Psychology Commons^™

Collaborative Models Of Care In The Appalachian Region Of Tennessee: Examining Relationships Between Level Of Collaboration, Clinic Characteristics, And Barriers To Collaboration, Jeffrey Ellison

Electronic Theses and Dissertations

Decades of research have shown that there are significant advantages to maintaining close communicative and collaborative relationships between primary care and behavioral health providers. Fiscal, structural, and systemic barriers, however, often restrict the degree to which such interprofessional collaboration can occur. In the present study the authors examined relationships between primary care clinics in the Appalachian region’s characteristics (i.e., clinic type, rurality, and clinic size), barriers (i.e., fiscal, structural, and systemic) reported to using increased collaboration, and the level of collaboration used at a particular clinic.

For the present study 136 surveys were completed by providers working in primary care …

Explaining Combat Related Posttraumatic Stress Disorder: An Integrated Mental Illness And Military Process Model, Mandi F. Deitz

Electronic Theses and Dissertations

The purpose of the current study was to examine a process model of combat-related and mental-illness related processes that explain increased likelihood of Posttraumatic Stress Disorder (PTSD). This dissertation proposed the development of PTSD may occur due to cultural, social, and self-related pathways associated with veterans’ dual encounters with combat (i.e., severity) and mental illness symptoms. Participants were 195 military veterans recruited from multiple sites and strategies to maximize sample size and representation. Participants were asked to complete several self-administered assessment inventories, including: the Posttraumatic Stress Disorder Checklist-Military, the Trauma Symptom Checklist, the Combat Experiences scale, the Self-Stigma of Mental …

An Examination Of Risk And Protective Factors For Suicidal Behavior In A Low-Income, Underserved Primary Care Sample, Kristin L. Walker

Electronic Theses and Dissertations

Suicidal behavior, including ideation and attempts, is a significant public health problem. Due to the complexity of suicidal behavior, it is necessary to consider an array of factors that could serve as risk and protective factors. Previous research has shown that deficits in social problemsolving ability are associated with increased risk for suicidal ideation and attempts; conversely, problem solving strengths are associated with reduced risk. This dissertation project, consisting of 3 individual manuscripts, was designed to explore the relationship between social problemsolving ability and suicidal behavior in low-income primary care patients. Furthermore, additional constructs including health related quality of life, …

Mental Health Referral In Primary Care: Influence Of A Screening Instrument And A Brief Educational Intervention, Michael T. Miesner

Electronic Theses and Dissertations

Although less than half of all patients with mental disorders seek mental health treatment per se, approximately 80% of all people will visit their primary care physician (PCPs) within a year (Strosahl, 1998). However, it is not well understood how to best handle patients presenting with mental health issues in primary care practices. The purpose of this project was to implement an intervention involving a screening measure for anxiety and mood disorders in a primary care setting to increase the volume of anxiety and mood disorder screening, to increase the accuracy of disorder detection, and to also enhance PCPs patterns …

Health-Related Quality Of Life And Suicidal Behaviors In Primary Care Patients: Conditional Indirect Effects Via Interpersonal Needs And Depressive Symptoms, Catherine Rowe

Electronic Theses and Dissertations

Suicide is a public health problem and complex relationships exist between intrapersonal suicide risk factors and interpersonal risk factors. Health-related quality of life (HRQL) may interact with difficulties with interpersonal relationships and psychopathology. We examined thwarted interpersonal needs and depressive symptoms as potential mediators on the association between HRQL and suicidal behaviors. It was hypothesized that thwarted interpersonal needs would mediate the association between HRQL and suicidal behavior, and that this mediating effect would be dependent on the moderating effect of depressive symptoms. It was hypothesized that thwarted interpersonal needs and then depressive symptoms would sequentially mediate the association between …

Traumatic Life Events And Symptoms Of Anxiety: Moderating Effects Of Adaptive Versus Maladaptive Coping Strategies, Alishia Foster

Electronic Theses and Dissertations

The experience of trauma is prevalent among young adult college students and is often associated with poor mental health outcomes such as symptoms of anxiety. Not all individuals who have experienced trauma, however, develop anxiety, perhaps due to individual-level adaptive characteristics, such as use of adaptive rather than maladaptive coping strategies. Yet, little research has examined the interrelationships between the experience of trauma, specific types of coping strategies, and subclinical anxiety symptoms. A sample of 915 undergraduate students completed self-report measures of trauma, coping strategies, and anxiety symptoms. We hypothesized that traumatic life events would be associated with anxiety symptoms, …