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Psychometric Development And Validation Of The Zahn-Given Recovery Beliefs Questionnaire In An Adult Psychiatric Sample, Dennis R. Given Jan 2004

Psychometric Development And Validation Of The Zahn-Given Recovery Beliefs Questionnaire In An Adult Psychiatric Sample, Dennis R. Given

PCOM Psychology Dissertations

The purpose of this study was to develop and validate the Zahn-Given Recovery Beliefs Questionnaire (RBQ). The RBQ is a formal measure designed to assess specific underlying beliefs and expectations that relate to treatment non-adherence and recidivism in adult psychiatric patients. A total of 100 subjects were administered the RBQ, the Beck Hopelessness Scale (BHS), the Dysfunctional Attitudes Scale (DAS); included as well are self and clinician-rated compliance with treatment measures. Factor analysis of the RBQ reveals a factor structure that includes four factors: Embarrassment/ Stigma, Unrealistic Optimism, Hopelessness/ Pessimism and Concerns About Side Effects. A total scale alpha reliability …


Relationship Between Cognitive Distortions And Psychological Disorders Across Diagnostic Axes, Bradley Michael Rosenfield Jan 2004

Relationship Between Cognitive Distortions And Psychological Disorders Across Diagnostic Axes, Bradley Michael Rosenfield

PCOM Psychology Dissertations

The purpose of this study was twofold: First, the study sought to determine whether or not cognitive distortions correlated with the number and severity of psychological disorders across diagnostic axes. Second, the study endeavored to assess further the validity and reliability of a promising new self-report measure, The Inventory of Cognitive Distortions (ICD), by correlating this instrument with clinical diagnoses as determined by the Millon Clinical Multiaxial Inventory-III. The sample was selected from a heterogeneous adult outpatient population. Participants meeting inclusion criteria presented for psychological treatment or assessment. Excluded were participants who had less than an eighth grade education, or …


Investigation Of Anger-Management Techniques For Essential Hypertension Patients, Karyne B. Wilner Jan 2004

Investigation Of Anger-Management Techniques For Essential Hypertension Patients, Karyne B. Wilner

PCOM Psychology Dissertations

The hypotheses that when cognitive-behavior interventions for anger-management are introduced to an essential hypertension (EH) patient with clinically significant levels of anger in an eight-session therapy protocol, blood pressure (BP) measures will decrease, coping mechanisms will be enhanced, and behavior associated with anger will be transformed from the inhibition of it or the aggressive expression of it to a more rational and reasoned communications approach, demonstrated by scores falling between the 25th and 75th percentile on the State-Trait Anger Inventory-2 [STAXI-2] (Spielberger, 1999) were supported in this case study. The research findings were that a male, EH patient improved his …


Evaluation Of The Maudsley Addiction Profile (Map) For Use With An American Substance Abuse Population, Hannelore T. Barbieri Jan 2003

Evaluation Of The Maudsley Addiction Profile (Map) For Use With An American Substance Abuse Population, Hannelore T. Barbieri

PCOM Psychology Dissertations

Multi-dimensional instruments in the addiction field developed in the United States as well as in other countries are limited. The Maudsley Addiction Profile (MAP), a brief, multi-dimensional instrument developed in the United Kingdom (UK), is designed to assess the treatment outcome of individuals with alcohol and/or drug (AOD) problems and associated issues. This measure consists of sixty items across the domains of substance use, health risk, physical/ psychological health and personal/social functioning. The MAP, which has been validated on British as well as on several European samples of substance abusers, has been suggested for further validation. The current study was …


Normative Study Of The Mahan And Ditomasso Anger Scale, Roger Oliver Beardmore Jan 2003

Normative Study Of The Mahan And Ditomasso Anger Scale, Roger Oliver Beardmore

PCOM Psychology Dissertations

The present study proposed to advance the treatment of anger disorders by exploring the psychometric properties of the MAD-AS scale, an anger assessment tool. Research sought to build on prior investigation of the reliability, validity, and factor structure of the MAD-AS in an inpatient setting by examining this measure using outpatient subjects. Several important findings were obtained in this study. Research results suggest that the MAD-AS represents a significant improvement over some existing anger measures in terms of its brevity, its ease of administration, and its standardization of scoring. The MAD-AS appears to possess sound psychometric properties in terms of …


Patients Presenting For Psychiatric Emergency Services : Clinical Characteristics, Psychosocial Stressors And Disposition, Kristen Maura Cirelli Jan 2003

