Development and Validation of the Parental Authority Questionnaire – Revised

Baumrind's conceptualization of parenting style has influenced research and theorizing about child-rearing for more than 30 years, yet few clinical applications of this work have been realized. The purpose of this study was to examine the psychometric properties of a parenting style measure, the Parental Authority Questionnaire – Revised (PAQ-R). This project furthered the development and validation of the instrument by examining the factor structure, internal consistency, test-retest reliability, and convergent validity of the PAQ-R in a large, ethnically and socioeconomically diverse sample. The factor structure and reliability of the PAQ-R was modest, but generally within the acceptable range. Specifically, the Authoritarian and Permissive subscales of the PAQ-R had modest reliability and convergent validity; these PAQ-R subscales correlated with relevant subscales of the Parenting Scale and the Parent–Child Relationship Inventory. By contrast, the Authoritativeness subscale had poorer psychometric properties when used in lower SES, primarily African American populations. While African American mothers in the sample reported being more Permissive than did Caucasian mothers, these differences disappeared after controlling for income and maternal education. By contrast, African American mothers continued to report more Authoritarian attitudes even after controlling for income and maternal education.     

Paternal Child-Rearing Style and Child Social Anxiety: Investigation of Child Perceptions and Actual Father Behavior

This study examined associations among perceived and actual father behavior and child social anxiety. Forty-eight children (22 high socially anxious, 26 low socially anxious) completed self-report measures of social anxiety, general anxiety, and depression. Children also completed a measure of perceived parental style and subsequently collaborated with their fathers on a challenging task (origami). After controlling for general anxiety and depression, fathers of high socially anxious children exhibited more controlling behavior during the origami task; high and low socially anxious children, however, did not differ behaviorally from one another. Perceptions of father child-rearing style did not differ as a function of child social anxiety, nor were significant relations found between perceived parenting and specific father behaviors. Findings underscore the importance of assessing various types of internalizing symptoms (i.e., controlling for shared construct variance), obtaining children's perceptions of parental style in conjunction with conducting behavioral observations, and including fathers in psychopathology research.     

Using Brief Experimental Analysis to Select Oral Reading Interventions: An Investigation of Treatment Utility

This study examined the treatment utility of brief experimental analysis for selecting skill-based oral reading interventions that targeted acquisition and fluency. Two second and one third grade student served as participants. The potentially most and least effective instructional packages identified from the brief experimental analysis for each student were alternated during an extended analysis phase. The instructional components that were compared were based on an ease of implementation hierarchy, with the brief experimental analysis used to select the hypothesized most effective instructional package for oral reading. Visual analysis of extended analysis data revealed that the hypothesized most effective combination of instructional components identified from the brief analysis produced greater initial gains in reading for two children (i.e., over 29 and 21 intervention days) and greater gains in reading throughout the extended analysis phase for the third child. Thus, the investigation provided preliminary evidence for the treatment utility of using brief experimental analysis to select effective and efficient oral reading instructional interventions. Implications, limitations, and future research topics are discussed.     

Do Problems of Clinic-Referred African-American Children Overlap with the Child Behavior Checklist?

Many factors contribute to children's psychopathology. African-American children, members of the largest U.S. minority group, are reportedly at high risk for psychopathology, but researchers and developers of diagnostic measures seldom focus on them. We surveyed the clinic records of 1,605 African-American children, ages 4–18. Coders recorded children's problems, their gender, and age. They coded children's problems according to the Child Behavior Checklist (CBCL). Overlap between some problems African-American children presented and CBCL items emerged but other problems did not match CBCL items. For problems which matched the CBCL, associations between such problems and children's age emerged and boys had more problems than girls. The content and cultural validity of the CBCL for African-American children may, however, be questionable.     

Assessing Stress in Families of Children with ADHD: Preliminary Development of the Disruptive Behavior Stress Inventory (DBSI)

This paper describes the initial development of the Disruptive Behavior Stress Inventory (DBSI). This 40-item measure, which provides indices of the number of stressors experienced during the past 6 months and the rated stressfulness of these events, is designed to assess behavior-related family stress experienced by families of children with attention-deficit/hyperactivity disorder (ADHD). Findings provide strong support for the internal consistency of the DBSI and suggest adequate test-retest reliability. Support for the validity of the measure is suggested by findings that DBSI stress indices differentiate between parents of children with ADHD and those with no history of this disorder. Additional support is provided by findings that scores on the DBSI also differentiate between parents of children with ADHD, combined type and parents of children with ADHD, inattentive type. It is suggested that this measure may provide useful clinical information regarding stress levels in families of children with ADHD and that it may be of potential value as an ADHD treatment outcome measure.     

