Anxiety disorders research with African Americans: current status

Anxiety disorders are the most common psychiatric disorders in the general population of the United States. Recent findings indicate that the prevalence of certain anxiety disorders may be higher in African Americans. In addition, anxiety disorders in African Americans may be manifested differently. Despite the high prevalence and the suggestion of different patterns of manifestation, a paucity of research exists on anxiety disorders in this population. This may be due in part to the pattern of help-seeking behavior among African Americans, a negative perception of research by members of this community, the small number of African American researchers, and perhaps to some extent a general disinterest on the part of researchers. The available research on anxiety disorders in African Americans is critically reviewed, the need for research in the area is highlighted, and ways to facilitate such research are discussed.     

Factors facilitating adjustment to unemployment: Implications for intervention

Conducted a community survey in the Fall of 1984 in a sample of high unemployment blue-collar census tracts in southeastern Michigan. Results of earlier analyses using these data showed that involuntarily unemployed workers had significantly elevated levels of depression, anxiety, somatization, and self-reported physical illness relative to a stably employed comparison group (Kessler, House, & Turner, 1987). Results presented in this paper document that this relationship is modified by social support (as measured by social integration and the availability of a confidant), self-concept, and various coping processes. Further analyses allowed us to determine the way in which these modifiers operate. The modifying effects of social support and coping operate primarily by buffering the impact of unemployment-related financial strain on the health outcomes. Self-concept operates primarily by attenuating vulnerability to other stressful life events. The implications of these results for the design and implementation of preventive interventions are discussed.     

The job climate for women in traditionally male blue-collar occupations

Rapid growth has been observed in recent years in the number of women entering traditionally male blue-collar occupations, yet researchers have paid little attention to this pioneering group. The present study undertook a comparison of the job conditions of two groups of nontraditional women workers, tradeswomen (N=71), and transit workers (N=151); a third group, school secretaries (N=389), was studied as a comparison group of traditionally female workers. Results from a 16-page mail questionnaire revealed that women in traditionally male occupations encountered significantly more adverse working conditions than did their traditional counterparts, and, in addition, reported significantly less satisfaction and more stress at work. Tradeswomen were the most likely to experience sexual harassment and sex discrimination, and black tradeswomen to experience race discrimination. The degree of job satisfaction expressed by the secretaries was unexpected, since most evidence suggests that clerical workers lack autonomy, and encounter boredom and routinization on the job. These findings are discussed in terms of gender segregation and the need to focus future research efforts on specific occupational groups in order to make appropriate policy recommendations as well as to provide help for women in these jobs.This research was supported by grants from the National Institute for Occupational Safety and Health (Grant No. 1 RO1 OH02162-01A1) and the College of Health and Human Development, The Pennsylvania State University. The authors wish to acknowledge the invaluable contributions of Patty Lambert, Ming Qi Wang, Mary Harmon, Joseph Vasey, Gina Jay, Darrell Harvey, and Haleh Rastegary.     

Maintenance of mother-child aversive relationships: A fresh look at an old controversy

Data were obtained from 46 mother-child pairs from the Child Behavior Institute (CBI) at the University of Tennessee. These mother-child dyads were referred for psychological help because of the child’s aversive behavior. Child-parent interactions were quantified using a multi-code, observational system. Correlational and multiple regression analyses (stepwise) were conducted to find the best predictor of the child’s aversive behavior. Results showed that the child’s aversive behavior was significantly correlated with the mother’s aversive, indiscriminate, and compliance behaviors. The regression analysis showed mother’s aversive behavior to be the best predictor of the child’s aversive behavior. Moreover, our results seem to point out that the compliance hypothesis is more effective in predicting child aversive behavior than the predictability hypotheses. It appears that since the two hypotheses are dealing with similar processes, they are more complementary than oppositional. This study used data collected by the Child Behavior Institute (CBI) at the University of Tennessee, Knoxville. The authors are indebted to Robert Wahler, Michael Smith, and Sue Dunn for their helpful comments on this paper.     

Effects of live modeling, covert modeling and rehearsal on assertiveness in psychiatric patients.

