The objective of the present study was to evaluate the relationship between a set of cofactors and severity of cognitive impairment, to determine if there were any factors which significantly predicted more severe neurocognitive deficits in persons with AIDS. Twenty-four male volunteers recruited from community groups and physician referrals participated. Subjects completed several self-report questionnaires eliciting information regarding demographics and risk factor variables, in addition to a comprehensive battery of neuropsychological tests. A severity of cognitive impairment summary score was computed for each subject, reflecting both the number of impaired tests and their distance in the impaired direction from normative data. Neither CD4 count, number of months since diagnosis of AIDS, number of AIDS-related illnesses, number of recent stressors, history of head injury/LOC, history of substance use, current or past psychiatric disorder, history of learning disability nor history of other medical illness were found to be significantly related to severity of cognitive impairment in this sample, after controlling for the effects of age, level of education, estimated premorbid IQ and mood status. However, no reliable conclusions could be drawn from this study because the small sample size resulted in an unacceptably low level of statistical power for the desired regression …

Clinical depression is characterized by alterations in thoughts, judgment, cognition and social behavior. This study focuses on non-optimal views of self and significant others that are proposed to underlie many of these alterations. Perceptions of self and significant others were elicited using the Role Construct Repertory Grid (Kelly, 1955a). Participants included depressed outpatients with high levels of trait anxiety (n = 27), depressed outpatients with lower levels of trait anxiety (n = 29) and a control group of never-depressed volunteers (n = 28). Consistent with prediction, significant group differences were found for negative self perception, discrepancies between actual self and self goals, alienation from significant others, and inconsistencies in self image. Results provided partial support for the self discrepancy theory of emotionality (Higgins, 1987). Among depressed patients, higher levels of anxiety were associated with increased self negativity and greater discrepancies between actual self and self goals. Increased levels of depression were associated with more alienation from significant others and more consistency in self image. Depressed patients' judgments of self and others were altered from optimal ratios, as predicted by the theory of interpersonal judgment (LeFebvre, LeFebvre & Adams-Webber, 1986). Findings have theoretical and clinical importance for the understanding and treatment …

Parents of children with Attention Deficit Hyperactivity Disorder (ADHD) are often reported as experiencing more stress than parents of normal children. The bulk of this research has been conducted primarily on a Caucasian population, however, providing little information regarding multicultural aspects of parenting stress. Research has also been lacking in attention given to the stress related to parenting a child with internalizing disorders. The purpose of this study was 1) to compare parenting stress reported by mothers of children with ADHD to parenting stress reported by mothers of children with depressive disorders, and 2) to compare parenting stress as reported by Caucasian, African American, and Hispanic mothers. Results indicated that mothers of ADHD children experienced more parenting stress related only to their children's hyperactive and distracting behaviors. Contrary to previous research, Caucasian mothers reported significantly more overall and parent-related parenting stress than African American mothers.

Psychological assessment ofjuveniles being considered for waiver to adult criminal courts often requires systematic evaluation of dangerousness, maturity-sophistication, and amenability to treatment (ATX). Despite the importance of these constructs to the evaluation of juveniles, little is known about the criteria that constitute these three constructs. This study was designed to assist in clarifying the constructs of dangerousness, maturity-sophistication, and ATX that typically guide juvenile transfers. Generally, prototypicality ratings were aligned with the current literature on dangerousness, sophistication-maturity, and ATX.

Upper limb deficiencies in children may be the result of trauma, disease, or congenital problems. Although biomechanical losses are the primary problem associated with a limb deficiency, the loss of such an obvious body part has cosmetic and psychosocial implications as well. Fitting a child with a prosthesis typically is the treatment chosen by families. Presently, there are three types of prostheses available for pediatric amputees, including passive, cable-operated, and myoelectric arms, but the myoelectric appears to be the most popular choice of children and their families. However, there is growing concern among clinicians that, despite its advanced technological capabilities, the myoelectric prosthesis is chosen for aesthetic rather than functional reasons. It is difficult, then, to justify the expense of fitting a myoelectric prosthesis when a more inexpensive prosthesis, or none at all, would be a more appropriate prescription. The question of when to prescribe a myoelectric prosthesis for a pediatric patient remains one of the most controversial questions in the field of prosthetics today due to this cost/benefit issue. In this study, the researcher examined psychological factors that may influence whether or not a child will wear a prosthesis and how that prosthesis will be used. Thirty prosthetics patients …

The Minnesota Multiphasic Personality Inventory (MMPI) was one of the most widely used psychological tests administered to adolescents. The MMPI-A is a revised version of the MMPI that was developed specifically for adolescents. The purpose of this study is to establish clinical correlates for the MMPI-A standard scale codetypes.

Postoperative spinal patients were randomly assigned to one of three treatment conditions and were taught five adaptive movements by occupational therapists. The Control group received routine hospital occupational therapy; the Placebo group participated in an imagery relaxation task unrelated to the mental practice task of the Imagery group, which was shown line drawings of the adaptive movements under study, provided movement instructions, and asked to mentally practice each movement in a familiar, daily living situation. Thirty-five patients returned for follow-up, and a measure of outcome was obtained through the use of a quantified movement assessment instrument. Subjective ratings for anxiety, rumination, and imagery were made by the occupational therapists. An occupational motoric-symbolic rating scale was developed to assess the symbolic portion of the patient's job experience. Statistical procedures including chi square, analysis of variance, and Pearson correlation were performed. Results were in the predicted direction although statistical significance was not achieved. Possible explanations for the obtained results were discussed.

