Issues in brief counselling with postgraduate research students

In this study it is suggested that for some postgraduate research students, their ability to learn and their coping resources to deal with the emotionally demanding process of undertaking a PhD may derive in part from their attachment style, which in turn derives from early attachment experience. A time-limited counselling intervention resulted in a reduction in the CORE-OM global index of psychological distress from above the clinical cut-off point to below it in 10 out of 12 participants, and a significant reduction in the remaining two cases. All participants presented with concerns over their ability to complete their theses and yet all did so within four years or its part time equivalent. Self-report ratings of the degree of perceived impairment also reduced significantly and these correlated positively with reduction in global distress. It is further proposed that although a direct link between a counselling intervention and outcome of study has not been shown, the correlation shown here between global distress and reported academic impairment coupled with an earlier reported statistical association between difficulties experienced by students and outcome strongly suggests such a link.     

Visual attention skills of premature infants with and without intraventricular hemorrhage

The relation between two medical complications associated with prematurity (intraventricular hemorrhage (IVH) and respiratory distress syndrome (RDS)) and visual attention skills of very low birth-weight (VLBW) infants were examined. Fourteen preterm VLBW infants with IVH and RDS, 9 preterms with RDS and no IVH, and 10 full-term infants matched on SES, sex, and race were assessed at 7 months of age (after correction for prematurity) for their ability to show a decremental response to a familiar visual stimulus and an increment in response to a novel visual stimulus. Measures of attention getting (turning toward a stimulus) and attention holding (sustained fixation on the stimulus after turning) were taken. On the attention-getting measures, IVH-RDS preterms had longer latencies than both the RDS-no-IVH preterm group and the full-term group. There were no group differences on attention-holding measures. The three groups did not differ in habituation to the familiar visual stimulus or discrimination of the novel stimulus. This study indicates that the early visual attention skills of preterm infants are differentially affected by specific types of prenatal complications.     

Psychological distress: A hierarchical factor model of the Multiple Affect Adjective Check List (MAACL)

Recent investigations of the structure of psychological distress have indicated that hierarchical models can accommodate both unitary and multifaceted conceptions of distress. The present study tested the hierarchical framework suggested by Zuckerman, Lubin, and Rinck (1983) for the Multiple Affect Adjective Check List (MAACL), a commonly used measure of psychological distress. One- and two-factor models were estimated using maximum-likelihood methods. Results indicated that the two-factor solution, with correlated positive and negative affect factors, provided a significantly better fit to the data than did the omnibus one-factor solution. These results provide further support for hierarchical models of distress.     

The stability and clinical significance of distress: A rejoinder to pepper and coyne

Past research has established that some individuals with high Beck Depression Inventory (BDI) scores at one time point have scores that are lower at a second time point. Recently, we provided evidence indicating that the temporal instability of certain BDI scores may be due partly to the regression to the mean phenomenon. Pepper and Coyne (1996) question this statistical interpretation; they argue that distress among students is unstable for substantive reasons. In the current paper, we reaffirm our view that statistical and measurement factors may account, in part, for changes in BDI scores over time. Given this possibility, inferences about distress or depression as a latent construct in student samples are not warranted if these inferences are based on the administration of a single instrument such as the BDI; any conclusions about distress as a psychological construct must be qualified by acknowledging the possible roles of error and method variance. Clearly, empirical research is needed in order to obtain a better understanding of the nature of distress as a latent variable, especially in light of evidence which indicates that subthreshold levels of depression have a high degree of clinical significance.     

The predictable instability of psychological distress in college students: A comment on Flett,Vredenburg, and Krames

Flett, Vredenburg, and Krames (1995) claim that their data support the view that the apparent instability in distress among college students is artifactual. However, they have merely demonstrated that distress among college students is an unstable phenomena. Their argument that changes in distress scores have statistical rather than substantive explanations erroneously assumes that instability in distress scores is equivalent to error of measurement.     

