Medicine and Health Sciences Commons^™

Impulsive Choice In Unmedicated And Medicated Children Diagnosed With Adhd: Examining The Variables Of Reward Type And Adhd Subtype, Nicole Henriksen

Dissertations

Developmentally inappropriate and impairing impulsive behaviors are often seen in attention-deficit/hyperactivity disorder (ADHD). One method for objectively assessing impulsivity is the Choice-Delay Task (C-DT) which presents repeated opportunities to choose between a smaller, sooner (SS) or larger, later (LL) reward. A preference for the SS reward that results in less total reward is considered impulsive. Many studies have found that participants diagnosed with ADHD choose the SS reward more than typical controls. However, less is known about the effects of different types of rewards, or the comparative performance of certain subgroups, such as children diagnosed with ADHD Predominantly Inattentive Type …

The Intersection Of Depression, Partner Violence And Poverty During The Perinatal Period, Catherine L. Kothari

Dissertations

Problem: Despite the wealth of research documenting the individual links between maternal depression, partner violence, and poverty, important gaps remain regarding their combined interactions, and their variation related to perinatal timing (pregnancy and postpartum). The current dissertation examined the interplay of these phenomena across perinatality.

Methods: This dissertation utilized secondary analysis of telephone survey data from a representative sample of women recruited during their postpartum hospital stay and interviewed four times over the subsequent 18 months. Linear regression was used for predictive modeling of fixed effects, and generalized estimating equation regression was used for multivariate analysis of temporal trends.

Findings: …

Evaluation Of Modafinil In Preclinical Behavioral Assays Of Abuse Liability, Amanda J. Quisenberry

Dissertations

Modafinil is an FDA-approved drug for the treatment of narcolepsy with efficacy in the treatment of chronic fatigue syndrome, obstructive sleep apnea, and shift-work sleep disorder. Modafinil’s wake-promoting and cognitiveenhancing effects are reportedly similar to those of traditional psychostimulants, but without the side effects typically associated with these substances. Modafinil has also been investigated as an agonist replacement therapy for psychostimulant dependence, although results of clinical trials are equivocal. Few studies have examined its behavioral effects in combination with psychostimulants and the neuropharmacological actions of modafinil are not well understood. The primary aim of this study was to assess modafinil’s …

Teaching Language To Children With Developmental Disabilities Using Combined Direct Reinforcement And Stimulus-Stimulus Pairing, Brighid Helene Fronapfel-Sonderegger

Dissertations

Several researchers have used stimulus-stimulus pairing (the pairing of speech sounds with established reinforcers) to increase the frequency of specific vocalizations in children with disabilities. However, only a few addressed the utility of stimulus-stimulus pairing to increase functional language, and none combined stimulus-stimulus pairing and direct reinforcement. The present study combined stimulus-stimulus pairing and direct reinforcement to successfully teach 2 to 10 functional mands in 21–49 7-minute sessions with four children with developmental disabilities with low verbal repertoires. Following mand training, two children were taught 10 tacts for pictures using the combined direct reinforcement and stimulus-stimulus pairing procedure in a …

Effectiveness Of A Motivational Enhancement Group Treatment In A Community Treatment Program With A Substance Abusing Population, Matthew S. Willerick

Dissertations

Motivational interviewing (MI) is a directive, client-centered intervention to elicit behavior change by assisting clients in the exploration and resolution of ambivalence toward change. MI-inspired approaches have been used in an attempt to facilitate change in a wide variety of domains including alcohol and drug abuse, safe water handling practices, dual diagnoses, gambling, spousal abuse, health related areas, mood and anxiety disorders, and parental engagement. MI seeks to resolve ambivalence in the direction of change by increasing the client's self-efficacy. This is accomplished by combining clientcentered (e.g., reflective listening) and directive strategies (e.g., attending selectively to change statements). The origins …

Evaluation Of Medication Effects On Academic Performance, Sleep, And Core Adhd Symptoms In Children, Tina K. Head

Dissertations

Idiosyncratic effects of Vyvanse™ (lisdexamfetamine dimesylate) and placebo were evaluated in a double-blind alternating treatments experimental design in this 4-week study. Direct, objective measures were combined with traditional behavior ratings to provide data sets to assess whether or not the prescribed stimulant medication showed detectable therapeutic effects for a child whose positive response to medication was not obvious via traditional subjective methods. Effects of medication on core ADHD symptoms, academic performance, and sleep in four children ages 10-12 with attention deficit/ hyperactivity disorder. Potential side effects were also measured. Daily measures included parent rating scales, side effects checklist, sleep journal …

An Investigation Of The Knowledge And Beliefs Held By Teachers And Parents In A Parochial School System Regarding Attention-Deficit/Hyperactivity Disorder And The Variables That Predict Their Knowledge, Kendra-Lee Yvonne Pearman

