Specificity of Depressive Symptoms and Suicidality in a Juvenile Delinquent Population

Research which has related scores on the Children's Depression Inventory (CDI) to suicidality have generally neglected to examine the possibility that specific depressive factors within the CDI may be more predictive of suicidality than the full scale score. Knowledge of such factors would help to explain the relationship between depression and suicidality and improve the prediction of suicidal behavior. The current study examined the relationship of depressive factors to suicidality in a sample of 200 incarcerated juvenile delinquents. The published factor structure for the CDI and one derived from the delinquent population were compared. Results revealed two factors from the derived solution, hopelessness and low self-esteem, to be more powerful predictors of suicidal ideation than the full-scale CDI score. These results suggest that symptoms such as low self-esteem and hopelessness may be responsible for the well-documented relationship between depression and suicidality. Furthermore, it appears that the prediction of suicidality may be improved by examining specific depressive factors in suicide research as opposed to full-scale scores from depression inventories such as the CDI.     

A Cross-Cultural Comparison of the Brief Symptom Inventory

A cross-cultural study of the Brief Symptom Inventory (BSI) was conducted with a sample of university students from India and Canada. The results indicated much higher rates of symptom reporting in the Indian sample. Canadian students also had higher reported symptom scales when compared to a similar size USA sample. A small sample of older respondents was also compared with a British sample. Examination of the structure of the BSI scale was investigated using a multidimensional scaling analysis. The Indian data had a somatization—paranoid ideation dimension and a psychoticism—interpersonal sensitivity dimension. With the Canadian sample, there was a hostility—phobic anxiety dimension along with a somatization—paranoid ideation dimension.     

The Beck Anxiety Inventory: Psychometric Properties with Older Adults

The assessment of anxiety disorders in late life is often hindered by the lack of measures specifically validated with older adults. Because anxiety manifestations may vary across age groups, it is important to design new instruments or validate existing measures with older adults. This study examined the psychometric properties of the Beck Anxiety Inventory (BAI) in a sample of 281 older adults who were community-dwelling (82.6%) or living in residential care facilities (17.4%). The mean total BAI score was 6.5 (SD = 7.2), indicating minimal anxiety symptomatology in this older sample. There was a trend for older subjects to score higher. Females scored higher than males, and subjects living in a residential facility scored higher than did community dwellers. Item-total correlations were in the moderate range and the internal consistency of the BAI was adequate (alpha = 0.89). A factor analysis yielded a six-factor structure accounting for 64.6% of the variance, with a somatic factor accounting for the largest portion of the variance (32.2%). Because somatic symptoms are more prevalent with aging, such symptoms should not be weighed as heavily in the total BAI score as cognitive or behavioral symptoms. The findings indicate that the BAI is a useful self-report scale for assessing anxiety symptomatology among older adults.     

Reliability and factorial structure of the Chinese version of the State-Trait Anxiety Inventory

The Chinese version of the State-Trait Anxiety Inventory (STAI) was administered to 2150 Chinese secondary-school students. Reliability data revealed that the A-State and A-Trait scales had a high internal consistency, and high item-total correlations were found for most of the items under each scale. Factor analytic data showed that while two factors were abstracted from the A-Trait scale (Anxiety Present and Anxiety Absent), two (Anxiety Present and Anxiety Absent) or three (Anxiety Present, Calmness, and Happiness) factors were abstracted from the A-State scale. By randomly splitting the total sample into two subsamples, factors extracted from the first two factor-solutions could be reproduced reliably and high coefficients of congruence were found. These findings generally suggest that the Chinese A-State and A-Trait scales possess acceptable psychometric properties and the factor analytic data tend to support Spielberger's conception of the multidimensional nature of the A-State and A-Trait scales.This work was supported by UPGC Grant CPAS/714.     

Minnesota Multiphasic Personality Inventory (MMPI)-derived psychopathology subtypes among former prisoners of war (POWs): Replication and extension

Psychopathology and symptom patterns identified among former prisoners of war (POWs) by Sutker, Winstead, Goist, Malow, and Allain (1986) were replicated in an independent sample of 51 former POWs with similar personal backgrounds and military experiences. Data collection instruments included the Minnesota Multiphasic Personality Inventory (MMPI), self-report measures of anxiety and depression, and a structured clinical interview including a POW Trauma Index. Two prototypic MMPI profile patterns were identified using modal profile analysis (Skinner & Lei, 1980). Both were highly similar in shape and elevation to those reported in the previous investigation. Multiprofile-multisample analysis produced prototypic profile patterns which were accurate representations of profiles identified in separate analyses of the derivation and replication samples (r's .96). Representing unique constellations of clinical features, profile subtypes were associated differentially with confinement stress severity, postservice adjustment, and nature and extent of stress-induced symptomatology.     