The purpose of the current study was to examine Dutton's (1992) model of moderating and mediating variables which may impact the relationship of violence from an intimate partner with the development of posttraumatic stress disorder (PTSD) symptoms. This model was tested within three ethnic groups (African American, n = 303, Euro-American, n = 271, and Mexican American, n = 260), of low income, community women in serious, long-term relationships. The importance of the differences and similarities observed are discussed within a framework of the PTSD as well as domestic violence literature.

The purpose of this study was to compare pre- and post-treatment differences in posttraumatic stress disorder (PTSD) symptoms in male adolescents with conduct disorder. The Children's PTSD Inventory and the PTSD Reaction Index were used to diagnose PTSD and determine trauma type (Type I single trauma or Type II recurring trauma). Pre- and post-treatment measures included the PTSD Reaction Index, the Children's Depression Inventory, the State-Trait Anxiety Inventory, the State-Trait Anger Expression Inventory, the Dissociative Experiences Scale, and the Youth Self-Report. The six-week, biweekly group treatment included education, exposure, and cognitive elements. Primary hypotheses that the abused group would statistically differ from the non-abused group in terms of pre- and post-treatment levels of avoidance, dissociation, anger/aggression, self-destructiveness, social problems, and overall levels of PTSD symptoms, were not confirmed. Overall, group therapy participants experienced statistically significant decreases in PTSD symptoms over the course of therapy. Results are discussed in light of clinical implications, recommended cautions given the lack of a robust control group, and directions for future research.

This investigation sought to identify anxiety responses to weight measurement, assessed by verbal report and cardiovascular reactivity CCR3 (systolic blood pressure, diastolic blood pressure, heart rate), which might differentiate females with either high or low self-reported bulimic behavior. Secondar i ly,, the study attempted to examine specific autonomic nervous system (ANS) arousal patterns of each group over time. The Bulimia Test (BULIT), Body Dissatisfaction Scale (BD), and a demographic questionnaire were administered to 105 undergraduate females at The University of North Texas. Based on BULIT scores, females were divided into high or low bulimic behavior groups. Of the 105 females screened, forty participated in the experiment which consisted of four phases: relaxation, anticipation of weight measurement, weight measurement, and recovery. Subjects had no prior knowledge of the weight stressor until presentation during the experiment. Results showed that subjects' notion of ideal weight was substantially lower than measured weight. During weight measurement, all subjects reported increased anxiety although the high group reported significantly more anxiety. Contrary to prediction, no significant group differences in CR were found when repeated measures multivariate analysis of variance (MANOVA) was performed. Orthogonal polynomial trend analysis was done with pooled groups, resulting in significant within-subject trends for …

Review of previous research on cultural differences in pain experience and/or pain behavior revealed that cultural affiliation affects pain perception and response. Unfortunately, the many inconsistent findings in the literature on cultural differences in pain experience and behavior have made interpretations and comparisons of results problematic. These inconsistent findings could be attributed to variations in acculturation level among cultural groups. The purpose of this study was to investigate cultural differences in pain experience (assessed by McGill Pain Questionnaire, the Box Scale, the Headache Pain Drawing, and the Headache Questionnaire) and pain behavior (measured by determining medication use and interference of daily functioning due to headaches) among Mexican (n = 43), Mexican American (n = 36), and Anglo American (n = 50) female chronic headache pain sufferers. The contribution of acculturation to differences in pain experience and behavior among cultural groups was measured by the Acculturation Rating Scale for Mexican Americans. The three cultural groups of women significantly differed on pain experience and pain behavior. Specifically, Mexican women experienced their headache pain more intensely, severely, and emotionally than Mexican American and Anglo American women. Furthermore, Mexican women were more willing to verbally express their pain than the other two groups. As …

Epidemiological studies show that China has a lower prevalence rate of major depression than that of Western countries. The disparity in prevalence is commonly attributed to the tendency of Chinese to somatize depression. Empirical evidence of Chinese somatization has yielded mixed results. The present study thus aimed to 1) examine differences in somatic and psychological symptom reporting between Chinese from Macau and Americans in America and 2) identify cultural and psychological variables that would predict somatization. Independent and interdependent self-construals, sociotropy, and emotional approach coping were hypothesized to predict somatization of depression. Participants included 353 Chinese and 491 American college students who completed self-report measures online. Contrary to prediction, results indicated that Americans endorsed a higher proportion of somatic symptoms than Chinese did. Sociotropy predicted both relative endorsement and severity of somatic symptoms for the American sample, whereas emotional expression coping was related to somatization in the Chinese sample. The findings challenge the common assumption of greater Chinese somatization and highlight the importance of context in understanding the relationships between somatization and cultural and psychological variables. Implications of the present study and future directions are discussed.