Effects of psychotherapy for depression in children and adolescents: a meta-analysis

Serious sequelae of youth depression, plus recent concerns over medication safety, prompt growing interest in the effects of youth psychotherapy. In previous meta-analyses, effect sizes (ESs) have averaged .99, well above conventional standards for a large effect and well above mean ES for other conditions. The authors applied rigorous analytic methods to the largest study sample to date and found a mean ES of .34, not superior but significantly inferior to mean ES for other conditions. Cognitive treatments (e.g., cognitive-behavioral therapy) fared no better than noncognitive approaches. Effects showed both generality (anxiety was reduced) and specificity (externalizing problems were not), plus short- but not long-term holding power. Youth depression treatments appear to produce effects that are significant but modest in their strength, breadth, and durability.     

The future is now: prospective temporal self-appraisals among defensive pessimists and optimists

Three studies found that prospective temporal self-appraisals can be part of defensive pessimists' strategy; they felt closer to equally distant negative than positive futures. In Study 1, defensive pessimists felt closer to future failures and reported more negative affect than those considering success. In Study 2, when manipulated negative futures were close, defensive pessimists felt bad and performed well; results suggested that viewing negative futures as close may be part of their natural strategy. Study 3 found that prospective self-appraisals influenced performances through felt preparation. Optimists did not use prospective self-appraisals (Study 1) and their performances were unaffected by manipulated temporal distance (Studies 2 and 3). Discussion centers on prospective self-appraisals and multiple strategies of defensive pessimists.     

Memory reactivation in the second year of life

Memory reactivation has not been systematically studied with infants older than 1 year. Currently, three experiments examined the effects of a reactivation treatment (priming) on retention throughout the second postnatal year. Fifteen- and 18-month-olds learned an operant train task, forgot it, received a 2-min or 10-s prime, and later were tested for retention. Although the longer prime was effective for 15-month-olds, 18-month-olds required the shorter prime (Experiment 1). The memory was reactivated after delays two (18 months) and three (15 months) times longer than infants originally remembered it (Experiment 2). The reactivated memory was forgotten as fast as the original memory after the 2-min prime and twice as fast after the 10-s prime (Experiment 3). The fact that reactivation changes quantitatively but not qualitatively throughout infancy suggests that the same mechanism mediates it at all ages. These findings have major implications for the impact of early experience on cognitive development.     

Does Availability of Mental Health Resources Prevent Recurrent Suicidal Behavior? An Ecological Analysis

This study examines whether availability of mental health resources in the county of residence is associated with subsequent suicidal behavior after a previous suicide attempt. Among 10,922 individuals who attempted suicide in Colorado between 1998 and 2002, residence in a county that offered a minimum safety-net of mental health services significantly reduced the risk of suicidal behavior for at least 1 year after the index attempt. Safety-net services included mental health treatment, crisis treatment, and case management. These results suggest one strategy for prevention of suicidal behavior that could inform state-level health policy development and resource allocation.     

Psychiatric hospitalization after deliberate self-poisoning

The decision for psychiatric hospitalization after deliberate self-poisoning (DSP) is not well understood. This study, a longitudinal cohort study of 3,148 consecutive DSP patients found 920 (29.2%) subjects were referred for psychiatric hospitalization, 576 (18.3%) on involuntary basis. A logistic regression analysis showed increased risk for: age 25 or older, homelessness, unemployment, previous self-harm, psychiatric inpatient treatment within 12 months, earlier psychiatric inpatient treatment, suicidal ideation or plan, mood or psychotic disorders, and lower clinician experience; and lower risk for being married/defacto, and after hours presentation. Recommendation for psychiatric hospitalization was based on complex decision making. These findings have implications for clinical practice guidelines, service costs, and service organization.     

Spontaneous Eye Blink Rates vary according to individual differences in generalized control perception

This study tested the hypothesis that individual differences in generalized control perception for 43 undergraduate adults may be reflected in Spontaneous Eye Blink Rates during conversation in an interview. Control perception was assessed by means of Rotter's internal-external Locus of Control questionnaires, while Spontaneous Eye Blink Rates were computed from filmed videos of interviews consisting of a series of questions which could presumably have triggered different mental states. Pearson correlations and linear regression analyses indicated that the individual differences in Spontaneous Eye Blink Rates did not differ significantly across different questions, but that Spontaneous Eye Blink Rates measured over the entire interview correlated positively and significantly with an internal Locus of Control (r = .26). This could be interpreted as modest but corroborative evidence that a personality trait reflecting control perception may have a biological component. The possible roles of dopamine neurotransmission and frontal cortex involvement in higher cognition and Locus of Control are discussed.     

Homelessness in the United States: Assessing Changes in Prevalence and Public Opinion, 1993–2001

A national survey was administered in 1993-1994 (N = 360) and repeated in 2001 (N = 435) to assess the prevalence of homelessness as well as attitudes, opinions and knowledge regarding homelessness. No significant changes in prevalence were found, despite a strong US economy during most of the 7-8 year period. Respondents in 2001 had less stereotyped views of homeless people and were more supportive of services, but came to see homelessness as a less serious problem that was less often due to economic factors. This "mixed" set of findings may reflect both beliefs on the benefits of a good economy and an increased awareness of the complexity of homelessness. Across the surveys, younger, female, liberal, and less wealthy respondents demonstrated more sympathetic attitudes towards homeless people.     

Relations Among Symptoms of Social Phobia Subtypes, Avoidant Personality Disorder, Panic, and Depression

This study's primary goal was to examine relations between symptoms of specific social phobia (SSP), generalized social phobia (GSP), avoidant personality disorder (APD), and panic and depression. Past research has suggested a single social phobia continuum in which SSP displays less symptom severity than GSP or APD. We found SSP symptoms correlated less strongly with depression but more strongly with panic relative to both GSP and APD symptoms. These findings challenge a unidimensional model of social phobia, suggesting a multidimensional model may be more appropriate. These findings also inform current research aimed at classifying mood and anxiety disorders more broadly by identifying that the different factors of fear versus distress appear to underlie different subtypes of social phobia.