A meta-analysis of child and adolescent psychotherapy outcome research tested previous findings using a new sample of 150 outcome studies and weighted least squares methods. The overall mean effect of therapy was positive and highly significant. Effects were more positive for behavioral than for nonbehavioral treatments, and samples of adolescent girls showed better outcomes than other Age X Gender groups. Paraprofessionals produced larger overall treatment effects than professional therapists or students, but professionals produced larger effects than paraprofessionals in treating overcontrolled problems (e.g., anxiety and depression). Results supported the specificity of treatment effects: Outcomes were stronger for the particular problems targeted in treatment than for problems not targeted. The findings shed new light on previous results and raise significant issues for future study.Over the past decade, applications of the technique known as meta-analysis (see Cooper & Hedges, 1994;Mann, 1990;Smith, Glass, & Miller, 1980) have enriched our understanding of the impact of psychotherapy with children and adolescents (herein referred to collectively as "children"). At least three general meta-analyses encompassing diverse treatment methods and diverse child problems have indicated that the overall impact of child psychotherapy is positive, with effect sizes averaging not far below Cohen's (1988) threshold of 0.80 for a "large" effect. Casey and Herman (1985) reported a mean effect size of 0.71 for a collection of treatment outcome studies with children 12 years of age and younger (studies published from . Weisz, Weiss, Alicke, and Klotz (1987) We are grateful to Danika Kauneckis and Julie Mosk for their help with various phases of the project. We also thank the outcome study authors who provided us with information needed to calculate effectsize values for this meta-analysis.
Adolescent (MMPI-A) clinical, supplementary, and content scale score patterns for 655 male delinquents were examined. Low scores on Scale 5 (Masculinity/Femininity) were found to be the most frequent deviation, followed by elevations on Scales 6 (Paranoia) and 4 (Psychopathic Deviate). This is consistent with previous research, although the importance of Scale 5 deviations has been little noted because of the traditional focus on scale elevations only. Classification analysis indicated that a combination of MMPI-A scales discriminated between this delinquent sample and the normative sample, with a sensitivity of 90%-95% and a specificity of 80%-85%. This level of sensitivity was maintained in a replication sample (N ϭ 473).
Parents' beliefs about locus of control in relation to their children were measured. Previous studies have failed to find a relationship between parental locus of control and children's locus of control. The results of this study indicate that an external parental locus of control was related to children's attributing their successes and failures to unknown causes. There was also a strong correlation between parental locus of control and children's behavior toward the parent.
Previous research has suggested that a noncontrolling, independence-encouraging parenting style is correlated with children's having an internal locus of control. In the present study, children's and adolescents' reports of parent behaviors were used. Parental acceptance and child-centeredness were found to be related to more internal control beliefs in both preadolescent children and adolescents. Parental controlling behavior, however, was related to more internal control beliefs in preadolescent children and more external control beliefs in adolescents. The relationships among structure, parent controlling behavior, and the age and developmental level of children are discussed.
The current study investigates the extent to which the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) profiles of 196 male adolescents evaluated in a South Carolina detention center could be successfully discriminated from the protocols of 200 male adolescent psychiatric inpatients in three states and 151 dually diagnosed male adolescents. Results showed significant differences in mean T-score values among these three groups of adolescents across a variety of MMPI-A scales and subscales. Results from discriminant function analyses indicate that treatment setting can be predicted effectively from MMPI-A profiles. Beyond the MMPI-A profile differences established for adolescents in these groups, the similarities of adolescents were also noted, particularly in terms of the frequent occurrence of Within-Normal-Limits profiles for adolescents in all groups. Potential directions for future research with the MMPI-A are presented.
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