Psychology Commons^™

Intern Self-Care: An Exploratory Study Into Strategy Use And Effectiveness, Joseph A. Turner, Lisa Edwards, Iverson M. Eicken, Kayoko Yokoyama, Jennifer R. Castro, Amber Ngoc-Thuy Tran, Kristee L. Haggins

College of Education Faculty Research and Publications

In this exploratory study, 363 interns were surveyed to assess the frequency of use and effectiveness of self-care strategies used during the internship year. Among the most frequently used strategies were family and friend social support, active problem solving, and humor. The most effective strategies were family and friend social support, seeking pleasurable experiences, and humor. A strong positive relationship was found between total scores for Frequency and Effectiveness subscales, and women reported significantly more use and effectiveness of strategies. Recommendations and resources are provided for interns and internship sites that seek to further understand and encourage intern self-care.

Assessing The Validity And Reliability Of The Spanish Translation Of Two Help-Seeking Instruments, Salvador Lopez-Arias

Dissertations

The purpose of this dissertation was twofold: (1) to translate two help-seeking scales (Attitudes Toward Seeking Professional Psychological Help Scale (ATSPHHS) and Attitudes Toward Seeking Professional Psychological Help Short Scale (ATSPPHS-S) into Spanish (S-ATSPPHS, S-ATSPPHS-S); and, (2) to examine indices of reliability and relationships to external correlates of the Spanish translations (acculturation, education, geographic background, socioeconomic status (SES), previous help-seeking, and, gender) to see whether the translated instruments measured the same help-seeking construct asthe English versions of the instruments.

In general, hypotheses on education, SES, and gender were not supported; hypotheses on acculturation and geographic background, while statistically significant, contradicted …

Sexual Victimization: An Examination Of Variables Predicting Psychological Adjustment, Janine M. Schroeder

Dissertations

A survey was conducted with a community sample of 208 women. Participants completed a battery of self-report measures that assessed childhood sexual abuse (CSA), adult sexual victimization (ASV), characteristics of the abuse, coping methods, PTSD symptomatology, and psychological distress. One-way analysis of variance (ANOVA) procedures revealed that victims were significantly more distressed than nonvictims; revictimized women and multiple victims were significantly more distressed than nonvictims; revictimized women were significantly more distressed than single victims; differences between multiple and single victims and single victims and nonvictims were not significant. Multivariate analysis of variance (MANOVA) analyses indicated victims reported significantly more frequent …

Differential Impairment As An Indicator Of Sex Bias In Dsm-Iv Criteria For Four Personality Disorders, Christina D. Boggs, Leslie C. Morey, Andrew E. Skodol, M. Tracie Shea, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan, Mary C. Zanarini, John G. Gunderson

Charles A. Sanislow, Ph.D.

The aim of the present study was to investigate the possibility of sex bias in the diagnostic criteria for borderline, schizotypal, avoidant, and obsessive-compulsive personality disorders. A clinical sample of 668 individuals was evaluated for personality disorder criteria using a semistructured interview, and areas of functional impairment were assessed with both self-report and semistructured interview. The authors used a regression model of bias to identify bias as differences in slopes or intercepts between men and women in the relationship between each diagnostic criterion and level of impairment. The results suggest that most of the diagnostic criteria examined do not seem …

Preliminary Evidence For Medication Effects On Functional Abnormalities In The Amygdala And Anterior Cingulate In Bipolar Disorder, Hilary P. Blumberg, Nelson H. Donegan, Charles A. Sanislow, Susan Collins, Cheryl Lacadie, Pawel Skudlarski, Ralitza Gueorguieva, Robert K. Fulbright, Thomas H. Mcglashan, John C. Gore, John H. Krystal

Charles A. Sanislow, Ph.D.

RATIONALE: Abnormal amygdala and frontocortical responses to emotional stimuli are implicated in bipolar disorder (BD) and have been proposed as potential treatment targets.

OBJECTIVES: The aim of this study was to investigate amygdala and frontocortical responses to emotional face stimuli in BD and the influences of mood-stabilizing medications on these responses.

