Coping Strategies,Substance Use,Sexual Activity,and HIV Sexual Risks in a Sample of Gay Male STD Patients1

The relationships of coping strategies with levels of substance use and sexual activity, and with HIV sexual risks, are examined in a sample of gay male STD clinic patients (n = 416). Previous research has suggested that use of problem-focused coping strategies should be negatively related to levels of substance use, levels of sexual activity, and HIV sexual risks; use of emotion-focused coping strategies should be positively related to these outcomes. It is argued that substance use and sexual activity clearly fit within a coping perspective, but that the HIV sexual risks/coping relationship is less clear. In multivariate analysis, the problem-focused strategy of advice seeking is negatively related to the number of types of drugs used and to the number of sexual partners; the problem-focused strategy of support seeking is negatively related to the number of days using drugs; and the use of emotion-focused strategies is positively related to the number of types of drugs used. Problem-focused coping strategies are less directly related to engaging in HIV sexual risks when measures of substance use and of sexual activity are included in the prediction; emotion-focused coping strategies are more stably related to HIV risk. Indirect effects of coping on HIV risk are also identified through the effects of coping on the number of types of drugs used, number of sex partners, and number of times having sex. It is proposed that the relationships between coping and levels of substance use and sexual activity reflect the use of these activities as ways of relieving strain, but that relationships between coping and HIV sexual risks involve less clearly understood direct and indirect relationships.     

The Correlation Between Depression and Headache: The Role Played by Generational Changes in Female Achievement

The relationship between depression and somatic symptoms such as headache has never been explained. Both depression and headache appear to become more prevalent among women than among men only for cohorts that reach adolescence during periods of great change in opportunities for a female's academic achievement. In Studies 1a and 1b, the same pattern was found to apply to the correlation between depression and headache. In Studies 2a and 2b, self-report measures of depression and headache were found to share significant variance only among female adolescents who reported concerns regarding the limited achievements of their mothers. These females may view the roles of adult women as being limited and may experience stress and low self-esteem associated with depressive and somatic symptomatology.     

IMPLICATIONS OF BEHAVIORAL PHARMACOLOGY RESEARCH FOR APPLIED BEHAVIOR ANALYSES: JEAB'S SPECIAL ISSUE CELEBRATING THE CONTRIBUTIONS OF JOSEPH V. BRADY (MARCH 1994)

We review four articles from JEAB's March 1994 issue celebrating the contributions of Joseph V. Brady. These articles have implications for studying private events and for studying multiple operants. We suggest that regularly including self-reports about private events in behavioral pharmacological research has resulted in an accumulated knowledge that has facilitated examination of interesting relations among self-reports, environmental factors, and other observable behaviors. Methodological lessons that behavioral pharmacologists have learned regarding the study of multiple operants are also relayed. We provide examples of how these lessons could be useful to applied behavior analysts studying nonpharmacological issues.     

Rational cognitive therapy with public offenders

In addressing the issue of how offenders may help themselves face the world in prison and outside, this article outlines how the principles of rational emotive therapy as outlined by Ellis and Maultsby can be simplified for use with this population in order to provide them a method for understanding and alleviating unhelpful emotional reactions. An example is provided to illustrate how a rational self-analysis model can be taught as written homework in individual or group sessions. Using the RSA model, offenders are taught to review and better understand the meanings of irrational words and how they upset themselves. Overall, our experience has been that offenders of many persuasions can be taught to be more rational and logical—an essential foundation for successful rehabilitation. This article is reproduced with permission in a slightly modified form from an earlier article authored by Smith and Lombardo “Rational Cognitive Therapy: An Executive Summary” that appeared inThe Correctional Psychologist, 27, 1995, pp. 2–5.     

The impact of parental divorce on the attainment of the developmental tasks of young adulthood

The purpose of this study was to assess the impact of parental divorce on young adult development. One hundred twenty-five participants provided demographic information and completed the PAFS-Q (college version) and the conflict subscale of the Family Environment Scale. Results indicate that parental divorce and family conflict significantly affect developmental task attainment. The interactions between sex and age and family structure (i.e., single-parent or stepfamily) were also significant predictors of post-divorce task attainment. Implications of these results for therapists as well as recommendations for future research are provided.This is a revised version of a paper presented at the annual conference of the American Psychological Association, Los Angles, California, August 1994.     

