Effect of instructional set on responses to the Geriatric Depression Scale

A community sample of elderly subjects (M age = 74 years) was randomly assigned to four variations in reference group instructions on the Geriatric Depression Scale (GDS). In one condition, subjects received no instructions as to reference group, which is the standard instructional format of the test. In the other three conditions, subjects were asked to compare themselves with one of three reference groups: age group peers, adults in general, or themselves at a younger age. Results indicated that the GDS is robust with respect to variation in reference group instruction.     

AN EMPIRICAL METHOD FOR DETERMINING AN APPROPRIATE INTERVAL LENGTH FOR RECORDING BEHAVIOR

The study sought to examine the effects of varying interval length on the representation of data obtained using modified frequency time sampling. A 7-category scale was used to observe reliably the behavior of eight psychiatric inpatients. Using electronic real time recording equipment, it was possible to computer analyze the obtained data at varying interval lengths, the shortest interval being 1.0 seconds. It was found that increasing the interval length had little effect on the percentage of total duration recorded within each behavioral category, suggesting that this is a relatively stable measure of behavior. Percentage total events for each category was less stable with increasing interval lengths. The number of recorded events within each category tended to decrease, while their average durations tended to increase, as a function of increasing the interval length. The data suggest that the current practice of determining interval length in an arbitrary fashion, or on the basis of convention, should be abandoned. Rather, such a decision should be empirically determined for each particular observation scale and subject group. One method by which this might be achieved is presented.     

Universal newborn screening and adverse medical outcomes: a historical note

Universal newborn screening programs for metabolic disorders are typically described as a triumph of medicine and public policy in the US over the last 50 years. Advances in science and technology, including the Human Genome Project, offer the opportunity to expand universal newborn screening programs to include many additional metabolic and genetic conditions. Although the benefits of such screening programs appear to outweigh their costs, some critics have claimed that historical examples of inadvertent harm ensuing from false-positive screening results and subsequent inappropriate medical treatment should make us wary of expanding universal newborn screening. In this essay, we report the results of a review of the published literature to assess whether the extension of screening from at risk populations to all newborns led to substantial morbidity and mortality from misguided medical treatment. We provide a historical overview of universal newborn screening programs in the United States, and then focus on six early NBS programs: congenital hypothyroidism, phenylketonuria, congenital adrenal hyperplasia, galactosemia, sickle cell disease, and maple syrup urine disease. Our comprehensive search of published sources did not reveal a widespread problem of harm ensuing from medical treatment of children with false positive screening test results.     

Reasoning, emotions, and delusional conviction in psychosis

The aim of the study was to elucidate the factors contributing to the severity and persistence of delusional conviction. One hundred participants with current delusions, recruited for a treatment trial of psychological therapy (PRP trial), were assessed at baseline on measures of reasoning, emotions, and dimensions of delusional experience. Reasoning biases (belief inflexibility, jumping to conclusions, and extreme responding) were found to be present in one half of the sample. The hypothesis was confirmed that reasoning biases would be related to delusional conviction. There was evidence that belief inflexibility mediated the relationship between jumping to conclusions and delusional conviction. Emotional states were not associated with the reasoning processes investigated. Anxiety, but not depression, made an independent contribution to delusional conviction.     

Effects of immediate performance feedback on implementation of behavior support plans

Research has focused on increasing the treatment integrity of school-based interventions by utilizing performance feedback. The purpose of this study was to extend this literature by increasing special education teachers' treatment integrity for implementing antecedent and consequence procedures in an ongoing behavior support plan. A multiple baseline across teacher-student dyads (for two classrooms) design was used to evaluate the effects of performance feedback on the percentage of antecedent and consequence components implemented correctly during 1-hr observation sessions. Performance feedback was provided every other week for 8 to 22 weeks after a stable or decreasing trend in the percentage of antecedent or consequence components implemented correctly. Results suggested that performance feedback increased the treatment integrity of antecedent components for 4 of 5 teachers and consequence components for all 5 teachers. These results were maintained following feedback for all teachers across antecedent and consequence components. Teachers rated performance feedback favorably with respect to the purpose, procedures, and outcome, as indicated by a social validity rating measure.     

Procrastination in College Students: The Role of Self-Efficacy and Anxiety

In this study, the authors examined the relationships among procrastination, efficacy expectations, anxiety, gender, and age for 141 university students. Participants were asked to think about a major project and to rate their efficacy regarding the skills needed to accomplish the project. Bivariate correlations showed that efficacy expectations and anxiety had significant, individual relationships with procrastination. When these variables were entered into a regression model, only cumulative efficacy strength was a significant predictor of procrastination. Implications for practice and research suggestions are discussed.