This study investigated third generation Bangladeshi adults’ experiences of ethnic identity (EI) and sense of wellbeing. British citizens from racially minoritised backgrounds, such as British Bangladeshis, face numerous challenges related to cultural adjustment, discrimination, and exclusion that can impact wellbeing. Strong EI has been shown to increase psychological wellbeing in minority ethnic populations. Fifteen participants who identified as third-generation British Bangladeshi adults were engaged in semi-structured interviews to explore their experiences of EI and wellbeing. Thematic analysis of the data conceptualised three main themes, namely, ‘Oh my God, I’m different’: Being made to feel like an outsider in Britain; ‘You’re a coconut’: Being made to feel like an outsider within the British Bangladeshi community; and ‘A proper sense of belonging’ through ethnic identity. The findings point towards the role that EI can play in later generation immigrants’ sense of self and wellbeing. Implications are discussed.
Background Perinatal mental health difficulties affect up to 27% of birthing parents during pregnancy and the first postnatal year, and if untreated are associated with difficulties in bonding and long-term adverse outcomes to children. There are large evidence gaps related to psychological treatment, particularly in group therapy approaches and parent-infant interventions. One intervention showing preliminary efficacious findings and user acceptability is Circle of Security-Parenting (COS-P), which is a brief, weekly, group programme. However, these studies were underpowered and predominantly non-randomised, and there has never been a research trial in England or with birthing parents experiencing severe and complex perinatal mental health difficulties. The aim of the research is to conduct a randomised control trial to test whether COS-P will reduce perinatal mental health symptoms in birthing parents accessing NHS perinatal mental health services, compared to treatment as usual (TAU). Secondary objectives include exploring whether the intervention improves parenting sensitivity, emotion regulation skills, attachment security and infant development. Additionally, the project aims to examine whether the intervention is acceptable to parents and NHS staff, and whether it is cost-effective. Methods COSI is an individually randomised, single-blind parallel arm controlled trial with an embedded internal pilot aiming to recruit 369 participants in a 2:1 ratio (intervention: TAU). Participants will be recruited from ten NHS community perinatal mental health services in England and screened based on clinical levels of both mental health symptoms (average CORE-OM score ≥ 1.1) and postnatal bonding difficulties (total PBQ score ≥ 12). This trial has 90% power to detect a MCID of 5 points on the CORE-OM. Primary and secondary outcomes will be measured at baseline, 3, 7 and 12 months after baseline. Service use and quality of life measures will also be collected alongside a process evaluation of parents’ and interveners’ views and experiences. Discussion This will be the first large pragmatic trial to test whether COS-P is effective for birthing parents with severe and complex perinatal mental health difficulties in improving their mental health symptoms. If shown to be effective, the intervention could be delivered widely across the NHS and other similar services globally. Trial registration ISRCTN, ISRCTN18308962. Registered 18 February 2022.
Purpose The purpose of this study is to describe the development of the 14-item reflective fostering fidelity rating (RFFR), an observational rating system to evaluate model fidelity of group facilitators in the Reflective Fostering Programme (RFP), a mentalisation-based psychoeducation programme to support foster carers. The authors assess usability, dimensionality, inter-rater reliability and discriminative ability of the RFFR. Design/methodology/approach Eighty video clip extracts documenting 20 RFP sessions were independently rated by four raters using the RFFR. The dimensionality of the RFFR was assessed using principal components analysis. Inter-rater agreement was assessed using the intra-class correlation coefficient. Findings The proportion of missing ratings was low at 2.8%. A single principal component summarised over 90% of the variation in ratings for each rater. The inter-rater reliability of individual item ratings was poor-to-moderate, but a summary score had acceptable inter-rater reliability. The authors present evidence that the RFFR can distinguish RFP sessions that differ in treatment fidelity. Originality/value To the best of the authors’ knowledge, this is the first investigation and report of the RFFR’s validity in assessing the programme fidelity of the RFP. The paper concludes that the RFFR is an appropriate rating measure for treatment fidelity of the RFP and useful for the purposes of both quality control and supervision.
