What works in prevention. Principles of effective prevention programs

The high prevalence of drug abuse, delinquency, youth violence, and other youth problems creates a need to identify and disseminate effective prevention strategies. General principles gleaned from effective interventions may help prevention practitioners select, modify, or create more effective programs. Using a review-of-reviews approach across 4 areas (substance abuse, risky sexual behavior, school failure, and juvenile delinquency and violence), the authors identified 9 characteristics that were consistently associated with effective prevention programs: Programs were comprehensive, included varied teaching methods, provided sufficient dosage, were theory driven, provided opportunities for positive relationships, were appropriately timed, were socioculturally relevant, included outcome evaluation, and involved well-trained staff. This synthesis can inform the planning and implementation of problem-specific prevention interventions, provide a rationale for multi-problem prevention programs, and serve as a basis for further research.     

Attention switching between perception and memory

Two experiments were conducted to explore the switching of attention between perception and memory. In Experiment 1, college students performed a task that required them to cycle or switch attention between perceptual and memorial inputs. Switching times of 293 and 376 msec per switch were obtained on the basis of two formulas. In Experiment 2, the attentional load was manipulated by varying the number of perceptual and memorial inputs. Switching time increased as a function of list length, indicating that item load affects both the control processes that set attentional allocation policies and one’s ability to perform memory and/or perceptual tasks. These results suggest that modularity, or encapsulation of item and control-process systems, does not hold. A model is presented that depicts the relation between item and control-process representation in rapidly alternating attention between perception and memory.     

Television sex roles in the 1980s: Do viewers' sex and sex role orientation change the picture?

This study investigated viewer perceptions of female and male television characters as a result of viewer sex and sex role orientation. Young adult viewers (N=677) rated television characters and themselves using the Personal Attributes Questionnaire (PAQ). Viewers were classified as feminine, masculine, androgynous, or undifferentiated in their PAQ orientations. The television characters were four men and four women who shared the lead and a working relationship on crime action shows. Results indicated that viewers rated all the male characters as stereotypical masculine, but only one female character as stereotypical feminine. Viewer sex and sex role orientations did affect ratings. Viewer sex had a greater impact on the ratings of female characters than on the ratings of male characters. Female viewers tended to rate female characters as higher in instrumental and masculine traits than male viewers did. Results based on sex role orientation of the viewer were inconsistent across characters, but in general, undifferentiated viewers rated both male and female characters as low in expressive and instrumental traits compared to how androgynous viewers rated them. Further, a masculine sex role orientation appeared to block perception of expressive traits in both male and female characters.This research was supported in part by a University of Akron faculty research grant.     

Behavioural interventions in coping with cancer-related pain

Pain is one of the most feared consequences of cancer, often causing significant psychological distress to the patient. The purposes of this paper are (a) to discuss the psychological implications of cancer-related pain, (b) to offer conceptual explanations of the roles behavioural interventions mayplay in reducing cancer-related pain, and (c) to review studies examining the effectiveness of behavioural interventions in reducing cancer-related pain. Clinical issues raised by recent research are addressed, and suggestions for future research are offered. It is concluded that behavioural techniques may serve as a useful adjunct to traditional medical interventions for cancer pain, although considerably more methodologically rigorous research is needed to determine the nature and extent of treatment efficacy.     

The role of contextual variables in maternal reactions to children's compliance and noncompliance

The present study was designed to assess whether certain contexts influenced material reactions to children's compliant and noncompliant behavior. Study 1 examined the following contextual variables: chronic negative conditions of the child (physical illness and psychological disturbance) and recent life events experienced by the child (both positive and negative). Study 2 examined maternal mood states as another contextual variable. Results indicated that these contexts relate to differential choices of discipline techniques, based on maternal self-report. These data are examined in light of the literature on treatment acceptability and are discussed in terms of a signal-detection model. Clinical applications are addressed, and suggestions for future research are offered.Portions of this paper were presented at the meeting of the Association for Advancement of Behavior Therapy, Philadelphia, November 1984.We express gratitude to the Research Council of the University of North Carolina at Greensboro for Research Council Grant 2110 218 00000 7719 and to the following for their assistance: James Herbert, Nancy Quinn, Carol Roberson, Ira Turkat, and Marilyn Williams.     

Stress,self-esteem,and mental health: How does gender make a difference?

Questionnaire responses of 804 women and 127 men were compared to assess sex differences in college students' stress levels and reactions to stress, and the extent to which their self-esteem, interpersonal self-confidence, and self-concepts are associated with their experiences with stress. The men and women reported similar stress levels in most areas of life, but the women reported greater stress regarding family relationships and concern about their mental health. The women reported that when they are under stress, they experience more symptoms of depression and anxiety, and are more likely to express their anger and feelings, whereas the men reported that they become more active in response to stress. For both men and women, levels of stress and reactions to stress were associated with self-esteem, interpersonal self-confidence, and self-concepts. The results indicate that sex differences in dysfunctional reactions to stress can be explained by sex differences in self-concept more persuasively than can differences in areas of stress.The author wishes to thank the presidents of the seven colleges for their support and encouragement; the Seven College Study Advisory Board, campus coordinators, and staff for their contributions; and the students for their interest and participation. The author also expresses her appreciation for the support of the Henry A. Murray Research Center of Radcliffe College. This research was supported in part by a grant from the Josiah Macy, Jr. Foundation.     

Sustained operations and military performance

A militarily realistic schedule is one that demands several days with only very limited opportunities for sleep, followed by several days without any opportunity for sleep. A trial was carried out to study the effects of total sleep deprivation following partial sleep deprivation. Twelve infantry soldiers, divided into two groups of six, took part in a 6-day trial in which the experimental group was scheduled for 1.5 h of sleep every 24 h for 3 days followed by 3 days in which no sleep was scheduled. The control group was scheduled to have 4 h of sleep every 24 h for 6 days. Following the sleep-deprivation period, unlimited sleep was permitted for both groups in a 40.25-h (1.7-day) rest period. Three of the six subjects in the experimental group completed the 152 h (6.3-day) trial; all six subjects in the control group completed the trial. On the last sleep-deprivation day, cognitive performance was 37% of the baseline value for the experimental group and 94% for the control group.     

Confidence and aspirations: Self-esteem and self-concepts as predictors of students' life goals

Research was conducted to assess sex differences in college students' self-esteem and self-concepts, and the extent to which students' self-perceptions predict their life goals Questionnaires that included the Rosenberg Scale, Texas Social Behavior Inventory, self-concepts, life goals, and demographic and family backgrounds were completed by 804 women from seven colleges and 127 men from two colleges Men and women did not differ significantly in their self-esteem and interpersonal self-confidence, but the men rated themselves higher on math/science ability, leadership/public speaking ability, and coping/self-sufficiency Women's global self-esteem scores and interpersonal self-confidence did not predict their life goals, but women's greater self-confidence in masculine spheres predicted higher educational goals and their ranking of future careers as a more important priority in their lives Men's interpersonal self-confidence predicted their ranking time for future spouses as a high priority and time for themselves as a lower priority Men's global self-esteem and leadership/public speaking ability self-concept predicted preferences for full-time career involvement when their future children are very young Different demographic variables also predicted men's and women's goals Implications of these sex differences and predictive relationships are discussed