Ric Steele | Johns Hopkins University (original) (raw)

Papers by Ric Steele

Research paper thumbnail of The Family Health Project: Psychosocial Adjustment of Children Whose Mothers Are HIV Infected

The psychosocial adjustment of 87 inner-city African American children 6-11 years old whose mothe... more The psychosocial adjustment of 87 inner-city African American children 6-11 years old whose mothers were HIV infected was compared with that of 149 children from a similar sociodemographic background whose mothers did not report being HIV infected. Children were not identified as being

Research paper thumbnail of Targeted prevention of anti-social behavior in an urban context

Crime Prevention and Community Safety, 2011

... doi:10.1057/cpcs.2010.22. Targeted prevention of anti-social behavior in an urban context. Ha... more ... doi:10.1057/cpcs.2010.22. Targeted prevention of anti-social behavior in an urban context. Harrie Jonkman a,b , Hans Boutellier b,c , Pim Cuijpers a , Petra van der Looy d and Jos Twisk e. ... Copyright © 2011 Palgrave Macmillan, a division of Macmillan Publishers Limited. ...

Research paper thumbnail of Health promotion for dogs and humans : the 10,000 steps Rockhampton dog walking intervention

Research paper thumbnail of Family members' uncertainty about parental chronic illness: the relationship of hemophilia and HIV infection to child functioning

Journal of Pediatric Psychology, Sep 1, 1997

Research paper thumbnail of Treatment Services for Adolescent Substance Abuse

Issues in Clinical Child Psychology, 2005

Research paper thumbnail of Repressive Adaptive Style in Children With Chronic Illness

The primary objectives of this study were 1) To assess whether previously reported findings of hi... more The primary objectives of this study were 1) To assess whether previously reported findings of high levels of repressive adaptation in children with cancer are unique to the cancer population or are generally characteristic of children with serious chronic illness and 2) to assess the utility of including a new measure of anger expression in the adaptive style measurement paradigm. Measures of defensiveness, trait anxiety, and anger expression were obtained from three groups of children: those with cancer (N = 130), those with chronic illnesses (diabetes, cystic fibrosis, and juvenile rheumatoid disorders; N = 121), and healthy control participants (N = 368). Based on their self-reports, participants were categorized according to the adaptive style paradigm as either high anxious, low anxious, defensive high anxious, or repressor. The prevalence of these categories was compared across groups. Children in the cancer and chronic illness groups both reported significantly higher levels of defensiveness and lower levels of anxiety than did the healthy control participants. Application of the adaptive style paradigm produced a significantly higher percentage of children identified as repressors in the both cancer and chronic illness groups relative to healthy children. Children classified as repressors also reported significantly less expression of anger than did nonrepressors. An increased prevalence of repressive adaptation is not unique to children with cancer, but may be generally characteristic of children with serious chronic illness. Use of anger in place of anxiety as the repressed affect produced a similar distribution of adaptive styles in the study populations.

Research paper thumbnail of Repressive adaptive style in children with chronic illness

Psychosomatic medicine

The primary objectives of this study were 1) To assess whether previously reported findings of hi... more The primary objectives of this study were 1) To assess whether previously reported findings of high levels of repressive adaptation in children with cancer are unique to the cancer population or are generally characteristic of children with serious chronic illness and 2) to assess the utility of including a new measure of anger expression in the adaptive style measurement paradigm. Measures of defensiveness, trait anxiety, and anger expression were obtained from three groups of children: those with cancer (N = 130), those with chronic illnesses (diabetes, cystic fibrosis, and juvenile rheumatoid disorders; N = 121), and healthy control participants (N = 368). Based on their self-reports, participants were categorized according to the adaptive style paradigm as either high anxious, low anxious, defensive high anxious, or repressor. The prevalence of these categories was compared across groups. Children in the cancer and chronic illness groups both reported significantly higher levels...

Research paper thumbnail of The role of family processes and coping strategies in the relationship between parental chronic illness and childhood internalizing problems

Journal of abnormal child psychology, 1997

Sixty-nine families (father, mother, and one child) in which the father had hemophilia, approxima... more Sixty-nine families (father, mother, and one child) in which the father had hemophilia, approximately half of whom were HIV positive, were assessed in an examination of the relationship between parental chronic illness, family functioning, child coping strategies, and child adjustment. Latent variable path analyses with partial least-squares estimation procedures (PLS) were used to test a model of the relationship between parental chronic illness, family process variables, child coping strategies, and child internalizing behavior problems. The severity of the father's illness predicted family process variables, which predicted the coping style of the child. The use of more avoidant coping strategies was associated with more internalizing problems.

