Crisis intervention: long-term training effects

10 months following a crisis-intervention training program which focused on interpretation of signal events, 17 participants more frequently reported increased belief in their ability to recognize the need for intervention and to intervene effectively than did 22 control subjects. Perceived frequency of intervention by trained participants, however, had decreased rather than increased. Implications of the findings and recommendations for research are discussed.     

CAN SPATIAL TRAINING ERASE THE GENDER DIFFERENCES ON THE WATER-LEVEL TASK?

Spatial training has been only modestly effective at improving the performance of adolescents and adults on the water-level task. Based on previous findings with the task, a self-discovery training procedure was developed that involved having participants proceed from easier to more difficult problems along a dimension of increasingly greater competing perceptual cues. The training was effective in (a) eliminating the gender differences on the drawing task, and (b) significantly improving females' knowledge of the physical (invariance) principle, although not to the level of males. Training effects did not transfer to a related spatial task.     

Comorbid Substance Use and Anxiety Disorders in Adolescents

To explore the coexistence of substance use disorders and anxiety disorders in adolescents, we assessed adolescents presenting for treatment to an inpatient substance abuse treatment facility (SUH), an inpatient psychiatric treatment facility (IPH), and a community-based psychiatric facility (CMHC) for comorbid substance use and psychiatric diagnoses. Thirty subjects from each facility (N=90) were interviewed using the revised Child Schedule for Affective Disorders and Schizophrenia (K-SADS) and the Structured Clinical Interview DSM-III-R (SCID-R) for substance use diagnoses. Overall, comorbidity (anxiety and substance use disorders) prevalence was 67% (20/30) of adolescents in the SUH group, 33% (10/30) of the CMHC adolescents, and 33% (10/30) of the IPH adolescents. Alcohol and marijuana were the most frequently abused substances. Anxiety disorders commonly coexist with substance use disorders in adolescents. Early identification and treatment of anxiety disorders may in fact prevent substance abuse in this population.