The Development of a Screening Tool for Childcare Professionals to Detect and Refer Infant and Toddler Maltreatment and Trauma: A Tale of Four Countries

Abstract: Child maltreatment is considered a pressing social question, compromising the present and future mental and physical health of one in four children in Europe. While children younger than three years of age are especially vulnerable, few screening instruments are available for the detection of risk in this age group. The purpose of this research was to develop a screening tool for childcare professionals working in public and private daycare settings to support them in the early identification and referral of infants and toddlers exposed to emotional and physical abuse and neglect by primary caregivers, to be used in different settings across four European countries: Belgium, Italy, Latvia, and Hungary. Method: A stratified process was used to create the screening tool: We started by using Living lab methodology to co-create the screening tool with its final users, which was followed by testing the tool with a total of 120 childcare professionals from the four participating countries. Results: During the Living Lab phase, a screening tool with three layers was developed. The initial layer includes five “red flags” that signal particular concern and require immediate action. The second layer is a quick screener with twelve items focused on four areas: neglect of basic needs, delays in development, unusual behaviors, and interaction with caregivers. The third layer is an in-depth questionnaire that aids in formalizing a thorough observation of twenty-five items within the same four areas as the quick screener. After a one-day training session, 120 childcare professionals caring for children aged 0–3 from four countries assessed the screening tool and their overall training experience. Childcare professionals reported great satisfaction with the three-layered structure, which made the tool versatile, and agreed on its content, which was considered helpful in the daycare setting for the regular evaluation of the behavior of children and their primary caregivers, thus improving the early observation of change from the normal behavior of the infant or toddler. Conclusion: The three-layered screening tool was reported as feasible, practical, and with great content validity by childcare professionals working in four European countries

DSM-5 non-suicidal self-injury disorder in a community sample : comparing NSSI engagement, recency and severity among emerging adults

Abstract: Up to one in five emerging adults engage in non-suicidal self-injury (NSSI). Providing a better understanding of factors that differentiate between who engages in lifetime NSSI and who is more likely to engage in recent and clinically severe NSSI can provide meaningful information for prevention and intervention of NSSI. The present study (n = 669) considered NSSI lifetime engagement (no prior history of NSSI vs. lifetime NSSI), recency [past NSSI (>12 months ago) vs. recent (<= 12-month) NSSI], and clinical severity among those with recent NSSI (subthreshold vs. DSM-5 NSSI disorder). The prevalence of NSSI disorder was 8.4% in emerging adults aged 18 to 26 years old. Higher anxiety levels were related to NSSI engagement, but only depressive symptoms and NSSI versatility were consistently associated with more recent NSSI and NSSI disorder. A stepped-care approach may be required in addressing NSSI among emerging adults

The Psychometric Properties of a Brief Dutch Version of the Reinforcement Sensitivity Theory of Personality Questionnaire

&lt;jats:p&gt; Abstract. Introduction: The Reinforcement Sensitivity Theory of Personality Questionnaire (RST-PQ) has its roots in the revised reinforcement sensitivity theory of personality. Objectives: This study investigated the reliability and validity of the Dutch translation of the RST-PQ and proposed a brief version. Methods: A sample of 603 Belgian and Dutch adults completed the RST-PQ, and to assess convergent and divergent validity, a subgroup also completed other personality and symptom questionnaires. Results: A confirmatory factor analysis (CFA) confirmed the a priori six-factor structure of the RST-PQ, similar to other translations. However, this model did not satisfy the requirements of an acceptable fit. Therefore, a brief version of the RST-PQ (B-RST-PQ) was developed. In line with the aims of the RST-PQ, a CFA showed an acceptable fit for the six-factor model of the B-RST-PQ. The B-RST-PQ obtained good reliability coefficients of the six scales and high correlations with the original RST-PQ. Conclusion: The B-RST-PQ seems to be a valid and reliable instrument for future research. &lt;/jats:p&gt

The Psychometric Properties of a Brief Dutch Version of the Reinforcement Sensitivity Theory of Personality Questionnaire

Introduction: The Reinforcement Sensitivity Theory of Personality Questionnaire (RST-PQ) has its roots in the revised reinforcement sensitivity theory of personality. Objectives: This study investigated the reliability and validity of the Dutch translation of the RST-PQ and proposed a brief version. Methods: A sample of 603 Belgian and Dutch adults completed the RST-PQ, and to assess convergent and divergent validity, a subgroup also completed other personality and symptom questionnaires. Results: A confirmatory factor analysis (CFA) confirmed the a priori six-factor structure of the RST-PQ, similar to other translations. However, this model did not satisfy the requirements of an acceptable fit. Therefore, a brief version of the RST-PQ (B-RST-PQ) was developed. In line with the aims of the RST-PQ, a CFA showed an acceptable fit for the six-factor model of the B-RST-PQ. The B-RST-PQ obtained good reliability coefficients of the six scales and high correlations with the original RST-PQ. Conclusion: The B-RST-PQ seems to be a valid and reliable instrument for future research.status: publishe

Persoonlijkheidsstoornissen bij ouderen: Epidemiologische aspecten

Ondanks de groeiende klinische aandacht voor persoonlijkheidsstoornissen bij ouderen (≥ 55 jaar) is empirisch onderzoek naar persoonlijkheidspathologie op latere leeftijd beperkt. Gezien de toenemende mondiale vergrijzing is wetenschappelijk kennis op dit vlak cruciaal. Dit artikel geeft een overzicht van epidemiologische aspecten van persoonlijkheidsstoornissen bij ouderen, zoals de prevalentie, het beloop en de invloed ervan op verschillenden gebieden van functioneren.status: Published onlin

Epidemiological aspects of personality disorders in older adults

Despite growing clinical attention to personality disorders in older adults (≥ 55 yrs.), empirical research addressing personality pathology in late life is scarce. Given the ageing of the population globally, scientific knowledge in this area is of vital importance. This article gives an overview of the epidemiological aspects of personality disorders in older adults, such as prevalence, the course and the impact on various domains of functioning

Care When It Counts: Establishing Trauma-Sensitive Care as a Preventative Approach for 0–3-Year-Old Children Suffering from Trauma and Chronic Stress

Adverse childhood experiences are an important societal concern. Children aged 0–3 are particularly vulnerable to unpredictable chronic stress due to the critical period for brain development and attachment. Trauma-sensitive care is a preventative approach to reduce the burden of stressful experiences by committing to positive relationships. Professional caregivers are ideally placed to offer trauma-sensitive care; however, earlier research reveals that the tools they need to consciously apply trauma-sensitive care principles are missing. The current study organized living labs (co-creative research method) to present trauma-sensitive care as a preventative approach aimed at children aged 0–3. Two living labs were organized in Belgium and Hungary, where professional caregivers collaborated to create a protocol that offers guidelines on how to implement trauma-sensitive care. The resulting protocol included a theoretical foundation on trauma as well as a translation of these guidelines into practical recommendations. The protocol was evaluated by incorporating it into a training intervention delivered to 100 professional caregivers from childcare organizations across four European countries. The protocol received positive feedback from participants, with results indicating a self-reported increase in knowledge, attitude and practice of trauma-sensitive care principles. We conclude that this trauma-sensitive care protocol is a promising answer to the needs of professional caregivers working with children aged 0–3