An evaluation of counselling and rehabilitation courses for Chronic Fatigue Syndrome

The aim of the current study was to evaluate the services offered by Action for ME to sufferers of Chronic Fatigue Syndrome using measures developed and validated in previous research. Preliminary studies had suggested that clients attending rehabilitation residential courses were benefiting from the service. A further, more in‐depth evaluation process with a greater number of health‐related outcome measures was warranted. In addition, assessment was widened to include other services offered to sufferers of the illness. Data relating to the usefulness and success of the services (rated by the clients) were also collected. Data from client volunteers were collected at baseline (that is, before intervention) and approximately six months later. Quantitative comparative analyses were conducted using within‐group comparisons to assess any improvements in scores at six‐month follow‐up from baseline. Fifty‐six participants completed wide‐ranging questionnaires assessing illness history, psychopathology, psychosocial factors and health and well‐being. Data relating to improvements in illness status and acceptability of treatment were also collected by means of global outcome measures. Both the counselling and residential groups showed improvements in many areas assessed at follow‐up. Most importantly, improvements were indicated in areas such as fatigue and the levels of disability suffered by patients. In addition, there were significant improvements in ratings of mood, anxiety, depression and physical symptoms. Overall, clients reported satisfaction with the care received and most found the services useful. All of the participants who completed the evaluation stated that they would recommend Action for ME services to fellow sufferers. The outcome of the current study is encouraging. The data presented provides evidence of the high level of support and advice Action for ME offers to sufferers of this illness. Furthermore, measurable improvements in scores relating to illness status were accompanied by improvements in mental health and psychosocial variables in the patient group.     

Francis J. Ambrosio (ed.), The Question of Christian Philosophy Today (Perspectives in Continental Philosophy,No. 9)

International Journal for Philosophy of Religion -     

Norman Kretzmann,The Metaphysics of Theism: Aquinas's Natural Theology in Summa Contra Gentiles I

International Journal for Philosophy of Religion -     

Correlates and predictors of hyperactivity and aggression: A longitudinal study of parent-referred problem preschoolers

Forty-six parent-referred problem 3-year-olds and 22 comparison children were assessed with parent report and observational measures; 54 were followed up at age 4, and 53 were followed again at age 6. Lower social class and greater family stress were associated with higher symptom ratings at initial referral and age 6 follow-up. Negative and directive maternal behavior and negative and noncompliant child behavior observed in the lab at age 3 were associated with higher maternal ratings of child aggression and hyperactivity; these observed behaviors continued to be highly predictive of maternal ratings of persistent problems at ages 4 and 6. A laboratory index of inattention and overactivity at intake also predicted hyperactivity ratings at age 6. These findings suggest that externalizing problems identified in early childhood are likely to persist when they are associated with more family disruption and a negative mother-child relationship.This research was supported by Grant No. MH 32735 from the National Institute of Mental Health to Dr. Campbell. We are indebted to the children and families who have participated so enthusiastically in this study over the past 5 years. The help of Deborah Baldwin, Patricia Cluss, and Diane Gluck is gratefully acknowledged. Many additional people participated in various phases of this study as independent observers and data coders. Their contributions are also recognized.     

The effects of classwide peer tutoring on correct cardiopulmonary resuscitation performance by physical education majors

Previous research conducted on the effectiveness of basic life support skills courses has reported that participants typically do not achieve correct performance of life support skills. We used a multiple baseline design across subjects to assess the effects of a classwide peer tutoring intervention on the correct cardiopulmonary resuscitation skills of ten physical education majors. The classwide peer tutoring intervention consisted of (a) a checklist, (b) a prompting procedure, and (c) immediate feedback on performance. Procedural fidelity measures were taken on the correct implementation of the basic life supports skill course and on the implementation of the classwide peer tutoring intervention. Results indicated that students achieved and maintained 100% correct performance during the classwide per tuition condition. These results challenge the current polices of the American Red Cross and the American Heart Association who have reduced course performance criteria because participants were not achieving an adequate standard of performance.     

Peer interactions of dysphoric adolescents

The present study sought to extend our knowledge of dysphoric adolescents' dyadic peer interactions. Thirty female dyads (ages 13–17) were videotaped interacting during both a structured and an unstructured task. Fourteen of the dyads were each comprised of a dysphoric girl and a nondysphoric girl; the remaining dyads were comprised of two nondysphoric girls. Girls were considered dysphoric if they scored 10 or higher on the Beck Depression Inventory. Dysphoric subjects evaluated their performances more negatively than nondysphoric subjects and rated their partners more negatively overall. The partners of the dysphoric girls were viewed by raters as less positive and less happy. They saw the dysphoric teens as making more critical comments and evaluated them more negatively overall. There was also a tendency for these girls to reject their dysphoric partners and to become more passive during the unstructured task. The findings indicate that dysphoric adolescent girls evoke negative reactions from peers and negatively influence their peers' behavior. These negative reactions from others may lead to further difficulties in negotiating the developmental tasks of adolescence.