Patterns of Adolescent Depression to Age 20: The Role of Maternal Depression and Youth Interpersonal Dysfunction

Considerable research has focused on youth depression, but further information is needed to characterize different patterns of onset and recurrence during adolescence. Four outcome groups by age 20 were defined (early onset-recurrent, early-onset-desisting, later-onset, never depressed) and compared on three variables predictive of youth depression: gender, maternal depression, and interpersonal functioning. Further, it was hypothesized that the association between maternal depression and youth depression between 15 and 20 is mediated by early-onset depression and interpersonal dysfunction by age 15. Eight hundred sixteen community youth selected for depression risk by history (or absence) of maternal depression were interviewed at age 15, and 699 were included in the 5-year follow-up. Controlling for gender, early onset and interpersonal dysfunction mediated the link between maternal depression and late adolescent major depression. Different patterns for males and females were observed. For males maternal depression’s effect was mediated by early onset but not interpersonal difficulties, while for females maternal depression’s effect was mediated by interpersonal difficulties but not early onset. Maternal depression did not predict first onset of major depression after age 15. The results suggest the need for targeting the impact of maternal depression’s gender-specific effects on early youth outcomes, and also highlight the different patterns of major depression in youth and their likely implications for future course of depression.

Accuracy of Self-Reported Personal History of Cancer in an Outpatient Breast Center

The self-reporting of cancer history is becoming increasingly important, as it frequently guides medical decision-making. We studied the accuracy of personal cancer history using a self-administered questionnaire, comparing the results with the Tumor Registry at our institution. Among 39,662 records, we identified 3614 women with a single cancer in the Tumor Registry who reported none or one cancer on their questionnaire. The sensitivity in self-reporting cancers was 85.7%, ranging from 92.1% for breast cancer to 42.9% for leukemia. The accuracy for breast cancer and Hodgkin's Lymphoma was significantly better than other cancers (p=0.00027, CI: 1.4–3.88). Analysis of patient's characteristics showed that Caucasians reported breast cancer more accurately than Asian/Pacific Islanders (p=0.008), and those with Jewish ancestry more accurately than non-Jewish (p=0.0435). These results will help us to improve data collection and thus improve medical decision-making.     

Personal warmth and psychological health at midlife

Personal warmth, arguably a strong trait in the makeup of psychological health, seems to fade in conceptual importance at midlife. In contrast, ideas of interiority and androgyny appear to gain conceptual importance at midlife. The present study sought to rebalance these foci by determining the predictive power of personal warmth for psychological health of men and women at age 50: first, by developing separate California Psychological Inventory (CPI) scales to assess personal warmth; next, by joining these warmth scales with the 20 standard CPI scales to predict psychological health. Without the personal warmth scale, the standard CPI scales do not significantly predict psychological health for men; for women, the standard scales do. For both genders, the personal warmth scales add significantly to the predictability of psychological health. The results point to an amendment of current theoretical formulations of interiority and androgyny to better understand optimal psychological development in men and women at midlife.     

USE OF EXTINCTION AND REINFORCEMENT TO INCREASE FOOD CONSUMPTION AND REDUCE EXPULSION

Extinction and reinforcement contingencies were used to treat 2 children with feeding disorders. Positive reinforcement and avoidance extinction effectively increased food acceptance but also increased food expulsion. Reduced expulsion and increased swallowing were achieved by repeated presentation of expelled food, a second extinction component.     

Self-schemas,depression, and the processing of personal information in children

Recent research in information processing has yielded evidence supporting the self-as-schema model with adults. Further self-schema research with depressed and nondepressed persons has suggested the existence of negative self-schemas in depression, lending support to a content-specificity self-schema model. The present studies were designed to investigate the applicability of the self-as-schema model to children and to examine the extent of negative self-schemas in relatively depressed children. A depth-of-processing incidental recall memory paradigm was employed with two groups of normal third- to sixth-grade children. Results supported the self-as-schema model as applied to children, even the youngest group, by indicating superior recall for words encoded under self-reference instructions, compared to semantic or structural orienting instructions. The content-specificity hypotheses were tested with relatively depressed and nondepressed children, and were supported only for the nondepressed children, who recalled mostly positive content words. The relatively depressed children did not demonstrate content specificity in their recall, showing a more “confused” pattern, and the results were discussed in terms of a developmental model of acquisition of depression vulnerability requiring repeated depressive experiences over time. Although the results were consistent with a self-schema approach, current controversies over the implications of depth-of-processing methods require further research to clarify mechanisms of enhanced self-reference recall.     

Self-perception and the career aspirations of mathematically talented female adolescents

The role of self-perceptions of career-relevant abilities in understanding the career aspirations of mathematically talented adolescent females is studied. Female high school sophomores rated themselves on the 12 self-estimates of ability in Holland's Self-Directed Search. Based on her ideal career aspiration, each student was assigned to one of six career-aspiration groups. The results of the multiple discriminant function analysis indicated that nontraditional math career aspirants could be discriminated from the remaining five career-aspiration groups on the basis of seven self-estimates of ability. Further discriminations were less distinct although classification accuracy for all six career groups surpassed that expected by chance alone.     

Sex differences in preadolescent self-disclosure

Both amount and content of self-disclosure may vary with sex role. Both adult and preadolescent females have been reported as engaging in greater amounts of self-disclosure than males; the present study attempted to replicate these findings with preadolescents, and to investigate sex differences in the content of self-disclosure. A self-disclosure questionnaire covering a wide range of subjects was administered to 307 urban children. The sex difference on the total number of items revealed to a friend closely approached significance, with girls showing greater disclosure. When only intimate content items were examined, the sex difference reached clear significance. Content analysis showed that girls were more willing to reveal items related to emotionality, anxiety, and dependence.