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Health Psychology

Philadelphia College of Osteopathic Medicine

Depression

Publication Year

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Does The Quality Of The Patient-Physician Relationship Moderate Predictors Of Poor Adherence In Urban, Underserved And Vulnerable Patients With Chronic Illness?, Laura Russo-Innamorato Jan 2011

Does The Quality Of The Patient-Physician Relationship Moderate Predictors Of Poor Adherence In Urban, Underserved And Vulnerable Patients With Chronic Illness?, Laura Russo-Innamorato

PCOM Psychology Dissertations

Escalating prevalence rates and rising economic costs of chronic illnesses necessitate a better understanding of factors affecting patient adherence in the primary care setting. Despite technological advances and evidenced-based treatments, clinical outcomes are often poor. Data drawn from archival data of the “A Healthier You” wellness program designed to serve a predominately underserved population were examined to assess whether or not positive predictors of adherence could moderate the impact of negative predictors such as depression. Limitations of the study methodology precluded significant interpretations but suggested significant discrepancies between patient and physician perceptions of trust in the relationship and the satisfaction …


Factor Structure And Psychometric Characteristics Of The Beck Depression Inventory-Fast Screen In A Sample Of Patients With Pain, Robin L. Carosella Jan 2010

Factor Structure And Psychometric Characteristics Of The Beck Depression Inventory-Fast Screen In A Sample Of Patients With Pain, Robin L. Carosella

PCOM Psychology Dissertations

The purpose of this study was to extend previous literature of the BDI-FastScreen and demonstrate a more empirical clinical utility within a sample of patients with pain. This study utilized existing data found in a large, multiphysician, multilocation pain management practice. The sample consisted of 328 male and female patients with pain. Various psychometric analyses were performed. Results pertaining to the internal consistency of the BDI-FastScreen determined the items most highly correlated were pessimism and loss of pleasure. A factor analysis revealed 49.18 % of the variance of the factor structure of the BDI-FastScreen was comprised of one factor. …


Effect Of Individual Cognitive Behavioral Therapy On Depression And Anxiety In Older Adults With Chronic Obstructive Pulmonary Disease : A Feasibility Study, Eileen Lightner Jan 2010

Effect Of Individual Cognitive Behavioral Therapy On Depression And Anxiety In Older Adults With Chronic Obstructive Pulmonary Disease : A Feasibility Study, Eileen Lightner

PCOM Psychology Dissertations

The progression of chronic obstructive pulmonary disease (COPD) in older adults has been associated with a high prevalence of depression and anxiety (Kunik et al., 2005). The purpose of this study was to examine the effects of a COPD-specific individual cognitive behavioral therapy (CBT) intervention on depression and anxiety in older adults with COPD. Three older adult patients with moderate to severe COPD and comorbid depression and anxiety were recruited from a large hospital affiliated pulmonary practice to participate in this single subject multiple baseline feasibility study. Pre-test-post test assessments were conducted utilizing the Geriatric Depression Scale (GDS), the State …