A Self-Management Program for Adolescents and Children with Renal Transplantation

This paper describes the development and implementation of a self-management program designed to address noncompliance in adolescents with renal transplants. Transplantation provides the best treatment alternative for End-Stage Renal Disease (ESRD), but is a procedure that subsequently demands recipients follow a life-long medication regimen. Nonadherance to medical therapy is a serious problem for adolescents; it is one of the most common causes of chronic graft rejection in this population. To improve compliance rates for this population, a self-management program was designed: (1) to provide social support; (2) to review information about medications and transplant management; and (3) to both teach and provide transplantation patients the opportunity to practice self-management skills. Details about the program, including recruitment issues and session content, are provided. Evaluations by participants indicated that the program was effective in creating a supportive environment for both patients and their parents, and in addressing health-related concerns.     

Symptoms of depression,relational quality,and loneliness in dating relationships

This study tested the hypothesis that symptoms of depression are negatively related to relational quality, which in turn is negatively related to feelings of loneliness among members of dating couples. Potential sex differences in the magnitude of association between depressive symptoms and relational quality, and potential emotional contagion of depressive symptoms within dyads, were also explored. One hundred and one dating couples completed the Oral History Interview along with other measures of relational quality, depressive symptoms, and loneliness. Results for both males and females indicated that depressive symptoms were negatively associated with relational quality and that relational quality was negatively associated with loneliness. The association between symptoms of depression and poor relational quality was similar for females and males. There was no evidence suggestive of emotional contagion in these dating couples. Implications of these findings and their potential limitations are discussed.     

A genetic two-factor model of the covariation among a subset of Multidimensional Aptitude Battery and Wechsler Adult Intelligence Scale—Revised subtests

The phenotypic and genetic factor structure of performance on five Multidimensional Aptitude Battery (MAB) subtests and one Wechsler Adult Intelligence Scale—Revised (WAIS-R) subtest was explored in 390 adolescent twin pairs (184 monozygotic [MZ]; 206 dizygotic (DZ)). The temporal stability of these measures was derived from a subsample of 49 twin pairs, with test–retest correlations ranging from .67 to .85. A phenotypic factor model, in which performance and verbal factors were correlated, provided a good fit to the data. Genetic modeling was based on the phenotypic factor structure, but also took into account the additive genetic (A), common environmental (C), and unique environmental (E) parameters derived from a fully saturated ACE model. The best fitting model was characterized by a genetic correlated two-factor structure with specific effects, a general common environmental factor, and overlapping unique environmental effects. Results are compared to multivariate genetic models reported in children and adults, with the most notable difference being the growing importance of common genes influencing diverse abilities in adolescence.     

Memory bias in the recall of pre‐exam anxiety: the influence of self‐enhancement

Previous research has shown that students asked to recall the anxiety levels they reported prior to an exam exaggerate how anxious they had been. The present study investigated the effect of current emotions on this memory bias by comparing the recall of pre‐exam anxiety in students who either achieved or failed to achieve their target grades. Participants rated their anxiety levels 48 hours prior to the exam and were asked to recall these levels after receiving their exam results. The exaggerated recall of pre‐exam anxiety was observed only in students who surpassed their target grade. Students who failed to achieve their target grade significantly underestimated their pre‐exam anxiety levels. The findings are attributed to self‐enhancement motives that bias the recall of pre‐exam anxiety in the direction that maximizes self‐esteem. Copyright © 2003 John Wiley & Sons, Ltd.     

Effects of gender and sexuality on judgements of victim blame and rape myth acceptance in a depicted male rape

Relatively few studies have investigated judgements towards male rape, and no published studies have investigated gay men's judgements towards this offence. The current study investigated the effects of gender and sexuality on victim blame and male rape myth acceptance in the depicted rape of a gay man. It was predicted that heterosexual men would make the most anti‐victim judgements, while gay men would make the most pro‐victim judgements. One hundred and fifty members of the UK population read a scenario that depicted a male rape, and then completed a questionnaire that measured blame and rape myths. As predicted, heterosexual men endorsed more rape myths and blamed the victim more than heterosexual women or gay men. Gay men made the most pro‐victim judgements overall. Results are discussed in relation to homophobia and traditional gender roles. Copyright © 2003 John Wiley & Sons, Ltd.     

EFFECTIVENESS OF FUNCTIONAL COMMUNICATION TRAINING WITH AND WITHOUT EXTINCTION AND PUNISHMENT: A SUMMARY OF 21 INPATIENT CASES

Functional communication training (FCT) is a frequently used treatment for reducing problem behavior exhibited by individuals with developmental disabilities. Once the operant function of problem behavior is identified by a functional analysis, the client is taught to emit an appropriate communicative response to obtain the reinforcer that is responsible for behavioral maintenance. Studies on FCT have typically used small numbers of participants, have reported primarily on clients for whom FCT was successful, and have varied with respect to their use of other treatment components. The main purposes of the present study were to evaluate the efficacy of FCT for treating severe problem behavior in a relatively large sample of individuals with mental retardation (N = 21) and to determine the contribution of extinction and punishment components to FCT treatment packages. FCT with extinction was effective in reducing problem behavior for the majority of clients and resulted in at least a 90% reduction in problem behavior in nearly half the applications. However, when demand or delay-to-reinforcement fading was added to FCT with extinction, treatment efficacy was reduced in about one half of the applications. FCT with punishment (both with and without fading) resulted in at least a 90% reduction in problem behavior for every case in which it was applied.