The depressive personality disorder inventory and current depressive symptoms: implications for the assessment of depressive personality

The Depressive Personality Disorder Inventory (DPDI; Huprich, Margrett, Barthelemy, & Fine, 1996; see Appendix) was created to assess Depressive Personality Disorder in clinical and nonclinical samples. Since its creation, the DPDI has been used in multiple studies, and the psychometric properties of the measure have generally supported its reliability, convergent validity, and construct validity; however, evidence for the measure's discriminant validity has been mixed. Specifically, the DPDI tends to correlate highly with measures of current depressive symptoms, which limits its efficacy in differentiating current depressive symptoms from a depressive personality structure. A principal components analysis of 362 individuals who completed both the DPDI and Beck Depression Inventory (BDI-II; Beck, Steer, & Brown, 1996) found that 49% of the variance was accounted for in two components. Seven items from the DPDI loaded more strongly on the first component composed of many BDI-II items. These items were removed in order to create a measure believed to assess DPD without the confounding influence of current depressive symptomology. Principal components analysis of the revised measure yielded three components, accounting for 46% of the variance. The revised DPDI was used to calculate convergent, discriminant, and construct validity coefficients from measures used in former studies. Virtually no improvement in the validity coefficients was observed. It is concluded that assessing DPD via self-report is limited in its utility.     

Committing to your work, spouse, and children: Implications for work-family conflict

When trying to balance work and family responsibilities, many workers experience conflict between these two roles. Although role commitment has been viewed both as contributing to and alleviating conflict, this relationship has not been fully tested. Using a sample of female nurses and police officers, we examined the direct and indirect relationship of role commitment with work-spouse and work-parent conflict. Increased work-spouse conflict was associated with decreased spouse commitment. Increased work-parent conflict was associated with increased parent commitment but with decreased spouse and job commitment. Job commitment moderated the relationships between irregular work schedules and work-spouse conflict and between job control and work-spouse conflict. Parent commitment moderated the relationship between irregular work schedules and work-parent conflict. These results suggest that, depending on the role, commitment may either alleviate or exacerbate conflict.     

The predictive validity of the Zung Index of Potential Suicide

Examined the predictive validity of the Zung Index of Potential Suicide. Subjects hospitalized for a suicide attempt were followed up 6 months later. In agreement with earlier studies, the IPS clinical scale was related to suicidal ideation and prior attempting at the time of admission. However, it was not related to further suicidal behavior or ideation at the 6-month followup. It is concluded that the scale lacks predictive validity and its use for assigning suicidal risk is not justified.     

Conducting Ecologically Valid Prevention Research: Recruiting and Retaining a “Whole Village” in Multimethod, Multiagent Studies

Many prevention studies are now designed with complementary interventions in different settings. Evaluations of these interventions require assessing the child's behavior in each of these settings. Conducting these studies, therefore, may involve recruiting school districts, principals, classroom teachers, peers, parents, siblings, and in later years, employers and intimate partners. These participants may be considered natural raters or satellite subjects, depending on their degree of involvement. Issues of recruitment and retention thus are magnified in multimethod, multiagent studies. To illustrate these issues, findings are presented for three studies conducted with risk populations in the past decade at the Oregon Social Learning Center: a passive longitudinal study, a selected prevention study, and an indicated prevention study. Findings indicate that achieving high recruitment and retention rates for at-risk and high-risk subjects in multisetting studies is possible, and that a developmental approach should be taken to recruiting risk populations.     

Ineffective discipline and conduct problems in males: Association, late adolescent outcomes, and prevention

In the current study, social learning theory and findings on the association of ineffective parental discipline and childhood conduct problems was reviewed In addition, the association of ineffective discipline in childhood to arrests and academic achievement in adolescence was tested. The reviewed studies were multi-agent, multimethod passive longitudinal, prevention, and clinical studies conducted at the Oregon Social Learning Center (OSLC). Measurement of childhood discipline included observational data. Analyses predicting to adolescent outcomes were conducted for the Oregon Youth Study sample of approximately 200 males at risk for delinquency. The finding of an association between ineffective discipline and childhood conduct problems was replicated in three OSLC studies. Ineffective discipline at Grade 4, controlling for Grade 4 antisocial behavior, was found to predict to a more serious juvenile arrest record (two or more arrests) and to failure to enter higher education. Prevention efforts need to be directed toward promoting effective discipline skills, especially in parents of young children. Effective discipline includes such skills as structuring situations, redirecting child behavior, encouragement, and also consistent use of a mild to moderate consequence such as time out or privilege loss.     

