Axis I and axis II disorders as predictors of prospective suicide attempts: findings from the collaborative longitudinal personality disorders study

This study examined diagnostic predictors of prospectively observed suicide attempts in a personality disorder (PD) sample. During 2 years of follow-up, 58 participants (9%) reported at least 1 definitive suicide attempt. Predictors that were examined include 4 PD diagnoses and selected Axis I diagnoses (baseline and course). Multivariate logistic regression analyses indicated that baseline borderline personality disorder (BPD) and drug use disorders significantly predicted prospective suicide attempts. Controlling for baseline BPD diagnosis, proportional hazards analyses showed that worsening in the course of major depressive disorder (MDD) and of substance use disorders in the month preceding the attempt were also significant predictors. Therefore, among individuals diagnosed with PDs. exacerbation of Axis I conditions, particularly MDD and substance use, heightens risk for a suicide attempt.     

Developmental outcome of drug-exposed children through 30 months: a comparison of Bayley and Bayley-II

This study examined the effects of the Bayley Scales of Infant Development (BSID) version on developmental outcomes among drug-exposed children, some of whom received an intervention. Developmental outcome was evaluated with the BSID at 12 and 18 months and with the BSID-II at 24 and 30 months. In the repeated measures analyses, children scored higher on the BSID Mental Developmental Index (MDI; p < .01) and Psychomotor Developmental Index (PDI; p < .01) than on the BSID-II MDI and PDI. Version x Time (p < .01) and Version x Group (p < .01) interactions were also found for the MDI but not the PDI. PDI scores decreased on both the BSID and the BSID-II (p < .01). Over the first 2 years postpartum, mean MDI and PDI scores decreased among these high-risk, drug-exposed children.     

The complexities of complex span: explaining individual differences in working memory in children and adults

Two studies are presented that investigated the constraints underlying working memory performance in children and adults. In each case, independent measures of processing efficiency and storage capacity are assessed to determine their relative importance in predicting performance on complex span tasks,which measure working memory capacity. Results show that complex span performance was independently constrained by individual differences in domain-general processing efficiency and domain-specific storage capacity. Residual variance, which may reflect the ability to coordinate storage and processing, also predicted academic achievement. These results challenge the view that complex span taps a limited-capacity resource pool shared between processing and storage operations. Rather, they are consistent with a multiple-component model in which separate resource pools support the processing and storage functions of working memory.     

SCRIPTKELL: A tool for measuring cognitive effort and time processing in writing and other complex cognitive activities

We present SCRIPTKELL, a computer-assisted experimental tool that makes it possible to measure the time and cognitive effort allocated to the subprocesses of writing and other cognitive activities. SCRIPTKELL was designed to easily use and modulate Kellogg’s (1986) triple-task procedure, which consists of a combination of three tasks: a writing task (or another task), a reaction time task (auditory signal detection), and a directed retrospection task (after each signal detection during writing). We demonstrate how this tool can be used to address several novel empirical and theoretical issues. In sum, SCRIPTKELL should facilitate the flexible realization of experimental designs and the investigation of critical issues concerning the functional characteristics of complex cognitive activities.     

Demonizing and mental illness: The problem of identification,Hong Kong

Conclusions Our experience in the seminars and our study of the cases has encouraged us to believe that many Christian pastors, theological students, and lay leaders are open to a multiple causation explanation for demonizing and mental illness.At the same time we recognize that the depth and discernment of cases is very limited in our present experience. Our hope is that more definable criteria for demonizing and mental illness may be developed and that theories for spiritual discernment will be more closely related to clinical practice.Our most satisfying conclusion from the seminars was the willingness of students to think about demonizing and mental illness from a variety of viewpoints, to develop more inductive thinking and to begin the process of dynamic rather than behavioral approaches to these related forms of illness.     

Women or feminists? Assessing women's group consciousness

Sex Roles - Social psychological research often relies on measures of group identification in assessing levels of group consciousness. However, for women, the relationship between gender...     

