Perceptual categorizations of love and anger cues in schizophrenics.

The 1st study identified 4 filmed scenes indicative of high love, high anger, medium love, and medium anger. The 2nd study compared 30 good premorbid schizophrenics and 30 normals on the high love and high anger scenes. They were not differentiated on the high love scene. On the high anger scene, the normals reported significantly more anger than the good premorbids. The 3rd study evaluated 48 poor premorbid schizophrenics, 48 good premorbid schizophrenics, and 48 normals on 4 scenes of high love, high anger, medium love, and medium anger. The good premorbids and the normals were not different on the high love scene, but significantly different from the poor premorbids. On the high anger scene, good and poor premorbids were significantly different from normals. (18 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effect of praise and censure on the performance of schizophrenics.

Ss were 36 normals, 36 good, and 36 poor premorbid schizophrenics. Poor premorbids were shown to be primarily motivated to avoid censure and good premorbids to be relatively more sensitive to praise. It was demonstrated that when censure was used on a task with only 2 possible responses, poor premorbids performed better than good premorbids. The opposite relationship was demonstrated for the effects of praise, to which the good premorbids were more responsive. On a task with many responses, the praise or censure gave little information as to the correct response. On this task, censure was demonstrated to be relatively more disruptive to the poor premorbids than praise, but the opposite held for the good premorbids. Comparisons with neutral conditions and normal Ss were also made. (19 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationships among WAIS subtest scores, patient's premorbid history, and institutionalization.

Divided 40 schizophrenic patients equally among 4 groups on the basis of premorbid history and length of time hospitalized. The WAIS IQ for poor premorbids tended to be higher than for good premorbids, but good premorbids demonstrated significantly higher motor performance (WAIS Digit Symbol and Block Design). There appeared to be a relationship between lower verbal abstractive and decision-making abilities (WAIS Comprehension and Similarities) and length of institutionalization. Results are interpreted as suggesting that, for schizophrenics at least, performance on certain types of intelligence test tasks may be lower for patients who have undergone prolonged institutionalization. (19 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Performance of good and poor premorbid male schizophrenics as a function of paternal vs. maternal censure.

The hypothesis that interference in schizophrenic performance depends on an interaction between level of premorbid adjustment, paternal vs. maternal source of stimulation, and censuring vs. approval content was tested. 4 tape recordings were played for 80 good and 80 poor premorbid adjustment schizophrenics—father-son censure, father-son approval, mother-son censure, and mother-son approval. Performance was measured by a change from a pre- to post-Digit-Symbol test. The hypothesis was confirmed—good premorbids show interference with paternal censure and poor premorbids with maternal censure. A comparison group of 80 normals did not show this kind of interaction. (18 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Patterns of role dominance and conflict in parents of schizophrenic patients.

By making observations of husband-wife interaction in an experimental setting, ratings of dominance of one parent over the other and degree of conflict could be obtained directly rather than inferred. Such ratings could be compared to data regarding the status of their children. Schizophrenic children with good and poor premorbid adjustment were compared with a comparable group of children hospitalized for tuberculosis. Good premorbids and controls were found to be from paternal-dominated families whereas poor premorbids came from maternal-dominated families. Parents of schizophrenics displayed more conflicts than those of the controls. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A semantic differential analysis of parent-son relationships in schizophrenia.

Good and poor premorbid schizophrenics, as well as normal controls, rated words and photographs representing parental punishment, rejection, love, and affection with the semantic differential. The poor premorbid group rated the scolding and rejecting parents significantly more potent and active than did the normals. In contrast to normals, the poor premorbids tended not to discriminate between the scolding and rejecting parents and they also made the least distinction between positively and negatively toned parent-figures on the potency and activity factors. All groups made comparable ratings of the son in each scene. Although previous studies had reported systematic differences between good and poor premorbid schizophrenics in response to mother and father cues, the present investigation failed to find such differences. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Short-term visual memory in schizophrenics.

