Societal Burden of Clinically Anxious Youth Referred for Treatment: A Cost-of-illness Study

A prevalence-based cost-of-illness study using a societal perspective was conducted to investigate the cost-of-illness in clinically anxious youth aged 8–18 in The Netherlands. Discriminant validity of the cost diary used was obtained by comparing costs of families with an anxious child (n = 118) to costs of families from the general population (n = 41). To examine the convergent validity, bottom-up acquired costs derived from cost diaries were compared to top-down acquired costs obtained from national registrations. Bottom-up acquired costs measured by means of cost diaries amounted to €2,748 per family of a clinically referred anxious child per annum. Societal costs of families with clinically anxious children were almost 21 times as high compared to families from the general population. With respect to convergent validity, total health care costs using the bottom-up approach from clinically anxious children were quite comparable to those of top-down data of anxious children, although costs within the subcategories differed considerably. Clinical anxiety disorders in childhood cost the Dutch society more than 20 million euros a year. Based on results of discriminate and convergent validity, the cost diary seems a valid method in establishing cost-of-illness in childhood anxiety disorders.     

When Thinking Rationally Increases Biases: The Role of Rational Thinking Style in Escalation of Commitment

This paper reports three studies examining the relationship between the rational thinking style (RTS, i.e. individual differences in relying on a conscious, analytical, and relatively affect‐free information processing system) and decision quality in an escalation situation. In contrast to conventional wisdom that rational thinking increases decision quality, but consistent with the predictions derived from the cognitive dissonance theory, results of Studies 1 and 2 revealed that high scorers in Pacini and Epstein's (1999 ) rationality inventory were more likely to have escalation bias than were low scorers. The results further showed that only the ability component of rationality, not the engagement component, was positively correlated with escalating commitment. Similar patterns of results were obtained for situations when participants were personally responsible for prior decisions (Study 1) and when they were not (Study 2). Results of Study 3 showed that the underlying process responsible for the effect of RTS on the escalating tendency is that RTS increases beliefs in prior decisions, which in turn increases escalation. Implications for our understanding of escalation of commitment, rationality theory, and managerial practices are discussed. Cet article rend compte de 3 études examinant la relation entre le style de pensée rationnelle (RTS i.e. les différences individuelles reposent sur un système de traitement de l’information consciente, analytique et relativement libre d’affects) et la qualité de la décision dans une situation d’escalade d’engagement. Contrairement à l’opinion communément admise pour laquelle la pensée rationnelle accroît la qualité de la décision, mais consistante avec les prédictions découlant de la théorie de la dissonance cognitive, les résultats des études 1 et 2 indiquent que des personnes obtenant un score élevéà l’Inventaire Rationnel‐Expérientiel de Pacini et Esptein (1999) sont plus enclines à tomber dans le piège de l’escalade d’engagement que celles dont le score est bas. D’autres résultats montrent que la capacitéà la rationalité, non celle à l’engagement, est positivement corrélée avec l’escalade d’engagement. Des résultats semblables sont obtenus lors de situations où les participants sont personnellement responsables de leurs décisions antérieures (Etude 1) ou non (Etude 2). Les résultats de l’étude 3 montrent que le processus responsable de l’effet du RTS sur la tendance à s’engager est le suivant: il accroît les croyances dans les décisions antérieures qui augmentent à leur tour l’engagement. Ces résultats nous permettent de mieux comprendre l’escalade d’engagement, la théorie rationnelle et les pratiques managériales.     

MCMI-II borderline personality disorder in anorexia and bulimia nervosa

The aim of the present study is to explore the MCMI-II personality style and MCMI-II possible disorder of borderline personality (BPD) in various groups of women. 93 patients-31 anorexia nervosa restricting subtype (ANr), 31 anorexia nervosa binge-eating/purging subtype (ANp), and 31 bulimia nervosa purging subtype (BNp); 31 women at high risk for eating disorder or symptomatic control group (S-CG) and 31 without known pathology or not symptomatic control group (NS-CG)-completed the Spanish version of the MCMI-II. The results revealed: (1) clinically significant borderline personality traits [74>Base Rate (BR) <85]: 16.1% ANr, 12.9% ANp, and 45.2% BNp versus 3.2% of the S-CG and none of the NS-CG; (2) possible disorder (BR>84): 29% ANr, 41.9% ANp and 29% BNp. According to the MCM-II, women with BNp displayed more BPD traits than possible disorder (though these were more severe). However, the probability of a possible disorder was higher in ANp (more disorders than traits).     

