The first 900: a nine-year longitudinal analysis of consecutive adolescent inpatients

Data for the presenting complaints, average age and sex distribution, average length of stay and the discharge diagnosis for 900 consecutive adolescents treated at the Adolescent Center of Houston International Hospital between 1974 and 1982 were reviewed. The number of cases remained fairly constant over the 9 years. As the males and females showed an increase in age, the increase in age for males (13.4 years to 15.2 years) was greater than that for females (14.4 years to 15.0 years). The average age for male admissions during 1974-1976 was significantly lower than 1980-1982 (p less than 0.03). The average length of stay for males during 1980-1982 was significantly greater than 1974-1976 (p less than 0.05). The most frequent presenting symptoms in decreasing order for 1974-1982 were depression, school problems, family problems, threatening behavior, runaway behavior, and suicidal ideation. Depression increased from 15.6% in 1974-1976 to 29.6% of presenting symptoms. Substance abuse increased from 4% (1974-1976) to 8.8% (1980-1982). Suicidal ideation increased three-fold over the same period (3.3% to 10.6%). A significantly greater number of males presented with 1) impulsivity, 2) aggressiveness, 3) withdrawal behavior, 4) stealing, and 5) disruptive behavior. A significantly greater number of females presented with 1) runaway behavior, and 2) suicidal ideation. The 10 most frequent discharge diagnoses are listed. Depression as a diagnosis increased almost four-fold between 1977-1979 and 1980-1982 (7.6% versus 27.5%).     

Depressive symptoms in Swedish adolescents

This study examined the prevalence of self-reported depressive symptoms in a Swedish urban school sample (n=547) aged 13 to 18 years using the Beck Depression Inventory (BDI). The data obtained were examined with respect to sex and age differences and compared with a clinical sample of adolescents hospitalized because of psychiatric disturbances. The results indicated a strong preponderance of depressive symptoms among girls in the school sample, in particular for the severe symptom level. Eight percent of subjects reported depressive symptoms sufficiently high to be classified as a moderate, and 2% as a severe, level of depression. Factor analysis yielded four factors representing dysphoric mood, social activity, relationship, and food-related dimensions. The BDI showed a high internal consistency, and test-retest reliability calculated for a 2-week and a 2-month interval revealed strong correlations. The means of total scores on the BDI for the clinical sample were significantly higher than for those in the school sample.     

A Psychometric Study of 150 Adult Delinquents

Abstract

To test the hypothesis that cooperative and competitive behavior strategies affect attitudes toward success, 147 male and female adults (age range 16 to 51 years) wrote stories in response to a modification of Horner's (1972) success cue and completed a personality trait list for their cue figure. Subjects were given one of four cues that varied sex of cue figure (Anne vs. John) and behavioral strategy (cooperative vs. competitive). Both measures yielded differences as a function of the strategy variable, with significantly more positive stories written in response to the cooperative strategy cue than to the competitive strategy cue (p < .001), and significant differences between the strategy cues on 26 of 40 personality traits. Although sex differences were predicted, no differences were found as a function of sex of subject or sex of cue figure.     

Does substance abuse contribute to further risk of falls in dementia

This study aimed to predict the risk of falls by focusing on substance abuse in the elderly with dementia. Our national cross-sectional survey included 1210 elderly Malaysian demented subjects. The study identified the effects of age, ethnicity, sex differences, marital status, educational level, and substance abuse on the likelihood of falls in the elderly with dementia. The multivariate logistic regression model was used to analyze data collected from samples. The prevalence of falls was about 17% among subjects and significantly increased with age (p = .006). Furthermore, the results showed that age (OR = 1.03), ethnicity (OR = 1.69), substance abuse (OR = 1.68), and female sex (OR = 1.45) significantly enhanced the risk of falls in respondents (p < .05). Educational level and marital status had no significant effects on the likelihood of falls (p > .05). However, the findings provided evidence of an additional effect of substance abuse on further risk of falls in older adults with dementia.     

Adolescents' perceptions of the causes and consequences of success in sex-linked occupations

Junior and senior high school students rated the extent to which occupational success is attributable to internal versus external factors and the extent to which it results in negative versus positive outcomes; 144 seventh through twelfth graders responded to one of six success cues in which either a male or female character was depicted achieving success as a doctor, nurse, or department head. Junior high girls assigned a more positive valence to success than junior high boys (p<.001), with no sex differences among the senior high subjects. Girls of both age groups were more likely to rate success as difficult to achieve (p<.01) and requiring more effort (p<.05), while boys were more likely to indicate that success was a function of luck (p<.01). Socialization influences which may have mediated the age and sex differences are discussed.     

