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Case Report Of A Brief Modular Anxiety Intervention For Integrated Primary Care: Addressing Clinician Feasibility Concerns And Barriers To Using Manualized Treatments, Katherine Buckheit, Robyn L. Shepardson, Luke Mitzel, Risa B. Weisberg, Stephen A. Maisto, Jennifer Funderburk

The Journal of Integrated Primary Care

Individuals with anxiety symptoms commonly present in primary care settings and prefer behavioral health (versus pharmacotherapy) treatment, but behavioral health interventions are underutilized. Primary care behavioral health (PCBH) models, in which embedded behavioral health providers deliver behavioral treatment in primary care, may help address the gap in provision of anxiety treatment. However, evidence-based anxiety treatment options feasible for delivery in primary care are limited, and clinicians often report concerns about using manualized interventions. Recent recommendations by the U.S. Preventative Services Task Force to increase anxiety screening among adults in primary care may result in increased identification of individuals with anxiety …

Biopsychosocial Management Of Long Covid Fibromyalgia: Lessons From The Penn Medicine Lancaster General Health Fibromyalgia Program, Joseph Harrison, Dennis Given Psy.D.

The Journal of Integrated Primary Care

The COVID-19 pandemic has increased the prevalence of chronic health concerns worldwide, leading to a new population of patients suffering from Long Covid. Patients with Long Covid often experience persistent symptoms impacting multiple organ systems, including neuroimmune and neurological manifestations. Recently, attention has grown toward Long Covid patients developing chronic widespread pain similar to fibromyalgia. Fibromyalgia is a nociplastic pain disorder characterized by widespread pain and central sensitization with fatigue, sleep disturbances, and impairments in cognitive functioning. Given the nascent and limited research exploring new treatment options, patients need support now from biopsychosocial multi-modal pain management strategies. The Fibromyalgia Program …

An Exploration Of Self-Reported Training Needs For Anxiety Interventions Among Primary Care Behavioral Health Consultants, Katherine Buckheit, Ryan Willard, Kyle Possemato, Robyn Shepardson, Abigail Lashinsky, Jen Funderburk

The Journal of Integrated Primary Care

Introduction: Despite the need for greater training in evidence-based interventions for the treatment of anxiety in primary care behavioral health (PCBH), there are limited data on which interventions are desired by behavioral healthcare consultants (BHCs). The objective of this study was to identify which interventions BHCs desired more training in when treating anxiety in PCBH practice, and to examine if this preference was associated with theoretical orientation. Method: We conducted an online survey of PCBH providers regarding their training preferences for treatment of anxiety symptoms. The final sample comprised 291 BHCs recruited from e-mail listservs of national professional organizations. Providers …

An Examination Of An Online Program For Parents With Anxious Adolescents, Tracy Sciulli

PCOM Psychology Dissertations

The researcher conducted a mixed-methods study to investigate the effectiveness of an online parent coaching program in influencing parental beliefs about anxiety and enhancing parenting self-efficacy for managing adolescent anxiety. The researchers developed the piloted parenting program to determine whether a brief online intervention for parents could alter parental self-efficacy and beliefs about adolescent anxiety to bring about positive outcomes for adolescents undergoing treatment for anxiety. The team recruited parents of adolescents diagnosed with or receiving treatment for anxiety symptoms from Philadelphia Integrative Psychiatry for a pre-intervention and post-intervention study. The proposed parenting program aims to address the shortcomings in …

Assessment Of Trauma In Youth With Intellectual Disabilities: Comparison Of Research And Clinical Practice, Olga Joyce Bilardi

PCOM Psychology Dissertations

This study seeks to assess clinician use of trauma assessments when working with youth with lower cognitive and adaptive functioning who meet criteria for having an Intellectual Disability. Given the limited assessment instruments discussed in the literature, it is essential to determine what practices clinicians use to assess trauma with intellectually disabled youth. This study aims to determine the prevalence of trauma measures used with the Intellectual Disability population and assess clinician comfort with this population. This study will highlight the necessity for further development of appropriate and standardized trauma measures in the Intellectual Disability population and training for clinicians …

Sex Differences In Cognitive Distortions In Individuals With Fibromyalgia, Corey Adams

