Psychology Commons^™

Brief Report: Supporting Families In Intensive Treatment For Pediatric Anxiety And Obsessive-Compulsive Disorders, Jacqueline Sperling

Perspectives on Early Childhood Psychology and Education

Pediatric anxiety rates have doubled during the COVID-19 pandemic (Racine et al., 2021), but access to care has not increased commensurately (Panchel et al., 2021). Intensive group- and family-based outpatient treatment that implements cognitive-behavioral therapy (CBT) with exposure and response prevention (ERP) for pediatric anxiety disorders and OCD is a treatment design that treats more children at one time and may facilitate treatment momentum with its intensive nature so that new patients can be treated sooner. This paper describes CBT-based interventions from an intensive treatment program for pediatric anxiety disorders and/or OCD that involves parents and that can be applied …

Early Intervention In Pediatric Obsessive-Compulsive Disorder: A Longitudinal Study, Chloe Boxer

Scripps Senior Theses

Obessive-Compulsive Disorder (OCD) is a psychological disorder that causes significant distress for millions of people, but it is under-researched and often misunderstood by both the general population and clinicians. In pediatric OCD, life outcomes like symptom severity and duration of the disorder are typically negatively impacted. Previous research has demonstrated that early intervention of pediatric OCD has positive outcomes, but the adverse side effects of common medications along with the lack of comprehensive effectiveness in traditional psychotherapies for OCD suggest that new and potentially better options must be explored. A 2x4 Mixed Model ANOVA design will compare CBT and EMDR …

Fear Of Failure, Mindfulness, And Procrastination, Jose M. Parlade

Electronic Theses & Dissertations

Procrastination is a complex behavior with often negative consequences. Prior studies have found a positive correlation between procrastination and various negative emotional states, such as fear of failure. Conversely, specific mindfulness techniques, have been negatively associated with procrastination in prior research. The current study set out to examine the correlations of fear of failure and procrastination as well as those of mindfulness and procrastination. A sample of university students (n=310) were assessed using three scales: the Performance Failure Appraisal Inventory (PFAI), the Kentucky Inventory of Mindfulness Skills (KIMS), and the Pure Procrastination Scale (PPS). Results indicated a significant positive correlation …

Implementing An Online, Integrative, Multi-Component, Group-Based Cognitive Behavior Therapy (Cbt) For The Reduction Of Caregiver Burden In Primary Familial Caregivers Of Persons With Dementia: A Preliminary Test Of Feasibility, Daniel Robert Schaffer

Psychology Theses & Dissertations

The purpose of this study was to examine the preliminary feasibility of an online, manualized, group-based, multi-component, cognitive behavioral therapy (CBT) treatment approach for the reduction of caregiver burden among family caregivers of persons with dementia. This study had five primary hypotheses: (1) the recruitment plan, as outlined within this study, would yield the target number of participants within a 12-month period; (2) the proposed group therapy protocol would produce a positive therapeutic climate, as operationalized by increased levels of perceived social support, perceived group cohesion, positive therapeutic alliance, and positive engagement; (3) this study would maintain adequate participant retention, …

Incorporating Religion Into Therapy To Better Treat Depression, Jacob Tubbs

Intuition: The BYU Undergraduate Journal of Psychology

Depression is one of the most prevalent mental disorders. Cognitive behavioral therapy (CBT) is a common treatment option for depression. Often, CBT is only effective at masking the symptoms of depression without helping the person overcome depression altogether; thus, it may benefit CBT patients if alternative therapies are combined with CBT. Incorporating the patient’s religion into therapy is an alternative that may help many people. A large percentage of Americans are still religious or spiritual. This literature review discusses methods of building a personalized version of CBT that incorporates the patient’s religion, or religiously integrated CBT (RCBT), and the effects …

The Efficacy Of Ketamine In Adult Patients With Obsessive Compulsive Disorder With Symptoms Refractory To Standard Of Care Treatment., Brooke Thornton

