Assessment of short-term visual memory in child and adolescent psychiatric inpatients

This study provides normative data on 270 child and adolescent psychiatric inpatients using the Bender Recall technique as a measure of short-term visual memory. In addition, the authors present normative data on another immediate recall technique using the Coding section of the WISC-R. These findings are examined in light of age differences and IQ scores. Detailed instructions for administering the Coding Recall technique are presented.

Relation between differential emotions and depression in emotionally disturbed children and adolescents

Differential emotions theory (Izard, 1972) provides a conceptual framework for the role of emotions in affective disorders. The present study investigated the relation of emotions to depression in a sample of child and adolescent psychiatric inpatients (N = 145). Findings indicate that shyness, anger, enjoyment, and shame explained 51.4% of the variance in depression scores. Furthermore, profiles of emotions experienced by youths with a depressive disorder differed significantly from emotion profiles of nondepressed youths on the following emotions: enjoyment, surprise, sadness, anger, shame, shyness, guilt, and self-directed hostility. Differential emotions also correctly classified 80.0% of depressed and nondepressed subjects into their respective groups.

Brief Rorschach records with children and adolescents

In order to determine the frequency with which children and adolescents give brief Rorschach (R less than 14) records and to test the hypothesis that brief records represent a resistance to testing, the psychological evaluations of 439 admissions to an inpatient unit were reviewed. Of the records reviewed, 16.6% were found to contain less than 14 responses. When the complete test protocol of those subjects who provided brief records were compared with those of a matched group, it was found that the group with brief records failed to complete the other parts of the evaluation significantly more often than did those subjects who did not give brief records. There was no significant difference between the two groups on IQ scores or on self-report scores of depression, anxiety, and social desirability. Result are interpreted as supporting Exner's (1988) hypothesis that brief records represent a form of resistance to being tested.

Personality factors, family structure, and sex of drawn figure on the Draw-A-Person Test

One hundred seventy-four youthful psychiatric inpatients were given the Draw-A-Person Test (DAP) as part of an assessment battery. Sex of person drawn was compared to subject's sex, Achenbach aggression and delinquency scores, and scores on Children's Inventory of Anger and Nowicki-Strickland Locus of Control Scale. The sex of the person drawn was also compared to family composition, specifically whether or not the child came from an intact family with both a male and female parent or role model. Results support drawing of a same-sexed individual as normative, regardless of age or sex. Adolescent girls and young boys were the only groups that differed significantly from this norm. Personality measures and family composition were not significantly related to the tendency to draw same versus opposite sex.

Rorschach Egocentricity Index and self-concept in children and adolescents

In a sample of 65 child and adolescent psychiatric inpatients, the hypothesized relation between the Egocentricity Index from the Rorschach and standard self-report measures of self-concept was not supported. Although the sample as a group had a markedly low mean Egocentricity Index, self-reported self-concept was at a normative level. The validity of the Egocentricity Index and self-report measures of self-concept is discussed, and guidelines for their interpretation are presented.

Helping the child with cancer: what school personnel want to know

As more children with cancer survive, the importance of facilitating school reintegration as a part of maximizing the quality of life has become evident. Workshops have been presented to school personnel to acquaint them with the issues facing cancer patients and their families, but there are gaps in our knowledge of what school personnel really need or want to know. In this study, 18 teachers of children with cancer and 15 teachers with no prior contact with students with cancer completed a questionnaire designed to assess needs, beliefs, and priorities with regard to working with cancer patients in the classroom. Significant findings included: (a) a consensus that a certain core of information about medical/psychological issues would be useful, and presentation of such information by psychologists and medical personnel working with such families would be optimal; (b) teachers having cancer patients as students were less likely to see the adaptation of siblings as an important issue; (c) teachers associated working with a student with cancer with less stress and demands on their time than predictable from previous studies; and (d) cancer patients as a whole were rated as having fewer behavioral, emotional, and learning problems than randomly selected students without a major illness, suggesting a "halo effect" or contradiction of some literature. Preliminary findings are detailed and implications are discussed for those attempting to help teachers facilitate students' adjustment to school following diagnosis and treatment of cancer.