PCOM Psychology Dissertations

Chronic pain is a significant problem in both clinical practice and research, which does not occur equally in all groups of people. Of the 2% of adults with fibromyalgia in the United States, 3.4% of them are women. Understanding these differences may be useful in informing treatment (Jahan et al., 2012). One such area is distorted thinking, which can have a negative impact on symptoms of depression, anxiety, and pain sensitivity (Varallo et al., 2021). This study examined how cognitive distortions may play a role in the disparities seen between men and women diagnosed with fibromyalgia. This study used a …

Screen Time And Problematic Behavior: Piloting A Family- Based Intervention, Naomi Morissette

PCOM Psychology Dissertations

School-aged children are increasingly growing up in a technology-driven society. The amount of time children spend engaged with screens is problematic, as is the subsequent impact on the development of their executive functioning skills. The current study investigated the feasibility of an online, asynchronous, family-based intervention to limit screen usage for elementary-aged children. It was hypothesized that removing screens from children’s bedrooms and one hour before bedtime was a feasible strategy to limit screen use and would result in positive behavior change, specifically regarding the ability to self-cue the use of executive skills. Additionally, it was hypothesized that an online …

Transitioning From The Juvenile Justice System For Students With Disabilities, Michelle Cain

PCOM Psychology Dissertations

Youth with disabilities are disproportionately involved in the juvenile justice system. However, there is limited research on how individuals with disabilities interact with support services or how their experiences may differ from youth without disabilities. The present study examined transition supports for youth exiting juvenile justice placements. The study utilized a semi-structured appreciative interview process. The purpose of utilizing an appreciative inquiry lens was to push past problem-focused ideas and highlight transition supports that have been successful. The primary research questions addressed the supports and services that have allowed youth with disabilities to successfully return to the comprehensive educational setting, …

Building Technology Breaks Into Classroom Instruction To Reduce Media Multitasking And Increase Learning, Lisa Decicco

PCOM Psychology Dissertations

The current study was designed to investigate the impact of media multitasking on learning outcomes in the classroom. The goal was to develop an instructional intervention that reduces the negative effects of media multitasking on learning outcomes by incorporating technology breaks into the instructional design. High school students in an all-girls school took part in three learning sessions, each with a different instructional strategy related to media multitasking in the classroom: Condition 1: Instruction as Usual; Condition 2: No access to technology; Condition 3: Technology Breaks. Students completed a pre and post-test knowledge-based assessment to measure their retention of the …

Promoting Caregiver Mental Health Literacy: A Pilot Study Of The Online Program “Mental Wellness At The Lake”, Erika Baylis

PCOM Psychology Dissertations

The mental health needs of children are growing in the United States. Caregiver’s mental health knowledge and attitudes about help-seeking can impede the awareness of help-seeking behaviors. The Baylis Model is a framework for caregivers to increase their mental health knowledge. This research is a pilot study to provide elementary caregivers with mental health knowledge to increase their awareness to access treatments for their children. Participants completed a pre-test to determine mental health knowledge to begin the study. A total of 14 families completed a 10-module course (Mental Wellness At The Lake) on canvas, a web-based learning management system. Throughout …

School Psychologists Supporting Culturally And Linguistically Diverse Families Through The Evaluation Process, Jacqueline A. Oluoch

PCOM Psychology Dissertations

This study examined factors that predicted higher cultural skills in practicing school psychologists, and if these skills could be improved through a professional development session. Participants were school psychologists who attended a cultural skills professional development workshop during the National Association of School Psychologists Annual Convention 2024. A Mann-Whitney test was used to examine the change in cultural skills pre- and post-workshop. Kruskal-Wallis tests were used to examine cultural skills by career stage and work settings. The results showed an overall increase in cultural skills post-workshop. Working in public schools or non-public schools was not related to higher cultural skills …

The Use Of Problematic Behaviors As Predictors Of Suicidal Ideations And Attempts In Adolescent Psychiatric Inpatients, Jessica Lamont-George

PCOM Psychology Dissertations

Suicidality is a health concern among adolescents. Approximately, one million people attempt suicide each year and it is the second leading cause of death for those aged 10 to 19. Inpatient hospitalizations may be beneficial for individuals who pose a danger to themselves or others since it provides a safe environment for the individual to receive individualized care. Many individuals who have been admitted for psychiatric inpatient hospitalization have suicidal ideations or attempts. The Child and Adolescent Behavior Assessment-Youth Scale (CABA-Y) explores an individual’s stressors and problem behaviors that may be contributing to the reasons for hospitalization. While inpatient, some …

