The relationship between adolescent life stress events and delinquent conduct including conduct indicating a need for supervision

Yeaworth, York, Hussey, Ingle, and Goodwin's (1980) Adolescent Life Change Event Scale was administered to 55 adolescents who were on probation or being held in detention for offenses ranging from a felony to conduct indicating a need for supervision (Texas Juvenile Probation Commission, 1983). The offenses committed during the previous 12 months were given weights, and weights obtained by Yeaworth (1980) were used for stress events experienced in the last 12 months. Pearson product moment correlation was computed to obtain a relationship between stress events and offenses. The results suggest that these adolescents are more stressed than nondelinquent adolescents when compared to the Yeaworth (1980) study. Nearly 82 percent of subjects in the present study had experienced the event of "failing one or more subjects in school." The correlation coefficient obtained relating stress events to offenses was -0.01727. The results were interpreted to mean that there is no relationship between total amount of stress experienced and total offenses committed. However, some patterns were found in runaway behavior and truancy that were related to several of the stress events; 87.5 percent of runaway subjects had experienced "hassling with parents," and 43.8 percent had experienced a "family member other than yourself having trouble with alcohol"; 94.1 percent of truancy subjects had experienced "failing one or more subjects in school," and 64.7 percent had experienced "getting into drugs or alcohol."     

The Roles of Social Support and Self-Efficacy in Physical Health’s Impact on Depressive and Anxiety Symptoms in Older Adults

Physical illness may precipitate psychological distress among older adults. This study examines whether social support and self-efficacy moderate the associations between physical health and depression and anxiety. Predictions were tested in 222 individuals age 60 or older presenting for help with worry. Physical health was assessed through self-report (subjective) and physical diagnoses (objective). Objective physical health did not have a significant association with depression or anxiety. Worse subjective physical health was associated with increased somatic anxiety, but not with depression or worry. The relationship between subjective physical health and depressive symptoms was moderated by self-efficacy and social support. As predicted, when self-efficacy was low, physical health had its strongest negative association with depressive symptoms such that as physical health improved, depressive symptoms also improved. However, the moderation effect was not as expected for social support; at high levels of social support, worse physical health was associated with increased depressive affect.     

'Minor GAD': characteristics of subsyndromal GAD in older adults

Subsyndromal emotional symptoms are common in older adults and are associated with increased disability, health care utilization, and risk for developing psychiatric disorders. The purpose of this study was to examine subsyndromal generalized anxiety disorder (GAD) in older adults. Participants included 30 older adults with diagnosable GAD, 19 with subsyndromal anxiety symptoms [minor GAD; (MGAD)], and 21 normal control volunteers (NC). Participants were assessed using the Anxiety Disorders Interview Schedule for DSM-IV and completed self-report measures of anxiety, worry, depression, and life satisfaction. Excessive worry on more days than not, difficulty controlling worry, and clinically significant distress or impairment were the diagnostic criteria endorsed by MGAD participants least often. Therefore, these criteria may be useful in distinguishing between GAD and subsyndromal GAD. Self-reported anxiety and worry also systematically differed across groups in the expected directions, with a discriminant analysis yielding good classification of the GAD and NC groups based on these measures. Categorization of MGAD participants generally was poor, with most misclassified as GAD patients. Clinical implications of these findings are discussed.     

Examination of the Hamilton Scales in Assessment of Anxious Older Adults: A Replication and Extension

This study examined the original and reconstructed Hamilton scales in the assessment of anxiety and depression in a sample of older adults diagnosed with GAD (n = 82). Internal consistency of all scales appeared adequate. Results indicated improved construct validity with the reconstructed scales, which demonstrated reduced shared variance. However, construct validity examined through intercorrelations of the Hamilton scales with self-report measures of anxiety and depression was generally poor. Discriminant function analysis indicated that the reconstructed scales might have some clinical utility in differentiation of patients with and without coexistent depressive diagnosis (67% correct classification). In addition, two items from the Hamilton rating scale for depression (Work and Activities; Hopelessness) correctly classified patients with and without depression at a similar level as the Hamilton scale total scores (64–65% correct classification). These results suggest that the Work and Activities, and Hopelessness items may provide clinicians with useful screening questions for depression in anxious older adults.     

