Digital Commons Network^™

Assessing The Quality Of Life In Spousal Caregivers Of Kidney Dialysis Patients, Mallory Christman

PCOM Psychology Dissertations

Caregivers are considered extended parts of the healthcare system. As the responsibilities of caregivers increase, they are more prone to develop a poorer quality of life (QOL; Avsar et al., 2013; Rafati et al., 2019; Sajadi et al., 2020; Turner & Finch-Guthrie, 2020). Further, as the prevalence of end-stage renal disease (ESRD) continues to increase, factors that impact coping and QOL should be evaluated.

Understanding the relationship between coping, social problem solving, and QOL may increase professionals’ ability to help caregivers flourish. However, little is known about the QOL in spousal caregivers of kidney dialysis patients in the United States. …

Diabetes Training Camp: A Brief Intervention To Improve Self-Management And Physical Activity In Adults With Type 1 Diabetes, David Charny

PCOM Psychology Dissertations

Type 1 Diabetes (T1D) is less common than Type 2 Diabetes (T2D); however, its growing incidence, chronic prognosis, and increased self-management burden, produce unique psychosocial challenges for this population. Specifically, these individuals are atrisk for poor diabetes self-efficacy, and poor glycemic control, which can contribute to diabetes-specific mood alterations, or diabetes distress (DD), and an overall reduction in diabetes-specific health-related quality of life. This study evaluated the effectiveness of the Diabetes Training Camp (DTC) 1-week intervention in mitigating psychosocial distress utilizing a repeated measures design to evaluate the impact of participation on measures of DD, diabetes quality of life (DQOL) …

Cognitive Behavioral Group Therapy For Blind And Visually Impaired Adults: Acceptance, Problem-Solving, And Cognitive Distortions, Collin D. Mullins

PCOM Psychology Dissertations

This study sought to explore the efficacy of group Problem-Solving Therapy (PST) adapted for individuals living with visual impairment. Specifically, this study investigated changes in quality of life, levels of acceptance, problem-solving, depression, and cognitive distortions following treatment. A group of ten participants (N = 10) were recruited in a large Northeastern city from a non-profit organization providing programming to individuals with visual impairment. Combined pretest-posttest experimental and qualitative study designs were utilized. Individuals were assessed using measures to acquire baseline and outcomes on depression (Beck Depression Inventory-II), acceptance (Acceptance and Action Questionnaire-II), quality of life (World Health Organization Quality …

Adaptive Skills Training And Quality Of Life Of Young Adults With Autism, Reggie Candio

PCOM Psychology Dissertations

The current study examines the effectiveness of a group-based adaptive skills training program in improving the perceived quality of life (QoL) of adolescents and adults with Autism Spectrum Disorder (ASD). The Adolescent and Young Adult Treatment Program (AYATP) is implemented by a specialized Autism outpatient treatment facility, with a focus on improving the personal independence and daily living skills of its participants. With the use of archival data from the specialized Autism outpatient treatment a study was conducted utilizing a mixed factorial design by analyzing pre- and post-measures of the participants’ perceived quality of life, as measured by a research-based …

Predictors Of Quality Of Life In Lupus Patients: A Study Of Coping, Cognitive Distortions, And Social Support, Kyle Osbourne

PCOM Psychology Dissertations

The purpose of this study was to determine whether cognitive distortions, social support, and/or levels of coping skills predict quality of life (QOL) for women with SLE. The total sample consisted of 62 women ranging in age from 18 to 55 years. This study was conducted online via SurveyMonkey in an effort to reach the specialized SLE female population and recruit individuals who otherwise may not have been able to participate due to limitations in mobility and/or lack of transportation. The measures consisted of the Inventory of Cognitive Distortions (ICD), the WHOQOL-BREF (WHOQOL), the Multidimensional Scale of Perceived Social Support …

Perceived Self-Efficacy In Individuals With Moderate-To-Severe Brain Injury: The Effects Of Rehabilitation Outcomes And Depression, Leena Patel

PCOM Psychology Dissertations

Brain injury represents a major public health issue in the United States, accounting for a largely underestimated figure of 2.5 million cases in 2010. The pervasive effects of this chronic medical condition contribute to a growing economic burden, as the physical, cognitive, behavioral, and emotional sequelae of brain injury demand long-term care for those with moderate-to-severe brain injuries. The Centers for Disease Control and Prevention recently proposed new recommendations for improvements in monitoring the incidence of and research on brain injury. The goals of this public health initiative are to better inform health service delivery and ultimately improve quality of …

The Relationship Between Problem-Solving Ability/Eating Motivation And Perceived Quality Of Life In Individuals Diagnosed With Celiac Disease, Vincenzo Zaccheo