Assessment of depression in adolescents: objective and projective measures

This study is a multimethod assessment of depressive features in a sample of 60 adolescent inpatients. The purpose of the study was to examine the relationship between self-report measures of depression and Rorschach variables commonly associated with depression. Patients represented a variety of diagnostic categories in order to determine whether information gathered through assessment instruments was related to the Diagnostic and Statistical Manual of Mental Disorders (3rd ed. [DSM-III], American Psychiatric Association, 1980) diagnoses of depression. Findings indicated that this sample of adolescents was highly defensive and emotionally constricted. There were several significant relationships between self-report measures and Rorschach indicators of depression. However, in general, the Rorschach variables were not strongly related to depression. The self-report measures were more accurate than Rorschach variables in discriminating between depressed and nondepressed subjects.

The Bender-Gestalt as a method of personality assessment with adolescents

Normative data are presented for two Bender-Gestalt scoring systems with a sample of "normal" controls (n = 150), emotionally disturbed (n = 140), and mentally retarded/neurologically impaired (MR/NI) adolescents (n = 47), aged 12 to 17 years. The results failed to support the use of Hutt's (1985) Psychopathology Scale and Adolescent Configuration in differentiating the "normal" and emotionally disturbed groups, but did support their use in differentiating the MR/NI group from the other two. The Hutt scores also were found to be related inversely to age and IQ. By contrast, the Koppitz scores differentiated the three groups from each other and were not related significantly to IQ. The results supported limited use of Koppitz's (1975) Emotional Indicators as a "sign" approach to brief screening for emotional disturbance in adolescents.

Intelligence and emotional/behavioral factors as correlates of achievement in child psychiatric inpatients

This study investigated the extent to which IQ and emotional/behavioral factors were related to tested academic achievement in 56 child psychiatric inpatients. The first part of the study replicated and extended previous research; WISC—R IQs were highly correlated with tested achievement, Verbal IQs being more highly correlated with achievement than were Performance or Full Scale IQs. In the second part of the study which examined the relationship between the emotional/behavioral indices and achievement, only Trait Anxiety correlated significantly with achievement. However, after the relationship between Trait Anxiety and Verbal IQ was partialed out, the correlation between anxiety and achievement was no longer significant. These findings raise questions regarding the magnitude of the relationship between measures of emotional/behavioral status and tested academic achievement within a single sample of emotionally disturbed children and adolescents.

The Bender-Gestalt with adolescents: comparison of two scoring systems

The present study was designed to evaluate the relative efficacy of two different scoring systems (Koppitz, 1975; Lacks, 1984) for use in evaluating Bender-Gestalt performance by adolescents. Normative data are presented for the two scoring systems with a sample of "normal" controls (N = 150), emotionally disturbed (N = 140), and mentally retarded/neurologically impaired adolescents (N = 47), aged 12-17. Results suggested that age and psychopathology were not related to the quality of the Bender-Gestalt reproductions of these subjects. An inverse relationship was found between cognitive ability and visual motor skills. Data obtained from these samples of adolescents showed a high degree of consistency between the scoring systems, which suggests that either scoring procedure is suitable for evaluating the Bender-Gestalt performance of adolescents.

Locus of control and achievement in child psychiatric inpatients

The relationship between the Nowicki-Strickland Locus of Control Scale for Children (Nowicki & Strickland, 1973) and academic achievement was examined in a sample of 66 child psychiatric inpatients. Previous studies had suggested that this measure correlated with achievement in normal samples (Nowicki & Strickland, 1973) but not in populations of male juvenile offenders (Little & Kendall, 1978). The product-moment correlation between the Nowicki-Strickland Scale and the Peabody Individual Achievement Test was significant. However, when the effect of IQ was controlled for in a partial correlation, there was no significant correlation. Discussion focuses on the relationship between these results and other findings in the area of locus of control, intelligence, and achievement.

