The mediating role of anxiety in self-reported somatic complaints of depressed adolescents

This study examined the mediating role of anxiety in the self-reports of somatic complaints in 96 depressed adolescent inpatients. Sixty-four subjects with major depressive episodes and comorbid anxiety disorders (MDE-A) determined from the Diagnostic Interview for Children and Adolescents-Revised (DICA-R) reported significantly more somatic complaints than 32 adolescents having major depressive episodes without comorbid anxiety (MDE). An analysis of covariance demonstrated that, with anxiety symptoms controlled, MDE and MDE-A groups did not differ significantly in somatic complaints. A hierarchical multiple-regression analysis revealed that, with demographic and anxiety symptoms controlled, depressive symptoms did not contribute to the explanation or prediction of somatic complaints. The results suggest that anxious, but not depressive symptoms, are independently associated with somatic complaints. The results are discussed in light of new affective models of psychopathology.     

The comorbidities of adolescent problem behaviors: A latent class model

The correlations and comorbidities of a series of adolescent problem behaviors were studied in a sample of 739 New Zealand 15-year-olds. This analysis revealed the presence of strong comorbidities between different problem behaviors. The data were modeled using methods of unrestricted latent class analysis and this suggested that the best fitting model to describe the data was one which assumed that adolescent problem behaviors were described by four general classes of children. While the same general four-class model applied to males and females, there were marked gender differences in the rates of problems. Specifically, the predominant problem behaviors in females were those relating to an accelerated transition to adulthood marked by early sexual activity, alcohol abuse, and cannabis use whereas the predominant problems for boys were related to antisocial and law-breaking behaviors. Rates of children with no problems (85%) and with multiple problems (3%) were similar for boys and girls.This research was funded by grants from the Health Research Council of New Zealand, the Canterbury Medical Research Foundation, and the National Child Health Research Foundation.     

Enhancing possible selves in Mexican American students

This project assessed the modifiability of possible selves in young Mexican American children. Three intervention conditions were compared in a pre- and posttest design: child-only intervention, parent and child intervention, and a no-intervention control. Following eight intervention sessions, children in the two intervention groups showed significant gains in understanding the characteristics associated with becoming a good student and in recognizing the value of education in bringing about future occupational goals. Children in the intervention conditions also reported greater interest in becoming a physician, judge, or pilot — occupations they had directly experienced during training. The parent intervention phase contributed little to augmenting the positive results attributable to the child intervention component.This research was conducted under the auspices of NIH Grant HD-24003. We wish to thank Maritza Robles and the staff of the Bilingual program of the South Bend, IN, Corporation for their support.     

An advocacy intervention program for women with abusive partners: Six-month follow-up

Presented the 6-month follow-up findings of an experimental intervention designed to provide postshelter advocacy services to women with abusive partners. The intervention involved randomly assigning half the research participants to receive the free services of an advocate, 4 to 6 hours per week, for the first 10 weeks postshelter. One hundred forty-one battered women were interviewed about their experiences immediately upon their exit from a domestic violence shelter: 95% of the sample were interviewed 10 weeks thereafter (postintervention), and 93% were successfully tracked and interviewed 6 months later. At the 6-month follow-up, participants in both groups reported increased social support, increased quality of life, less depression, less emotional attachment to their assailants, and an increased sense of personal power. Although women in both groups reported some decrease in physical abuse over time, there were no statistically significant differences between those with and those without advocates, and abuse continued to be a problem for many women. Those who were still involved with their assailants continued to experience higher levels of abuse and had been more economically dependent upon the men prior to entering the shelter. Women who had worked with advocates continued to report being more satisfied with their overall quality of life than did the women in the control group. The authors thank the Editor and anonymous reviewers for their helpful comments. Thanks also to all present and past staff of the Community Advocacy Project, who helped in data collection and analyses. This work was supported by National Institute of Mental Health Grant 1R01 MH 44849.     

Accounting for macro-level causation

By a macro-level feature, I understand any feature that supervenes on, and is thus realized in, lower-level features. Recent discussions by Kim have suggested that such features cannot be causally relevant insofar as they are not classically reducible to lower-level features. This seems to render macro-level features causally irrelevant. I defend the causal relevance of some such features. Such features have been thought causally relevant in many examples that have underpinned philosophical work on causality. Additionally, in certain typical biological cases, we conceive of causally relevant features at various compatible levels of analysis. When elaborated, these points make a strong prima facie case for macro-level causal relevance. However, we might abandon both the philosophical guideposts and the corresponding explanatory practice in the special sciences were we convinced that no reflective philosophical account could provide for the causal relevance there supposed. I show that such drastic measures are not necessary, for we can make sense of macro-level causal relevance by drawing on Paul Humphreys' recent work in ways suggested by the concrete examples considered here.Some of the work on this paper was undertaken at the 1991 NEH Summer Seminar on Causality, directed by Paul Humphreys. I wish to thank my fellow participants, and Paul Humphreys, John Tienson, and Terry Horgan for helpful comments on earlier drafts of this paper.     

An analysis of latency and interresponse time in free recall

In four experiments, subjects freely recalled previously studied items while a voice key and computer recorded each item’s recall latency relative to the onset of the recall period. The measures of recall probability and mean recall latency were shown to be empirically independent, demonstrating that there exists no a priori relationship between the two. In all four experiments, latency distributions were fit well by the ex-Gaussian, suggesting that retrieval includes a brief normally distributed initiation stage followed by a longer exponentially distributed search stage. Further, the variation in mean latency stemmed from the variation in the duration of the search stage, not the initiation stage. Interresponse times (IRTs), the time elapsed between two successive item recalls, were analyzed as well. The growth of mean IRTs, plotted as a function of output position, was shown to be a simple function of the number of items not yet recalled. Finally, the mathematical nature of both free recall latency and IRT growth are shown to be consistent with a simple theoretical account of retrieval that depicts mean recall latency as a measure of the breadth of search.     

Three years follow-up of panic disorder patients: A naturalistic study

Forty Danish panic disorder patients participating in a placebo controlled study of alprazolam and imipramine (The Cross National Collaborative Panic Study, Phase II) were followed up by a telephone interview three years later, with essentially the same battery of evaluation procedures applied at baseline, end of study, and follow-up. The main finding was that panic disorder is a chronic disorder, but fluctuating in form and severity in the course of time. Twenty-five percent of the patients no longer fulfilled the DSM-III criteria for panic disorder, but had substantial disability due to a variety of symptoms, including panic attacks at infrequent rate, generalized anxiety symptoms, affective symptoms, and phobic avoidance behavior. Nearly three fourths of the patients were under treatment at follow-up. Benzodiazepines were the drugs most often prescribed, usually in combination with supportive psychotherapy. It was concluded that the different types of treatment offered were insufficient. Variables predicting panic disorder or substantial disability at 3-years follow-up were few.