Psychology Commons^™

Testing A Brief Treatment To Reduce The Frequency Of Panic Attacks In A Clinical Outpatient Population, Benjamin N. Daniels

PCOM Psychology Dissertations

Panic attacks, the key symptom of panic disorder and an associated feature of various anxiety disorders, are extremely distressing events that can negatively impact an individual’s mental health, physical health, and quality of life. This study validated a brief treatment for panic attacks, designed to reduce the frequency of panic attacks after the first session, in an outpatient clinical population. One participant was recruited to participate in this single case experimental ABA design with follow-up, where a reversal was not expected, due to the maintenance of positive effects. The treatment included both cognitive and behavioral techniques. The results were analyzed …

The Effectiveness Of Various Reminder Systems On Appointment-Keeping Adherence In A University-Based Primary-Care Setting, Frank M. Mirarchi

PCOM Psychology Dissertations

Treatment nonadherence is a significant problem that can affect not only the healthcare industry, but also more importantly, a patient’s health. Appointment-keeping adherence is expected to supersede all other types of adherence in terms of its importance and sequence. Various interventions have been used to treat nonadherence including appointment-keeping nonadherence within medical practices. Some of these interventions include different types of reminders (phone, letter, cards, etc.) and different types of therapy (motivational interviewing (MI) and cognitive behavioral therapy). Both reminders and MI have been effective in the past in treating appointment-keeping nonadherence. Therefore, will an MI-formatted letter reminder improve appointment-keeping …

The Effectiveness Of The Concordance-Discordance Model: Identifying Learning Disabilities In School-Aged Children, Bryan Hendricks

PCOM Psychology Dissertations

After the reauthorization of Individuals with Disabilities Education Act (IDEA) in
2004, the federal regulations indicated that there are three possible methods for the identification of a Specific Learning Disability (SLD). The three methods include the ability-achievement discrepancy (AAD), Response to Intervention (RTI), and the addition of a third method, which consists of other alternative research-based procedures. Hale and Fiorello (2004) proposed the use of a Concordance-Discordance Model (CDM), which suggests that learning disabled students have discordance between processing strength and both processing weakness and achievement deficit. In addition, SLD students have a concordance between the achievement deficit and processing …

Educators' Knowledge Of And Attitudes Toward Concussions And The New Jersey Concussion Law, Einat Katz-Delong

PCOM Psychology Dissertations

Recent media attention, lawsuits from retiring athletes, and the early retirement of famous athletes have increased public awareness of sports-related head injuries. High school student athletes are more susceptible to concussions than older athletes. Athletes suffering from concussions may experience long-lasting effects on their lives, particularly in cognitive, emotional, and school functioning. Given the increased rates of concussions and their ramifications, state governments and the federal government have taken action. Beginning with the start of the 2011–2012 school year, the state of New Jersey has implemented legislation that requires all school districts with interscholastic sports programs to develop a written …

Autism Interventions In Educational Settings: Delivery Within A Response To Intervention Framework, Caitlin E. Gilmartin

PCOM Psychology Dissertations

Monitoring the progress of and delivering services to students with Autism present a unique challenge. Numerous interventions exist without a common, mandated progress monitoring system or service delivery system. The current study examined the principles of Response to Intervention (RTI) programs in the context of service delivery for students with Autism. An innovative service delivery system, the Autism Response to Systematic Intervention (ARTSI), was designed utilizing these principles. Outcomes of the study included a manual for the program, as well as forms and necessary materials to provide initial program implementation. Initial comment from stakeholders, future directives, and limitations are also …

Effect Of Medical Education On Empathy In Osteopathic Medical Students, Adam J. Mctighe

PCOM Psychology Dissertations

Empathy is an integral component of the physician-patient relationship and involves a cognitive and emotional ability to connect with others in a meaningful fashion. To date, only two studies exist using osteopathic medical student samples while multiple studies have shown that allopathic student empathy declines significantly during year 3. Similar results were not found in the osteopathic samples; however, the designs used were cross-sectional, while allopathic studies were longitudinal. The current study utilized a mixed methods approach that included cross-sectional and longitudinal analyses, the first to do so within an osteopathic medical student population. The present study investigated empathy levels …

The Effects Of Yoga With Meditation (Ywm) On Self-Criticism, Self-Compassion, And Mindfulness, Kelly Newby

