Personality and the predisposition to engage in risky or problem behaviors during adolescence.

Longitudinal data from a representative sample of 1,978 Black and White adolescents were used to examine the role of personality in multiple risk or problem behaviors. Results indicate that covariation among diverse behaviors (educational underachievement, delinquent behavior, substance use, sexual behavior) can be adequately modeled by a single higher order factor, and that impulsivity and avoidance coping serve as generalized risk factors for involvement in these behaviors. Whereas none of the personality variables examined explained change in problem behaviors once established, avoidance coping prospectively predicted involvement among a subgroup of adolescents with little or no prior involvement. Results suggest that dysfunctional styles of regulating emotions and emotionally driven behaviors are core features of risky or problem behaviors during adolescence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family process and adaptation to children with mental retardation: Disruption and resilience in family problem-solving interactions.

Family problem-solving interactions were examined in families (N?=?165) of school-aged children with mild or moderate mental retardation (MR) and a comparison sample (N?=?52). The results demonstrated a disruptive impact of children with MR in the form of more directiveness by mothers and fathers, less supportive problem solving by single mothers, and less active problem solving by the target children in the MR group. Nevertheless, the absence of high rates of aversive behaviors in the MR group and the similarities in siblings' behaviors across the groups suggested that the MR families were also resilient in the face of special demands. Role differences among mothers, fathers, and siblings also were highly consistent in the two groups. Evidence of difficulties for single mothers and problem behaviors by other children in the family suggested that mental retardation is one of many challenges that families learn to cope with successfully. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Directionality of change in youth anxiety treatment involving parents: An initial examination.

This randomized clinical trial compared cognitive behavioral therapy (CBT) with minimal parent involvement to CBT with active parent involvement in a sample of 119 youths (7–16 years old; 33.6% Caucasian, 61.3% Latino) with anxiety disorders. The dynamics of change between youth anxiety and parent variables (positive–negative behaviors toward the child, conflict in the parent–youth relationship, and parental anxiety) in both treatment conditions over pretreatment, posttreatment, and 12-month follow-up were also examined. Results indicated that youth anxiety was significantly reduced with both treatments and that the dynamics of change may not solely flow from parent to youth but also from youth to parent. Findings highlight the need for research on directionality and mechanisms of change to move from evidence-based treatments toward evidence-based explanations of treatment outcome. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The communication of social stereotypes: The effects of group discussion and information distribution on stereotypic appraisals.

Stereotypes are fundamentally social constructs, formulated and modified through discussion and interaction with others. The present studies examined the impact of group discussion on stereotypes. In both studies, groups of participants discussed their impressions about a hypothetical target group after having read behaviors performed by target group members. These behaviors included both stereotypic and counterstereotypic examples, and the distribution of these behaviors varied across discussion group members. In some groups only 1 member knew of the counterstereotypic behaviors; in other groups this information was distributed across all group members. In general, discussion led to a polarization of the target group stereotypes, but this effect was lessened when the counterstereotypic behaviors were concentrated in 1 group member. In this case, these counterstereotypic behaviors were discussed more and retained better. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Children's social behaviors as predictors of academic achievement: A longitudinal analysis.

This study was an investigation of the relationships among 139 third- and fourth-grade elementary students' social skills, problem behaviors, academic competence, and academic achievement. The primary research question addressed the relationship between social behaviors and academic achievement. All data were collected and examined at 2 time points in the school year, which allowed for a replication of the relationships among the variables and an investigation of the predictive relationships over time. The results from this study indicated that (1) social skills are positively predictive of concurrent academic achievement and (2) problem behaviors are negatively predictive of concurrent academic achievement. Only social skills were a significant predictor of future academic functioning. The linkage between problem behaviors and future academic performance may vary as a function of ethnic or cultural membership status. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Coping With Distress by Eating or Drinking: Role of Trait Urgency and Expectancies.

The authors propose that trait urgency (the tendency to act rashly when distressed) is a risk factor for both alcohol abuse and bulimic symptoms, that disorder-specific expectancies influence whether one engages in one behavior or the other, and that expectancies moderate urgency's influence on those behaviors. Cross-sectional findings were consistent with the model. Problems from alcohol use were comorbid with binge eating and purging. Trait urgency was associated with both behaviors. Alcohol expectancies were associated with drinking levels and with problem drinking, but not with eating. Eating expectancies were associated with binge eating, but not with alcohol use or problems. Urgency's effect on binge eating was moderated by expectancies, but its effect on alcohol use and problem drinking was not. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Nonverbal behaviors of "good" and "poor" counselors.

