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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 …

“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 …

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 …

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 …

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 …

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 …

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 …

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 …

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, …

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 …

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 …

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 …

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 …

Anxiety Severity And Prescription Medication Utilization In First-Time Medical Marijuana Users, Karen L. Dugosh, Megan M. Short, Paulina Syracuse, Thomas R. Mccalmont, Michelle R. Lent

PCOM Scholarly Papers

Background

Anxiety and post-traumatic stress disorder (PTSD) are qualifying psychiatric conditions for medical marijuana (MM) treatment in Pennsylvania. This study examined baseline prevalence and changes in prescription anxiety medication use three months following MM treatment initiation among individuals with these qualifying conditions.

Methods

The study sample was comprised of 108 adults with anxiety or PTSD as a referring condition; they were enrolled in a longitudinal study evaluating biopsychosocial outcomes in new MM patients. Consenting participants completed an assessment battery at baseline and Month 3 (n = 94, 87 % follow-up rate) that included a measure of anxiety severity and …

Awareness With Paralysis And Symptoms Of Post-Traumatic Stress Disorder Among Mechanically Ventilated Emergency Department Survivors (Ed-Awareness-2 Trial): Study Protocol For A Pragmatic, Multicenter, Stepped Wedge Cluster Randomized Trial., Brian M Fuller, Brian E Driver, Michael B. Roberts, Christa A Schorr, Kathryn Thompson, Brett Faine, Julianne Yeary, Nicholas M Mohr, Ryan D Pappal, Robert J Stephens, Yan Yan, Nicholas J Johnson, Brian W Roberts

PCOM Scholarly Papers

BACKGROUND: Awareness with paralysis (AWP) is memory recall during neuromuscular blockade (NMB) and can cause significant psychological harm. Decades of effort and rigorous trials have been conducted to prevent AWP in the operating room, where prevalence is 0.1-0.2%. By contrast, AWP in mechanically ventilated emergency department (ED) patients is common, with estimated prevalence of 3.3-7.4% among survivors given NMB. Longer-acting NMB use is a critical risk for AWP, and we have shown an association between ED rocuronium use and increased AWP prevalence. As NMB are given to more than 90% of ED patients during tracheal intubation, this trial provides a …

Revisiting The Global Measures Of Overall Neuropsychological Function And The Impact Of Race-Based Normative Data In Clinical And Forensic Populations, Zachary Dipasquale, Donald Masey, Robert A. Ditomasso, Gabriel Stanziano

Research Day

This study aims to examine the impact of race-based normative data on global measures of overall neuropsychological functioning. Further, it examines the changes made to the Average Impairment Rating (AIR) in the context of race-based norming and the dismissal of a previously included measure, Picture Arrangement. The AIR is a commonly used index to classify the severity of diffuseness related to brain injury. Despite its use, the AIR has a very limited body of research describing the impact of racial norming on the index. Based on a review of the literature, the Picture Arrangement subtest removal was never researched in …

Sex And Gender Differences In Attention-Deficit / Hyperactive Disorder (Adhd): A Literature Review, Kaitlyn N. Blair, Min Young Kim

Research Day

Background:

The American Medical Women's Association (AMWA) Sex and Gender Health Collaborative identified the need for a concise factsheet for clinicians outlining sex and gender differences in Attention Deficit Hyperactive Disorder (ADHD) as ADHD is underdiagnosed, undertreated, and frequently misdiagnosed in women due to lack of recognition of gender-specific presentation. AMWA's goal is to improve access and exposure to sex and gender differences in healthcare as few medical schools educate students on these differences. The poster summarizes the reviewed literature on the prevalence, diagnosis, referral for, prevention, clinical presentation, and treatment of ADHD with a goal to reduce sex and …

The Development, Implementation And Early Learnings Of A Training Program To Advance Interest In Behavioral Research Careers Among Undergraduate Bipoc Students Majoring In Psychology., Michelle R. Lent, Denise Gaither-Hardy, Kevin E Favor, Diana Harris, Travis A Cos, Conor Millard, Zatio Kone, Ashley Van Riper, Karen L Dugosh

PCOM Scholarly Papers

OBJECTIVES: Black, indigenous and people of color (BIPOC) remain underrepresented in research occupations. This report discusses a collaboration to train undergraduate BIPOC students in clinical research between a public health institute, two medical schools, and a historically Black College or University (HBCU). This nine-month program trained BIPOC undergraduates in research methodology, psychology, and addiction science, and immersed trainees in real-world research. The program included didactic seminars, experiential activities, and a mentored research project culminating in a poster and oral presentation.

