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.     

The Influence of Source Physical Attractiveness on Advertising Effectiveness: A Functional Perspective1

High and low self-monitors heard either a physically attractive or unattractive source promote a new product with either strong or weak arguments. High self-monitors were persuaded by the physically attractive source only when she presented strong arguments. In contrast, low self-monitoring individuals were persuaded by the physically attractive source regardless of argument strength. Neither high nor low self-monitors were persuaded by the physically unattractive source, regardless of the quality of the arguments she offered. Cognitive response and recall data suggest that high self-monitors may have been systematically processing the physically attractive source's message and low self-monitors may have been more heuristically processing her message. Results are discussed in terms of their implications for advertising strategies.     

Deconstructing the declaration: A case study in pragrammatology

I would like to thank Jonathan Lee, Terry Pinkard, Steven S. Schwarzschild, Jill Petzall, Bob Gibbs, Bill Hamrick and Jim Bohman for their very helpful criticisms of earlier drafts of this paper.     

Family satisfaction with medical care after traumatic brain injury

Ratings during acute and follow-up care by 35 families having members with traumatic brain injury showed none of the medical facilities met families' needs though some aspects of patients' care were rated higher in hospitals. Findings suggest comprehensive surveys are needed.     

The psychology of christian prayer: a review ofempirical research

This paper presents, discusses and evaluates empirical studies concerned with Christian prayer. These studies are classified within four main areas. The first area concerns what is known about the practice of prayer from empirical surveys and demonstrates that a much higher proportion of people pray privately than attend public places of worship. The second area concerns what is known about changing patterns of prayer during childhood and adolescence and argues that these changes need to be interpreted within the context of both developmental and social psychology. The third area concerns the subjective effects of prayer, beginning with Galton's early observations concerning the comparative longevity of the clergy (who are regarded as praying people) and including more recent studies of the psychological correlates of self-reported prayer, like personal well-being and purpose in life. It is concluded that, while such studies may demonstrate the beneficial nature of prayer, they cannot demonstrate the causal efficacy of prayer. The fourth area concerns the objective effects of prayer, beginning with Galton's early observations concerning the absence of comparative longevity among royalty (who are regarded as prayed for people) and including more recent studies of the growth correlates of prayer for pot plants. It is concluded that such studies currently provide contradictory evidence. It is recommended that further research in the field needs both to observe the strict criteria of objective empirical research and to be alert to theological nuances regarding the actual claims made for the efficacy of prayer within the community of believers.     

A PROSPECTIVE ANALYSIS OF THE RELATIONSHIPS AMONG SEXUAL ASSAULT EXPERIENCES An Extension of Previous Findings

Research has indicated that sexual assault on college campuses is pervasive (Koss, Gidycz, & Wisniewski, 1987) and that a history of sexual victimization serves as a risk factor for future victimization (Gidycz, Coble, Latham, & Layman, 1993). The purpose of the present investigation was to extend the findings of Gidycz et al. (1993) in examining the link among sexual victimization experiences. College women were evaluated for child and adolescent sexual victimization, family adjustment, alcohol use, psychological adjustment, interpersonal functioning, and sexual behavior. Women were reevaluated at 3, 5–6, and 9 months for adult victimization, psychological adjustment, interpersonal functioning, and sexual behavior. Loglinear analysis indicated that chances of being victimized in one time period increased with greater severity of victimization in the preceding time period. The path analysis assessing the mediating effects of these variables on victimization experiences was partially supported. Implications for future research and preventative efforts are discussed.     

An investigation of the effects of comorbid Axis II pathology on outcome of inpatient treatment for unipolar depression

DSM-based research on comorbidity has suggested thatdepression andpersonality disorder frequently occur together and that the combination of syndromes is associated with a poor response to treatment for depression. The present study was designed to explore the effect of comorbid Axis II pathology for a sample of 45 inpatients who received treatment for major depression. Both categorical and dimensional ratings of personality disorder were used in the statistical analysis. Positive categorical diagnosis of Cluster C (anxious-avoidant) disorder, as well as higher dimensional rating of Cluster A (odd-eccentric) pathology, was predictive of a poor response to treatment (p<.05), as measured by change in pre-post clinical ratings on the Montgomery-Asberg Depression Rating Scale. These results were construed as indicative of a significant Axis II comorbidity effect in the context of an inpatient, multimodal treatment setting for depression. The results also spotlight the influence of techniques of measurement in determining the outcome of statistical analysis.     

Evaluating pediatric psychology consultation services in a medical setting: An example

We examined the nature of referrals to a health center-based pediatric psychology service from 1990 to 1993 and assessed the satisfaction of health professionals with these services. Archival evaluation of 1467 records showed that over half of the consultation requests came from general pediatrics, pediatric neurology, and surgical services and that 70% of the psychological services were delivered on an outpatient basis. The most frequent referrals were for cognitive/neuropsychological evaluation and externalizing behavior problems. Pediatric psychology trainees were involved in 94% of the consultations. Survey of health professionals (n = 143) indicated very high overall satisfaction with the quality of services delivered. Presenting problems yielding the greatest likelihood for future consultation requests were behavior problems, child abuse, coping with illness, and depression/suicide. Results are discussed in the context of previous evaluations of pediatric psychology services and recommendations for future evaluation research.