METHODS: Functional magnetic resonance imaging was performed while 17 BD participants (5 unmedicated) and 17 healthy comparison (HC) participants viewed faces with happy, sad, fearful, or neutral expressions.

RESULTS: The group by stimulus-condition interaction was significant (p<0.01) for amygdala activation, with the greatest effects in the happy face condition. Relative to HC, amygdala increases were greater in unmedicated BD, but lower in medicated BD. Rostral anterior cingulate (rAC) activation was decreased in unmedicated BD compared to HC; however, BD participants taking medication demonstrated rAC activation similar to HC participants.

CONCLUSIONS: Although the sample sizes were small, these preliminary results suggest that …

Using The Infant/Toddler Sensory Profile In Early Intervention Services, Mary Muhlenhaupt

Department of Occupational Therapy Faculty Papers

This module is designed for those who use the Infant/Toddler Sensory Profile (ITSP) as part of early intervention. The first two sections (pages 3-11) are directed to all users—those who are familiar with ITSP administration, scoring and interpretation, as well as those who are unfamiliar with the ITSP. The rest of the module addresses individual learning needs as explained on page 7. Readers should select from these sections according to their own unique needs. Specific notes throughout the module discuss how the ITSP is included within programs provided in Philadelphia County. Learning Objectives Following review of this module and completion …

Levels Of Consciousness, Archetypal Energies, And Earth Lessons: An Emerging Worldview, Carroy U. Ferguson

Carroy U "Cuf" Ferguson, Ph.D.

Worldviews emerge from our individual and collective Levels of Consciousness at given points in time and space and from what we come to “believe” is possible or not. In my own experience, my research on Consciousness, and my study of various cultures, societies, and Consciousness literature, I have identified at least seven Levels of Consciousness, twenty-five Archetypal Energies, and various Earth Lessons, which we seem to commonly experience as human beings, in our own unique personal, societal, and global life spaces.

The Collaborative Longitudinal Personality Disorders Study (Clps): Overview And Implications, Andrew E. Skodol, John G. Gunderson, M. Tracie Shea, Thomas H. Mcglashan, Leslie C. Morey, Charles A. Sanislow, Donna S. Bender, Carlos M. Grilo, Mary C. Zanarini, Shirley Yen, Maria E. Pagano, Robert L. Stout

Charles A. Sanislow, Ph.D.

The Collaborative Longitudinal Personality Disorders Study (CLPS; Gunderson et al., 2000) was developed to fill gaps in our understanding of the nature, course, and impact of personality disorders (PDs). Here, we review published findings to date, discuss their implications for current conceptualizations of PDs, and raise questions that warrant future consideration. We have found that PDs are more stable than major depressive disorder, but that meaningful improvements are possible and not uncommon. We have confirmed also that PDs constitute a significant public health problem, with respect to associated functional impairment, extensive treatment utilization, negative prognostic impact on major depressive disorder, …

Dimensional Representations Of Dsm-Iv Personality Disorders: Relationships To Functional Impairment, Andrew E. Skodol, John M. Oldham, Donna S. Bender, Ingrid R. Dyck, Robert L. Stout, Leslie C. Morey, M. Tracie Shea, Mary C. Zanarini, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan, John G. Gunderson

Charles A. Sanislow, Ph.D.

OBJECTIVE: This study compared three-dimensional representations of DSM-IV personality disorders and standard categories with respect to their associations with psychosocial functioning.

METHOD: Six hundred sixty-eight patients with semistructured interview diagnoses of schizotypal, borderline, avoidant, or obsessive-compulsive personality disorders or with major depressive disorder and no personality disorder completed questionnaires assessing three-factor and five-factor dimensional models of personality. Personality disorder categories, dimensional representations of the categories based on criteria counts, and three- and five-factor personality dimensions were compared on their relationships to impairment in seven domains of functioning, as measured by the Longitudinal Interval Follow-up Evaluation-Baseline Version.