Relationship between anxiety and dyspnea on exertion in patients with chronic obstructive pulmonary disease

Abstract

Dyspnea limits exercise in patients with chronic obstructive pulmonary disease (COPD) and is known to induce anxiety. Little is known whether anxiety contributes to exercise-induced dyspnea, which in turn might influence the outcome of diagnostic tests. The aim of the present study was to examine the relationship between general anxiety and dyspnea on exertion in patients with COPD.

Ninety patients with stable COPD participated; 44 men, mean age 61 (standard deviation (SD) 10.4), and mean forced expiratory volume in 1 second (%pred.) 40.5 (SD 16.9). All participants performed pulmonary function tests and an incremental cycle ergometry. The Modified Borg Scale was used to measure the level of dyspnea on exertion. Anxiety symptoms were assessed with the Hospital Anxiety and Depression Scale. Data were analyzed using Spearman's correlations and multivariate regression. Dyspnea on exertion was correlated with general anxiety (r=.31), age (r=–.30), and exercise capacity (r=.27). Regression analysis showed that general anxiety was associated with dyspnea on exertion, adjusted for sex, age, baseline dyspnea, and exercise capacity. Consequently, it is reasoned that results of exercise training and activities in daily living may be influenced negatively by anxiety-worsened dyspnea. Attention should be given to anxiety management in patients with COPD to optimize exercise training.     

Relationships between stage of change for stress management behavior and perceived stress and coping

The main aim of this study was to examine the relationships between stage of change, which was guided by the transtheoretical model, for stress management behavior and perceived stress and coping. First, we developed the Korean version of the Rhode Island Stress and Coping Inventory (RISCI). Second, we related stage of change for stress management behavior to perceived stress and coping. Based on two surveys that we conducted (n = 530 for survey 1 and n = 299 for survey 2), we developed the Korean version of the RISCI with acceptable internal consistency and criterion‐related validity against the depressive level measured using the Korean Beck Depression Inventory II. The stress score of the Korean version of the RISCI was significantly lower in maintenance than in the other stages, while the coping score was significantly higher in action and maintenance than in the first three stages (n = 804), irrespective of sex. These results provided further empirical evidence to validate stage classification in the field of stress management behavior.     

Sex differences in the ability to recognise non-verbal displays of emotion: A meta-analysis

The present study aimed to quantify the magnitude of sex differences in humans' ability to accurately recognise non-verbal emotional displays. Studies of relevance were those that required explicit labelling of discrete emotions presented in the visual and/or auditory modality. A final set of 551 effect sizes from 215 samples was included in a multilevel meta-analysis. The results showed a small overall advantage in favour of females on emotion recognition tasks (d = 0.19). However, the magnitude of that sex difference was moderated by several factors, namely specific emotion, emotion type (negative, positive), sex of the actor, sensory modality (visual, audio, audio-visual) and age of the participants. Method of presentation (computer, slides, print, etc.), type of measurement (response time, accuracy) and year of publication did not significantly contribute to variance in effect sizes. These findings are discussed in the context of social and biological explanations of sex differences in emotion recognition.     

Sex differences in depressive symptom expression and help-seeking among college students

Considerable controversy has emerged around the issue of sex differences in depression. A recent study of a large sample of young, unmarried college student found no sex differences in degree of depression as measured by the Beck Depression Inventory, and yet significant sex differences emerged in the patterns of symptoms expressed by the most depressed subsample. It was speculated that sex differences in symptom expression may lead to sex differences in self-presentation, help-seeking, and evaluation by professionals — eventuating in predominance of women treated for depression. Two studies were conducted to clarify these issues. The first study attempted to replicate the findings on a similar large sample of college students using discriminant function analysis of male and female responses to the D30 subscale of the Depression scale of the MMPI. The results confirmed the previous finding that depressed men in a college population are more likely to express social withdrawal, cognitive and motivational deficits, and somatic concerns. Depressed women are characterized on the D30 by a lack of confidence, a lack of concern for what happens to them, and being hurt by criticism. The second study examined possible sex differences in the self-labeling of depression, attitudes toward seeking help for depression, and actual help-seeking behaviors. Men and women did not differ in willingness to report depression. However, there were clear sex differences in both help-seeking attitudes and reported behaviors, with men more reluctant to seek help.     

