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Articles 1 - 27 of 27
Full-Text Articles in Medicine and Health Sciences
Cost Effectiveness Of Treating Generalized Anxiety Disorder In Adolescence: A Comparison By Provider Type And Therapy Modality, Kathryn Evelyn Reynolds
Cost Effectiveness Of Treating Generalized Anxiety Disorder In Adolescence: A Comparison By Provider Type And Therapy Modality, Kathryn Evelyn Reynolds
Theses and Dissertations
Generalized anxiety disorder (GAD) is frequently found in primary care settings and is highly prevalent among adolescents. The purpose of this study was to examine the cost effectiveness by provider type and therapy modality in treating adolescents (ages 13-17) with a GAD diagnosis (DSM-IV 300.02). A national insurance company in the United States provided outpatient and unidentifiable data for adolescent GAD cases (n = 2,932). These cases were used to analyze the cost effectiveness, total cost, treatment length, dropout, and readmission rates for the treatment of adolescents with GAD. Descriptive statistics signify that the mean cost of treatment for GAD …
Relationship Maintenance Of Military Couples, Jessica N. Modrell
Relationship Maintenance Of Military Couples, Jessica N. Modrell
Doctor of Psychology (PsyD)
Deployment-based separations cause significant challenges for romantically involved individuals, bringing about uncertainty and decreased relational closeness. This study investigated how military couples perceive the challenges they face, their biggest struggles during deployment separation, helpful strategies utilized for maintaining their relationship during deployment separation, and suggestions for improving ways to meet the needs of military couples. Based on the information gathered, recommendations are offered to help civilian psychologists gain pertinent information pertaining to military culture and the process of deployment separation that may increase effectiveness of their therapeutic practice with military couples. Forty-two participants completed four open-ended questions and responses were …
Father Influence On Adolescent Sexual Debut, Daniel Joseph Blocker
Father Influence On Adolescent Sexual Debut, Daniel Joseph Blocker
Theses and Dissertations
Guided by the limited previous literature of adolescent sexual debut and father behaviors, this study examined the influence of father warmth, involvement, and monitoring on adolescent age of sexual debut and likelihood of sexual debut before age 16. Participants and measures were drawn from the Flourishing Families Project and included 346 families and variables from measures completed by adolescents and their parents. A zero-inflated Poisson model was used to test the relationship between father variables and adolescent sexual debut. Gender differences were also analyzed. The findings indicate that an increase in father warmth correlates with a decreased age of sexual …
The Fatherhood Factor: The Impact Of The Father-Child Relationship On The Social, Interpersonal, And Recidivism Risk Factors Of Previously Incarcerated Men, Larissa A. Maley
The Fatherhood Factor: The Impact Of The Father-Child Relationship On The Social, Interpersonal, And Recidivism Risk Factors Of Previously Incarcerated Men, Larissa A. Maley
Seton Hall University Dissertations and Theses (ETDs)
Of the men who return home from prison, nearly 7 out of 10 will be re-arrested and sent back within 3 years of their release (Travis, Solomon, & Waul, 2001). This trend has large- scale implications, not just for individuals, but for their families and communities as well. Clearly, understanding the factors that contribute to a man’s success or failure in staying out of prison is extremely important in constructing policy and programs to assist these at-risk individuals and communities. Of the few studies that have explored the lives of previously incarcerated men, some have found fatherhood to be a …
Cost-Effectiveness Of Treating Oppositional Defiant Disorder: A Comparison By Treatment Modality And Mental Health Provider Type, Julie Denise Malloy
Cost-Effectiveness Of Treating Oppositional Defiant Disorder: A Comparison By Treatment Modality And Mental Health Provider Type, Julie Denise Malloy
Theses and Dissertations
This study examined the treatment outcomes for Oppositional Defiant Disorder by provider license type and therapy modality. Administrative data from Cigna Insurance Company for 9,904 ODD cases were analyzed to determine the cost, number of sessions, dropout rates, and recidivism rates for treatment of ODD. Descriptive statistics indicate that the mean cost of treatment for ODD across all professions is $389.83. Analyses revealed significant differences in total cost by profession, as well as cost per session for different license types with counselors providing therapy for the lowest average total cost, followed by MFTs, MSWs, Psychologists and then MDs. Chi square …
A Glimmer Of Hope? Assessing Hope As A Moderator Of The Relationship Between Parenting And Adolescent Depressive Symptoms, Lisa D. Bishop
A Glimmer Of Hope? Assessing Hope As A Moderator Of The Relationship Between Parenting And Adolescent Depressive Symptoms, Lisa D. Bishop