Birth relatives of adopted children in the UK are entitled to independent support during and after adoption, but types of support vary and there is little evidence of what works. This mixed-methods study is an evaluation of a psychotherapeutic counselling service for birth relatives operating across five areas of England. Case records of 304 birth relatives referred over a two-year period were examined retrospectively. Service user questionnaires and interviews with five service users and five staff members were analysed. The birth relatives had histories of abuse and trauma (59%), mental health difficulties (36%) and learning disabilities (26%). Engagement varied from 29% to 62% in different areas; they were more likely to attend in the later stages of the adoption process, if they self-referred, and if the service model offered counselling close to home and without strict limits on the number of sessions. Birth relatives described: Building a special relationship, experiencing a 'release'; making sense of what happened to my children; being able to make changes; and putting myself back together. This evaluation shows that birth relatives can engage with psychotherapeutic counselling if the time is right and if services are sufficiently flexible, trauma-informed and tailored to their needs.
Background: In England and Wales, the single-informant Strengths and Difficulties Questionnaire (SDQ) is used to assess and monitor looked-after children’s (LAC) mental health; and some targeted Child and Adolescent Mental Health Services (CAMHS) include a minimum SDQ score in their acceptance criteria. However, its ability to identify LAC who need mental health treatment is insufficiently understood. Methods: One hundred and forty four LAC referrals to a Targeted CAMHS Team were screened as part of a larger study. To establish how well the SDQ identified children who required treatment, Total Difficulties Scores from single-informant SDQs submitted at referral were compared to treatment recommendations following routine CAMHS assessment in a real-world setting. To explain the results, clinicians ( n = 9) from the team were interviewed and key themes identified using thematic analysis. Results: AUROC analysis found that the single-informant SDQ discriminated between children who were assessed as needing a mental health intervention and those who did not with low accuracy when SDQs were completed by carers or young people themselves, and moderate accuracy for teacher-completed SDQs. Optimal cutoff scores are calculated and are lower than advised in scoring guidance. Key themes from clinician interviews identified possible gaps and limitations: Developmental trauma and attachment difficulties, A different kind of patient?, Seeing the “bad” but neglecting the sad, and The importance of clinical judgment. Conclusions: Contrary to current UK Government policy, this study suggests that the single-report SDQ should not be relied upon as a sole means of identifying mental health difficulties in this vulnerable, high-risk population.
In domestic dog's trait impulsivity can be measured psychometrically using the Dog Impulsivity Assessment Scale (DIAS) and experimentally using a temporal discounting paradigm which requires substantial training. A Spatial Discounting Task (SDT) was developed as an alternative experimental method to assess impulsivity, and evaluated performance in adult (2-10 years) and younger (2-9 months) dogs. The test was modified for field use with fewer controls (Simplified Spatial Discounting Task (SDTs)). Convergent validity with the SDT and DIAS Overall Questionnaire Scores (OQS) and stability over time (4-6 weeks) in the two age groups was determined. 96% of dogs recruited reached criterion for testing. A significant positive relationship was found between Maximum Distance Travelled (MDT) in the SDT and OQS in adult dogs (r = 0.46, p = 0.028), with good test-retest reliability evident for both (p < 0.001). In young dogs, there was good test-retest reliability for OQS (p = 0.023), but no significant relationship was found between OQS and MDT, test-retest reliability for MDT in young dogs was poor. In the SDTs, 100% of dogs recruited met criterion for testing and there was a significant relationship between MDT and OQS (r = 0.61, p = 0.027). The SDT appears to be a useful method for measuring impulsivity in adult dogs with wide applicability.
