A social systems perspective of adolescent pregnancy: Determinants of parent and parent-child behavior

Social systems theory was used as a framework for examining the relationships among demographic characteristics (age, education level, marital status, social class, income), intrapersonal beliefs (self-esteem, locus-of-control, and parent attitudes), social support, and pregnancy, birth-related, and postpartum outcomes. The subjects were 21 teenage mothers who participated in a model-demonstration program designed to provide and mediate support that would decrease stress and foster positive functioning during and after their pregnancies. The findings showed that social support, social class, and locus-of-control were related significantly to the subjects' personal well-being and family climate during the course of their pregnancies. Education level, social class, and social support significantly predicted both birth-related and postpartum outcomes. Participation in the demonstration project had positive influences on self-esteem, locus-of-control, and caregiver styles of interaction. The results are discussed in terms of the need for a broader-based, social systems perspective of the factors that influence positive outcomes among pregnant teenagers.     

The Relation of Cognitive Ability and Personality Traits to Assessment Center Performance

The aim of the current study was to examine cognitive ability and personality correlates of assessment center exercise ratings. The sample included 429 individuals who participated in a 2-day management development assessment center during a 5-year period. The assessment center yielded scores on 8 exercises. Assessees also completed a measure of cognitive ability (Watson-Glaser Critical Thinking Appraisal) and the California Psychological Inventory (CPI). The CPI scales were incorporated into 4 of the Big Five personality factors for easier interpretation. Our hypotheses were partially supported since ratings of exercises that were largely interpersonal in nature tended to correlate with interpersonal personality constructs (emotional stability, extraversion, and openness to experience), and ratings of cognitive problem-solving exercises correlated with cognitive ability and conscientiousness.     

Conducting Outcomes Research in a Clinical Practice Setting: The Effectiveness and Acceptability of Acceptance and Commitment Therapy (ACT) in a Partial Hospital Program

Multiple challenges exist integrating research into clinical practice, particularly in acute care settings where randomized controlled trials may be impractical or unethical. Partial or day hospitals are one such setting. As compared to outpatients and inpatients, relatively little research is conducted or reported in partial hospital program (PHP) patients, leaving providers in this setting without a solid empirical basis from which to draw. We report treatment outcomes and patient satisfaction from the first 750 patients enrolled in a clinical research PHP utilizing the acceptance and commitment therapy (ACT) treatment model. ACT is a well-established, transdiagnostic behavior therapy. However, to date no study has examined the use of ACT in acute day hospitals. We hypothesized that applying ACT with this patient group would result in significantly improved depression, anxiety, functioning, and quality of life from intake to discharge. We additionally expected that patients would report high satisfaction with ACT treatment groups. Patients (n = 750 full sample, n = 518 completed treatment) completed daily measures of symptoms, functioning, and ACT processes at intake and discharge, and postgroup satisfaction surveys. Results showed significant improvements in symptoms and impairment. ACT process variables also increased over the course of treatment. Importantly, patient satisfaction was high for all groups. Thus, ACT provides an appropriate, flexible, effective, and satisfactory model for this patient group. A comparison of our findings using ACT to the limited research using other models in PHP settings is discussed, as well as challenges in the overall process of integrating research into routine clinical care.     

Matriarchy and Myth

Cynthia Eller, The Myth of Matriarchal Prehistory: Why an Invented Past Won’t Give Women a Future. Boston, Beacon Press, 2000, 304pp., $26.00 (hardback) ISBN 08070 6792 X; 276pp., $16.00 (paperback) ISBN 08070 6793 8.     

Examination of Spatial Working Memory Performance in Children and Adolescents with Attention Deficit Hyperactivity Disorder, Combined Type (ADHD-CT) and Anxiety