RESULTS: Both the categorical …

Avoidant Personality Disorder And Social Phobia: Distinct Enough To Be Separate Disorders?, Elizabeth Ralevski, Charles A. Sanislow, Carlos M. Grilo, Andrew E. Skodol, John G. Gunderson, M. Tracie Shea, Shirley Yen, Donna S. Bender, Mary C. Zanarini, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Objective: Existing evidence from anxiety disorder research indicates that social phobics (SP) with avoidant personality disorder (AVPD) experience more anxiety and show more impairment than patients with SP alone. The purpose of this study was to examine whether in patients diagnosed with AVPD, the co-occurrence of SP adds to its severity. We hypothesized that the addition of SP will not add to the severity of AVPD alone.

Method: Two groups of patients (AVPD = 224; AVPD/SP = 101) were compared at baseline and 2 years later on multiple demographic and clinical variables.

Results: Patients with AVPD and an additional diagnosis …

Analysis Of Group Differences And Predictors Of Hooper Visual Organization Test Scores, Michael R. Devries

Dissertations

The Hooper Visual Organization Test (VOT) is described in the manual as a screening instrument that measures the ability to organize visual stimuli (Hooper, 1983). The VOT is identified as being particularly sensitive to neurological impairment. Studies to determine the criterion and construct validity of the VOT have examined its usefulness in distinguishing between individuals with neurological impairment from those with other disorders. Few studies have included samples from normal, psychiatrically impaired, and neurologically impaired populations in determining the VOT's usefulness in identifying neurologically impaired individuals. Furthermore, as neuropsychology has moved away from the understanding of neurological impairment as a …

Addressing Religion And Spirituality In Psychotherapy: Clients' Perspectives, Sarah Knox, Lynn A. Catlin, Margaret Casper, Lewis Z. Schlosser

College of Education Faculty Research and Publications

Twelve adult clients described the role of religion and spirituality in their lives and in therapy as a whole, as well as their specific experiences of discussing religious-spiritual topics in individual outpatient psychotherapy with nonreligiously affiliated therapists. Data were analyzed using Consensual Qualitative Research (CQR; Hill, Thompson, & Williams, 1997). Results indicated that clients were regularly involved in religious-spiritual activities, usually did not know the religious-spiritual orientation of their therapists, but often found them open to such discussions. Specific helpful discussions of religion-spirituality were often begun by clients in the 1st year of therapy, were related to clients' presenting concerns, …

Longitudinal Comparison Of Depressive Personality Disorder And Dysthymic Disorder, John C. Markowitz, Andrew E. Skodol, Eva Petkova, Hui Xie, Jianfeng Cheng, David J. Hellerstein, John G. Gunderson, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

BACKGROUND: Few studies have compared the related diagnostic constructs of depressive personality disorder (DPD) and dysthymic disorder (DD). The authors attempted to replicate findings of Klein and Shih in longitudinally followed patients with personality disorder or major depressive disorder (MDD) in the Collaborative Longitudinal Personality Disorders Study.

METHODS: Subjects (N = 665) were evaluated at baseline and over 2 years (n = 546) by reliably trained clinical interviewers using semistructured interviews and self-report personality questionnaires.

RESULTS: Only 44 subjects (24.6% of 179 DPD and 49.4% of 89 early-onset dysthymic subjects) met criteria for both disorders at baseline. Depressive personality disorder …

Selected Counselling Interventions, Alan A. Mackenzie

Alan A MacKENZIE

FOUR DIFFERENT DISORDERS VIEWED THROUGH DIFFERENT 'LENSES'

A Behavioral Model For The Assessment And Management Of Dehydration In Older Adults, Leilani Feliciano

Dissertations

Dehydration is a serious health concern in the elderly, constituting 1 of the 10 most common causes for hospitalization in this population (Sanservo, 1997). Previous research on dehydration has typically been conducted within nursing home settings (Chidester & Spangler, 1997; Holbren, Hassell, Williams, & Helle, 1999; Spangler, Risley, & Bilyew, 1984) without specific attention to the variables maintaining dehydration for any given individual. A functional behavioral approach to assessment and prevention or intervention for dehydration would involve identifying maintaining variables in the environment that can be altered to produce effective, non-intrusive interventions to increase healthy fluid consumption. The current project …