Rohling's Interpretive Method and Inherent Limitations on the Flexibility of “Flexible Batteries”

Miller and Rohling (2001) proposed a 24-step algorithm, the Rohling Interpretive Method (RIM), for quantitative interpretation of results from flexible neuropsychological test batteries. We believe that the RIM as presented in that paper has several conceptual problems, including (a) a failure to distinguish "statistically significant" from pathological differences, (b) an assumption that declines in specific abilities can be inferred when a particular test score deviates from an estimate of general premorbid ability, and (c) confusion between the standard deviation associated with individual test scores versus that of a composite of those scores. As an alternative, we suggest the value of developing and using co-normed comprehensive neuropsychological test batteries from which test users might select subsets of tests.     

What does the public think of placebo use? The Canadian experience

Part of the National Placebo Initiative in Canada included public consultations, based on the belief that the views of the public should inform Canadian policy development on what constitutes appropriate placebo use. Public consultations took place nationally in 2003. A deliberative dialogue approach was used, or a structured discussion format designed to facilitate the consideration of complex issues and build consensus. The placebo debate was characterized as having 3 distinct approaches and each were explored. The first approach “Maximize Patient Protection” identified the need for experts to determine appropriate placebo use and that placebos should only be allowed under very restricted conditions. The second approach “Maximize Medical Knowledge” identified that placebos give essential information about the safety and efficacy of new drugs, and are appropriate when the rights, safety and well-being of research participants are ensured. The third approach “Maximize Patient Autonomy” identified that the current system of regulating placebo use is paternalistic and that patients should be able to define what is in their best interests and have more leeway to determine for themselves if they wish to participate in a placebo-controlled trial. Advantages and disadvantages of each approach were considered and feedback on what constitutes appropriate placebo use was sought. The major findings were that: PCTs were considered a valuable and acceptable part of advancing medical knowledge; research using placebos must be valid and justifiable; a patient-centred approach needs to be fostered; patient autonomy (choice) should be a first consideration and take clear precedence in trials of low to medium risk; patient protection (or health) may need to “trump” patient autonomy at higher levels of risk and/or patient vulnerability; placebos are not a violation of the duty of care as duty of care is best met by identifying a choice for patients, whenever a choice is available. These consultations clearly were not designed to produce conclusive evidence, but rather to provide some useful insights into what the public may think about placebo use; additional studies are indicated. Funding for the public consultations was provided by Health Canada and the Canadian Institutes of Health Research. An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research Today,” held in Warsaw, Poland on 12–13 April, 2003.     

Toward a dimensional and psychometrically-informed approach to conceptualizing psychopathology

Most modern research on psychopathology is framed by the categorical model of mental disorders embodied in the Diagnostic and statistical manual of mental disorders, 4th edition (DSM-IV; American Psychiatric Association, 1994). Nevertheless, the categorical model of the DSM is incompatible with robust empirical observations about psychopathological variation, such as the tendency for multiple, putatively distinct mental disorders to occur in the same persons. The goal of this invited essay is to outline a potential alternative to the DSM's categorical approach: a dimensional and psychometrically-informed approach to conceptualizing and studying psychopathology. We discuss the advantages of the dimensional approach, some modern statistical technologies that can be recruited in the service of the dimensional approach, and ways of integrating the dimensional approach with a behavioral approach to psychopathology assessment and research.     

On the categorization of aphasic typologies: the SOAP (a test of syntactic complexity)

This paper presents a new measure of syntactic comprehension abilities in brain-damaged populations known as the SOAP (Subject-relative, Object-relative, Active, and Passive), along with data supporting its sensitivity and specificity. This assessment tool examines comprehension of sentences (matched for length) of four syntactic construction types: active, passive, subject-relative, and object-relative. Data are presented that indicate that the SOAP provides a sensitive and reliable differentiation of aphasia subgroups. The SOAP's sensitivity in differentiating broad behavioral (anterior/posterior-lesioned) groups is compared to the auditory comprehension component of the Boston Diagnostic Aphasia Examination (BDAE), supporting its sensitivity differentiating between anterior- and posterior-lesioned groups. It is argued that this tool can be an important accompaniment to standard aphasia assessment batteries in more sensitively defining syntactic comprehension deficits.