Capstone Showcase

First line pharmacologic treatments for adult patients with Obsessive Compulsive Disorder (OCD) involve selective serotonin/norepinephrine reuptake inhibitors (SSRI/SNRIs). These drug classes often fail to deliver timely relief of symptoms as well as maintain longevity of symptom recurrence. This research analyzed the use of ketamine in adult patients suffering with OCD for the purposes of more efficacious management of symptoms. Although ketamine demonstrated a timelier relief of symptoms in some small clinical studies, its effects were ultimately unable to be sustained long term. Additionally, a wide range of adverse effects including dissociation, and rebound symptoms were observed. As a result, large …

Patients' Expectations' Effects On Treatment Outcome In Major Depressive Disorder (Mdd) In Intensive Short-Term Dynamic Psychotherapy (Istdp), Taylor Kahn

Scripps Senior Theses

Existing research has supported the influence of patients’ expectations on symptom reduction in both antidepressant trials and cognitive behavioral therapy (CBT) for individuals suffering from major depressive disorder (MDD). Intensive short-term dynamic psychotherapy (ISTDP) is effective in treating individuals with MDD, and its structured sessions, similar to the replicable format of CBT, offer a valid psychodynamic therapy that can be compared to past CBT research. This study will attempt to examine whether patients’ expectations will affect equal or greater symptom reduction when being treated with ISTDP than if treated with CBT. It will also examine whether patients’ expectations affect the …

Is Eye Movement Desensitization And Reprocessing Worth It? A Pragmatic Analysis For Clinicians, Brandon P. Cvengros

Psychology Capstone Projects

Eye movement desensitization and reprocessing is a treatment developed for post-traumatic stress disorder (PTSD) that combines the cognitive processing of trauma with bilateral eye movements (EMs). Research has demonstrated that EMDR can be an efficacious treatment for PTSD. Other common treatments for PTSD include cognitive behavioral therapy (CBT) and exposure therapy (ET). Research has demonstrated that both CBT and ET are efficacious in the treatment of PTSD. EMDR is a controversial treatment, with critics stating that it is very similar to ET and that the novel component, EMs, are irrelevant to treatment outcomes. EMDR has additional time and financial costs, …

Cbt Plus Humor-Based Psychology Interventions: A Review Of The Research, Rachel Thompson

Psychology Capstone Projects

Cognitive behavioral therapy (CBT) has been demonstrated to be one of the most popular and useful psychological interventions used today (Ellis & Harper,1975; Bredemeier, Beck, & Grant, 2018; Jaya, Ascone, & Lincoln, 2018). However, a limitation of CBT is that it pathologizes behavior. Positive psychology is a supplementary theory that focuses on increasing positive emotions during psychological interventions and does not pathologize behavior. A limitation of studying positive emotions is due to the overlapping relationships between positive emotions. Positive emotions are highly related and are difficult to measure individually as opposed to negative emotions. Humor, amusement/mirth, is an observable positive …

Comparison Between Brief Acceptance And Cognitive Interventions: Assessing Public Speaking Performance In Socially-Anxious Individuals, Soultana Mpoulkoura

All Graduate Theses, Dissertations, and Other Capstone Projects

Social anxiety disorder is one of the most prevalent psychological disorder to date and it is associated with impairments in multiple domains, such as in occupational and academic settings. Although, traditional Cognitive Behavioral Therapy (CBT), aims to reduce distress by altering maladaptive schemas, this approach is not always successful. Recent research has shown ambiguous support for cognitive restructuring as a mechanism of change. Therefore, further research is needed to discover effective treatments. Acceptance and Commitment Therapy (ACT), emphasizes psychological flexibility and values rather controlling negative thoughts. The current study compared brief acceptance and cognitive control based interventions for increasing performance …

Evaluation Of Psychology Clinicians’ Attitudes Towards Computerized Cognitive Behavior Therapy, For Use In Their Future Clinical Practice, With Regard To Treating Those Suffering From Anxiety And Depression, Nivek Dunne