Determined whether skills involved in decoding of nonverbal behaviors are related to the clinical skills of the beginning counselor. Two groups of master's level counselor-trainees (N?=?24) served as Ss. One group was judged by the practicum supervisor as "good" (top 20%) and the other was judged as "poor" (bottom 20%) in interviewing skills. Each counselor conducted a 21-min videotaped interview with a client. The counselor's nonverbal behaviors were rated by the client (using the Behavior Rating Form) and were analyzed by 2 training judges on 4 dimensions of nonverbal behaviors. Decoding skills, as measured by a film test (the Profile of Nonverbal Sensitivity), were compared between good and poor groups. Also, client- and judge-rated counselor nonverbal behaviors were compared with decoding skills. Results show no significant difference between good and poor counselors in nonverbal decoding abilities. Counselor nonverbal behaviors, as rated by judges, showed no significant correlations with decoding skills; however, client ratings were inversely related to nonverbal decoding skills. (7 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Conduct problem behaviors in a stratified random sample of children and adolescents: New standardization data on the Eyberg Child Behavior Inventory.

Presents new standardization data on the Eyberg Child Behavior Inventory (ECBI), a parent-completed measure of conduct-problem behaviors. The ECBI was mailed to the parents of a stratified random sample of 3,600 students in Grades 1 to 12. A total of 1,003 completed ECBIs were returned (28%). Results indicated that the ECBI provides a homogenous measure of conduct-problem behaviors. Child (gender, ethnicity) and rater characteristics (gender, education, income) had minimum influence on the rating scale (accounting for less than 3% of the variance). The child or adolescent's age had a stronger impact, accounting for 8% of variance, with conduct-problem behaviors decreasing with age. The ECBI was also shown to discriminate children currently in treatment for learning disability or behavioral problems from children with no treatment history. Finally, using previously published screening criteria, the results indicated that in a sample of 810 children with no treatment history 7.9% scored in the clinical range. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A validity study of functionally-based behavioral consultation with students with emotional/behavioral disabilities.

Eighteen students (K-11th grade) with emotional/behavioral disorders who were at-risk for change of placement to more restrictive settings participated. Construct validity of functional behavioral assessment (FBA) was assessed with a multifunction-multimethod matrix that showed excellent convergent and divergent agreement with combined FBA methods and functional analysis results. Treatment validity was assessed with random assignment to either a FBA with consultation condition (FBC) or to a behavioral consultation without FBA condition (BC). Growth curve analysis showed a significant decrease in inappropriate behavior from baseline to treatment for both treatment groups compared to a control group. The efficiency of teachers' implementation effected treatment validity. Effect sizes showed that regardless of treatment condition that interventions with good fidelity realized the largest effect (d = -1.14). Social and habilitative validity was assessed with telephone interviews conducted a year after treatment. Sixty-five percent attributed the students' problem behaviors to their thoughts or feelings, whereas only 25% attributed it to classroom variables. Many (57%) indicated the most helpful intervention would be individual counseling, whereas only 14% indicated a more involved classroom management plan would be useful. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cross-lagged links among gambling, substance use, and delinquency from midadolescence to young adulthood: Additive and moderating effects of common risk factors.

The authors examined cross-lagged links among gambling, substance use, theft, and violence from midadolescence to young adulthood and whether behavioral disinhibition, deviant peers, and parental supervision as common risk factors explain or moderate those links. In 2 community samples, male Caucasians were assessed for gambling participation and problems with the South Oaks Gambling Screen—Revised for Adolescents (K. C. Winters, R. Stinchfield, & J. Fulkerson, 1993) at age 16 years and the South Oaks Gambling Screen (H. R. Lesieur & S. B. Blume, 1987) at age 23. Other problem behaviors were also assessed both times. Risk factors were measured at age 16. Adolescent substance use was related to subsequent theft and violence but not gambling. Gambling problems were linked to subsequent gambling participation. For adolescents with deviant peers, gambling problems were linked to subsequent theft; this was not the case for adolescents without deviant peers. Only for individuals high on disinhibition did stability of gambling problems resemble moderate stabilities of other problem behaviors. Each risk factor was related to each problem behavior (exception: parenting unrelated to gambling). These risk factors partly explained the cross-lagged links among behaviors and thus may be useful targets of prevention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prevalence, course, and predictors of multiple problem behaviors among gay and bisexual male adolescents.

