Long-Term Predictive Validity of the Juvenile Sex Offender Assessment Protocol-II: Research and Practice Implications.

The current study evaluated the predictive validity of the Juvenile Sex Offender Assessment Protocol-II (J-SOAP-II) scores in a sample of juveniles who recidivated sexually or nonsexually as adults. Participants included 166 juveniles who had previously sexually offended and were followed into adulthood for an average of 10.75 years. Results of area under the receiver operating characteristic curve (AUC) analyses supported the predictive validity of the J-SOAP-II Total Score, Scale 1, and Static Score in regard to adult sexual recidivism, and predictive validity was found for all J-SOAP-II scores (except Scale 1) in regard to adult nonsexual recidivism. Implications for future research on the assessment of risk factors and treatment needs for adolescents who commit sexual offenses are discussed.

Baby with the bath water: response to Fanniff and Letourneau.

Fanniff and Letourneau concluded that neither their review of the published literature nor their own investigation supported the use of Scale 1 of the Juvenile Sex Offender Assessment Protocol-II (J-SOAP-II). I argue that empirical findings on Scale 1 are mixed and that there is more support in the literature than one might conclude from reading Fanniff and Letourneau. Their negative conclusions about Scale 1 are based on a flawed literature review as well as problematic methods in their own investigation.

Comparing active pediatric obesity treatments using meta-analysis.

The current meta-analysis reviews research on the treatment of pediatric obesity focusing on studies that have been published since 1994. Eleven studies (22 comparisons, 115 effect sizes, N = 447) were included in the present meta-analysis. Results indicated that comprehensive behavioral interventions may be improved in at least two ways: increasing the "dose" of behavioral components and increasing parental involvement. Although limited to just one investigation, support for the use of medication was also found. The addition of cognitive therapy techniques did not appear to increase, and possibly detracted from, the efficacy of established treatments.

From intrusive thoughts to obsessions: The role of perceptions of responsibility, salience, and thought suppression.

Salkovskis [1985. Obsessional-compulsive problems: A cognitive-behavioural analysis. Behaviour Research and Therapy, 23, 571-583.] hypothesized that intrusive thoughts are more likely to occur if the thought is salient for the individual, triggers feelings of responsibility and if the individual attempts to suppress the thought. The relationship between these three factors (responsibility, salience, thought suppression) and frequency of intrusive thoughts as well as anxiety were examined in the present study. One hundred female college students were led to believe that a snake had escaped from the cage in which it was housed. Half of the participants were led to believe that they were responsible for the snake's escape and half were not (Responsibility/No Responsibility). Half of the participants in each Responsibility condition were instructed to suppress thoughts of snakes during a stream of consciousness exercise and half were not (Thought Suppression vs. No Thought Suppression). All participants then completed a second stream of consciousness without suppression instructions. Salience groups were determined by a median split on a measure of snake fearfulness. Participants for whom the snake was a salient stimulus and who believed that they were responsible for the snake's escape had the highest frequency of snake thoughts during the second stream of consciousness task and also experienced the highest levels of state anxiety. Findings are discussed with respect to Salkovskis' model.

The relationship between cognitive avoidance and attentional bias for snake-related thoughts.

Building on the work of Lavy and van den Hout (Lavy, E. H., & van den Hout, M. A. (1994a). Cognitive avoidance and attentional bias: Causal relationships. Cognitive Therapy and Research, 18 (2) 179-191; Lavy, E. H., & van den Hout, M. A. (1994b). Cognitive avoidance and attentional bias: Causal relationships. Behavior Therapy, 24, 645-657), the purpose of the present study was to examine a functional relationship between thought suppression and attentional bias for snake-related thoughts. It was hypothesized that thought suppression is causally involved in the emergence of attentional bias. An experiment was conducted with 71 snake-fearful and non-snake-fearful participants to investigate whether instructions for suppression were sufficient to induce an attentional bias toward snake-related words. Thirty-five participants were instructed to suppress all snake-related thoughts, while 36 participants received control instructions. Both groups then completed a 5-min stream of consciousness exercise followed by a dot-probe attention task including snake words, general emotion words, and neutral words. Results indicated that participants instructed to suppress snake-related thoughts exhibited a more pronounced attentional bias toward snake-related word pairs. The same participants did not exhibit an attentional bias toward general emotion or neutral words. Moreover, there was a significant negative correlation between snake-related thoughts and probe detection latency. Results are interpreted as providing support for a causal relationship between thought suppression and attentional bias for snake-related thoughts.

Cognitive distortions about sex and sexual offending: a comparison of sex offending girls, delinquent girls, and girls from the community.

