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21.
Lori J. Stark Lenora G. Knapp Anne M. Bowen Scott W. Powers Elissa Jelalian Sylvia Evans Mary Anne Passero Mary M. Mulvihill Mel Hovell 《Journal of applied behavior analysis》1993,26(4):435-450
Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis. 相似文献
22.
Marsha B. Parsons Dennis H. Reid Jerry Reynolds Merle Bumgarner 《Journal of applied behavior analysis》1990,23(2):253-258
We evaluated the effects of several choice-related variables on the work performance of adults with severe handicaps. After assessing client work preferences, three choice-related situations were presented: (a) providing clients with the opportunity to choose a work task, (b) assigning a preferred task, and (c) assigning a nonpreferred task. Results indicated that clients attended to work tasks almost twice as much when they chose their tasks and when assigned to work on preferred tasks versus when assigned to work on nonpreferred tasks. Results are discussed regarding the need to assess systematically the effects of choice-related variables. 相似文献
23.
The current literature suggests that individuals who chronically abuse alcohol exhibit a wide variety of cognitive deficits
resulting from cerebral dysfunction that is either directly or indirectly related to their alcohol consumption history. Cognitive
deficits have been hypothesized as having implications for standard alcohol treatment efficacy as they may directly affect
cognitively impaired individuals’ abilities to utilize various treatment modalities. Although evidence is accumulating that
suggests this is actually the case, the majority of alcohol treatment programs neither directly consider the impact cognitive
deficits have on treatment efficacy nor do they employ cognitive rehabilitation treatment strategies to remediate identified
cognitive deficits. Few studies exist that investigate the remediability of neurobehavioral deficits or the efficacy of integrating
cognitive rehabilitation strategies into more traditional treatment programs. Empirical investigations conducted to date indicate
that some cognitive deficiencies secondary to alcoholism are amenable to cognitive rehabilitation and this remediation is
generalizable. Rigorous well-controlled treatment outcome investigations are needed in order to determine the efficacy of
cognitive rehabilitation techniques in naturalistic settings using ecological outcome measures. Also, emphasis should be placed
on integrating cognitive rehabilitation techniques with proven efficacy into traditional alcoholism treatment programs. 相似文献
24.
Nancy Jainchill George De Leon John Yagelka 《Journal of psychopathology and behavioral assessment》1997,19(2):133-148
The present study describes the diagnostic profile of over 800 adolescents admitted to residential therapeutic community programs for treatment of drug abuse and related problems. The relationship between race/ethnicity and psychiatric disturbance is examined, and the association among these factors to outcome is investigated. Over 90% of the sample had a DSM-III-R nonsubstance diagnosis. There were significant differences among the race/ethnic groups on attention deficit-hyperactivity and the disruptive behavior and affective disorders. In general, African-American adolescents yielded the lowest rates of disturbance across all categories of disorders. There was no relationship among race/ethnicity, psychiatric disturbance, and 1-year posttreatment outcomes. 相似文献
25.
Elaine A. Blechman 《Applied and Preventive Psychology》1997,5(1):19-35
Coping—competence theory yields a structural model of the development of persistent aggression in which current challenge encounters determine future life outcomes and competence. Driven by this model, universal, school-based prevention programs would aim in multiple ways to promote prosocial coping among high-risk, resilient, and advantaged youth from kindergarten through high school. Expected benefits of prosocial coping would include: less aggressive behavior, fewer adverse life outcomes (e.g., school dropout, police arrest, teen pregnancy, conduct, mood, and substance-use disorders), and a more competent self-definition and social reputation. Five stages are described that may prove useful in creating prosocial schools and neighborhoods supportive of youth in transition away from antisocial coping and deviant peers. 相似文献
26.
BALANCING SOCIAL ACCEPTABILITY WITH TREATMENT EFFECTIVENESS OF AN INTRUSIVE PROCEDURE: A CASE REPORT
Nancy C. Grace Sung Woo Kahng Wayne W. Fisher 《Journal of applied behavior analysis》1994,27(1):171-172
The debate over social acceptability of intrusive procedures has led some school districts to adopt policies allowing punishment for only the most extreme forms of destructive behavior. We investigated the effectiveness of selectively implementing punishment for only the most severe topographies of aggression and property destruction, while less extreme behaviors were ignored. Results indicated that severe behaviors were reduced to near-zero levels only when both severe and less severe behaviors were similarly punished. 相似文献
27.
