Psychiatry and Psychology Commons^™

Psychiatric Outcomes In Low Birthweight Children At Age Six: Relation To Neonatal Cranial Ultrasound Abnormalities, Agnes H. Whitaker, Ronan Van Rossem, Judy F. Feldman, Irvin Sam Schonfeld, Jennifer A. Pinto-Martin, Carolyn Torre, David Shaffer, Nigel Paneth

Publications and Research

Examined the relation of neonatal cranial ultrasonography abnormalities to later psychiatric disorder in 564 low birth weight children (aged 5.2–8.7 yrs). Psychiatric diagnoses were assessed by means of the Diagnostic Interview Schedule for Children–Parent version, and detailed information was collected on other predictors and outcomes. Results show that 454 Ss had no cranial abnormalities, 78 had germinal matrix hemorrhage (GMH) and/or intraventricular hemorrhage (IVH), and 32 had a parenchymal lesion (PL) or ventricular enlargement (VE). 22% of the Ss had at least 1 psychiatric disorder, the most common being attention deficit hyperactivity disorder (ADHD). Isolated GMH/IVH did not increase …

Minor Physical Anomalies: Modifiers Of Environmental Risk For Psychopathology, Daniel S. Pine, David Shaffer, Irvin Sam Schonfeld, Mark Davies

Publications and Research

Tested the hypothesis that minor physical anomalies (MPAs) modify an adolescent's vulnerability to environmental risk factors for psychopathology. 118 male 17-yr-olds who had been evaluated as 7-year-olds received a comprehensive neuropsychiatric evaluation. The evaluation included standardized assessments of environmental risk factors for psychiatric impairment, neurological signs, IQ, MPAs, and psychiatric impairment. The relationship between psychiatric status and environmental risk was examined as a function of the MPA profile. There was a significant interaction between MPAs and environmental risk in predicting psychiatric status. Environmental risk was more predictive of psychiatric impairment at age 17 in Ss with high scores on the …

Neonatal Cranial Ultrasound Abnormalities In Lbw Infants: Relation To Cognitive Outcomes At Age Six, Agnes H. Whitaker, Judy F. Feldman, Ronan Van Rossem, Irvin Sam Schonfeld, Jennifer A. Pinto-Martin, Carolyn Torre, Suzannah R. Blumenthal, Nigel S. Paneth

Publications and Research

bjective: To assess the independent relation of neonatal cranial ultrasound (US) abnormalities in low birth weight (LBW) infants to cognitive outcomes at 6 years of age.
Design: Prospective cohort study.
Sample and Methods: Six-year follow-up data were obtained on a regional birth cohort of LBW infants (< 2 kg) systematically screened as neonates with serial US. US abnormalities were dichotomized into isolated germinal matrix/intraventricular hemorrhage (GM/IVH) and parenchymal lesions/ventricular enlargement (PL/VE). Global cognitive outcomes (mental retardation, borderline intelligence, and normal intelligence) and selected specific cognitive abilities were assessed at 6 years of age with standardized instruments. Multivariate techniques were used to assess the effects of US independent of maternal social …

Relation Of Negative Affectivity To Self-Reports Of Job Stressors And Psychological Outcomes, Irvin Sam Schonfeld

Publications and Research

A total of 250 new women teachers participated in a longitudinal study of the influence of negative affectivity (NA) on the relation of self-report work-environment measures to psychological outcomes. Three "neutrally worded" work-environment measures were specially constructed to minimize confounding with NA. The work-environment measures were moderately related to postemployment depressive symptoms, job satisfaction, and, among Whites but not among a principally Black and Hispanic subsample, motivation. Correlation and regression coefficients were largely unchanged when the preemployment psychophysiologic symptoms scale and the Center for Epidemiologic Studies-Depression Scale (L. S. Radloff, 1977), factors that tap NA, were controlled. Findings suggest NA …

Methodological Issues In Occupational-Stress Research: Research In One Occupational Group And Its Wider Applications, Irvin Sam Schonfeld, Jaesoon Rhee, Fang Xia

Publications and Research

The chapter addresses a number of important methodologic issues that are relevant to occupational-stress researchers. The issues addressed have arisen in the context of an ongoing research program involving cross-sectional and longitudinal studies of stress in teachers; the issues, however, apply to occupational research in general. The first issue involves measurement strategies required in operationalizing the stress process. The focal concern is the reduction of confounding in measures of the work environment. The second issue encompasses the question of whether to sample new or veteran workers. The third issue applies to types of job stressors. The chapter describes a …

