INCREASING CALORIE CONSUMPTION IN CHILDREN WITH CYSTIC FIBROSIS: REPLICATION WITH 2-YEAR FOLLOW-UP

Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.     

Lesbian,gay, and bisexual youth in community settings: Personal challenges and mental health problems

Studied 194 lesbian, gay, and bisexual youth aged 21 and younger who attended programs in 14 community centers to determine the personal challenges they face due to their sexual orientation and their responses to these stresses. First awareness of sexual orientation typically occurred at age 10, but disclosure to another person did not occur until about age 16. There was much variability in sexual behavior, and many youths reported both same-sex and opposite-sex sexual experiences. Although most had told at least one family member about their sexual orientation, there remained much concern about family reactions. Suicide attempts were acknowledged by 42% of the sample. Attempters significantly differed from nonattempters on several milestones of sexual orientation development, social aspects of sexual orientation, parents' knowledge of sexual orientation, and mental health problems. The following organizations participated in this project and are thanked for their assistance: Affirmations (Detroit), the Atlanta Gay Center, Baltimore Gay and Lesbian Community Center, Boston Alliance of Gay and Lesbian Youth, Gay Alternative Youth (Pittsburgh), the Gay and Lesbian Youth Association of Dallas, Gay Youth Alliance — San Diego, the Gay and Lesbian Community Services Center of Los Angeles, Horizons Community Services (Chicago), the Indianapolis Youth Group, the Lesbian and Gay Community Services Center of Cleveland, Lavender Youth Recreation and Information Center (San Francisco), Outright (Denver), and Sexual Minority Youth Assistance League (Washington, DC). The following individuals associated with these groups are gratefully thanked for their help: Danny Barutta, Adriene Corbin, Tom Eversole, Chris Gonzalez, Bill Gripp, Rory Lopez, Phil Rector, Jamie Schield, Cheryl Schwartz, Jan Stephenson, Sterling Stowell, Amy Vitro, and Aubrey Wertheim. Gene Thomas is thanked for helping with data collection, as are Michael LaFlam, Patrick McNamara, and Mark Shiner, who processed the surveys. We also thank Rainer Silbereisen for his comments. This project was supported by funds from the Center for the Study of Child and Adolescent Development of the College of Health and Human Development at Pennsylvania State University.     

Coming to terms with stress: Effects of stress location in sentence processing

The purpose of this research was to determine the role of syllabic stress in language processing during the early on-line processing of speech and later in the representation of a sentence in memory. Experiment 1 used a syllable monitoring task while Experiment 3 used a probe task in which subjects heard a sentence and then were asked to determine whether a probe syllable had occurred in the sentence. In the monitoring task, stressed syllables were detected more rapidly in word-initial position, but unstressed syllables were detected more rapidly in word-final position. Stress facilitation in initial syllables was strongly related to high relative F0, but not to changes in perceived vowel quality as assessed in Experiment 2. This pattern is interpreted as evidence that lexical stress is used on-line to guide lexical access and/or lexical segmentation. The probe task of Experiment 3 showed stress facilitation in both positions, indicating that stress is independently retained in the postperceptual representation of a sentence.The research reported in this paper was supported by grant 80-0416 to Harvard University (Peter C. Gordon, Principal Investigator) from the Air Force Office of Scientific Research Life Sciences Directorate. We thank Chris Thurber for his extensive and competent assistance in testing subjects and making acoustic measurements, and Jay Rueckl for comments on an earlier version of this paper     

The effect of maternal depression on maternal ratings of child behavior

There have been continuing concerns about the extent to which maternal depression may influence maternal reports of child behavior. To examine this issue, a series of structural equation models of the relationships between maternal depression and errors in maternal reports of child behavior was proposed and tested. These models assumed that (a) maternal depression was unrelated to maternal reporting behavior; (b) maternal depression causally influenced maternal reporting accuracy; (c) maternal depression was correlated with reporting accuracy. These models were fitted to data on maternal depression and multipleinformant (mother, teacher, child) reports of conduct disorder and attention deficit behaviors for a birth cohort of 12 and 13yearold New Zealand children. The results of model fitting suggested the presence of small to moderate correlations (@#@ r=+.13 to+.40) between maternal depression and maternal reporting errors, indicating the presence of a tendency for increasing maternal depression to be associated with a tendency for mothers to overreport child behavior problems. However, independently of any effects of maternal depression on maternal reporting errors there was evidence of small but significant associations (r=.10 to .17; p<.05)between maternal depression and child conduct disorder and attention deficit behaviors.This research was funded by grants from the Health Research Council of New Zealand.     

Hypermnesia in free recall and cued recall

In three experiments, categorized lists and both free recall and cued recall tests were used to examine hypermnesia. In Experiment 1, materials were drawn from obvious and nonobvious categories in an attempt to vary the amount of relational processing at encoding. The study materials in Experiment 2 consisted of a long word list that comprised several exemplars from each of a number of common categories. In Experiment 3, a single exemplar was drawn from each of 45 categories. In each experiment, similar magnitudes of hypermnesia were obtained on free and cued recall tests. Examination of the specific items recalled across tests indicated that similar processes underlie the hypermnesic effect for both test conditions. Implications of the results for extant accounts of the hypermnesic effect are discussed. It is concluded that the dynamics of retrieval processes change in a systematic fashion across repeated tests and the retention interval following study and that an adequate account of the nature of these changes in retrieval dynamics is essential to our understanding of hypermnesia and related phenomena.     

Spatial and Selective Attention in the Cerebral Hemispheres in Depression, Mania, and Schizophrenia

Two tachistoscopic tests examining distinct aspects of attention were administered to normal subjects and patients with depression, mania, and schizophrenia. The first examined spatial attentional bias using happy-sad chimeric faces, known to elicit a perceptual bias to the left side of space in normal right-handers provided the right cerebral hemisphere is intact. The second used a lateralized version of the Stroop task, a traditional test of selective attention. Normals showed the expected leftward perceptual bias but showed equivalent susceptibility to the Stroop effect in both visual fields. As previously demonstrated with chimeric faces viewed in free vision, depression and mania were associated with weak and strong biases respectively with schizophrenics showing no bias to either side of space. The relationship between perceptual bias, as assessed by reaction time and absolute performance and the Stroop effect, showed differences according to diagnosis. This may be interpreted as evidence for the dissociability of attentional processes as well as lateralized differences in the pattern of cerebral activation in affective disorders and schizophrenia. The independence of performance variables on these tests in the schizophrenic group points to severe neuropsychological dysfunction.     

The impact of short-term counselling on general health questionnaire scores

An evaluation was conducted of short-term counselling in a higher education setting. The main objective was to measure client scores on a shortened version of the General Health Questionnaire (GHQ-12) pre- and post- counselling. Forty-five matched pairs of GHQ-12 scores were compared. There was a highly significant reduction in scores post-counselling. The evidence suggests that the 'great pretender' evaluation can be challenged using standard quantitative measures such as the GHQ-12. It is concluded that counselling in higher education may be addressing long-standing distress in members of the student population.