Anxiety Disorders Among Older Primary Care Patients

Data from the 1997 National Ambulatory Medical Care Survey (NAMCS) were accessed to obtain information about naturalistic patterns of recognition, service utilization, and treatment for late-life anxiety in primary care. The NAMCS is a national probability sample survey of office visits to non-Federal, U.S. physicians engaged in patient care. The survey was conducted by the Division of Health Care Statistics, National Center for Health Statistics, and Centers for Disease Control and Prevention (CDC). Data are now in the public domain. For the current report, all cases indicating office visits for patients age 60 and older were selected (n = 7,687). Anxiety disorders were assigned for 1.3% (n = 99) of these visits, with anxiety disorder NOS the most frequent diagnosis. For 20.2% of these visits (n = 20), a coexistent depressive disorder also was diagnosed. Depression without coexistent anxiety was diagnosed for 2.3% of all visits (n = 176). These figures suggest that late-life anxiety may often go unrecognized and may be more difficult to detect than depression. Nevertheless, other data indicate that appropriate pharmacological treatment and mental health services or referrals are often provided when anxiety or depression is recognized. However, visits wherein these disorders are recognized require increased physician time, and significant proportions of patients in some groups may still not receive appropriate mental health care. Results are discussed in terms of the nature of usual care for late-life anxiety and the needs for future research.     

熟悉性对外群体同质性效应的影响

两个实验考查了年龄和性别群体中是否存在外群体同质性效应以及熟悉性对该种效应的影响。结果表明：1．年龄群体中存在明显的外群体同质性效应,这与青年群体和老年群体彼此不够熟悉有关;2．性别群体中不存在外群体同质性效应,这与青年男女群体彼此较为熟悉有关。     

Differentiating anxiety and depression in older adults with generalized anxiety disorder

To examine affect and cognition in differentiating anxiety and depression, 83 older participants with generalized anxiety disorder completed the Cognitive Checklist (CCL) and the Positive and Negative Affect Schedule (PANAS). A 3-factor solution was found for the PANAS: positive affect (PA), anxiety and anger (Negative Affect 1 [NA-1]), and guilt and shame (Negative Affect 2 [NA-2]). A 2-factor structure was noted for the CCL. Correlations with anxiety and depression measures suggested that the CCL Depression (CCL-D) subscale showed stronger correlations with depression, whereas the CCL Anxiety subscale did not uniquely correlate with anxiety. The NA-1 subscale correlated positively with measures of depression and anxiety, whereas the PA subscale showed negative correlations. Hierarchical regression suggested that the CCL-D subscale was a significant predictor of self-reported depression.     

The Washington University Sentence Complete Test: are the two halves alternate forms? Are the female and male forms comparable?

Evidence from 85 adult medical outpatients supported psychometric comparability of the 2 halves of the Washington University Sentence Completion Test (SCT) Form 81 and of the female and male forms of the SCT. There was slightly stronger internal consistency for the first versus the second half of the SCT. Each half correlated highly with the ogive total protocol rating and 36-item-sum rating. Intercorrelations of the 2 halves with external measures also suggested essentially equivalent relations. For the 30 identical items across gender, the median correlation between individual item ratings with the item-sum ratings was nearly equal for women and men. When the 6 nonidentical items were considered with the identical items, the median item-total correlation was slightly higher for men (45) than women (41). This difference was accounted for by the slightly larger variability in the mate subsample. Practically speaking, the 2 halves and the female and male forms may be used with minimal concern regarding psychometric comparability in similar medical outpatient settings.