Evolutionary skepticism

International Journal for Philosophy of Religion -     

The mediating role of anxiety in self-reported somatic complaints of depressed adolescents

This study examined the mediating role of anxiety in the self-reports of somatic complaints in 96 depressed adolescent inpatients. Sixty-four subjects with major depressive episodes and comorbid anxiety disorders (MDE-A) determined from the Diagnostic Interview for Children and Adolescents-Revised (DICA-R) reported significantly more somatic complaints than 32 adolescents having major depressive episodes without comorbid anxiety (MDE). An analysis of covariance demonstrated that, with anxiety symptoms controlled, MDE and MDE-A groups did not differ significantly in somatic complaints. A hierarchical multiple-regression analysis revealed that, with demographic and anxiety symptoms controlled, depressive symptoms did not contribute to the explanation or prediction of somatic complaints. The results suggest that anxious, but not depressive symptoms, are independently associated with somatic complaints. The results are discussed in light of new affective models of psychopathology.     

Experiential correlates of time alone in adolescence1

Seven hundred and fifty-three observations were collected on 25 adolescents at random times during an average week. The observations consisted of self-reports completed in response to an electronic pager. The study was aimed at the question: What is the experience of time alone like for adolescents? The results suggest a complex but consistent relationship: while aloneness is generally a negative experience, those adolescents who spend a moderate amount of time alone (about 30 percent of their waking time) tend to show better overall adjustment than adolescents who are either never alone or spend more than the optimal proportion of time alone. Alienation and average moods showed inverse linear or quadratic relationships with amount of time alone. These results are discussed in terms of the possible psycho-social functions of aloneness at the adolescent stage of the life cycle.     

The Radio Shack color computer in the experimental psychology laboratory: An evaluation

The Radio Shack color computer is examined from the viewpoint of capabilities needed to program, time, control, and acquire data from typical cognitive psychology experiments. Its capabilities are compared with those of the alternative inexpensive microcomputers discussed in an earlier article (Reed, 1980). The paper also includes a 6809 assembly language routine that permits the measurement of reaction times in video horizontal scan (HS = 4/63 msec) units without hardware modifications and an RSCC BASIC program for unbiased conversion of HS units to milliseconds.     

Improving Delivery Behaviors During Exposure for Pediatric OCD: A Multiple Baseline Training Trial With Community Therapists

This study tested whether a new training tool, the Exposure Guide (EG), improved in-session therapist behaviors (i.e., indicators of quality) that have been associated with youth outcomes in prior clinical trials of exposure therapy. Six therapists at a community mental health agency (CMHA) provided exposure therapy for 8 youth with obsessive–compulsive disorder (OCD). Using a nonconcurrent multiple baseline design with random assignment to baseline lengths of 6 to 16 weeks, therapists received gold-standard exposure therapy training with weekly consultation (baseline phase) followed by addition of EG training and feedback (intervention phase). The primary outcome was therapist behavior during in-session exposures, observed weekly using a validated coding system. Therapist behavior was evaluated in relation to a priori benchmarks derived from clinical trials. Additional outcomes included training feasibility/acceptability, therapist response to case vignettes and beliefs about exposure, and independent evaluator-rated clinical outcomes. Three therapists reached behavior benchmarks only during the EG (intervention) phase. Two therapists met benchmarks during the baseline phase; one of these subsequently moved away from benchmarks but met them again after starting the EG phase. Across all therapists, the percentage of weeks meeting benchmarks was significantly higher during the EG phase (86.4%) vs. the baseline phase (53.2%). Youth participants experienced significant improvement in OCD symptoms and global illness severity from pre- to posttreatment. Results provide initial evidence that adding the EG to gold-standard training can change in-session therapist behaviors in a CMHA setting.