Crisis Assessment and Psychiatric Hospitalization of Children and Adolescents in State Custody

We investigated the clinical characteristics and placement decisions among a group of children who were wards of the state and had been evaluated for a crisis assessment. The sample consisted of 383 children and adolescents (ages 2-20 years) who were wards of the Illinois Department of Children and Family Services (DCFS). This study retrospectively reviewed the symptoms, risk factors, functioning and co-morbid variables, and placement or system characteristics of these children using a structured assessment tool, the Childhood Severity of Psychiatric Illness (CSPI). Results indicated that risk behaviors as rated on the CSPI, including suicidality, dangerousness, and runaway tendency, were significant predictors of psychiatric hospitalization. The importance of more widespread usage of standardized assessment tools in evaluating children's mental health needs is discussed.     

Reduction in clinical assessment time using computer algorithms

A new mathematical procedure (BIDALGO) is suggested for application to the psychological testing field. BIDALGO, similar to past adaptive testing methods, is compared both with MMPI short-form efforts and applications in the educational testing literature. A comparison is also made between linear regression models used in past efforts and the Bayesian decision models used in BIDALGO. The requirements for an MMPI application are delineated, emphasizing branching procedures for specific scales and difficulties expected in achieving code-type congruence. Work in progress of applying BIDALGO to the depression scale and the full MMPI is also described.     

The interaction between sensory and tonic factors in the perception of the vertical in pigeons

In two separate experiments, 21 pigeons were given 10 days of training to peck a key on which a white vertical line was exposed. Next, the birds were given generalization tests along the angularity dimension with the floor tilted 24° to the right or to the left. Reliable asymmetrical gradients were obtained with enhanced responding to the side toward which the floor was tilted. This posturally induced distortion in the visual perception of the vertical indicates that sensory-tonic interactions typically observed in humans have a parallel in this lower species.     

Norms for college undergraduates for the Bem Sex-Role Inventory and the Wiggins Interpersonal Behavior Circle

Norms based on large random samples of introductory psychology college students are presented for the Bem Sex-Role Inventory (N = 1,133) and the Wiggins Interpersonal Behavior Circle (N = 564). The use of normative data, as compared with raw data or data standardized separately within studies, should result in more precise and meaningful measurement of subjects' locations on sex-role dimensions (i.e., instrumentality and expressiveness) by future researchers using these instruments, although norms should be updated to reflect future research results. Conventional definitions of moderately extreme and statistically extreme scores are presented for these instruments based on these norms, encouraging standardization of sample characteristics of future studies.     

PKA and PKC are required for long-term but not short-term in vivo operant memory in Aplysia

We investigated the involvement of PKA and PKC signaling in a negatively reinforced operant learning paradigm in Aplysia, learning that food is inedible (LFI). In vivo injection of PKA or PKC inhibitors blocked long-term LFI memory formation. Moreover, a persistent phase of PKA activity, although not PKC activity, was necessary for long-term memory. Surprisingly, neither PKA nor PKC activity was required for associative short-term LFI memory. Additionally, PKA and PKC were not required for the retrieval of short- or long-term memory (STM and LTM, respectively). These studies have identified key differences between the mechanisms underlying nonassociative sensitization, operant reward learning, and LFI memory in Aplysia.     

On determining the reliability and significance of a tetrachoric coefficient of correlation

In this note are presented facilitating tables for the estimation of the standard error of a tetrachoric and also tables providing significant and very significant tetrachoric coefficients for various sizes of samples and various combinations of proportions in the dichotomized distributions.The task of computing the values in the accompanying tables should be credited to Mr. Lyons.     

Health-related quality of life in Parkinson's disease after pallidotomy and deep brain stimulation

This study explored the multidimensional outcome of three neurosurgical interventions for Parkinson's disease (PD): pallidotomy (N = 23), pallidal deep brain stimulation (DBS) (N = 9), and thalamic DBS (N = 7). All patients completed the Sickness Impact Profile (SIP) and the Beck Depression Inventory. Pallidotomy patients also completed the Profile of Mood States, the Beck Anxiety Inventory, and a disease-specific quality of life (QOL) measure, the Parkinson's Disease Questionnaire (PDQ-39). Three months after surgery, all neurosurgical groups showed significant improvements in mood and function, including physical, psychosocial, and overall functioning. Pallidal DBS and pallidotomy patients who completed additional QOL measures reported decreased anxiety and tension, increased vigor, improved mobility and ability to perform activities of daily living, and decreased perceived stigma. Psychosocial dysfunction scores from the SIP were related to depressed mood both at baseline (r = .42) and at followup (r = .45), but the physical dysfunction subscale was not related to mood at either time point, suggesting that disruption of social relationships due to PD may have more impact on affective distress than physical symptoms alone. Results suggest that neurosurgical interventions for PD improve disabling PD motor symptoms and also improve several domains of quality of life.     

Definitions of physical abuse: A preliminary inquiry into children's perceptions

Research and policy-makers have frequently called for operational definitions of child abuse, however neither group has considered including children's perceptions of what constitutes abuse. The purpose of this study was to expand the discussion on definitions of child abuse by examining children's perceptions of physical abuse. This was done by collecting data to begin to document abused children's ratings of the seriousness of various abusive acts and to begin to examine gender and age differences in children's perceptions. The data revealed significant differences in children's perceptions of the seriousness of specific acts of abuse and a significant interaction between age and type of abuse. Although young children generally produced lower seriousness ratings than older children, their ratings were significantly lower on only a few types of abuse. When children's ratings were compared to similar ratings reported in earlier studies of adolescents, community members, and mental health professionals, the children in this study rated the abusive acts as less serious than the adolescents or community members, but very similar to the professionals who work in the area of child abuse and neglect. Although this must be considered a preliminary investigation, the potential implications for various legal and social contexts are discussed.     

Mental Health and Dangerousness: Characteristics and Outcomes of Children and Adolescents in Residential Placements

Violence has been identified as a significant risk behavior among children and adolescents. Dangerousness is a factor in psychiatric hospitalizations and out-of-community placements. However, there is only a small amount of research that has investigated the mental health co-morbidities and treatment outcomes of violent children and adolescents. A random sample of children and adolescents in residential placements through the State of Florida's child welfare system were studied. Cases were classified into three levels of dangerousness. Results indicated that dangerousness was associated with much elevated mental health co-morbidity. Also, cases who were dangerous at the time of admission had less developed peer and moral/spiritual strengths than did other cases. Although dangerous cases had worse dispositional outcomes, there was strong evidence that these cases derived the most clinical benefit from residential treatment.