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Full-Text Articles in Medicine and Health Sciences

Training Marriage And Family Therapists In Formal Assessment: Contributions To Students' Familiarity, Attitude, And Confidence, Scott C. Huff, Shayne R. Anderson, Lindsay L. Edwards Dec 2014

Training Marriage And Family Therapists In Formal Assessment: Contributions To Students' Familiarity, Attitude, And Confidence, Scott C. Huff, Shayne R. Anderson, Lindsay L. Edwards

Faculty Publications

Studies suggest that few practicing marriage and family therapists use formal assessments and even fewer use systemic assessments. Given the potential value of formal assessment to both clinicians and clients, we surveyed current marriage and family therapy students (N = 91) about their familiarity, attitude, and confidence in training with assessment. Experience using assessments predicted familiarity. Having a supervisor that valued assessments predicted familiarity and confidence in training. The number of courses taken in assessment was not predictive of familiarity, attitude, or confidence. Implications for training and future research are discussed


Cost Effectiveness Of Treating Generalized Anxiety Disorder In Adolescence: A Comparison By Provider Type And Therapy Modality, Kathryn Evelyn Reynolds Dec 2014

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 …


Father Influence On Adolescent Sexual Debut, Daniel Joseph Blocker Aug 2014

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 …


Cost-Effectiveness Of Treating Oppositional Defiant Disorder: A Comparison By Treatment Modality And Mental Health Provider Type, Julie Denise Malloy Jul 2014

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 Jul 2014

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 Jul 2014

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 …


Partner Attachment And The Parental Alliance, Ashley B. Bell Jul 2014

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 Jul 2014

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 …


Commitment, Forgiveness, And Relationship Self-Regulation: An Actor-Partner Interdependence Model, Heather Michele Smith Jul 2014

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 …


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 Jun 2014

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 …


Stable Conflict Resolution Styles And Commitment: Their Roles In Marital Relationship Self-Regulation, Rebecca Suzanne Boyd Jun 2014

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 …


Clinical Implications Of Internet Infidelity: Where Facebook Fits In, Jaclyn D. Cravens, Jason B. Whiting Phd Jun 2014

Clinical Implications Of Internet Infidelity: Where Facebook Fits In, Jaclyn D. Cravens, Jason B. Whiting Phd

Faculty Publications

The Internet can enhance existing relationships or facilitate the development of new relationships, including illicit ones. Increased research in this area has predominately been on online sexual addiction and pornography, with few about social networking sites. Facebook, a popular social networking site boasting 1.15 billion active users. This article reviews existing literature on Internet infidelity, comparing online activities and Facebook-specific behaviors. Five areas related to Internet infidelity will be explored, such as definitions and the impact on relationships. Although several similarities exist between general Internet and Facebook-specific infidelity, unique differences exist. Implications for future research and clinical practice are presented.


A Comparison Of Contemporary Filial Piety In Rural And Non-Rural China And Taiwan, Li Ping Su Jun 2014

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 …