Use of the AUDIT and the DAST-10 to identify alcohol and drug use disorders among adults with a severe and persistent mental illness

State Psychiatric Hospital outpatients (93 men, 69 women) diagnosed with a serious persistent mental illness (SPMI) completed the Alcohol Use Disorders Identification Test (AUDIT) and Drug Abuse Screening Test (DAST-10) by interview as part of a general health/behavior screening instrument. Responses to the AUDIT and DAST-10 were compared with criteria of current diagnosis and occurrence of symptoms in the last year for both alcohol and drug use disorders, respectively. Results showed that for both diagnosis and symptoms, AUDIT cutpoints of 7 and 8 had good sensitivity and specificity, and DAST-10 cutpoint of 2 was identified for both criteria. These and other findings suggest that both instruments have promising clinical utility when used with individuals diagnosed with an SPMI.     

The Adolescent Activities Checklist: Reliability,standardization data,and factorial validity

This study was conducted to provide standardization data and information on the reliability and factorial validity of the recently developed Adolescent Activities Checklist (AAC). A total of 563 adolescents in grades 7 through 12 served as subjects. Significant main effects for gender, race, and grade were obtained in a multivariate analysis of variance. On the basis of this information, standardization data were established for these three variables. Further investigation indicated that the internal consistency of the AAC was high. In addition, results of a principal components analysis conducted on the frequencies of the Unpleasant and Pleasant Activities subscales revealed four and three factors, respectively. For unpleasant activities, the major dimensions were found to occur in three situations-namely, social interactions, family situations, and school situations. Stressful events also occurred as one of the four unpleasant activities dimensions. For pleasant activities, three dimensions appeared: heterosocial behavior, reinforcing interpersonal situations, and social reinforcement.     

Relations among self-reported depressive symptoms in clinic-referred children versus adolescents.

Although there is consensus regarding the existence of childhood depression, disagreement remains as to whether symptoms are developmentally isomorphic. Previous studies focused on developmental differences in symptom levels; analyses of relations among symptoms may be more appropriate, however. Here both approaches were used to compare the Children's Depression Inventory responses from 1,030 clinic-referred children and adolescents. Four of nine symptom categories showed significant developmental differences in their correlations with total score. Externalizing behavior and guilt were more strongly related to depression in children than adolescents; affective symptoms and concerns about the future showed the reverse pattern. Results illustrate the importance of considering relations among symptoms as well as differences in symptom levels when evaluating theoretical claims about developmental differences in the nature of clinical syndromes.     

Motivational and neuroanatomical specificity of hypodipsia for aversive solutions produced by medial preoptic injury to the rat.

Bilateral medial preoptic lesions in rats dramatically lowered the rejection threshold for quinine-adulterated water but not for food in 24-hr forced-choice tests. The detection threshold for quinine in a two-bottle choice test, however, was unaffected by the medial preoptic lesion. Bilateral septal and lateral preoptic lesions had no effect on any quinine-adulteration tests. The enhanced rejection of quinine-adulterated water in a forced-choice test by medial-preoptic-damaged rats was also observed after 24-hr of water deprivation. Furthermore, the plasma osmolality of medial preoptic rats was significantly elevated above controls after 24-hr of water deprivation. These findings were interpreted as suggesting that a medial preoptic lesion produces a deficit in thirst-motivated behavior.     

Part-list recall following part-whole learning

Following five trials of part-list free recall learning and six trials of whole-list free recall learning, Ss were asked to recall the part-list items on two successive trials. Experimental Ss whose whole list contained all of the part-list items recalled more part-list items than did control Ss whose whole list contained none of the part-list items. The data are inconsistent with current notion of subjective organization.     

Development and psychometric evaluation of the Primary Appraisal of Smoking Cessation Inventory.

For this study, we developed and evaluated the psychometric properties of the Primary Appraisal of Smoking Cessation Inventory (PASCI), a self-report measure designed to assess the perceived gains and losses associated with quitting smoking based on the theoretical model of stress described by Lazarus and Folkman (1984). We administered the 26-item PASCI and two other questionnaires to 244 current smokers and to 30 ex-smokers. Item analyses indicated that two items on the PASCI should be deleted due to low item-total correlations. A principal components analysis of the remaining 24 items identified two separate and independent factors, Losses and Gains, and scores on the subscales of both factors were internally consistent and stable over repeated administrations. The validity of the PASCI was established by examining the relationship between smoking status and scores on the PASCI subscales and by finding significant correlations between the PASCI and the Decisional Balance Scale (Velicer, DiClemente, Prochaska, & Brandenburg, 1985), a measure conceptually similar to the construct measured by the PASCI. We concluded that the PASCI is reliable and valid and can be used to investigate the relationship between primary appraisal and smoking cessation.