PCOM Psychology Dissertations

Celiac disease (CD) is a digestive disorder resulting from gluten intolerance that leads to damage of the small intestine. The only current available treatment for CD involves adherence to a strict gluten-free diet. Due to the restrictive nature of this treatment diet, and the increasing prevalence of CD in recent years, much research has been conducted examining factors that impact the quality of life (QOL) of individuals with CD. However, there has been a dearth of literature identifying those factors which can be modified within a treatment setting. Thus, a need for further research in this area was identified. Through …

The Effects Of Speech Impairment On Quality Of Life Over Time In Patients With Amyotrophic Lateral Sclerosis, Jacqueline Kelley Blessinger

PCOM Psychology Dissertations

Limited research exists on how speech impairments affect quality of life (QOL) factors over time in patients with amyotrophic lateral sclerosis (ALS). A review of the literature, including the history, disease course, and prevalence of ALS, is presented. Physical and psychosocial functioning, especially the decline of bulbar functioning’s potential impact on QOL factors and communication style, are outlined. This study is a follow-up study on a study by Duff, who found a significant difference in QOL relative to level of bulbar functioning in a cross-sectional design. The current study used a longitudinal design to look at bulbar functioning, specifically levels …

The Role Of Cognitve Distortions In Adaptation To Disability And Perceived Quality Of Life In Spinal Cord Injury Survivors, Kerri M. Garruba

PCOM Psychology Dissertations

Traumatic spinal cord injury (SCI) is a sudden, dramatic insult to the central nervous system that results in instant loss of sensory and/or motor function. In addition to physiological changes, survivors also endure both cognitive and emotional changes that increase susceptibility to depression, anxiety, and suicidality, all of which have been associated with cognitive distortions. This study sought to investigate the influence of cognitive distortions in relation to the ability to adapt to disability and establish a high quality of life among spinal cord injury survivors. Participants were 116 men and women living with spinal cord injury recruited via the …

Lqts: Gender Differences And Mother-Son Vs. Mother-Daughter, Thea Gallagher

PCOM Psychology Dissertations

Long QT syndrome is a chronic disorder, and one of the most common genetic arrhythmia syndromes that can cause unexpected cardiac arrest and death in individuals. Treatment options include medications, use of implantable cardioverter defibrillators (ICD) and restricting activities of daily life. Minimal research exists exploring the specific psychosocial aspects of the illness and/or the impact on the quality of life of individuals and families coping with the management and diagnosis of this illness. Furthermore, little research has attempted to understand the role of gender differences and mother-child perceptions among individuals with Long QT syndrome. The current study used data …

Predictors Of Attrition And Success In A Weight Management Program For Patients With Type 2 Diabetes, Kevin O'Leary

PCOM Psychology Dissertations

Aim: To examine the factors that lead to attrition and success in a weight management program for patients diagnosed with type 2 diabetes. The current study specifically examines the effect of quality of life, expected weight loss, self-esteem, and early weight loss on attrition and success rates. Methods: Archival data from a study conducted at the University of Pennsylvania Center for Weight and Eating Disorders were used. Seventy-nine overweight and obese subjects with type 2 diabetes participated in a lifestyle modification program over 40 weeks. Logistic regression analyses were performed to explore the relationship between early weight loss, expected …

A National Study Of Amyotrophic Lateral Sclerosis Multidisciplinary Clinic Utilization, Jared L. Young

PCOM Psychology Dissertations

There is no cure for the fatal progression of Amyotrophic Lateral Sclerosis (ALS). Optimization of quality of life is the primary ALS treatment goal (Simmons, 2005). Consolidating multiple appointments into one visit is advantageous due to the severity of muscular deterioration and mobility problems associated with the disease. Multidisciplinary Clinics (MDC) provide improved care coordination, accessibility to health care professionals skilled in treating ALS, and improvements in symptom control for patients with ALS. The purpose of this study is to discuss the differences in quality of life, physical health status, and coping skills for individuals with ALS attending multidisciplinary clinics …

Relationship Between Social Problem-Solving Skills, Quality Of Life, And Family Adjustment In Caregivers Of Children With Developmental Disability, Bonita Ellen Fisher

PCOM Psychology Dissertations

This study focused on the relationship between a caregiver's problem solving skills, their perceived quality of life, their family's adjustment to their child's disability, and the potential for mediation of those relationships by the child's behavior. A total of 111 parents completed the Social Problem Solving Skills Inventory-Revised, short form (SPSI-R:S), the World Health Organization Quality of Life Assessment, brief version (WHOQOL-BREF), the Family Impact of Childhood Disability Scale (FlCD), the Nisonger Child Behavior rating Form (NCBRF) and a demographics questionnaire. Analyses of the data by Pearson product-moment correlation coefficient identified significant correlations between scores on the problem orientation components …