There is growing scientific and societal recognition of the role that pet dogs can play in healthy development of children; both those who are neuro-typically developing and those who live with a neuro-developmental disorder, such as autism or attention deficit hyperactivity disorder. However, little attention has been paid to how living with children positively and negatively affects quality of life of a pet dog. In this exploratory study we conducted semi-structured interviews with parents of neuro-typically developing children (n = 18) and those with a neuro-developmental disorder (n = 18) who owned a pet dog, until no new factors were identified. Living with children brought potentially positive benefits to the dog's life including: imposition of a routine, participation in recreational activities and the development of a strong bond between the child and the dog. The importance of maintaining a routine was particularly prevalent in families with children with neuro-developmental disorders. Potential negative factors included having to cope with child meltdowns and tantrums, over stimulation from child visitors, harsh contact and rough and tumble play with the child. The regularity and intensity of meltdowns and tantrums was particularly evident in responses from parents with children with a neuro-developmental disorder. However, child visitors and rough play and contact were mentioned similarly across the groups. Protective factors included having a safe haven for the dog to escape to, parent's awareness of stress signs and child education in dog-interaction. Parents were also asked to complete a stress response scale to provide an initial quantitative comparison of stress responses between dogs living with the two family-types. Parents with neuro-typically developing children more frequently observed their dog rapidly running away from a situation and less frequently observed their dog widening their eyes, than parents with children with a neuro-developmental disorder. We propose the development of a stress audit based on the findings reported here, to prevent potential dangerous situations, which may lead to dog bites and dog relinquishment and allow owners to maximise the benefits of dog ownership.
With growing interest in the value of animal companionship to human health, and increasing business awareness of promoting work-based health innovations and improving employees’ feelings of support, there has been a rise in interest about allowing dogs in the workplace (e.g., “Take your dog to work day” initiative; Pet Sitters International, 2015). However, there is little scientific literature about the advantages or disadvantages of such practice to support decision makers. We report the results of an internationally promoted survey to assess perceptions of dogs in the workplace, promoted through a “Take your dog to work” initiative. Responses to four open-ended questions were analyzed for themes across 776 participants. Common barriers to allowing dogs at work included the suitability of the working environment (44%) and health and safety concerns (31.3%). Where dogs were permitted in the workplace, there appeared to be little regulation of this, with few formal policies in place (63.8% had no guidelines/policies). The majority of those surveyed believed their colleagues had no concerns about having dogs at work (63.3%); the main potential problems that were recognized included a dislike of dogs (16.7%) and cleanliness issues (6.7%). Respondents made generally positive comments about having dogs at work (43.1%), referring to specific benefits including increased social interactions and reduced stress and improved atmosphere of the office. The implications of these findings are discussed for businesses and the development of “dog in the workplace” policies.
The ability to identify a novel stimulus as a member of a known category allows an organism to respond appropriately towards it. Categorisation is thus a fundamental component of cognition and an essential tool for processing and responding to unknown stimuli. Therefore, one might expect to observe it throughout the animal kingdom and across sensory domains. There is much evidence of visual categorisation in non-human animals, but we currently know little about this process in other modalities. In this experiment, we investigated categorisation in the olfactory domain. Dogs were trained to discriminate between 40 odours; the presence or absence of accelerants formed the categorical rule. Those in the experimental group were rewarded for responding to substrates with accelerants (either burnt or un-burnt) and inhibit responses to the same substrates (either burnt or un-burnt) without accelerants (S+ counterbalanced). The pseudocategory control group was trained on the same stimuli without the categorical rule. The experimental group learned the discrimination and animals were able to generalise to novel stimuli from the same category. None of the control animals were able to learn the discrimination within the maximum number of trials. This study provides the first evidence that non-human animals can learn to categorise non-biologically relevant odour information.
Abstract Previous studies have examined the specific benefits of therapy and assistance dogs on children with autism, but until recently only anecdotes existed concerning the benefits of pet dogs. We conducted structured interviews with 40 parents of children with an autism spectrum disorder (ASD) to investigate the perceived impact of pet dogs. Half the sample (20) owned a pet dog and half the sample was looking to acquire one. Restrictions associated with dog ownership were underestimated, whilst enjoyment, fun and improvements in communication and social interaction were overestimated by the non-owners, indicating important areas where expectations are unlikely to be met. These areas represent important factors to consider when deciding whether to acquire a pet dog in families living with ASD, and as such is of interest to a broad audience including clinicians, veterinarians and parents.