A Longitudinal Study Of Occupational Stressors And Depressive Symptoms In First-Year Teachers, Irvin Sam Schonfeld

Publications and Research

Administered the Center for Epidemiologic Studies Depression Scale and episodic stressor and strain scales to 255 female newly appointed teachers. Job conditions were related to postemployment depressive symptoms independently of pre-employment symptoms and other risk factors. Ss who worked in the most adverse school environments showed the most depressive symptoms; Ss in schools with the best conditions tended to show the fewest symptoms. The effects of working conditions on symptoms were relatively immediate. There may be positive mental health effects, in relation to preemployment levels, associated with teaching in benign school environments. Suggestions for future progress in …

Persistent Emotional Disorder In Children With Neurological Soft Signs, Daniel Pine, David Shaffer, Irvin Sam Schonfeld

Publications and Research

Provides clinical details in the form of 11 case vignettes from a prospective epidemiological study that found the combination of childhood 'soft' signs and anxious behavior to be a strong risk factor for adolescent emotional disorders. The original study conducted a neuropsychiatric assessment of 180 African-American adolescents (aged 16–18 yrs) who had been followed through childhood. The at-risk Ss exhibited a persistent and specific pattern of both motor abnormalities and anxiety, obsessional compulsive, or depressive symptoms over time. The form of at-risk Ss' neurological and psychiatric abnormalities is consistent with a link between motor system abnormalities and …

Assessing Stress In Teachers: Depressive Symptoms Scales And Neutral Self-Reports Of The Work Environment, Irvin Sam Schonfeld

Publications and Research

The focal interest of this chapter on teacher stress is methodologic. The chapter enumerates a number of defects in existing measures of job stress in teachers and, concomitantly, other helping professionals. Alternative ways of measuring stress in teachers are suggested and evaluated. The use of depressive symptom scales in concert with more 'objective' measures of the work environment is discussed. An application of the proposed alternative measurement strategy is described. The wider utility of the measurement strategy is briefly described.

Burnout In Teachers: Is It Burnout Or Is It Depression?, Irvin Sam Schonfeld

Publications and Research

No abstract provided.

Dimensions Of Functional Social Support And Psychological Symptoms, Irvin Sam Schonfeld

Publications and Research

In the summer following graduation a sample of 125 female college graduates (mean age = 28) completed Cohen & Wills' ISEL (1985) which includes scales measuring four social support functions: belonging (social companionship), appraisal (availability of confidants), tangible (instrumental), and self-esteem support. In the summer and fall subject status on two outcome scales was ascertained: the Psychophysiologic Symptom Scale and the Center for Epidemiologic Studies Depression Scale (CES-D). Reliability of the difference scores suggested that the ISEL scales do not measure entirely different constructs and the ISEL Self-esteem Scale is operationally redundant with the Rosenberg Self-esteem scale and the CES-D. …

Distress In A Sample Of Teachers, Irvin Sam Schonfeld

Publications and Research

Examined the links between job-related stressors and depressive and psychophysiologic symptoms and morale in 67 New York City teachers. The teachers' mean score on the Center for Epidemiologic Studies Depression Scale (CES-D) was higher than might be expected from average community residents. The CES-D and a psychophysiologic symptom scale were correlated as highly as their reliabilities would permit, indicating that they measure the same construct, nonspecific psychological distress. The level of job strain (frequency of ongoing stressors) was more closely related to psychological distress and low morale than episodic stressors, including crimes in which the teacher was …

Coping With Job-Related Stress: The Case Of Teachers, Irvin Sam Schonfeld

Publications and Research

Investigated the relationship between coping measures, psychological distress, and job-related morale among 67 teachers. Five occupational coping scales were constructed: advice seeking (ASK), positive comparisons (PCs), selective ignoring (SEL), discipline, and direct action (DIR). Multiple regression analyses with controls for social-demographic factors and adversity in the job environment indicated that ASK and DIR were most consistently related to lower (depressive and psychophysiologic) symptom levels and that PCs and DIR were most consistently related to higher morale (job satisfaction and motivation to continue in the profession). SEL appeared to buffer the impact of adverse work environments on symptoms. Findings suggest that …

Neurological Soft Signs And School Achievement: The Mediating Effects Of Sustained Attention, Irvin Sam Schonfeld, David Shaffer, Joseph E. Barmack

Publications and Research

Citation:

Schonfeld, I. S., Shaffer, D., & Barmack, J.E. (1989). Neurological soft signs and school achievement: The mediating effects of sustained attention. Journal of Abnormal Child Psychology, 17, 575-596. doi:10.1007/BF00917723

