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Fear Conditioning And Extinction In Childhood Obsessive-Compulsive Disorder, Joseph F. Mcguire
Fear Conditioning And Extinction In Childhood Obsessive-Compulsive Disorder, Joseph F. Mcguire
USF Tampa Graduate Theses and Dissertations
Fear conditioning and extinction are central in the cognitive behavioral model of obsessive-compulsive disorder (OCD), which underlies exposure-based cognitive behavioral therapy (CBT). Youth with OCD may have impairments in conditioning and extinction that carries treatment implications. The present study examined these processes using a differential conditioning paradigm. Forty-one youth (19 OCD, 22 community controls) and their parents completed a battery of clinical interviews, rating scales, and a differential conditioning task. Skin conductance response (SCR) served as the primary dependent measure across all three phases of the conditioning procedure (habituation, acquisition, and extinction). During habituation, no meaningful differences were observed between …
A Structural Equation Analysis Of Family Accommodation In Pediatric Obsessive-Compulsive Disorder, Nicole Elise Caporino
A Structural Equation Analysis Of Family Accommodation In Pediatric Obsessive-Compulsive Disorder, Nicole Elise Caporino
USF Tampa Graduate Theses and Dissertations
Family accommodation of symptoms conflicts with the primary goals of cognitive-behavioral therapy for pediatric obsessive-compulsive disorder (OCD) and can be an obstacle to positive outcomes. This study examined a structural equation model of parent and child variables related to family accommodation using a sample of 65 parent-child dyads recruited from a university-based clinic. Additionally, parents' motivations for engaging in accommodation were explored. Results generally supported the hypothesized model. Family accommodation mediated the relationship between OCD symptom severity and parent-rated functional impairment, child internalizing problems mediated the relationship between parent anxiety and family accommodation, and parent empathy and consideration of future …
Does D-Cycloserine Augmentation Of Cbt Improve Therapeutic Homework Compliance For Pediatric Obsessive Compulsive Disorder?, Jennifer M. Park
Does D-Cycloserine Augmentation Of Cbt Improve Therapeutic Homework Compliance For Pediatric Obsessive Compulsive Disorder?, Jennifer M. Park
USF Tampa Graduate Theses and Dissertations
D-cycloserine (DCS), a partial agonist that acts on the N-methyl-D-aspartate (NMDA) receptor of the glutamatergic receptor complex, may enhance fear extinction learning during exposure-based therapy. Clinical studies in adults with obsessive-compulsive disorder (OCD) and non-OCD anxiety disorders - and a recent trial in pediatric OCD - have shown that DCS can improve treatment response to exposure therapy relative to placebo and exposure therapy. Some have hypothesized that improved treatment response is a function of increased compliance and engagement in therapeutic homework tasks, a core component of behavioral treatment. The present study examined the relationship between DCS and homework compliance in …
Breaking Down The Wall: An Examination Of Mental Health Service Utilization In African American And Caucasian Parents, Idia O. Binitie
Breaking Down The Wall: An Examination Of Mental Health Service Utilization In African American And Caucasian Parents, Idia O. Binitie
USF Tampa Graduate Theses and Dissertations
This study investigated the influence of parents' gender, race, and psychopathology on barriers and attitudes to mental health utilization for themselves and for their children. It was hypothesized that mothers and Caucasian¹ parents would have more positive attitudes and would perceive fewer barriers to mental health services than fathers and African American² parents. A total of 194 African American and Caucasian parents were recruited from the community to participate in this study. Parents completed measures on barriers and attitudes toward treatment for themselves and their children, utilization of mental health services for themselves and their children, and their own current …