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Biomedical subjects

E F Chaney

Publications and source records attributed to E F Chaney.

33 records · Page 2Linked to original sources
PubMed1979

Correlates of clinicians' perceptions of patients in alcoholism treatment.

Previous research has shown that clinicians' perceptions of alcoholic patients' interpersonal attractiveness exert an influence on clinical decision processes. The present study investigated the relationship between clinicians' perceptions of alcoholic patients, as measured by Byrne's Interpersonal Judgment Scale, and patients' personality, cognitive, and demographic characteristics. The results suggest that the male alcoholic patient is more likely to be perceived favorably if he is young and exhibits behaviors that correspond to clinicians' treatment expectations. Overall, the measured personality characteristics of patients accounted for only small proportions of the variance in clinician's ratings of patients attractiveness. Alternative interpretations of these data are discussed with reference to subsequent research efforts.

Age Factors↗
PubMed1979

Cognitive impairment and treatment outcome with alcoholics: preliminary findings.

The relationship of cognitive impairment to treatment outcome in a sample of male alcoholics (N = 30) was explored. The Brain-Age Quotient (BAQ), an index of problem solving and adaptive abilities based on a battery of neuropsychological tests, was used as the summary measure of cognitive impairment. High BAQ scores were found to be more highly related to clinical ratings of patients' level of functioning on the treatment ward, to the successful completion of inpatient treatment, and to fewer relapses, longer abstinence periods, and lower rates of alcohol consumption at a 1 year follow-up than were lower BAQ scores. The implications of these findings with regard to appropriate treatment planning are discussed.

Alcoholism↗
PubMed1978

The use of the Goldberg Indices with alcoholics: a cautionary note.

Applied Goldberg's (1972) regression equation for the classification of MMPI profiles to the MMPI profiles of 173 alcoholic male veterans. All Ss also completed a detailed alcoholic life history questionnaire. It was hypothesized that there would be differences between the life history responses of those Ss classified as sociopathic and those classified as normal neurotic, or psychotic. However, analysis revealed no significant differences between the groups. This finding is discussed in terms of the relationship of life events to diagnosis and the validity of the use of Goldberg Indices with alcoholic patients.

Alcoholism↗
PubMed1978

Alcoholic MMPI subtypes. Relationship to drinking styles, benefits, and consequences.

The present study was designed, first, to attempt to replicate the previously derived Goldstein and Linden Minnesota Multiphasic Personality Inventory alcoholic personality subtypes, and second, to relate these personality patterns to a multidimensional measure of alcohol usage. Two of the previously obtained profile types were replicated through two independent cluster analytic procedures. These subtypes were defined as psychopathic and neurotic-depressive, respectively. Higher levels of drinking-related impairment were associated with anxiety and depression, while lower levels of impairment were related to psychopathic features among patients hospitalized primarily for alcoholism. However, relatively heterogeneous, distinctive configurations of reported drinking benefits, styles, and consequences were found across the Goldstein-Linden subtypes. Methodological factors potentially contributing to the failure to replicate two of the previously derived subtypes were discussed. The potential therapeutic utility of a multivariate classification of personality functioning and the use of a multidimensional assessment of alcohol usage within alcoholic populations was also discussed.

Alcohol Drinking↗
PubMed1978

Screening for cognitive impairment among inpatients.

Screening hospital patients for cognitive impairment is often required for effective treatment planning. Awareness of cognitive deficit is particularly important in working with patients who have drinking problems because of the relationship between alcohol consumption and cognitive impairment. Trail-Making Test is examined as an economic, quick, and accurate indicator of cognitive impairment in non-neurological sample of patients in a Veterans Administration Hospital. Results show that performance discriminates between normal and deficient cognitive function as assessed by established IQ and neuropsychological tests--the Wechsler Bellevue Intelligence Scale and the Halstead Reitan Battery. Nonsignificant correlations with personality variables suggest discriminant validity for the Trail-Making Test as an indicator of cognitive impairment.

Alcoholism↗
PubMed1977

Perceived locus of control experienced control and depression: a trait description of the learned helplessness model of depression.

This study examined a personality-trait approach to the learned helplessness model of depression. Alcoholics were assigned to four groups based upon differential scores on Rotter's Locus of Control and Tiffany's Experienced Control Scales. Analysis of scores on the Beck Depression Inventory and the MMPI D scale indicated that Ss who reported that they had experienced minimal control over stressful events were significantly more depressed than Ss who reported relatively high levels of control. No significant locus of control effect was found. A significant interaction was obtained, which indicated that those Ss with an external locus of control and who experienced minimal control were significantly more depressed than thtical and empirical similarity between the present results and the learned helplessness model are discussed.