Competitive state anxiety and self-confidence: intensity and direction as relative predictors of performance on a golf putting task

This study considered relationships between the intensity and directional aspects of competitive state anxiety as measured by the modified Competitive Sport Anxiety Inventory-2(D) (Jones & Swain, 1992) in a sample of 12 experienced male golfers. Anxiety and performance scores from identical putting tasks performed under three different anxiety-manipulated competitive conditions were used to assess both the predictions of Multidimensional Anxiety Theory (MAT; Martens et al., 1990) and the relative value of intensity and direction in explaining performance variance. A within-subjects regression analysis of the intra-individual data showed partial support for the three MAT hypotheses. Cognitive anxiety intensity demonstrated a negative linear relationship with performance, somatic anxiety intensity showed a curvilinear relationship with performance, and self-confidence intensity revealed a positive linear relation. Cognitive directional anxiety illustrated a positive linear relationship with putting performance. Multiple regression analyses indicated that direction (42% of variance) was a better predictor of performance than intensity (22%).     

Female Juvenile Offenders: Defining an Early-Onset Pathway for Delinquency

We examined whether childhood factors predict age of first arrest in adolescent girls referred for placement and treatment for serious delinquency problems (N = 62). Measures included child characteristics (i.e., age of menstrual onset, childhood ADHD, and IQ), family environmental factors (i.e., severe punishment, parental transitions, and sexual abuse), biological parent criminality, and juvenile court records. Parental transitions and biological parent criminality significantly predicted the age of first arrest (M = 12.5 years), and IQ showed a trend to be a significant predictor. The final model accounted for 52% of the variance. A younger age of first arrest was related to increased health-risking sexual behaviors and to increased self-reported delinquency. Logistic regression analyses indicted that membership in an early-onset group could be reliably formed using family and child predictors, with accurate classifications for 46-90% of the girls. Family environmental and child characteristics played a strong role in predicting which girls would be arrested at an earlier age. The strong predictive utility of parental transitions and biological parent criminality, in particular, suggest two avenues for identifying girls at risk for delinquency problems.     

Have Mental Health Education Programs Influenced the Mental Health Literacy of Those with Major Depression and Suicidal Ideation? A Comparison between 1998 and 2008 in South Australia

Mental health literacy is the knowledge and beliefs about mental disorders that aid their recognition, management, or prevention and is considered to be an important determinant of help‐seeking. This has relevance in suicide prevention, as depression, the clinical condition most frequently associated with suicidality, has been the target of community and professional education programs designed to enhance mental health literacy. In this study, whether such programs have influenced help‐seeking attitudes and behavior in those who are depressed and suicidal was considered. The results indicate that despite intensive community education programs over the last two decades, there has been little change in those who are depressed and suicidal in terms of their attitudes toward treatment seeking and, more importantly, their treatment‐seeking behavior. These results draw into question the value of current community education programs for those most vulnerable to suicidal behavior.     

SEX DIFFERENCES AMONG THE LONG-TERM MENTALLY DISABLED

Although the "chronically mentally ill" have become a subject of national concern and although differences among the young, old, and minorities have been recognized, sex differences have been largely ignored. The authors describe the experientially determined problems of long-term mentally disabled women. Research is presented from a review of 320 hospital records of patients served in seven community and state hospitals throughout Michigan, encompassing client variables and service information. Significant sex differences were found for client age, marital status, living arrangement, diagnosis, functioning level, voluntary/involuntary status, admission information, medications, medical care and destination post-discharge. Many of the results confirm stereotypes of sex differences in institutionalized populations (age, diagnosis, and so forth). Other results, such as more women living independently and no sex differences in violent behaviors, are contrary to popular assumptions. Using case studies, the authors further discuss the important issues suggested by the results, e.g., why women become psychiatric patients, discharge planning, and over-medications. A plea is made for a greater amount and intensity of research on women with long-term mental disabilities.