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Biomedical subjects

M L Kelley

Publications and source records attributed to M L Kelley.

At least 37 records · Page 2Linked to original sources
PubMed1994

Psychometric properties of the Social Problem Solving Inventory (SPSI) with normal and emotionally disturbed adolescents.

The factor structure of the Social Problem Solving Inventory (SPSI; D'Zurilla & Nezu, 1990) was evaluated with a sample of 708 normal adolescents. Confirmatory factor analysis supported the empirically derived five-factor model reported by D'Zurilla and Maydeu-Olivares (1994) using an adult sample, but not the theoretically derived seven-factor structure of the original SPSI. The psychometric properties of the original and revised inventories are reported for normal adolescents and psychiatrically hospitalized adolescents (n = 63). Internal consistency and reliability estimates were adequate. Support for the validity of the revised SPSI was demonstrated by examining the relationship between social skills, depression, and social problem solving; in addition, differences between normal and inpatient adolescent samples were examined. The findings are discussed in terms of the utility of the inventories with adolescents.

Adolescent↗
PubMed1994

The effects of military-induced separation on family factors and child behavior.

Data from 61 mothers of school-age children were examined before, during, and after military deployment of their husbands. Separations resulted in temporary disruptions in families' reported ability to maintain supportive relationships. Wives of servicemen sent to the Persian Gulf War reported less nurturance and family cohesiveness, and more internalizing and externalizing in children than did those whose husbands' deployment was routine.

Adaptation, Psychological↗
PubMed1994

The use of goal setting and contingency contracting for improving children's homework performance.

We examined the effects of goal setting and contingency contracting on children's homework performance. Subjects were 4 parent-child dyads in which the child exhibited substantial homework problems. Using a combination of multiple baseline and reversal (ABAB) designs, goal setting and contingency contracting produced significant improvements in children's homework accuracy. Two of the 4 subjects showed substantial improvements in on-task behavior. Consumer satisfaction with the procedures was supported by parent ratings conducted posttreatment.

Attention↗
PubMed1993

Attribution processes in mother-adolescent conflict.

Attributions reported by 115 mothers and 122 adolescents were examined as they related to family conflict. Subjects completed measures of parent-adolescent conflict (Issues Checklist, Conflict Behavior Questionnaire) and the Mother-Adolescent Attribution Questionnaire. The results revealed that parent-adolescent conflict correlated with mothers' and teenagers' negative attributions. Specifically, self-reported conflict was positively correlated with mothers' and teenagers' beliefs that one another's negative behavior was intentional, selfishly motivated, and blameworthy.

Adolescent↗
PubMed1993

The effects of a pressure relief mattress on postnatal head molding in very low birth weight infants.

Very low birth weight (VLBW) infants often develop postnatal head molding (PHM)--an elongation of the skull--when a standard, firm mattress is used. This study was undertaken to determine if a pressure relief mattress (PRM) might reduce the severity of PHM. One hundred twenty-eight infants (birth weight range 567-1,490 gm, mean 1,084; gestational age range 24-36 weeks, mean 28.5) with no congenital or acquired anomalies affecting head growth were randomly assigned to a control group (standard, firm mattress) or a study group (PRM). Study infants were placed on the PRM within 72 hours of birth. Occipitofrontal circumference (OFC) and anterior-posterior (AP) and biparietal (BP) diameters were measured at day four, seven, and then at one week intervals of life until the infant reached 2,000 gm or was discharged. An electronic digital caliper with an accuracy of 0.025 mm was used to obtain the AP and BP measurements. T-tests revealed no significant differences in head shape between the two groups. In conclusion, the pressure relief mattress did not reduce PHM in VLBW infants.

Bedding and Linens↗
PubMed1991

Development of adaptive behavior in preschoolers with autism or Down syndrome.

The Vineland Adaptive Behavior Scales were used to assess adaptive behavior of MA-matched preschool children with autism or Down syndrome. Preschoolers with Down syndrome attained higher age equivalents and standard scores in the Socialization domain than did children with autism. Adaptive standard scores were unrelated to chronological age (CA) in both groups. However, adaptive age equivalent was positively related to CA for children with Down syndrome in all domains, but only in Communication for children with autism. All children with higher mental ages (MAs) also had higher levels of adaptive skills in all domains. Vineland standard scores recalculated by MA were higher in the Down syndrome than the autism group for Socialization. Results suggest that differing patterns of adaptive development are present very early in children with autism or Down syndrome.

Activities of Daily Living↗
PubMed1990

Acceptability of positive and punitive discipline methods: comparisons among abusive, potentially abusive, and nonabusive parents.

The present study compared abusive, potentially abusive, and control group parents' perceptions of commonly used discipline procedures. The clinical samples were obtained from Parents Anonymous (PA) and consisted of both court-referred (abusive) and self-referred (potentially abusive) members. The subjects were presented with case vignettes that described a child with either mild or severe behavior problems and asked to rate four methods of disciplining the child. The discipline methods involved positive reinforcement, timeout, timeout with spanking, and spanking. The findings indicated that (1) overall, the parents generally evaluated positive reinforcement as significantly more acceptable than timeout, timeout with spanking, and spanking; (2) self-referred PA members viewed timeout, timeout with spanking, and spanking as relatively more acceptable than did their demographically similar comparison group; and (3) court-referred PA parents' ratings did not significantly differ from their comparison group, since both groups rated the reinforcement method as significantly more acceptable than the other three discipline methods.

