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Biomedical subjects

L McCleary

Publications and source records attributed to L McCleary.

9 recordsLinked to original sources
PubMed1999

Parenting adolescents with ADHD: evaluation of a psychoeducation group.

ADHD and disruptive behaviour disorders are the most common reasons for referrals of adolescents to children's mental health services. Psychosocial treatments for parents and adolescents, though routinely recommended, have not been well evaluated. This paper reports an evaluation of a clinic based, parent skills training and education group for parents of adolescents with ADHD. The parent education group is a manual based program which provides information about ADHD and training in problem solving and parenting skills. Using a pre-post design, we collected evaluation data from 163 parents of 103 adolescents before and after participation in the group. The outcome measures were two parent self-report measures, the conflict behaviour questionnaire, the issues checklist and an investigator-designed evaluation questionnaire. There was a statistically significant decrease in frequency and intensity of self-reported parent-adolescent conflict and in parent-reported problem behaviour. Parent reports of problem behaviour were not related to kin relationship or child age. There was a trend for parents of daughters to report more problem behaviours and more conflict in the parent-adolescent relationship. Participants reported positive effects on their parenting skills and confidence. They tended to evaluate the program as very helpful.

Adaptation, Psychological↗
PubMed1999

The Objective Behavioral Index: a measure for assessing treatment response of patients with severe personality disorders.

A measure that captures the frequency and intensity of experienced dysfunctional behaviors as well as the use of mental health services was developed and tested as part of a treatment controlled trial of patients with borderline personality disorder. The Objective Behavioral Index (OBI) was completed by 136 subjects with the diagnosis of borderline personality disorder before random assignment to treatment and by 35 subjects at each follow-up point. With one exception, the OBI subindexes (Dysfunctional Behaviors and Service Utilization) were not intercorrelated nor were they associated with any of the other patient status measures. Both of the OBI subindexes were sensitive to change after a course of psychotherapy. The OBI measurement system is easy to use and provides important information about behavioral dysfunction and service utilization. Also, contrary to expectations, service utilization is not associated with patient symptomatic and behavioral status.

Adaptation, Psychological↗
PubMed1998

Relationship between cognitive and social dysfunction in schizophrenia.

This cross-sectional study examined the relationships between cognitive functioning, social functioning, and social problem solving in a sample of 30 outpatients with schizophrenia. The cognitive battery included measures of verbal ability, memory, executive functioning, visual-spatial ability, and attention. Social functioning was assessed with the Social Dysfunction Index (SDI) and the Social Adjustment Scale-II (SAS-II). Social problem solving was assessed with a video-based test, the Assessment of Interpersonal Problem-solving Skills (AIPSS). No significant association was found between social functioning as assessed by the SDI and the SAS-II and cognitive functioning. In multiple regression analyses, a measure of attention, the auditory Continuous Performance Test was a significant predictor of processing and sending skills, as assessed by the AIPSS. (F = 16.37, 9.23, p < 0.001).

Adult↗
PubMed1997

The contribution of group cohesion and group alliance to the outcome of group psychotherapy.

The contribution to outcome of two group-process factors, group cohesion and group therapeutic alliance, was tested in the context of a randomized, controlled treatment trial for borderline personality disorder. Group members from four time-limited groups of an experimental model of group psychotherapy completed measures of group cohesion and group alliance at prespecified intervals across the 30-session therapy. Outcome was measured in terms of psychiatric symptoms, social adaptation, and indicators of behavioral dysfunction. The results showed that cohesion and alliance were correlated significantly and separately contributed to outcome on most of the dependent measures. Stepwise regression analyses showed, however, that when compared with cohesion, alliance accounted for more outcome variance on the dependent measures. The clinical implications of the findings and the limitations of the study are discussed.

Adult↗
PubMed1996

The social dysfunction index (SDI) for patients with schizophrenia and related disorders.

The social dysfunction index (SDI) is a new measure designed to assess social dysfunction in schizophrenia and other severe mental illnesses. It is intended to serve clinical and research purposes. Raters can be readily trained and there is low respondent burden with its use. Good psychometric properties were identified in three studies (sample sizes 33, 67 and 113). The SDI assesses a wide and comprehensive range of social functioning. It includes objective assessment of dysfunction and subjective client assessment of satisfaction with functioning. It produces a summary score, a satisfaction score and a score for each of the nine components of social functioning assessed. Internal consistency is good (alpha = 0.80). Inter-rater reliability is high (r = 0.96). Use of the component scores was confirmed by factor analysis. There is modest correlation with other measures of social functioning. Evidence of construct validity is demonstrated by findings of differences in social dysfunction between subjects who lived independently vs. those who lived in boarding homes; differences between subjects who were unemployed vs. subjects who were employed; and independence of social functioning from both age and education.

Adult↗
PubMed1996

A letter to Mom.

Explore the source record for details and available documents.

Career Choice↗
PubMed1990

Large cystic optic glioma.

A 5 1/2-year-old boy developed a huge cyst in his chiasmal glioma 4 years after radiation therapy. The cyst produced obtundation but was successfully treated.

Child, Preschool↗
PubMedDate not supplied

Intramedullary spinal cord tumors in children: localization by intraoperative sonography.

Intraoperative sonography was performed in 20 children in order to localize intramedullary spinal cord tumors. It provided excellent visualization of the extent and consistency of the tumor before surgical opening of the dura mater. The sonographic findings were used in selecting the site and extent of myelotomy. Intraoperative sonography proved to be a valuable adjunct to spinal cord surgery.

Adolescent↗