Psychiatric and Mental Health Commons^™

Big Five Personality Traits, Pathological Personality Traits, And Psychological Dysregulation: Predicting Aggression And Antisocial Behaviors In Detained Adolescents, Katherine S. L. Lau

University of New Orleans Theses and Dissertations

This study tested the utility of three different models of personality, namely the social and personality model, the pathological personality traits model, and the psychological dysregulation model, in predicting overt aggression, relational aggression, and delinquency in a sample of detained boys (ages 12 to 18; M age = 15.31; SD = 1.16). Results indicated that the three personality approaches demonstrated different unique associations with aggression and delinquency. The psychological dysregulation approach, composed of behavioral dysregulation, emotional dysregulation, and cognitive dysregulation, emerged as the overall best predictor of overt aggression, relational aggression, and delinquency. After controlling for the Big Five personality …

Harm Reduction: Compassionate Care For Persons With Addiction, Robin Bartlett, Laura Brown, Mona Shattell, Thelma Wright, Lynne Lawallen

Mona Shattell

No abstract provided.

Feasibility And Preliminary Outcomes From A Pilot Study Of The Smile Curriculum For Mother-Infant Co-Occupational Engagement And Maternal Self-Efficacy, Emily Whitlock

Theses and Dissertations

OBJECTIVE: To report on the feasibility and preliminary outcomes from a pilot study of the SMILE curriculum, a new educational program designed to enhance the mother-infant relationship by focusing on improvement of co-occupational engagement within daily routines.

METHOD: Six mothers, each with an infant diagnosed with special medical needs who received services in a local birth-to-three program, participated in an exploratory design study. Each mother was assigned to a SMILE curriculum intervention group or a waiting-list control group. Mothers were evaluated pre- and post-intervention using the Perceived Maternal Parenting Self-Efficacy (PMP-SE) Scale for measurement of maternal self-efficacy and the Center …

The Effectiveness Of Educational Interventions In Reducing Negative Attitudes And Stigmatisation Toward Patients With Anorexia Nervosa, Amy Bannatyne, Peta Stapleton

Peta B. Stapleton

It is frequently reported that clinicians across a range of professional disciplines experience strong negative reactions toward patients with eating disorders, particularly anorexia nervosa (AN). As research consistently demonstrates fear of stigma is the most frequently cited reason explaining why individuals with mental illness do not seek treatment, the current study aimed to develop, evaluate and compare the effectiveness of two differing educational interventions, based on an etiological framing model, against a wait-list control. Participants were fourth-year medicine students randomly assigned to one of three conditions. A three-hour educational workshop was delivered to participants at the beginning of an eight-week …

Hierarchical Vector Auto-Regressive Models And Their Applications To Multi-Subject Effective Connectivity, Cristina Gorrostieta, Mark Fiecas, Hernando Ombao, Erin Burke, Steven Cramer

Mark Fiecas

Measuring The Sixth Vital Sign: A Descriptive Analysis Of Distress In Individuals With Head And Neck Cancer And Their Caregivers, Catherine C. Bornbaum

Electronic Thesis and Dissertation Repository

Introduction: Distress has become so problematic in oncology that it has been recognized as the “sixth vital sign” implying that distress monitoring should occur as routinely as the monitoring of one’s temperature or blood pressure. The research reported herein investigated the impact of head and neck cancer on levels of distress, commonly reported problems, and perceptions of quality of life in individuals with head and neck cancer and their caregivers.