Theses and Dissertations
Prior research has established that a portion of depressive symptoms in adolescents is predicted by parenting behaviors. The purpose of this study was to identify the moderating role of hope on the relationship between two parenting variables (warmth and psychological control) and adolescent depressive symptoms. Participants included 459 adolescents ages 13 to 14 years and their families from waves 3 and 4 of the Flourishing Families Project. Path analysis was utilized to answer the proposed hypotheses and research questions. Multiple group analysis was utilized to determine if results were different for boys and girls. Significant results indicated that in low-hope …
Me, You, And Porn: A Common-Fate Analysis Of Pornography Use And Sexual Satisfaction Among Married Couples, Cameron C. Brown
Me, You, And Porn: A Common-Fate Analysis Of Pornography Use And Sexual Satisfaction Among Married Couples, Cameron C. Brown
Theses and Dissertations
Guided by recent literature and theory addressing pornography use, the current study examined the associations between pornography use and acceptance of pornography and whether they predict sexual satisfaction as reported by both husbands and wives. Using data from the Relationship Evaluation Questionnaire (RELATE) (N=335 couples), a common-fate approach was used to examine both common and unique attributes of husbands and wives among pornography use, acceptance of pornography, and sexual satisfaction. Results indicate that pornography use was positively associated with pornography acceptance, but that pornography acceptance did not mediate the relationship between pornography use and sexual satisfaction. Husbands’ pornography use was …
Commitment, Forgiveness, And Relationship Self-Regulation: An Actor-Partner Interdependence Model, Heather Michele Smith
Commitment, Forgiveness, And Relationship Self-Regulation: An Actor-Partner Interdependence Model, Heather Michele Smith
Theses and Dissertations
Relationship self-regulation (RSR) refers to the “work”, or effort and strategies, that partners exert over time to maintain the health of their romantic relationships. Most research focuses on self-reports of RSR, however, several studies suggest that partner perceptions are more influential in relationship appraisal. In addition, most RSR research has focused not on partners' attitudes and virtues like commitment, but instead on personality traits, emotional health, and communication skills. In this study, we examine the relationship between partners' levels of commitment and forgiveness within their relationships, and how they perceive their partner's use of RSR behaviors. Using paired data from …
Partner Attachment And The Parental Alliance, Ashley B. Bell
Partner Attachment And The Parental Alliance, Ashley B. Bell
Theses and Dissertations
Previous research has demonstrated that cooperation and support between parents, called the parental alliance, is an important predictor of parent and child well-being. Consequently, it is important to understand what factors promote the formation of a strong parental alliance. Because of research on the impact of attachment security on individuals' abilities to depend and rely on others and to appropriately manage conflict, partner attachment is a potential predictor of the parental alliance, with insecure attachment negatively weakening the parental alliance. This study analyzed data from 321 couples to examine the relationship between partner attachment and the parental alliance. Using the …
Treatment Outcomes For Mood Disorders With Concurrent Partner Relational Distress: A Comparison By Treatment Modality And Profession, Holly Pack
Theses and Dissertations
Mood disorders are often linked with concurrent partner relational distress. The present study compared the cost effectiveness of treating mood disorder alone versus when the condition is comorbid with partner relational distress. Cigna, a leading health insurance management company in the US, provided outpatient data. Participants included patients with solely a mood disorder diagnosis (n = 72,712) and those with both a mood disorder and a comorbid partner relational distress diagnosis (n = 113, including 69 females and 44 males). These participants were treated in outpatient settings throughout the US. These numbers are surprisingly low considering the extensive literature showing …
Stable Conflict Resolution Styles And Commitment: Their Roles In Marital Relationship Self-Regulation, Rebecca Suzanne Boyd
Stable Conflict Resolution Styles And Commitment: Their Roles In Marital Relationship Self-Regulation, Rebecca Suzanne Boyd
Theses and Dissertations
Gottman's (1994a) three stable conflict resolution styles (CRSs), validating, volatile, and avoidant, are different on several dimensions, yet all are predictors of good marital satisfaction. Despite the CRSs equality in marital satisfaction and stability research, teaching couples a validating style is often explicitly more preferential in therapeutic settings. Relationship self-regulation (RSR), described as relationship “work”, is also a strong predictor of relationship satisfaction. Identifying the CRS environment in a relationship that most contributes to the practice of RSR can inform clinical and couple relationship education interventions. Based on its success in improving marital satisfaction in therapeutic settings, a validating CRS …
