Feasibility of validating survey self-reports of mental health service use

Survey respondents may inaccurately report mental health service utilization for motivational and cognitive reasons. There is little evidence on accuracy of self-reports of mental health service use, and this evidence suggests that respondents tend to underreport inpatient utilization. This study addressed the question of self-report accuracy by comparing survey data from a large probability sample to data from computerized records of publicly funded mental health services. Few inaccuracies in self-reporting were detected. However, despite the use of data bases that were unusually appropriate for verifying self-reports, several problems limited the feasibility of validation. Suggestions are offered for increasing the feasibility of validation in future studies.     

Social categorization and attitude change

Two experiments were carried out investigating the effect of categorization on attitude change. It was predicted that the division of a number of individuals into two subgroups (categorization), in such a way that initial attitudes correlate with subgroup membership, would lead to accentuation of attitudinal differences between subgroups. It was further predicted that an identical distribution of initial attitudes without superimposed categorization would lead to convergence of attitude positions. In experiment 1, the effect of a male-female classification on attitude change was studied. It was indeed found that subjects changed their attitudes in the direction opposite to the position of the outgroup (intergroup attitude differentiation), but only for groups who were initially more extreme than the comparison group. In the control condition (no categorization), conformity effects were observed. In experiment 2, an antagonistic intergroup setting was induced. In this situation, strong intergroup attitude differentiation effects were observed, which were not affected by the magnitude of the initial intergroup discrepancy. In the control condition, subjects did not show conformity to the overall group mean, but maintained their initial noncentral attitude position.     

Intergroup fairness and bias in children

In recent years in research on intergroup relationships, the assumption has increasingly been made that discrimination dominates decisions when individuals allocate resources between (members of) own and other group. Conversely, in empirical studies of interpersonal decision-making, including an extensive literature on the development of children's allocation rules within dyadic relationships, it has been repeatedly observed that in dyadic relationships choices though responsive to various changes in the environment, are more strongly governed by fairness rules. The present research extends the interpersonal fairness paradigm to the intergroup case, and examines the effects of some of those variables, namely, children's age, input and attitudes toward other, that have been observed to influence choice behaviour within interpersonal relationships. The findings indicate that as children are socialized, fairness rules also play an increasing dominant role in intergroup allocation decisions, and that both relative input and the language of the outgroup influence such decisions. At the same time, there is some preliminary evidence to indicate that the relative strength of self-interest may be somewhat stronger in intergroup than in interpersonal relationships. Finally, a number of the issues that must be confronted in comparing the two more important forms of human social choices, interpersonal and intergroup decision-making, are considered.     

Recognition of emotions in music by children and adults

32 children 5 to 6 yr. old, 32 9 to 11 yr. old, and 32 adults linked musical fragments to emotions in a similar manner, older subjects being more accurate. Some emotions were more difficult than others; anger and fear were often confused. Older subjects gave better justifications for their choices.     

GENDER DIFFERENCES IN DEPRESSIVE SYMPTOMS

Large community studies of depressive symptomatology provide mixed evidence concerning gender differences. The present paper investigates the effect of the high skewness typically present in distributions of depressive symptom scores on findings of a gender difference in depression. Because of this skewness, a few extreme scores among women (or in any subgroup) can produce a significant between-groups difference in untransformed scores even when the two groups' distributions are otherwise similar. Data from a community survey ( n = 1316) are consistent with this hypothesis. The data also suggest that gender increases depression scores indirectly, rather than directly, for the few women scoring in the extreme upper tail of the distribution. It is concluded that the gender difference in depressive symptoms lacks robustness, and that when it does occur, the effect of gender on depression can be understood as ndirect, i.e., as mediated by gender differences in rate of employment, job status, education, and income.     

Human evaluative conditioning: acquisition trials, presentation schedule, evaluative style and contingency awareness.

Two different processes may be operative in human Pavlovian conditioning: signal learning and evaluative learning. Whereas most studies on evaluative conditioning focused on a mere demonstration of the phenomenon or on a theoretical analysis of the underlying processes, some basic parameters of evaluative learning are still unexplored. Hence, using the standard neutral picture--(dis)liked picture pairing paradigm (Baeyens, Eelen & Van den Bergh, 1990), in this study the effect of two parameters of evaluative conditioning was assessed on a between-subjects base, namely the Number of Acquisition Trials (2/5/10/20) and the Presentation Schedule of the stimulus pairs (blockwise or random). Additionally, the study included an exploratory analysis of the potential effects of the Evaluative Style of subjects (Feelers vs Thinkers, operationalized in terms of speed of emitting evaluations). Finally, the relationship between contingency awareness and evaluative learning was reassessed. Neutral-liked conditioning was found to be quadratically related to the number of acquisition trials (increase in effect up to 10 trials, decrease from 10 to 20 trials), whereas neutral-disliked conditioning linearly increased with increasing numbers of trials. Randomized vs blockwise presentation schedules of the stimulus pairs did differentially affect the overall pattern of conditioning, but in a way which was both unexpected and difficult to account for theoretically. Both the Evaluative Style of subjects and contingency awareness were demonstrated to be generally orthogonal to conditioned shifts in CS valence. Based on these findings, some practical suggestions are provided for the application of evaluating conditioning based therapeutical interventions to affective-behavioral disorders which are centred around inappropriate (dis)likes.     

TEACHING SAFETY SKILLS TO HIGH SCHOOL STUDENTS WITH MODERATE DISABILITIES

Teaching students with disabilities to respond appropriately to potentially dangerous situations is a useful skill that has received little research attention. This investigation taught 3 students with moderate mental retardation to remove and discard broken materials (plates, glasses) safely from (a) a sink containing dishwater, (b) a countertop, and (c) a floor. A 4th student was instructed on the sink task only. A multicomponent treatment package was used to teach the skills. Simulated materials were used initially and were replaced with broken plates and glasses. A multiple probe design was used to evaluate the effectiveness of the treatment package. The results indicated that the treatment package was effective in teaching the skills. Data were collected 1 week and 1 month following the completion of training, and indicated mixed results. No student was injured during any phase of training. Issues pertinent to teaching safety skills to students with moderate disabilities are discussed.     

A biopsychosocial model for treating infertility

With approximately one out of six married couples experiencing infertility, having a basic knowledge of infertility is important to marriage and family therapists. This paper presents important themes that infertile couples often struggle with and stresses the importance of having a biological, psychological, and social understanding of infertility. In addition, the paper suggests possible interventions that family therapists can use in helping infertile couples.