Multiple problem behaviors, stress, and personal resources were assessed over 2 yrs among 136 mainly Black and Hispanic gay and bisexual male adolescents (aged 14–19 yrs). Whereas sexual risk acts, substance abuse, conduct problems, and emotional distress were common, the risk acts did not form a multiple problem behavior cluster, compared with previous findings with heterosexual youths. Problem behaviors were stable over time: Only 20–30% of the youths changed their pattern of problem behaviors over 2 yrs. For each individual, the pattern of change in one behavior problem was not related to patterns of change in other problem behaviors over 2 yrs. At baseline, personal resources were associated with less alcohol use and emotional distress, and stress was associated with delinquent behaviors. The pattern of results was similar whether youths labeled themselves as gay or bisexual, suggesting that problem behaviors among mainly Black and Hispanic gay and bisexual youths may follow different developmental pathways than among heterosexual youths. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mediators, Moderators, and Predictors of 1-Year Outcomes Among Children Treated for Early-Onset Conduct Problems: A Latent Growth Curve Analysis.

Several child conduct problem interventions have been classified as either efficacious or well established. Nevertheless, much remains to be learned about predictors of treatment response and mechanisms of behavioral change. In this study, the authors combine data from 6 randomized clinical trials and 514 children, ages 3.0-8.5 years, to evaluate moderators, mediators, and predictors of outcome. Among other findings, latent growth curve models of mother-report and observational measures of child externalizing behaviors suggested that marital adjustment, maternal depression, paternal substance abuse, and child comorbid anxiety/depression each moderated treatment response. Moreover, critical, harsh, and ineffective parenting both predicted and mediated outcome, with the most favorable responses observed when parents scored relatively low on each construct at intake yet improved during treatment. Implications for treatment nonresponders are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital conflict, maternal and paternal parenting, and child adjustment: A test of mediation and moderation.

Parenting was examined as a mediator of associations between marital and child adjustment, and parent gender was examined as a moderator of associations among marital, parental, and child functioning in 226 families with a school-age child (146 boys). Parenting fully mediated associations between marital conflict and child internalizing and externalizing behaviors. Parent gender did not moderate associations when data from the full sample or families with girls only were evaluated. Parent gender did moderate associations when families with boys were evaluated, with the association between marital conflict and parenting stronger for fathers than mothers. A trend suggested fathers' parenting may be more strongly related to internalizing behavior and mothers' parenting may be more strongly related to externalizing behavior in boys. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evidence-based psychological treatments for disruptive behaviors in individuals with dementia.

In this article, the authors review the literature regarding evidence-based psychological treatments (EBTs) for behavioral disturbances in older adults with dementia, as proposed by the American Psychological Association's Committee on Science and Practice of the Society for Clinical Psychology. Fifty-seven randomized clinical trials were reviewed for inclusion on the basis of titles or abstract information. Forty-three were excluded either because they did not meet EBT methodological criteria or because they involved environmental or psychoeducational nursing interventions in which the psychological component could not be separately evaluated. Fourteen studies were considered for inclusion as EBTs; of these, 8 showed significant differences between treatment and control groups. Results of this review indicate that behavioral problem-solving therapies that identify and modify antecedents and consequences of problem behaviors and increase pleasant events and individualized interventions based on progressively lowered stress threshold models that include problem solving and environmental modification meet EBT criteria. Additional randomized clinical trials are needed to evaluate the generalizability and efficacy of these and other promising psychological interventions in a variety of settings with individuals who have a range of cognitive, functional, and physical strengths and limitations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reasons for clinical research: Characteristics of contributors and their contributions to the Journal of Consulting and Clinical Psychology.

A representative sample of contributors (333) to the Journal of Consulting and Clinical Psychology was asked to report on their motivations for conducting studies that had been published in that journal. Results indicate that the primary motivation of these clinical researchers was to build on prior theory and research through the gathering and analysis of new data to answer socially significant applied-clinical questions. More immediate pragmatic considerations (e.g., tenure, funding, degree or job requirements, and availability of Ss) were reported to be of secondary, but nevertheless significant, importance. Most respondents described the training model in which they had received their doctoral education or oriented toward an integrated scientist-practitioner approach rather than one that focused primarily on research, therapy, or assessment training. It was also found that these clinical researchers rarely conducted investigations in the context of community service or consultation interventions or in order to replicate past research. Results are discussed in light of current controversies in clinical psychology concerning the optimal model for training and the relevance of clinical research. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The causal effects of emotion on couples' cognition and behavior.