METHODS: Key learnings, program satisfaction survey results, and preliminary outcomes from the first three program cohorts (N = 6 students) …

Examining The Relationship Between Outcome Expectancies And Anxiety Severity In Patients Using Medical Marijuana, Paulina Syracuse

PCOM Psychology Dissertations

Many states have legalized marijuana for medical and recreational use despite it being classified as a Schedule I controlled substance. Although research regarding its efficacy is limited, one of the most common medical marijuana referral reasons is anxiety and patients often report experiencing reductions in anxiety. Many patients have beliefs about the effects of medical marijuana, called outcome expectancies, which may differ based on previous recreational marijuana use. These beliefs may influence anxiety outcomes, but this relationship is still unclear. The purpose of this study is to examine the relationship between patients’ medical marijuana outcome expectancies, previous recreational marijuana use, …

Mental Health Professionals’ Perception Of Medications For Opioid Use Disorder, Patrick M. Mullen

PCOM Psychology Dissertations

Despite the widespread attention and resources allocated to the current opioid crisis, the public health problem persists. A major target in the efforts to combat the opioid crisis is increased accessibility and utilization of medications for opioid use disorder (MOUD). A robust body of evidence supports the effectiveness of medications to treat opioid use disorder (OUD) in reducing overdose deaths and improving overall outcomes. Yet, MOUD continues to be underutilized at alarming rates. Studies have discovered that only one-third of substance use disorder (SUD) treatment sites offer any form of MOUD and approximately 30% of individuals with OUD receive any …

Adopting A Growth Mindset Approach To Interventions For Self-Regulation, Kelly A. Larson

PCOM Psychology Dissertations

Research continues to demonstrate self-regulation’s significance in almost all aspects of life, including but not limited to academic success and school adjustment. Incorporating a growth mindset into self-regulation may be a potential missing motivational component in school-based interventions. This pilot study assessed trends in survey results of whether a group of high school students who receive special education with noted difficulties in emotional regulation, organization, and consistent/timely work completion. The survey assessed whether they held a more fixed or growth mindset of self-regulation prior to intervention and whether those students' mindset of self-regulation moved towards a growth mindset of self-regulation …

Closing The Gap: Culturally Competent Consultations In Schools, Kimmely Mechelle Williams

PCOM Psychology Dissertations

Poor academic achievement among minority students has historically been identified as one of the most pressing challenges of public education (Dorvil, 2011). However, even before the Elementary and Secondary Education Act (ESEA) adoption, there has been a focus on what should be done to improve the academic achievement of the nation’s children. With each of its subsequent incarnations and legislative renaming, policymakers, educators, and researchers alike have sought to ensure that all children are afforded the opportunity to receive a high-quality education delivered by competent educators enabling them to reach predetermined but vaguely defined levels of proficiency. Despite best efforts, …

The Clinical Utility Of A Short Form Version For The Rey Complex Figure Test (Rcft) In Identifying Visual Memory Impairments With Older Adults, Adam D. Christmann

PCOM Psychology Dissertations

The aim of this study was to examine if a short-form version of the Rey Complex Figure Test (RCFT-SF) was equivalent to the measure’s standard administration procedures as part of a neuropsychological battery for testing visual memory in an older adult population as well as the impact of anxiety on their performance. The RCFT-SF consisted of a similar administration procedure to the standard form (e.g., copy, immediate recall, delayed recall, and recognition trial) while reducing the period between the immediate and delayed recall portions of the measure to 10 minutes. Participants involved with this study were divided into two groups, …

Association Between Trauma History And Body Image, Depression, Posttraumatic Stress, And Relationship Satisfaction In Postpartum Women, Kristen Hawk-Purcell

PCOM Psychology Dissertations

The postpartum period can be a time of significant change and transition. Little is known about how a history of trauma may impact functioning during this critical time. English-speaking adult women (age ≥ 18 years, N = 61) who gave birth in the United States in the past year, but not in the last month, were in an intimate relationship, and did not use any assisted reproductive technology to conceive participated in the study. Participants were recruited through social media and online forums related to pregnancy and the postpartum period. They completed a demographic questionnaire, the PTSD Checklist for Diagnostic …

Prevention In Schools: Examining School Personnel’S Attitudes And Knowledge Of Mandated Reporting, Aigner J. Allen

PCOM Psychology Dissertations

This study examined the factors that may affect school personnel’s implementation of mandated reporter procedures after student disclosure of child sexual abuse (CSA), with a focus on how school personnel think, reason, and act after a student discloses suspected CSA. Children spend most of their time in school, therefore, school personnel have significant roles in protecting children by being mandated reporters of child abuse. This study used a quantitative research design to examine school personnel’s attitudes and knowledge regarding mandated reporting child sexual abuse after student disclosure. The study used a cross-sectional survey methodology that included a single survey instrument. …