The Impact Of Parentification On Depression Moderated By Self-Care: A Multiple Group Analysis By Gender For South Korea And The U.S., Sunnie Giles
Theses and Dissertations
Parentification, the process of role reversal between parent and child, has long-term deleterious consequences. Using 500 men and 501 women, ranging from 18 years to 55 years old, residing in Korea and the U.S., this study examined the relationship of parentification experienced during childhood and depression in adulthood. The moderating impact of gender and self-care was examined in both the Korean and U.S. samples. Multiple-group analysis showed that the relationship between parentification and depression was statistically significant in all groups (U.S., Korean, male, and female), and self-care was negatively linked to depression. However, self-care did not moderate the relationship between …
Spirituality, Creativity, Identity, And Art Therapy, Theresa Crooks
Spirituality, Creativity, Identity, And Art Therapy, Theresa Crooks
LMU/LLS Theses and Dissertations
This research explores the question: how does an art therapist’s understanding of God as Creator form his/her identity and inform his/her clinical practice? A review was done in the art therapy, spirituality and psychology integration, and creation theology literature to look at existing research that answers this question. A lack of information in the art therapy literature prompted the development of this study to respond to this inquiry. This involved gathering data from LMU MFT graduates who expressed in a survey that they were willing to participate in this study. Four graduates were able to attend an art workshop to …
Integrating Restorative Justice Approaches In An Art Therapy Group, Jenna Walters
Integrating Restorative Justice Approaches In An Art Therapy Group, Jenna Walters
LMU/LLS Theses and Dissertations
The purpose of this research was to explore the integration of restorative justice approaches within the structure of group art therapy. The research approach was based on a mixed methods design that incorporated both a survey and a case study of a group. The open group structure posed some challenges; however, four of the adolescents agreed to participate in the research study. Each of the eight group art therapy sessions was structured to include an art directive, psychoeducation, and group discussion. Based on the analysis of the data, restorative justice approaches can be successfully integrated into group art therapy. Findings …
Art Therapy And Runaway Homeless Youth: An Exploration Of Trauma And The Survival Response Of "Flight", Leann K. Marschall
Art Therapy And Runaway Homeless Youth: An Exploration Of Trauma And The Survival Response Of "Flight", Leann K. Marschall
LMU/LLS Theses and Dissertations
This qualitative case study examined the influencing factors of runaway behavior, trauma, and the survival response of “flight.” The participant, an 18-year-old male residing at a transitional living program, ran away at age 17 and experienced a significant trauma history. Throughout the course of treatment, artwork and clinical notes were used as data. Many themes surfaced in the analysis process, including controlled chaos, body fragmentation, sun symbols, female imagery, and lack of color. The act of running away emerged subtly, whereas, traumatic experiences, chronic in nature and beginning early in life, were acutely evident. While the study was specifically concerned …
Using Photography And Poetry In Group Therapy For People With Severe And Persistent Mental Illness: An Outcome Study, Sarah H. Eggers
Using Photography And Poetry In Group Therapy For People With Severe And Persistent Mental Illness: An Outcome Study, Sarah H. Eggers
LMU/LLS Theses and Dissertations
This research explores the experience of participation in a pilot program that integrated poetry and photography for a group of seven adults living with severe and persistent mental illness. Data was gathered in the form of written, visual and verbal responses generated through a semistructured, qualitative focus group that took the week after the end of the pilot program. The data was categorized and coded using a analytical procedure based on Photovoice, a participatory action research model that seeks to empower research participants by providing them with cameras to document and share issues of importance to their lives. Analysis of …
Latino Cultural Implications For Art Therapy: The Influence Of Cultural Risk Factors And Academic Performance In High School, Piera Lynn Carfagno
Latino Cultural Implications For Art Therapy: The Influence Of Cultural Risk Factors And Academic Performance In High School, Piera Lynn Carfagno
LMU/LLS Theses and Dissertations
