The Effectiveness of Group Metacognitive Therapy for Generalised Anxiety Disorder: A Pilot Study

Generalised anxiety disorder (GAD) responds well to individually delivered metacognitive therapy (MCT). The current study investigated the effectiveness of MCT administered to groups of patients with GAD in a general outpatient treatment centre. Thirty-three consecutively referred adult patients with GAD were assessed before treatment (pretreatment), after the last treatment session (posttreatment), and six months after treatment had ended (follow-up). Analyses of treatment effects were conducted for all patients entering the study (i.e., intent-to-treat analysis, using the last-observation-carried-forward procedure), and repeated for the patients who completed treatment (completers analysis), using paired samples t-tests. Further, effect sizes (ESs) and indices of clinical significance were calculated, and compared with those reported in studies into the efficacy and effectiveness of individually delivered MCT for GAD. Among both the intent-to-treat and the completers sample, large pre- to posttreatment reductions in symptoms of worry, trait-anxiety, and general psychopathology. The magnitude of change and the degree of clinical significance were smaller than those reported in studies into the effectiveness of individually delivered MCT for GAD, whereas the attrition rate (27 %) was higher. It is tentatively concluded that MCT for GAD can be effectively delivered in a group format in a heterogenous clinical practice setting. Further evaluation is clearly indicated.     

The Development of Children's Concepts of Hardness

This study was conducted for three purposes. First, we assessed the development of children's concepts of hardness as an intensive physical quantity. We hypothesized a U-shaped behavioral growth curve for children's judgments on tasks measuring intensive physical quantity, but the hypothesis was not confirmed. The justifications accompanying correct and incorrect judgments for hardness were similar to those where U-shaped behavioral growth was found for other intensive physical quantities (temperature and sweetness). The second purpose was to determine how children solve seriation and transitivity tasks where hardness was the content. More older than younger children solved these tasks, and the transitivity task was correctly solved after the seriation task was correctly solved. One pattern of solutions for transitivity and intensive physical quantity allowed for differentiation between younger and older children who solved the intensivity tasks correctly. The third purpose was to determine whether children think that objects' hardnesses are labile (i.e., hard objects can become soft and vice versa) by simply adding more of that substance. More younger than older children thought that this was true     

Book Reviews

Dan Olweus. Prediction of Aggression (On the Basis of a Projective Test). Stockholm: Scandinavian Test Corporation, 1969. Reviewed by A. I. Rabin

F. D. Naylor. Personality and Educational Achievement. New York: Wiley, 1972, 162 pages, $6.95. Reviewed by Frank H. Farley

Hendrik M. Ruitenbeek (Ed.) The Analytic Situation: How Patient and Therapist Communicate. Chicago: Aldine, 1973, 222 pages, $8.50. Reviewed by Emanuel Berman     

Managing deviance: Hustling,homophobia, and the bodybuilding subculture

The subculture of bodybuilding is the backdrop of an analysis of some contradictions inherent in American masculinity. One of the most unusual, but telling of these has to do with “hustling”: the widespread selling of sexual favors by bodybuilders to gay men. In this, one also finds the incongruent presence of homophobia. Hence, homosexual behavior is juxtaposed by anti‐homosexual behavior. This study shows that this irony is necessary if the hustler is to maintain his alleged heterosexual identity. Hypermasculinity and strategies of economic survival in the highly competitive southern California bodybuilding scene are also examined in relation to hustling and more generally to American masculinity. Contradictions in bodybuilding are shown to be more problematic than studies of other street hustlers and prison populations where homosexual behavior is juggled with heterosexual identity.     

Verbal Memory Deficits in Children with Less than 750 g Birth Weight

Numerous studies have documented memory deficits in very low birthweight (VLBW, < 1500 g) children, yet we know little about the nature of these memory problems. To clarify memory sequelae and examine memory deficits in relation to the degree of low birth weight, we administered the California Verbal Learning Test–Children’s Version (CVLT-C) to a regional sample of 57 < 750 g birthweight children and to groups of 53 750–1499 g birthweight children and 49 term-born controls. Group comparisons revealed significant differences between the < 750 g birthweight group and term-born children on measures of list learning, delayed recall, and inaccurate recall. In addition, the percentage improvement in correct recognitions relative to long-term delayed recall was greater in the < 750 g group than in the term-born controls. Similar differences were observed between VLBW children with and without abnormal neonatal cerebral ultrasounds (high- and low-risk groups). Differences in learning rate between the VLBW and term-born groups, and between high- and low-risk VLBW children, were evident even when vocabulary skill was covaried or when children with neurosensory deficits or IQ < 80 were excluded from analysis. The findings document deficits in verbal memory in the subset of VLBW children at greatest biological risk, and suggest that acquisition processes are selectively impaired.     