Health Risk Behaviors and Their Relationships to Health Care Utilization Among Veterans Receiving Primary Medical Care

This paper reports the findings of a behavioral health risk screening form and examines the interrelationships among behavioral risk factors and health care utilization. Participants were 1,000 veterans who completed a brief self-report questionnaire assessing affective distress and behavioral health risk factors while they waited to see their primary care provider. Participants reported a mean level of affective distress in the mild range on a scale of 0 to 20 (M = 6.4, SD = 4.95), and 22.4% reported moderate or high levels of affective distress. Fifty percent of the sample denied alcohol use; 5% of the men and none of the women reported a pattern of use that met established criteria for at-risk drinking. Twenty-six percent of the sample reported current tobacco use, 45% acknowledged concerns about diet and/or weight, and 54% reported concern about pain. These factors were largely significantly intercorrelated and several were related to indices of health care utilization. It was concluded that veterans receiving health care in primary care settings report significant levels of affective distress and other health risk behaviors and that the presence of these factors is associated with increased use of the health care system. These data encourage increased efforts to identify these factors and to develop behavior change interventions.     

Postconcussion Symptoms

Research pertaining to the self-report of symptoms after traumatic brain injury was reviewed. Cognitive, emotional, and motivational factors have more relevance than demographic (except for female sex) and personality factors. Specific neuropsychological deficits in attention and memory have been found in the early stages after head injury of even mild severity. This is unlikely to be the only factor affecting symptom persistence. Exaggeration of cognitive dysfunction occurs in some cases, but appears unrelated to symptom overreport. Increased emotional distress typically accompanies symptom persistence. The psychological reaction of preoccupation with symptoms and emotional distress is not unique to concussion, but also occurs after severe head injury and back injury and relates more to the personal interpretation of the effect of the trauma than to objective indicators of brain injury severity.     

Intelligence in childhood and risk of psychological distress in adulthood: The 1958 National Child Development Survey and the 1970 British Cohort Study

Lower cognitive ability is a risk factor for some forms of severe psychiatric disorder, but it is unclear whether it influences risk of psychological distress due to anxiety or the milder forms of depression. The participants in the present study were members of two British birth national birth cohorts, the 1958 National Child Development Survey (n = 6369) and the 1970 British Cohort Study (n = 6074). We examined the association between general cognitive ability (intelligence) measured at age 10 (1970 cohort) and 11 years (1958 cohort) and high levels of psychological distress at age 30 (1970 cohort) or 33 years (1958 cohort), defined as a score of 7 or more on the Malaise Inventory. In both cohorts, participants with higher intelligence in childhood had a reduced risk of psychological distress. In sex-adjusted analyses, a standard deviation (15 points) increase in IQ score was associated with a 39% reduction in psychological distress in the 1958 cohort and a 23% reduction in the 1970 cohort [odds ratios (95% confidence intervals) were 0.61 (0.56, 0.68) and 0.77 (0.72, 0.83), respectively]. These associations were only slightly attenuated by further adjustment for potential confounding factors in childhood, including birth weight, parental social class, material circumstances, parental death, separation or divorce, and behaviour problems, and for potential mediating factors in adulthood, educational attainment and current social class. Intelligence in childhood is a risk factor for psychological distress due to anxiety and the milder forms of depression in young adults. Understanding the mechanisms underlying this association may help inform methods of prevention.     

Predictors of Parenting Stress for Abusive and Nonabusive Mothers

We examined a model of parenting stress for abusive mothers (n = 80) and nonabusive mothers (n = 86) using linear regression analyses. Predictors in the model included (a) the degree to which mothers were bothered by child misbehavior, (b) mothers’ general psychological functioning, and (c) observed child behavior during parent–child interactions. Whether abuse status moderated the relations between each predictor and parenting stress was also explored. Results indicated that mothers’ psychological functioning significantly predicted parenting stress; however, neither mothers’ intolerance for their children’s misbehavior nor observed child behavior were significant predictors of parenting stress in the regression model. A test of moderation revealed a significant interaction between parental intolerance and abuse status such that intolerance predicted parenting stress level only for abusive mothers. A comparison of correlations indicated that abusive mothers’ level of parenting stress was more closely related to their intolerance for child conduct problems than to the child’s behavior during play with their mothers. Findings are discussed in terms of implications for interventions to reduce parenting stress experienced by nonabusive and abusive mothers.