Behavior Therapy↗
PubMed1988

The adolescent activities checklist: reliability, standardization data, and factorial validity.

This study was conducted to provide standardization data and information on the reliability and factorial validity of the recently developed Adolescent Activities Checklist (AAC). A total of 563 adolescents in grades 7 through 12 served as subjects. Significant main effects for gender, race, and grade were obtained in a multivariate analysis of variance. On the basis of this information, standardization data were established for these three variables. Further investigation indicated that the internal consistency of the AAC was high. In addition, results of a principal components analysis conducted on the frequencies of the Unpleasant and Pleasant Activities subscales revealed four and three factors, respectively. For unpleasant activities, the major dimensions were found to occur in three situations--namely, social interactions, family situations, and school situations. Stressful events also occurred as one of the four unpleasant activities dimensions. For pleasant activities, three dimensions appeared: heterosocial behavior, reinforcing interpersonal situations, and social reinforcement.

Adolescent↗
PubMed1988

Development of adaptive behavior in adolescents and young adults with autism and Down syndrome.

Vineland Adaptive Behavior Scales were used to assess adolescents and young adults with Down syndrome or autism. Matched for verbal mental age (MA), the groups did not differ in adaptive behavior; however, older individuals with Down syndrome had more skills than did younger ones in all areas measured. Skills did not change for the autistic group. For persons with Down syndrome, adaptive skills kept pace with verbal and nonverbal MA, whereas those with autism were delayed in communication and socialization relative to their nonverbal MA.

Activities of Daily Living↗
PubMed1984

Decreasing burned children's pain behavior: impacting the trauma of hydrotherapy.

We evaluated the effects of cartoon viewing with the use of a star feedback chart on two burned children's pain behavior during their physical therapy sessions. In addition, the degree to which the observational data corresponded with physical therapists' and mothers' ratings of the children's pain, fear, and cooperativeness was examined. Using a reversal single-subject design, the results showed that the children's pain behavior substantially decreased during experimental treatment sessions compared to their baseline levels. The rating scale data indicated that the physical therapist's and mother's rating of pain, anxiety, and cooperativeness were all correlated significantly with the observational data (p less than .05). The contributions of respondent and operant conditioning to the occurrence and treatment of pain behavior in burned children are discussed.

Behavior Therapy↗
PubMed1982

Contingency contracting with disadvantaged youths: Improving classroom performance.

This study evaluated the effects of a student-teacher contracting procedure on adolescent students' academic productivity. Participants were 13 youths enrolled in a vocational training program for disadvantaged youth and their classroom teacher. During the baseline conditions students were paid contingent on attendance alone, the system operating in the program prior to this research. During contracting conditions students were paid contingent on contract fulfillment of academic productivity goals set by mutual agreement between the student and teacher. Contracting and contingent pay procedures were developed with, and implemented by, the classroom teacher. A reversal experimental design showed that student's productivity more than doubled during contracting conditions as compared with their productivity during baseline.

Journal Article↗
PubMed1979

National Cooperative Crohn's Disease Study: adverse reactions to study drugs.

Adverse reactions to the drugs employed in the National Cooperative Crohn's Disease Study were sought prospectively at each patient visit and by retrospective review of all patient charts. Prednisone caused evident side effects in over 50% of patients on high-dose suppressive therapy and in approximately one-third of patients on prophylactic dose. Thirty-two percent of patients on high-dose, and 26% on prophylactic-dose prednisone required dose reduction or withdrawal because of side effects. Comparable figures for sulfasalazine were 14% and 12%, and for azathioprine 32% and 20%. The incidence of nausea, vomiting, or anorexia among patients taking sulfasalazine was 46% and 34%, on high and low dose respectively; however, this incidence was no different than that observed among patients taking placebo. These symptoms occasioned withdrawal from the study of only 4% and 3% of patients on high and low doses of sulfasalazine, respectively. Azathioprine produced leukopenia at a dose of 2.5 mg/kg body weight in 15% of patients and the mean white cell count, lymphocyte count, granulocyte count, and hematocrit all fell significantly in patients on this dose. Pancreatitis occurred in 5% of patients taking azathioprine but in no other patients. Sulfasalazine proved to be the safest effective suppressive drug for Crohn's disease. Prednisone toxicity, though substantial, is acceptable in view of its demonstrated suppressive efficacy. Azathioprine was approximately as toxic as prednisone but no more effective than placebo in suppressing active disease. None of the drugs was effective prophylactically, and all showed appreciable long-term toxicity.

Adult↗
PubMed1979

National Cooperative Crohn's Disease Study: extraintestinal manifestations and perianal complications.

Among 569 patients with Crohn's disease, 24% had a history of at least one extraintestinal manifestation and 36% had a history of perianal disease before randomization. Multiple extraintestinal manifestations occurred in the same patient more frequently than would be expected by chance. Seventy-six percent of patients with ileocolitis had perianal disease, extraintestinal manifestations, or both. This was significantly greater than the 58% incidence in patients with disease confined to the small bowel. Perianal complications alone were significantly more common in patients with colitis or ileocolitis than in those with disease of only the small bowel. This was true also of internal fistulization. There was a significant positive association between perianal disease and the presence of extraintestinal features. Perianal abscess appeared to respond to sulfasalazine and anal fissure to prednisone or azathioprine. These results require confirmation in larger series of patients.

Adult↗