Sleep Disturbance and Depressive Symptoms in Adolescence: The Role of Catastrophic Worry

Depression is a common and debilitating disorder in adolescence. Sleep disturbances and depression often co-occur with sleep disturbances frequently preceding depression. The current study investigated whether catastrophic worry, a potential cognitive vulnerability, mediates the relationship between adolescent sleep disturbances and depressive symptoms, as well as whether there are gender differences in this relationship. High school students, ages 16–18, n = 1,760, 49 % girls, completed annual health surveys including reports of sleep disturbance, catastrophic worry, and depressive symptoms. Sleep disturbances predicted depressive symptoms 1-year later. Catastrophic worry partially mediated the relationship. Girls reported more sleep disturbances, depressive symptoms, and catastrophic worry relative to boys. The results, however, were similar regardless of gender. Sleep disturbances and catastrophic worry may provide school nurses, psychologists, teachers, and parents with non-gender specific early indicators of risk for depression. Several potentially important practical implications, including suggestions for intervention and prevention programs, are highlighted.     

Robert Strausz-Hupé: His Life and Times

The author assesses the long life of Robert Strausz-Hupé and the many roles he played: immigrant, professor, author, diplomat and think tank founder.     

Yitzhak Rabin: An Appreciation

The author wrote that “the assassination of Yitzhak Rabin in his seventy-third year ended the life of another ‘son of the founders’ of the state of Israel. He belonged to the generation of 1948—the young men whose military prowess gave Israel a fighting start. Unlike some of his early mentors, such as Yigal Allon and Moshe Dayan, Rabin was to achieve supreme power twice. And more than any other of his generation he will be recalled as the general who waged both war and peace.”     

Telephone crisis intervention skills: a simulated caller paradigm

Counseling skills were evaluated in a telephone counseling service for Vietnam veterans. Thirty simulated crisis calls were made to telephone counselors by experienced clinical psychologists. The counselors' responses were rated on dimensions that indexed general counseling skills, knowledge of veteran needs, and provision of appropriate advice. Whereas the majority of callers demonstrated adequate counseling skills, many lacked knowledge of veterans' posttraumatic stress, common veteran terminology, and the nature of veterans' experiences. The findings suggest that telephone counseling services that target specific populations should employ comprehensive training to ensure that counselors possess adequate and relevant knowledge about callers and their presenting problems. The simulated caller paradigm appears to be an effective paradigm for training and evaluation of telephone counselors.     

Influence of the developmental schedule of puberty on learning and ego functioning

Developmental schedules refer to temporal factors of pubertal processes as they might bear on ego development. The longitudinal research reviewed here from the 30-year archives of the Guidance Study of the Institute of Human Development pertains to the effects of varying lengths of the prepubertal and pubertal period on the short-term and enduring integration of drive states initiated at puberty. The personality correlates of varying lengths of these periods serve as vehicle for establishing properties of these stages as well as of the transition between them. The different ways the sexes respond to the early onset of puberty, as reported here, may provide an important microcosm for understanding normative sex differences in the general regulation of drive states.This research was supported by Grant MH 06238-02 from the U.S. Public Health Service, grants from the Ford Foundation, and a grant to the author from the Foundations' Fund for Research in Psychiatry.Presented at the Seventh Annual Adolescent Medicine Seminar, George Washington University Medical Center, March 15, 1971.Received Ph.D. in psychology from the University of California. Main research interests are longitudinal study of personality development and validation of psychoanalytic concepts.     

The incongruous achiever in adolescence

The authors wished to study some of the internal psychological dynamics of achievement in a nonpatient identified high school population. Questionnaires were administered to the Grade 13 students and their parents in a large high school. A number of students whose achievement and educational plans were not congruous with their general background were selected for interview. The findings suggest that a wide variety of ages and developmental stages can be discerned as critical points in the development of a student's attitude toward higher education. These students have many values in common, and their values appear related to a positive or negative identification with parental values. The students themselves show a wide range of personality integration. They relate in a special way to a wide variety of teachers' personalities.Received M.D. from University of Alberta, Edmonton, in 1969 and completed specialty training in psychiatry at University of Toronto in 1974. Main interests include psychoanalysis, community psychiatry, and currently antabuse implants.Received M.D. from University of Toronto in 1960, D. Psych. from University of Toronto in 1963, C.R.C.P.(c) in 1965, and F.R.C.P. in 1972. Main interests include adolescent psychiatry, psychoanalysis, psychiatric residency training programs, and mental health delivery systems.