Variations in Psychological Profile Among Children with Recurrent Abdominal Pain

This study was designed to determine whether distinct subgroups of children with recurrent abdominal pain (RAP) could be identified based on patterns of psychological functioning. Two hundred and eighty-three children (ages 8–17 years), and a primary caretaker, completed the Behavior Assessment System for Children (BASC) during the initial evaluation of RAP at a pediatric gastroenterology clinic. Cluster analysis of BASC scores supported a 3-cluster solution, with fair agreement observed between parents and children on cluster assignment. Approximately half of the sample identified no significant psychological problems. A small percentage (13%) evidenced intense and broad-based psychological problems, while the remainder (35–45%) indicated relative elevations in anxiety only. Cluster membership did not vary systematically by age, gender, race, or functional gastrointestinal disorder diagnosis. Distinct psychological profiles appear to exist for children with RAP. Targeting treatments to these profiles may improve the effectiveness and efficiency with which health professionals address pediatric abdominal pain. This study was supported in part by a grant from the Hall Family Foundation. Portions of this work were presented at the annual convention of the American Psychological Association in July 2004 (Honolulu, HI) and at Digestive Diseases Week in May 2004 (New Orleans, LA).     

Optimism and Traumatic Stress: The Importance of Social Support and Coping1

This study examined the effects of optimism following traumatic stress and pathways through which optimism may act. Rescue and recovery workers at the crash site of US Air Flight 427 (n= 159) were studied 2, 6, 9, and 12 months after the crash to examine optimistic outlook, social support, coping, and stress. As predicted, a more optimistic disposition was associated with less self‐reported distress, less use of avoidant and wishful‐thinking coping strategies, greater use of problem‐focused and seeking‐social‐support coping, and greater availability of social support. Contrary to expectations, coping did not account for the relationships observed between optimism and stress responding. Social support explained some of the effects of optimism on coping and stress, but these mediational effects varied over time. Findings suggest that optimism affects stress and coping directly and indirectly by affecting how much social support is available.     

Adolescents' relationships with their mothers and fathers: associations with depressive disorder and subdiagnostic symptomatology

Family relationships across 3 groups of adolescents were compared: (a) those with unipolar depressive disorders (n=82); (b) those with subdiagnostic depressive symptoms (n=78); and (c) those without emotional or behavioral difficulties (n=83). Results based on multisource, multimethod constructs indicated that depressed adolescents, as well as those with subdiagnostic symptomatology, experience less supportive and more conflictual relationships with each of their parents than do healthy adolescents. These findings are notable in demonstrating that adverse father-adolescent relationships are associated with depressive symptomatology in much the same way as mother-adolescent relationships. As well, the findings add to the emerging evidence that adolescents with subdiagnostic symptoms experience difficulties in social relationships similar to those experienced by adolescents with depressive disorder.     

-ings and -ers

This paper is about the semantic structure of verbal and deverbal noun phrases. The focus is on noun phrases which describe actions, perceptions, sensations and beliefs. It is commonly thought that actions are movements of parts of the agent's body which we typically describe in terms of their effects, and that perceptions are slices of sensible experience which we typically describe in terms of their causes. And many philosophers hold that sensations and beliefs are states of the central nervous system which we generally describe in terms of their typical causes and effects. For example 'Brutus's killing of Caesar' is thought to describe a movement of a part of Brutus's body – e.g. the thrust of an arm – in terms of one of its effects, namely, Caesar's death. And 'Hyman's visual perception of a table in front of him' is thought to describe the visual experience I'm having right now in terms of its cause. The object of the paper is to show that these doctrines misrepresent the semantic structure of verbal and deverbal noun phrases.     

Adolescent Responses to Depressive Parental Behaviors in Problem-Solving Interactions: Implications for Depressive Symptoms

The purpose of this study was to explore the relations between child responses to interparental depressive behavior and subsequent child depressive symptomatology. Data were collected on 156 two-parent families. Families completed questionnaire data and participated in problem-solving interactions, which were coded using a microsocial observational system. Three potential child responses to interparental depressive behavior were examined: facilitative, aggressive, and depressive. Results indicated that for female adolescents the displays of facilitative and depressive behavior as well as the suppression of aggressive behavior in response to interparental depressive behavior were related to increases in depressive symptomatology. For males, on the other hand, the display of aggressive and depressive behavior in response to interparental depressive behavior was related to increases in depression. Results provide preliminary support both for the examination of child responses to conflictual marital behavior and for expanding the conceptualization of conflictual marital behaviors to include depressive as well as the more traditionally examined aggressive behaviors, in order to better understand the link between conflictual marital behavior and child depressive symptomatology.     

Interaction of asthmatics and their spouses: A preliminary study of individual differences

Some asthmatics show evidence of airways reactivity triggered by strong emotions. Six case studies of married patients with severe asthma are reported. The videotaped interactions of the asthmatic and his/her spouse were coded for affect and behavior. Repeated measures of pulmonary function and affective state were recorded before and after two interaction tasks. Over the course of the experimental period, two patients' pulmonary function improved and four patients' deteriorated. In general, decreased pulmonary function was associated with more self-rated hostility and depression. The results are discussed in terms of their implications for the intra- and interpersonal factors that are important in asthma management.     

Multilevel covariance structure analysis of sibling substance use and intrafamily conflict

Conventional covariance structure analysis, such as factor analysis, is often applied to data that are obtained in a hierarchical fashion, such as siblings observed within families. A more appropriate specification is demonstrated which explicitly models the within-level and between-level covariance matrices of sibling substance use and intrafamily conflict. Participants were 267 target adolescents (mean age=13.11 years) and 318 siblings (mean age=15.03 years). The level of homogeneity within sibling clusters, and heterogeneity among families, was sufficient to conduct a multilevel covariance structure analysis (MCA). Parental and family-level variables consisting of marital status, socioeconomic status, marital discord, parent use, and modeling of substances were used to explain heterogeneity among families. Marital discord predicted intrafamily conflict, and parent marital status and modeling of substances predicted sibling substance use. Advantages and uses of hierarchical designs and conventional covariance structure software for multilevel data are discussed.