Improving Care For Adults With Visual Impairment Through Interprofessional Education, Marissa L. Ferrito

PCOM Psychology Dissertations

Introduction: There is a significant negative impact on the quality of life of individuals with visual impairment. The number of adults with visual impairment is growing and health professionals will need to be able to respond with effective care and as part of interdisciplinary teams

Purpose: The purpose of the study is to explore the impact that interprofessional education (IPE) has on the knowledge, skills, and attitudes held by future health professionals regarding their ability to treat adults with visual impairment.

Hypotheses: It is hypothesized that after an IPE module, future health professionals will demonstrate more knowledge …

The Relationship Between Burnout And Cognitive Distortions For Clinicians Working With Sex Offenders, Emily Stover

PCOM Psychology Dissertations

Burnout affects approximately 21% to 61% of mental health providers throughout their careers (Morse et al., 2012). Various precursors may lead to burnout, such as caseload, the severity of the clients, workplace climate, and lack of professional support. Burnout is a significant issue for mental health providers working with perpetrators of sexual offenses, specifically due to the increase in stressors when working with this population. Individuals working with this population have the additional risk of being objectified or threatened during a session and could experience vicarious trauma when listening to the details of the offense. Due to the continuous emotional …

The Relationship Between Attention-Deficit/Hyperactivity Disorder And Sluggish Cognitive Tempo, Anna Podrasky

PCOM Psychology Dissertations

Sluggish cognitive tempo (SCT) was first described as a syndrome associated with attention-deficit/hyperactivity disorder (ADHD); however, SCT may be a unique construct, independent of the presence of ADHD. Archival data from a specialty outpatient adult ADHD clinic were analyzed to further evaluate the relationship between SCT and ADHD. It was hypothesized that there would not be significant differences between ADHD and SCT on measures of anxiety, depression, neuroticism, and sleep disturbance. Second, it was hypothesized that after controlling for anxiety, depression, neuroticism, and sleep disturbance at level 1 of a hierarchical regression analysis, there would be no additive predictive relationship …

Exploring Forensic Psychologist, Psychiatrists And Lawyers Perceptions On Incorrigibility And Juvenile Resentencing, Tyeca Reviere

PCOM Psychology Dissertations

The United States is one of the only countries in the world that sentences juveniles to life without parole. In the United States, over 2,500 juveniles as young as the age of 13 are serving life in prison sentences without the possibility of parole. In 2012, the Supreme Court case Miller v. Alabama determined that sentencing a juvenile to life without parole was unconstitutional. Forensic psychologists, psychiatrists, and lawyers assist in resentencing juveniles by determining if a juvenile is incorrigible (not rehabilitated). The method of determining incorrigibility regarding juvenile resentencing has not been standardized or well-defined amongst professionals in psychology …

The Experience Of Social Connectedness Among Adolescent Cancer Patients, Jennifer H. Nack

PCOM Psychology Dissertations

Adolescence and young adulthood are peak periods for the attainment of numerous physical and psychosocial developmental milestones. A cancer diagnosis during this time can disrupt the achievement of developmental milestones and have significant impacts on Adolescents and young adults (AYAs) physical, emotional, social, and academic wellbeing. Coping with the uncertainty of cancer treatment can be particularly daunting for AYAs, as they strive to maintain a sense of normalcy amidst the disruptions to their daily routines and expectations. Moreover, changes to daily routines and expectations are found to cause periods of isolation and significant changes to social relationships between cancer survivors …

Predictors Of Utilization Of Preventive Gynecologic Health Services Among Women Veterans, Jennifer Lynn Milore

PCOM Psychology Dissertations

As the number of women veterans in the United States increases, additional attention has been given to understanding their healthcare experiences within the Veterans Health Administration. However, much of the current literature exploring women veterans has been qualitative and little research has examined quantitative relationships between experiences in the VA healthcare system and gynecologic health behaviors and outcomes. The purpose of this study was to evaluate potential factors (health literacy, social problem-solving abilities, and perceived gender discrimination) that may predict gynecologic health behaviors in women veterans. This study included 145 anonymous participants. Participants completed screening questions and demographic and health …