Age,Race, and Sex Similarity to Candidates and Voting Preference1

One thousand five hundred and seven voters aged 18 to over 75 from many different geographical areas were presented with pairs of candidates in a simulated mayoral election who differed in sex, race, or age and were asked to “vote.” Results confirmed the conclusions of previous research on undergraduate students (Sigelman & Sigelman, 1982), which found a stronger effect of the age of candidates than of either their sex or their race on voting, and also demonstrated race and sex similarity effects in voting preference. The present study also demonstrated a significant age-similarity effect. Voters over 65 showed a marked “reverse ageism” effect, actively preferring the older of any pair of candidates that differed significantly in age. Complex effects of the race and sex of experimenters on voting preference, interpreted as salience effects, were also obtained. Implications for actual electoral outcomes in the situation of an aging population are discussed.     

Depression, anxiety, hostility, and physical health

This study assessed the relationship of depression, anxiety, and hostility to physical health in a multicultural student population (N=106). When controlling for a variety of demographic and health risk factors (viz., age, sex, body mass, smoking, alcohol, salt, caffeine, and exercise), hostility, depression, and anxiety were related to higher reported incidences of physical symptoms and somatic illness. Depression and hostility had the strongest relationships with physical health, although the most striking single relationship was between depression and illness. Results suggest that it may be premature to focus our attention on hostility in research on the personality-illness relationship. They also suggest that the health behavior model of the relationship between personality and disease does not provide an adequate explanation, since negative affect was significantly associated with illness even when controlling for a variety of health risk factors. This work was supported, in part, by an intramural grant from the University of Hawaii, #R511.     

Depression,anxiety, hostility,and physical health

This study assessed the relationship of depression, anxiety, and hostility to physical health in a multicultural student population (N=106). When controlling for a variety of demographic and health risk factors (viz., age, sex, body mass, smoking, alcohol, salt, caffeine, and exercise), hostility, depression, and anxiety were related to higher reported incidences of physical symptoms and somatic illness. Depression and hostility had the strongest relationships with physical health, although the most striking single relationship was between depression and illness. Results suggest that it may be premature to focus our attention on hostility in research on the personality-illness relationship. They also suggest that the health behavior model of the relationship between personality and disease does not provide an adequate explanation, since negative affect was significantly associated with illness even when controlling for a variety of health risk factors. This work was supported, in part, by an intramural grant from the University of Hawaii, #R511.     

Association among items from the self-report version of the Hamilton Depression Scale (Carroll Rating Scale) and respondents' sex

The association among items of the self-reported version of the Hamilton Depression Scale (Carroll Rating Scale), answered according to a memory of a maximally disturbing event experienced, and respondents' sex was examined in a nonclinical sample of 320 college students, 164 women (M age=21.7 yr., SD=3.6) and 156 men (M age=23.5 yr., SD=5.8). An assessment of sex bias was also evaluated. Multiple regression analysis showed that statements regarding unhappiness, urge to cry, dizziness and faintness, and waking in the middle of the night were significantly associated with women. Removal of these items from the Carroll Rating Scale Total scores eliminated the sex differences in depression rates. Items that displayed significant sex bias were those regarding behavior and emotions commonly attributed to women within the general population.     

Individual differences in moral development: The relation of sex, gender, and personality to morality

Individual differences in moral development are examined, with a particular emphasis on sex and gender differences. This examination includes an extensive review of the empirical and theoretical literature in psychology on morality. Based on this review, it is concluded that sex differences occur with less frequency and with a less systematic favoring of males than is predicted by several theories of moral development. In addition, a study is presented which considers the relation of sex, gender, and personality to morality. Two age cohort samples, college sophomores (n = 169) and adults (n = 151), were assessed with the moral judgment scale of the cognitive-developmental model (Kohlberg, 1984) and a newly developed moral character template of the personological model (Lifton, in press). Participants also completed the CPI and MMPI personality inventories. Results of the study indicate (1) the absence of sex differences for either model, (2) the presence of gender differences favoring masculine persons for the cognitive-developmental but not personological model, and (3) that individual differences in moral development parallel individual differences in personality development. The implications of these findings are discussed with regard to Gilligan's (1982) claim that men and women differ in their moral orientations. Finally, it is argued that an individual difference approach, particularly one that emphasizes personality, would prove useful for future research on moral development.     