Method: Two distinct studies were conducted; the first explored the patient experience of distress and quality of life while the second assessed the caregiver experience of these same constructs. A …

Research Brief: "Investing In Vets: Strategies To Help Returning Gulf War Vets Enter The Civilian Work Force Successfully", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study found that corporate leadership, veteran-specific training, and a long-term commitment to veterans’ employment were all significant factors in diminishing barriers to veteran employment and reintegration. In practice, social workers who understand business and organizational change can be leaders in supporting veterans in the workplace, and also in advocating for positive social change for veterans and their families. For employers, increased cultural competence concerning military populations would be helpful. In policy, organizations should work on creating coalitions of corporate leaders who have the power to change policies, programs, and practices, and who will monitor the success of these policy …

The Impact Of A Mental Health-Related Diagnosis On Readmission Rates For Heart Failure, Ronald S. Freudenberger Md, Carol A. Foltz Phd, Lou Lukas Md, Donna F. Petruccelli Crnp, Hannah D. Paxton Rn, Mph, Victoria Sabella Bsn

Ronald S Freudenberger MD

No abstract provided.

Generalizing Anxiety, Center For Public Service

SURGE

As she began reading the list of symptoms, I was making mental check marks next to the ones that applied to me.

Fear of interacting with strangers- check. Fear that others will notice that you look anxious- check. Avoiding doing things or talking to people out of fear of embarrassment- check. Fear of situations in which you may be judged- check. Anxiety that disrupts your daily routine, work or school activities- check, check, check. [excerpt]

The Role Of Culture In Making Psychiatric Diagnosis: Hwabyung (火病) And Neurasthenia (神經衰弱), Jonghyun Lee

2013 New England Association for Asian Studies Conference

The Role of Culture in Making Psychiatric Diagnosis: Hwabyung (火病) and Neurasthenia (神經衰弱)

My paper looks at two psychiatric illnesses and discusses their social and cultural dimensions. The two illnesses to be compared are the Korean affliction called hwabyung, and the once-popular Western malady labeled neurasthenia, a common ailment in 19th century America.

Neurasthenia was defined as “a disorder characterized by feelings of fatigue and lassitude,” which is caused by the nervous system. That definition could fit most people at some time or another. Hwabyung, on the other hand, means “fire illness.” Koreans believe that chronic distress can …

Stress And Eating: A Dual Role For Bombesin-Like Peptides, Zul Merali, S. Graitson, J. C. Mackay, P. Kent

Brain and Mind Institute

The current obesity "epidemic" in the developed world is a major health concern; over half of adult Canadians are now classified as overweight or obese. Although the reasons for high obesity rates remain unknown, an important factor appears to be the role stressors play in overconsumption of food and weight gain. In this context, increased stressor exposure and/or perceived stress may influence eating behavior and food choices. Stress-induced anorexia is often noted in rats exposed to chronic stress (e.g., repeated restraint) and access to standard Chow diet; associated reduced consumption and weight loss. However, if a similar stressor exposure takes …

Long Term Effectiveness Of Cognitive Behavior Therapy For Treatment Of Postpartum Depression: A Systematic Review And Meta-Analysis, Tahira Perveen, Sajid Mahmood, Ibrahim Gosadi, Jaishri Mehraj, Sana Sadiq Sheikh

Department of Obstetrics & Gynaecology

Background: The existing trials on the long term effectiveness of cognitive behavior therapy (CBT) for the treatment of postpartum depression have conflicting results. Therefore, we performed a systematic review to summarize the current evidence.
Methodology: Literature search was performed using electronic databases Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsychINFO were explored from January 2000 to March 2013.
All peer-reviewed English-published randomized controlled trials were eligible if they assessed the long term (at least at 24 weeks post partum) effectiveness of CBT versus standard postpartum care for prevention of postpartum depression. Data from eligible studies were …

Comparing Adult Males And Females In The United States To Examine The Association Between Body Mass Index And Frequent Mental Distress: An Analysis Of Data From Brfss 2011, Soumyadeep Mukherjee

Faculty Publications

There is conflicting evidence regarding the association of body mass index (BMI) with mental distress. Studies have focused on different dimensions of mental health and used different definitions and many of them have not controlled for confounding factors. The aim of this study was to examine the relationship between frequent mental distress (FMD) and BMI among adults in the United States, with special emphasis on gender differences. Methods. Data from the Behavioral Risk Factor Surveillance System (BRFSS) for the year 2011 were used in logistic regression models to predict FMD, defined as having 14 or more days of poor mental …