Patients Presenting For Psychiatric Emergency Services : Clinical Characteristics, Psychosocial Stressors And Disposition, Kristen Maura Cirelli

PCOM Psychology Dissertations

The aim of this study was to describe the characteristics of 600 individuals who presented to two Psychiatric Emergency Services (PES) located in one county of southern New Jersey. A retrospective chart analysis investigated demographic, clinical, and psychosocial variables that describe the PES presenter. It also examined how these variables differ between the urban and suburban sites, and how they affected the disposition decision. Because there is a paucity of information investigating the role that psychosocial stressors play, there was specific focus on psychosocial stressors as defined by Axis IV of the multiaxial system outlined in the American Psychiatric Association's …


Measuring Anger In A Prison Population Using The Anger Disorders Scale And The Personality Assessment Inventory, Michael R. Wydo Jan 2003

Measuring Anger In A Prison Population Using The Anger Disorders Scale And The Personality Assessment Inventory, Michael R. Wydo

PCOM Psychology Dissertations

In comparison with other emotions, such as anxiety and depression, the research literature on anger-related problems is lacking. Anger, and anger-related behaviors pose a critical problem to clinicians and researchers. The inability to identify and treat individuals with a propensity toward aggressive behavior is related to the insufficient empirical evidence defining anger as a diagnosable disorder. An ongoing argument has existed as to the causes and related concepts of anger and aggression. The present study validates a new assessment measure for anger and explores the correlation between prisoners' offense records and specific type of anger expression. The Anger Disorder Scale …


Different Forms Of Abuse In The Eating Disorders: Impact On Schema-Level Cognitions, Christine C. Ganis Jan 2003

Different Forms Of Abuse In The Eating Disorders: Impact On Schema-Level Cognitions, Christine C. Ganis

PCOM Psychology Dissertations

Cognitive theory suggests that traumatic experiences impact on psychopathology via the development of unconditional negative cognitions (core beliefs or schema). This study examined the links between types of childhood trauma and core beliefs in an eating-disordered population. Chart reviews were conducted for 91 eating-disordered women in treatment. Each woman was asked about a history of 4 types of trauma, and completed a standardized measure of core beliefs. This study failed to find links between those women who reported childhood trauma and their core beliefs. Regression analysis predicted 4 schema (Emotional Deprivation, Mistrust/Abuse, Vulnerability to Harm and Subjugation) that were associated …


Retrospective Investigation Of One-Time Presenters Versus Repeat Presenters To Urban And Suburban Psychiatric Emergency Services : Cross-Sectional And Clinical Characteristics, April J. Hansen Jan 2003

Retrospective Investigation Of One-Time Presenters Versus Repeat Presenters To Urban And Suburban Psychiatric Emergency Services : Cross-Sectional And Clinical Characteristics, April J. Hansen

PCOM Psychology Dissertations

This study retrospectively reviewed 765 patients who presented within a one-year period at either a suburban, urban, or both suburban and urban psychiatric emergency services (PES). Demographic and clinical characteristics were examined. Particular focus included characteristics of children/adolescents and older adults, as well as the relationship between substance misuse and PES presenters. Adults presenting to PES more than three times were more likely to have a chronic mental illness, personality disorder, history of psychiatric treatment, and a history of noncompliance with treatment than those who presented three times or less. Significant differences were found between urban and suburban PESs, in …


Predictors Of Large Women's Satisfaction With Health Care, Virginia M. Koutsouros Jan 2003

Predictors Of Large Women's Satisfaction With Health Care, Virginia M. Koutsouros

PCOM Psychology Dissertations

This cross-sectional observational study identifies specific predictors of large women's satisfaction with health care and participation in preventive care as measured by pelvic screening examinations. A total of 87 large adult women completed a survey, including measures of self-objectification, affective experience, satisfaction with health care, and health care locus of control. Multiple regression analysis was employed to analyze results. The hypotheses of this study were as follows: (1) BMI, self-objectification, negative affect and locus of control will predict satisfaction with medical care; (2) pelvic screening examinations and patient satisfaction with medical care will be positively related (3) self-objectification and negative …


Management Of Agitation In Individuals With Dementia: An Animal-Assisted Therapy Approach, Karen L. Tanner Jan 2003

Management Of Agitation In Individuals With Dementia: An Animal-Assisted Therapy Approach, Karen L. Tanner

