The purpose of this study was to document and assess the consequences of implementing employee involvement in a manufacturing setting. Using a quasi-experimental design, the study utilized information from various sources of data including archives, interview, and questionnaire data for a three to four year period. Time series comparisons were used. The results indicated that production increased initially, but then dropped back to original level. Quality of products increased and continued to improve gradually. The highest rate of improvement was observed in safety. An attempt was made to measure current level of commitment at the plant but was unsuccessful due to a low return rate of questionnaires. Overall, data collected partially support the hypotheses. Implications for further research and practice are discussed.

The distinction of positive and negative symptoms in schizophrenia was examined in relation to demographic, clinical and neuropsychological measures.

Research has consistently shown schizophrenics to perform significantly poorer than normal controls on commonly used measures of neuropsychological functioning. Research on the neuropsychological functioning of first-degree relatives of schizophrenics who do not themselves have schizophrenia is comparatively sparse but suggests the likelihood of deficits in this group as well. A battery of standard neuropsychological tests was administered to three groups: first-degree relatives of schizophrenics who do not themselves have schizophrenia (FDR-SCZ), first-degree relatives of persons with major depression and bipolar disorder (FDR-MOOD), and normal controls (NC). The FDRSCZ group was not found to demonstrate significantly impaired performance relative to the other two groups on any of the hypothesized or exploratory analyses. These implications of these findings are discussed with reference to previous studies and future research.

The treatment of schizophrenia today consists of a multi-component system of services. Mental health professionals generally agree that anti-psychotic medications are an essential treatment for schizophrenia. However, adherence to medication regimens by patients with schizophrenia is notoriously poor. To identify correlates and predictors of medication compliance, the Schedule for Affective Disorders and Schizophrenia (SADS), a semi-structured diagnostic interview, was administered to 90 outpatients with schizophrenia. The results suggest that there are specific variables (i.e., mood symptoms, psychotic symptoms, and socio-demographic variables) that predict medication compliance. In addition, the confirmation of these variables was effective (90.0%) at identifying non-compliant patients. The results suggest that schizophrenia is a complex disorder composed of heterogeneous symptoms. However, a specific group of symptoms is proposed which may provide a screening measure for predicting patients who are likely to be non-compliant with their medications.

The present study was conducted to clarify and expand knowledge of cognitive functioning in chronic schizophrenia patients (N=21) as compared to a bipolar group (N=20) and a normal group (N=20).

The phenomenon of seasonality of birth in schizophrenia is important in the study of the etiology of this mental disorder because it helps to give directions for further research. Patients' hospital files from 1981 to 1991 of two of the largest hospitals with psychiatric wards in Taiwan were reviewed, and dates of birth collected on 3346 patients diagnosed with schizophrenia. After adjusting for the variations of the total monthly births in the population, an Auto-Regressive Integrated Moving Average (ARIMA) model was applied. Results support a seasonality phenomenon and indicate a disproportional excess of births in schizophrenia in the cold months (Nov. to Feb.) compared to the hot months (May to Aug.). These findings are compatible with many other studies in other countries and climates. Further investigations of season-related environmental factors in the etiology of schizophrenia are recommended.

The clinical utility of the Intermediate Category Test, a measure of executive functioning in children 9 to 14 years of age, is currently limited by the availability of only a Total Error score for normative interpretation. The Process Scoring System (PSS) was developed to provide a standardized method of assessing specific processing patterns and problem-solving errors. The purpose of this study was to determine the ability of the PSS scores to discriminate between children with and without suspected executive deficits, thereby providing evidence of criterion-related validity.

The purpose of the present study was to compare the number of perseverations on fused (no delay) versus unfused (0.5 msec delay) CV-DL tasks with measures on a battery of executive functions across three groups: Schizophrenics (SCZ), Manic-Depressives (MD), and normal controls (NC).

The current study discussed the development and validation of the Checklist for Differential Diagnosis of Attentional Problems (CDDAP), a tool for use with adults seeking diagnosis and treatment of an Attention Deficit Hyperactivity Disorder. Normative data are provided on three subject groups (ADHD adults, controls, and adults with other psychiatric disorders). Convergent validity was established with the SCL-90, and criterion validity established through comparing scaled scores with final diagnoses. Overall, this measure was accurate at differentiating adults with ADHD from controls and adults with other psychiatric disorders. Results indicated that the CDDAP was also able to identify other psychiatric disorders with 71 to 92% accuracy, depending on the disorder.