Parent Assessment Of Children's Executive Capacities, Matthew J. Davis

PCOM Psychology Dissertations

Family environments function in a way determining that all children are expected to perform at certain levels based on their age and developmental stage. Academic tasks require using numerous executive skills simultaneously, sometimes making it challenging to pinpoint specific executive strengths and weaknesses. Understanding a child's challenges with executive control can provide insights into areas where they might benefit from extra help and support. The present study examined parents’ ratings of executive functions collected during the standardization of the MEFS-PR given the students’ ages and level of academic competence. The data used in this study were the parent ratings of …

The Relationship Between Impulsivity, Avoidance, And Overly Positive Maladaptive Thinking In Adults With Adhd, Morgan Hagner

PCOM Psychology Dissertations

Adults with attention-deficit/hyperactivity disorder (ADHD) experience many difficulties in executive functioning and mental health. The literature supports cognitive behavior therapy (CBT) as an evidence-based treatment, for many mental health disorders, including the cognitive and behavioral issues associated with adult ADHD. There is evidence that some of the problems associated with adult ADHD are related to cognitive distortions, functional impairment, and deficits in executive functioning. Previous studies have found a preliminary relationship between cognitive distortions and ADHD, but these studies did not assess overly positive cognitions, the latter, also theorized to be related to this disorder. The purpose of the current …

Relationship Between Cognitive Distortions And Burnout Among Primary Care Physicians, Wilson Albarracin

PCOM Psychology Dissertations

Burnout is a depleted state characterized by three components: emotional exhaustion, depersonalization, and low personal accomplishment (Wong et al., 2020). A widespread problem among physicians, burnout may increase the likelihood of committing occupational errors (Buran & Altın, 2021). The medical profession encompasses many demanding responsibilities related to direct patient care (Amanullah & Ramesh, 2020). Burnout associated with the recent pandemic may have led to medical malpractice lawsuits and even jeopardized patient safety (Sung et al., 2020). Along with burnout, physicians are at a greater risk of developing psychiatric disorders and committing suicide than the general population (Ofei-Dodoo et al., 2021; …

“Learning To Read With The Magic Seeds”: A Pilot Test Of A Parent Shared Reading Program, Mary Jean Strong

PCOM Psychology Dissertations

The current study was a pilot study to assess the feasibility of “Learning to Read with the Magic Seeds,” a four-week shared reading program, and its effectiveness in changing parental beliefs about literacy. Two groups of parents of preschool-aged children with different demographics participated in the study. Parents completed the Parental Reading Beliefs Inventory prior to and after the four sessions. The first session included an introduction, assessments, and a conversation about literacy beliefs, practices in the home, and the importance of talk. Subsequent sessions focused on extending book talk, phonological awareness, and developing print awareness. During the session, the …

Social Problem-Solving, Stress, Social Support As Predictors Of Distress Among First-Generation Students, Marisa Leib

PCOM Psychology Dissertations

First-generation students are steadily increasing in the United States, and currently comprise one third of today’s college undergraduate population (Stebleton & Jehangir, 2020). First-generation students are more likely to face various academic, social, economic, and cultural challenges when transitioning to higher education. The culmination of these stressors put first-generation students at risk for developing mental health conditions. Social problem-solving (SPS) is one variable that has been shown to buffer against the negative effects of stress among the general college student population. The purpose of the current study was to examine how specific variables contribute to psychological distress among the population …

Relationship Quality And Metacognitive Beliefs On Grief Outcomes Of Bereaved Cancer Caregivers, Katelyn Anderson

PCOM Psychology Dissertations

Cancer caregivers are a unique population among grief literature due to the typical experience of preparedness for the loss. Nevertheless, their responses may vary, with some experiencing significant distress resulting in prolonged grief disorder (PGD). PGD has higher risks for mental and health problems, creating an urgency to understand the underlying factors for appropriate treatment interventions. Research mainly examines automatic thought processes in grief coping processes, but there is minimal research on the influence of metacognitive beliefs on PGD. Furthermore, there is a limited understanding of how the quality of the relationship between the deceased and the caregiver influences PGD …

