Premorbid adjustment and affective expression in schizophrenia.

Randomly selected 2 samples composed of 25 process and 25 reactive schizophrenics. There were no significant differences among the groups either in mean age or education. Mmpi deviation scores were obtained for each s by subtracting s's mean clinical scale score from each of the 9 mmpi clinical scales. Reactive ss had significantly (p     

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)     

Premorbid adjustment and paranoid-nonparanoid status in schizophrenia: A further investigation.

Investigated the interrelations between premorbid social competence, role orientation as expressed in symptomatology, and paranoid-nonparanoid status in 295 Veterans Administration (VA) hospital and 300 state hospital male schizophrenic patients. Among state hospital paranoid schizophrenics, paranoids had higher premorbid social competence scores (Phillips-Zigler Social Competence Index) than nonparanoids. For VA hospital schizophrenics, paranoid-nonparanoid status was unrelated to premorbid social competence. State hospital patients had lower premorbid competence scores and a higher incidence of nonparanoid diagnosis than VA hospital patients. The prevalence of a number of symptoms also differed between the 2 hospitals. The role orientation symptom pictures differed both for hospitals and for paranoid and nonparanoid status. The relationships between role orientation, paranoid-nonparanoid status, and premorbid social competence are discussed within a developmental framework. (23 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Premorbid functioning and outcome in schizophrenia: A cumulative analysis.

Reexamines the relationship between premorbid social functioning (PSF) and outcome in schizophrenia and, in the process, explicates a method of cumulative analysis of published data. Averaging correlations across studies provides an estimate of the strength of relationship between 2 variables with greatly reduced sampling error. Correcting the variance of correlations across studies produces a confidence interval for the extent of variation in population correlations, if any. Correlations were obtained from studies that vary with regard to context, follow-up length, and measures used. However, little or no variation in correlations was found once the effect of sampling error was removed. Both component and composite measures of PSF and outcome are examined. Relationships among PSF and outcome variables are considered, as well as relationships between these groups of variables. The cumulative method greatly clarified the available data. Premorbid competence and outcome are very strongly related. (58 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Anxious children in adulthood: a prospective study of adjustment

OBJECTIVE: To prospectively examine psychosocial functioning in young adulthood for children and adolescents with anxiety disorders. METHOD: This 8-year prospective study compared psychosocial functioning in young adults (mean age 22 years) who had histories of early-onset anxiety disorders, comorbid anxiety and depressive disorders, or no history of psychiatric illness (NPI). Follow-up interviews assessed subjects' residential, educational, occupational, and marital status; utilization of mental health services; and psychological status RESULTS: Anxious subjects without histories of depression were less likely than NPI controls to be living independently. Anxious-depressed subjects were less likely than controls to be working or in school; more likely than purely anxious subjects to utilize mental health services; and more likely than both anxious and control subjects to report psychological problems, most frequently depression. CONCLUSIONS: Overall, results suggest that children with anxiety disorders are relatively well adjusted in young adulthood. However, a history of comorbid depression is prognostic of a more negative outcome.     

Perspective taking as a predictor of marital adjustment.

Recently, theorists have argued that positive personality dispositions may facilitate the maintenance of satisfying personal relationships. On a sample of 159 couples (married an average of 23.8 years) it was hypothesized that perspective taking, defined as the cognitive tendency to put oneself in another person's place, would be positively predictive of marital adjustment. Three dimensions of perspective taking were measured. A general measure assessed self perspective taking in general social interaction. A second instrument assessed the perspective taking of the self, and the third assessed the perspective taking of another within the marriage relationship. Results indicated that for both husbands and wives, all 3 dimensions of perspective taking were predictive of marital adjustment. Wives had significantly higher scores than did husbands on all 3 perspective-taking scales. The results are discussed within the context of a model of relational competence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Premorbid social competence in schizophrenia.

