may be a relevant intervention target for children with MID-BIF and aggressive behavior

The structure of emotion regulation strategies in adolescence: Differential links to internalizing and externalizing problems

Emotion regulation is a multi-modal construct, that includes both adaptive and maladaptive cognitive-behavioral processes. However, many classifications of regulation strategies do not take this multi-modality into account. In this study, two classification systems were integrated. Participants were 336 adolescents (56% boys, Mage = 15.41, SD = 1.45). Anger regulation strategies were measured with a questionnaire that assessed general strategies, and a vignette measure that assessed contextual strategies. Confirmatory factor analyses supported a 4-factor classification that consisted of cognitive maladaptive, behavioral maladaptive, cognitive adaptive, and behavioral adaptive strategies. The four categories of regulation strategies were differentially associated with age, and gender and psychological problem differences were found. Adolescents wit

The structure of emotion regulation strategies in adolescence: Differential links to internalizing and externalizing problems

Emotion regulation is a multi-modal construct, that includes both adaptive and maladaptive cognitive-behavioral processes. However, many classifications of regulation strategies do not take this multi-modality into account. In this study, two classification systems were integrated. Participants were 336 adolescents (56% boys, Mage = 15.41, SD = 1.45). Anger regulation strategies were measured with a questionnaire that assessed general strategies, and a vignette measure that assessed contextual strategies. Confirmatory factor analyses supported a 4-factor classification that consisted of cognitive maladaptive, behavioral maladaptive, cognitive adaptive, and behavioral adaptive strategies. The four categories of regulation strategies were differentially associated with age, and gender and psychological problem differences were found. Adolescents with internalizing problems reported using a cognitive regulation style, adolescents with externalizing problems a behavioral regulation style, and adolescents with comorbid internalizing and externalizing problems a maladaptive regulation style. These findings highlight the multi-modal nature of emotion regulation and may provide opportunities for treatment modifications

Emotion regulation training as a treatment element for externalizing problems in adolescence: A randomized controlled micro-trial

Improving interventions for externalizing problems in adolescence may require determining which treatment elements actually produce change. In this micro-trial, we tested a treatment element addressing one widely-hypothesized mechanism underlying externalizing problems: emotion regulation. We tested whether emotion regulation could be improved via training, whether adolescents who received such training would subsequently show reduced externalizing problems, and which training approach and sequence was most effective. We randomized 108 adolescents with elevated externalizing problems (71.3% boys, Mage = 13.66, SD = 1.10) to a control condition or an experimental condition teaching emotion regulation through either a cognitive or behavioral approach, in alternated sequences. Effects of the modules were assessed before and after the modules, and with weekly assessments. The results showed a positive effect of the experimental training on self-reported use of adaptive emotion regulation strategies. However, self-reported externalizing problems decreased more in the control condition than in the experimental condition. No mediation, approach (cognitive versus behavioral) or sequence (cognitive-behavioral versus behavioral-cognitive sequence) effects were found. These findings illustrate that change in a proposed mechanism may not be accompanied by change in targeted problems; this highlights the importance of testing the hypothesized impact of specific treatment elements on targeted mental health problems. Trial registration This trial was registered in the Dutch Trial Register (NTR7334, July 10th, 2018) and the study protocol was published (te Brinke, Schuiringa, Menting, Deković, & de Castro, 2018)

Treatment Approach and Sequence Effects in Cognitive Behavioral Therapy Targeting Emotion Regulation Among Adolescents with Externalizing Problems and Intellectual Disabilities

Background: Over the past years, it has become clear that adapted cognitive behavior therapy can be effective for adolescents with externalizing problems and mild intellectual disabilities or borderline intellectual functioning (MID–BIF). Most adapted treatment protocols consist, however, of a combined cognitive and behavioral approach, even though it is actually unclear which approach is most suitable for these adolescents. This experimental study aimed to examine which treatment approach (cognitive versus behavioral) and which treatment sequence (cognitive–behavioral versus behavioral–cognitive) is most effective. Methods: Participating adolescents (N = 42, 50% boys, Mage = 15.52, SD = 1.43) consecutively received a cognitive and behavioral emotion regulation training module, but were randomly assigned to a different module sequence condition. Emotion regulation and externalizing problems were measured before and after the modules, and with continuing weekly assessments. Results: Results indicated that the cognitive module, by itself, was more effective than the behavioral module. In addition, the results indicated that it is most effective to include behavioral exercises after (rather than before) cognitive training. Conclusions: These findings highlight the importance of cognitive treatment approaches for adolescents with MID–BIF, and show that treatment approaches may have different effects, depending on the order in which they are presented

Treatment approach and sequence effects in cognitive behavioral therapy targeting emotion regulation among adolescents with externalizing problems and intellectual disabilities

Background: Over the past years, it has become clear that adapted cognitive behavior therapy can be effective for adolescents with externalizing problems and mild intellectual disabilities or borderline intellectual functioning (MID–BIF). Most adapted treatment protocols consist, however, of a combined cognitive and behavioral approach, even though it is actually unclear which approach is most suitable for these adolescents. This experimental study aimed to examine which treatment approach (cognitive versus behavioral) and which treatment sequence (cognitive–behavioral versus behavioral–cognitive) is most effective. Methods: Participating adolescents (N = 42, 50% boys, Mage = 15.52, SD = 1.43) consecutively received a cognitive and behavioral emotion regulation training module, but were randomly assigned to a different module sequence condition. Emotion regulation and externalizing problems were measured before and after the modules, and with continuing weekly assessments. Results: Results indicated that the cognitive module, by itself, was more effective than the behavioral module. In addition, the results indicated that it is most effective to include behavioral exercises after (rather than before) cognitive training. Conclusions: These findings highlight the importance of cognitive treatment approaches for adolescents with MID–BIF, and show that treatment approaches may have different effects, depending on the order in which they are presented