Spatial working memory (SWM) is known to be impaired in children with ADHD-CT, whether anxiety is present or not. Yet, it remains unclear whether anxiety disorders add to the SWM impairments evident in ADHD-CT and whether these findings extend into adolescents with ADHD-CT and anxiety. Further, it is not yet known whether children and adolescents with carefully defined anxiety disorders alone, demonstrate SWM deficits. This study explored the association of SWM and its strategy and spatial span components in carefully defined children and adolescents (age 6–16 years) with ADHD-CT alone (N?=?163; 14 % female), ADHD-CT and anxiety (N?=?243; 23 % female), anxiety disorders alone (N?=?69; 25 % female) compared to age- and gender-matched healthy control participants (N?=?116; 19 % female). The relationship between SWM and its strategy and span components and core ADHD-CT symptoms and anxiety symptoms were also examined. There was no evidence of an additive effect of ADHD and anxiety on SWM, strategy and spatial span deficits. But, anxiety disorders alone were associated with impaired SWM and span performance compared to healthy control participants. In contrast, strategy did not differ between children and adolescents with anxiety disorders alone and healthy control participants, suggesting that with anxiety span is the most affected component. Further, these findings were age-independent. This study concurs with and extends current influential models about the cognitive effects of anxiety on performance in the setting of ADHD-CT. Clinical implications and future research directions are discussed.     

Factors of Cognitive Complaints in Adults With HIV: A Structural Equation Model Analysis

The objective of this study was to use structural equation modeling (SEM) to examine the relationships between factors of cognitive complaints in 427 adults with HIV receiving care from an AIDS service organization (ASO) in Alabama. A face-to-face interview assessed cognitive complaints, mood, self-perceived health status, and substance use. Direct and indirect paths were specified between years with HIV (chronicity) age, education, stress, self-perceived health status, substance use, and cognitive complaints. The final model fit the data well (GFI = .95; AGFI = .92), revealing that age, education, substance use, self-perceived health status, and stress contributed directly or indirectly to cognitive complaints. Chronicity was only related to age, suggesting that duration of HIV may be of limited value in predicting cognitive complaints. These results demonstrate the complexity between the factors that influence cognitive complaints and offer possible solutions that health professionals can use to mitigate cognitive complaints in this population.     

Disagreeable narcissism mediates an effect of BAS on addictive behaviors

Some forms of personality dysfunction that are associated with substance use and other externalizing behaviors, such as Narcissistic Personality Disorder, are characterized by low five-factor Agreeableness. Low Agreeableness and high Extraversion are both associated with the Behavioral Approach System in the revised Reinforcement Sensitivity Theory of Personality (RST; McNaughton & Corr, 2008). Meta-analyses examining personality predictors of Substance Use Disorders (Kotov et al., 2010) and Pathological Gambling (MacLaren et al., 2011) have implicated low Agreeableness but not Extraversion. In the present study, we sampled undergraduate students (N = 346) to examine relationships between two aspects of grandiose narcissism measured by the Narcissistic Personality Inventory (NPI), approach motivation measured by the BIS/BAS scales, and self-reported addictive behaviors. Disagreeable and Extraverted subscales of the NPI were examined for possible mediation of associations between BAS and addictive behaviors. The more disagreeable aspect of narcissism mediated the effects of BAS on drug use, gambling, sex, and maladaptive intimate relationships. These results suggest that one mechanism through which the Behavioral Approach System may promote addictive behavior among grandiose Narcissists is through its association with their aggressive and antagonistic interpersonal style.     

Anxiety and impression formation: Direct information rather than priming explains affect-congruity

Both affect-priming and affect-as-information theories predict that when people are anxious they will form affect-congruent impressions of others, but via different mechanisms. Affect-priming asserts that memory mediates the influence of anxiety on judgement, whereas affect-as-information asserts that people attribute anxiety to the target of judgement. As these theories predicted, anxious participants in Study 1 found an impression-formation target to be more threatening than did control participants. However, this effect was not mediated by memory, and was attenuated in Study 2 when anxious participants attributed their affect to a source other than the target. These findings suggest that anxious people form affect-congruent impressions of others because they attribute their anxiety to the impression-formation target rather than because anxiety primes affect-congruent memory.     

From Sectarian to Secular Control of Education The Case of Newfoundland

On September 2, 1997, Newfoundland transitioned from church to state control over education. Prior to this change, education had been controlled by churches. Recently, on November 9, 2000, an appeal to the Supreme Court of Canada by the Roman Catholic Church to declare the change unconstitutional was denied, settling the issue legally, although, perhaps, not politically. This article describes Newfoundland's educational system prior to the public referendum in 1997 that removed church control of education and explores some of the recent issues that have arisen since transition. It calls for further investigation into the effects of the change and the political, social, and economic forces that led to such a fundamental change.