A PROSPECTIVE STUDY OF SOMATIC AND EMOTIONAL SYMPTOMS OF PREGNANCY

Using a prospective design, this study examined somatic and emotional symptoms of planned pregnancy in a sample of 162 healthy women. All women participated in a baseline (prepregnancy) interview. Seventy women became pregnant and were assessed at each trimester; the 92 nonpregnant controls were interviewed 3, 6, and 9 months after their baseline interview. All participants also completed the Anxiety and Depression subscales of the Symptom Checklist–Revised (SCL 90-R). No significant group differences were found at baseline. As expected, however, pregnant women reported significantly more instances of digestive symptoms (nausea, vomiting, heartburn), fatigue, and moodiness than nonpregnant controls. Discriminant-function analyses found that in the context of all symptom variables, nausea and fatigue were the primary distinguishing features of the first trimester. In the second and third trimester, fatigue and heartburn contributed to the distinction of pregnant and nonpregnant women. Although pregnancy precipitates many physical and psychological changes in this sample of women who had planned pregnancies, our results did not support the notion that pregnancy is either a time of significant emotional turmoil or of heightened emotional well-being.     

Implications of positive and negative sociometric status for assessing the social competence of young children

Positive and negative sociometric status were examined with reference to observed classroom behavior and performance on two laboratory measures of social skills: decoding emotion from facial expression and referential communication. Based on a sample of 38 preschool children, results indicated different patterns of correlations for liked (positive nomination) and disliked (negative nomination) scores. High-liked children were observed to spend more time in positive interaction with peers and less time in solitary play or alone with an adult. High-disliked children scored less well on both laboratory measures. Using median splits on the liked and disliked dimensions, results indicated that children who were rated by their peers as Low-Liked/High-Disliked were the most deviant with respect to both classroom behaviors and task scores. The importance of obtaining both positive and negative nominations in investigations of social competence is stressed. Implications of the results for the identification of preschool children with social problems and the planning of intervention strategies for these children are discussed.     

Reading skill and the identification of words in discourse context

Word identification latencies and word prediction accuracy were compared for groups of skilled and less skilled young readers in three experiments. In each experiment, discourse context reduced identification latencies for less skilled as well as skilled readers. This was true both when context was heard and when it was read. The general relationship between word predictability and latency was the same for skilled readers and for less skilled readers, but only less skilled readers’ identification latencies were affected by word length and word frequency when the word appeared in context. When subjects predicted the word before identifying it, correctly predicted words were identified more quickly than words not predicted correctly, and skilled readers were more accurate in prediction than were less skilled readers. Although reading-related differences in the use of discourse context may characterize other aspects of reading comprehension, the use of context in identifying words is not a major source of reading difficulty.     

Self-esteem,need for approval,and reactions to personal evaluations

In accordance with theoretical predictions concerning the reactions of high and low self-esteem individuals, Ss with low self-esteem scores showed an increase in liking for a positive evaluator of self and a decrease in liking for a negative evaluator of self. Ss with high self-esteem scores and low Marlowe-Crowne scores did not show a significant change in liking for either a positive or negative evaluator of self. Ss with high self-esteem scores and high Marlowe-Crowne scores showed a pattern of reaction similar to that of low self-esteem Ss. It was suggested that a sizable percentage of high self-esteem scorers should be reclassified as low self-esteem. This subgroup seems to obtain high scores on a self-esteem inventory by presenting themselves in an overly favorable as opposed to honest manner (the defining characteristic of a high Marlowe-Crowne scorer) but shows behavior patterns similar to low self-esteem individuals.     

Antidepressants,Psychotherapy or their Combination: Weighing Options for Depression Treatments

Psychotherapy and antidepressant medications are the two preeminent treatment choices for depression. This article puts each of these treatments into perspective by presenting an overview of what is currently known about their effectiveness either singly or in combination. Discussion of placebos, common factors among therapies, relapse rates, depression severity, patient treatment preferences and exaggerations in pharmaceutical advertising provide guidance for clinicians in deciding on the best course of treatment. Overall, research reveals the importance of psychosocial factors, no matter what the mode of treatment, and the need for fostering a collaborative bond between clinicians and their patients. We argue that empirical evidence points to making psychotherapy the initial treatment choice for most cases of depression.