Investigated the interrelations between premorbid social competence, role orientation as expressed in symptomatology, and paranoid-nonparanoid status in 37 male schizophrenics. Ss with relatively high premorbid social competence displayed a symptom picture characterized by turning against the self. Paranoid-nonparanoid status was found to be related neither to premorbid social competence nor to role orientation. The similarities and discrepancies between the findings of this and earlier studies are discussed. (16 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Symptoms at index admission as predictor for 1-5 year outcome in schizophrenia

A total of 107 drug-free schizophrenic patients (76 males and 31 females) were consecutively admitted to an emergency ward and rated for psychotic symptoms by means of 32 items from the Comprehensive Psychopathological Rating Scale (CPRS). They were followed prospectively with ratings of social functioning by use of Strauss-Carpenter's outcome scale at 1, 3 and 5 years after index admission with the aim of determining possible early symptoms that are predictors of social outcome. In total, 59 of the patients were first admissions and had never been treated. At index admission, no difference was found in total CPRS scores between first-admission patients and chronic readmitted patients, or between male and female subjects. When subscales for positive symptoms (flights of ideas, feeling controlled, disrupted thoughts, auditory hallucinations, ideas of persecution) and negative symptoms (indecision, withdrawal, reduced speech, lack of appropriate emotions, slowness of movements) from the CPRS were applied, no relationship between the two subscales and outcome scores was found. However, in patients with a duration of the disorder of less than 24 months before index admission, high scores on both negative and positive subscales were significantly correlated with a poor 5-year outcome. No correlation was found in the group with a duration of illness of more than 24 months before index admission. It is concluded that symptoms at index admission have a predictive value for outcome in schizophrenic patients. Negative symptoms measured by use of a subscale of the CPRS have a predictive value for outcome up to 5 years after index admission, but high scores on both positive and negative symptoms are more strongly associated with a poor outcome. The duration of the symptoms before admission, as well as the kind of neuroleptic treatment given (clozapine vs. classical neuroleptics), seem to be important factors for prediction of outcome. Our data support the view that early negative symptoms in particular have a predictive value for the prognosis in schizophrenia for up to 5 years.     

Cognitive shifting as a predictor of progress in social understanding in high-functioning adolescents with autism: a prospective study

The pyrolytic behavior of inulin, a (2-->1)-linked fructofuranan, is described. Parallel investigations of the pyrolysis of glucose and of fructose were conducted to supplement the inulin results and to aid comparison with previous results from glucans. Effects of neutral and basic additives are emphasized. As with glucans, the addition of such additives (especially basic) increases the yields of the one-, two-, and three-carbon products (as well as of hexosaccharinolactones), while generally decreasing the yields of anhydro sugar and furan derivatives. The former products include glycolaldehyde, acetol, dihydroxy-acetone, acetic acid, formic acid, and lactic acid. Mechanistic speculations are made regarding the origins of these compounds, as well as of furan derivatives and saccharinic acid lactones. Parallels with alkaline degradation are considered.     

Major depressive disorder: a prospective study of residual subthreshold depressive symptoms as predictor of rapid relapse

BACKGROUND: The study tested whether level of recovery from major depressive episodes (MDEs) predicts duration of recovery in unipolar major depressive disorder (MDD) patients. METHODS: MDD patients seeking treatment at five academic centers were followed naturalistically for 10 years or longer. Patients were divided on the basis of intake MDE recovery into residual depressive symptoms (SSD; N=82) and asymptomatic (N=155) recovery groups. They were compared on time to first episode relapse/recurrence, antidepressant medication, and comorbid mental disorders. Recovery level was also compared to prior history of recurrent MDEs ( > 4 lifetime episodes) as a predictor of relapse/recurrence. RESULTS: Residual SSD compared to asymptomatic recovery patients relapsed to their next MDE > 3 times faster (median=68 vs. 23 weeks) and to any depressive episode > 5 times faster (median=33 vs. 184 weeks). Residual SSD recovery status was significantly associated with early episode relapse (OR=3.65) and was stronger than history of recurrent MDEs (OR=1.64). Rapid relapse in the SSD group could not be attributed to higher comorbidity or lower antidepressant treatment. LIMITATIONS: Although inter-rater agreement on weekly depressive symptom ratings was very high (ICC > 0.88), some error may exist in assigning recovery levels. Antidepressant treatments were recorded, but were not controlled. CONCLUSIONS: MDE recovery is a powerful predictor of time to episode relapse/recurrence. Residual SSD recovery is associated with very rapid episode relapse which supports the idea that SSD is an active state of illness. Asymptomatic recovery is associated with prolonged delay in episode recurrence. These findings of this present study have important implications for the goals of treatment of MDD and for defining true MDE recovery.     

Cognitive match as a predictor of psychotherapy outcome.

