Effects of perceived criticism on anxiety and depression during behavioral treatment of anxiety disorders

The present study explored the effect of perceived criticism (PC) on levels of anxiety and depression during behavioral treatment among patients diagnosed with obsessive-compulsive disorder (OCD) or panic disorder with agoraphobia (PDA). We posited that patients' perceptions of relatives' criticism and the degree to which they were upset by the criticism (UC) would be related to negative affect and discomfort during exposure. The sample included 75 patients with a primary diagnosis of OCD (n=43) or PDA (n=32) and their participating relatives. Measures of patients' weekly ratings of PC and upset about the criticism, anxious and depressed mood, and subjective discomfort during exposure treatment were analyzed using a mixed model regression approach (SAS Proc Mixed). Patients' anxious and depressed mood predicted greater discomfort during exposure. Patients who were more UC also had higher weekly ratings of anxiety and depression, and more discomfort during exposure sessions. Findings suggest that treatment outcome may be improved by attention to patients' reactions to their interpersonal environment.     

Comparisons of children with delayed and normal language at 24 months of age on measures of behavioral difficulties,social and cognitive development

This investigation compared a group of expressive language-delayed children with language-normal children of the same age (M = 25.7 months; SD = 0.8 months) on various measures of development and behavioral difficulties. Data were obtained through language sampling, direct developmental assessment, and maternal reports of children's development and behavior. Scores on measures of social and cognitive development for children with language delay were found to be significantly lower than normals. Further, maternal reports indicated that these children displayed significantly more behavioral difficulties overall than did the language-normal children. Specifically, the language-delayed children exhibited more symptoms of anxiety and depression, withdrawal, sleep problems, and other behavioral disturbances. In addition, children evaluated as expressive language delayed scored significantly lower on measures of receptive language, maternal ratings of communicative competency, and other indices of language proficiency. The results point to the centrality of expressive and receptive language development in relation to early-appearing behavior problems and other developmental milestones. With these findings in mind, early language intervention may not only promote language development, but also prevent the development or exacerbation of socioemotional problems. © 1998 Michigan Association for Infant Mental Health     

Conscientiousness predicts disease progression (CD4 number and viral load) in people living with HIV.

OBJECTIVE: Psychosocial factors (e.g., depression, avoidant coping, life stress) have been related to disease progression in HIV. This study examined the relationship between the Big Five Conscientiousness factor and HIV disease progression (CD4 cell and viral load) over 1 year in 119 seropositive participants. The study also examined whether Conscientiousness effects were mediated by adherence, perceived stress, depression, or coping measures. DESIGN: In a 1-year longitudinal design, participants completed the NEO Five-Factor Inventory Conscientiousness scale (P. T. Costa & R. R. McCrae, 1992). Participants also completed psychosocial assessments and underwent blood draws at initial assessments and 1-year follow-up. MAIN OUTCOME MEASURES: Multiple hierarchical regression models were used to predict change in CD4 cell numbers and viral load log 10, controlling for demographic variables, initial disease status, and antiretroviral medications. RESULTS: Conscientiousness predicted significant increases in CD4 number and significant decreases in viral load at 1 year. Conscientiousness was related positively to medication adherence and active coping and negatively to depression and perceived stress. Only perceived stress emerged as a possible mediator. CONCLUSION: The significant relationship between Conscientiousness and medication adherence, distress, and coping suggests that an assessment of Conscientiousness in patients with HIV may help specify or target behavioral interventions to promote optimal disease management.     

Maltreated children's memory: accuracy, suggestibility, and psychopathology

Memory, suggestibility, stress arousal, and trauma-related psychopathology were examined in 328 3- to 16-year-olds involved in forensic investigations of abuse and neglect. Children's memory and suggestibility were assessed for a medical examination and venipuncture. Being older and scoring higher in cognitive functioning were related to fewer inaccuracies. In addition, cortisol level and trauma symptoms in children who reported more dissociative tendencies were associated with increased memory error, whereas cortisol level and trauma symptoms were not associated with increased error for children who reported fewer dissociative tendencies. Sexual and/or physical abuse predicted greater accuracy. The study contributes important new information to scientific understanding of maltreatment, psychopathology, and eyewitness memory in children.     

Experimental evaluation of self-efficacy treatment on technical/scientific career outcomes

A technology education programme designed to provide mastery experiences described in self-efficacy theory and predicted to improve career decision-making was evaluated. Seventh- and eighth-grade students (N = 169) were stratified by grade level and randomly assigned either to a published technology education programme or to control curricula. Over a 7-week period, the experimental programme attempted to foster exploration and performance accomplishments in the students' choice of three (out of 21 possible) technical and scientific careers. Pre- and post-test instruments assessed technical/scientific self-efficacy and career interest. No treatment effects were found. However, an experimental demand measure showed greater valuing of the technology education programme. Implications and suggested improvements to the treatment are discussed.     

Young Children Selectively Hide the Truth About Sensitive Topics

Starting in early childhood, children are socialized to be honest. However, they are also expected to avoid telling the truth in sensitive situations if doing so could be seen as inappropriate or impolite. Across two studies (total N = 358), the reasoning of 3- to 5-year-old children in such a scenario was investigated by manipulating whether the information in question would be helpful to the recipient. The studies used a reverse rouge paradigm, in which a confederate with a highly salient red mark on her nose asked children whether she looked okay prior to having her picture taken. In Study 1, children tended to tell the truth only if they were able to observe that the mark was temporary and the confederate did not know it was there. In Study 2, children tended to tell the truth only if they were able to observe that the mark could be concealed with makeup. These findings show that for children as young as age 3, decisions about whether to tell the truth are influenced by the likelihood that the information would be helpful to the recipient.     

Testing the concept of goodness of fit in early intervention

While the conceptual and clinical utility of the goodness of fit concept has been documented extensively, the number of specific empirical tests of the concept has been limited. In this study, the concept was applied in the conceptualization and analysis of early intervention efforts. The major question examined was the extent to which the goodness of fit of child, maternal, and support variables discriminated good and poor adaptation of the mother as measured by the quality and appropriateness of care giving involvement with her handicapped child. Findings indicated that an index of maternal and child characteristics and measures of maternal locus of control, child temperament, and social support collectively contributed to the correct classification of 77% of mothers in high vs. low involvement groups. Locus of control and the maternal/child index accounted for 25% of the variance in caregiver involvement. The findings illustrate the applicability of the goodness of fit concept and provide support for efforts focused on maximizing the fit of the child, family, and variables in early intervention.     

Structure of outcome beliefs in condom use. The Project RESPECT Study Group.

To study the structure of beliefs about condom use outcomes, the authors derived and tested 4 psychosocial hypothetical models: (a) a 2-factor model of the personal and social outcomes of condom use; (b) a 2-factor model of the pros and cons of the behavior; (c) a 3-factor model (i.e., physical, self-evaluative, and social) of outcome expectancies; and (d) a thematic 4-factor model of the protection, self-concept, pleasure, and interaction implications of the behavior. All 4 models were studied with a confirmatory factor analysis approach in a multisite study of 4,638 participants, and the thematic solution was consistently the most plausible. Self-concept and pleasure were most strongly associated with attitudes toward using condoms, intentions to use condoms, and actual condom use, whereas protection and interaction generally had little influence.