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Structural Models Of Comorbid Anxiety And Depression In A Primary-Care Older Adult Sample: Effect Of Medical Illness Severity, Threat, Chronicity, And Progressiveness On Model Fit, William Michael Palmer

Dissertations

Recent research suggests that anxiety disorders may be more common in later life than previously thought. Among other factors, the presence of comorbid mood disorders and medical illness confounds accurate assessment and diagnosis of these conditions in the elderly. There have been few studies, however, examining the structural relationships between anxiety and depression with older-adult samples, and even fewer have considered the effect of medical illness on these relationships. This study examined three established structural models of anxiety and depression, using a clinical sample of older adults seeking treatment in a primary-care setting (N = 2,163). It was hypothesized that …

A Study Of The Effects Of Pet Ownership On Mental Health Among Community-Dwelling Senior Citizens In Northeast Tennessee., E. Marie Southerland

Electronic Theses and Dissertations

This cross-sectional study explored the relationship between pet ownership, attachment, and psychological health among community-dwelling senior citizens and evaluated the impact of the placement of an aquarium into a regional senior center. General health, depression, social support, pet attitudes, pet attachment, pet relationships, and attitudes about the aquarium were assessed among 104 members of a senior center.

Symptoms of depression were identified in 17.3% of the participants. Pets were a significant form of social support and attachment to pet owners. No significant relationship was observed between pet ownership, pet attachment, and psychological health. Positive health effects were reported among participants …

Intrapersonal Grief As A Clinical Entity Distinct From Depression: Does It Exist Among A Medically Ill Parkinson's Disease Population?, Rashelle Brown Hayes

Theses and Dissertations

There has been growing support for the idea that complicated grief symptoms following bereavement are independent of symptoms of depression and anxiety. However, the loss of a loved one is not the only or the most frequent type of loss to be encountered. The onset of an insidious medical illness may trigger a mourning process for the lost function or body part that is posited to also involve feelings of grief. While the risk of depression is high among a medical or rehabilitative population, the impact of grief over functional losses has never been empirically investigated as a contributing factor …

Posttraumatic Growth Among College Students At A Large Urban University: The Role Of Social Support And Unsupportive Social Interactions, Wendy E. Balliet

Theses and Dissertations

The objective of this study was to investigate the association between both social support and unsupportive interactions and psychological outcomes, in a sample of college students who recently had experienced a stressful event. The research design was cross-sectional, and data were collected from 142 college students. As hypothesized, a significant positive association was found between unsupportive interactions received by participants and depressive symptoms. Contrary to hypotheses, no significant associations were found between unsupportive interactions and positive emotion or posttraumatic growth. Additionally, no significant relationship was evident between received emotional support and the outcome variables. Exploratory analysis revealed that positive reappraisal …

Analysis Of The Goodwin Sentence Completion Test In The Screening Of Clinical Depression, Karyn L. Goodwin-Tribble

PCOM Psychology Dissertations

The Goodwin Sentence Completion Test (GSCT) was developed as a screening instrument for clinical depression. This instrument, composed of 25 sentence stems, was designed to indicate the level depression and to assess the strength of negative perceptions associated with dimensions of the cognitive triad (self, world, and future). Although the GSCT follows the typical format of most projective sentence completion tests, an objective scoring method was also constructed in order to evaluate more reliably individual results. The tool was administered to 80 adult volunteers ranging in age from 18 to 72 years of age. Volunteers were randomly selected from a …

Binge Eating In Ethnically Diverse Obese Adolescents, Clarice K. Gerke

Theses and Dissertations

Rates of pediatric obesity in America are reaching epidemic proportions. Studies using both community and treatment-seeking samples of obese adolescents indicate that a subset engage in binge eating behaviors. This study investigated the prevalence and severity of binge eating behaviors among 86 primarily African American 11 to 17 year old adolescents seeking outpatient treatment for obesity. This study also examined the associations of stressful experiences (specifically, weight-related teasing, trauma, and daily hassles) with binge eating, as well as potential mediators and moderators of these relationships. Twenty-eight percent of the sample reported at least one episode of binge eating in the …

Measuring Therapist Adherence To A Manual-Based Treatment Tested In A Community Setting: The Pascet Manual Adherence Scale (P-Mas), Alyssa M. Marder

Theses and Dissertations

The goal of the current study was to develop and test a rigorous measure of therapist adherence to a cognitive-behavioral, manual-based treatment for childhood and adolescent depression. This project employed data from the recently completed UCLAYouth Anxiety and Depression Treatment study. This study aimed to advance the literature by devoting the full focus of the project to the development of a manual-based measure that would demonstrate interrater reliability across multiple raters. This study reported on the psychometric development of the PASCET Manual Adherence Scale (PMAS) (e.g. scoring strategy, item development, reliability), a unique measure of therapist adherence that represents the …

Depression And Coping Among Hmong Refugees, May Vang

Theses Digitization Project

The purpose of study was to explore depression among Hmong refugees and the ways they use their coping skills to deal with stressful life events.

The Mediating Role Of Avoidance Coping Upon The Relationship Between Early Maladaptive Schemas, Anxiety And Depression, Christine Louise French

Theses Digitization Project

This study examined the mediating role of Maladaptive Emotion-focused coping (MEFC) on the relationship between Early Maladaptive Schemas (EMS), anxiety and depression.

Residual Symptoms After Treatment Of Chronic Depression: A Comparison Across Treatment Modalities, Katherine L. Schaefer

Theses and Dissertations

Despite the development of several effective treatments for depression, symptoms often persist in a number of individuals. Unfortunately, these residual symptoms are associated with several negative outcomes, including persistence of depressive illness. Few studies have examined the exact nature of individual residual symptoms across specific treatment modalities, and studies have failed to distinguish between depression courses. The current study expands on previous findings by examining, among a chronically depressed population, differences in individual residual symptoms and clusters between treatment modality (medication, psychotherapy, combination) and treatment response (full response, partial response). Five hundred and nineteen chronically depressed participants completed the study. …

Anhedonia And Depression: Anticipatory, Consummatory, And Recall Deficits, Kaitlin Hanley

Honors Theses

Current conceptions of anhedonia as a key symptom of depression do not consider the importance of anticipatory, consummatory, and recall deficits involved in anhedonia. Sixty-one depressed and non-depressed, college-student participants provided reports of anticipated pleasure to tasting chocolates, tasted chocolates and rated their experience of pleasure, and provided recalled reports of pleasure to the experience one day later. Results demonstrated a deficit in the ability to anticipate experiencing pleasure for depressed participants when compared to non-depressed controls, however, their reports of consummatory pleasure and recalled pleasure did not differ significantly from non-depressed control participants. This study suggests that actual experiential …

Attitudes Towards Depression And Anxiety, Tiana Hankins

Theses : Honours

The overall aim of the present paper is to review the literature surrounding attitudes towards mental health, with a specific focus on attitudes towards depression and anxiety. This paper discusses the concept of attitudes, their nature and measurement. This is followed by a review of attitudes towards mental health, with a number of studies being examined and their results discussed. Research has found that the general public has negative attitudes towards people with mental illness; however research has also found that these negative attitudes are improving due to an increase in education and awareness surrounding mental health. The two attitude …