Depression,self-focus,and social interaction

The accuracy of depressed and nondepressed subjects' perceptions of their own and a social interactional partner's performance was investigated. Twenty depressed and twenty nondepressed college students participated in dyadic interactions and then rated their own and their partner's social behavior. The interactions were also rated by objective coders. Depressed subjects were differentiated from nondepressed subjects on several measures by both the coders and the subjects. Depressed subjects' self-ratings were correlated with the coders' ratings more often than were the nondepressives' ratings, suggesting depressives provided more accurate self-observations. Contrary to prediction, depressives were also more accurate in judging their partner's behavior. Depressives experienced heightened levels of self-focused attention, but this attentional focus did not mediate the relationship between depression level and self-accuracy. Finally, an analysis of the verbal statements suggests that performance differences between depressives and nondepressives may be a function of the quantity, rather than the quality, of the verbal production.     

The incidence,prevalence, and severity of behavior disorders among preschool-aged children in day care

This study examined the incidence, prevalence, and severity of 14 empirically derived externalizing (unsocialized aggressive) and internalizing (socially withdrawn) behaviors among 2- through 5-year-olds attending day care. Teacher ratings were obtained for 558 children in the incidence sample and 709 children in the expanded prevalence sample. Within each age, data were cross-tabulated by sex of child and severity of behavior, and chi-square analyses were computed. Results indicated that a substantial proportion of children in the normal preschool population exhibit relatively high severities of selected externalizing and internalizing behaviors; this proportion varied with the age of the child and the behavior rated. Preschool-aged boys were consistently rated as demonstrating greater frequencies of externalizing behaviors than preschool-aged girls. The diagnostic and clinical implications of these findings are discussed.     

Fertility attitudes and the fear of death

An attempt to test empirically the general proposition that fear of death is related to certain attitudes about fertility, particularly expected number of children. Analysis of data collected from 355 undergraduates at a midwestern U.S. university showed this proposition to be generally supported and dependent, in part, on respondents' sex. Those who are more fearful of death tend to perceive procreation as a means for others to reduce fear of death, and also tend to expect having a greater number of children than those whose fear is less. Although the interrelationships of the variables appears somewhat complex, they provide an empirical reference for further research linking mortality to fertility.     

Exact and resampling probability values for weighted kappa

Permutation procedures to compute exact and resampling probability values for weighted kappa are described. Comparisons with asymptotic probability values demonstrate that exact permutation procedures are advantageous for sparse data sets, whereas resampling permutation procedures are appropriate for both sparse and nonsparse data sets.     

The role of religion in heart-transplant recipients' long-term health and well-being

While religion has long been recognized clinically to provide important coping strategies in the face of serious health problems, there has been little systematic consideration of its role in organ transplant recipients' long-term reactions and adjustment to this experience. This study examines these issues through qualitative and quantitative evaluation of longitudinal data collected from 40 adult heart recipients followed during their first year post-transplant. Large proportions of recipients expressed strong beliefs and were able to increase religious participation over the 12-month study period. They delineated specific ways in which their faith had provided them support, as well as ways in which the transplant experience itself further strengthened their beliefs. We found empirical evidence that recipients with strong beliefs who participated in religious activities had better physical and emotional well-being, fewer health worries, and better medical compliance by the final 12-month assessment. The findings suggest the development of specific nursing, social-service, or pastoral-involvement strategies, continuing staff education about the role of religion in patient care. The implications of such interventions for maximizing quality of life in transplant recipients are discussed.This study was funded by grants from the National Institute of Mental Health.     

Outpatient groups for chronic psychiatric patients

Long-term support groups have been utilized at the University of Alberta Hospitals since 1977 in order to meet the needs of chronic psychiatric patients who are unwilling or unable to commit to insight-oriented therapy. These groups meet once weekly for one hour and are intended to be drop-in groups, which patients can use regularly or only while in crisis. It is hypothesized that the institution or style of therapy practiced at an institution, rather than the specific therapists, provides a source of stability and support to these patients. Our experience suggests these groups are beneficial and cost-efficient, but research is necesssary to evaluate them to determine components of therapeutic effectiveness.Linda McAuley, M.A., was a staff therapist at the Psychiatric Walk-in Clinic and is currently in private practice.An earlier version of this paper was presented at a meeting of the Canadian Group Psychotherapy Association in Banff, Alberta, October, 1987.