A Comparison Of Attention Bias Paradigms Related To Insomnia, Nathaniel Maloney

Theses and Dissertations

Attentional bias to sleep related stimuli by poor sleepers has been reported as a factor in initiating and maintaining sleep disturbance. In this study, three paradigms (Flicker, Posner, and Stroop) were used in comparison to further investigate the role of attentional biases in Primary Insomnia. Participants (n=117) were split into good sleepers and poor sleepers using a median split with the Pittsburgh Insomnia Rating Scale (PIRS). Using the Center for Epidemiologic Studies Depression Scale (CES-D) as the covariate, two-way mixed modality ANCOVAs were conducted for each paradigm revealing no significant differences in word type, quality of sleep, or the interaction …

Spirituality And Alcohol Consumption In A General Population, Nicole Keenan

Theses and Dissertations

This study examined the relationship between spirituality and alcohol consumption in a general population because spirituality is important when it comes to the treatment and continued recovery from addiction. In order to measure spirituality, we used three psychometrically tested measures; The Intrinsic Spirituality Scale, the Spiritual Intelligence Self Report Inventory, and the Spiritual Assessment Inventory. To measure alcohol consumption we utilized the Alcohol Use Disorders Identification Test. Results sustain the multidimensionality and overlap between spirituality and religion and the need for more complete definitions. Our findings support the buffering relationship between spirituality and alcohol consumption as well as a relationship …

Are Your Parents To Blame? Disentangling Temperament, Parenting Style, And Schemas In The Development Of Depressive Symptoms, Jenny Delorme

Theses and Dissertations

This study examined Jeffrey Young's Schema Theory (1990; 2003) and its influence in understanding the etiological factors related to depressive symptoms. It was hypothesized that there would be significant interactions between parenting and temperament traits. It was also hypothesized that The Defectiveness and Insufficient Self Control EMSs would mediate the relationship between the significant parenting/temperament interactions and depressive symptoms. Participants were administered the Young Schema Questionnaire Short form-3 to measure the endorsement of schemas; the Beck Depression Inventory to measure symptoms of depression; the Young Parenting Inventory to measure perceived parenting; and the Adult Temperament Questionnaire to measure temperament traits. …

Locus Of Control And Quality Of Life In Individuals With Schizotypy, Rachael Paulbeck

Theses and Dissertations

The present study collected data from 200 undergraduate students (106 male, 94 female) and sought to examine the relationship between levels of stress, cognitive processes related to stress management (Locus of Control- LOC; Sense of Coherence; SOC), and quality of life (QOL) across varying levels of risk for developing schizophrenia. Results indicated that high-risk individuals are significantly more likely to have an external locus of control (F=4.121, p=.018) supporting hypothesis 1. Counter to our second hypothesis, locus of control was not directly associated with QOL. However, LOC was correlated with both stress and level of risk for schizophrenia which (in …

Re-Hospitalization Of Psychiatric Patients: The Patients, Or The Illness And Treatment?, Amresh Srivastava, Robbie Campbell, Megan Johnston, Ruth Mooser, Larry Stitt

Amresh Srivastava

Purpose: The goal of this project was to find out why psychiatric patients get hospitalised repeatedly. Studies have found that repeated hospitalization leads to economic drain, disability, poor outcome, stigma and discrimination. Hospitalization consumes more than 90% of mental health budgets. Identifying the potential risk factors for repeated hospitalization, interrelationships between risk factors, and vulnerability will help us take the appropriate measures to prevent hospitalization and promote care in the community. Logistically, there are three possible factors which may lead to repeated hospitalization: (1) Characteristics of the patient; (2) Nature of the illness; and (3) The management of the illness …

