Evaluation of the efficacy of pharmacotherapy and psychotherapy in treatment of combat-related post-traumatic stress disorder: a meta-analytic review of outcome studies.

A meta-analysis was conducted to examine the relative effectiveness of the broad-based treatments for combat-related post-traumatic stress disorder (PTSD). The analysis includes 13 pharmacotherapy studies and 12 psychotherapy studies obtained from a PsychINFO database search and a reference search. Studies of pharmacotherapy treatment efficacy demonstrated a significantly greater decrease in reducing PTSD symptoms, t (22) = -2.74, p = 0.01, d = 0.05. A random coefficient analysis supports this finding with significance determined at p < 0.001 for the fixed effects in the models. A limited examination of depression as a frequently comorbid disorder indicated pharmacotherapy also demonstrated a significantly greater decrease than psychotherapy in depression symptoms, t (15.77) = -2.26, p = 0.04, d = 0.16. Differences between treatments are discussed as potentially reflective of assignment to treatments and assessment techniques as well as therapeutic effects.

Maladaptive correlates of the failure to forgive self and others: further evidence for a two-component model of forgiveness.

In a sample composed of 162 young adults, we examined the generalizability of an orthogonal, 2-component model of forgiveness previously reported by Ross, Kendall, Matters, Rye, and Wrobel (2004). Furthermore, we examined the relationship of these two components with maladaptive personality characteristics as measured by the Schedule for Nonadaptive and Adaptive Personality (SNAP; Clark, 1993), with an emphasis on Five-factor model markers of personality. Using multiple measures of forgiveness, principal components analysis supported a 2-component model representing self-forgiveness and other forgiveness. Despite the independence of self-forgiveness and other forgiveness, zero order correlations with SNAP scales supported convergent more than discriminant validity. In contrast, hierarchical multiple regression analyses emphasized the discriminant validity of self-forgiveness and other forgiveness. Among indices of Neuroticism, Extraversion, and Agreeableness, Negative Temperament (+) was the sole predictor of self-forgiveness. In contrast, Positive Temperament (+), Aggression (-), and Histrionic PD (-) were most associated with other forgiveness. Overall, these findings support the validity of these factors and highlight the importance of self-forgiveness in clinical assessment.

Self-report problem scales and subscales and behavioral ratings provided by peers: unique evidence of test validity.

The relationship between children's self-reported problems on the Personality Inventory for Youth (PIY) and peer descriptors derived from the Pupil Evaluation Inventory was examined in a regular education sample of 156 children in fourth through eighth grade. The relative contributions of the PIY scales and subscales to the prediction of peer ratings were compared. Peer ratings of withdrawn, disruptive, and prosocial behaviors were substantially correlated to self-report problem scales made up of logically related content. The addition of more content-specific PIY subscales contributed to the prediction made by PIY scales of peer-reported disruptive behaviors and withdrawal.

A personological examination of self- and other-forgiveness in the five factor model.

In a sample composed of 147 undergraduates (age range 18 to 55 years; M = 22), we conducted an examination of the convergent and discriminant validity of self- and other-forgiveness in the Five-factor model of personality (FFM). Using multiple measures of each construct, principal components analysis (PCA) supported a 2-component model of forgiveness. Findings for the PCA and external correlates with the FFM provided evidence for a largely orthogonal relationship between self- and other-forgiveness. Specifically, self-forgiveness was negatively related to Neuroticism and unrelated to Agreeableness, whereas other-forgiveness was unrelated to Neuroticism and positively related to Agreeableness. Overlap between the constructs was found in which both self- and other-forgiveness were negatively related to the hostility facet of Neuroticism and the order facet from Conscientiousness and positively related to the warmth and positive emotions facet scales from the Extraversion domain of the Revised NEO Personality Inventory (Costa & McCrae, 1992). Overall, these findings suggest that self- and other-forgiveness, although seemingly similar, carry very different motivational underpinnings.