Tracking The Time To Recovery After Induced Loudness Reduction (L), Yoav Arieh, Karen Kelly, Lawrence E. Marks

Department of Psychology Faculty Scholarship and Creative Works

In induced loudness reduction (ILR), a strong tone causes the loudness of a subsequently presented weak tone to decrease. The aim of the experiment was to determine the time required for loudness to return to its initial level after ILR. Twenty-four subjects were exposed to 5, 10, 20, or 40 brief bursts of 2500-Hz pure tones at 80-dB SPL (inducers) and then tested in a series of paired comparison trials. Subjects compared the loudness of a weak target (2500 Hz at 60-dB SPL) to the loudness of a comparison tone at 500 Hz previously judged to match the target. The …

Supportive And Challenging Social Factors In A Decision To Be Sexually Abstinent, Evan Alvord

Doctor of Psychology (PsyD)

Several studies have examined the intrinsic factors, including fear of pregnancy or sexually transmitted diseases, which motivate adolescents to choose sexual abstinence. Currently, little research has been dedicated solely to the extrinsic/social factors, which may also be influential in the decision to abstain from pre-marital sex. Four social factors were presumed to be especially influential, supporting a decision to be sexually abstinent and four social factors were presumed to be significant, challenging the choice to adopt a sexually-abstinent-untilmarriage life style. The proposed supportive social factors include: (a) Parental influence, (b) Peer influence, ( c) Religious affiliation/membership, ( d) Personal relationship …

The Effects Of Core Affect, Emotion, And Self-Efficacy On Physiologic Response To Social Stressors, Jessica L. Reedy

Honors Capstone Projects - All

Cardiovascular health is affected by many factors including biological aspects such as heredity and overall health, as well as by environmental factors. Social stress, socioeconomic status, family environment, and coping skills have all been shown to contribute increased risk for cardiovascular disease. In an effort to further elucidate past findings in this area, this study, conducted on 36 college-age students, examined the connection between physiological response (blood pressure, heart rate, and mean arterial pressure) to laboratory social stressors in correspondence to emotional, affective, and arousal levels, as measured by self-report. The results yielded a significant relationship between physiologic response to …

The Relationship Between Psychopathology In Caregivers And Their Children With Asthma, Jaime L. Benson

Honors Capstone Projects - All

Asthma is the leading chronic illness among children, and children with asthma have an increased risk not only for physical problems, but also for social and emotional difficulties related to their asthma. These risks are compounded when children have a caregiver who is depressed. The effects of maternal depression for children are complex and have been shown to persist into adolescence and adulthood. This is especially important because children with asthma, who are already at risk for psychopathology, may have increased internalizing and externalizing problems when their primary caregivers have depression or display depressive symptoms. Because depression affects cognitive functioning …

Adjustment In Mothers Of Children With Asperger Syndrome: An Application Of The Double Abcx Model Of Family Adjustment, Kenneth Pakenham, Christina Samios, Kate Sofronoff

Christina Samios

The present study examined the applicability of the double ABCX model of family adjustment in explaining maternal adjustment to caring for a child diagnosed with Asperger syndrome. Forty-seven mothers completed questionnaires at a university clinic while their children were participating in an anxiety intervention. The children were aged between 10 and 12 years. Results of correlations showed that each of the model components was related to one or more domains of maternal adjustment in the direction predicted, with the exception of problem-focused coping. Hierarchical regression analyses demonstrated that, after controlling for the effects of relevant demographics, stressor severity, pile-up of …

Two-Year Prevalence And Stability Of Individual Dsm-Iv Criteria For Schizotypal, Borderline, Avoidant, And Obsessive-Compulsive Personality Disorders: Toward A Hybrid Model Of Axis Ii Disorders, Thomas H. Mcglashan, Carlos M. Grilo, Charles A. Sanislow, Elizabeth Ralevski, Leslie C. Morey, John G. Gunderson, Andrew E. Skodol, M. Tracie Shea, Mary C. Zanarini, Donna S. Bender, Robert L. Stout, Shirley Yen, Maria E. Pagano

Charles A. Sanislow, Ph.D.