The Freshman Experience, Stephanie Mannon

Theses and Dissertations

The purpose of this exploratory research was to investigate if change in sexual risk-taking behavior between high school and college can be predicted as a function of the interaction of person and situation traits. College, conceptualized as a backspace (situation) construct, and personality traits (sensation-seeking, neuroticism, extraversion) conducive to deviant behavior were examined. While significant risky behavior was reported for all students (n = 252), hierarchical regression analyses revealed that higher levels of the specified personality traits in combination with on-campus backspace residential status was not predictive of greater change in engagement in sexual risk-taking behavior. Implications for future research …

Impact Of Postpartum Anxiety And Depression On Child’S Mental Development From Two Peri-Urban Communities Of Karachi, Pakistan: A Quasi-Experimental Study, Niloufer Sultan Ali, Sadia Mahmud, Asia Khan, Badar Sabir Ali

Department of Family Medicine

Background

Postpartum anxiety and depression has detrimental effects on the overall mental development of children. This study aims to assess the impact of postpartum anxiety and depression on children’s mental development on all sub-scales in a Pakistani population.

Methods

A quasi-experimental study was conducted in two peri-urban communities of Karachi, a mega city of Pakistan, to assess the impact of postpartum anxiety and depression on children’s growth and mental development. A total of 420 women were enrolled, who had given consent out of 651 pregnant women identified, during February 2004 to December 2005. Data for socio-demographic, home environment and family …

Content Analysis Of Cognitive Distortions In Pedophiles' Online Forum Posts, Lyndsie Johnson

Theses and Dissertations

Historically, sexual encounters between adults and children were rarely reported to authorities, and thus considered a rare problem. However, as many as 33% of girls and 14% of boys experience sexual encounters with adults and as a result may experience consequences such as aversive feelings regarding the act of sex, substance abuse, and self-mutilation. Such consequences lead research to examine pedophile's cognitive distortions. This exploratory study examined pedophiles' website forum posts to determine if any posters demonstrated cognitive distortions. Four independent raters used content analysis to determine which cognitive distortions were demonstrated by the examined pedophiles. Results suggested that cognitive …

Treatment Of Psychiatric Inpatients With Relationship Dysfunction Using A Short Term Cognitive Interpersonal Intervention: A Pilot Study, Tamra Rasberry

Doctoral Dissertations and Projects

Relationship conflict for the psychiatric patient can have significant detrimental effects. There are specific types of interactions that can increase conflict and predict the potential for relapse; these have been identified by research and designated as components of Expressed Emotion (EE). Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) have been very effective when targeting specific psychiatric diagnoses, but less effective when addressing relationship conflict. The majority of studies addressing relationship conflict have taken place in an outpatient, long-term setting. There is limited research that utilizes an inpatient short-term intensive therapy with relationship conflict as its sole focus, targeting areas …

A Community-Based Wellness Program To Reduce Depression In African Americans: Results From A Pilot Intervention, Christina Nicolaidis, Corliss Mckeever, Sandra Meucci

School of Social Work Faculty Publications and Presentations

Background

African-Americans are less likely than non-Hispanic Whites to find antidepressants acceptable or seek care for depression.

Objective

To develop and pilot-test a culturally-tailored, community-based, psycho-educational wellness and exercise promotion program to reduce depressive symptoms in African-Americans.

Methods

Participants were African-Americans with moderate depressive symptoms, who were interested in exercise, but were not exercising regularly. They attended a 6-week psycho-educational group program during which they set personal activity goals and learned depression self-management skills. We conducted pre- and post-intervention surveys and post-intervention feedback sessions.

