Comorbidity of substance dependence and depression: role of life stress and self-efficacy in sustaining abstinence.

The authors examined life stress and self-efficacy as predictors of time to relapse for 113 adults with comorbid major depressive disorder and alcohol and/or substance dependence in a randomized clinical trial comparing 2 psychotherapy interventions (integrated cognitive- behavioral therapy and 12-step facilitation therapy). Life stress, self-efficacy, and substance use were assessed at treatment entry, 12 weeks (mid-treatment), and 24 weeks (end of treatment). Time to relapse was defined as the number of days from treatment initiation until first alcohol and/or drug use. Half of the sample relapsed within the study period of 24 weeks. There was no significant difference between treatment groups. Individuals experiencing life stressors were more likely to relapse early than those not experiencing life stressors. Lower self-efficacy also predicted earlier relapse. Chronic stress levels and self-efficacy were stable across time for most individuals. In contrast, acute stress events occurred at differing times, and survival analyses provided evidence of heightened relapse risk in the month following acute stressors. The interaction of self-efficacy and life stress was not significant. The results highlight the significance of life stress and self-efficacy as predictors of early relapse.     

THE CONTROL OF BIAS IN RATINGS: A THEORY OF RATING

Based on several years of research and a careful analysis of the rating process Wherry developed a theory of rating. An accurate rating is seen as being a function of three major components: Performance of the ratee, observation of that performance by the rater, and the recall of those observations by the rater. Cast in a mold of classical psychometric theory each of these components is seen as consisting of a systematic portion and a random portion. The systematic portion of each component is further broken down. The performance of the ratee is a combination of true ability or aptitude for the job and the influence of the environment. What the rater observes is a function the performance of the ratee and bias of observation and what the rater recalls is a result of those observations combined with a bias of recall. The development of the theory of rating unfolds by defining the various factors that affect each of these components in a series of linear equations. Various theorems and corollaries are proposed which should lead to a maximization of the true ability component of the ratee and minimize environmental influence and the bias and error components. The theorems and corollaries suggest testable hypotheses for the researcher in performance evaluation.     

Adult age differences in explanations and memory for behavioral information

Age differences in the effects of knowledge-based expectations on both the use of integrative memory processes and recall were examined. In the context of an impression-formation task, young and older adults were presented with lists containing behaviors that varied in consistency with attributed personality traits. Younger adults recalled trait-inconsistent behaviors better than consistent ones, but older adults exhibited no such consistency effect. The age difference in performance was related to the younger adults' spontaneously producing more explanations for inconsistent behaviors. Explanations are assumed to facilitate access to such information by establishing associations with other behavioral information residing in memory. When age differences in the use of explanation-based processing were controlled, the age differences in the effects of consistency on memory were eliminated.     

Clinical Behaviors for Addressing Religious/Spiritual Issues: Do We Practice What We Preach?

To determine if counselors integrate clinical behaviors for addressing religious/spiritual issues in counseling consistent with their ratings of the importance of such behaviors, the authors conducted a national survey of American Counseling Association (ACA) members. Seventy‐eight ACA members rated the importance of and frequency with which they engaged in a set of 30 clinical behaviors that were identified in the existing literature as addressing religious/spiritual issues within counseling. Results indicated possible disparities between importance and frequency ratings. Potential barriers to counselors' utilization of religious and spiritually directed clinical behaviors were identified.     

On the Overuse and Misuse of Mediation Analysis: It May Be a Matter of Timing

Kenny (2008) credited Hyman (1955 Hyman, H. (1955). Survey design and analysis: Principles, cases and procedures. Glencoe, IL: The Free Press. [Google Scholar]) with originally discussing mediation analysis under the name elaboration. Of importance, Hyman's elaboration required a time-ordered relationship among variables, such that the mediator must always intervene in time between the predictor and outcome. However, in the modern discussions of mediation (e.g., Baron & Kenny, 1986 Baron, R., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Preacher & Hayes, 2004 Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731. doi:10.3758/bf03206553[Crossref], [PubMed] , [Google Scholar]), this crucial point about time-ordered relationships appears to be underemphasized. This article shows that by employing a conceptual timing criterion for all mediation analyses, the overuse of this technique can be curbed, and, simultaneously, researchers will understand when mediation analyses are appropriate across the behavioral and medical science literatures.     

Predictors of Suicide‐Related Hospitalization among U.S. Veterans Receiving Treatment for Comorbid Depression and Substance Dependence

This study examined whether widely accepted suicide risk factors are useful in predicting suicide-related hospitalization, beyond history of a suicide attempt, in high-risk treatment-seeking veterans with depression and substance dependence. Negative mood regulation expectancies were the only significant predictor of hospitalization during 6-months of outpatient treatment. History of a suicide attempt was the only significant predictor of hospitalization during the one-year follow-up period. Results suggest that within high-risk populations, standard suicide risk factors may not identify individuals who will engage in suicidal behaviors resulting in hospitalization. Assessing negative mood regulation expectations may assist in identifying those most at risk.