Stress and family support as predictors of distress and rejection in people who care for a relative with schizophrenia

Relatives (N=121) of adult schizophrenia patients were interviewed to investigate predictors of their level of psychological distress and of rejecting attitudes toward the sufferer. The relatives' total stress, particularly that associated with poor communication skills in the sufferer, predicted several measures of their psychological distress, and the same variables plus turbulence of sufferer behavior (i.e., violence and disruptiveness) predicted rejection of the sufferer by the relative. In each case, adequacy of family support moderated the influence of the stressors, although this effect was more marked for distress outcomes than for rejection. The results have important implications for the sorts of professional and peer support which relatives may need to encourage their performance of this potentially burdensome role. In addition, the results fit a classic stress management model and provide a feasible alternative to the Expressed Emotion Model of the relationship between relatives' rejection and patients' illness severity.     

Neurobehavioral deficits,adolescent traumatic brain injury,and transition to college

Outcome following traumatic brain injury (TBI) has been frequently evaluated for adults, although there has been minimal research on adolescents with TBI. It has been argued that TBI sequelae may be more difficult for adolescents to adjust to given developmental changes in physical (puberty), interpersonal (self-concept), and environmental domains (transition to college). In addition, it is commonly acknowledged that moderator variables such as psychiatric history, family functioning, substance use, and sexuality impact functional outcome following TBI, although it is often difficult to objectively evaluate these variables. The current study examined relationships among TBI-related deficits, moderator variables, and academic outcomes for six adolescents transitioning to college. The findings suggest that it may not be appropriate to predict functional outcome based solely on objective neuropsychological results. However, moderator variables appear to have a more direct relationship with outcome, depending on the moderator variable and the individual.     

Reliability of self-reported service use: Test-retest consistency of children's responses to the Child and Adolescent Services Assessment (CASA)

This paper reports on the reliability of children's responses on the Child and Adolescent Services Assessment (CASA) — a self-report instrument for use with 8– to 18-year-olds that gathers information about services used to address mental health problems. Findings were based on interviews completed by 77 children at a one week test-retest interval. Results showed that reports of lifetime service use were as reliable as were reports of service use in the preceding three months. Children reported restrictive and intrusive services more reliably than services that were provided in their natural environment. Reliability appeared to be associated more strongly with characteristics of the type of service than with characteristics of the child. Children also could report reliably on some details about their encounters with service providers (e.g., length of stay, number of visits, and onset of service use).     

Social-Cognitive and Behavioral Correlates of Aggression and Victimization in Boys' Play Groups

A contrived play group procedure was utilized to examine the behavioral and social-cognitive correlates of reactive aggression, proactive aggression, and victimization via peers. Eleven play groups, each of which consisted of six familiar African-American 8-year-old boys, met for 45-min sessions on five consecutive days. Social-cognitive interviews were conducted following the second and fourth sessions. Play group interactions were videotaped and examined by trained observers. High rates of proactive aggression were associated with positive outcome expectancies for aggression/assertion, frequent displays of assertive social behavior, and low rates of submissive behavior. Reactive aggression was associated with hostile attributional tendencies and frequent victimization by peers. Victimization was associated with submissive behavior, hostile attributional bias, reactive aggression, and negative outcome expectations for aggression/assertion. These results demonstrate that there is a theoretically coherent and empirically distinct set of correlates associated with each of the examined aggression subtypes, and with victimization by peers.     

An Evaluation of the Health Belief Model for Predicting Perceived and Actual Dietary Quality1

The health belief model was evaluated for its ability to predict perceived and actual dietary quality. The assessment relied upon data collected from 1,502 respondents by the US. Department of Agriculture in its 1991 Continuing Survey of Food Intakes by Individuals and the Diet and Health Knowledge Survey. The health belief model provided good prediction of perceived dietary quality, but provided moderate to weak prediction of 7 measures of actual dietary quality that were calculated from food intake records. Implications are suggested for using the health belief model to understand the determinants of dietary quality.     

