An investigation of the effects of comorbid Axis II pathology on outcome of inpatient treatment for unipolar depression

DSM-based research on comorbidity has suggested thatdepression andpersonality disorder frequently occur together and that the combination of syndromes is associated with a poor response to treatment for depression. The present study was designed to explore the effect of comorbid Axis II pathology for a sample of 45 inpatients who received treatment for major depression. Both categorical and dimensional ratings of personality disorder were used in the statistical analysis. Positive categorical diagnosis of Cluster C (anxious-avoidant) disorder, as well as higher dimensional rating of Cluster A (odd-eccentric) pathology, was predictive of a poor response to treatment (p<.05), as measured by change in pre-post clinical ratings on the Montgomery-Asberg Depression Rating Scale. These results were construed as indicative of a significant Axis II comorbidity effect in the context of an inpatient, multimodal treatment setting for depression. The results also spotlight the influence of techniques of measurement in determining the outcome of statistical analysis.     

HOW FAR SHOULD WE GENERALIZE?

Abstract— A conceptual model based on staffing theory was applied to previously collected survey data from a representative sample of American workers The model links organizational size, workload, work experience variables (felt responsibility and involvement, assessments of work associates), and work outcomes (job satisfaction, work self-esteem, stress symptoms) Path analyses indicated that the model fit data from all waged and salaried workers relatively well When the model was applied to subsamples of new and established employees and of employees from two contrasting occupational groups (professional-technical workers and operative workers), somewhat different patterns emerged The study illustrates the benefits of applying psychological theories across subdisciplines, as well as the limitations of generalizing research findings across different categories of workers We suggest that localized theories and fine-grained analyses of workplace events could help to make research more applicable to work settings     

RESPONSE STYLE AND CROSS-CULTURAL COMPARISONS OF RATING SCALES AMONG EAST ASIAN AND NORTH AMERICAN STUDENTS

Abstract— This report examines cross-cultural differences in response style regarding the use of rating scales Subjects were high school students 944 from Sendai (Japan), 1,357 from Taipei (Taiwan), 687 from Edmonton and Calgary (Canada), and 2,174 from the Minneapolis metropolitan area and Fairfax County, Virginia Responses to fifty-seven 7-point Likert-type scales were analyzed The Japanese and Chinese students were more likely than the two North American groups to use the midpoint on the scales, the U S subjects were more likely than the other three groups to use the extreme values Within each cultural group, endorsement of individualism was positively related to the use of extreme values and negatively related to the use of the midpoint These small, albeit statistically significant, differences in response styles generally did not alter cross-cultural comparisons of item means.     

Perceiving geographical slant

People judged the inclination of hills viewed either out-of-doors or in a computer-simulated virtual environment. Angle judgments were obtained by having people (1) provide verbal estimates, (2) adjust a representation of the hill’s cross-section, and (3) adjust a tilt board with their unseen hand. Geographical slant was greatly overestimated according to the first two measures, but not the third. Apparent slant judgments conformed to ratio scales, thereby enhancing sensitivity to the small inclines that must actually be traversed in everyday experience. It is proposed that the perceived exaggeration of geographical slant preserves the relationship between distal inclination and people’s behavioral potential. Hills are harder to traverse as people become tired; hence, apparent slant increased with fatigue. Visually guided actions must be accommodated to the actual distal properties of the environment; consequently, the tilt board adjustments did not reflect apparent slant overestimations, nor were they influenced by fatigue. Consistent with the fact that steep hills are more difficult to descend than to ascend, these hills appeared steeper when viewed from the top.     

Stereotyped movement disorder in an adult following acquired brain injury: Effect of environmental stimulation

In the present study, a naturalistic functional analysis procedure was used to assess the effect of environmental stimulation on the stereotypic behavior (body rocking) of an adult whose stereotypy appeared to be induced by an acquired brain injury. Environmental stimulation, operationalized in terms of both physical and social characteristics, resulted in only minimal changes in the occurrence of body rocking. Body rocking occurred in excess of 50% of the observations in all environmental stimulation conditions and in a naturally occurring baseline condition. To our knowledge, this is the first published report of a functional analysis of stereotypy associated with acquired brain injury.     

Case study: Examining the relationship between self-initiations of an individual with disabilities and directive behavior of staff persons in a residential setting

This case study examines the relationship between self-initiations of an adult woman with severe disabilities and the directive behavior of staff persons in a community residential setting. Hypotheses generated from functional assessment procedures indicated that (a) Susan's low self-initiations were very likely related to high directive behavior of staff persons, and (b) infrequent problem behaviors during the morning routine were maintained by escape from repeated staff demands. An intervention was implemented to enable Susan to increase self-initiation in choice and sequence of activities and simultaneously decrease staff directives. Results and discussion focus on the need for a contextual approach for addressing problematic situations and an affirmation of the effectiveness of the positive behavioral support technology for increasing adaptive behaviors in individuals with severe disabilities.     

Children's capacity to agree to psychological research: knowledge of risks and benefits and voluntariness

A series of studies investigated the capacity of children between the ages of 7 and 12 to give free and informed consent to participation in psychological research. Children were reasonably accurate in describing the purpose of studies, but many did not understand the possible benefits or especially the possible risks of participating. In several studies children's consent was not affected by the knowledge that their parents had given their permission or by the parents saying that they would not be upset if the children refused. In contrast, other studies found that children were much more likely to stop their participation if the experimenter said explicitly that she would not be upset if they stopped. We suggest that experimenters should pay more attention to describing the possible risks and benefits of participation in research, and that they should also make it clearer to children that they are free to stop once they have begun.     

Correlates of parent–child communication about specific sexual topics: A study of rural parents with school-aged children

Using data from 600 parents of children aged 5 to 18, and a context-oriented, developmental socialization conceptual framework, the interrelationships between parents' perceptions of themselves, their child, and their family relationships and the amount of parent–child discussion of 16 sexuality topics were explored. Canonical correlation analysis was used to demonstrate how circumstances and contexts influence the complexity of parent–child conversations for mother–daughter, mother–son, father–son, and father–daughter dyads. Results lend support to the conceptual framework used, as well as to previous studies of this topic area. The implications of these findings for parent–child relationships and for future research on parent–child communication about sexuality are discussed.