Diagnosis and Assessment of Depression and Suicidality Using the NIMH Diagnostic Interview Schedule for Children (DISC-2.3)

The Diagnostic Interview Schedule for Children (DISC-2.3) was studied in a sample of 265 adolescent inpatients to determine type and concurrent validity of depressive symptoms and depressive disorder diagnoses for different DISC-2.3 informants (parent, adolescent, both). The Children's Depression Rating Scale — Revised, Reynolds Adolescent Depression Scale (RADS), Suicide Ideation Questionnaire — Junior, Spectrum of Suicide Behavior Scale, and clinical consensus diagnoses were used to assess concurrent validity. Results indicated that (1) parents, compared to adolescents, reported a higher prevalence of all depressive symptoms with the exception of weight change; (2) DISC-2.3 depressive and suicidality symptoms were related positively to independent validating criteria for all informant conditions, suggesting good concurrent validity; (3) the DISC-2.3 both informant condition correctly identified the most depressive disorders; and (4) the parent, but not the adolescent, DISC-2.3 Informant condition contributed to the prediction of clinical consensus diagnoses of depression after taking into account RADS scores.     

Interviewer evaluations of interviewee nonverbal behavior

Personnel representatives (N = 52) were shown one of four videotaped job interviews in which the verbal content of the 16-min interview was identical, but the interviewee's nonverbal behavior was manipulated. A “low nonverbal” interviewee was defined by minimal eye contact, low energy level, lack of affect and voice modulation, and a lack of speech fluency. The “high nonverbal” interviewee demonstrated the opposite behavior on each of these components. The subjects were asked to rate the videotaped candidates on dimensions previously identified as critical in influencing a job interviewer's decisions. Nonverbal behavior was found to have a significant effect on almost every rating made by subjects in this study. After reviewing the entire 16-min interview, 23 of the 26 subjects who saw the “high nonverbal” candidate would have invited him/her for a second interview. All 26 of the subjects who saw the “low nonverbal” candidate would not have recommended a second interview.     

Comparison of the role of self-efficacy and illness representations in relation to dietary self-care and diabetes distress in adolescents with type 1 diabetes

This cross-sectional study examined the joint effects of self-efficacy and illness representations on dietary self-care and diabetes distress in adolescents with type 1 diabetes by comparing two theoretical models: the Self-regulation Model (Leventhal, H., Meyer, D., & Nerenz, D. (1980). The common-sense representations of illness danger. In S. Rachman (Ed.), Medical Psychology (Vol. 2, pp. 7–30). New York: Pergamon.) and Social Cognitive Theory (Bandura, A. (1997). Self efficacy: The exercise of control. New York: W.H. Freeman.). One hundred and fifty-one adolescents with type 1 diabetes completed self-report measures of dietary self-efficacy, illness representations, dietary self-care and diabetes distress. Data were analysed using structural equation modelling. The model best supported by the data (Leventhal's Self-regulation Model) showed that dietary self-efficacy, perceived consequences and treatment effectiveness had direct and independent effects on both dietary self-care and diabetes distress. Together with dietary self-efficacy, perceived short-term treatment effectiveness was a significant predictor of dietary self-care. Age was found to be a negative predictor of short-term treatment effectiveness beliefs. Diabetes distress was best predicted by self-efficacy and perceived consequences. It can be concluded that to target effectively dietary self-care and distress, clinicians should focus on key illness representation variables (perceived short-term treatment effectiveness and perceived consequences) in conjunction with self-efficacy.     

Skin conductance as an indicator of anticipated concealed knowledge

The present study investigated the effects of anticipation on skin conductance while participants were answering a set of questions which included one of concealed knowledge. Two experiments were conducted. In Exp. 1, 26 participants completed one experimental session. Each participant was asked to choose one two-digit number from 10 to 99 and was presented 19 other randomly generated two-digit numbers. The list of numbers was then presented to the participant on a computer screen, with a 60-sec. interval occurring every two questions. The participant-selected number was defined as the target question which was randomly placed within the 4th to 17th item of 20 questions stated as follows: "Is your selected number?" The participant was asked to answer "No" to all questions. The skin-conductance response to each question was measured. In Exp. 2, the experimental procedure was the same as that in Exp. 1 except each participant first answered 10 nontarget questions, then answered a target question with the participant's selected number, and then answered another 10 nontarget questions. There were a total of 21 questions. Analysis indicated participants in both experiments generated the highest mean skin conductance while answering the target questions, followed by lower amplitudes to questions prior to and after the target question. The skin-conductance response pattern can be used to identify the psychological process of anticipation of concealed information.     