The Power Of The Mind : The Relationship Between Mindfulness, Quality Of Life And Anxiety For Older Adults With Chronic Illness , Tracy Elizabeth Ransom

PCOM Psychology Dissertations

This dissertation examines the relationship between mindfulness training and older adults with chronic illness and a documented clinical anxiety diagnosis. Six subjects (mean age = 69 years) who met criteria for a DSM-IV-TR anxiety condition and who endorsed one or more chronic illnesses participated in an 8-week customized mindfulness training program. The research evaluated the impact of mindfulness training and practice on depression, quality of life, health satisfaction and anxiety. This dissertation's findings suggest that of these variables, state and trait anxiety were significantly reduced at the conclusion of the program. Given these findings, this research proposes that anxiety in …

Caregiver Religiosity, Spirituality, And Positive Emotion As Predictors Of Psychological Well-Being In Amyotrophic Lateral Sclerosis Patients, Andrea Beth Weller

PCOM Psychology Dissertations

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder that results in degeneration of motor neurons of the cerebral cortex, the brainstem, and the spinal cord. Also known as Lou Gehrig’s disease, ALS has no conclusive etiology and no known cure. The disease is ultimately fatal within approximately 3 to 5 years and robs individuals of all physical functions while leaving their intellectual capacity and personalities intact. Therefore, patients’ quality of life (QOL) becomes increasingly important in their lives and in the lives of their caregivers. Patients with ALS and their caregivers face a number of psychological, psychosocial, and existential …

Resiliency Factors: Predictors Of Quality Of Life In Family Caregivers Of Patients With Amyotrophic Lateral Sclerosis, Beatrice Hamblin Chakraborty

PCOM Psychology Dissertations

Amyotrophic lateral sclerosis (ALS) is a progressive, neurodegenerative disease resulting from generalized degeneration of motor cells in the brain and spinal cord (The Amyotrophic Lateral Sclerosis Association [ALSA], 2004). Also known as Lou Gehrig’s disease, ALS has no conclusive etiology, no known cure, and death generally occurs within three to five years following the diagnosis (Rabkin, Wagner, & Del Bene, 2000). Given the devastating and predictable course of ALS, it is understandable that this disease can have a profound, adverse impact on the quality of life (QOL) of the patient and the caregiver. However, not all caregivers, particularly spouses who …

Does Verbal Communication Impairment Affect Quality Of Life In Amyotrophic Lateral Sclerosis Patients?, Jason Michael Duff

PCOM Psychology Dissertations

The purpose of this study was to examine the self-perceived QOL in ALS patients. Literature will be presented on the incidence, prevalence, prognosis, diagnosis and management of ALS, QOL studies for ALS, the role of the multidisciplinary team, the impairments and dysfunction that ALS patients experience, communication issues, and the development of ALS specific instruments to measure QOL. The "bulbar dysfunction" that ALS patients experience in salivation management, speech, and swallowing were examined in detail. The objectives of this research study were to investigate the following hypotheses: 1. QOL will differ among ALS patients with varying levels of speech, swallowing, …

Older Adults And Depression : The Relationships Between Distorted Thinking, Quality Of Life And Depressive Themes, Carissa Y. Ferguson

PCOM Psychology Dissertations

This study analyzed the relationships between depression, distorted thinking and quality of life in an elderly population. Ninety non-depressed and 72 depressed individuals were interviewed and administered 3 self report measures. The study results demonstrate that: (a) Those who reported greater numbers of cognitive distortions, reported lower quality of life than those who reported less cognitive distortions; (b) depressed individuals reported lower quality of life than non-depressed individuals; (c) depressed individuals endorsed more distorted thinking phrases than non-depressed individuals and (d) depressed individuals reported more subcategories of cognitive distortions than nondepressed individuals. The results of this study support the ideas …

Caregivers' Relationship Satisfaction And Perception Of Competency As Predictors Of Quality Of Life For Als Patients , Jessica Stewart Allen

PCOM Psychology Dissertations

In addition to the physiological impact of Amyotrophic Lateral Sclerosis (ALS), patients and spousal caregivers experience significant emotional and psychological reactions to the disease and its course. As there is no effective treatment and no cure for this debilitating, fatal neuromuscular disease, treatment should include psychological interventions to improve patients' disease experience. External factors impacting psychological well-being of patients must be identified to allow for effective and relevant intervention. The current study examined the relationships between level of care provided to patients, caregivers' relationship satisfaction, and caregivers' perceived competence, and whether these factors predict patient quality of life (QOL). It …