Introduction to the special section on clinical applications of analogue behavioral observation.

This Special Section addresses methods, validity, and utility of analogue behavioral observation. Separate contributions to the Special Section cover analogue behavioral observation of marital interaction, child behavior problems, parent-child interaction, and adult social functioning. Additional articles address psychometric foundations of analogue behavioral observations, general issues, and future directions in the development and evaluation of this assessment method. Many published studies were reviewed in detail and issues of validity, clinical assessment utility, and sources of variance in obtained measures are addressed.

Clinical applications of analogue behavioral observation: dimensions of psychometric evaluation.

Clinical assessment applications of analogue behavioral observation are discussed in the context of psychometric principles. Analogue behavioral observation involves the measurement of a client's overt behavior in a contrived situation that is analogous to situations that the client is likely to encounter in his or her natural environment. The goal of analogue behavioral observation is to derive valid estimates of the client's behavior in a current or future natural environment. Analogue behavioral observation instruments are often developed with insufficient attention to their psychometric properties, particularly content validity. Psychometric evaluative dimensions vary in their importance, as a function of the goals of the assessment. Although analogue behavioral observation instruments can be sensitive to change, their validity can erode over time and is affected by numerous sources of variance. Analogue behavioral observation assessment may be especially useful in detecting important functional relations in clinical assessment.

Development and preliminary validation of a brief broad-spectrum measure of trauma exposure: the Traumatic Life Events Questionnaire.

This article describes the development and preliminary validation of a brief questionnaire that assesses exposure to a broad range of potentially traumatic events. Items were generated from multiple sources of information. Events were described in behaviorally descriptive terms, consistent with Diagnostic and Statistical Manual of Mental Disorders IV posttraumatic stress disorder stressor criterion A1. When events were endorsed, respondents were asked if they experienced intense fear, helplessness, or horror (stressor criterion A2). In separate studies with college students, Vietnam veterans, battered women, and residents of a substance abuse program, most items possessed adequate to excellent temporal stability. In a study comparing questionnaire and structured-interview inquiries of trauma history, the 2 formats yielded similar rates of disclosure. Preliminary data on positive predictive power are also presented.

Cardiovascular reactivity to a naturally occurring stressor: development and psychometric evaluation of a psychophysiological assessment procedure.

Three studies were conducted to examine the feasibility, reactive effects of assessment, stability, sampling parameters, and sensitivity of an assessment procedure designed to measure cardiovascular responses to a discrete, naturally occurring, and replicatable stressor--university course examinations. Undergraduate students monitored their blood pressure and heart rate several times during one or two classroom examinations and for several class sessions preceding each examination. Classroom examinations were generally associated with significant increases in subjective measures of distress and cardiovascular measures. Reactive effects of assessment and other sources of error were minimized and responses were reasonably stable over time. These results support the potential utility, validity, and cost-efficiency of this methodology for assessing cardiovascular reactivity to naturally occurring stressors.

Incorporating personality trait measures in behavioral assessment. Nuts in a fruitcake or raisins in a mai tai?

Articles by Collins and Thompson, Staats, and Williams and Thompson have taken different tracks, but all advocate the integration of "personality" measures with behavioral assessment. This article addresses several issues that have hindered such integration. First, many traits are poorly defined, inconsistently applied, and excessively molar. The concept of trait communicates a useful idea--that there are meaningful consistencies in behavior across situations. However, the concepts of personality and personality traits are superfluous. They are inbued with semantic imprecision, redundancy, and unwanted psychodynamic and causal connotations. Also, trait measures are insensitive to the dynamic aspects of behavior. Finally, personality assessment questionnaires are frequently used in behavioral assessment but most often for client or subject selection and molar therapy outcome evaluation. The goal of research in this area should be to determine the persons. situations, purposes, particular traits, and measurement methods affecting the utility of trait measures in behavioral assessment.

Fibromyalgia: a time-series analysis of the stressor-physical symptom association.

The purpose of this study was to investigate the association among daily stressors, cognitive rumination, and fibromyalgia symptoms using time-series methodology and to determine whether autocorrelation was present in the self-report data. Twelve female fibromyalgia subjects monitored their daily level of stressors, cognitive rumination, and fibromyalgia symptoms for 30-35 days. Time-series regression analyses indicated that there was a positive association between previous-day stressors and fibromyalgia symptoms for one subject and between previous-day cognitive rumination and fibromyalgia symptoms for four subjects. For 7 out of 12 subjects autocorrelation was present, and generalized least-squares methods were used with these subjects. These results indicate that ordinary least-squares methods may often not be appropriate for within-subject designs with self-report data. These results also question the often reported stressor-physical symptom association. This study illustrates a useful methodology and analysis to investigate psychosocial-physical symptom associations.

Assessing retirement satisfaction and perceptions of retirement experiences.