There is growing interest in animal-assisted therapy in the treatment of autism spectrum disorders. Despite the potential promise for pet dog ownership to improve the lives of those affected by autism, there is limited research in this area. This study is the first to explore the long-term effects of acquiring a pet dog. Using standardized self-report measures, families who had acquired a pet dog (intervention group; n = 22) showed significantly improved family functioning in comparison to control group families (n = 15, with no dog). Both groups showed reductions in domains of parenting stress. These reductions were more evident in the intervention group; 20% of parents moved from clinically high to normal stress levels. In the domain of parent-child dysfunctional interactions, reductions were only observed in the intervention group. A significant positive relationship was observed between parenting stress of the child's main carer and their attachment to the dog. (C) 2016 Elsevier Inc. All rights reserved.
Caregivers of children with autism spectrum disorder are vulnerable to overstated benefits of interventions, and such overstatements are common with interventions involving animals. This response to Wright, Hall, Hames, Hardmin, Mills, the Paws Team, and Mills’ (2015) article, “Acquiring a Pet Dog Significantly Reduces Stress of Primary Careers for Children with Autism Spectrum Disorder: A Prospective Case Control Study,” details why that study’s conclusions are premature. Specific limitations of the study are detailed, including overstatements of the supportive literature, problems with the design, and mismatch between the findings and conclusions. The purpose is not to challenge the benefits of pet ownership, but to point out that those benefits have not yet been established.
Scientific literature exploring the value of assistance dogs to children with autism spectrum disorder (ASD) is rapidly emerging. However, there is comparably less literature reporting the effects of pet (as opposed to assistance) dogs to these children. In particular, there are no known validated scales which assess how children may alter their behaviours in the presence of the dog, to evaluate the efficacy of pet dogs to these families. Additionally, given the highly individualised nature of ASD it is likely that some children and families gain more benefits from dog ownership than others, yet no research has reported the effect of individual differences. This pilot study reports the development of a 28-item scale based on the perceived impact of a pet dog on a child with autism by parents (Lincoln Autism Pet Dog Impact Scale—LAPDIS). The scale is comprised of three mathematically derived factors: Adaptability, Social Skills and Conflict Management. We assessed how individual differences (aspects) may be associated with scores on these three factors. Family Aspects and Dog Aspects were not significantly associated with ratings on the three factors, but Child Aspects (including: contact with horses, child age, disability level and language abilities) were related to impact of the dog on all factors. Training Aspects were related to scores on Social Skills (formal training with children with ASD and dogs and attendance at PAWS workshops run by Dogs for Good). These results suggest that individual differences associated with the child and the training approach may be important considerations for a positive impact from dog ownership on families with children with ASD. Differences in family features and the dog may not be so important, but may be worthy of further investigations given the early stage of development in this field.
Impulsiveness describes the inability to inhibit behaviour in the presence of salient cues. Trait-level impulsivity exists on a continuum and individual differences can be adaptive in different contexts. While breed related differences in behavioural tendency in the domestic dog ( Canis familiaris ) are well established, the phenomenon within lines of a breed which have been selected more recently is not well studied, although it may challenge the popular notion of breed-typical behaviour. We describe differences in impulsivity between and within two dog breeds with working and show lines selected for different levels of impulsivity: Border Collies (herding work) and Labrador Retrievers (gun work). Recent show line selection might have lessened differences in impulsivity between breeds. We tested this hypothesis on a dataset of 1161 individuals assessed using a validated psychometric tool (Dog Impulsivity Assessment Scale - DIAS). Collies were more impulsive on average, consistent with the original purpose of breed selection. Regarding line, working Collies differed from working Labradors, but show lines from the two breeds were not significantly different. Altered or relaxed artificial selection for behavioural traits when appearance rather than behaviour become the primary focus for breeders may reduce average differences in impulsivity between breeds in show lines.