A study was conducted in which a computerized battery of information processing tasks (called the COGLAB) was administered to three subject groups: patients with schizophrenia, patients with bipolar disorder, and normal controls. The tasks included Mueller-Lyer illusion, reaction time, size estimation, Wisconsin Card Sort, backward masking. and Asarnow Continuous Performance.

Depression is an independent risk factor for morbidity and mortality in patients with coronary artery disease (CAD). Altered autonomic nervous system (ANS) activity, a common feature of depression, is also a risk factor for cardiac events in patients with CAD. Heart rate variability (HRV) reflects ANS activity, and reduced HRV predicts morbidity in cardiac populations. The purpose of this study was to determine whether differences in HRV exist between depressed and nondepressed patients with CAD. Twenty-one depressed inpatients, with angiographically documented CAD were retrospectively matched to 21 nondepressed CAD patients by sex, age, and smoking status. Demographic, medical, psychological interview data, and 24-hour ECG recordings were obtained. Depressed subjects had significantly lower HRV, or trends toward lower HRV, than nondepressed subjects, even after controlling for severity of CAD. Subject groups did not differ on left ventricular ejection fraction, history of myocardial infarction, or any other relevant medical variable assessed. These results suggest that depression is associated with decreased HRV in patients with CAD, and may help to explain the increased rates of cardiac events observed in CAD patients with depression.

Reitan and Wolfson's General Neuropsychological Deficit Scale and Left and Right Neuropsychological Deficit Scales were applied to Halstead-Reitan test data of individuals with psychotic or substance abuse disorders with and without a head injury.

Two continuous performance tests were administered to normal adult subjects. The mode of presentation (visual or auditory) and the type of task (vigilance or distractibility) were varied, and their effects on performance measured. Data were collected on eighty-two subjects, and results indicated that auditory presentation of stimuli increased the difficulty of both tasks. Results also suggest that the distractibility task administered in either mode was more difficult than the vigilance task. Intercorrelations among the four continuous performance tasks are provided. Normative data are presented on all four tasks administered. A measure of symptoms of attention-deficit disorder in adults, the Adult Behavior Checklist, was found to correlate significantly with another measure of pathology, the SCL-90-R.

The present study set out to investigate the biopsychosocial model of illness using variables previously identified as directly impacting illness or as mediating the relationship between other variables and illness. Oral contraceptive use, stress, and negative affect were investigated as predictors of immunological competence, measured by the level of Immunoglobulin G antibodies to Epstein-Barr Virus Viral Capsid Antigen (EBV-VCA IgG).

The capacity of Raven's Standard Progressive Matrices (SPM) and the Booklet Category Test (BCT) to discriminate between groups of brain-injured, simulated malingering, and normal participants was investigated in this study. Exploratory analyses were also conducted to examine the differences between groups categorized as sophisticated and naive fakers. Clinical decision rules and discriminant function analyses were utilized to identify malingerers. Clinical decision rules ranged in hit rates from 41% to 78%, in sensitivity from 2% to 100%, and in specificity from 86% to 100%. Discriminant functions ranged in hit rates from 81% to 86%, in sensitivity from 68% to 73% and in specificity from 82% to 87%. Overall, the least helpful detection method examined was below chance responding on either measure, while the most efficient was gross errors for SPM.

Recent literature suggests that not only does Attention-deficit Hyperactivity Disorder (ADHD/ADD) persist into adulthood, but it can also be accompanied by personality characteristics which cause emotional difficulties. In fact, adults diagnosed with ADHD can present with a profusion of difficulties. Several constructs appear to accumulate dynamically throughout development to place the adult with ADHD at risk for multiple emotional problems. These interwoven influences include familial characteristics, childhood emotional and academic difficulties, and inadequate coping skills to respond to adulthood pressures. This document, first, describes a developmental model for conceptualizing negative trajectories leading to nonadaptive coping and psychopathology and identifies personality factors of adults diagnosed with ADHD. This model provides clinicians and researchers with a better understanding of the complexity and challenges of adulthood ADHD in order to aid in diagnosis, treatment, and prevention. The purpose of this study is to examine personality factors common to adults diagnosed with ADHD and compares these characteristics with a group of adults diagnosed with a depressive disorder. Adults responding to a community advertisement who provided documentation of the diagnosis of Attention-deficit Hyperactivity Disorder were administered the MMPI-2. This ADHD group was compared with MMPI-2 profiles of a group of adults diagnosed with Major Depressive …

The present study was designed to look at inhibition of return within a schizophrenic population for the first time. Inhibition of return is an attentional phenomenon that has been studied with a number of populations, and has been shown to be present in normal individuals. Based on the disattention hypothesis put forth by Cromwell and colleagues (e.g., Cromwell & Dokecki, 1968), it was hypothesized that patients with schizophrenia would show an impaired inhibition of return. Twenty-eight inpatients with schizophrenia, and 19 normal comparisons were evaluated on a visual inhibition of return task. Consistent with hypotheses, schizophrenia patients have significant impairments in inhibition of return compared to normal comparison participants. Further, the relative lack of inhibition of return in the schizophrenic group was found to be strongest to stimuli in the left visual field. These results provide initial support for a reconceptualization of the disattention hypothesis.

