Impact of Co-Therapy Teams on Client Outcomes and Therapist Training in Marriage and Family Therapy

This study of 33 student therapists, 402 client systems, and three supervisors tested the efficacy of using student co-therapy teams as an aspect of clinical training in a marriage and family therapy program. This study utilizes both quantitative and qualitative methodology. Two research questions were addressed: “Do different pairings of co-therapists affect client outcomes?” and “Is co-therapy a viable option for a training program?” The results indicate that client outcomes using co-therapy are at least as effective as treatment using one therapist and in some circumstances produce more positive outcomes for both clients and student therapists.     

Family therapy and outcome: Relationships between therapist and family styles

This study examined therapeutic outcome for a group of 175 clinic families divided into levels of family competence and style, and, later, into seven clinical groupings. The division into these groups was based on the level of rated Competence and Style determined by using the Beavers Systems Model. Therapists also rated their level of Openness/Sharing Strategy, Power Differential, and Partnership with the family at the third session. Results indicate that more competent families who fared well in therapy had therapists who formed a partnership, disclosed strategy, and employed a minimal power differential with the family. The most disturbed families, and those with a Centrifugal style, did better with therapists employing a high power differential and lower levels of openness and partnership. The study also presented the distribution of individual diagnoses by family groups. Implications for family therapists, including the value of family assessment, are provided.     

The contribution of feedback to outcome in long-term group psychotherapy

Two long-term analytic inpatient psychotherapy groups, comprised of severely disturbed neurotic and personality disordered patients, were intensively investigated using process ratings and therapist and patient reports to examine the contribution of interpersonal feedback to treatment outcome. We found that feedback was important throughout the course of therapy, and that patients who derived the most benefit from the groups were those who experienced a greater level of group cohesiveness and were most active in terms of self-disclosure, receipt of feedback, and making significant behavioral modifications within treatment. These successful patients received both positive and negative feedback, primarily from other group members, and worked effectively toward the goals that brought them to treatment.     

The Influence of Posttreatment Mutual Help Group Participation on the Friendship Networks of Substance Abuse Patients

The effect of 12-step mutual help groups (e.g., Narcotics Anonymous) on members' friendship networks has received little attention. This 1-year longitudinal study examined such effects in a sample of 2,337 male substance abuse inpatients, 57.7% of whom became significantly involved in 12-step activities (e.g., reading program literature, attending meetings) after treatment. An a priori model of the interplay of 12-step involvement and friendship networks was tested using structural equation modeling, and found to have excellent fit to the data. Twelve-step group involvement after treatment predicted better general friendship characteristics (e.g., number of close friends) and substance abuse-specific friendship characteristics (e.g., proportion of friends who abstain from drugs and alcohol) at follow-up. Results are discussed in terms of how mutual help group involvement benefits patients and how the self-help group evaluation paradigm should be broadened.     

The relations among cry characteristics, demographic variables, and developmental test scores in infants prenatally exposed to methadone

This study examined the relations among developmental test scores, infants' demographic characteristics, and cry features. Cry features were strongly related to developmental test scores at all ages, suggesting that use of the infants' cry characteristics can help to identify those infants at greatest risk for later developmental problems.     

Effects of varying numbers of Likert scale points on factor structure of the Rosenberg Self‐Esteem Scale

Likert‐type rating scales are among the most widely used tools in psychological research. Different numbers of response categories would likely affect response style, data distribution, reliability, and construct validity. There is a lack of research in factor structure invariance under Likert scales with different numbers of categories. The purpose of this study is to examine the effects of varying numbers of Likert points (4–11) on scale properties such as factor structure, external validity, and latent means based on the Rosenberg Self‐Esteem Scale (M. Rosenberg, 1989 ). The sample consists of 1,807 students from secondary schools in Macau. Confirmatory factor analysis shows that the correlated two‐factor model is the most appropriate one; longitudinal invariance analysis reveals that measurement invariance across Likert scales was satisfied at the scalar level. In addition, latent mean scores on the two factors as well as observed means on the subscales are comparable across Likert scales. Moreover, the measurement model across Likert scales exhibit similar external validity. Although psychometric properties are mostly similar among a different number of points, the 4‐point Likert scale is not recommended for its higher skewness and lower loadings; the 11‐point Likert scale from 0 to 10 is slightly preferred for its higher loadings and composite reliability.     

急诊监护病房重症患者的预后和相关因素回顾分析

收集北京大学人民医院急诊监护3年间收治患者资料,并进行一年随访,结果发现随着年龄的增长,ICU病死率逐渐增加,生活不能自理的比例越来越高;而且ICU后病死率也越来越高。深入了解ICU患者的转归和预后情况,有利于我们更有效率地使用重症监护资源。     

Équivalence échelle composite – échelle globale dans la mesure de la satisfaction au travail

We measured work satisfaction within the same sample (n=12) using two different methods : the one-item-scale global measure and the facet-scales composite measure. Results showed that the global scale is not equivalent to summated facet scales. This results can be explained by the fact that composite measures don’t take into account the proper weight of each facet in the computation of general work satisfaction. Considering limits presented by mixed measures in order to show up this weights, we advocate the development of a work satisfaction composite measure that integrates the measure of the importance allocated to each facet of work in the computation of general work satisfaction.     

国外心理契约破坏及结果变量与调节变量：述评与展望

心理契约破坏是个体对组织未能履行其在心理契约中应承担责任的认知评价。文章首先结合以往研究探讨了心理契约破坏与相应结果变量的关系,然后探讨了调节变量的作用,最后从被试群体、研究方法及理论模型的构建上对未来研究进行了展望。