Michael D. Greenberg W. Edward Craighead Donald D. Evans Linda W. Craighead 《Journal of psychopathology and behavioral assessment》1995,17(4):305-321
DSM-based research on comorbidity has suggested thatdepression andpersonality disorder frequently occur together and that the combination of syndromes is associated with a poor response to treatment for depression. The present study was designed to explore the effect of comorbid Axis II pathology for a sample of 45 inpatients who received treatment for major depression. Both categorical and dimensional ratings of personality disorder were used in the statistical analysis. Positive categorical diagnosis of Cluster C (anxious-avoidant) disorder, as well as higher dimensional rating of Cluster A (odd-eccentric) pathology, was predictive of a poor response to treatment (p<.05), as measured by change in pre-post clinical ratings on the Montgomery-Asberg Depression Rating Scale. These results were construed as indicative of a significant Axis II comorbidity effect in the context of an inpatient, multimodal treatment setting for depression. The results also spotlight the influence of techniques of measurement in determining the outcome of statistical analysis. 相似文献
28.
When children refuse to speak in some social settings, but can understand and speak in other settings, the diagnosis of selective mutism must be considered. A review of the literature describes the disorder, the various types of mutism, and related family dynamics. A family systems approach to treatment using structural family therapy is suggested. The case history presented illustrates one type of mutism as well as the family rules and hierarchy which appeared to be maintaining it. Structural and strategic family systems theory techniques that were used to move the family toward resolution of this problem are discussed.Diane Wolf Tatem, MA, MS, completed graduate work in marriage and family therapy at New Mexico State University, Las Cruces, NM. She is employed at Life Management Center of El Paso's Child Development Services and also has a private practice in marriage and family therapy in El Paso, Texas. Robert L. DelCampo, PhD is a professor of family science at New Mexico State University and maintains a private practice with Associates for Marriage and Family Therapy in Las Cruces, NM. Please address all correspondence to Dr. DelCampo at Box 3470, New Mexico State University, Las Cruces, NM, 88003-3470.Appreciation is expressed to Dr. Charles Huber, New Mexico State University in Las Cruces, for his insightful critique of the final draft of this paper. This paper was presented at the Texas Association for Marriage and Family Therapy Annual Conference, January 25–29, 1995 in Dallas, TX. 相似文献
29.
Merope Versi Ph.D. 《Journal of child and family studies》1995,4(3):279-292
This study examined the differential effects of a school-based cognitive behavior modification intervention on (a) the interpersonal/social skills and (b) the social competence and school adjustment of two groups of middle school students identified as seriously emotionally disturbed. One groups of students exhibited internalizing emotional problems and the other group exhibited externalizing emotional problems. The objective of the study was to investigate whether the effectiveness of a school-based cognitive behavior modification intervention was significantly related to the type of emotional disturbance a student exhibits (i.e. internalizing or externalizing emotional disturbance). The sample consisted of an experimental and a control group of middle school students identified as seriously emotionally disturbed. The intervention was implemented in 23 biweekly 42-minute sessions. The results indicated that teacher ratings of student social competence and school adjustment were sensitive to treatment effects, although students' social skills self-ratings were not significantly affected by the treatment. A differential treatment effect was established in that externalizing students were significantly more responsive than internalizing students. 相似文献
30.
Carl Latkin Wallace Mandell David Vlahov Maria Oziemkowska Amy Knowlton David Celentano 《American journal of community psychology》1994,22(3):415-430
Information is sparse on the social context of illicit drug injection behaviors and their relationship to HIV infection. This
study examined relationships between injection settings, injecting with others, and HIV risk behaviors of sharing needles
and not cleaning contaminated needles in a sample of 630 inner-city injecting drug users in Baltimore, MD. Through open-ended
interviews, five primary settings of injection behavior were identified. These settings included one's own, friends' and mother's
residence, shooting galleries, and semipublic areas. Most participants reported injecting in their own residence (92%) and
friends' residence (86%) in the prior 6 months. In a multiple regression analysis, injecting at friends' residence, in shooting
galleries, and in semipublic areas and frequency of injecting with others were significantly associated with frequency of
sharing uncleaned needles, “slipping” (i.e., failure to disinfect shared needles), and not always cleaning used needles before
injecting. Results suggest that interventions may benefit from targeting settings as well as behaviors to reduce the spread
of HIV.
This research was supported by grants DA04334, DA05911, DA06313, and DA08985 from the National Institute on Drug Abuse. 相似文献