PCOM Psychology Dissertations

Dementia is not a natural and normal part of aging, but rather a symptom of a disease process. Most individuals with dementia experience emotional distress or behavioral problems best summed up by the term agitation. Approximately 90% of individuals with dementing illnesses demonstrate problem behaviors ranging from repetitive verbalizations and wandering to verbal and physical aggression toward self or others. Each evening thousands of older adults in the community and in institutions become agitated, restless, and confused and begin to wander about or scream. This phenomenon is referred to as sundown syndrome, since it occurs in the evening hours after …


Community Integration And Normalization, Janice Eileen Cunningham Jan 2003

Community Integration And Normalization, Janice Eileen Cunningham

PCOM Psychology Dissertations

Utilizing archived data for 650 individuals, psychosocial variables were examined to elucidate the effect of deinstitutionalization on success of community integration. Deinstitutionalization has been blamed for a host of societal ills including the burgeoning homeless population and for overcrowding in prisons. Many claim that deinstitutionalization has failed and that the chronically severely mentally ill have not become part of their communities. Utilizing extant data on consumers released from Pennsylvania state hospitals as part of a unique initiative, the psychosocial variables of age, race, gender, length of institutionalization, placement following hospitalization and diagnosis were correlated with homelessness, incarceration, or whereabouts known …


Understanding Countertransference With Patients With Borderline Personality Disorder : An Exploratory Quantitative Investigation, Michelle Saxen Hunt Jan 2003

Understanding Countertransference With Patients With Borderline Personality Disorder : An Exploratory Quantitative Investigation, Michelle Saxen Hunt

PCOM Psychology Dissertations

The present study surveyed 58 psychologists regarding their countertransference (CT) behaviors, CT management ability, empathy, and working alliances when treating patients with borderline personality disorder (BPD). Common positive and negative CT behaviors were identified when treating their typical patient with BPD. As predicted, results yielded negative correlations between therapists' CT behaviors and their CT management ability, working alliance, and empathy, as well as a positive correlation between therapists' CT management and working alliance, linking CT management to positive treatment outcomes. Therapists' level of experience and theoretical orientation were also examined, finding no significant impact on CT behaviors, CT management, or …


Psychometric Investigation Of The Validity And Reliability Of The Beliefs About Voices Questionnaire-Revised In A Sample Of Psychotic Outpatients, John James Blue Jan 2002

Psychometric Investigation Of The Validity And Reliability Of The Beliefs About Voices Questionnaire-Revised In A Sample Of Psychotic Outpatients, John James Blue

PCOM Psychology Dissertations

Refractory auditory hallucinations are a continuing problem in the treatment of schizophrenic, schizoaffective and psychotically depressed patient populations as well as patients with psychotic disorder, not otherwise specified. To date, little is known about the assessment of such hallucinatory states. Currently there are only a few instruments designed to examine the characteristics of auditory hallucinations. The study examined the reliability and validity of the Beliefs About Voices Questionnaire-Revised (BAVQ-R) in a sample of psychotic outpatients experiencing refractory auditory hallucinations. The present study consisted of 91 subjects; 57 men and 34 women selected from four separate community outpatient settings, who experienced …


Becoming Visible : A Qualitative Analysis Of Female To Male Transsexuals' Coming Out Experiences, Emily R. Chernicoff Jan 2002

Becoming Visible : A Qualitative Analysis Of Female To Male Transsexuals' Coming Out Experiences, Emily R. Chernicoff

PCOM Psychology Dissertations

This research explores the coming-out processes of 11 transgendered individuals who underwent female-to-male sex reassignment. Its purpose is to expand upon the cultural literacy of clinicians called upon to support transgendered clients who present with the intent to transition. The thesis is predicated on the argument that the differently-gendered constitute an understudied and discrete cultural minority, similar to ethnic, racial and sexual minorities, for whom identity formation is similarly impacted by socio-cultural influences. Qualitative content analysis of transcribed semi-structured interviews was conducted. Phase analysis was found to parallel both Cass's 1979 stage-model theory of sexual minority identity formation, and Devor's …


Comprehensive Profile Of Adult Outpatient Psychotherapy Treatment Responders, Nonresponders, And Negative Responders In A Naturalistic Treatment Setting , Anya Genieser-Derosa Jan 2002

Comprehensive Profile Of Adult Outpatient Psychotherapy Treatment Responders, Nonresponders, And Negative Responders In A Naturalistic Treatment Setting , Anya Genieser-Derosa