Antioch University Dissertations & Theses

Computerized Cognitive Behavioural Therapy (CCBT) is an empirically supported therapeutic modality used in the treatment of anxiety and depression. It is an important area of research considering there is much research lacking in this area, especially regarding trainee and qualified psychology clinicians' attitudes which are informative in terms of uptake and adherence. This study examined trainee and qualified psychology clinicians' attitudes towards CCBT for use in their future clinical practice, with regard treating those suffering from anxiety and depression. Overall, 31 participants took part in the research, which resulted in 31 completed informed consent forms and questionnaires being returned to …

Comparing Brief Acceptance And Control-Based Interventions: Evaluating Public Speaking Performance In Socially-Anxious Individuals, Samuel Spencer

All Graduate Theses, Dissertations, and Other Capstone Projects

Social anxiety disorder is one of the most prevalent psychological disorders in our society today. Although Cognitive Behavioral Therapy (CBT) is considered a gold standard for the treatment of anxiety disorders, some individuals do not respond to CBT, and other approaches to treatment continue to be investigated. One alternative approach is Acceptance and Commitment Therapy (ACT), which has been used successfully to treat social anxiety, and has also tentatively been shown to be effective for increasing public speaking performance. The current study compared the effects of brief acceptance- and cognitive-control-based intervention protocols on public speaking performance in socially-anxious college students …

Ptsd’S True Color; Examining The Effect Of A Short-Term Coloring Intervention On The Stress, Anxiety And Working Memory Of Veterans With Ptsd., Jourdan A. Rodak

UNF Graduate Theses and Dissertations

The aim of this study was to explore the effect a coloring condition had on minimizing anxiety and stress experienced daily by veterans. The effect that coloring had on working memory was also explored.

A sample of 24 armed forces veterans were split into two coloring conditions, a mandala and a free draw condition, and asked to complete the Primary Care PTSD Screen, the Perceived Stress Scale and the Brief State Trait Anxiety Inventory. Working memory scores were established via a Backward Digit Recall task; pre-and posttest scores were evaluated for significant differences.

Our research suggests the act of coloring, …

Ways Of Being In Trauma-Based Society: Discovering The Politics And Moral Culture Of The Trauma Industry Through Hermeneutic Interpretation Of Evidence-Supported Ptsd Treatment Manuals, Sarah Peregrine Lord

Antioch University Dissertations & Theses

One hundred percent of evidence-supported psychotherapy treatments for trauma related disorders involve the therapist learning from and retaining fidelity to a treatment manual. Through a hermeneutic qualitative textual interpretation of three widely utilized evidence-supported trauma treatment manuals, I identified themes that suggested a particular constitution of the contemporary way of being—a traumatized self—and how this traumatized self comes to light through psychotherapeutic practice as described by the manuals. The manuals included: 1) a trauma focused cognitive-behavioral therapy for children; 2) an eye-movement desensitization and reprocessing therapy for adults; and, 3) an early intervention and debriefing therapy series for post-traumatic stress …

Effectiveness Of A Cbt Intervention For Persistent Insomnia And Hypnotic Dependency In An Outpatient Psychiatry Clinic, Hannah Taylor

Theses and Dissertations

Previous research supports the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in patients with comorbid psychiatric diagnoses; however, questions remain about the effectiveness of CBT-I due to the fact that previous studies excluded patients with significant psychiatric symptoms and comorbid diagnoses. This study begins to address this gap in the insomnia literature by testing a five-session CBT-I intervention in a diverse sample of patients receiving mental health treatment in an outpatient psychiatry clinic (N=23) who continue to experience chronic insomnia despite receiving pharmacological treatment for sleep. Participants were randomized to CBT-I (n=13) or a treatment as usual control group (n=10). …

The Discrepancy Between Subjective And Objective Measures Of Sleep In Older Adults Receiving Cbt For Comorbid Insomnia, Hannah Lund