The relationship of anxiety to childhood depression

In order to investigate the relationship between anxiety and depression in emotionally disturbed children, 30 hospitalized inpatient children were individually administered the Children's Depression Inventory (CDI), the Children's Manifest Anxiety Scale-Revised (CMAS-R), and the State-Trait Anxiety Inventory for Children (STAIC). Results indicated a significant relationship between CDI scores, the CMAS-R and its factors, and the STAIC. Correlations between the various factors of anxiety and depression suggest a complex relationship between the two constructs. Stepwise regression analyses indicated further the complexity of this relationship. Results were discussed in terms of the possible differential role which the different anxiety factors play in depression.

Learned helplessness: effects of noncontingent reinforcement and response cost with emotionally disturbed children

In order to investigate the effectiveness of noncontingent reinforcement and response cost in inducing learned helplessness and to determine whether depressed Ss respond differently than nondepressed Ss, 28 emotionally disturbed children (20 boys, 8 girls) were tested in a modified learned helplessness paradigm. Children's Depression Inventory score and diagnosis were each used to distinguish "depressed" and "nondepressed" children. Half of the depressed group and half of the nondepressed group received noncontingent response cost, the other half of the two groups received noncontingent positive reinforcement. Results indicated that both noncontingent response cost and noncontingent reinforcement led to reduced persistence time relative to persistence under conditions of contingent reinforcement. There was only one significant difference between depressed and nondepressed Ss (differential persistence time over trials) and there were no significant interactions. Results were discussed in terms of Seligman's formulation of learned helplessness and the extension of this model to a clinical child population.

Reflection-impulsivity and short-term memory in emotionally disturbed children

In an investigation of the relationship between the reflection-impulsivity cognitive dimension and short-term memory in emotionally disturbed children, 42 Ss were administered the Matching Familiar Figures Test and the Visual-Aural Digit Span Test. Analysis of covariance indicated that on all memory tasks the reflective Ss were better than the impulsive subjects.

A multimethod approach to measuring anger in children

In order to investigate the relationship between self-reported anger, peer-report of anger, teacher ratings of anger, and the presence of anger management problems in emotionally disturbed children, 38 children in a psychiatric hospital served as subjects. Results indicated that there was a significant relationship between a child's self-report score obtained on the Children's Inventory of Anger and his or her behavior as perceived by peers and as presented at the time of admission to the hospital. Teacher ratings were related to peer reports but not to either self-report or the presenting problems that brought the child to the hospital. Results were discussed in terms of their implications for future research and the need to view anger from different perspectives.

Developmental differences in Bender-Gestalt recall of children with learning and behavior problems

To investigate the visual-memory ability of children referred for psychological evaluations of academic and/or behavior problems, 135 children were administered the Bender-Gestalt and then asked to reproduce as many designs from memory as they could. Analysis indicated that the number of designs recalled increased with age and Performance IQ but not Full Scale IQ. Results were discussed in terms of the importance of considering developmental level when evaluating children and the establishment of rough cut-off scores on recall of the Bender-Gestalt designs.

Reflection-impulsivity and WISC-R performance in behavior-problem children

Forty-three emotionally disturbed children, ranging in age from 8 years, 3 months, to 15 years, 6 months, were divided into two groups, impulsive and reflective, on the basis of their cognitive style as measured by the Matching Familiar Figures Test and administered the Wechsler Intellectual Scale for Children-Revised. Reflective children scored significantly higher than the impulsive children on Verbal IQ, Performance IQ, Full Scale IQ, and Kaufman's Perceptual Organization factor. The two groups did not differ significantly on the Freedom from Distractibility or Verbal Comprehension factors. Results were discussed in terms of their relationship to previous findings, with particular attention to factor analytic research with behavior problem children that did not find a Freedom from Distractibility factor and could account for the present findings.

