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Biomedical subjects

D M Dush

Publications and source records attributed to D M Dush.

7 recordsLinked to original sources

Coronary heart disease risk scales and reactivity in a prevention program assessment: failure to show positive relationships.

This study was designed to evaluate relationships among the Jenkins Activity Survey, the Cook-Medley Hostility Scale, and cardiovascular reactivity measured during a semistructured interview in a hospital setting. Subjects were 201 business persons participating in a cardiovascular risk assessment interview component of a fitness program. Correlation analysis showed little evidence of significant positive relationships between self-report scores and reactivity in the total sample and among subjects with high resting blood pressures. Graphic analysis of total sample bivariate distributions, however, demonstrated patterns suggestive of nonlinear relationships. Evaluation of scatterplots and residual plots in conjunction with nonlinear and weighted least squares regression analyses nonetheless failed to reveal significant nonlinear relationships. The authors discuss implications of these findings.

Adult

Self-statement modification in the treatment of child behavior disorders: a meta-analysis.

Reviews 48 outcome studies that applied self-statement modification (SSM) to childhood behavior disorders. Selection criteria restricted the review to controlled experimental studies and to children with disorders of clinically relevant severity. Meta-analysis was used to provide summary information about the observed effects of SSM. Collectively, SSM outcomes surpassed no treatment and placebo treatment by roughly a half of a standard deviation, on the average. Efficacy varied considerably with length of follow-up, experience level of therapists, age of children, outcome content area, and a number of other clinical and methodological differences among the studies. These qualifiers of observed efficacy are summarized and discussed in terms of implications for further research and application of SSM in child psychotherapy.

Adolescent

Standardizing outcome data in program evaluation.

Procedures are described for standardizing outcomes in evaluations of service delivery systems. Accounting for the variability of a given device, client gains across services can be expressed in a standard metric of change. Standardized gains take on a common meaning of change regardless of the original scale and variability of the raw data. In turn, a wide range of common statistical analyses can be applied with individual client gains as the units of analysis, powerfully delineating influences on outcome variability. Implications and limitations are discussed.

Community Mental Health Services