Through art therapy, this research examines the influence of the main components of Latino culture as risk and/or protective factors for internalizing and externalizing behaviors and disorders in Latino adolescents. The goal of this research is to also identify how these factors impact academic performance for Latino high school students. First, a literature review examines preexisting research evaluating the presence and influence of particular cultural factors like family expectations and roles, gender, religion, language, and parental involvement in education. Non-cultural factors include peer influence and socioeconomic influences. The literature further examines the impact these factors have been found to influence …
Perceptions Of Healing: Mind, Body And Spiritual Implications For Yoga Therapy And Art Therapy Students, Robin L. Kusilka
Perceptions Of Healing: Mind, Body And Spiritual Implications For Yoga Therapy And Art Therapy Students, Robin L. Kusilka
LMU/LLS Theses and Dissertations
This study employed a mixed method approach to explore perceptions of healing, particularly as it relates to the mind, body and spirit. The data was collected via a questionnaire consisting of word lists, scaling questions, narratives and an art based component among thirty-two yoga therapy students and twenty-one art therapy students at Loyola Marymount University in Los Angeles, CA. The information gathered was used to explore, compare and contrast the perceptions of healing within and between the two groups. The findings suggested that both study groups shared similar concepts about the integration of the mind, body and spirituality in their …
Post-Disaster Group Art Therapy Treatment For Children, Caitlin Frances Murphy
Post-Disaster Group Art Therapy Treatment For Children, Caitlin Frances Murphy
LMU/LLS Theses and Dissertations
A qualitative research study presents a thorough examination of a group art therapy curriculum for child survivors of disaster or traumatic events. A review of the existing literature was used to inform the current study. The researcher utilized focus group method of inquiry to gain a better understanding of the topic from experts in the art therapy field. Through the gathering of data and analysis, the findings suggest that the curriculum developed to assist child survivors of traumatic events or disasters has intrinsic value and can assist in the recovery process. The focus group provided a means to analyze the …
Art Making For The Art Therapist: A Study On Clinical Insight, Therapist Identity, Self-Care, And Countertransference, Saira Crawford, Guadalupe Solis, Eliza Ann Pfister
Art Making For The Art Therapist: A Study On Clinical Insight, Therapist Identity, Self-Care, And Countertransference, Saira Crawford, Guadalupe Solis, Eliza Ann Pfister
LMU/LLS Theses and Dissertations
This arts-based and quantitative study looked at the effects of reflective art making as a tool for stress reduction, clinical insight and therapist identity formation. Research was completed by three Loyola Marymount University, art therapy graduate students. Data was collected over nine sessions consisting of inventory scores from the State-Trait Anxiety Inventory (STAI-Y), as well as artwork made in response to each participant’s client presentation. The research questions answered were: How does the reflective art-making process inform clinical identity as an art therapist? What effect did regular self-exploration have on burnout for the art therapist, as indicated by scores on …
Visualizing Levels Of Family Satisfaction And Quality Of Life In Families With An Autistic Member(S), Sarah Christolini, Camille Werstler
Visualizing Levels Of Family Satisfaction And Quality Of Life In Families With An Autistic Member(S), Sarah Christolini, Camille Werstler
LMU/LLS Theses and Dissertations
This research served to visualize levels of family satisfaction and quality of life in families with an Autistic member(s). Art-based qualitative survey was the primary method of gathering data. The vast majority of the literature on autism focused on the treatment of the child, yet some literature suggested a re-focusing on the family as the unit of treatment may improve family satisfaction and quality of life. Taking this into consideration this research explored how parents experience family satisfaction through written and visual responses. The theme of independence for the child with autism was present in all five visual responses which …
Organizational Restructuring And The Process Of Image Making: An Arts-Based Inquiry Of The Image Making Experiences Provided For The Delegates Of A Religious Congregation Involved In Restructuring, Donna L. Gibbs
LMU/LLS Theses and Dissertations
This phenomenological study examines the impact image-making experiences had on the leadership restructuring of a women’s religious congregation. Six Catholic women religious ranging in ages 65-85 participated in an arts-based workshop informed by art therapy theories to explore the meaning of making art during their Province Chapter meetings in which leadership restructuring was on the agenda. In addition, 42 of the 80 Province Chapter delegates responded to a survey about their experience. The data collected includes the survey, the workshop process, the images made by the six participants, their verbal sharing about their image, and their written reflections. Five common …
