The primary purpose of the current study was to test a model examining the process by which parent dispositional mindfulness relates to youth psychopathology through mindful parenting and parenting practices. The universality of the model across youth at three developmental stages was examined: young childhood (3 – 7 yrs.; n = 210), middle childhood (8 – 12 yrs.; n = 200), and adolescence (13 – 17 yrs.; n = 205). Overall, participants were 615 parents (55 % female) and one of their 3-to-17 year old children (45 % female). Parents reported on their dispositional mindfulness, mindful parenting, positive and negative parenting practices and their child's or adolescent's internalizing and externalizing problems. Consistent findings across all three developmental stages indicated that higher levels of parent dispositional mindfulness were indirectly related to lower levels of youth internalizing and externalizing problems through higher levels of mindful parenting and lower levels of negative parenting practices. Replication of these findings across families with children at different developmental stages lends support to the generalizability of the model.
Differences in morningness-eveningness among humans are commonly ascribed to circadian parameters, such as circadian period and responsivity to environmental time cues, as well as homeostatic sleep drive. Light is the primary synchronizer of the human biological clock, and if circadian differences exist between morning and evening types, they should have different phase angles of entrainment to the light/dark cycle; that is, morning and evening types should have different patterns of light exposure relative to endogenous circadian phase (ECP). When phase angle of entrainment is strictly defined as the relationship between a marker of ECP and the timing of light exposure, such differences have been demonstrated in the laboratory under controlled light/dark cycles and have recently been shown under conditions of spring and summer light exposure outside the laboratory, taking into account the variable intensity of light. Here, we report similar results from a large (n = 66), diverse cohort of morning and evening types across the age span studied at all different times of the year. Differences between morning and evening types in light exposure relative to ECP, indicative of a difference in the phase angle of entrainment to the external light/dark cycle, were found. Specifically, evening types, compared to morning types, had a higher ratio of phase advancing to phase delaying by light. We interpret this as indicating a longer circadian period (τ) in evening types.
Background
We present a fully articulated protocol for the Hamilton Rating Scale
for Depression (HAM-D), including item scoring rules, rater training
procedures, and a data management algorithm to increase accuracy of scores
prior to outcome analyses. The latter involves identifying potentially
inaccurate scores as interviews with discrepancies between two independent
raters on the basis of either scores (≥ 5-point difference) or
meeting threshold for depression recurrence status, a long-term treatment
outcome with public health significance. Discrepancies are resolved by
assigning two new raters, identifying items with disagreement per an
algorithm, and reaching consensus on the most accurate scores for those
items.
Methods
These methods were applied in a clinical trial where the primary
outcome was the Structured Interview Guide for the Hamilton Rating Scale for
Depression—Seasonal Affective Disorder version (SIGH-SAD), which
includes the 21-item HAM-D and 8 items assessing atypical symptoms. 177
seasonally depressed adult patients were enrolled and interviewed at 10 time
points across treatment and the 2-year followup interval for a total of
1,589 completed interviews with 1,535 (96.6%) archived.
Results
Inter-rater reliability ranged from ICCs of .923 to .967. Only 86
(5.6%) interviews met criteria for a between-rater discrepancy.
HAM-D items “Depressed Mood,” “Work and
Activities,” “Middle Insomnia,” and
“Hypochondriasis” and Atypical items
“Fatigability” and “Hypersomnia” contributed
most to discrepancies.
Limitations
Generalizability beyond well-trained, experienced raters in a
clinical trial is unknown.
Conclusions
Researchers might want to consider adopting this protocol in part or
full. Clinicians might want to tailor it to their needs.
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