The authors conducted 2 translational studies that assessed the causal effects of emotion on maladaptive cognitions and behaviors in couples. Specifically, the authors examined whether negative emotions increased and positive emotions decreased partner attributions and demand-withdraw behaviors. Study 1 (N=164) used video clips to assess the effects of emotion on individuals' attributions. Study 2 (N=47 couples) was a therapy analogue study intended to assess whether emotion generated from couples' conversations would influence subsequent attributions and behaviors. Results indicate that participants in the negative emotion conditions tended to attribute more blame to their partners and were more likely to engage in demand-withdraw patterns and other negative behaviors than were those in the positive emotion conditions. Implications for research and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital interaction in alcoholic and nonalcoholic couples: Alcoholic subtype variations and wives' alcoholism status.

The authors examined problem-solving marital interactions of alcoholic and nonalcoholic couples (N = 132). Four alcoholic groups (husband alcoholic with antisocial personality disorder or not, paired with alcoholic or nonalcoholic wives) were compared with each other and with a both-spouses-nonalcoholic group. Consistent with the alcoholic subtypes hypothesis, couples with an antisocial alcoholic husband had higher levels of hostile behavior regardless of wives' alcoholism status. In contrast, rates of positive behaviors and the ratio of positive to negative behaviors were greatest among couples in which either both or neither of the spouses had alcoholic diagnoses and were lowest among alcoholic husbands with nonalcoholic wives. Discussion focuses on possible mechanisms linking antisocial alcoholism and discrepant alcoholic diagnoses to poorer marital outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A randomized, placebo-controlled dose-comparison trial of haloperidol for psychosis and disruptive behaviors in Alzheimer's disease

OBJECTIVE: The goal of this study was to compare the efficacy and side effects of two doses of haloperidol and placebo in the treatment of psychosis and disruptive behaviors in patients with Alzheimer's disease. METHOD: In a 6-week random-assignment, double-blind, placebo-controlled trial (phase A), haloperidol, 2-3 mg/day (standard dose), and haloperidol, 0.50-0.75 mg/day (low dose), were compared in 71 outpatients with Alzheimer's disease. For the subsequent 6-week double-blind crossover phase (phase B), patients taking standard- or low-dose haloperidol were switched to placebo, and patients taking placebo were randomly assigned to standard- or low-dose haloperidol. RESULTS: For the 60 patients who completed phase A, standard-dose haloperidol was efficacious and superior to both low-dose haloperidol and placebo for scores on the Brief Psychiatric Rating Scale psychosis factor and on psychomotor agitation. Response rates according to three sets of criteria were greater with the standard dose (55%-60%) than the low dose (25%-35%) and placebo (25%-30%). The advantage of standard dose over low dose was replicated in phase B. In phase A, extrapyramidal signs tended to be greater with the standard dose than in the other two conditions, primarily because of a subgroup (20%) who developed moderate to severe signs. Low-dose haloperidol did not differ from placebo on any measure of efficacy or side effects. CONCLUSIONS: The results indicated a favorable therapeutic profile for haloperidol in doses of 2-3 mg/day, although a subgroup developed moderate to severe extrapyramidal signs. A starting dose of 1 mg/day with gradual, upward dose titration is recommended. The narrow therapeutic window observed with haloperidol may also apply to other neuroleptics used in Alzheimer's disease patients with psychosis and disruptive behaviors.     

Ordinary physical punishment: Is it harmful? Comment on Gershoff (2002).

Comments on E. T. Gershoff's (2002) article (see record 2002-01514-001) which reviewed processes that might mediate and contexts that might moderate the associations between corporal punishment (CP) and child behaviors and provided an account of the methodological weaknesses of the research reviewed in her meta-analyses. In this examination of Gershoff, the authors argue that the biases and confounds in the meta-analyses further limit any causal inferences that can be drawn concerning the detrimental "effects" of CP on associated child behaviors. The authors suggest that undesirable child outcomes are associated with CP because the construct marks inept harsh parenting and conclude that although the harmful effects of physical abuse and other extreme punishments are clear, a blanket injunction against spanking is not justified by the evidence presented by Gershoff. (PsycINFO Database Record (c) 2010 APA, all rights reserved)