Co-Constructing Cultural Attunement With Latino Clients In Couple Therapy, Marco Antonio Elias-Juarez
Co-Constructing Cultural Attunement With Latino Clients In Couple Therapy, Marco Antonio Elias-Juarez
Loma Linda University Electronic Theses, Dissertations & Projects
There is a need for culturally attuned approaches for couple’s therapy with Mexican/ Mexican-American people (Falicov, 2009). However, there have been few theoretical frameworks to conceptualize cultural attunement, and attunement has been primarily understood as a skill or as an attitude rather than as a relationship or as a series of clinical concepts with steps to follow (Hoskins, 1999; Oakes, 2011). From the social constructionist perspective, cultural attunement is related to the cultural context and cultural interactions that shape beliefs and attitudes about what is meaningful in establishing deep relationships for Latino and non-Latino therapists and their Mexican and Mexican-American …
A Comparison Of Contemporary Filial Piety In Rural And Non-Rural China And Taiwan, Li Ping Su
A Comparison Of Contemporary Filial Piety In Rural And Non-Rural China And Taiwan, Li Ping Su
Theses and Dissertations
There is evidence that industrialization and urbanization has led to an increase of immigration to urban areas for employment and has led to a change of family structure and connection between parents and adult children in Chinese societies. However, little research has compared different Chinese societies, as well as rural and non-rural regions. This study compared the adult children’s current level of filial piety, between non-rural and rural regions, and between males and females using data from an international study of countries in East Asia. Overall, China reported higher level of filial piety as compared to Taiwan. Moreover, for the …
Living With Uncertainty: The Impact On Breast Cancer Survivors And Their Intimate Partners, Kimberley Dockery
Living With Uncertainty: The Impact On Breast Cancer Survivors And Their Intimate Partners, Kimberley Dockery
Department of Family Therapy Dissertations and Applied Clinical Projects
This study explored the lived experiences of breast cancer survivors and their intimate partners. The research was informed by a social constructionist framework and phenomenological method of inquiry. While the body of literature on the physical, psychological, and social health of breast cancer survivors is growing, only a few studies have focused solely on the lived experience of survivorship and the uncertainty of recurrence. This study sought to explore the construction of meaning in the couples' context and experiences of surviving breast cancer. The present study examined how breast cancer survivors make meaning of their survivorship in context of living …
Coming Out, Coming Together, Coming Around: An Interpretative Phenomenological Analysis Of Families' Experiences Adjusting To A Young Family Member's Disclosure Of Non-Heterosexuality, Denise M. Fournier Rodriguez
Coming Out, Coming Together, Coming Around: An Interpretative Phenomenological Analysis Of Families' Experiences Adjusting To A Young Family Member's Disclosure Of Non-Heterosexuality, Denise M. Fournier Rodriguez
Department of Family Therapy Dissertations and Applied Clinical Projects
Young people who identify as lesbian, gay, or bisexual (LGB) are disclosing their sexual identity--or coming out--at progressively younger ages, making it more important than ever for the general population to understand, tolerate, and accept diversity in sexual identity. This study was designed to fill the gap in the existing literature about how the coming out process affects LGB young people's families of origin. Three LGB young people participated in the study, along with a member of each of their families. The researcher conducted semi-structured interviews with each of the participants, as well as a conjoint interview with each of …
Same-Sex Couples' Lived Experiences Of The Repeal Of The Defense Of Marriage Act's (Doma) Section Three, Alicia Anne Bosley
Same-Sex Couples' Lived Experiences Of The Repeal Of The Defense Of Marriage Act's (Doma) Section Three, Alicia Anne Bosley
Department of Family Therapy Dissertations and Applied Clinical Projects
Same-sex couples are affected by the social and political climates in which they live, as these create the difference between acceptance and legalization, and discrimination and prohibition, of their relationships. This contingence is made increasingly impactful by the privileges and protections afforded to married couples by the federal government; same-sex couples, along with other couples that choose not to, or cannot, marry, are excluded from these benefits. Following the June 26, 2013 ruling that Section Three of the Defense of Marriage Act (DOMA), which defined marriage as between a man and a woman, was unconstitutional, same-sex couples were given access …