Results

21 African-Americans participated in the intervention. The program had excellent attendance and satisfaction. We found …

Dimensions Of Suicidality: Analyzing The Domains Of The Sis-Map Suicide Risk Assessment Instrument And The Development Of A Brief Screener, Megan Johnston, Charles Nelson, Amresh Shrivastava

Amresh Srivastava

This study aimed at validating the domains of suicidality assessed by the Scale for Impact of Suicidality—Management, Assessment and Planning of Care (SISMAP) and creating a brief screener based on the full scale. A total of 50 individuals with suicidal ideation were given the SIS-MAP interview. Support was found for these domains of suicide risk; in particular, the subscales of ideation and protective factors for suicide risk were highly reliable. For each domain of suicidality, items most predictive of total risk index scores were selected to create a brief screener aimed at expediting the assessment process. The screener was reliable, …

Cognitive, Affective And Social Processes Involved In Help-Negation After Critical Suicidal Thoughts, Coralie Wilson

Coralie J Wilson

Help-negation is defined as the process of help withdrawal or avoidance found among those currently experiencing clinical and subclinical levels of different forms of psychological distress, including low and critical levels of suicidal ideation (Wilson, Bushnell, Caputi, 2011). Understanding the determinants of help-negation in suicidal samples that have not yet come to treatment provides a potent opportunity to target prevention and early intervention strategies to facilitate appropriate and timely help-seeking. Over 20 help-negation studies have ruled out variables that might explain the withdrawal process associated with suicidal thoughts. These results now point to biological and neurological underpinnings working together with …

Preventing Help-Negation For Suicidal Ideation: Implications For Social Network Size And Frequency Of Social Interaction, Coralie J. Wilson

Coralie J Wilson

Help-negation is seen when the severity of an individual’s suicidal ideation increases and they become less likely to seek help as a result of their condition. Research has implicated distorted affect regulation and perceptual processes related to social support in the development of help-negation among suicidal individuals (Wilson et al., 2013). Future research needs to focus on psycho-social factors that can be linked to neurological processes that differentiate suicidal individuals from controls and are directly implicated in the help-negation processes associated with suicidal ideation. As suicidal individuals have interpersonal needs rejected they may cease to seek or accept help. The …

Role Of Assertiveness In Telephone Crisis Supporter Well-Being And Service Provision, Coralie J. Wilson

Coralie J Wilson

Help-negation (reluctance to seek help as distress levels increase) occurs among Telephone Crisis Supporters (TCSs) who are exposed to suicidal, depressed and anxious callers, and impacts both personal wellbeing and TCSs intention to use recommended skills with callers (Kitchingman, Wilson, Caputi, Woodward, 2013). Assertiveness is a key clinical skill that facilitates the capacity to effectively and confidently deliver telephone crisis support. Due to the highly specific nature of the telephone counselling context, TCSs face challenges in communicating assertively and establishing of boundaries which are important in effective service provision and the maintenance of counsellor-wellbeing. This paper presents results of two …

Help-Negation Among Telephone Crisis Support Workers: Impact On Personal Wellbeing And Worker Performance, Coralie J. Wilson

Coralie J Wilson

Telephone crisis supporters (TCSs) provide front line mental health support to callers in crisis. TCSs often support callers with suicidal thoughts, depression and anxiety, and the caller’s experience of the call will influence whether they will seek help from a crisis support service in the future. Despite their important role, little information on TCSs’ mental health and help-seeking behaviour exists – a structured literature search returned only 2 studies. This paper presents the results of the first study in a national research program that is aiming to inform the future training, preparation, supervision, and support of frontline health professionals who …

Research Brief: "Suicide Among Patients In The Veterans Affairs Health System: Rural-Urban Differences In Rates, Risks, And Methods", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the differences between rural and urban veterans in risks and rates for suicide. In policy and practice, communities should implement support programs for rural veterans, and veteran families should educate themselves about the risk factors for suicide and support veterans in their families; policymakers should increase VA outreach programs in rural areas, as well as programs educating rural veterans about the importance of mental health treatment for those at risk for suicide. Suggestions for future research include looking at the impact of social context on suicide rates, determining the relationship between suicide risk for rural veterans …

Emotion Socialization And Ethnicity: An Examination Of Practices And Outcomes In African American, Asian American, And Latin American Families, Diana M. Morelen, Kristel Thomassin

Diana M. Morelen