Research paper thumbnail of Mental Health Services for Children with Chronic Illness

Issues in Clinical Child Psychology, 2005

Research paper thumbnail of Systematic review and meta-analysis of comprehensive behavioral family lifestyle interventions addressing pediatric obesity

Journal of pediatric psychology, 2014

To conduct a meta-analysis of randomized controlled trials examining the efficacy of comprehensiv... more To conduct a meta-analysis of randomized controlled trials examining the efficacy of comprehensive behavioral family lifestyle interventions (CBFLI) for pediatric obesity. Common research databases were searched for articles through April 1, 2013. 20 different studies (42 effect sizes and 1,671 participants) met inclusion criteria. Risk of bias assessment and rating of quality of the evidence were conducted. The overall effect size for CBFLIs as compared with passive control groups over all time points was statistically significant (Hedge's g = 0.473, 95% confidence interval [.362, .584]) and suggestive of a small effect size. Duration of treatment, number of treatment sessions, the amount of time in treatment, child age, format of therapy (individual vs. group), form of contact, and study use of intent to treat analysis were all statistically significant moderators of effect size. CBFLIs demonstrated efficacy for improving weight outcomes in youths who are overweight or obese.

Research paper thumbnail of Pediatric AIDS

Handbook of Child Psychopathology, 1998

... REX FOREHAND, RIC STEELE, and BETH KOTCHICK • Psychology Department, University of Georgia, A... more ... REX FOREHAND, RIC STEELE, and BETH KOTCHICK • Psychology Department, University of Georgia, Athens, Georgia 30602. ... Assessment of the medical condition and psy-chosocial functioning of HIV-infected children needs to occur on a regular basis (Mendez, 1992). ...

Research paper thumbnail of Race and Health Status as Determinants of Anger Expression and Adaptive Style in Children

Journal of Social and Clinical Psychology, 2003

ABSTRACT

Research paper thumbnail of Changes in Maternal Distress and Child-Rearing Strategies Across Treatment for Pediatric Cancer

Journal of Pediatric Psychology, 2003

To examine longitudinal changes in perceived stress, affective distress, and self-reported parent... more To examine longitudinal changes in perceived stress, affective distress, and self-reported parenting strategies among mothers of children with cancer over the initial 6 months of diagnosis and treatment, and to examine relationships between changes in distress and subsequent parenting strategies. Questionnaire data were gathered regarding parental perceived stress, caregiver burden, affective distress, and parenting strategies from 65 mothers of children (mean age = 8.3 years) with cancer at 2-5, 12-14, and 22-24 weeks postdiagnosis. Consistent with other studies in the literature, maternal affective distress decreased over the time course of the study. Perceived stress also decreased, while caregiver burden remained relatively stable. Parental consistency fluctuated over the study period, while other parenting strategies (i.e., control, nurturance, and responsiveness) remained stable. Although maternal affective distress decreased following the initial diagnosis of cancer, sources of stress (e.g., caregiver burden) may remain stable, indicating the need for interventions to bolster parental coping resources.

Research paper thumbnail of Commentary: Pediatric eHealth Interventions: Common Challenges During Development, Implementation, and Dissemination

Journal of Pediatric Psychology, 2014

Research paper thumbnail of The Relationship of Hope and Illness-Related Uncertainty to Emotional Adjustment and Adherence Among Pediatric Renal and Liver Transplant Recipients

Journal of Pediatric Psychology, 2006

Research paper thumbnail of Family Members' Uncertainty About Parental Chronic Illness: The Relationship of Hemophilia and HIV Infaction to Child Funcationing

Journal of Pediatric Psychology, 1997

Research paper thumbnail of Patterns of Maternal Distress Among Children With Cancer and Their Association With Child Emotional and Somatic Distress

Journal of Pediatric Psychology, 2004

Research paper thumbnail of The Contribution of Ethnic Minority Status to Adaptive Style: A Comparison of Mexican, Mexican American, and European American Children

Journal of Cross-Cultural Psychology, 2007

Page 1. http://jcc.sagepub.com/ Journal of Cross-Cultural Psychology http://jcc.sagepub. com/cont... more Page 1. http://jcc.sagepub.com/ Journal of Cross-Cultural Psychology http://jcc.sagepub. com/content/38/1/26 The online version of this article can be found at: DOI: 10.1177/0022022106295439 2007 38: 26 Journal of Cross-Cultural ...