Theses and Dissertations

Clinical research on insomnia has observed that many individuals with this sleep disorder exhibit a significant discrepancy between their subjective reports of symptom severity and objective measures of the same parameters. This study sought to more closely examine this discrepancy by comparing sleep diary estimates with polysomnography data in a population of 60 older adults with comorbid insomnia. Consistent with previous research, results show that participants significantly underestimated sleep efficiency and total sleep time and significantly overestimated sleep onset latency. Participants receiving CBT-I exhibited significantly reduced discrepancy at post-treatment, particularly with regard to sleep latency, compared to those in a …

Relation Of Therapeutic Alliance And Perfectionism To Outcome In Brief Outpatient Treatment Of Depression, David C. Zuroff, Sidney J. Blatt, Stuart M. Sotsky, Janice L. Krupnick, Daniel J. Martin, Charles A. Sanislow, Sam Simmens

Charles A. Sanislow, Ph.D.

Prior analyses of the National Institute of Mental Health Treatment of Depression Collaborative Research Program demonstrated that perfectionism was negatively related to outcome, whereas both the patient's perception of the quality of the therapeutic relationship and the patient contribution to the therapeutic alliance were positively related to outcome across treatment conditions (S. J. Blatt, D. C. Zuroff, D. M. Quinlan, & P. A. Pilkonis, 1996; J. L. Krupnick et al., 1996). New analyses examining the relations among perfectionism, perceived relationship quality, and the therapeutic alliance demonstrated that (a) the patient contribution to the alliance and the perceived quality of the …

Short And Long-Term Effects Of Medication And Psychotherapy In The Brief Treatment Of Depression: Further Analyses Of Data From The Nimh Tdcrp, Sidney J. Blatt, David C. Zuroff, Colin M. Bondi, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

Prior analyses of data from the NIMH sponsored Treatment for Depression Collaborative Research Program (TDCRP; e.g., I. Elkin, 1994) indicated greater reduction of symptoms at midtreatment (8th wk) with Imipramine (IMI-CM) than with Cognitive-behavioral therapy (CBT) and Interpersonal therapy (IPT), but no significant differences in symptom reduction among these 3 active treatments at termination. Current analyses of previously unanalyzed data from ratings by therapists, clinical evaluators, and 162 patients (mean age 35 yrs) at termination and at 18-mo follow-up also indicated no significant differences among these treatments in symptom reduction or ratings of current clinical condition. But significant treatment differences …

Vulnerability To Depression: Reexamining State Dependence And Relative Stability, David C. Zuroff, Sidney J. Blatt, Charles A. Sanislow, Colin M. Bondi, Paul A. Pilkonis

Charles A. Sanislow, Ph.D.

Treatment-related decreases in Dysfunctional Attitudes Scale (DAS; Weissman & Beck, 1978) scores have been interpreted as evidence that dysfunctional attitudes are state-dependent concomitants of depression. Data from the National Institute of Mental Health Treatment of Depression Collaborative Research Program were used to reexamine the stability of dysfunctional attitudes. Mean scores for Perfectionism, Need for Approval, and total DAS decreased after 16 weeks of treatment. However, test-retest correlations showed that the DAS variables displayed considerable relative stability. Structural equation models demonstrated that dysfunctional attitudes after treatment were significantly predicted by initial level of dysfunctional attitudes as well as by posttreatment depression. …

When And How Perfectionism Impedes The Brief Treatment Of Depression: Further Analyses Of The Nimh Tdcrp, Sidney J. Blatt, David C. Zuroff, Colin M. Bondi, Charles A. Sanislow, Paul A. Pilkonis

Charles A. Sanislow, Ph.D.

Perfectionism has previously been identified as having a significant negative impact on therapeutic outcome at termination in the brief (16-week) treatment of depression (S. J. Blatt, D. M. Quinlan, P. A. Pilkonis, & T. Shea, 1995) as measured by the 5 primary outcome measures used in the National Institute of Mental Health Treatment of Depression Collaborative Research Program (TDCRP). The present analyses of other data from the TDCRP indicated that this impact of perfectionism on therapeutic outcome was also found in ratings by therapists, independent clinical evaluators, and the patients and that this effect persisted 18 months after termination. In …