Dissertations

Problem

Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent childhood disorders affecting 3 to 5% of school populations in the United States and other countries. Due to the behavioral and/or academic challenges of children with ADHD, they are at risk for grade retention, dropping out of high school, and teenage delinquency, which can lead to negative consequences in society. Children with ADHD are found in every school setting, including parochial schools. Past studies have found teachers and parents have inadequate knowledge about ADHD, which can negatively affect these children. This study investigated what teachers and parents of children in …

The Impact Of Systematically Varying The Duration Of Breath Samples During Infrared-Based Alcohol Breath Testing, Chris C. Clatterbuck

Dissertations

The present study set out to investigate the reliability and performance of the BAC DataMaster®, an infrared-based alcohol breath testing instrument. The focus of this study was to determine: (a) the impact of varying breath sample duration during testing, (b) if Blood Alcohol Concentration (BAC) levels produced by the DataMaster® (BAC_DM) are significantly different from BAC levels produced by analysis of whole blood (BAC_WB), and (c) if the relationship between BAC_DM estimates and BAC_WB is influenced by the amount of alcohol an examinee has ingested. Each of 27 participants was randomly assigned to one …

A Descriptive Multiple Case Study Of Caucasian Female Suicide Attempters: Risk And Protective Factors, Janice Johnson Browne

Dissertations

Problem

Suicide is a problem globally and in the United States. Suicide rates for youth have remained particularly high. Caucasian men complete more suicidal acts than women, but women are more frequent suicide attempters. To gain information about the phenomenon of female suicide attempting, it is important to study the attempter. Awareness of risk and protective factors is necessary to intervene and prevent future incidences of suicide and suicide attempting.

Methodology

For this research a descriptive case study design was utilized. Three suicide attempters who had attempted suicide one or more times in the past was the sample population for …

Refugee Experiences Of Trauma And Ptsd Effects On Psychological, Physical, And Financial Well-Being, Karen J. Cusack

Dissertations

No abstract provided.

Analysis Of Factors Involved In Ratings Of Treatment Acceptability For Trichotillomania, Amy J. Elliott

Dissertations

Based on the literature, trichotillomania (or chronic hair pulling) appears to be responsive to behavioral interventions, with habit reversal as the most promising intervention. Habit reversal has been shown effective with children and adults of varying levels of severity, but some have questioned the generality and acceptability of the procedure. Little is known about the acceptability of interventions for habit disorders. These two research studies were designed to answer questions regarding the acceptability of behavioral and pharmacological interventions for trichotillomania and to expand the conceptual knowledge of treatment acceptability.

Study 1 compared the acceptability of four interventions targeting trichotillomania. The …

Self-Criticism As Experienced By Performing Artists A Phenomenological Study, Rosemary Hakes

Dissertations

The purpose of this study was to describe and document the essence of the experience of self-criticism for performing artists with the aim of providing recommendations for educational and therapeutic purposes. Moustakas (1994) defines essence as “that which is common or universal, the condition or quality without which a thing would not be what it is” (p. 100). In this study a phenomenological research paradigm was used. Each step in the data reduction process built directly toward revelation of essence through synthesis.

The central question guiding this research was: What is the essence of self-criticism as it is experienced by …

Transitioning And Adapting To College: A Case-Study Analysis Of The Experience Of University Students With Psychiatric Disabilities, Kenneth M. Werner

Dissertations

The psychiatric rehabilitation literature (Unger, 1987) indicates that few studies have been conducted about the adaptational demands associated with the transition to college for young adults with psychiatric disabilities who negotiate the university experience without the benefit o f a supported education program .

The purpose of this study was to describe how individual, social, and institutional factors contributed to the successful transition and adaptation to college life for students with psychiatric disabilities. The study sought to identify how students with psychiatric disabilities disclosed their illness in order to request support services and accommodations, and which services were essential or …

Diagnostic Issues With Attention Deficit Hyperactivity Disorder: Conditional Probabilities And A Measure Of Symptom Ratings, Margo Adams Larsen

Dissertations

Current assessment taxonomy, including the DSM -IV and the International Classification of Diseases (ICD) (World Health Organization, 1990) editions, have provided semistructured criteria sets to aid professionals in making a diagnosis of ADHD or ADD. The diagnostic taxonomy criteria, however, have resulted in a very heterogeneous population of Attention Deficit Hyperactivity Disordered (ADHD) individuals. Several studies have attempted to assess the behavioral syndromes— Attention Deficit Hyperactivity Disorder (ADHD)/Conduct Disorder (CD)/ Oppositional Defiant Disorder (ODD)—in terms of test or symptom sensitivity, specificity, positive predictive power, and negative predictive power (Landau, Milich, & Widiger, 1991; Milich, Widiger, & Landau, 1987; Waldman & …