Research paper thumbnail of The Family Health Project: Psychosocial adjustment of children whose mothers are HIV infected

Journal of Consulting and Clinical Psychology, 1998

The psychosocial adjustment of 87 inner-city African American children 6-11 years old whose mothe... more The psychosocial adjustment of 87 inner-city African American children 6-11 years old whose mothers were HIV infected was compared with that of 149 children from a similar sociodemographic background whose mothers did not report being HIV infected. Children were not identified as being HIV infected. Mother reports, child reports, and standardized reading achievement scores were used to assess 4 domains of adjustment: externalizing problems, internalizing problems, cognitive competence, and prosocial competence. The results indicated that, on average, children from both groups had elevated levels of behavior problem scores and low reading achievement scores when compared with national averages. Relative to children whose mothers were not infected, those whose mothers were HIV infected were reported to have more difficulties in all domains of psychosocial adjustment. Potential family processes that may explain the findings are discussed.

Research paper thumbnail of Longitudinal Correlates of Depressive Symptoms Among Urban African American Children: II. Extension of Findings Across 3 Years

Journal of Clinical Child & Adolescent Psychology, 2003

We examined the association between childhood self-reported depressive symptoms and 2 areas of ch... more We examined the association between childhood self-reported depressive symptoms and 2 areas of child psychosocial functioning: social and cognitive competence. Urban African American children, ages 6 to 11 and their mothers (N = 177) were interviewed at 2 assessments separated by 3 years. As a test of the relations among depressive symptoms and subsequent psychosocial functioning, independent hierarchical regression analyses were performed, with mother-reported social and cognitive competence and grades at the latter assessment as dependent variables. The analyses indicated that Children's Depression Inventory (CDI) scores at the initial assessment predicted changes in mother-reported social competence from the initial assessment to the latter assessment. This study also examined the impact of an additional stressor, maternal HIV infection, on this same relation. The analyses indicated that maternal HIV infection did not moderate the relation between childhood self-reported depressive symptoms and later competence.

Research paper thumbnail of The Family Health Project: Psychosocial Adjustment of Children Whose Mothers Are HIV Infected

The psychosocial adjustment of 87 inner-city African American children 6-11 years old whose mothe... more The psychosocial adjustment of 87 inner-city African American children 6-11 years old whose mothers were HIV infected was compared with that of 149 children from a similar sociodemographic background whose mothers did not report being HIV infected. Children were not identified as being

Research paper thumbnail of Targeted prevention of anti-social behavior in an urban context

Crime Prevention and Community Safety, 2011

... doi:10.1057/cpcs.2010.22. Targeted prevention of anti-social behavior in an urban context. Ha... more ... doi:10.1057/cpcs.2010.22. Targeted prevention of anti-social behavior in an urban context. Harrie Jonkman a,b , Hans Boutellier b,c , Pim Cuijpers a , Petra van der Looy d and Jos Twisk e. ... Copyright © 2011 Palgrave Macmillan, a division of Macmillan Publishers Limited. ...

Research paper thumbnail of Health promotion for dogs and humans : the 10,000 steps Rockhampton dog walking intervention

Research paper thumbnail of Family members' uncertainty about parental chronic illness: the relationship of hemophilia and HIV infection to child functioning

Journal of Pediatric Psychology, Sep 1, 1997

Research paper thumbnail of Treatment Services for Adolescent Substance Abuse

Issues in Clinical Child Psychology, 2005

Research paper thumbnail of Repressive Adaptive Style in Children With Chronic Illness