Barriers to mother-adolescent communication about sex,maternal monitoring and sexual behaviour among adolescents in Mexico

Mexican mothers have an important role in adolescent sexuality; however, they report multiple barriers to parent–child sex communication, which may impact adolescent sexual behaviour. This cross-sectional study examines whether adolescent perceptions of maternal barriers to communication are associated with adolescent sexual behaviour frequency indirectly through its association with maternal monitoring, and whether these associations differ by age and gender. Mexican adolescents (N = 1433), ages 12–19 (53% girls), completed a survey on normative sexual behaviours, adolescent perceptions of maternal barriers to sex communication, and maternal monitoring. Structural equation modelling analyses revealed that more barriers to communication (adolescent perceptions) were associated with more sexual behaviour frequency (i.e., oral and vaginal sex) among Mexican adolescents indirectly through its association with maternal monitoring. Findings were stronger for adolescents in 8th grades, but no differences were found by gender. This model expands our understanding of the parenting factors that impact Mexican adolescent sexuality.     

A Psychometric Investigation of the Ohio Scales,Short Form,Problem Severity Domain,Youth- and Caregiver-Report Versions

The current study examined the extent to which the Ohio Scales, Short Form, Problem Severity domain was able to perform as a reliable and valid measure within a large community mental health sample of multiethnic youth and families in Hawai?i. Using a sample of 1,125 youth participants, who were 59.1% male (n = 665), with a mean age of 12.96 (SD = 3.4), confirmatory factor analyses pointed to four factors (Externalizing, Delinquency, Anxiety, Depression), with subscale internal reliabilities varying slightly. The majority of convergence patterns between Problem Severity domain and related Child and Adolescent Functional Assessment Scale subscales were significantly correlated in the expected directions. Problem Severity subscale scores were mostly able to discriminate between youth with and without pertinent mental health diagnoses. Youth- and caregiver-report Problem Severity domain subscale and total scores were significantly correlated in the predicted directions. Finally, significant youth improvement was evident at 3-month follow-up, and Problem Severity intake and 3-month follow-up scores were significantly and positively related to one another. Implications and suggestions for future research are discussed.

     

Sex Role Expectations in Children's Vocational Aspirations and Perceptions of Occupations

To study sex role expectations, 120 boys and girls from three age groups—preschool, second grade, and fifth grade—in two socioeconomic levels were asked to name their vocational aspirations and to choose whether a man, woman, or both could do the work in 30 occupations depicted in a slide-tape series. Results indicated that sex typing was present in the way their aspirations conformed to traditional sex roles, with a significant relationship (p <.001) between sex typing of aspirations and sex of the respondents. Significant differences in responses to the occupational slides were found on the variables of sex (p <.01), grade level (p <.001), and socioeconomic level (p <.05), with greater sex typing indicated by boys than girls, by preschool children than by older children, and by lower to lower-middle class children than by middle to upper-middle class children. The study revealed a disparity between many children's perceptions of occupations as ones in which both sexes could work and their own personalized, sex-typed aspirations.     

Children’s emotional norms for 600 French words

The present study provides a French child database containing a large corpus of words (N=600) that were rated on emotional valence (positive, neutral, and negative) by French children differing in both age (5, 7, and 9 years old) and sex (girls and boys). Good response reliability was observed in each of the three age groups. The results showed some age differences in the children’s ratings. With increasing age, the percentage of words rated positive decreased, whereas the percentage of neutral words increased and the percentage of negative words remained stable. Our study did not reveal marked differences across sex groups. The database compiled here should become a useful tool for experimental studies in which verbal material is used with children. It would be worthwhile in future research to study how children process emotional words and also to control the emotional variable in the same way as other linguistic variables in the experimental design. The norms from this study may be downloaded from brm.psychonomic-journals.org/content/supplemental.     

Depression symptoms among Omani children: age and sex differences

The present study explored the existence of depressive symptoms among Omani children according to sex and age. The Arabic translated version of the Multidimensional Child and Adolescent Depression Scale was administered to 1,749 children (828 boys, 921 girls) ranging in age from 10 to 18 years old (M= 13.9, SD = 2.3) from 10 schools representing different areas of Muscat, Oman. The results showed no differences in the total mean scores on depression between boys and girls, although differences were observed on 4 of the 8 subscales. Boys had significantly higher scores on Weak concentration and Loneliness, while girls scored higher for Sleep problems and Anhedonia. Significant differences across ages also were exhibited for the total score as well as four subscales (Pessimism, Weak concentration, Anhedonia, and Fatigue), suggesting higher rates of depression among 15- to 18-year-olds.