OBJECTIVE: This study tracked the individual criteria of four DSM-IV personality disorders-borderline, schizotypal, avoidant, and obsessive-compulsive personality disorders-and how they change over 2 years.

METHOD: This clinical sample of patients with personality disorders was derived from the Collaborative Longitudinal Personality Disorders Study and included all participants with borderline, schizotypal, avoidant, or obsessive-compulsive personality disorder for whom complete 24-month blind follow-up assessments were obtained (N=474). The authors identified and rank-ordered criteria for each of the four personality disorders by their variation in prevalence and changeability (remission) over time.

RESULTS: The most prevalent and least changeable criteria over 2 years were paranoid …

Why Girls? The Importance Of Developing Gender-Specific Health Promotion Programs For Adolescent Girls, Amanda Birnbaum, Tracy R. Nichols

Department of Public Health Scholarship and Creative Works

Adolescence is a time when many girls begin to develop unhealthy behaviors that can affect myriad short- and long-term health outcomes across their lifespan.2There is evidence that smoking, physical activity, and diet are habituated during adolescence, and some physiologic processes of adolescence, such as peak bone mass development, have direct effects on future health.3-4 Establishing healthy practices, beliefs and knowledge among adolescent girls will decrease morbidity and mortality among adult women and potentially affect the health of men and children through women’s role as healthcare agents. This paper provides a brief review of lifestyle health behaviors among women and girls …

Consensual Qualitative Research: An Update, Clara E. Hill, Sarah Knox, Barbara J. Thompson, Elizabeth Nutt Williams, Shirley A. Hess, Nicholas Ladany

College of Education Faculty Research and Publications

The authors reviewed the application of consensual qualitative research (CQR) in 27 studies published since the method’s introduction to the field in 1997 by C. E. Hill, B. J. Thompson, and E. N. Williams (1997). After first describing the core components and the philosophical underpinnings of CQR, the authors examined how it has been applied in terms of the consensus process, biases, research teams, data collection, data analysis, and writing up the results and discussion sections of articles. On the basis of problems that have arisen in each of these areas, the authors made recommendations for modifications of the method. …

Attributions Others Assign To Depressed Individuals And Their Relationship To Severity Of Depressive Symptoms, Amount Of Contact, And Familiarity With Depressed Individuals, Joan E. Mcdowell

Master's Theses and Doctoral Dissertations

While there has been valuable research critical for furthering our understanding of how an individual's social network affects recovery from depression, we need to know more about the interplay of other people's attributions and their relationships with depressed individuals that may impact recovery from the disorder. This research investigated causal and controllability attributions that others assign to individuals with depression by distributing a questionnaire to faculty and administrative staff at Eastern Michigan University to obtain ratings of attributions for depression. The level of intimacy within a relationship and the severity of depression were related to others' beliefs about the controllability …

Ethnic Identity And Body Ideal In Adolescent Girls, Erin E. Ramirez

Loma Linda University Electronic Theses, Dissertations & Projects

Adolescence is a period characterized by physical growth and maturation (Cobb, 1995). This normal biological process moves most American girls away from the thin ideal body shape that is dominant within the United States. Ethnic differences in ideal body size have in fact been found in several studies; but they have been shown based on ethnic group membership, not ethnic identification. The specific relationship of ethnic identity and body ideal for Mexican American, African American, and Anglo American adolescent females has not been clearly defined; Lopez, Blix, and Blix (1995) have hinted at the role of ethnic identification (through the …

Stability Of Functional Impairment In Patients With Schizotypal, Borderline, Avoidant, Or Obsessive Compulsive Personality Disorder Over Two Years, Andrew E. Skodol, Maria E. Pagano, Donna S. Bender, M. Tracie Shea, John G. Gunderson, Shirley Yen, Robert L. Stout, Leslie C. Morey, Charles A. Sanislow, Carlos M. Grilo, Mary C. Zanarini, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

BACKGROUND: A defining feature of personality disorder (PD) is an enduring pattern of inner experience and behavior that is stable over time. Follow-up and follow-along studies have shown considerable diagnostic instability of PDs, however, even over short intervals. What, then, about personality disorder is stable? The purpose of this study was to determine the stability of impairment in psychosocial functioning in patients with four different PDs, in contrast to patients with major depressive disorder (MDD) and no PD, prospectively over a 2-year period.