Prediction Of Intellectual Deficits In Children With Acute Lymphocytic Leukemia, Paul Trautman, Candace Erickson, David Shaffer, Patricia O'Connor, Annaliese Sitarz, Antonio Correra, Irvin Sam Schonfeld

Publications and Research

Possible predictors of reported lower cognitive functioning in irradiated children with acute lymphoblastic leukemia (ALL) were investigated. Thirty-four subjects, 5-14 years old, with ALL in continuous complete remission and without evidence of current or past central nervous system disease, were examined 9-110 months after diagnosis, using standard measures of intelligence and academic achievement. Subjects with a history of post-irradiation somnolence syndrome were significantly older at diagnosis than nonsomnolent subjects. Intelligence (IQ) was found to be unrelated to history of somnolence syndrome. IQ and achievement were unrelated to age at irradiation, irradiation-examination interval, and radiation dosages. The strongest predictor of IQ …

Conduct Disorder And Cognitive Functioning: Testing Three Causal Hypotheses, Irvin Sam Schonfeld, David Shaffer, Patricia O'Connor, Stephanie Portnoy

Publications and Research

Studied the relation between cognitive functioning, as evidenced by IQ and achievement test performance, and Diagnostic and Statistical Manual of Mental Disorders (DSM-III) categories of conduct disturbance, using data from Black adolescents who were members of collaborative perinatal project from birth to age 7 yrs. At age 17 yrs, Ss and their parents were administered a battery of instruments that included standardized psychiatric diagnostic interviews as part of a call-back study. Analyses were compatible with the hypothesis that deficiencies in cognitive functioning are causally related to adolescent conduct disorder as defined by DSM—III. Results suggest that the relation of cognitive …

Early Soft Signs And Later Psychopathology, David Shaffer, Cornelius Stokman, Patricia A. O'Connor, Stephen Shafer, Joseph E. Barmack, Suzanne Hess, D. Spalten, Irvin Sam Schonfeld

Publications and Research

At age 17 two motor signs, mirror movements and dysdiadochokinesis, were found in more than half the subjects known to have had the respective signs at age 7. These rates were significantly higher than rates found within the group of subjects who were sign free at age 7.

Neurological Soft Signs: Their Relationship To Psychiatric Disorder And Iq In Childhood And Adolescence, David Shaffer, Irvin Sam Schonfeld, Patricia A. O'Connor, Cornelius Stokman, Paul Trautman, Stephen Shafer, Stephen Ng

Publications and Research

Defines a neurological soft sign (NSS) as a particular form of deviant performance on a motor or sensory test in a neurological status examination. In the present study, 63 male and 26 female 17-yr-olds who had NSSs at 7 yrs of age were compared with sex- and age-matched controls with no NSSs at age 7 yrs. Data obtained on Ss included behavioral and neurological examination at age 7 yrs and psychiatric, neurologic, and IQ (e.g., WAIS) assessment at adolescence. All 6 females and 12 of the 15 males with an anxiety-withdrawal diagnosis and 13 of the 20 males with an …

The Genevan And Cattell-Horn Conceptions Of Intelligence Compared: The Early Implementation Of Numerical Solution Aids, Irvin Sam Schonfeld

Publications and Research

The Genevan and Cattell-Horn theories of intelligence are compared. The theories are found to be similar in the following respects: Intelligence (operative intelligence and fluid ability) is conceptualized as adaptational in function; the products of everyday learning and crystallized skills reflect the impress of experience; one category of intelligence (operative intelligence, fluid ability) is conceptualized as prior or more fundamental than the other (learned products, crystallized skills). Important differences were also found: Whereas fluid ability is characterized as formless and fixed, operative intelligence is viewed as highly structured and evolving; a compensatory relation between noegenetic crystallized skills and fluid ability …

Critical Note On The Usefulness Of Attention Deficit As A Clinical Syndrome, David Shaffer, Irvin Sam Schonfeld

Publications and Research

Parental ratings of overactivity are unrelated to teachers' ratings of overactivity or to laboratory measures of inattention. Teachers' ratings of overactivity correlate strongly with teachers' ratings of inattention as well as to laboratory measures of inattention. Teachers' ratings of inattention, however, are unrelated to laboratory measures of inattention when IQ is controlled. There are considerable definitional problems relating to the symptoms of hyperactivity and inattention, making it difficult create a behavioral definition of the psychiatric syndrome of attention deficit disorder.