Antidepressant treatment of children: clinical relapse is unrelated to tricyclic plasma concentrations

Plasma concentrations of imipramine and amitriptyline and their desmethylated metabolites were measured in 20 children being treated for major depressive illness 2 wk. and 5 to 10 wk. after achieving drug dosages of 2.25 mg/kg body weight. At 2 wk. all children had exhibited clinical improvement, but by 10 wk. 4 of the 10 children treated with imipramine and 5 of the 10 children treated with amitriptyline had experienced clinical relapse of depressive symptoms. Tricyclic antidepressant plasma concentrations and ratios were comparable in the subgroups of children who maintained their clinical improvement and those who relapsed. There was no evidence of a systematic decline in plasma tricyclic antidepressant concentrations in those children who relapsed.     

Frequency of neurologic-psychiatric findings in the late phase following minor and medium severe blunt craniocerebral injuries

The authors present a short review of the pertinent literature and report on their own neuropsychiatric findings following internal craniocerebral injuries, at the same time drawing attention to the necessity of psychological examination. Statistical comparisons with the international literature are complicated owing to the different classifications used for craniocerebral injuries.     

Microcomputer-assisted relaxation

The present pilot study was designed to test the effectiveness of a microcomputer program developed by the authors to induce relaxation and focused attention, which are common to most clinical stress-reduction and hypnotic procedures. A nonclinical sample of 20 adults used the program on an APPLE IIc computer in two 30-min. sessions in a within-subjects design. Repeated measures analyses of variance showed significant decreases in the Spielberger State Anxiety Scale and on a visual analog anxiety scale. Limitations and implications of the study are discussed.     

Effects of figure-ground reversal on the visual-perceptual and visuo-motor performances of cerebral palsied and normal children

Individuals with brain damage often encounter visual perceptual and visuo-motor difficulties. Studies have indicated an improvement in exceptional individuals' performances when the colors of figure-ground materials were reversed. Effects of reversals were studied for spastic cerebral palsied and normal children's scores on the Developmental Test of Visual-motor Integration and the Motor-free Visual Perception Test. Normal children performed better than the cerebral palsied children on all tests; the cerebral palsied children performed best on the reversed-format Motor-free Visual Perception Test. Reversal affected neither group's scores on visual-motor integration.     

Effects of a paradoxical intervention on a child's anxiety about sleep- and sports-related performance

A paradoxical instruction was used to treat a 10-yr.-old boy's complaint of crying when unable to sleep and the daytime equivalent of fearing the public display of crying when failing at sports performances. The instruction resolved both the sleep disturbance and the public crying. The results suggest that, like adults, children may experience anxiety about sleep difficulties and that paradoxical intention may have promise for the treatment of some children's insomnia.     

The effect of cuing after backward conditioning trials

Rats were given backward pairings of a tone (CS) and shock (US) and were then tested for response to the CS in a lick suppression test. Animals given a cuing or reminder treatment prior to the test exhibited enhanced suppression in the presence of the tone relative to a variety of control conditions. The cue-induced suppression enhancement did not appear to result from sensitization or short-term motivational changes nor did it seem to depend on second-order conditioning of the test context. The effect appeared more robust as the number of backward conditioning trials preceding the cue increased. The results were discussed in terms of current explanations of backward conditioning effects.     

Handling time and choice in pigeons

According to optimal foraging theory, animals should prefer food items with the highest ratios of energy intake to handling time. When single items have negligible handling times, one large item should be preferred to a collection of small ones of equivalent total weight. However, when pigeons were offered such a choice on equal concurrent variable-interval schedules in a shuttlebox, they preferred the side offering many small items per reinforcement to that offering one or a few relatively large items. This preference was still evident on concurrent fixed-cumulative-duration schedules in which choosing the alternative with longer handling time substantially lowered the rate of food intake.     

Temporal proximity and reinforcement sensitivity in multiple schedules

Distributions of reinforcers between two components of multiple variable-interval schedules were varied over a number of conditions. Sensitivity to reinforcement, measured by the exponent of the power function relating ratios of responses in the two components to ratios of reinforcers obtained in the components, did not differ between conditions with 15-s or 60-s component durations. The failure to demonstrate the “short-component effect,” where sensitivity is high for short components, was consistent with reanalysis of previous data. With 60-s components, sensitivity to reinforcement decreased systematically with time since component alternation, and was higher in the first 15-s subinterval of the 60-s component than for the component whose total duration was 15 s. Varying component duration and sampling behavior at different times since component transition may not be equivalent ways of examining the effects of average temporal distance between components.