Structure and measurement of depression in youths: applying item response theory to clinical data

Our goals in this article were to use item response theory (IRT) to assess the relation of depressive symptoms to the underlying dimension of depression and to demonstrate how IRT-based measurement strategies can yield more reliable data about depression severity than conventional symptom counts. Participants were 3,403 children and adolescents from 12 contributing clinical and nonclinical samples; all participants had received the Kiddie Schedule of Affective Disorders and Schizophrenia for School-Aged Children. Results revealed that some symptoms reflected higher levels of depression and were more discriminating than others. Furthermore, use of IRT-based information about symptom severity and discriminability in the measurement of depression severity was shown to reduce measurement error and increase measurement fidelity.     

Everyday scale errors

Young children occasionally make scale errors – they attempt to fit their bodies into extremely small objects or attempt to fit a larger object into another, tiny, object. For example, a child might try to sit in a dollhouse-sized chair or try to stuff a large doll into it. Scale error research was originally motivated by parents' and researchers' informal accounts of these behaviors. However, scale errors have only been documented using laboratory procedures designed to promote their occurrence. To formally document the occurrence of scale errors in everyday settings, we posted a survey on the internet. Across two studies, participants reported many examples of everyday scale errors that are similar to those observed in our labs and were committed by children of the same age. These findings establish that scale errors occur in the course of children's daily lives, lending further support to the account that these behaviors stem from general aspects of visual processing.     

The effects of attributions of intent and apology on forgiveness: When saying sorry may not help the story

Despite the oft-cited positive effects of an apology on forgiveness, forgiveness does not always follow. In three studies we tested the ironic notion that, following an interpersonal transgression, an apology following an attribution of intent might further hinder, rather than benefit, the forgiveness process. The findings of three studies were systematically replicated and supported our primary prediction that, following attributions of intent, saying sorry does not always lead to forgiveness. When offenders intentionally committed a transgression, forgiveness was less likely following an apology. However, when offenses were unintentional, forgiveness was more likely following an apology. We also showed that these effects were explained by participants’ impression of the transgressor.     

Detecting the snake in the grass: attention to fear-relevant stimuli by adults and young children

Snakes are among the most common targets of fears and phobias. In visual detection tasks, adults detect their presence more rapidly than the presence of other kinds of visual stimuli. We report evidence that very young children share this attentional bias. In three experiments, preschool children and adults were asked to find a single target picture among an array of eight distractors. Both the children and the adults detected snakes more rapidly than three types of nonthreatening stimuli (flowers, frogs, and caterpillars). These results provide the first evidence of enhanced visual detection of evolutionarily relevant threat stimuli in young children.     

Prevention of nonadherence to nonsteroidal anti-inflammatory medications for newly diagnosed patients with juvenile rheumatoid arthritis.

Adherence to medications for chronic pediatric diseases decreases overtime. This randomized controlled trial evaluated a clinic-based, nurse-administered educational and behavioral intervention to prevent the anticipated drop in adherence to nonsteroidal medications among newly diagnosed patients with juvenile rheumatoid arthritis. Thirty-four participants completed the study (mean age = 8.44 years, SD = 3.96), including 19 in the experimental group and 15 in the standard-treatment (education) control group. There were significant group and Group x Time effects for adherence (assessed with an electronic monitor over a 13-month period) favoring the experimental group. In contrast, the groups did not differ significantly in disease activity or functional limitations. Factors that may have prevented detection of differences in these health parameters are dicussed.     

Families and Deinstitutionalization: An Application of Bronfenbrenner's Social Ecology Model

Bronfenbrenner's social ecology model is applied to families that include a member with a developmental disability who are involved in the process of transition from institution to community. An overview of the model is presented as well as discussion of counselors' use of it in providing services to families in this situation. The social ecology perspective can be applied to enhance understanding of the families and to provide a framework for structuring family support during the community transition process.