Alcoholism↗
PubMed1977

Brain damage and five MMPI items with alcoholic patients.

The validity of Hovey's brain damage MMPI index for male alcoholic inpatients was investigated. With educational level controlled, the scale did not show significant relationships with established tests of cognitive and organic impairment. Significant correlations were found with measures of psychopathology. This suggests that only in populations in which neurological deficit is the main factor in variations in emotional and physical well-being will this type of index be useful to screen patients for brain damage. The results stress the importance of local cross-validation prior to the clinical use of measures such as Hovey's scale.

Adult↗
PubMed1977

Assessment of cognitive recovery in alcoholics by use of the trail-making test.

Cognitive recovery among male alcoholics and controls was investigated with the Trail-Making Test as an index of cognitive impairment. The test was administered twice to all Ss with an interval of approximately 1 year between testings. A reported measures analysis of variance showed that the controls performed significantly better than the alcoholics at both administrations, although the alcoholics did improve between the pre-and posttests. Reported drinking episodes that occurred between the pre-and posttests appeared to have no effect on cognitive recovery in the alcoholic group when relapsed and abstinent subgroups were compared.

Adult↗
PubMed1977

Perceived locus of control as a function of level of depression among alcoholics and nonalcoholics.

This study investigated perceived locus of control as a function of level of depression among 39 alcoholics and 39 matched nonalcoholic controls. Ss completed the Rotter I-E scale and the Beck Depression Inventory. Initial analyses of variance indicated a lack of difference between groups on the I-E scale; however, alcoholics were significantly more depressed than were controls. A correlational analysis indicated a significant relationship between an external locus of control and higher levels of depression. When level of depression was controlled statistically, an alalysis of covariance indicated that the alcoholic samples was significantly more internal than the nonalcoholics. These data tend to cross-validate Lamont's (1972) findings of an item-mood response bias in the I-E scale. These data further support the contention that caution must be used in interpreting comparative locus of control results derived from samples that have differential base rates of depression.

Alcoholism↗
PubMed1977

The relationship of perceptual field orientation to measures of cognitive functioning and current adaptive abilities in alcoholics and nonalcoholics.

The present study investigated the influence of perceptual field orientation, as measured by the Group Embedded Figures Test (GEFT), on cognitive functioning among alcoholics and nonalcoholics. The subjects were classified as field dependent, intermediate, or field independent based upon their GEFT scores. Cognitive function was assessed by the Wechsler-Bellevue Intelligence Scale as well as the Category Test. Tactual Performance Test, and Trail Making Tests of the Halstead-Reitan Neuropsychological Test Battery. Three primary findings emerged. First, the alcoholics appeared to be significantly impaired on measures of abstraction, problem solving, and adaptive abilities relative to nonalcoholics. Second, a direct relationship was found between GEFT scores and level of cognitive function within both alcoholic and nonalcoholic samples, with field-dependent subjects evidencing the most impaired performance. Third, the level of perceptual field orientation accounted for a large portion of the variance between the alcoholic and nonalcoholic samples, with field-independent alcoholics performing at a level comparable to or greater than other nonalcoholic subroups on a number of the cognitive variables. These results provide validational support for the GEFT and indicate that field orientation may be a relevant variable in the assessment of cognitive function in both alcoholics and nonalcoholics.

Adaptation, Psychological↗
PubMed1977

Predicting alcohol treatment program drop-outs.

The feasibility of using psychological tests to predict patient drop-outs from an alcohol treatment program was studied. Eighty-four alcoholic male veterans being treated in an inpatient program were administrered the Rotter Locus of Control scale (I-E) and the MMPI-168 at the beginning of the treatment. Those patients who completed an 8 week inpatient program and a one year outpatient program were compared to those patients who completed the inpatient phase, but dropped out during the outpatient phase on the five MMPI-168 factors and the total I-E score. The two groups differed significantly only on the I-E. The data was also subjected to a discriminant analysis to generate a prediction equation. The prediction equation correctly classified 82% of the drop-outs.

Adult↗
PubMed1976

Relationship between psychopathology, experienced control and perceived locus of control: in search of alcoholic subtypes.

Alcoholic Ss were categorized into four subtypes based upon differential levels of perceived locus of control and experienced control. The relationship between generalized psychopathology, as measured by the MMPI, and subtype classification was investigated. Alcoholics with an internal locus of control and high levels of experienced control exhibited the least psychopathology. The greatest degree of psychopathology was found among Ss with an external locus of control and minimal levels of experienced control. The implications of these results with respect to psychosocial functioning and drinking behavior among alcoholic subgroups were discussed.

Adult↗