METHOD: Six hundred treatment-seeking or treated patients were recruited primarily from clinical services in four metropolitan areas …

Item Analysis Of The Interpreter Competency Exam- Mental Health (Ice-Mh), Melinda Pearson

Doctor of Psychology (PsyD)

Interpreter services are becoming increasingly prevalent in mental health settings. The competence of mental health interpreters can be assessed using a new tool, the Interpreter Competency Exam- Mental Health (ICE-MH). Unfortunately, the current form of the ICE-MH is long. This study used archival data from the ICE-MH to assess (a) the ability of the items to discriminate the examinees' level of knowledge in mental health areas, (b) the difficulty of each item, measured by percentage of correct answers, (c) the internal consistency of each part of the test to verify the uniformity of the subtest constructs being measured, and (d) …

Does Shame Have A Critical Period? Examining Shame Dynamics In British Adolescents, Michael J. O'Friel

Doctor of Psychology (PsyD)

Research into the makeup and consequences of shame has burgeoned over the last thirty years as different studies have highlighted the destructive and maladaptive behaviors that can result from an individual's exposure to multiple shaming experiences. Limited research has focused on how culture filters the experience and effects of shame. Cross-cultural research is the 'zeitgeist' in the field of shame, propelling forward the need to gain greater awareness as to the prevalence and impact of shame across cultures. A sample of25 British children aged 9-10 and 25 British children aged 14-15 were asked to respond to a projective test of …

Two-Year Prospective Naturalistic Study Of Remission From Major Depressive Disorder As A Function Of Personality Disorder Comorbidity, Carlos M. Grilo, Charles A. Sanislow, M. Tracie Shea, Andrew E. Skodol, Robert L. Stout, John G. Gunderson, Shirley Yen, Donna S. Bender, Maria E. Pagano, Mary C. Zanarini, Leslie C. Morey, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

In this study, the authors examined prospectively the 24-month natural course of remission from major depressive disorder (MDD) as a function of personality disorder (PD) comorbidity. In 302 participants (196 women, 106 men), psychiatric and PDs were assessed at baseline with diagnostic interviews, and the course of MDD was assessed with the Longitudinal Interval Follow-Up Evaluation at 6-, 12-, and 24-month follow-ups. Survival analyses revealed an overall 24-month remission rate of 73.5% for MDD that differed little by gender. Participants with MDD who had certain forms of coexisting PD psychopathology (schizotypal, borderline, or avoidant) as their primary PD diagnoses had …

Recent Life Events Preceding Suicide Attempts In A Personality Disorder Sample: Findings From The Collaborative Longitudinal Personality Disorders Study, Shirley Yen, Maria E. Pagano, M. Tracie Shea, Carlos M. Grilo, John G. Gunderson, Andrew E. Skodol, Thomas H. Mcglashan, Charles A. Sanislow, Donna S. Bender, Mary C. Zanarini

Charles A. Sanislow, Ph.D.

Few studies have examined the relationship between life events, suicide attempts, and personality disorders (PDs), in spite of the strong associations between PDs and suicidal behavior, and the poor coping strategies often exhibited by these individuals. The authors examined whether participants with PDs who attempted suicide during the first 3 years of a prospective, longitudinal study were more likely to experience specific life events in the month during and preceding the suicide attempt. Of 489 participants with PDs, 61 attempted suicide during the 3-year, follow-up interval. Results indicated that negative life events, particularly those pertaining to love-marriage or crime-legal matters, …