A 2-part investigation developed a measure of retirement as a life transition. Study 1 generated items from interviews with retirees (n = 40) and service providers. Item analysis with recent retirees (n = 86) produced a 51-item Retirement Satisfaction Inventory assessing 6 areas: preretirement work functioning, adjustment and change, reasons for retirement, satisfaction with life in retirement, current sources of enjoyment, and leisure and physical activities. Study 2 examined a heterogeneous sample of men (n = 159) and women (n = 243) retires. Factor analyses produced internally consistent subscales. Moderate, but acceptable, test-retest reliability was demonstrated. Satisfaction scores correlated with concurrent measures and, together with pre- and postretirement experiences, discriminated 4 groups of voluntary and involuntary retirees. Few effects related to gender, socioeconomic status, length of retirement, and part-time employment were found.

Cephalic blood flow correlates of induced headaches.

The purpose of this study was to examine the cephalic blood flow patterns of subjects with frequent headaches during a headache induction procedure. Thirty-six subjects with muscle-contraction, migraine, or mixed headache symptoms were exposed to a 1-hr stressor designed to induce a headache while multiple cephalic blood volume pulse amplitude (BVPA) was measured. Thirty subjects reported a headache during the procedure, and the procedure was associated with significant changes in several cephalic BVPA measures. Between-group differences were found for several cephalic BVPA sites and there were significant correlations between induced headache activity and cephalic BVPA measures for most subjects. The results support causal roles for psychosocial stressors and cephalic blood flow in muscle-contraction and migraine headache.

Psychophysiological correlates of induced headaches.

The psychophysiological correlates of induced headaches were examined. Subjects with frequent muscle-contraction headaches, frequent migraine headaches, or infrequent headaches were exposed to a 1-h cognitive stressor while multiple electromyographic and cardiovascular measures were monitored. The stressor was associated with significant changes in all psychophysiological measures. Eleven of 16 headache subjects and 2 of 8 control subjects developed headaches. Significant associations between several psychophysiological variables and headache occurrence were found and individual differences in the association between psychophysiological variables and headaches intensity were examined. The results were consistent with the hypothesized role of cardiovascular factors in the pathophysiology of muscle-contraction headache. This was the first controlled demonstration of headaches occurring as a function of environmental stressors.

The relationship between internal attentional control and sleep-onset latency in elderly adults.

Cognitive hyperactivity has been hypothesized to be one cause of sleep-onset insomnia in elderly adults. This study examined the relationship between one factor that may mediate cognitive hyperactivity--internal attentional control, the ability to direct and control one's attention while processing stimuli from memory--and sleep-onset latency. Twenty-six elderly individuals with self-reported sleep-onset latencies ranging from 5 to 75 min were brought into a sleep laboratory for a multimethod assessment of internal attentional control. Factor analysis was used to develop a composite measure of this construct. Each person then completed three 2-hr afternoon naps while multiple electrophysiological responses were monitored. The results of canonical correlations with the derived composite scores suggested that a significant proportion of the variance in sleep-onset latency in elderly adults was related to internal attentional control.

The utility and validity of daytime naps in the assessment of sleep-onset insomnia.

This study examined the discriminant validity, consistency, and reactivity of afternoon naps for assessing sleep-onset insomnia. Eleven insomniac and 17 noninsomniac subjects came to a sleep laboratory for three afternoon naps while multiple electrophysiological and subjective measures were taken. The results indicated that sleep-onset latencies during the afternoon naps significantly discriminated between insomniac and noninsomniac subjects. Further, significant correlations were found among most measures of sleep-onset latency measured both electrophysiologically and subjectively. The proportion of variance in sleep-onset latency accounted for by groups (insomniac vs. noninsomniac) increased over the three naps. Finally, a comparison of the results from this study with those from three all-night studies using identical facilities and procedures revealed that the sleep-onset latencies from this nap study were within the ranges expected on the basis of the all-night studies.

Presleep cognitions and attributions in sleep-onset insomnia.

This research examined the role of cognitive factors (attributions about the causes of sleep difficulties and presleep cognitive activity) in sleep-onset insomnia. Thirty-four subjects, including 13 mild to extreme insomniacs, were interviewed and then spent 5 consecutive nights in a sleep laboratory. In a multiple regression paradigm predictor measures included attribution ratings of sleep difficulty, perceived control of presleep cognitive content, and affect associated with presleep cognitions. Criterion measures included laboratory measured objectives and subjective sleep-onset latency, a score presenting the difference between objective and subjective laboratory measures of sleep-onset latency, interview-measured subjective sleep-onset latency, and degree of overall concern and presleep concern about initiating sleep. The results of multiple regression analyses suggested that the content of presleep cognitions and the attributions of sleep difficulties were significantly associated with several subjective measures of sleep-onset latency or concern with initiating sleep. None of the predictor measures was significantly associated with objectively measured sleep-onset latency. Implications for cognitive theories of sleep-onset insomnia and for the psychophysiologic-subjective dimension of insomnia are discussed.