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.

Thirty-three children from a community sample, ages 5 to 13, were administered the Rorschach Inkblot Test, along with projective Draw-an-Animal and Draw-a-Person tasks and other psychological measures. Subjects were randomly assigned to one of three test order conditions: Draw-an-Animal followed by the Rorschach, Draw-a-Person followed by the Rorschach, and Rorschach before any other projective test. The number of Human and Animal contents in the test records was examined. Analysis showed no significant differences among the three groups for production of the content variables, suggesting that the Rorschach Inkblot Test is relatively robust with respect to test order effects.

The TAT protocols of 30 sexually abused female children and 30 female children with no documented history of abuse were analyzed using the Scoring Scheme for the TAT and Other Verbal Projective Techniques (Fine, 1955). No significant differences were found between groups on mean number of negative feelings portraited in the TAT stories. Similarly, no significant differences were found between groups on mean number of unfavorable outcomes to TAT stories. However, when specific feelings were considered, subjects in the sexual abuse group showed a significantly higher incidence of reference to guilt and sexuality. These results were independent of age, race, and intelligence.

The purpose of this study was to examine the effect of an intervention program for Alzheimer's patients on coping efficacy of their family caregivers. Using a pre-post repeated measures design, 16 family caregivers were interviewed before and after a medical, nursing, and social service intervention. Self-report measures, adjusted for caregiver satisfaction and caregiver mastery, were used to determine if there was a change in: resources, burden, and coping efficacy with caregiver specific and general life events. Results showed a marginal effect [F = 2.6, df(4,10), p<.10] for the omnibus MANCOVA. Most of this change was due to an increase in resources. Covariates of caregiver satisfaction and mastery were correlated with average burden. Results suggest that interventions such as this will be helpful for family caregivers of Alzheimer's patients.

Antisocial Personality Disorder (APD) represents a controversial diagnoses which has gone through many revisions over the past 25 years and is scheduled to be revised again for the DSM IV. A comprehensive survey was composed of APD criteria from the DSM II, DSM III, DSM III-R, PCL-R, Psychopathic Personality Disorder, and Dyssocial Personality Disorder. The survey was completed by 321 forensic psychiatrists based on which criteria they believed to be the most prototypical of antisocial personality. The results identified four factors: irresponsibility, unstable self image, and unstable relationships; manipulation and lack of guilt; aggressive behavior; and nonviolent juvenile delinquency. A diagnostic set composed of the most prototypical criteria was proposed for the DSM IV diagnosis of APD.

The purpose of this study was to examine the relationship between life stressors, resources, and psychological symptomatology of 20 family caregivers of Alzheimer's patients. Stressors were categorized as stressors specific to the caregiving role and general life stressors. Resources were also categorized as resources specific to the caregiving role and general life resources. Multiple regression determined which stressors, resources, and demographic variables predicted psychological symptomatology. Specific stressors that were significant predictors included: caregiving events, caregiving event chronicity, and mean burden scores. Significant general stressors included: size of caregivers' household, non-caregiving events and non-caregiving event chronicity. Significant resources included: other caregivers, the duties other caregivers provided, and caregiver's educational level. No Other Demographic Variables were found to be significant predictors.

The present study investigated the criterion-based validity of the Mini-Mental State Examination (MMSE), the Cognitive Capacity Screening Examination (CCSE), and the Neurobehavioral Cognitive Status Examination (NCSE) in a sample of older adults with suspected cognitive impairment. As cognitive screening tests, the MMSE, CCSE, and NCSE should predict performance relative to a more thorough testing procedure. In the present study, performance on the Halstead-Reitan Neuropsychological Test Battery (HRNTB) was employed as the criterion measure. Scores on the General Neuropsychological Deficit Scale (G-NDS), a global performance measure computed from the HRNTB, served as the standard by which to judge the presence of cognitive impairment. The sensitivity, specificity, and predictive value of each screening test, as well as how well each screening test correlated with the G-NDS, were investigated. Results of this investigation found that, although the MMSE, CCSE, and NCSE were all significantly correlated with the G-NDS, only the NCSE demonstrated an appropriate balance between high sensitivity and specificity. When a rigorous neuropsychological evaluation was employed as the criterion standard, the NCSE accurately detected the presence of cognitive impairment: in 82% of the cases. The MMSE and CCSE, however, failed to detect cognitive deficits in approximately 80% of the cases. These findings …

An investigation was undertaken to examine two measures of personality and their utility with adolescent patient populations. The Rorschach, scored using Exner's (1991) Comprehensive System (2nd Ed.), and the Personality Inventory for Youth (PIY; Lachar & Gruber, in press) were explored as to their ability to distinguish inpatients from outpatients, males from females, and diagnostic groups from one another. COP, AG, CDI, DEPI, SCZI, and HVI scores on the Rorschach were utilized, as were the DIS, SOM, FAM, RLTY, WDL, and SSK scores from the PIY.

This study investigated the relationship between preferred coping strategies, and major stressors for nondepressed, and depressed chronic pain patients. The subjects for this study were 67 chronic pain patients who are participating in a pain/spinal rehabilitation program. The information collected from the individuals or their records included: (1) basic demographic information, (2) level of activity, (3) level of perceived pain, (4) medication usage, (5) therapist rating of level of stabilization, (6) scores on three inventories including the Coping Strategies Questionnaire, the Ways of Coping Checklist, and the Beck Depression Inventory. Analyses included an examination of the relationship between level of depression and (1) type of stressors, (2) coping strategies, and (3) level of perceived pain. Further analyses included multiple regression with outcome as defined by therapist ratings at the end of treatment, and patients' ratings at follow up as the criterion variables.

The purpose of this study was to explore the relationship of separation-individuation during late adolescence and obstacles to career decision making.

The purpose of this study was to examine the relationship between exercise duration and level of disordered eating, physical self-esteem, and endorsement of societal mores about attractiveness. Two hundred twenty-nine female college students completed the Bulimia-Test Revised, the Physical Self Perception Profile, the Beliefs About Attractiveness Questionnaire, and a demographic questionnaire. Subjects were classified into one of four levels of exercise duration based on the number of hours they reported engaging in planned exercise per week. Significant differences were identified among the four exercise groups in relation to physical self-esteem. The amount of exercise activity individuals engaged in per week, however, was not indicative of their eating disorder symptomatology or beliefs about attractiveness.

This study evaluated the impact of acculturative stress and negative autostereotypes on the level of self-esteem and achievement motivation among subgroups of Hispanic college students. Subjects were classified by generational level as Second-generation (i.e., foreign-born parents), or Other (i.e., first-generation, foreign-born individuals, and third-generation, foreign-born grandparents;). By country/region of origin, subjects were divided into Central-Americans, Puerto-Ricans, Mexican, Mexican-Americans, and South Americans. Results showed that acculturative stress may facilitate loss of self-esteem particularly in Second-generation individuals, while negative autostereotypic attitudes may actually increase the student's level of motivation for achievement, particularly in Mexican-American individuals. Also, country/region of origin overall influenced negative autostereotypic attitudes.