A review of outcome studies of rational-emotive therapy from 1982–1989

In 1977, DiGiuseppe and Miller provided a review of the literature assessing the effectiveness of Rational-Emotive Therapy (RET). In 1984, McGovern and Silverman completed a similar review for outcome studies conducted from 1977 through mid-1981. This present study is meant as a continuation of those reviews. The 89 studies reviewed are divided into three sections: outcome studies that do not compare Rational-Emotive Therapy with other types of treatment; a review of outcome studies that do compare RET with other types of psychotherapy; and a review of Rational-Emotive outcome studies that either combine RET with other therapies or are not appropriate for the first two sections. There does appear to be some increased sophistication in the research conducted since 1982. Increases were noted in the number of control groups used in the current research as well as in the number of follow-up studies. There also appears to be an improvement in the comparison of RET with other forms of therapy, and the number of problem areas in which RET has been tested has increased. A decrease in post-test only studies and an increased variety of subjects have also improved the current research. Issues such as socioeconomic status and I.Q. of subjects, duration of treatment, and lack of longitudinal studies remain unaddressed. It is suggested that future researchers concentrate on these specific problems to improve the credibility of RET. This review coincides with the previous findings that RET is a valuable, effective therapy that warrants increased research to broaden its application.Manuel S. Silverman, Ph.D., is a Professor of Counseling Psychology at Loyola University Chicago.Margaret M. McCarthy, M.A., is a recent graduate of Loyola University Chicago.Terrance McGovern, Ph.D., is in Private Practice in Downers Grove, Illinois.     

Factors contributing to the utilization of mental health services in a rural setting

The purpose of this study was to examine if age, attitudes toward help-seeking, education, and sex were related to previous or intended future mental health utilization in a rural population. Data were collected via a mail survey from 438 adults. Regression analyses suggested that positive attitudes toward help-seeking, being female, and being younger were significantly related to both previous and intended future mental health service utilization. In addition, prior mental health use was significantly related to whether one would seek out mental health services in the future, Implications for mental health practitioners in rural settings are addressed, and limitations of the study discussed.     

Relationships Between Sex-Role Attitudes, Division of Household Tasks, and Marital Adjustment

Relationships between sex-role attitudes, household tasks, and marital adjustment were explored. Eighty-five married couples completed the Osmond-Martin Sex Role Attitude Scale (Osmond & Martin, 1975), the Krausz Household Task scale (Krausz, 1986) and the Dyadic Adjustment Scale (Spanier, 1976). Modern husbands reported greater marital adjustment than traditional husbands. Traditional spouses reported more traditionally male household tasks being completed by husbands and traditionally female tasks being completed by wives. Spouses reported greater marital adjustment when husbands completed male tasks. Sex-role attitudes and household tasks related independently to marital adjustment. The results support assessing husbands and wives separately. Clinicians are advised to assess couples' sex-role attitudes while maintaining neutral attitudes themselves. Several clinical techniques are offered.     

Use of carbon monoxide breath validation in assessing exposure to cigarette smoke in a worksite population

Assessed the usefulness of carbon monoxide (CO) breath validation of self-reported smoking status in a large worksite population (N = 4,647). CO assessment was performed as part of a baseline survey procedure. CO levels differed substantially in relation to self-reported smoking status and amount smoked. Correcting for ambient exposure (estimated by mean CO levels among never smokers) produced more satisfactory results than uncorrected CO levels. Striking company differences were observed in mean CO exposures among self-reported never smokers. An unexpected finding was that 17.1% of current smokers reported smoking less than daily. Although the CO measure was excellent in detecting moderate and heavy smokers, it was inadequate in detecting occasional and light smokers. If detection of occasional or lighter smoking is critical to the purposes of the study, the more expensive (but more accurate) cotinine measure is preferred.