Empirically defined symptom scales using the DISC 2.3

Empirically defined scales of depressive, attention deficit hyperactivity disorder, oppositional-defiant disorder, and conduct symptoms from the lay-administered National Institute of Mental Health (NIMH) Diagnostic Interview Schedule for Children (DISC), version 2.3, and evidence of their reliability and validity, are presented. The scales were developed using factor analyses of data obtained from an epidemiologic survey of over 1,200 children drawn from four sites across the U.S. and Puerto Rico (the NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders, or MECA Study). Their psychometric properties were tested in a subsample of children reinterviewed by clinicians. The findings support the use of these continuous measures. The scales are strongly related to the diagnostic categories and show good test-retest reliability. The scales can be used to characterize severity in children with diagnoses and to describe problems and symptoms in children without diagnoses. Because these scales can measure gradations in symptomatology, they may be more useful than categorical measures. Like categorical measures, the scales based on the DISC are greatly influenced by the informant, whether child or parent.This research was supported by grant MH-46732 from the National Institute of Mental Health, Bethesda, Maryland.The MECA Program is an epidemiologic methodology study performed by four independent research teams in collaboration with staff of the Division of Clinical Research, which was reorganized in 1992 with components now in the Division of Epidemiology and Services Research and the Division of Clinical and Treatment Research, of the NIMH, Rockville, Maryland. The NIMH Principal Collaborators are Darrel A. Regier, MD, MPH, Ben Z. Locke, MSPH, Peter S. Jensen, MD, William E. Narrow, MD, MPH, and Donald S. Rae, MA; the NIMH Project Officer was William J. Huber. The Principal Investigators and Coinvestigators from the four sites are as follows: Emory University, Atlanta, Georgia, UO1 MH46725: Mina K. Dulcan, MD, Benjamin B. Lahey, PhD, Donna J. Brogan, PhD, Sherryl Goodman, PhD, and Elaine Flagg, PhD; Research Foundation for Mental Hygiene at New York State Psychiatric Institute (Columbia University), New York, New York, UO1 MH46718: Hector R. Bird, MD, David Shaffer, MD, Myrna Weissman, PhD, Patricia Cohen, PhD, Denise Kandel, PhD, Christina Hoven, PhD, Mark Davies, MPH, Madelyn S. Gould, PhD, and Agnes Whitaker, MD; Yale University, New Haven, Connecticut, UO1MH46717: Mary Schwab-Stone, MD, Philip J. Leaf, PhD, Sarah Horwitz, PhD, and Judith H. Lichtman, MPH; University of Puerto Rico, San Juan, Puerto Rico, UO1 MH46732: Glorisa Canino, PhD, Maritza Rubio-Stipec, MA, Milagros Bravo, PhD, Margarita Alegría, PhD, Julio Ribera, PhD, Sarah Huertas, MD, and Michael Woodbury, MD.The authors gratefully acknowledge Zenaida González and José Martínez who performed the data nalayses, as well as Elizabeth Pastrana, and Felícita Laboy, secretaries, for their valuable contributions to this work.     

The response of day and night wetting children and children who wet only at night to retention control training and the enuresis alarm

Forty-five children with night wetting only (NW) and 30 children with day and night wetting (DNW) were randomly assigned to 2 treatment groups: alarm only and alarm preceded by 4 weeks of retention control training (R.C.T.). Fewer children became dry at night in the DNW group than the NW group and DNW children relapsed earlier following treatment. The enuresis alarm was far superior to R.C.T. in reducing night wetting in both enuretic groups. It also reduced day wetting in some of the DNW children. Children who became dry in the NW group did not show significant changes in functional bladder capacity. Although changes in functional bladder capacity were seen in the DNW children who became dry, changes were only noticeable once dryness had been achieved.     

Perceptions of male and female success or failure in relation to spouse encouragement and sex-association of occupation

Male and female subjects read four paragraphs portraying successful (experiment 1) or unsuccessful (experiment 2) males or females in masculine or feminine occupations, with a supportive or nonsupportive spouse. The likelihoods of various conflicts, consequences, and causes of the success or failure were rated. Generally, ratings of more negative consequences were associated with lack of spouse support for a career pursuit. Spouse support influenced perceptions of female more than male success. The sex-association of the career proved to be an important determinant of perceptions of conflict, consequences, and attributions for the success or failure. Although male and female occupations had been equated for status, female jobs appeared to be generally devalued relative to male jobs.     