Development and validation of the Eating Behavior Inventory

The Eating Behavior Inventory (EBI) is a self-report instrument for assessing behaviors that have been theoretically implicated in weight loss, e.g., self-monitoring of food intake and of weight, refusing offers of food, eating at only one place, shopping from a list, eating in response to emotions. Thirty items were constructed in the form of first-person statements, e.g., I eat in the middle of the night. Each item was to be rated with a 5-point scale according to how often it was true for the respondent. Items were scored such that higher scores always reflected more appropriate (theoretically facilitative of weight control) eating patterns. Validity of individual items and total score was assessed in four studies. Twenty-six of the original items appeared valid and were retained. The resulting total score demonstrated validity in these studies and in two cross-validational comparisons. Internal consistency as measured by split-half reliability and correlations of item scores with total score was acceptable. One month test-retest reliability of item and total scores was satisfactory. Clinical and research applications of the EBI are discussed.An early version of this article was presented at the Taos International Conference on Treatment of Addictive Behaviors, Taos, New Mexico, February 1979.     

MMPI Profiles of Liver and Heart Transplant Candidates With and Without Significant Histories of Heavy Alcohol Use

This study compared the Minnesota Multiphasic Personality Inventory (MMPI) profiles of liver and heart transplant candidates with (n = 104) and without (n = 253) significant histories of heavy alcohol consumption. The alcohol and nonalcohol groups had similar overall mean profiles with significant or marginally significant (i.e., T 69) clinical elevations on Scales 1, 2, and 3. However, significantly higher proportions of those in the liver transplant group than in the heart transplant group scored within the clinical range on Scales F, 4, 6, and 8. In addition, the proportions of respondents obtaining clinically elevated scores were significantly higher for the alcohol than for the nonalcohol group on Scale 4 and the MacAndrew Scale; the proportion was higher for the nonalcohol than for the alcohol group on Scale K. The overall similarity of the mean profiles indicates that candidates for liver or heart transplantation with and without histories of heavy alcohol use generally display similar psychological presentations. The observed differences between the liver and the heart transplant groups may reflect impairments in mental status among liver transplant candidates due to metabolic consequences of liver disease. The differences between the alcohol and the nonalcohol groups may be more a reflection of past behavioral patterns than present psychological status.     

Predicting Personality Stability Across the Life Span: The Role of Competence and Work and Family Commitments

Longitudinal studies suggest modest continuity in personality from adolescence to early adulthood and greater continuity over successive periods during the adult years. However, individual differences in personality stability do exist. We discuss potential sources of personality change, especially as they relate to development, role assumption and commitment, and loss of roles and commitments. Then, using data from the Intergenerational Studies, we employ measures of competence and of work and family commitments, assessed both in high school and adulthood, to predict personality stability from high school to early and late adulthood. Results indicate that personality stability can be successfully predicted with such measures. Greater personality stability is found for those determined to be more planfully competent, but additional family and work role variables also increase predictive power, in some instances. Using two alternate measures of competence—one from the California Q-sort and the other from the California Psychological Inventory—we replicated the finding that men with more disorderly careers show less personality stability, and that women who have experienced more divorces show less personality stability.     

The Coincidence of Depression and High Ability in Delinquent Youth

We describe the incidence and coincidence of depression and high ability in a sample of Virginia's incarcerated delinquent youth population. Specifically, 207 incarcerated juveniles were assessed with the Raven's Advanced Progressive Matrices and the Children's Depression Inventory (CDI). The data indicated there were as many high ability juveniles in detention settings as would be expected in a regular population. Results from the CDI identified 37% as at risk for clinical depression. Cross-tabulation of the data indicated a significant relationship between high ability and depression in the delinquent population. In addition, the findings indicated that the presence of depression is related to the ability level of the juvenile. That high ability delinquents may be more vulnerable to depression argues that the coincidence of these conditions requires consideration. Based upon these findings, and given the high correlation suicide has with depression, we suggest that screening for depression should be mandatory for incarcerated delinquents.     

Detection of a Psychiatric Diagnosis in Heart Transplant Candidates with the MBHI

The utility of the Millon Behavioral Health Inventory (MBHI) in screening for the formal diagnosis of a psychiatric disorder was investigated in a sample of 90 heart transplant candidates, a population at risk for psychiatric disturbance. Psychiatric disorders were identified in 71% of patients, the majority being adjustment disorder. Sensitivity and specificity rates of >70% were determined in discriminant function analyses, for presence or absence of a psychiatric condition. When Axis I conditions were differentiated as mild (adjustment reaction only) or severe (all other Axis I conditions, including comorbid Axis II disorders), the MBHI correctly identified every severe case as a probable psychiatric diagnosis. The rate of clinically significant elevations on certain MBHI scales and severity of Axis I psychiatric condition was also significantly associated. These findings suggest that the MBHI may have potential utility in identifying high-risk patients with diagnosable psychiatric conditions and help justify mental health consultation referrals at a time when managed care entities are vigorously rationing ancillary services with medically ill populations.