PCOM Psychology Dissertations

Since its inception, the effectiveness of psychotherapy as a treatment for psychological distress has been challenged vigorously. During the past 5 decades, increasingly sophisticated research studies have demonstrated psychotherapy effective in treating a variety ofpsychological disorders in the majority of individuals who avail themselves of treatment. Moreover, despite fierce competition among proponents of various psychotherapy models attempting to prove their model of choice most effective, research findings suggest the major models of psychotherapy are all equally effective in treating most individuals. Some have therefore shifted their research focus to determining the factors common to major psychotherapies that promote treatment success. …


Comparison Of Self- And Significant Other-Rated Expression Of Anger Using The Mad-As And The So-Mad-As, Donna Marie Martin Jan 2002

Comparison Of Self- And Significant Other-Rated Expression Of Anger Using The Mad-As And The So-Mad-As, Donna Marie Martin

PCOM Psychology Dissertations

The present study proposed to advance the treatment of anger disorders by exploring the psychometric properties of the MAD-AS scale, an anger assessment tool. Research sought to build on prior investigation of the reliability, validity, and factor structure of the MAD-AS in an inpatient setting by examining this measure using outpatient subjects. Several important findings were obtained in this study. Research results suggest that the MAD-AS represents a significant improvement over some existing anger measures in terms of its brevity, ease of administration, and standardization of scoring. The MAD-AS appears to possess sound psychometric properties in terms of its reliability …


Concurrent Deficits In Behavior Inhibition, Non-Verbal Working Memory And Psychological Sense Of Time In Adhd, Roya D. Mccloskey Jan 2002

Concurrent Deficits In Behavior Inhibition, Non-Verbal Working Memory And Psychological Sense Of Time In Adhd, Roya D. Mccloskey

PCOM Psychology Dissertations

According to the Hybrid Model of Executive Function for Attention Deficit Hyperactivity Disorder (ADHD), hyperactive and combined types, a delay in behavior inhibition causes secondary deficits in four executive function; non-verbal working memory, verbal working memory, reconstitution and self-regulation of affect/motivation/arousal. The deficit in non-verbal working memory causes a deficit in psychological sense of time, which in tum impairs self-regulation in those with ADHD. This single case study investigated concurrent deficits in behavior inhibition, non-verbal working memory and psychological sense of time in a 1O-year-old male with ADHD, combined type. Three interrelated components of behavior inhibition were measured by the …


The Distress Thermometer: Validity In A General Cancer Population, Carole S. Moretz Jan 2002

The Distress Thermometer: Validity In A General Cancer Population, Carole S. Moretz

PCOM Psychology Dissertations

This work reports on the psychometric properties of a new measure designed to screen for distress in large populations of cancer patients. The Distress Thermometer (Holland et al., 2000) was tested in a group of 239 heterogeneously diagnosed cancer patients. It was found to be internally consistent (a= 0.86) and to exhibit a reliable eight-factor solution. It displayed acceptable concurrent validity (p ≤ 0.0001) when compared to the Rotterdam Symptom Checklist (deHaes et al., 1994), the Functional Living Index Cancer (Schipper et al., 1984) and the Brief Symptom Inventory (Derogatis, 1993). It was also found to be a sensitive measure …


Structured Multifaceted Cognitive Behaviorally Oriented Assessment And Treatment Of Nonadherence To Medical Advice : A Case Study, Cheryl A. Patchin Jan 2002

Structured Multifaceted Cognitive Behaviorally Oriented Assessment And Treatment Of Nonadherence To Medical Advice : A Case Study, Cheryl A. Patchin

PCOM Psychology Dissertations

The incidence of nonadherence to medical advice is estimated to be as high as 98%, with a typical range of 30% to 60%. This case study focused on the assessment and treatment of a patient suffering from uncontrolled essential hypertension, who was inconsistent in her adherence to the prescribed medical regimen and who demonstrated a significant health risk as a result. From baseline (pretreatment) to termination (followup), the patient attended a total of 9 sessions over a 12-week period. Assessment involved clinical interviews and an original self-administered instrument, the Health Behavior Profiling Questionnaire (HBPQ). The HBPQ was designed to assess …


Validity Of The Mizes Anorectic Cognitions Questionnaire-Revised With A Racially Mixed, Nonclinical Population Of 14- To 19-Year-Old Adolescents, Robert P. Guillard, Jr. Jan 2002

Validity Of The Mizes Anorectic Cognitions Questionnaire-Revised With A Racially Mixed, Nonclinical Population Of 14- To 19-Year-Old Adolescents, Robert P. Guillard, Jr.