Youth’s Social Environments: Associations with Mental Problems and Achievement of Developmental Milestones in Times of Crises

So far, many studies indicated that youth experience mental problems during crises, such as the COVID-19 crisis, but little attention has been paid to the relation to age-adequate functioning and its association to layered social environments. This study addresses this gap by investigating the association between social environments (i.e., household, friends, and neighbourhood) during the COVID-19 crisis with youth’s mental problems and age-adequate functioning. In total, 673 youth (mean age = 19.87, 73.4% girls) were surveyed online during the COVID-19 outbreak. In line with predictions, worse contact with household members was associated with more internalizing symptoms. A lack of privacy was associated with more internalizing and externalizing symptoms and difficulties achieving personal and school and professional milestones. Living with a vulnerable other was associated with more internalizing symptoms and difficulties achieving school and professional milestones. Worse contact with friends was associated with difficulty achieving social milestones. Additionally, neighbourhood risk moderated the association between living with a vulnerable other and school and professional milestones. A lack of privacy stood out as the most important factor associated to youth’s mental problems and achievement of developmental milestones. Future research should indicate to what extent these findings are COVID-19 crisis-specific or can generalize to other crises

Social information processing, normative beliefs about aggression and parenting in children with mild intellectual disabilities and aggressive behavior

Background High levels of aggressive behavior in children with mild intellectual disabilities to borderline intellectual functioning (MID-BIF) are associated with deviant social information processing (SIP) steps. The current study investigated deviant SIP as a mediating mechanism linking both children’s normative beliefs about aggression and parenting to aggressive behavior in children with MID-BIF. Additionally, the mediating role of normative beliefs about aggression in linking parenting and deviant SIP was investigated. Methods 140 children with MID-BIF in community care in the Netherlands, their parent(s) or caretaker(s), and their teacher participated in this cross-sectional study. Structural equation modeling was performed to test mediations. Models were run separately for parent and teacher reports of aggression, and included three deviant SIP steps (interpretation, response generation, response selection). Results A total indirect effect through deviant SIP steps was found from normative beliefs about aggression to teacher-reported aggression, but not to parent-reported aggression. An indirect effect was found from positive parenting through normative beliefs about aggression to deviant SIP. Conclusion The results of this study suggest that, next to deviant SIP and parenting, normative beliefs about aggression may be a relevant intervention target for children with MID-BIF and aggressive behavior

The structure of emotion regulation strategies in adolescence: Differential links to internalizing and externalizing problems

Emotion regulation is a multi-modal construct, that includes both adaptive and maladaptive cognitive-behavioral processes. However, many classifications of regulation strategies do not take this multi-modality into account. In this study, two classification systems were integrated. Participants were 336 adolescents (56% boys, Mage = 15.41, SD = 1.45). Anger regulation strategies were measured with a questionnaire that assessed general strategies, and a vignette measure that assessed contextual strategies. Confirmatory factor analyses supported a 4-factor classification that consisted of cognitive maladaptive, behavioral maladaptive, cognitive adaptive, and behavioral adaptive strategies. The four categories of regulation strategies were differentially associated with age, and gender and psychological problem differences were found. Adolescents with internalizing problems reported using a cognitive regulation style, adolescents with externalizing problems a behavioral regulation style, and adolescents with comorbid internalizing and externalizing problems a maladaptive regulation style. These findings highlight the multi-modal nature of emotion regulation and may provide opportunities for treatment modifications

Emotion regulation training as a treatment element for externalizing problems in adolescence: A randomized controlled micro-trial

Improving interventions for externalizing problems in adolescence may require determining which treatment elements actually produce change. In this micro-trial, we tested a treatment element addressing one widely-hypothesized mechanism underlying externalizing problems: emotion regulation. We tested whether emotion regulation could be improved via training, whether adolescents who received such training would subsequently show reduced externalizing problems, and which training approach and sequence was most effective. We randomized 108 adolescents with elevated externalizing problems (71.3% boys, Mage = 13.66, SD = 1.10) to a control condition or an experimental condition teaching emotion regulation through either a cognitive or behavioral approach, in alternated sequences. Effects of the modules were assessed before and after the modules, and with weekly assessments. The results showed a positive effect of the experimental training on self-reported use of adaptive emotion regulation strategies. However, self-reported externalizing problems decreased more in the control condition than in the experimental condition. No mediation, approach (cognitive versus behavioral) or sequence (cognitive-behavioral versus behavioral-cognitive sequence) effects were found. These findings illustrate that change in a proposed mechanism may not be accompanied by change in targeted problems; this highlights the importance of testing the hypothesized impact of specific treatment elements on targeted mental health problems. Trial registration This trial was registered in the Dutch Trial Register (NTR7334, July 10th, 2018) and the study protocol was published (te Brinke, Schuiringa, Menting, Deković, & de Castro, 2018)