The present study evaluated the effects of live modeling, covert modeling, and rehearsal in unassertive psychiatric patients. Psychiatric patients scoring 19 or below on the Wolpe-Lazarus Assertiveness Scale were assigned to one of five conditions, with 10 subjects in each group: (1) Test-retest (no treatment). (2) Live modeling plus rehearsal. (3) Live modeling without rehearsal. (4) Covert modeling plus rehearsal, and (5) Covert modeling without rehearsal. All subjects were videotaped (pre- and post-test) while responding to eight interpersonal situations (four training scenes; four generalization scenes) requiring assertive responses. Pre- and post-test responses for all subjects were rated independently by judges on several verbal and non-verbal components of assertiveness. The results indicated that live modeling and covert modeling effected improvements in the assertive behavior of the patients, but that the two treatments were not differentially effective. Generally, the addition of rehearsal to live or covert modeling failed to enhance treatment. But on two measures, the covert modeling plus rehearsal condition was superior to the other treatments. There was evidence for transfer of treatment effects from training to generalization scenes. No differences were found among the groups on the Wolpe-Lazarus Assertiveness Scale and the Eysenck Personality Questionnaire. The results were discussed in light of prior findings with live and covert modeling procedures.     

Effects of assertive training on three dimensions of assertiveness

The relative effectiveness of several components of an assertive training program in shaping assertive responses on three dimensions of assertiveness (refusal, investigatory, commendatory) was assessed. Thirty-two unassertive females were randomly assigned to one of four experimental groups: coaching plus behavior rehearsal plus modeling, coaching plus behavior rehearsal, behavior rehearsal plus modeling, and placebo control. Five behavioral and three self-report inventories were used as dependent measures. Coaching plus behavior rehearsal appears to be the most essential treatment components. Training was effective in improving assertiveness on all three dimensions.     

A controlled trial of the treatment of nocturnal enuresis in residential homes for children

The present study was undertaken to evaluate the practicability and efficacy of treating enuretic children in residential Children's Homes by means of the enuresis alarm. A control group design was employed with 19 and 20 subjects in the treatment and control groups respectively. Eighteen of the nineteen treatment group children achieved initial arrest of enuresis in a mean of 11.9 weeks of treatment (range 5–28 weeks). Over the initial 12-week period, the treatment group showed a statistically significant reduction in mean wetting frequency, both over time and in comparison with the control group. After a follow-up period of at least 20 months. 17 of the 19 children were known to be dry. The results of an independent evaluation are reported, and it is concluded that alarm treatment is as effective and practicable in Children's Homes as it is in family situations.     

Personality,husband-wife similarity,and Holland's occupational types

The present investigation had two purposes. The first was to investigate the generalizability of the theorized personality characteristics of men within Holland's occupational types to groups of men typed by their actual vocations instead of their vocational interests. The second purpose was to investigate the extent to which the wives of men in each of the occupational groups were similar to their husbands in terms of personality characteristics. Multiple discriminant analysis of the groups' 16PF scores resulted in significant overall groups differentiation and in two significant discriminant functions labeled tender-mindedness and self-confidence. The second finding was that Social and Enterprising men were significantly similar to their wives on personality dimensions consistent with the defining characteristics of the respective Holland groups. Implications of the present results and suggestions for future research are presented.     

Imitative Behavior as a Function of Success-Failure and Racial-Socioeconomic Factors1

This study examined whether success-failure experiences, race, and social class are related to the likelihood that young children will engage in imitative behavior. Black subjects imitated significantly more than white subjects on a pre-experimental measure of imitation. Analysis of a difference score between pre- and post-experimental measures of imitation indicated that prior success was associated with less imitation than failure or a neutral condition. In addition, a white model was imitated significantly more than a black model in both the failure and the success conditions, with little difference between models in the neutral condition. No significant difference was found between the nondeprived and deprived groups. The results were discussed in terms of an outer-directedness hypothesis.     

A comparison of the predictive validity of typical and maximal personality measures

Most personality tests are based on concepts assessing typical performance, and tests of this sort have not been generally successful in predicting criterion behaviors with useful levels of efficiency. Ability tests, which call for maximal performance, have been much more successful as predictors of criterion outcomes. Following a model derived from ability tests, predictors requiring separate typical and maximal self-reports of emotional expressivity were compared to measures of typical and maximal emotional expression in the laboratory. For angry expression, self-reports of maximal expressivity tended to outpredict self-reports of typical expressivity for both typical and maximal laboratory measures of angry expression. Although similar trends were observed for elation, the advantage of maximal self-report measures over typical self-report measures was negligible. Results were discussed in terms of both experimental and clinical implications.