Neuropsychological changes in children with cancer: The treatment of missing data in longitudinal studies

Researchers conducting longitudinal studies with children or adults are inevitably confronted with problems of attrition and missing data. Missing data in longitudinal studies is frequently handled by excluding from analyses those cases for whom data are incomplete. This approach to missing data is not optimal. On the one hand, if data are missing at random, then dropping incomplete cases ignores information collected on those cases that could be used to improve estimates of population parameters (e.g., means, variances, covariances, and growth rates) and improve the power of significance tests of statistical hypotheses. On the other hand, if data are not missing at random, then dropping incomplete cases leads to biased parameter estimates and hypothesis tests that may be internally and externally invalid. This study uses three years of follow-up data from a longitudinal investigation of neuropsychological outcomes of cancer in children to demonstrate the problems presented by missing data in repeated measures designs and some solutions. In evaluating potential biasing effects of attrition, the study extends previous research on neuropsychological outcomes in pediatric cancer by inclusion of patients whose disease had relapsed, and by comparison of surviving and nonsurviving patients. Although the data presented have specific relevance to the study of neuropsychological outcome in pediatric cancer, the problems of missing data and the solutions presented are relevant to a wide variety of diseases and conditions of interest to researchers in child and adult neuropsychology.     

Setting up inpatient behavioral treatment programs: The staff needs assessment

Despite the success that behavior therapy has demonstrated in treating severely mentally ill adults, widespread impact of behavioral treatments on this population has been limited because the staff of many inpatient settings do not routinely utilize these strategies. Surveying staff regarding their perception of programatic and organizational needs is proposed as a valuable first step for selecting behavioral strategies to be introduced in these settings. Goldfried and D'Zurilla (1969) developed a behavioral assessment survey that is especially useful for identifying staff needs vis-à-vis behavioral rehabilitation. Using these strategies, survey questions addressed five problem areas: Administrative, Staff, Patient, Resource, and Programatic. Results using this survey with 40 clinicians on the extended care unit of a state hospital showed that staff members had greatest concern with the Patient Problem Area (i.e., aversive patient behaviors that are not sufficiently addressed by treatment plans). Further analyses showed staff members were interested in addressing Patient concerns using incentive procedures. The needs assessment in this study not only provided useful information that might be generalized to other treatment settings, but also showcased a reliable survey approach that program developers might implement prior to designing training curricula for behaviorally naive staff in inpatient settings.     

TRAINING INTERACTIONAL BEHAVIORS OF ADULTS WITH DEVELOPMENTAL DISABILITIES: A SYSTEMATIC REPLICATION AND EXTENSION

This study was a replication and extension of research by Foxx, McMorrow, Bittle, and Ness (1986) that assessed generalization effects of a social skills training program on the interactional behavior of adults with developmental disabilities. Target skills were a verbal action or reaction in six skill areas that specifically addressed the participants' skill deficits. In the present study, we trained 5 adult residents of a group home across these six skill areas using the “Sorry” game format and the scoring criteria described by Foxx et al. We extended the results of Foxx et al. by (a) using pretreatment assessment procedures to identify participants' specific skill deficits, (b) training all residents in the natural environment, (c) training participant—participant interactions, (d) training participants to respond to four of the six skill areas through the use of a role-play procedure, and (e) omitting rewards, criterion levels, and self-monitoring. Additionally, the trainer in the present study modeled correct responses only as an error correction procedure during training. Similar to those of Foxx et al., our results indicated that all participants increased their use of the trained interactional behaviors during the generalization assessments in the presence of other trained peers.     

Cognitive appraisal of daily hassles in college students displaying high or low irrational beliefs

It is argued that Lazarus' construct of cognitive appraisal in life stress might usefully be related to Ellis' ABC model. To test the hypothesized role of cognitive appraisal in Lazarus' model of life stress, 240 male and female undergraduate students completed the Hassles Scale and the Irrational Beliefs Test (IBT). Based upon their scores on the IBT, subjects displaying high irrational beliefs differed significantly from subjects displaying low irrational beliefs in reported hassles frequency (higher for high irrational belief subjects) and reported hassles intensity (greater for high irrational belief subjects). Results are interpreted specifically as supportive of the cognitive appraisal construct in Lazarus' life stress model and generally as quite consistent with RET theory. An attempt is made to relate the cognitive appraisal construct to the ABC model in RET theory.Susan Mills Harran is a graduate of the M.S. Psychology program at Villanova University and is currently a Ph.D. candidate in clinical psychology at Hahneman University.Daniel J. Ziegler is Professor of Psychology, former Chair of the Psychology Department, and current Dean of the Graduate School at Villanova University.