Influence Of Psychiatric Diagnostic Training On Counseling Students’ Development Of A Model-For-Helping And Professional Identity, Jerry E. Mclaughlin

Dissertations

Over the years, numerous proposals have been made in the counselor education (CE) literature about what counseling philosophy can best lead the profession to a distinctive professional identity (Bauman & Waldo, 1998; Fong & Lease, 1994; Guterman, 1994). An issue in this debate is whether psychiatric diagnostic training forms a part of a counseling philosophy (i.e., model-for-helping) and professional identity that is more focused on client psychopathology than on normal developmental issues. This study explored how training and experience in psychiatric diagnostic categories (PDCs) influenced counselors’ development of their counseling philosophy and professional identity.

Focus-group interviews were held at four …

Eating-Disorder Patterns In The Minnesota Multiphasic Personaity Inventory, Karen Baer-Barkley

Dissertations

Problem. Early intervention is crucial for effective treatment of eating disorders. While there have recently been many assessment tools developed specifically for eating disorders, a screening tool is still needed. This study sought to identify, in an eating-disordered sample, the existence of a v-shaped pattern on scales 4-5-6 of the MMPI, a commonly used general measure of psychopathology.

Method. The sample consisted of 356 females who were being treated for eating disorders through the HOPE program between 1989 and 1996. Past research on the MMPI has produced equivocal results on identifying significant patterns on the clinical scales. Since prior research …

The Discriminative Stimulus Properties Of Morphine And U-50,488h In A Three-Key Assay: A Mu And Kappa Opioid Discrimination In The Pigeon, Malath Makhay

Dissertations

Opiate drugs have been classified in two-choice assays according to their ability to produce generalization in animals to the prototypicix opiate, morphine, versus vehicle, or to the k opioid, U -50,488H versus vehicle injections (Picker & Dykstra, 1987). A three-choice discrimination procedure, in which subjects discriminate among morphine, U -50,488H , and vehicle injections, might afford a greater degree of precision in characterizing the subjective effects of opioids. The feasibility of such a procedure was demonstrated in the present study, in which five pigeons were trained to discriminate among injections of 5 .6 m g/kg morphinel 5 .6 m g/kg …

The Kinetic Family Drawing As A Measure Of Minuchin's Structural Family Concepts Among Hispanic American Families With Substance-Abusing And Nonsubstance-Abusing Adolescents, José Osorio-Braña

Dissertations

Problem. There is a need for validation of new cultural-sensitive tests for assessing the Hispanic population in the United States that will take into account their cultural competence in the psychological evaluation practice. The purpose of this study was to explore the suitability of the Kinetic Family Drawings as a measure of Minuchin's Structural Family Theory among Hispanic American families with substance-abusing and nonsubstance-abusing adolescents.

Method. The Kinetic Family Drawing (KFD), the Structural Family Interaction Scale-Revised (SFIS-R), and the Family Adaptability and Cohesion Scales (FACES II) were administered to 141 families, 74 with an adolescent with substance-abusing problems and 67 …

The Relationship Between Co-Dependence And Borderline Personality Disorder, Helen P. Bird

Dissertations

Problem. Co-dependence (CODC) is described as an "incurable disease" by some practitioners in the addictions treatment business. The CODC concept developed in isolation from mainstream psychology and psychiatry and remains an unverified diagnostic category. It has been compared with Borderline Personality Disorder (BPD) and this relationship was investigated.

Method. Representative samples of the voluminous literature on CODC and BPD were reviewed in an effort to identify commonalities. The characteristics used for comparison were the ones identified by Dr. E. G. Goldstein in Borderline Disorders: Clinical Models & Techniques (1990). Two self-report, anonymous instruments were used; one was completed by clinicians …

Detecting Malingered Psychotic Symptoms With The Rorschach Projective Technique, Kristin M. Batchelder

Dissertations

Problem. Criminal defendants may be strongly motivated to avoid prosecution by appearing mentally ill, and the malingering of psychotic symptoms is of special concern in legal proceedings. Much research has been conducted to determine accurate methods to detect malingering. These include clinical interviews, structured personality tests, intelligence tests, and projective techniques. This present study investigated the ability of specific variables on the Rorschach Projective Technique to detect malingered protocols.