The primary objectives of this study were 1) To assess whether previously reported findings of hi... more The primary objectives of this study were 1) To assess whether previously reported findings of high levels of repressive adaptation in children with cancer are unique to the cancer population or are generally characteristic of children with serious chronic illness and 2) to assess the utility of including a new measure of anger expression in the adaptive style measurement paradigm. Measures of defensiveness, trait anxiety, and anger expression were obtained from three groups of children: those with cancer (N = 130), those with chronic illnesses (diabetes, cystic fibrosis, and juvenile rheumatoid disorders; N = 121), and healthy control participants (N = 368). Based on their self-reports, participants were categorized according to the adaptive style paradigm as either high anxious, low anxious, defensive high anxious, or repressor. The prevalence of these categories was compared across groups. Children in the cancer and chronic illness groups both reported significantly higher levels of defensiveness and lower levels of anxiety than did the healthy control participants. Application of the adaptive style paradigm produced a significantly higher percentage of children identified as repressors in the both cancer and chronic illness groups relative to healthy children. Children classified as repressors also reported significantly less expression of anger than did nonrepressors. An increased prevalence of repressive adaptation is not unique to children with cancer, but may be generally characteristic of children with serious chronic illness. Use of anger in place of anxiety as the repressed affect produced a similar distribution of adaptive styles in the study populations.

Research paper thumbnail of Repressive adaptive style in children with chronic illness

Psychosomatic medicine

The primary objectives of this study were 1) To assess whether previously reported findings of hi... more The primary objectives of this study were 1) To assess whether previously reported findings of high levels of repressive adaptation in children with cancer are unique to the cancer population or are generally characteristic of children with serious chronic illness and 2) to assess the utility of including a new measure of anger expression in the adaptive style measurement paradigm. Measures of defensiveness, trait anxiety, and anger expression were obtained from three groups of children: those with cancer (N = 130), those with chronic illnesses (diabetes, cystic fibrosis, and juvenile rheumatoid disorders; N = 121), and healthy control participants (N = 368). Based on their self-reports, participants were categorized according to the adaptive style paradigm as either high anxious, low anxious, defensive high anxious, or repressor. The prevalence of these categories was compared across groups. Children in the cancer and chronic illness groups both reported significantly higher levels...

Research paper thumbnail of The role of family processes and coping strategies in the relationship between parental chronic illness and childhood internalizing problems

Journal of abnormal child psychology, 1997

Sixty-nine families (father, mother, and one child) in which the father had hemophilia, approxima... more Sixty-nine families (father, mother, and one child) in which the father had hemophilia, approximately half of whom were HIV positive, were assessed in an examination of the relationship between parental chronic illness, family functioning, child coping strategies, and child adjustment. Latent variable path analyses with partial least-squares estimation procedures (PLS) were used to test a model of the relationship between parental chronic illness, family process variables, child coping strategies, and child internalizing behavior problems. The severity of the father's illness predicted family process variables, which predicted the coping style of the child. The use of more avoidant coping strategies was associated with more internalizing problems.

Research paper thumbnail of Mental Health Services for Children with Chronic Illness

Issues in Clinical Child Psychology, 2005

Research paper thumbnail of Systematic review and meta-analysis of comprehensive behavioral family lifestyle interventions addressing pediatric obesity

Journal of pediatric psychology, 2014

To conduct a meta-analysis of randomized controlled trials examining the efficacy of comprehensiv... more To conduct a meta-analysis of randomized controlled trials examining the efficacy of comprehensive behavioral family lifestyle interventions (CBFLI) for pediatric obesity. Common research databases were searched for articles through April 1, 2013. 20 different studies (42 effect sizes and 1,671 participants) met inclusion criteria. Risk of bias assessment and rating of quality of the evidence were conducted. The overall effect size for CBFLIs as compared with passive control groups over all time points was statistically significant (Hedge's g = 0.473, 95% confidence interval [.362, .584]) and suggestive of a small effect size. Duration of treatment, number of treatment sessions, the amount of time in treatment, child age, format of therapy (individual vs. group), form of contact, and study use of intent to treat analysis were all statistically significant moderators of effect size. CBFLIs demonstrated efficacy for improving weight outcomes in youths who are overweight or obese.

Research paper thumbnail of Pediatric AIDS

Handbook of Child Psychopathology, 1998

... REX FOREHAND, RIC STEELE, and BETH KOTCHICK • Psychology Department, University of Georgia, A... more ... REX FOREHAND, RIC STEELE, and BETH KOTCHICK • Psychology Department, University of Georgia, Athens, Georgia 30602. ... Assessment of the medical condition and psy-chosocial functioning of HIV-infected children needs to occur on a regular basis (Mendez, 1992). ...