This study describes the impact of pet dogs on stress of primary carers of children with Autism Spectrum Disorder (ASD). Stress levels of 38 primary carers acquiring a dog and 24 controls not acquiring a dog were sampled at: Pre-intervention (17 weeks before acquiring a dog), post-intervention (3–10 weeks after acquisition) and follow-up (25–40 weeks after acquisition), using the Parenting Stress Index. Analysis revealed significant improvements in the intervention compared to the control group for Total Stress, Parental Distress and Difficult Child. A significant number of parents in the intervention group moved from clinically high to normal levels of Parental Distress. The results highlight the potential of pet dogs to reduce stress in primary carers of children with an ASD.
ABSTRACT There is increasing evidence to suggest that dogs are beneficial for children with Autism Spectrum Disorder (ASD) in therapy sessions, and anecdotal reports suggest that dogs may have wider benefits, in a family setting. This study investigated the effect of dog ownership on family functioning and child anxiety. Using a validated scale of family strengths and weaknesses (Brief Version of the Family Assessment Measure-III [General Scale]), we compared parents of children with ASD who had recently acquired a pet dog (n=42, Intervention group) with a similar group of parents not acquiring a dog (n=28, Control group) at matched time points. A sub-population (n =14 acquiring a dog, n=26 controls) completed a parental-report measure of child anxiety (Spence Children's Anxiety Scale). The primary carer completed the scales via telephone at Baseline (up to 17 weeks before acquiring a dog), Post-intervention (3–10 weeks after acquisition), and Follow-up (25–40 weeks after acquisition). Over time, scores for family functioning showed significant improvements (reduced family weaknesses, increased strengths) in the dog-owning compared with the non-dog owning group. In comparison with the non-dog owning group, anxiety scores in the dog-owning group reduced by a greater percentage, most notably in the domains of Obsessive Compulsive Disorder (26% greater decrease), Panic Attack and Agoraphobia (24%), Social Phobia (22%), and Separation Anxiety (22%). The results illustrate the potential of pet dogs to improve whole family functioning and child anxiety.
SummaryMost individuals who have lived in foster homes, residential care or adoptive families for substantial periods (‘people affected by public care or adoption’) show normal psychological adjustment as adults, although rates of mental disorders, hospital admission and suicide are increased. Research focusing on the experiences of this group of people can help professionals better understand their behaviour and attitude towards help. Psychiatric symptoms can be multifaceted, including complex trauma presentations. The specific mental health needs of this population are increasingly being recognised in child and adolescent mental health services but less so in adult services. In this article we describe life experiences of people affected by public care or adoption, examine the lifelong impact of these experiences on mental health and functioning, and offer practical suggestions for clinical work with them.
Individual differences in impulsivity occur at a cognitive and/or behavioural level and are associated with differing life outcomes. However, there is a lack of empirical evidence to support the long-term stability of these characteristics in non-human animals. This study reports on the stability of convergent measures of impulsivity in domestic dogs assessed more than 6 years apart. Measures were (1) owner assessment by means of a questionnaire, the validated 'Dog Impulsivity Assessment Scale' (DIAS) and (2) dogs' performance in a delayed reward choice test. Dogs had 15-min free access to two food dispensers, one dispensing a piece of food immediately, the other dispensing three pieces after a delay, which increased by 1 s every other time the dogs sampled it. Maximum delay reached in this task reflects decision-making, or cognitive impulsivity, whereas the rate of extra presses on the delayed reward device during the delay can be considered as a measure of motor or behavioural impulsivity. DIAS scores were strongly and significantly correlated across years. The maximum delay reached in the behaviour test was also highly stable, whereas paw-pressing rate was uncorrelated between the years. These results demonstrate that cognitive but not motor impulsivity is highly consistent over time in dogs.