Panic attacks without fear: An overview*

‘Non-fearful panic disorder’ (NFPD) is a condition that meets DSM III-R criteria for panic disorder but lacks a report of subjective fear or anxiety. Presenting the first comprehensive overview of this issue, the authors describe studies investigating a wide range of apparently overlapping phenomena including NFPD, ‘somatically expressed panic’, ‘non-cognitive panic’, ‘alexithymic panic’, ‘non-clinical panic’, and ‘masked anxiety’. The review shows that such conditions account for from 20 to 40% of the panic disorder found in various medical populations, and that this group resembles conventional panic disorder in cross-sectional comparisons. We emphasize that a ‘triple-response’ model of anxiety is consistent with our conclusion that NFPD should be conceptualized as a panic disorder subtype. Finally, we discuss unresolved issues regarding the construct and predictive diagnostic validity of NFPD.     

Gender and response effects in telephone interviews about gender characteristics

This study investigates the effect of gender on responses to questions about sex role orientations. Literature on gender effects in survey interviews, job interviews and counseling studies, and experiments leads to hypotheses that male interviewers will elicit more response effects than female interviewers, especially from females; that female respondents will show desirability effects more than males; and that respondents, especially female respondents, will disclose liberal orientations more to female than to male interviewers. Findings show that male interviewers do not elicit more response effects, especially among females, and there seem to be desirability effects operating instead of conformity effects, especially for female interviewers. Females, and low-power, highly educated males exhibit more liberal responses to female interviewers. This study demonstrates that in areas where interviewer—respondent question content is related to salient dimensions, response effects are observed and constitute potentially damaging sources of error.     

Training nonprofessional behavioral change agents

Often the technology and opportunity for modifying behavior exist, yet the personnel to apply the technology do not. A four-session behavior modification training program for nonprofessional behavioral change agents is described, and a case study describing the training of one volunteer nonprofessional is presented. The program was designed to demonstrate a possible solution for this personnel deficit problem. It is based upon the premise that the development, management, and evaluation of behavior modification programs can be learned and successfully applied by nonprofessional personnel. Readings, discussion, audio-visual taping, and role playing were utilized to prepare the trainee, who then managed a field case at a private school for “emotionally disturbed” children. A critique of the program and some recommendations for its improvement are presented.     

A gender-based measurement invariance study of the Sociocultural Attitudes Toward Appearance Questionnaire-3

The current study sought to explore the measurement invariance of the SATAQ-3 across gender using a single mixed gender sample consisting of 122 men and 268 women. Participants' age ranged from 18 to 36 years (M=19.6, SD=1.9). Preliminary results indicate that the 28 item scale was a poor fit for either gender in the current sample. Reverse scored items were deleted as they formed a unique method factor with low factor loadings. The resulting 21 items were a good fit to the hypothesized four factor model for both males and females and established evidence of both strict factorial invariance and population heterogeneity across groups. Coefficient alpha estimates of internal consistency reliability ranged from .79 to .94. These findings support use of the SATAQ-3 in mixed gender samples and validate previous research that reported analysis of gender-based mean differences.     

Follow-up evaluation of 55 child guidance cases

Parents coming to a child guidance clinic reported behaviour in their children which they (parents) viewed as problems or symptoms. The first 55 families coming to a new clinic were selected as part of a programme to evaluate the effects of the clinic's services on its total caseload. A follow-up inquiry was made about the presenting symptoms six months after the family ceased attending the Center. The parental reports of improvement in the child's symptoms appeared to be related to the extent to which both parents participated in coming to the clinic: the child's age also had some relationship to reported improvement. The kind of service provided, and the number of contacts with the Center appeared to be unrelated to reported improvement.     

It was the best of times, it was the worst of times: doctoral students' experiences of family therapy research training through alternative forms of data representation

In this study, we interviewed 14 doctoral students from 10 COAMFTE-accredited doctoral programs to learn more about how they experienced their research training and what they might suggest to strengthen the research culture in their training programs. We solicited somewhat unconventional data--metaphors, poetry, free associations, critical experiences--to (a) tap into our participants' underlying thought processes, (b) capture the multifaceted nature of their doctoral research training, and (c) represent the richness of our participants' subjective experiences. The themes we identified reflect both positive and negative research training experiences and suggest several ways that family therapy program faculty might improve their programs' research training and culture.     

Psychometric properties of the life events checklist

The Life Events Checklist (LEC), a measure of exposure to potentially traumatic events, was developed at the National Center for Posttraumatic Stress Disorder (PTSD) concurrently with the Clinician Administered PTSD Scale (CAPS) to facilitate the diagnosis of PTSD. Although the CAPS is recognized as the gold standard in PTSD symptom assessment, the psychometric soundness of the LEC has never been formally evaluated. The studies reported here describe the performance of the LEC in two samples: college undergraduates and combat veterans. The LEC exhibited adequate temporal stability, good convergence with an established measure of trauma history -- the Traumatic Life Events Questionnaire (TLEQ) -- and was comparable to the TLEQ in associations with variables known to be correlated with traumatic exposure in a sample of undergraduates. In a clinical sample of combat veterans, the LEC was significantly correlated, in the predicted directions, with measures of psychological distress and was strongly associated with PTSD symptoms.     

Using latent trait modeling to conceptualize an alcohol problems continuum

Recent research points toward the viability of conceptualizing alcohol problems as arrayed along a continuum. Nevertheless, modern statistical techniques designed to scale multiple problems along a continuum (latent trait modeling; LTM) have rarely been applied to alcohol problems. This study applies LTM methods to data on 110 problems reported during in-person interviews of 1,348 middle-aged men (mean age=43) from the general population. The results revealed a continuum of severity linking the 110 problems, ranging from heavy and abusive drinking, through tolerance and withdrawal, to serious complications of alcoholism. These results indicate that alcohol problems can be arrayed along a dimension of severity and emphasize the relevance of LTM to informing the conceptualization and assessment of alcohol problems.