The potential for human exposure to pesticides exists particularly for agricultural workers (i.e. migrant workers) and individuals within close proximity to pesticide-sprayed crops (i.e. those living on or near agricultural farms). Children, through biology and behavior, may be more susceptible and vulnerable to exposure to pesticides than adults. The purpose of this study was to examine young populations particularly at-risk for occupational or accidental exposure to pesticides and determine associated behavioral, emotional, and physical symptoms. A total of 444 students from two South Texas school districts completed questionnaires assessing level of risk of exposure to pesticides and were categorized into at-risk and low risk categories. Physical, emotional, and behavioral symptoms were obtained using the Youth Self-Report. Children who were at-risk demonstrated significantly higher scores on the Youth Self-Report (YSR) in the areas of anxious/depressed, attention problems, social problems, somatic complaints, thought problems, withdrawal, internalizing behaviors, and total problem behaviors than children who were at lower risk of pesticide exposure. Odds ratios were obtained and suggested that children in the at-risk category were more five times more likely to score in the clinically significant range on the Attention Problems subscale, and three times more likely to score in the clinically significant …

A stress management intervention was developed and integrated into the services provided by one of the nation's largest outplacement consultants. The purpose of the intervention was to aid outplacement clients in the management and resolution of stress associated with job loss and career transition. Based on the results of this study, the intervention had the effect of helping treatment participants maintain their levels of effective coping when compared to nonparticipants. This study supports the hypothesis that stress management training can be helpful for unemployed individuals and may impact their emotional well-being as they go through the job search process.

The Schedule for Affective Disorders and Schizophrenia-Change Version (SADS-C), the Social Adjustment Scale-Patient Version II (SAS-PATII) and the Command Hallucination Questionnaire (CAQ) were administered to 86 psychotic inpatients to investigate the relationship between command hallucinations, aggressive behavior, and compliance. Two SADS-C items ("severity of hallucinations" and "depersonalization") were useful as indicators of command hallucinations. Ninety-two percent had complied with their command at least once in the past month. Three SADS-C variables related to compliance with command hallucinations were identified: middle insomnia, the belief that the voice was acting in your best interest, and overt irritability. The patients' level of distortion of reality did not appear to influence compliance rates. Results also indicated that patients who experience command hallucinations were not significantly more or less dangerous than other psychotic inpatients.

Thirty-two silicone breast implant patients scored in the mild to moderate range of impairment on the Halstead-Reitan Neuropsychological Battery. An unusual number of patients had positive tests for antinuclear antibody on immunological testing and a high incidence of EEG abnormalities were found. Personality testing revealed an MMPI profile which is typical for neuropsychologically impaired subjects but components were consistent with extreme emotional distress. None of the subjects were near the cutoff score for malingering or faking bad on the F-K index of the MMPI. There was no apparent relationship between length of exposure and the severity of neurological impairment. Also, explanted subjects performance was not improved when compared to subjects whose implants were still in place.

The purpose of the study was to determine the point prevalence of cognitive dysfunction in patients with systemic lupus erythematosus (SLE) and to investigate its association with corticosteroids and depression. The severity of dysfunction and the pattern of cognitive changes were examined. This study hypothesized that cognitive dysfunction is common in SLE and many previous studies have underestimated its prevalence, partially due to using limited neuropsychological batteries and insensitive test instruments. It was further hypothesized that the pattern of cognitive changes in SLE patients will resemble that observed in subcortical dementias.

The purpose of the present archival study was to investigate the relationship between parental substance abuse and the risk for maladjustment and psychopathology in children in a clinic sample. Children of alcoholic parents and children of drug-dependent parents were compared to children of non-substance abusing parents. The subjects were 83 boys age 6 to 12. Children of substance abuse parents had lower levels of adaptive functioning and higher levels of school behavioral problems. Although previous studies have reported a strong association between an adverse family environment and the risk of child maladjustment, the present study did not find that the addition of an adverse family environment increased the risk for maladjustment or school behavioral problems in children of substance abusers.

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 …