Quasi-Maximum Likelihood Estimation of Structural Equation Models With Multiple Interaction and Quadratic Effects

In this article, a nonlinear structural equation model is introduced and a quasi-maximum likelihood method for simultaneous estimation and testing of multiple nonlinear effects is developed. The focus of the new methodology lies on efficiency, robustness, and computational practicability. Monte-Carlo studies indicate that the method is highly efficient and that the likelihood ratio test of nonlinear effects is robust and outperforms alternative testing procedures. The new method is applied to empirical data of middle-aged men, where a latent interaction between physical fitness and flexibility in goal adjustment on complaint level is hypothesized. A model with 5 simultaneous nonlinear effects is analyzed, and the hypothesized interaction is quantified and tested positively against an additive model with quadratic and linear effects.     

A Heterogeneous Growth Curve Model for Nonnormal Data

The heterogeneous growth curve model (HGM; Klein &; Muthén, 2006 Klein, A.G., &; Muthén, B.O. (2006). Modeling heterogeneity of latent growth depending on initial status. Journal of Educational and Behavioral Statistics, 31, 357–375. doi: 10.3102/10769986031004357[Crossref], [Web of Science ®] , [Google Scholar]) is a method for modeling heterogeneity of growth rates with a heteroscedastic residual structure for the slope factor. It has been developed as an extension of a conventional growth curve model and a complementary tool to growth curve mixture models. In this article, a robust version of the heterogeneous growth curve model (HGM-R) is presented that extends the original HGM with a mixture model to allow for an unbiased parameter estimation under the condition of nonnormal data. In two simulation studies, the performance of the method is examined under the condition of nonnormality and a misspecified heteroscedastic residual structure. The results of the simulation studies suggest an unbiased estimation of the heterogeneity by the HGM-R when sample size was large enough and a good approximation of the heteroscedastic residual structure even when the functional form of the heteroscedasticity was misspecified. The practical application of the approach is demonstrated for a data set from HIV-infected patients.     

Maternal Psychopathology and Early Child Temperament Predict Young Children’s Salivary Cortisol 3 Years Later

Neuroendocrine dysfunction is hypothesized to be an early emerging vulnerability marker for depression. We tested whether the main and interactive effects of maternal psychopathology and early child temperamental vulnerability for depression assessed at age three predicted offspring’s basal cortisol function at age 6 years. 228 (122 males) children participated in the baseline and follow-up assessments. At age three, maternal lifetime psychopathology was assessed with a diagnostic clinical interview, and child temperamental positive affectivity (PA) and negative affectivity (NA) were assessed using laboratory observations. At age six, children’s waking and evening cortisol were assessed on 2 days. Maternal lifetime anxiety predicted offspring’s higher morning cortisol at age six. Child temperamental NA at age three predicted higher evening cortisol at age six. There was a significant interaction between maternal lifetime depression and child temperamental PA at age three in predicting offspring’s morning cortisol at age six. For the offspring of mothers with lifetime depression, higher PA at age 3 predicted lower morning cortisol at age 6. These findings highlight the importance of examining the main and interactive effects of maternal psychopathology and early child temperamental vulnerability in predicting the development of offspring’s stress physiology. Findings hold significance in identifying etiological mechanisms of risk and delineating the complex developmental pathways to psychopathology.     

Increased Error-Related Brain Activity in Six-Year-Old Children with Clinical Anxiety

Anxiety disorders are the most frequently diagnosed form of psychopathology in children and often result in chronic impairment that persists into adulthood. Identifying neurobehavioral correlates of anxiety that appear relatively early in life would inform etiological models of development and allow intervention and prevention strategies to be implemented more effectively. The error-related negativity (ERN), a negative deflection in the event-related potential at fronto-central sites approximately 50 ms following the commission of errors, has been consistently found to be larger among anxious adults. The current study sought to extend these findings to even younger individuals: the ERN was elicited by a Go/NoGo task in 48 six year-old children with a clinical anxiety disorder assessed by diagnostic interview and 48 age-matched controls. In addition to child anxiety disorder, the ERN was examined in relation to maternal history of anxiety disorder, which was previously related to a smaller ERN. Anxious children were characterized by a larger (i.e., more negative) ERN and maternal history of anxiety disorder was associated with a smaller ERN. Thus, the relationship between an increased ERN and clinical anxiety is evident by age 6, and this effect appears independent from an opposing influence of maternal anxiety history on the ERN. These findings support the ERN as a promising neurobehavioral marker of anxiety, and implications are discussed.