Identifying depression in children: A comparison of alternative selection criteria

This study evaluated commonly used methods of identifying depressed children and examined the extent to which the conclusions about correlates of dysfunction vary among different selection criteria. Child psychiatric patients (N=237,ages 7–12) and their parents participated and completed measures to permit identification of depressed children on the basis of three separate criteria, including selfreport scores on the Children's Depression Inventory, parent-reported scores for the same measure, and a DSM-III diagnosis of major depression. The study examined whether depressed and nondepressed children, defined separately by the different criteria, differed in a variety of depression-related symptoms, cognitive processes, and social activity. The results indicated little overlap in the persons identified as depressed on the basis of child-or parent-completed CDI scores or DSM-III diagnosis. Depressed and nondepressed children tended to differ across all domains (depression-related symptoms, cognitive processes, and social activity) for each selection criterion. However, significant differences were evident in these domains only when the selection criterion and other domains were assessed with the same informant (e.g., self-report) and hence shared a common method (rater) component. The findings underscore the potential influence that method factors may have in influencing the conclusions that are drawn regarding the correlates of childhood depression.Completion of this research was supported by a Research Scientist Development Award (MH00353) and by a grant (MH35408) from the National Institute of Mental Health. The author is grateful to Debra Bass, Antoinette Rodgers, and Todd Siegel for assistance with this project.     

Overt integrity tests versus personality-based measures of delinquency: An empirical comparison

This study examined the ability of both an overt integrity test and a personality-based measure of delinquency to predict on-the-job theft and counterproductivity. A heterogeneous sample of 105 employees anonymously completed both tests and a criterion checklist that included a 9-item theft subscale and a 12-item counterproductivity subscale. Results indicated that the overt integrity test was a superior predictor of both on-the-job theft and drug abuse compared to the personality-based measure. The overt integrity test was also a slightly better predictor of general counterproductivity. These findings and their implications are discussed.     

Interfacing Apple and IBM computers for the analysis of clinical biofeedback

This paper demonstrates a method of transferring research data from a remote clinic to a large university mainframe for data manipulation and statistical analysis. Data collected by an Apple //e computer were transferred to an IBM 3031 mainframe by sending data files to an IBM PC by telephone modem or by direct hardwire connection to the PC. The IMB PC performed data-formatting routines and then uploaded the files to the mainframe for storage. Advantages and disadvantages of sending data over telephone lines via a modem are discussed.     

Single-subject statistical analysis of computer-assisted biofeedback

Single-subject statistics were used to analyze physiological data [electromyographic (EMG) temperature] recorded from two patients receiving computer-assisted biofeedback treatment in a clinic. When the data were analyzed by an ANOVA method or a regression technique, the results demonstrated that both patients learned to significantly reduce EMG levels. The rationale of using single-subject statistics is discussed, and the applicability of the statistical technique to the clinic population is illustrated.     

Detection errors in a task with articulatory suppression: Phonological receding and reading

In two experiments, subjects read passages of text and circled instances of a target letter under normal conditions or while engaged in articulatory suppression. In Experiment 1, subjects searching for the letter e made a disproportionately large number of errors on the word “the” and more errors when e occurred in unstressed than in stressed syllables of three-syllable words. In Experiment 2, subjects searching for the letter f made an exceedingly large number of errors on the word “of.” Articulatory suppression significantly reduced the stress effect in the three-syllable words but did not reduce the tendency to make errors on “the” or “of,” suggesting that phonological recoding is responsible for this effect of stress but does not influence the unitization processes of reading.     

Anger and irrational thought: Questionnaire and interview ratings

From an initial pool of 96 students, 36 subjects were selected based on Novaco Anger Scale scores to form high-, moderate-, and low-anger groups (n=12). They completed self-report questionnaires and participated in a structured interview designed to elicit cognitive and affective responses to hypothetical situations involving interpersonal conflict. High- and moderate-anger groups scored significantly higher than low-anger subjects on a questionnaire measure of irrational thinking. High-anger subjects scored higher than low-anger subjects on general anxiety, suspiciousness, fear of negative evaluation, hostility, and criticism of themselves and others. Interview ratings showed that there were no group differences in self-reports of anger or ability to cope with conflict, yet raters judged high-anger subjects to display more anger than low-anger subjects in their stated response actions. Estimates of coping ability varied inversely with reports of anger experienced. Generally, results support a relationship between irrational thinking patterns and anger in feeling and action. Implications for treatment are discussed.     

Behavioral effects of sucrose on preschool children

Despite speculation that sucrose consumption affects behavior, little empirical information is available. Accordingly, this study investigated the effect of sucrose consumption on the behavior of eight preschool children. Children were tested individually using a double-blind, crossover design. On separate mornings each child received 6 ounces of juice, sweetened on one morning with sucrose and on the other with an artificial sweetener. Children were observed for 90 minutes following the drinks, alternating between 15-minute sessions of work on structured tasks and 15-minute sessions of free play. Following the sucrose drink the children showed a decrement in performance in the structured testing situation, and they demonstrated more inappropriate behavior during free play. These differences in behavior were most pronounced approximately 45 to 60 minutes after the drinks. Thus, the study provides objective evidence in young children of a rather subtle, yet significant, time-dependent behavior effect of sucrose ingestion.This research was funded in part by grants from the General Research Grants Committee, University Hospital, Boston University Medical Center, and from the University of Connecticut Research Foundation. The project was conducted at the Clinical Research Center, Massachusetts Institute of Technology (National Institute of Health/General Clinical Research Center Grant 5M01-RR00088-20). We would like to express our appreciation to the many staff members of the Clinical Research Center for their extensive cooperation in helping us to plan and carry out this study, and to the director and staff of Technology Children's Center for their assistance in helping us to reach interested families. We also would like to thank the parents and children who participated in the study. Portions of this paper were presented at the annual meeting of the American Psychological Association, Toronto, August 1984.     

Behavioral assessment of methylphenidate in a child with frontal lobe damage

The assessment and management of inattentive, hyperactive, and impulsive behavior in a 6-year-old girl who experienced frontal lobe damage are described. A multimodel approach combining medical, educational, and behavioral techniques to assess hyperactive behavior, optimal medication level, and medication and psychotherapeutic effectiveness is described. The results of the study suggest that in similar cases, children and adolescents manifesting these behaviors should be given a trial of stimulant medication in a controlled environment to assess if such therapy is indicated. Additional support is given for the increasing need for detanté and cooperation with health-care professionals.