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.     

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.     

Relationship of physicians' nonverbal communication skill to patient satisfaction, appointment noncompliance, and physician workload

A field study of 28 residents in family practice was conducted. Physicians' self-reports of empathy, self-monitoring ability, and affective communication skill as well as their objectively measured nonverbal communication skills were examined as predictors of patient satisfaction, appointment noncompliance, and physician workload (schedule density). Physicians completed the Hogan Empathy Scale, Snyder Self-Monitoring Scale, Affective Communication Test, short form of the Profile of Nonverbal Sensitivity, and a nonverbal encoding task. Patient satisfaction with communication, affective care, and technical care was assessed using a 25-item, visit-specific satisfaction scale. Appointment records were used to determine the number of patients seen by each physician and the compliance of patients with scheduled appointments. Results indicated that the three self-report measures were unrelated to the measures of patient noncompliance and patient satisfaction, but self-reported affective communication ability was significantly correlated with physician workload. Objectively measured physician sensitivity to audio communication predicted patient compliance: More sensitive physicians experienced fewer unrescheduled appointment cancellations. Nonverbal encoding skill was significantly related to patient satisfaction with affective care and to physician workload.     

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.     

The interview for antisocial behavior: Psychometric characteristics and concurrent validity with child psychiatric inpatients

The present study evaluated psychometric features and correlates of the Interview for Antisocial Behavior (IAB), a new measure designed to assess antisocial child behavior. Parents of 264 psychiatric inpatients (ages 6–13 years) completed the measure to evaluate antisocial behavior of their children. The investigation evaluated the relation of IAB scores to clinically derived diagnoses and to aggression and externalizing behaviors, as measured by different raters (parents, teachers), across different settings (home, school, hospital), and with different assessment methods (rating scales, behavioral role-play test). The results indicated that the IAB showed acceptable levels of internal consistency. A priori scores (severity, duration, total antisocial behavior) and factor analytically derived scales (Arguing/Fighting, Covert Antisocial Behaviors, Self-Injury) distinguished children with a DSM III diagnosis of conduct disorder, and scores on the IAB were more consistently related to other measures of aggression and externalizing behavior than to measures of internalizing behavior or overall severity of dysfunction. The implications of the results for use of the measure, particularly in relation to evaluation of the overt-covert dimension of antisocial behavior, are discussed.Completion of this research was facilitated by a Research Scientist Development Award (MH00353) and by grants (MH35408, MH39642) from the National Institute of Mental Health and the Rivendell Foundation.