The structure of childhood obsessions and compulsions: dimensions in an outpatient sample

While obsessive-compulsive disorder (OCD) is defined as a unitary condition, prior research has identified meaningful and distinct symptom dimensions in adult samples. In contrast, there have been no investigations of symptom dimensions in samples of children diagnosed with OCD. The present study sought to address this gap. Children diagnosed with OCD (n = 137) were administered the Children's Yale-Brown Obsessive-Compulsive Scale symptom checklist and severity index. Symptoms were analyzed using principal components analysis. As with adult samples, four factors were identified from the checklist. However, these four factors (compulsions, sexual/aggressive obsessions, superstitions, and hoarding/ordering/somatic concerns) were different in content from adult studies. Further, several symptoms significantly contributed to more than one dimension. Each dimension was significantly correlated with scores from the severity index, with the exception of the obsession score with the hoarding/ordering/somatic concerns factor. Results suggest that there are distinct dimensions of symptoms in childhood OCD, but that these dimensions do not correspond to those identified in adults. Instead, it appears that some factors share variance, and the dimensions themselves are separated based upon developmental trajectories. The dimensions examined may be useful in future treatment studies using pharmacological and/or behavioral interventions.     

Inner-City African American Parental Involvement in Children's Schooling: Racial Socialization and Social Support from the Parent Community

Parents (n = 161) and teachers (n = 18) from an urban elementary school serving primarily African American children completed questionnaires regarding racial socialization, social support, and involvement in activities that support youth educational achievement at home and school. Parental reports of racism awareness, and contact with school staff were significantly correlated with parent reports of at-home involvement and at-school involvement. Parent reports of social support from the parent community were significantly related to at-home involvement only. Relative to teacher reports, parents reported more formal contacts with school staff, and higher levels of racism awareness, religiosity, and African American cultural pride. Teachers and parents agreed on school climate and parental levels of at-home and at-school involvement. The results suggest that racial socialization processes are related to parent involvement in children's schooling and that increased efforts are needed to bridge a cultural gap between parents and teachers in inner-city communities.     

Using Temporal Profiles and a Deviation from Balanced Approach to Understand Alcohol and Mental Health Problems

Abstract

The present study examined how multiple operationalizations of Zimbardo Time Perspective Inventory (ZTPI) scores (raw scores; temporal profiles, based on cluster analysis; and the Deviation from a Balanced Time Perspective, or ‘transformed’ methodology) were related to both alcohol-related problems and symptoms of anxiety and depression. Participants were a large (N?=?816) university sample in the United Kingdom. A total of four time perspective profiles were observed: Futures, Presents, Past Negative-Futures, and Fatalists. Having a Present profile was associated with the worst alcohol-related outcomes. With regard to psychopathology, individuals with a Future profile reported the least anxious and depressive symptoms, and individuals with a Fatalistic profile reported the highest levels of depression. The effect of transformed scores was less robust, though greater deviation from a balanced perspective was associated with somewhat higher symptoms of anxiety and depression. Further, models using raw ZTPI dimension scores explained a greater amount of variance than models using the transformed scores. This study suggests that operationalizing the ZTPI in different ways produces results, which differ both in magnitude and statistical significance. We recommend that future studies using the ZTPI employ these various operationalizations in order that consensus on the optimal approach can be reached.     

A Data Analysis Method for Using Longitudinal Binary Outcome Data from a SMART to Compare Adaptive Interventions

Sequential multiple assignment randomized trials (SMARTs) are a useful and increasingly popular approach for gathering information to inform the construction of adaptive interventions to treat psychological and behavioral health conditions. Until recently, analysis methods for data from SMART designs considered only a single measurement of the outcome of interest when comparing the efficacy of adaptive interventions. Lu et al. proposed a method for considering repeated outcome measurements to incorporate information about the longitudinal trajectory of change. While their proposed method can be applied to many kinds of outcome variables, they focused mainly on linear models for normally distributed outcomes. Practical guidelines and extensions are required to implement this methodology with other types of repeated outcome measures common in behavioral research. In this article, we discuss implementation of this method with repeated binary outcomes. We explain how to compare adaptive interventions in terms of various summaries of repeated binary outcome measures, including average outcome (area under the curve) and delayed effects. The method is illustrated using an empirical example from a SMART study to develop an adaptive intervention for engaging alcohol- and cocaine-dependent patients in treatment. Monte Carlo simulations are provided to demonstrate the good performance of the proposed technique.     

The Rosenberg Self-Esteem Scale: A Bifactor Answer to a Two-Factor Question?

Despite its long-standing and widespread use, disagreement remains regarding the structure of the Rosenberg Self-Esteem Scale (RSES). In particular, concern remains regarding the degree to which the scale assesses self-esteem as a unidimensional or multidimensional (positive and negative self-esteem) construct. Using a sample of 3,862 high school students in the United Kingdom, 4 models were tested: (a) a unidimensional model, (b) a correlated 2-factor model in which the 2 latent variables are represented by positive and negative self-esteem, (c) a hierarchical model, and (d) a bifactor model. The totality of results including item loadings, goodness-of-fit indexes, reliability estimates, and correlations with self-efficacy measures all supported the bifactor model, suggesting that the 2 hypothesized factors are better understood as “grouping” factors rather than as representative of latent constructs. Accordingly, this study supports the unidimensionality of the RSES and the scoring of all 10 items to produce a global self-esteem score.     

Solving Satisficing Consequentialism

Philosophia - Satisficing consequentialism is often used as a way of solving the demandingness objection, but many forms of satisficing consequentialism fail to do so. Further, those that do are...     

Methods and mechanisms in the efficacy of psychodynamic psychotherapy

Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler (see record 2010-02208-012). Shedler summarized a large body of research that shows psychodynamic therapy to have a substantial effect size, comparable to that for many empirically supported treatments. This is an important finding, in part refuting the concerns raised by Bornstein (2001, 2002) regarding the future of psychodynamic approaches had there been no substantial changes in how practitioners and researchers approached the science to demonstrate efficacy. Further, Shedler showed that the efficacy of psychoanalytic psychotherapy is due to therapeutic methods commonly employed in cognitive behavior therapy (CBT), one of the most frequently cited empirically supported approaches for a wide range of psychological conditions. From a methodological perspective, there are some important limitations to the claim of psychodynamic psychotherapy's comparable efficacy to other empirically supported approaches.     

When and how is job embeddedness predictive of turnover? A meta-analytic investigation

The present meta-analytic study introduces an overall model of the relationships between job embeddedness and turnover outcomes. Drawing on 65 independent samples (N = 42,907), we found that on-the-job and off-the-job embeddedness negatively related to turnover intentions and actual turnover, after controlling for job satisfaction, affective commitment, and job alternatives. In addition, the negative relationships between on-the-job embeddedness (off-the-job embeddedness) and turnover criteria were stronger in female-dominated samples and public organizations (collectivistic countries). Finally, turnover intentions, job search behavior, and job performance fully (partially) mediated the effect of on-the-job embeddedness (off-the-job embeddedness) on actual turnover. The research and practical implications of our findings are noted, in light of study limitations and future research needs. (PsycINFO Database Record (c) 2012 APA, all rights reserved).