Method. The 83 subjects in this study were restricted to male pre-trial defendants in the Federal Judicial system who were placed into three categories by diagnosis: (1) malingering psychotic symptoms, (2) …

Comparative Effectiveness Of Therapeutic Strategies On Drug Knowledge And Drug Attitude In Inpatient Psychiatric Substance Abuse Population, Amber Haque

Dissertations

This study examined the effects of instructional strategies on the change of knowledge and attitude scores in mentally ill subjects with a history of substance abuse. Twenty subjects from a state psychiatric hospital were randomly divided into one control and three experimental groups. The study period was ten weeks with each session lasting forty five minutes, twice per week. Subjects studied issues relating to drug abuse outside scheduled sessions as they pleased. Pre- and post-test scores were measured by a drug abuse questionnaire developed at the Pennsylvania State University. Hypotheses formed were: (a) drug education improves knowledge and attitude in …

Motivational Effects On A Psychometric Measure Of Prefrontal Brain Functioning In Patients With Chronic Schizophrenia And Related Disorders, Paul C. Smith

Dissertations

This study compared multiple sequential performances on a computerized version of the Wisconsin Card Sorting Test (Grant & Berg, 1948; Harris, 1986) by adult men receiving institutional inpatient treatment for chronic schizophrenia and related disorders. Participants were exposed to differential test conditions of minimal post-session non-contingent token reinforcement (baseline phases) and enhanced intra-session performance-contingent token reinforcement (experimental phase). Each major participant resided at the same continuing treatment unit at Kalamazoo Regional Psychiatric Hospital receiving similar social therapies but idiosyncratic psychotropic medication regimens, changes in which were tracked in relation to test performances. A simple single-subject reversal design was employed with …

Improving The Documentation Of Patient Progress In A Mental Health Facility Through The Use Of Training And Feedback, Maria Sonia Acosta

Dissertations

The purpose of the present study was to evaluate the effectiveness of various conditions, including staff training and feedback to improve the documentation of patient progress in a mental health facility. Forty nursing staff members participated in this study. Subjects were «posed to one of three experimental conditions. Subjects in the training-only condition received two hours of training on how to write progress notes. Subjects in the training plus feedback condition received two hours of training and weekly feedback in the form of group performance graphs and verbal explanation of their progress. Subjects in the third condition served merely as …

Depression In Alcohol And Other Drug Abusers: Prevalence, Nature, Assessment, And Relationship To Short-Term Relapse, Patricia Moulton Guilford

Dissertations

The prevalence of depression was evaluated in 168 inpatients being treated for alcohol and other drug abuse. Patients were divided into three groups according to their pattern of substance use: alcohol only, alcohol and other drugs, and other drugs only. After two weeks of sobriety, 35% of these patients met the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R) (American Psychiatric Association (APA), 1987) criteria for one of the Depressive Disorders based upon information from a structured interview using the Schedule for Affective Disorders and Schizophrenia-Change Version (SADS-C) (Endicott & Spitzer, 1978). Prevalence rates did not vary …

The Effects Of Spouse-Based Cognitive-Behavior Therapy On The Treatment Of Agoraphobia, Joan Woods

Dissertations

The purpose of this clinical research was to determine whether spouse-supported treatment of agoraphobia would result in greater improvement on measures of exposure and avoidance than would individual treatment or no treatment. It was hypothesized that Couples Treatment subjects would demonstrate a significantly greater change from pretest to posttest than would Individual Treatment subjects or No-Treatment Control subjects. The study further predicted that significant improvements would be demonstrated for both treated groups on the same outcome measures, pretest to posttest and from pretest to follow-up.

Total N was 10 subjects, all were agoraphobic, married, and female, with 4 in Couples …

Reducing Emg And Cardiovascular Reactivity With Cue-Controlled Relaxation, Janel Kay Harris

Dissertations

The present study compared cue-controlled relaxation (CCR) to progressive muscle relaxation (PMR) as possible methods of reducing reactivity to active stressors (math and anagram tasks). The CCR training entailed practicing relaxation during exposure to the active stressors, while the PMR training did not. Ten cardiac rehabilitation patients served in an experiment which used a repeated-measures ANOVA to assess changes in frontal EMG, skin conductance level (SCL), systolic (SBP) and diastolic (DBP) blood pressure, and pulse-rate reactivity across three experimental conditions. These were: baseline, progressive muscle relaxation, and cue-controlled relaxation. The results indicated that CCR led to reduced EMG, SBP, and …

Using Group Psychotherapy For Enhancing Late Adolescent Selfconcept: Comparing The Effects Of Hypnosis And Rational-Emotive Therapy, James J. Buldas

Dissertations

The purpose of this study was to determine whether university students, classified as late adolescents, could enhance their self-concept as measured by the Tennessee Self-Concept Scale (TSCS) Total Positive Score. Seven hypotheses which stated the null relationship between self-concept enhancement and the treatment modalities of hypnosis and rational-emotive therapy, when compared over an eight week period of time were derived. A review of the literature showed that the belief that low self-concept is etiologic in psychopathology is widespread in the clinical literature.

A sample of university students enrolled in Psychology 100 (N = 54) were pre, post and follow-up tested …