63 cognitively matched or unmatched patient–therapist pairs were followed in a double-blind methodology utilizing the Interpersonal Discrimination Test (IDT) as a measure of cognitive match between each pair. Premature termination occurred for 60% of the unmatched pairs and for 24% of the matched pairs. The Global Assessment Scale indicated a significantly faster rate of improvement for the remaining matched pairs at the 12-wk mark. Unmatched pairs eventually reached similar endpoints with final termination outcome measures being unable to distinguish between the 2 groups. Findings demonstrate the ability of the cognitive-match methodology, and specifically the ability of the IDT, to predict higher rates of early and dissatisfied terminations when patients and therapists are unmatched in cognitive structure. Findings confirm an earlier finding by J. E. Carr (1970) of greater improvement after 12 wks of treatment for matched vs mismatched patient–therapist pairs. (11 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Premorbid competence in schizophrenia: What is being measured?

Examined whether the premorbid social competence scale of E. Zigler and L. Phillips (1960) assesses one or several dimensions in patient groups differing in regard to gender and type of hospital. Three groups of schizophrenics were studied: 295 VA hospital males, 300 state hospital males, and 300 state hospital females. For all groups, the competence scores reflected 3 orthogonal factors, but the factorial structure differed as a function of gender and type of hospital. One factor in all groups was defined by the usual socioeconomic variables of education and occupation. Each of the 5 scale indices made an independent contribution to the variance of the overall competence score, but the education index had a smaller role than the other 4 measures. Females had higher competence scores than state hospital males, a difference that was not due to the marital status variable alone. Possible explanations for this finding are discussed, and suggestions are made for refinement and further development of the scale. (62 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological Screening Inventory as a predictor of college student adjustment.

Scores on the Psychological Screening Inventory (PSI) collected from 1,815 college freshmen during orientation were used to predict need for counseling and type of presenting problem. The study also attempted to extend the use of the PSI by assessing its relationship to certain counseling process-outcome variables and students' social adjustment on campus. Results show the PSI was effective in discriminating seekers of counseling, presenting-problem category, and some process-outcome variables. Moderate success was obtained in discriminating behavioral ratings of favorable and unfavorable social adjustment, the Expression scale proving useful for this purpose. Frequent sex differences were observed for PSI predictiveness of both counseling-related variables and social adjustment ratings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Obesity as a prospective predictor of depression in adolescent females.

Objective: Both obesity and depression are prominent during adolescence, and it is possible that obesity is a trigger for adolescent depression. The purpose of this paper is to evaluate whether overweight or obese status contributes to the development of depression in adolescent girls. Design: Participants were 496 adolescent girls who completed interview based measures of depression and had their height and weight measured at four yearly assessments. Repeated measures logistic regressions with generalized estimating equations were used to evaluate whether overweight or obese status were associated with major depression or an increase in depressive symptoms the following year. Main Outcome Measures: Major depression and depressive symptoms were evaluating using a modified version of the K-SADS interview. Overweight and obese status was determined by using standardized protocols to measure height and weight. Results: Results showed that obese status, not overweight status, was associated with future depressive symptoms, but not major depression. This study demonstrated that obesity is a risk factor for depressive symptoms, but not for clinical depression. Conclusions: As depressive symptoms are considered along the spectrum of depression with clinical depression at the high end, these results suggest that weight status could be considered a factor along the pathway of development of depression in some adolescent females. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parental functioning and children's adjustment in families of divorce: a prospective study

This paper prospectively examined relations between marital status, predivorce parenting practices, and children's adjustment, using data from the New York Longitudinal Study (NYLS). Prospective analyses of children's predivorce adjustment indicated that neither boys nor girls showed more problematic behavior prior to parental separation, and only boys had more difficulties after divorce. However, parents of to-be-divorced families reported more difficulties in childcare practices before divorce than did parents of always-married families. Parenting difficulties in to-be-divorced families were found consistently for boys but not for girls. Results suggest that the difficulties found among boys after divorce may be linked with parenting problems that begin before divorce.     

Adolescent personality as a prospective predictor of parenting: An interactionist perspective.

This study examined personality during adolescence as a predictor of later parenting of toddler-aged offspring. On the basis of empirical research on the timing of parenthood and the interactionist model (Conger & Donnellan, 2007), we examined age at parenthood and family socioeconomic status (SES) as mediators of the relation between personality and parenting. Participants were 228 emerging adults from an ongoing longitudinal study of the transition to adulthood. Later entry into parenthood and higher SES accounted for the association between personality characteristics and lower levels of harsh parenting and higher levels of positive parenting. Consistent with the interactionist model, both personality characteristics and SES-linked variables were related to interpersonal processes in families. The findings suggest that promoting adaptive personality traits during childhood and adolescence may help delay early entry into parenthood, promote higher SES, and, indirectly, foster more positive parenting of young children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)