Cognitive style in adults: task alternatives, task strategy, and time estimation

Increasing the number of task alternatives in a match-to-sample problem led to longer decision times in cognitively reflective but not in cognitively impulsive adults. Impulsives, as compared to reflectives, were found to verbalize less "thinking out loud" coded verbal behavior, to endorse less motivation for success and more motivation for speed, and to consistently underestimate time (i.e., periods of 10, 20, & 60 seconds). The present results suggest a latency-related response inhibition deficit in cognitively impulsive adults. The potential of a cognitive-behavioral treatment strategy is considered.

Impulsivity and persistence in adult inpatient "impulse" offenders

Related cognitive tempo, self-report measures, and ratings of behavior to task persistence and persistence in treatment in adult inpatient/drug/alcohol/sex ("impulse") offenders (N = 43). Matching Familiar Figures test latencies and self-control scale scores were related to task persistance, but only the behavior ratings produced significant relationships with persistence in treatment. Although cognitively impulsive Ss were less task persistent than reflectives, impulsive and reflective Ss did not differ on self-reported locus of control and self-control, on the behavioral ratings, or on persistence in treatment. Behavioral ratings were most efficient for making predictions about persistence in treatment.

Analyses of changes in verbal behavior following a cognitive-behavioral treatment for impulsivity

Analyses were conducted to examine further the results of a cognitive-behavioral treatment for impulsivity in emotionally disturbed children (Kendall & Finch, 1978). The verbal behaviors of treated impulsive children, impulsive controls, and reflective children, recorded during MFF performance at pretreatment, posttreatment, and follow-up, were examined. The results indicated nonsignificant effects for several specific codes; however, the impulsive children that had received treatment evidenced a significant increase in total on-task verbal behavior at posttreatment. Discussion includes a consideration of these findings in regard to the efficacy of the cognitive-behavioral treatment and the need for research on the assessment of cognitive variables in children.

Short form and factor-analytic studies of the WISC-R with behavior problem children

Two analyses of the WISC-R protocols of 100 children referred for behavioral problems in school were conducted to study (a) the utility of a variety of WISC short forms and (b) the factor structure of the WISC-R. Although the correlations between short form and WISC-R IQs were highly significant, mean differences and a high percentage of IQ classification changes indicated that the short forms were not acceptable WISC-R substitutes. Different factor analyses consistently evidenced two factors, Verbal Comprehension and Perceptual Organization, which corresponded perfectly to the Verbal and Performance.

Effects of task difficulty on state-trait anxiety in emotionally disturbed children

In order to investigate the effects of a difficult vs. easier task on state-trait anxiety in emotionally disturbed children (N = 30 boys and girls), older (mean age 12.81) and younger (mean age 9.89) groups were exposed to two lists of nonsense syllables, varying on meaningfulness (0% vs. 100%) with measures of A-State and A-Trait anxiety being obtained during a no-stress period and immediately after each list. The results indicated that the younger group did not show any difference in A-State following the two lists, while the older group showed significantly more A-State increase following the difficult list. Results were discussed in terms of previous research, and in terms of possible explanations for the differences between the reactions of the older and younger children.

Anxiety and mood states in delinquent adolescents

Studied the relationship between state-trait anxiety and mood states in deliquents by giving the State-Trait Anxiety Inventory for Children (STAIC) (Spielberger, 1973) and the Profile of Mood States (POMS) (McNair, Lorr, & Droppleman, 1971) to 41 behavior problem adolescents who were residents of a facility for youthful offenders. Results indicated that males and females did not differ significantly. The A-State portion of the STAIC was correlated significantly with the Vigor-Activity and Anger-Hostility portions of the POMS as well as the Total Mood Disturbance index. On the other hand, the A-Trait portion of the STAIC was correlated significantly with the Depression-Dejection, the Tension-Anxiety, and the Fatigue-Inertia portions of the POMS as well as the Total Mood Disturbance index. Findings were discussed in terms of their relationship to previous research and in terms of the differences in conception of affective states presented by Spielberger (1973) and McNair et al. (1971).