This article reports results from a universal preventive program aimed at (a) reducing social anxiety and (b) preventing the development of syndromal social anxiety among a population-based sample of older children and young adolescents during a 1-year period. Pupils (N = 1,748) from 2 counties were cluster randomized to either an intervention or…

This study examined the relationship of demographic, clinical, and therapist factors to decisions about prioritized assignment to the earliest intake appointment for 983 Asian Americans who contacted an Asian-oriented, ethnic-specific mental health program. The logistic regression results showed that Asian language preference, ethnicity,…

Offers an alternative interpretation of the Primary Mental Health Project's (PMHP) outcome, based on meta-analysis of the empirical data currently available. Results showed that effect sizes coincide reasonably well with those of past PMHP outcome studies. Positive outcomes for the typical PMHP-referred child are only inconsistently found. (BH)

This randomized trial is a first evaluation of a brief psychotherapeutic intervention for primary care patients. Sixty-two participants were randomly assigned to the intervention or to treatment as usual. As compared with treatment as usual, the intervention led to significant reductions in symptoms of anxiety and depression. The reduction was…

Objective: Clinical scientists, policymakers, and individuals must make decisions concerning effective interventions that address health-related issues. We use longitudinal data on loneliness and depressive symptoms and a new class of causal models to illustrate how empirical evidence can be used to inform intervention trial design and clinical…

Examined relationship between repression-sensitization (R-S) and visits to prison infirmary for males during a one-year period. Main effect for R-S dimension was significant for total number of visits, number of medically justified visits, and number of medically unjustified visits. Sensitizers had significantly more visits than repressors.…

Reviews research on internal-external (I-E) locus of control expectancies and health attitudes and behaviors. The theoretical background of the I-E construct is described. Topics include I-E in relation to health knowledge, precautionary health practices, reactions to physical disorders, psychological responding, psychological disturbances, and…

Objective: Women and men generally differ in how frequently they engage in other- and self-directed physical violence and may show distinct emotional risk factors for engagement in these high-impact behaviors. To inform this area, we investigated gender differences in the relationship of emotional tendencies (i.e., anger, hostility, and anhedonic…

Objective: Knowledge of acculturative processes and their impact on immigrant families remains quite limited. Acculturative family distancing (AFD) is the distancing that occurs between immigrant parents and their children and is caused by breakdowns in communication and cultural value differences. It is a more proximal and problem-focused…

The authors examined the relationship among trauma, coping, depression, and mental health service seeking in a probability sample of sheltered homeless and low-income housed women. Results highlight the diversity of trauma. In a longitudinal analysis, women who lived in shelters or experienced major violence had a twofold increase in their risk of…

This article argues that mental health clients are typically processed through a fairly standardized, complex professional system which, in its pursuit of salutary helping'' goals may also be occasioning serious negative second-order effects for its clients. The intent of the present article is to direct attention to the professional implications…

Access to health information on the Internet has revolutionized how medical patients learn about their illnesses. Valuable information can be found online; however, many health Web sites contain inaccurate or misleading information. The authors surveyed 324 adults with HIV concerning their Internet use for obtaining health information. Health…

Objective: To examine the effectiveness of group cognitive processing therapy (CPT) relative to trauma-focused group treatment as usual (TAU) in the context of a Veterans Health Administration (VHA) posttraumatic stress disorder (PTSD) residential rehabilitation program. Method: Participants were 2 cohorts of male patients in the same program…

Results indicate correlation between physical health status and depression was greater for wives than husbands. For wives, marital satisfaction and depression were related through uncontrolled variance in physical health status. For husbands, significant relationship between marital satisfaction and depression remained when physical health was…

Participants responded to a series of psychological, exposure and health questionnaires. Results suggest that effects of traumatic exposure on perceived health are partially mediated by increases in PTSD after exposure, supporting studies on the effects of stress on health. (BF)