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.     

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.     

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.     

New Directions for Performance Appraisal: Some Findings and Observations

The changing emphasis on the aims of performance appraisal systems is discussed, with particular reference to the notion of appraisal as a motivating mechanism. The contention of the Total Quality school that the traditional focus on the assessment function of appraisal is counterproductive is supported, and some data are presented illustrating the doubtful value and accuracy of appraisal ratings, both for evaluating staff and as validation criteria for personality measures. Some implications of recent organizational changes for the development role of performance appraisal are reviewed, with particular reference to upward feedback and competency-based appraisal. Finally, the emerging shape of a new approach to meeting the purposes formerly served by appraisal systems is described.     

Anxious attachment and psychological distress in cardiac rehabilitation patients

This study investigated the relevance of anxious attachment to the differentiation of psychologically distressed and non-psychologically distressed cardiac patients. Attachment is a biologically based behavioral system in which proximity to a special other is sought or maintained to achieve a sense of safety and security. Anxious attachment, as the name denotes, fails to achieve the function of attachment in the sense of individuals having little or no confidence in the availability of their attachment figures. Empirically, three scales (feared loss of the attachment figure, proximity seeking and separation protest) capture the features of anxious attachment as elaborated by Bowlby. These scales were administered to 178 cardiac rehabilitation patients drawn from the cardiac rehabilitation program of the Calgary General Hospital. The results indicate that feared loss and proximity seeking differentiated psychologically distressed from non-psychologically distressed patients. The implications of this finding for the understanding of psychologically distressed cardiac patients are discussed.     

Children’s reading skills: A comparison of traditional and computerized assessment

Student’s ability to read computer text was investigated by comparing reading performance on decoding and phonetics tests of the Woodcock-Johnson (Revised) Tests of Achievement, Forms A and B. Fifty-one students completed one form of the reading tests through the traditional administration method and a second form using computer administration. Initial form and administration order were counterbalanced. Coefficients of equivalence of .91 and .86 were obtained for traditional and computer administration methods of the two tests. The results are interpreted as indicating that computer-administered reading tests can assess the same domains as traditional measures, and that they may become increasingly important in the complete assessment of functional reading skills.     

Social reinforcement of operant behavior in rats: a methodological note.

An apparatus was developed to study social reinforcement in the rat. Four Long-Evans female rats were trained to press a lever via shaping, with the reinforcer being access to a castrated male rat. Responding under a fixed-ratio schedule and in extinction was also observed. Social access was found to be an effective reinforcer. When social reinforcement was compared with food reinforcement under similar conditions of deprivation and reinforcer duration, no significant differences were observed.