Hypothesized that the deficit of poor premorbid schizophrenics in backward masking is due to interference in short-term visual memory (STVM) because of the tendency to process a pattern mask as if it were a cognitive mask. The hypothesis was tested in a backward-masking picture-recognition paradigm, using data from 32 male psychiatric patients (aged 18–55 yrs) and 14 hospital personnel. The 12 good premorbid schizophrenics, 7 nonschizophrenic psychotics, and normal Ss all showed differential pattern- and cognitive-mask performance. The performances of 13 poor premorbids were equivalent on both mask types. Findings corroborate the hypothesis. It is suggested that integration of stimuli in poor premorbids' sensory storage was intact and that the disruption in processing caused by a pattern mask at 200–300 msec was due to an interference in STVM. It is concluded that the hypothesis of a deficit in perceptual organization best accounts for the apparent disruptions in poor premorbids' STVM. (70 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Commonality and stability of word association responses in good and poor premorbid schizophrenics.

The validity of the commonality of response construct and stability of associations over time were investigated in 18 good premorbid schizophrenics (GPS), 18 poor premorbids (PPS), and 18 tuberculosis control Ss (TB). The Kent-Rosanoff Word Association Test was administered on 2 occasions separated by 48 hrs. Results showed TB = GPS > PPS on both commonality of association and stability of responses. This finding suggests the inadequacy of the notion of a universal deficiency in schizophrenic associational processes. Differences were also found between the cultural response style (C) and the idiosyncratic response style (I) on stability, with TBI = GPSI > PPSI and TBC = GPSC > PPSC. Regardless of presence or absence of psychopathology, C was greater than I on the stability measure. (15 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Premorbid adjustment and paranoid-nonparanoid status in schizophrenia.

Using 98 schizophrenics, good premorbids were found to be evenly distributed regarding paranoid vs. nonparanoid symptomatology. Poor premorbids were predominantly nonparanoid and rarely paranoid. However, paranoids were predominantly good premorbids, whereas nonparanoids were distributed between good and poor premorbids. (15 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multiphasic measurement of child personality: Construction of content scales using the Personality Inventory for Children.

The application of objective test methodology to child personality is seen as having potential for improvement of similar problems in child care or treatment settings such as mental health centers, hospitals, and schools. Intuitive and statistical (internal consistency) procedures were combined to construct 10 scales for measuring child personality: Somatic Concern, poor Family Relations, Asocial Behavior, Aggression, poor Intellectual-Physical Development, Withdrawal, Anxiety, Reality Distortion, Excitement, and poor Social Skills. 4 independently collected samples were used in the construction of the content scales. These samples were designated as clinic (n = 73), psychotic (n = 60), normative (n = 2,386), and general abnormal (n = 198). A 5th sample, normal contrast, was drawn from the normative sample (n = 600). Ss were 5-16 yrs old. The scales were judged to be internally consistent, potentially applicable to clinical decision making, and to require empirical validation. (18 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Addressing the barriers to mental health services for inner city children and their caretakers

This paper will outline a series of three research studies meant to identify factors related to child mental health service usage and barriers to help seeking for urban minority children and their caretakers. In addition, this paper will describe the systematic development and evaluation of a telephone intervention strategy aimed towards increasing overall attendance at initial intake appointments at an urban child serving agency. The first study explores differences in demographic variables, for two groups of children (n = 450), those that came to an initial intake interview and those that requested child mental health services, but failed to come to any scheduled appointments. The second study evaluates a telephone engagement intervention meant to increase initial attendance (n = 54). Finally, the third study, more rigorously evaluates the impact of an intensive telephone intervention on initial attendance rates by randomly assigning families to the more focused telephone intervention or a "business as usual" telephone screening (n = 108).     

"Commonality and stability of word association responses in good and poor premorbid schizophrenics": Erratum.