Ptsd, Chaos, And Subjective Executive Dysfunction, And Its Impact On Qol, Emmy Y. Velazquez Santiago

PCOM Psychology Dissertations

Research with veterans suggests executive dysfunction associated with PTSD often results in problems with quality of life. Objective impairments in executive functions do not significantly correlate with subjective reports; despite this discrepancy, the perception of dysfunction impacts quality of life. Research indicates that perception of chaos/unpredictability can undermine the ability to perform executive functions. This study explored how the perception of chaos impacts the relationship between PTSD and subjective executive dysfunction and quality of life among veterans. A Pearson product-moment correlation was used to determine whether a relationship exists between PTSD symptomatology and subjective executive dysfunction and between subjective executive …

Loss Of Mooring And Acculturational Resilience: Understanding Resilience, Adversity, And Trauma Among Female Muslim Arab Refugees In The United States: A Qualitative Study, Norah Fahad Aldawsari

PCOM Psychology Dissertations

The phenomenon of resilience is found in the literature reviews of trauma and is considered an important element in overcoming adversity and traumas (Brown, 2015; Civan Kahve et al., 2021; Saul, 2022). Resilience is considered to be a cultural, contextual, and historical concept, and its conceptualization, illumination of influential factors, and identification of coping strategies can be considered unique from one culture to another (Saul, 2022). Many research studies highlight the importance of resilience when coping with adversity and trauma, as well as incorporating a strength-based therapeutic approach. This approach incorporates one’s social and communal interventions and elements and cultural …

School Refusal, Anxiety, And Executive Functioning In Adolescents, Marissa Kimmel

PCOM Psychology Dissertations

School refusal behaviors impact students nationwide, negatively affecting their academic performance and social-emotional well-being. The current study was a two-part study looking at the factors influencing student attitudes toward attendance and then building and reviewing a program based on these findings. During the first part of the two-part study, a secondary data analysis was conducted to analyze the factors influencing student attitudes toward attendance. The secondary data analysis included correlational, regression, and hierarchical regression studies, utilizing responses from 1,056 teenagers attending a suburban high school. Based on the findings, a second study reviewed a program created to address the factors …

Examining Correlations Between Graphic Indicators In Projective Tests And Clinical Criteria Of Ptsd In Children And Adolescents, Melissa Brennan

PCOM Psychology Dissertations

The use of art and drawing has been known to be a well-suited assessment and treatment modality with children, especially children who have been traumatized, due to their hesitancy or inability to verbalize complex emotional thoughts and experiences. The use of projective arts-based assessments can be an effective approach for facilitating engagement, reducing resistance, and offering an alternative for self-expression that can provide insight into a child’s experience that words alone cannot. This study aimed to examine whether specific graphic indicators of the House-Tree-Person (H-T-P) assessment correlated with particular clinical or psychometric criterion according to the Clinician Administered PTSD Scale …

The Invisible Load Of Motherhood: Exploring Parental Stress Differences Among Caucasian And African American Mothers, Angena Mombrun

PCOM Psychology Dissertations

Parental stress can be defined as the perceptions and feelings that are experienced in a parental role because the demands that are related to the role are unable to be fulfilled with the resources that are available (Abidin, 1992). Research suggests that African American women may experience more parental stress than their Caucasian counterparts due to various factors (Coll & Pachter, 2002). However, there is not sufficient evidence to support this notion as the majority of research available on parenting stress is comprised of middle-class Caucasian women (Coll & Pachter, 2002; Nomaguchi & House, 2013). The purpose of this study …

Supporting Teachers In Supporting Students: Facilitating A Successful School Reintegration Post Psychiatric Hospitalization, Alicia J. Gialanella

PCOM Psychology Dissertations

Given the increasing mental health needs and high rates of psychiatric hospitalization among children today, school-based supports are needed to mitigate potential areas of difficulty for students upon their return to school. This study provides a review of the school reintegration literature, including current issues, medically-based transition plans, and teacher and student perceptions of the reentry process. The overarching purpose of this study was to facilitate a more successful school reintegration for students post psychiatric hospitalization. For the present pilot study, an online course was developed and assessed through review by 15 education professionals gathered through a convenience sample. The …