Cognitive distortions about sexual offending were examined in 11 girls who committed sexual offenses, 12 girls who committed non-sexual criminal offenses, and 21 girls with no history of sexual of non-sexual offending. Participants responded to 12 vignettes that described sexual contact between an adolescent girl and a younger boy. The vignettes varied with respect to the sexual contact portrayed and the victim's response. Girls who had sexually offended were more likely to endorse statements reflecting the belief that the offender in a sexually aggressive vignette was not responsible for initiating the sexual contact. In addition, when the victim's response to the sexual contact was clearly negative, and the degree of contact was more serious, girls who had sexually offended demonstrated more distorted beliefs about the victim than the other two groups. Similarities and differences between the current findings and studies of distorted thinking in male sexual offenders are discussed.

Factor structure and validation of the juvenile sex offender assessment protocol (J-SOAP).

The Juvenile Sex Offender Assessment Protocol (J-SOAP) was first developed in 1994 in response to the need for a structured method of assessing risk of recidivism among juvenile sexual offenders (R. A. Prentky, B. Harris, K. Frizzell, & S. Righthand, 2000). Over the ensuing years the scale has been subjected to a series of studies that have sought to examine its psychometric properties and its validity. The current paper reports on results from three of these studies, one of which looks at the factor structure of the items. The other two studies examine concurrent validity by looking at J-SOAP Scales 1 and 2 in relation to the Level of Service Inventory-Youth Version with: Youth Level of Service/Case Management Inventory (YLSICMI) (R. D. Hoge & D. A. Andrews, 1996) and other selected variables and discriminant validity by looking at the ability of J-SOAP scales to differentiate between juvenile sex offenders in the community and juvenile sex offenders in residential placement. The revision of the scale is discussed based on the research that has developed the scale and the research that has employed it.

Attentional bias to threat and emotional response to biological challenge.

Attentional bias towards threat reliably correlates with clinical anxiety status as well as elevated trait anxiety. Although such findings have led many to posit a potential causative or predictive role of threat-biased attentional processes on anxiety problems, little informative research exists. The present investigation was designed to address the role of threat-biased attentional processes on emotional/fearful responding. Eighty-seven participants provided baseline measures of anxiety vulnerability (i.e., anxiety sensitivity; unmasked/masked emotional Stroop task indices) and then underwent biological challenge procedures (inhalations of 20% carbon dioxide (CO2)-enriched air). Following challenge, participants completed measures of emotional response. Regression analyses indicated that both unmasked and masked attentional bias indices significantly predicted emotional responding above and beyond anxiety sensitivity. Exploratory analyses also revealed a gender effect, with prediction of emotional response largely attributable to females. These findings support attentional bias towards threat as a relatively independent factor predictive of emotional responding.

Mastery of Your Anxiety and Panic and brief therapist contact in the treatment of panic disorder.

Twenty-eight individuals with panic disorder were provided with a copy of Mastery of Your Anxiety and Panic II and received either four sessions of group cognitive-behavior therapy (Group) or one meeting with a therapist plus three telephone contacts (Telephone). Between group repeated measures analyses revealed significant improvement over the course of treatment and maintenance of gains over the follow-up period with few treatment by trials interactions. A higher percentage of participants in the Telephone condition achieved high end-state functioning status at posttreatment compared to those who participated in group CBT (72% vs. 24%), but this difference disappeared at 6 months posttreatment (45% vs. 55%). Participants with characteristics of either borderline, dependent, or depressive personality disorders, as assessed by the MCMI-III, were unlikely to achieve high end-state functioning status at posttreatment. Trends in the data suggest that participants who met criteria for panic disorder with agoraphobia, and those with comorbid generalized anxiety disorder, were also less likely to achieve clinically significant outcome. These findings add to the growing literature indicating that self-directed treatment with brief therapist contact is a viable option for many people with panic disorder. Furthermore, the study provides preliminary data suggesting that certain comorbid conditions negatively impact self-directed treatment outcome.

Adolescent females who have sexually offended: comparisons with delinquent adolescent female offenders and adolescent males who sexually offend.

Very little is known about adolescent females who commit sexual offenses. In this two-part exploratory study, a sample of 11 adolescent females with sexual offense histories is described. In Study I, the sample is compared to an age-matched sample of 11 adolescent females with non-sexual victim-involved offense histories. The sexually offending group had significantly fewer antisocial behavior problems, such as alcohol or drug use problems, problems with fighting, or problems at school. They began their offense behaviors at younger ages than their non-sex offending delinquent peers. Few differences emerged with respect to attitudes about offense behaviors, such as level of denial. In Study II, the same sample of females with sex offense histories was compared with a group of age-matched adolescent males with sex offense histories. The two sex-offending groups were found to be remarkably similar. There were few differences with respect to psychosocial and criminal histories, antisocial behavior, and variables related to clinical presentation and treatment (e.g., level of denial about offense). Likewise, the two groups are remarkably similar with respect to specific sex offense behaviors. The females, however, appear to have experienced more severe and pervasive abuse compared to the males.