Research paper thumbnail of Race and Health Status as Determinants of Anger Expression and Adaptive Style in Children

Journal of Social and Clinical Psychology, 2003

ABSTRACT

Research paper thumbnail of Changes in Maternal Distress and Child-Rearing Strategies Across Treatment for Pediatric Cancer

Journal of Pediatric Psychology, 2003

To examine longitudinal changes in perceived stress, affective distress, and self-reported parent... more To examine longitudinal changes in perceived stress, affective distress, and self-reported parenting strategies among mothers of children with cancer over the initial 6 months of diagnosis and treatment, and to examine relationships between changes in distress and subsequent parenting strategies. Questionnaire data were gathered regarding parental perceived stress, caregiver burden, affective distress, and parenting strategies from 65 mothers of children (mean age = 8.3 years) with cancer at 2-5, 12-14, and 22-24 weeks postdiagnosis. Consistent with other studies in the literature, maternal affective distress decreased over the time course of the study. Perceived stress also decreased, while caregiver burden remained relatively stable. Parental consistency fluctuated over the study period, while other parenting strategies (i.e., control, nurturance, and responsiveness) remained stable. Although maternal affective distress decreased following the initial diagnosis of cancer, sources of stress (e.g., caregiver burden) may remain stable, indicating the need for interventions to bolster parental coping resources.

Research paper thumbnail of Commentary: Pediatric eHealth Interventions: Common Challenges During Development, Implementation, and Dissemination

Journal of Pediatric Psychology, 2014

Research paper thumbnail of The Relationship of Hope and Illness-Related Uncertainty to Emotional Adjustment and Adherence Among Pediatric Renal and Liver Transplant Recipients

Journal of Pediatric Psychology, 2006

Research paper thumbnail of Family Members' Uncertainty About Parental Chronic Illness: The Relationship of Hemophilia and HIV Infaction to Child Funcationing

Journal of Pediatric Psychology, 1997

Research paper thumbnail of Patterns of Maternal Distress Among Children With Cancer and Their Association With Child Emotional and Somatic Distress

Journal of Pediatric Psychology, 2004

Research paper thumbnail of The Contribution of Ethnic Minority Status to Adaptive Style: A Comparison of Mexican, Mexican American, and European American Children

Journal of Cross-Cultural Psychology, 2007

Page 1. http://jcc.sagepub.com/ Journal of Cross-Cultural Psychology http://jcc.sagepub. com/cont... more Page 1. http://jcc.sagepub.com/ Journal of Cross-Cultural Psychology http://jcc.sagepub. com/content/38/1/26 The online version of this article can be found at: DOI: 10.1177/0022022106295439 2007 38: 26 Journal of Cross-Cultural ...

Research paper thumbnail of The Family Health Project: Psychosocial adjustment of children whose mothers are HIV infected

Journal of Consulting and Clinical Psychology, 1998

The psychosocial adjustment of 87 inner-city African American children 6-11 years old whose mothe... more The psychosocial adjustment of 87 inner-city African American children 6-11 years old whose mothers were HIV infected was compared with that of 149 children from a similar sociodemographic background whose mothers did not report being HIV infected. Children were not identified as being HIV infected. Mother reports, child reports, and standardized reading achievement scores were used to assess 4 domains of adjustment: externalizing problems, internalizing problems, cognitive competence, and prosocial competence. The results indicated that, on average, children from both groups had elevated levels of behavior problem scores and low reading achievement scores when compared with national averages. Relative to children whose mothers were not infected, those whose mothers were HIV infected were reported to have more difficulties in all domains of psychosocial adjustment. Potential family processes that may explain the findings are discussed.

Research paper thumbnail of Longitudinal Correlates of Depressive Symptoms Among Urban African American Children: II. Extension of Findings Across 3 Years

Journal of Clinical Child & Adolescent Psychology, 2003

We examined the association between childhood self-reported depressive symptoms and 2 areas of ch... more We examined the association between childhood self-reported depressive symptoms and 2 areas of child psychosocial functioning: social and cognitive competence. Urban African American children, ages 6 to 11 and their mothers (N = 177) were interviewed at 2 assessments separated by 3 years. As a test of the relations among depressive symptoms and subsequent psychosocial functioning, independent hierarchical regression analyses were performed, with mother-reported social and cognitive competence and grades at the latter assessment as dependent variables. The analyses indicated that Children's Depression Inventory (CDI) scores at the initial assessment predicted changes in mother-reported social competence from the initial assessment to the latter assessment. This study also examined the impact of an additional stressor, maternal HIV infection, on this same relation. The analyses indicated that maternal HIV infection did not moderate the relation between childhood self-reported depressive symptoms and later competence.