Life events as predictors of mania and depression in bipolar I disorder

To date, few prospective studies of life events and bipolar disorder are available, and even fewer have separately examined the role of life events in depression and mania. The goal of this study was to prospectively examine the role of negative and goal-attainment life events as predictors of the course of bipolar disorder. One hundred twenty-five individuals with bipolar I disorder were interviewed monthly for an average of 27 months. Negative and goal-attainment life events were assessed with the Life Events and Difficulties Schedule. Changes in symptoms were evaluated using the Modified Hamilton Rating Scale for Depression and the Bech-Rafaelsen Mania Scale. The clearest results were obtained for goal-attainment life events, which predicted increases in manic symptoms over time. Negative life events predicted increases in depressive symptoms within regression models but were not predictive within multilevel modeling of changes in depressive symptoms. Given different patterns for goal attainment and negative life events, it appears important to consider specific forms of life events in models of bipolar disorder.     

Maladaptive personality traits and psychopathology in childhood and adolescence: the moderating effect of parenting

This study examines child and adolescent psychopathology from a maladaptive trait perspective, incorporating both parental and child ratings of parenting as a moderator of the personality-psychopathology association. Hierarchical moderated regression analyses were conducted on a combined sample of referred and nonreferred children and adolescents (N=862, parental ratings of parenting and N=396, child ratings of parenting). The results indicated positive main effects of maladaptive traits on externalizing and internalizing problems, and positive main effects of parental negative control on externalizing problems. Significant interactions were found for Disagreeableness and Emotional Instability with parental Negative Control and for Disagreeableness x Positive Parenting in explaining externalizing problems. The discussion focuses on the contribution of these findings to a better understanding of the trait-psychopathology relationship at young age.     

How Are Traits Related to Problem Behavior in Preschoolers? Similarities and Contrasts Between Temperament and Personality

The lack of empirical research relating temperament models and personality hinders conceptual integration and holds back research linking childhood traits to problem behavior or maladjustment. This study evaluates, within a sample of 443 preschoolers, the relationships between children’s maladaptation and traits measured by three temperament models (Thomas and Chess, Buss and Plomin, and Rothbart), and a Five-Factor based personality model. Adequate reliabilities and expected factor structures are demonstrated for most scales. A joint principal component analysis combining 28 temperament and 18 personality scales indicates a six-factor model, distinguishing Sociability, Activity, Conscientiousness, Disagreeableness, Emotionality, and Sensitivity. Regression analyses reveal that although single temperament and personality scales explain from 23% to 37% of problem behavior variance, the six components explain from 41% to 49% and provide a clearer differentiation among CBCL-problem scales. This age-specific taxonomy refines and corroborates conclusions based on narrative reviews and furnishes a more balanced view of trait–maladjustment relationships.

Family criticism and self-starvation: a study of expressed emotion

The measure Expressed Emotion (EE) has been established as an exceptionally useful indicator of relapse in people with schizophrenia and depression. EE is now also being applied more broadly for the investigation of other disorders. EE is usually rated by conducting the Camberwell Family Interview, i.e. in the course of separate individual interviews with the relatives of the symptomatic individuals. This paper reports the rating of EE in adolescents with eating disorders within a semi-structured family schedule - the Standardized Clinical Family Interview. Consecutive referrals for eating disorders were assessed prior to family therapy and again at regular intervals during therapy. EE ratings for this sample, the prognostic value of EE, and the changes in EE that took place during the course of therapy are presented and their clinical implications discussed. The findings suggest that even low levels of Critical Comments from the parents to the anorexic adolescent are associated with continuing symptoms.     

“The Turkish minority in Bulgaria”: A clarification

These short notes are not meant to justify the recent repression of the Muslims in Bulgaria; rather, they try to explain them objectively and in all their aspects, including external conditions and factors. Dr. Michel, the author of the article here examined, has worked on a rich data base in the form of history and chronicle of events. And yet he gives the impression of floating on the surface of things and here and there presents somewhat one‐sided and subjective evaluations. Using and quoting as evidence material mainly from the Turkish side he deprives the article in question of the objectivity and impartiality that are obligatory for scholarly research. I am very grateful for the opportunity of having access to Dr. Michel's article in advance of its publication and for being invited to present and interpret the interrelations of Muslims and Christians of Bulgaria in recent times from my point of view.     

Relationship between the Delay Task and Rating Scale measures of Inattention and Hyperactivity

A group of 187 elementary school children were administered a microcomputer version of the Delay Task (Gordon, 1979) in which responses were reinforced only when they followed the preceding response by at least 6 seconds. They were also rated on the Conners Teacher Rating Scale (CTRS) by their classroom teacher. Performance on the Delay Task was not correlated with any of the CTRS subscales for the overall sample. Sex differences were found in the Conduct, Inattention, and Hyperactivity factors of the CTRS. No sex difference was found for performance on the Delay Task. When performance on the Delay Task was correlated with the four CTRS factors by sex, correlations between the Delay Task and the inattention subscale and hyperactive subscale were significant only for the male subsample. Implications of the findings for assessment of hyperactivity are discussed.The research was supported by an equipment grant from the University of Auckland Research Committee. The first author's contribution was supported by a postgraduate scholarship from the Medical Research Council of New Zealand. We thank Lisa Tapp and Julia Rooke for assistance with data collection. We also acknowledge the support and cooperation of the staff of Mt. Eden Normal Primary School.