Further tests of a meta-model of youthful marijuana use

This paper tests a meta-model of youthful marijuana use on students in Grades 11, 12 and 13. Although the specific models for each grade varied in detail, all followed a meta-model making the following assumptions: (1) that use or nonuse of marijuana depends primarily on attitude towards use; (2) that attitude largely reflects the perceived functional and dysfunctional consequences of use; and (3) that what people perceive as functional or dysfunctional depends on relevant personality characteristics. All three models showed satisfactory goodness-of-fit in terms of nonsignificant overidentification tests (minimum P > 0.25) and small discrepancies between observed correlations and the corresponding theoretically implied correlations. A notable feature of the Grade 13 data in contrast to those for Grade 12 and previously reported findings was the seeming unimportance of the perceived value of marijuana use for gaining acceptance from peers. It was suggested that this might reflect the selective survival into Grade 13 in the sampled community of more independently-oriented students.     

When not to choose: A case study

Life situations often seem to require dualistic, either or decision making, but this common method does not always clarify moral decisions. To show this, standard arguments on why to choose or not to choose the sex or ones child are presented. Then, our feminist thinking, which regards clusters of values, and which reframes questions rather than choosing between desirable alternatives, suggests another possibility, in a gynandrous world vision.     

On problems of context and attribution in verbal reasoning

Investigated the effect of the verb on inferences in reasoning tasks with conditionals. Subjects were 60 pupils, both male and female, aged 17 to 18 years. Six verbs (buy, have, understand, ignore, hate, avoid) served as independent variables in conditional tasks consisting of two premises. The results which are statistically, highly significant, show an effect due to the verb depending upon the logical form of the task (2Î = 86.1, df= 30). indicate that certain semantic characteristics implicit in verbs determine the way in which a reasoning task is interpreted. A second experiment investigated why verbs differ in this way. Interviews were carried out with subjects using the verbs ‘buy’ and ‘ignore’. It is suggested that implicit meanings acquired through processes of social attribution play an essential role in verbal reasoning. In the present case, such attributions concern the depositional and episodic character of verbs and appear to be responsible for the interpretation of the premises of our tasks. It is concluded that any logical model aiming at an adequate representation of language in reasoning must take these implicit social attributions into account.     

Sex-role behaviors and personality traits of male day care teachers

It was hypothesized that male day care teachers who had adopted the feminine role of caregiver would score feminine in their personality traits and would reinforce children for feminine behaviors and punish them for masculine behaviors. A random sample of 20 male caregivers was contrasted to 20 male engineers on personality traits as assessed by The Adjective Checklist (ACL). Twenty female caregivers were also contrasted to the personality traits and the sex-typed contingency behaviors of the male caregivers. Feminine traits were defined by raw scores on the Abasement, Nurturance, Affiliation, Succorance, and Deference scales of the ACL. Masculine traits were represented by raw scores on the Achievement, Dominance, Endurance, and Autonomy scales. The Fagot-Patterson Checklist was employed to determine sex-typed contingency behaviors. Both male and female caregivers reinforced children significantly more for feminine behaviors than masculine behaviors (as defined by The Fagot-Patterson Checklist) and punished masculine behaviors more than feminine behaviors. The personalities of the male caregivers corresponded to the feminine direction of their female counterparts, but they were not significantly more feminine than the male engineers. The female caregivers, however, scored significantly more feminine in personality than the male engineers.This study is based on a dissertation submitted by Bryan E. Robinson to the Department of Child Development — Family Relations, University of North Carolina at Greensboro, in partial fulfillment of the requirements for the Ph.D.     

Statistical significance tests for binormal ROC curves

Statistical significance tests are derived and evaluated for measuring apparent differences between an obtained and an expected binormal ROC curve, between two independent binormal ROC curves, and among groups of independent binormal ROC curves. A binormal ROC curve is described by two parameters which represent the spread of the means and the ratio of the standard deviations of the two underlying Gaussian decision variable distributions. To test the significance of apparent differences between or among ROC curves, approximate χ² statistics for each of the three tests were constructed from maximum likelihood estimates of the two parameters defining the binormal ROC curve. The performance of each test statistic was evaluated by simulating five-category rating scale data with equal numbers of noise and signal-plus-noise trials (set at 50, 250, and 500) for each of three typical ROC curves. For the significance test involving only one ROC curve, rating scale data were generated from the chance diagonal of the ROC space also. Although test performance was found to be somewhat dependent on the number of trials and on the location of the ROC curve in the ROC space, comparisons of the obtained and expected fractions of (falsely) significant results at various α levels showed the proposed statistical significance tests to be reliable under practical experimental conditions.