Reports an error in the original article by Paul R. Dokecki, Lewis G. Polidoro, and Rue L. Cromwell (Journal of Abnormal Psychology, 1965, 70, 312-316). On page 315, there are statistical inaccuracies in the section entitled Stability Scores (SS). In the simple randomized design analysis of variance the F and t values should have been larger. Specifically, F = 4.10 (df = 2/51, p PPS (t = 2.47, df = 51, p PPS (t = 2.47, df = 51, p I on stability (F = 9.51, df = 1/48, p 1965-16191-001.) The validity of the commonality of response construct and stability of associations over time were investigated in 18 good premorbid schizophrenics (GPS), 18 poor premorbids (PPS), and 18 tuberculosis control Ss (TB). The Kent-Rosanoff Word Association Test was administered on 2 occasions separated by 48 hrs. Results showed TB = GPS > PPS on both commonality of association and stability of responses. This finding suggests the inadequacy of the notion of a universal deficiency in schizophrenic associational processes. Differences were also found between the cultural response style (C) and the idiosyncratic response style (I) on stability, with TBI = GPSI > PPSI and TBC = GPSC > PPSC. Regardless of presence or absence of psychopathology, C was greater than I on the stability measure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceptual span in schizophrenia.

Administered a forced-choice letter recognition task to assess the span of apprehension of 30 schizophrenics (good premorbid paranoids, good premorbid nonparanoids, and poor premorbid nonparanoids) and 20 controls (hospitalized nonschizophrenics and penitentiary inmates). When the task required only that 1 target letter be detected, there were no significant differences between groups. When the target was presented in conjunction with varying numbers of irrelevant "noise" letters, however, the span of schizophrenics was significantly less than that of either control group. The span of schizophrenics reached an upper limit at a small display size (4 letters) and showed no further increase. The constructs of premorbid adjustment and paranoid status bore no relationship to the deficit. Measures of the trial-to-trial variability in number of elements processed and consistency of scanning path did not differentiate schizophrenics and controls. The number of irrelevant noise letters surrounding a target was found to have no influence on detection in either group. (23 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rehabilitation of the handicapped child--what about the caregiver?

The mental health of caregivers of handicapped children (n = 68) and of caregivers of children with minor ailments (n = 40) was assessed using the General Health Questionnaire (GHQ). In the comparative study, the caregivers of handicapped children had a significantly higher mean score (6.8), which was above the threshold score of 4. This suggests that the task of caring for disabled children may have a stressful impact on the caregivers which may contribute to psychiatric morbidity. There is a need periodically to assess the mental health of the caregiver, even as the rehabilitation of the handicapped child progresses. Addressing the psychological disturbances in the caregiver should form part of the treatment of the handicapped child.     

The impact of employment and serious illness on grandmothers who are raising their grandchildren

Increasing numbers of children are living in families consisting of grandparents and grandchildren. This paper presents findings of a study in which 123 caregiving grandmothers were interviewed. Fifty-eight percent of these grandmothers were "career caregivers," whose homes were always filled with a child or grandchild. Most of them were in good to excellent physical health and their mental health was at least as good as that of a national sample. Regression analyses found that having a life-threatening physical condition, being younger and white explained psychological anxiety; and having a life-threatening physical condition and not being employed explained psychophysiological mental health symptoms. These findings suggest that some grandmothers are at risk for mental health symptoms and raise questions about the implications of caregiving of grandchildren for women.     

Child temperament moderates the impact of parental separation on adolescent mental health: The trails study.

The potential effect of parental separation during early adolescence on adolescent externalizing and internalizing problems was investigated in a longitudinal sample of adolescents (n = 1274; mean age = 16.27; 52.3% girls). Pre-separation mental health problems were controlled for. Building on a large number of studies that overall showed a small effect of parental separation, it was argued that separation may only or especially have an effect under certain conditions. It was examined whether child temperament (effortful control and fearfulness) moderates the impact of parental separation on specific mental health domains. Hypotheses were derived from a goal-framing theory, with a focus on goals related to satisfying the need for autonomy and the need to belong. Controlling for the overlap between the outcome domains, we found that parental separation led to an increase in externalizing problems but not internalizing problems when interactions with child temperament were ignored. Moreover, child temperament moderated the impact of parental separation, in that it was only related to increased externalizing problems for children low on effortful control, whereas it was only related to increased internalizing problems for children high on fearfulness. The results indicate that person-environment interactions are important for understanding the development of mental health problems and that these interactions can be domain-specific. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Teacher key opinion leaders and mental health consultation in low-income urban schools.