Does echoic memory develop?

A series of experiments is reported on the stimulus suffix effect with the primary variables being age of the subject (7 and 11 years), rate of presentation, and list length. While the suffix effect was larger for younger subjects at a slow rate of presentation, the effect was nearly identical across age groups with a fast presentation rate. It was concluded that when the contaminating effects of more central processes are reduced, there is no developmental change in the capacity of echoic memory. An interesting effect of rate of presentation is reported with younger subjects performing better at faster rates of presentation and adults performing better at slower rates.     

Attitudes and duration of unemployment among sixteen-year-old school-leavers

Research is reported which looks at the possibility of using attitude measures to identify, before they leave school, those low-attaining pupils at risk of longer periods of unemployment, and therefore in particular need of support, information and skills. Two independent assessments of attitudes were used: ratings by class teachers, and attitude scales. Findings were largely negative: we cannot predict, through the use of attitude measures alone, which pupils will take longest to find jobs. A variety of other factors influencing duration of unemployment are discussed, together with some implications for careers teaching in schools.     

Student cotherapists as facilitators for group patients

This article discusses the clinical training of group therapists, the conditions under which students function as cotherapists, and the ways in which having a student trainee as cotherapist to an experienced group therapist can enhance or facilitate the therapeutic process for group members. Such enhancement can be brought about directly by: stimulating the emergence of new material; providing different perspectives and different reactions; providing different models; bringing out different transferences; affecting the working alliances; and requiring patients to deal with the loss of the cotherapist. It is brought about indirectly by: each therapist picking up on the blind spots or distortions of the other; each perceiving and discussing in supervisory conferences the other's countertransferences; and using weekly supervisory conferences to develop an increasingly cooperative relationship.     

Maximum likelihood estimation of the joint covariance matrix for sections of tests given to distinct samples with application to test equating

Consider an old testX consisting ofs sections and two new testsY andZ similar toX consisting ofp andq sections respectively. All subjects are given testX plus two variable sections from either testY orZ. Different pairings of variable sections are given to each subsample of subjects. We present a method of estimating the covariance matrix of the combined test (X ₁, ...,X _s ,Y ₁, ...,Y _p ,Z ₁, ...,Z _q ) and describe an application of these estimation techniques to linear, observed-score, test equating.The author is indebted to Paul W. Holland and Donald B. Rubin for their encouragement and many helpful comments and suggestions that contributed significantly to the development of this paper.This research was supported by the Program Statistics Research Project of the ETS Research Statistics Group.     

Early lexical development in children with focal brain injury

Early lexical development in 27 children with focal brain injury was studied cross-sectionally and longitudinally. Data were obtained from children between 12 and 35 months of age who acquired their lesion prenatally or within the first 6 months of life. Results for the group as a whole provide clear evidence for delays in lexical comprehension and production, and for a larger number of comprehension/production dissociations than would be expected by chance. In addition, a significant number of children were observed having unusual difficulty mastering predication and/or using an atypically high proportion of closed class words (suggesting reliance on holistic/formulaic speech). Analyses by lesion type revealed no effect of lesion size. Analyses according to side of lesion revealed that children with right-hemisphere damage produced a higher proportion of closed class words, suggesting heavy reliance on well-practiced but under-analyzed speech formulae. Children with left-hemisphere damage were slightly better in comprehension than children with right-hemisphere damage. In addition, left posterior lesions were associated with greater delays in expressive language, and delays were more protracted in children with left posterior damage. No differential effects of left posterior damage were found for lexical comprehension.     

A study of hyperlexia

Twelve children with early intense reading and superior word recognition skills coupled with disordered language and cognitive behavior are described. Cognitive, linguistic, and reading measures evidenced a generalized cognitive deficit in forming superordinate schemata which was not specific to visual or auditory modalities. Positive family histories for reading problems were present for 11 of the 12 children, suggesting a relationship between hyperlexia and dyslexia.