Blending qualitative and behavior analytic research methods to evaluate outcomes in inclusive schools

Following Haring's (1992) recommendation, we have utilized qualitative research techniques to assist us in designing a program of research on inclusive education which is responsive to the outcome values and priorities identified by teachers and parents. Using interviews, observations, and document analysis to follow 35 children in full inclusion classrooms over a period of two years, we have described outcomes for these children in three major domains. These outcome domains, and subthemes within them, have been evaluated and revised based on interviews and social validation ratings by parents and teachers. Dependent measures based on our qualitative research findings are currently being used in a series of behavior analytic studies designed to evaluate the effects of specific interventions on outcomes of inclusion for children with and without disabilities.     

Retention and treatment failure in Classwide Peer Tutoring: Implications for further research

Knowledge of basic arithmetic facts aids in the acquisition and speed of performance of arithmetic operations. A peer mediated instructional procedure, Classwide Peer Tutoring (CWPT), has been shown to increase the rates and accuracy of students responses to academic tasks and to improve student performance on a variety of academic tasks. The present investigation evaluated the retention of 100 subtraction items by primary grade-age children with mild disabilities using CWPT for 10 weeks. Short- and long-term retention of items, and rate of correct responding were assessed. Results indicated that the students' average pretest score was 58.0% correct, and their average weekly posttest score was 87.12 correct, a 27% improvement in accuracy. Short- and longer-term retention measured on posttests was 88.7 % and 85.0% correct, respectively. Improvement in students rate of accurate responding to subtraction items practiced during CWPT was obtained. Student failure to learn particular items was not attributable to fewer opportunities to practice these items, less accurate practice, or item difficulty. Students reported positive evaluation of CWPT and perceived positive social and self esteem outcomes. Directions for future research focusing on retention and analysis of treatment failure are suggested.     

Discrimination of picture requests for missing items among young children with developmental disabilities

Two experiments were conducted to assess discrimination of picture requests for missing items among young children with developmental disabilities. In Experiment 1, three children were first taught to request one object when it was missing from a set of two related leisure items. In Experiment 2, two children were taught to request one object belonging to a set of three leisure items. In both studies the requesting response consisted of pointing to a photograph of the missing item. After acquisition of the initial request, discrimination of picture requests was assessed when the second item (Experiment 1) and second or third item (Experiment 2) was missing. Requests for the untrained items emerged in the presence of natural maintaining contingencies and in the absence of instructional prompts for all but the third child in Experiment 1. This child required continued intervention on the initial request. The results suggest that for some children a sequence of intervention and the programming of natural maintaining contingencies may prove effective in promoting the discrimination of picture requests for missing items among young children with developmental disabilities.     

Suicidal behavior among youth with severe emotional disturbance

The purpose of this study was to replicate an investigation of risk behaviors associated with suicidal behavior in public high school students, in a population of high school age youth with severe emotional disturbance (SED). Subjects for the study were clients of the South Carolina Continuum of Care (COC) (N=83). Information on suicidal thoughts and acts, aggressive behaviors, substance use and physical recklessness was gathered using a modified version of the self-report National Youth Risk Behavior Survey. Four percent of the youth reported seriously considering suicide, 8% reported planning how they would attempt suicide, 10% reported actually attempting suicide at least once, and 6% reported attempts requiring medical treatment Of the 13 youth who reported attempting suicide, four (31%) did not report planning an attempt. All suicidal behaviors except thoughts occurred more in girls than boys with SED. Alcohol and illicit drug use were associated with suicidal behavior, with larger odds ratios for attempts than for thoughts/plans. Youth with SED who use alcohol and illicit substances are particularly at risk of suicidal behavior. A high index of suspicion is appropriate when evaluating suicidal risk in girls with SED, especially in the presence of known alcohol or substance use.Continuum of Care for Emotionally Disturbed Children Division, S. C. Office of the Governor.