Diffusion theory posits that information is disseminated throughout a social network by the persuasion of key opinion leaders (KOLs). This study examined the relative and combined influence of peer-identified KOL teachers (n = 12) and mental health providers (n = 21) on classroom teachers' (n = 61) self-reported use of commonly recommended classroom practices for children with attention-deficit/hyperactivity disorder in 6 low-income urban African American communities, relative to teachers (n = 54) at 4 matched schools who received mental health provider consultation only. Mixed-effects regression models showed that KOLs in collaboration with mental health providers promoted higher rates of teachers' self-reported use of recommended strategies than mental health providers alone, and that these effects were mediated by KOL support but not by mental health provider support. The results suggest an expanded role for KOL teachers as indigenous and natural supports for the dissemination and implementation of school-based mental health programs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acquired and symbolic affective value as determinants of size estimation in schizophrenic and normal subjects.

"The present experiment investigated the size estimations… of pictures imbued with two kinds of affective meaning by schizophrenics with good premorbid adjustments… with poor premorbid adjustments, and normals. Positive and negative affective meanings were built into two pictures by means of a prior task involving differential reinforcement. In addition, size estimates were made of pictures depicting a mother scolding a boy and feeding a boy. The good premorbid schizophrenics… significantly overestimated the sizes of both the pictures associated with 'wrong' and the Scolding picture… . The results are interpreted in terms of a high degree of anxiety or affective responsivity in the Goods and the predominance of avoidance and withdrawal mechanisms in the Poor." 19 refs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recognizing the reversible nature of child-feeding decisions: breastfeeding, weaning, and relactation patterns in a shanty town community of Lima, Peru

Researchers have normally considered weaning to be a non-reversible event. To determine the validity of this assumption, we interviewed 36 mothers of toddlers who were living in a poor shanty town of Lima, Peru. Data from 32 women were complete and used in this analysis. Mothers described their beliefs, practices, and decisions about breastfeeding, weaning, and relactation (the reintroduction of breastfeeding after weaning). We recorded attempted weaning events if the mother reported (1) purposefully not breastfeeding with the intention to wean, or (2) carrying out an action that was believed to cause the child to stop breastfeeding. Using a constant comparative approach, references to child-feeding decisions were coded, categorized, and analyzed. All mothers breastfed for at least 12 months; the median duration of breastfeeding was 25 months. There were several different patterns of child-feeding. Thirteen women never attempted to wean their children or had weaned on the first attempt. The majority (n = 19) of women, however, attempted to wean their children - some as early as 3 months of age but relactated between less than 1 day and 3 months later. Factors that influenced feeding decisions were primarily related to maternal and child health, and maternal time commitments. Children were weaned when there was a perceived problem of maternal health or time commitments and child health was not at risk of deterioration. Mothers postponed weaning because of poor child health. The primary reason for relactation was a child's negative reaction to weaning (e.g., incessant crying or refusal to eat). Personalities of the mother and child were important determinants of feeding decisions. These results demonstrate that maternal and child factors jointly influence child-feeding decisions and that these decisions are easily reversed. As relactation is culturally acceptable, health practitioners should consider recommending relactation when children have been prematurely weaned and human milk would improve their nutritional and health status.     

Effects of parenting education with expectant and new parents: A meta-analysis.

The present meta-analysis integrates the effects of randomized controlled trials that focus on promoting effective parenting in the transition to parenthood. We included 142 papers on interventions which started during pregnancy or in the first 6 months after birth. Computations were based on random-effects models. On average, interventions had small to very small significant effects on parenting (d = .35 SD units), parental stress (d = .20), child abuse (d = .13), health-promoting behavior of parents (d=.15), cognitive development (d = .24), social development (d = .30), motor development of the child (d = .15), child mental health (d = .40), parental mental health (d = .31), and couple adjustment (d = .13). Most of the effects were maintained at follow-up. Effects varied by onset of the intervention, delivery mode, qualification of the intervener, length of intervention, intervention goals, and gender distribution. In addition, we found that older studies reported greater effect sizes. We conclude that parenting-focused interventions are effective and should be made accessible to more expectant and new parents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)