A test of the fail-safe N for self-help programs.

A meta-analysis of published studies on the clinical efficacy of selected self-help programs (F. Scogin et al; see record 1990-15222-001) indicated that such conditions were more effective than no-treatment controls. Calculation of a fail-safe N showed that 53 nonsignificant studies would have to exist to render the conclusions of the meta-analysis invalid. Results indicate that unpublished research is unlikely to threaten the validity of the original meta-analysis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Group cognitive therapy and alprazolam in the treatment of depression in older adults.

This study was designed to explore the relative and combined effectiveness of alprazolam (Xanax) and group cognitive therapy among elderly adults experiencing major affective disorder. Fifty-six subjects with Diagnostic and Statistical Manual of Mental Disorders (DSM-III) diagnoses of major, unipolar depression were treated over a 20-week period in one of four groups: alprazolam support, placebo support, cognitive therapy plus placebo support, and cognitive therapy plus alprazolam support. The results revealed that individuals assigned to group cognitive therapy showed consistent improvement in subjective state and sleep efficiency relative to non-group-therapy subjects. No differences between alprazolam and placebo were noted, regardless of whether individuals received group cognitive therapy. Subjects assigned to group cognitive therapy were less likely than their counterparts to prematurely terminate treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction to the special section on evidence-based psychological treatments for older adults.

Psychology has a strong tradition as a science-based discipline. This tradition has also been strong in the subfields of geropsychology and clinical psychology. The convergence of these traditions leads to an expectation that mental health and aging practices will be theoretically sound and empirically tested. This Psychology and Aging Special Section on Evidence-Based Psychological Treatments for Older Adults presents findings which demonstrate that there are a number of evidence-based treatments that can contribute to exemplary care of older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Efficacy of self-administered treatment programs: Meta-analytic review.

Using meta-analysis, we examined the efficacy of self-administered treatments. Self-administered treatments were compared with no treatment and with therapist-administered treatments. Results indicated that self-administered treatments were reliably more effective than no treatment and that differences between self-administered and therapist-administered treatments were nonsignificant. Effect sizes for type of target problem (e.g., phobias, affective disturbances) were comparable. These results suggest that self-administered treatments in general are effective in comparison with no treatment. The limitations of this review are noted, including those that preclude the conclusion that self-administered treatments are as effective as therapist-administered programs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Efficacy of self-examination therapy in the treatment of generalized anxiety disorder.

To determine the efficacy of self-examination therapy in the treatment of generalized anxiety disorder, 38 adults volunteered for a study in which they were randomly assigned to self-examination therapy or to a delayed-treatment group. Analyses indicated that participants in self-examination therapy had significantly fewer symptoms of anxiety than did participants in the delayed-treatment group on the outcome measures of this study, which included ratings by trained clinicians and participants. The reduction in anxiety for people receiving self-examination therapy was maintained 3 months after treatment ended. The delayed-treatment group also showed significant improvement in anxiety symptoms after receiving self-examination therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy length of stay and outcome: A meta-analysis of the effect of therapist sex.

This meta-analysis combined results from 64 published and unpublished studies that sought to determine the effect of therapist sex on the outcome of psychotherapy. The articles were obtained using PsychLit and PsychInfo and spanned the years 1930–2000. Results show that therapist sex was found to be a poor predictor of outcome for both male and female clients. Level of therapist training, theoretical orientation of treatment, quality of study, age of clients, and number of treatment sessions did not moderate the minimal effect of therapist sex on the outcome of psychotherapy. The authors conclude that the sex of the therapist has little overall effect on the outcome of psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parameters in the prediction of police officer performance.

Examined the relationship between police officer's performance on psychological assessment instruments and on-the-job performance. 65 prospective police officers (mean age slightly over 27 yrs) who were eventually selected for work in either an inner-city police department, a major university police department, or a community college police department were evaluated initially using a battery of psychological tests (the MMPI, the Eysenck Personality Inventory, the FIRO-B, the Shipley-Institute of Living Scale for Measuring Intellectual Impairment, the SCL-90, and the Bender-Gestalt). Ss were seen for reevaluation every 2 yrs. Performance criteria were derived from a 22-item supervisor's rating scale, measures of technical ability, and 7 performance criteria. Information from personnel records was also obtained. Analysis showed that community-college-based Ss earned higher ratings for both interpersonal and technical ability, and differences as a function of personality patterns emerged that cut across departments. The 5 female Ss had lower supervisory ratings of interpersonal ability. Positive attributes were influenced by Ss' departmental assignment, with inner-city Ss seeking more schooling and receiving more commendations than Ss in the other groups. Ss' in-service behavior was associated with patterns and elevation of their MMPI profiles and interpersonal needs. Overall results show a high amount of association between psychological variables and criterion behaviors. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Screening older adults for depression in primary care settings.

Primary care is a logical environment for depression recognition in older adults. Most older adults are diagnosed and treated for depression by primary care providers. Recognition systems for depression in this setting are particularly needed because the prevalence of depression in older primary care patients may range from 7% to 36%, depending on the instrument and diagnostic criteria used. Implementing systematic detection systems in primary care settings has proven difficult. In one study, only one third of all physicians surveyed used any formal screening tool. Though a number of barriers to recognition of depression have been identified, the authors focus their discussion in this article on two, time and patient factors, and review two screening instruments, the Geriatric Depression Scale--Short Form and the Center for Epidemiologic Studies Depression Scale, that may be able to address these factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predoctoral training models in professional geropsychology.

Although small in number, current predoctoral programs in professional geropsychology offer models and training strategies that can guide future program development. Training opportunities exist within generalist programs as well as in geropsychology tracks within broader programs. This article explores the variety of ways by which predoctoral programs can facilitate development of foundational attitudes, knowledge, and skills that comprise the competencies in geropsychology. New programs can benefit from the guidance and ideas offered about how to accomplish professional geropsychology training within a variety of structures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Progressive and imaginal relaxation training for elderly persons with subjective anxiety.

Elders exposed to either progressive or imaginal relaxation procedures reported significant relaxation effects and showed improvement on measures of personal functioning. The results of the Physical Assessment Scale of the Relaxation Inventory indicated that relaxation responses were acquired within and across sessions. Large, consistent changes in relaxation occurred in all 4 sessions. The Symptom Checklist-90—Revised, which measures self-reported personal adjustment, showed significant positive changes following relaxation training and at 1-mo follow-up. Elders who imagined muscle tension release profited as much as those engaged in actual muscle tension-release activities. This finding is of importance for older adults who may experience physical limitations that contraindicate muscle-tension-release procedures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)