Social Identity Theory: a critical synthesis of its bases, evidence and controversies

The social identity theory (SIT) and the self-categorization theory have had considerable influence on contemporary Social Psychology, making notable contributions to our understanding of the social dimension of behaviour. In the present work, we summarise the bases of these theories and critically review the most controversial elements of SIT, exploring its limits and potential. As shown here, the literature offers a heterogeneous body of research that includes outstanding efforts of synthesis and integration, but also numerous fragmentary studies and decontextualized interpretations that have generated distorted views of group behaviour. Taking into account the multidimensional, contextually mediated, dynamic and functional nature of identitary processes, which clearly emerge in the most serious works in the field, there is obviously a need to review the epistemological and methodological tools currently employed, with a view to developing practices that allow the study of group phenomena in a manner more suited to their complexity.     

The mapping of Spanish social psychology through its conferences: a bibliometric perspective

This study of papers gathered from the proceedings presented at Spanish social psychology conferences explores the use of bibliometrics for studying scientific disciplines. A reference database of all the papers included in the conference proceedings of events held from 1983 to 2000 was generated and classified by thematic area, paper type and author institutional affiliation. The references were laid out on contingency tables and mapped with correspondence analysis. The results show that there is a growing number of co-authored papers and a predominance of empirical over theoretical paper types. Some institutions have a higher concentration of theoretical papers while others work mostly in the areas of organizational and health psychology. In terms of empirical papers, there is a tendency towards generating more qualitative-based studies over the span of time captured by this work. There are also a number of papers written about such areas as cultural psychology that points to the emergence of an interest in critical social psychology. Concluding remarks underline the role of conferences and scientific meetings as an important indicator of the dynamic development of a scientific discipline.     

Personality, cognitive appraisal and adjustment in chronic pain patients

This study investigated the relationship between clinical personality patterns and cognitive appraisal as well as their repercussions on adjustment to chronic pain in a sample of 91 patients. It was predicted that clinical personality patterns would be related to adjustment and cognitive appraisal processes, whereas cognitive appraisals would be related to anxiety, depression and levels of perceived pain. The instruments used were as follows: the Millon Clinical Multiaxial Inventory, the Cognitive Appraisal Questionnaire, the Hospital Anxiety and Depression Scale, and the McGill Pain Questionnaire. Multiple regression analyses, the Kruskal-Wallis test, and the Mann Whitney U-test were used to analyse the data obtained. The results show that certain clinical personality patterns were associated with poor adjustment to chronic pain. The use of cognitive appraisal of harm predicted higher anxiety levels and greater perceived pain in chronic pain patients. The use of cognitive appraisals of challenge predicted lower depression levels.     

Womanist Spirituality as a Response to the Racism‐Sexism Double Bind in African American Women

Many African American women begin counseling stigmatized by race and gender and may be targets of additional discrimination on the basis of sexual orientation, class, age, and other social variables. In this article, the authors discuss “womanist” spirituality as a means for African American women to cope with racism, sexism, and multiple social stigmas.     

Further development of measures of early math performance for preschoolers

The purpose of this study was to examine the progress monitoring and screening accuracy for a set of curriculum-based measures (CBM) of early mathematics skills. Measures included counting objects, selecting numbers, naming numbers, counting, and visual discrimination. Measures were designed to be administered with preschoolers in a short period of time using a developmentally appropriate format, and to constitute minimal disruption to the classroom routine. Previous research indicated that each of these measures produced scores with acceptable consistency across alternate forms on consecutive days. Scores yielded on the experimental probes correlated moderately, in most cases, with two commonly used standardized measures (i.e., the Brigance Screens and TEMA-2). Performance on the probes also correlated with teacher rankings and ratings of child performance. In the present study, data were collected in two phases. In the first phase, a cohort of children were administered the early math measures in spring of preschool and were followed into winter of kindergarten where they were administered kindergarten CBM probes to examine the degree to which performance in preschool (as measured by the early math probes) could predict performance on similar tasks in kindergarten. Second, risk criteria were examined and compared to identification by the Brigance Screens. These analyses provided data about the potential accuracy of the probes for screening. In the second phase, sensitivity of the probes to performance differences was examined by comparing mean performance on the probes of preschoolers and kindergartners. The lowest-performing children were provided with seven intervention sessions to examine the degree to which probes could detect growth resulting from intervention. Directions for future research and implications for practice are discussed.     

Lactate threshold prediction by blood glucose and rating of perceived exertion in people with type 2 diabetes

The validity of rating of perceived exertion (RPE) in predicting lactate threshold during an incremental test was analyzed in 15 men with type 2 diabetes (M age = 53.4 yr., SD = 12.9). Blood glucose, lactate, and minute ventilation (VE)/VO2 responses identified the lactate, ventilatory, and glucose thresholds. Workloads (W) corresponding to RPEs 12, 13, 14, and 15 were determined. Second-order polynomials fit to VE/W and [lac]/W ratios corresponding to RPEs of 9-10, 12-13, and 16-17 also identified workloads above which there was an overproportional increase in VE and [lac]. These workload breakpoints did not differ, although at RPE 12 underestimated and at RPE 15 overestimated lactate threshold. RPE 13 and 14 and the responses of VE/W and [lac]/W to submaximal exercise accurately predicted lactate threshold.