PCOM Psychology Dissertations

No abstract provided.


Adult Attachment Disturbances In Panic Disorder : A Comparison With Social Phobia And Specific Phobia , Jesus A. Salas Jan 2002

Adult Attachment Disturbances In Panic Disorder : A Comparison With Social Phobia And Specific Phobia , Jesus A. Salas

PCOM Psychology Dissertations

The present study used attachment theory as a framework to explore the role of attachment related constructs as potential risk factors for panic disorder. A group of panic disordered participants were compared with a group of social phobics, a group of specific phobics (fearful flyers), and a group of nonclinical controls. The groups were compared on attachment dimensions, fear of emotions, fear of bodily changes, death attitudes, information processing style and self-efficacy. Results indicated that the panic disorder group and control group differed in a number ofways. Panic disordered participants evidenced higher levels of attachment anxiety and attachment avoidance than …


Defining The Personality Characteristics Of Delinquent Adolescent Recividists, Barbara J. Sulik Jan 2002

Defining The Personality Characteristics Of Delinquent Adolescent Recividists, Barbara J. Sulik

PCOM Psychology Dissertations

This study was done to provide basic empirical data on the Millon Adolescent Clinical Inventory with the focus on establishing a personality profile for recidivistic juvenile offenders. The subjects of this study consisted of four groups of male and female adolescents between the ages of 15 and 17 years. The control group (n = 50) consisted of adolescents not adjudicated either delinquent or dependent. The dependent group (n = 50) consisted of adolescents not adjudicated delinquent and fitting the diagnosis of oppositional defiant disorder. The delinquent group (n = 50) consisted of adolescents that were diagnosed as conduct disordered and …


Case Study Of A Cognitive Behavioral Intervention For The Problem Of Marital Division Of Labor, Lily Woo Bollinger Jan 2000

Case Study Of A Cognitive Behavioral Intervention For The Problem Of Marital Division Of Labor, Lily Woo Bollinger

PCOM Psychology Dissertations

This clinical dissertation concerns an evaluation of a Cognitive-Behavioral Marital Therapy intervention designed to help resolve the issue of division of household labor and thereby increase marital satisfaction. There were six ninety-minute group marital sessions. There were 3 couples in the group. The sessions contained interventions to increase communication skills, problem-solving skills and raise empathy for the spouse who did more chores. The case study couple's score indicated that the husband had a higher level of marital satisfaction. The wife's final score indicated a small increase in marital satisfaction. Both had an increased score in being more self-centered.


Relationship Between Body Image Dissatisfaction And Fear Of Fatness To Severity Of Smoking Behavior In A Non-Clinical Adolescent Population, Louis J. Bevilacqua, Jr. Jan 2000

Relationship Between Body Image Dissatisfaction And Fear Of Fatness To Severity Of Smoking Behavior In A Non-Clinical Adolescent Population, Louis J. Bevilacqua, Jr.

PCOM Psychology Dissertations

Smoking is the most preventable cause of death in the U.S., yet it continues to kill more people than AIDS, automobile crashes, alcohol and drug abuse, murders, suicides, and fires---combined! In addition to a higher risk of dying prematurely, those who smoke are much more likely to experience numerous health problems. Other associated problems include dependency and tolerance to nicotine. Frequently, those who smoke are also more likely to use other substances such as marijuana, cocaine, heroine, and especially alcohol. These findings are frightening considering that it is estimated that 4.5 million are adolescents. The reasons why adolescents smoke range …


Differential Diagnosis Of Late Onset Psychosis Using Neuropsychological Assessment And Neuroimaging Techniques, Susan Fralick Ball Jan 1999

Differential Diagnosis Of Late Onset Psychosis Using Neuropsychological Assessment And Neuroimaging Techniques, Susan Fralick Ball

PCOM Psychology Dissertations

Few references in the literature have been made with respect to the diagnosis of late onset psychosis by the use of behavioral observations coupled with neuropsychological and neuroimaging techniques. This is a report of the case of a 68-year-old woman who experienced a sudden onset of psychotic illness characterized by delusions and confabulation. As part of her neurobehavioral evaluation, a SPECT scan revealed right frontal and left anterior temporal lobe hypoperfusion. Serial neuropsychological evaluations demonstrated decline on tests of executive control (monitoring, allocation of attention, perseveration) and visuospatial abilities, whereas performance in other areas of cognitive functioning remained close to …