PCOM Psychology Dissertations

This study investigated the effects of a mindfulness-based intervention, Yoga with Meditation (YWM), on self-criticism, self-compassion, and mindfulness in a graduate student population. When compared to a control group, the experimental group reported decreased self-criticism, and increased self-compassion and mindfulness. The experimental group consisted of graduate students interested in participating in weekly yoga and meditation classes over the course of a two-month time period. Each participant was encouraged to complete self-report measures prior to the first YWM session, and after the completion of each YWM class. Baseline and post-intervention scores of 24 individuals who attended at least four of the …

Impacts Of The Recovery Movement On Treatment Adherence For Individuals With Schizophrenia Spectrum Disorders, Kelly J. Campanile

PCOM Psychology Dissertations

The recovery movement presents a shift in the treatment of severe mental illness to a more person-centered approach. The current researcher hypothesized that the more recovery-oriented a treatment was perceived to be, the more participants would have attended appointments and adhered to their psychiatric medication regimen. The variables of empowerment, recovery assessment, attitudes toward treatment, and participatory decision-making were explored in relation to their possible correlation with increased treatment adherence. An archival data set was used. Participants included 215 adults who met criteria for a schizophrenia spectrum disorder. The participants generally rated their treatment as high on all four of …

The Inclusion Of Spirituality In Sex Offender Treatment, Vanessa Bennifield

PCOM Psychology Dissertations

The management of sex offenders is a collaborative effort that typically includes law enforcement and treatment professionals. The management of sex offenders has focused largely on assessing for risk and need of the offender, with limited attention paid to addressing responsivity factors of the sex offender, such as worldview, interpersonal style, and cultural influences. In an effort to understand how therapists perceive the influence of responsivity factors, this study explored sex offender therapists’ perceptions of the inclusion of spirituality in sex offender treatment. The investigator conducted semi-structured interviews with sex offender therapists who had at least 1 year of experience …

Effectiveness Of A Brief Parent Training Intervention, Brian Legg

PCOM Psychology Dissertations

This study examined the effectiveness of a brief parent-training intervention in reducing defiance in children. Four African American single mothers with children demonstrating clinically diagnosable levels of defiance participated in this study. Parental stress and general maladaptive behaviors of children were evaluated pre- and post-treatment. In addition, participants completed treatment-satisfaction questionnaires to assess the perceived value of the accommodations and training structure. Results indicated some reduction in child defiance in three of the four participants. Parental stress and overall child maladaptive externalizing behaviors were both reduced over the entire study for two participants. Participants reported that the flexibility of individually …

Attention-Deficit Hyperactivity Disorder: Teachers' Perceptions And Acceptability Of Interventions, Betti Stanco Vitanza

PCOM Psychology Dissertations

The purpose of this study was to examine elementary and middle school teachers’ perceptions of attention deficit/ hyperactivity disorder (ADHD) and acceptability of interventions commonly used in the treatment of ADHD. Eighty-one teachers from three elementary schools and one middle school participated in this study by completing an online survey containing the Perception of Attention Deficit Disorder Survey (PADDS) and Intervention Acceptability Survey (IAS). Results indicate that teachers feel adequately trained on the topic of ADHD and feel confident when implementing interventions for students with ADHD; however, teachers would like to receive additional in-service training on the topic of ADHD. …

Visual Efficiency And The Relationship Between Reading And Behaviors Indicating Difficulties In The Classroom In Elementary School-Age Children, Patricia A. Broadbent

PCOM Psychology Dissertations

The purpose of this study is to determine if there is a relationship between visual efficiency, reading levels and behaviors indicating difficulties in the classroom. The sample consisted of thirty–three school-aged children, from four elementary schools. Visual efficiency was measured through a multi-step vision screening process, the Visual Efficiency Rating (VERA) software program. Behaviors indicating difficulties in the classroom were measured using the Behavioral Indicator Checklist, Indicators of Visual Performance Difficulties. This behavior checklist is part of the VERA process and is completed by the classroom teachers. The students’ reading levels were reported by the participating schools. The students were …

An Examination Of The Moderating Effects Of Perceived Quality Of Life On The Relationship Between Empathy, Motivation, And Specialty Choice Among Medical Students, Michael B. Klein

PCOM Psychology Dissertations

The number of medical students opting to specialize in primary care has decreased in recent years. Research suggests that empathy, perceived quality of life, and motivation are significant factors in choosing a specialty. The purpose of this study was to determine whether perceived quality of life moderates the relationship between level of empathy and motivation among medical students, and how that affects their final specialty choice. Participants included 174 third- and fourth-year medical students between the ages of 22 and 36 years at the Philadelphia College of Osteopathic Medicine. Medical students were given an online survey, which included a demographic …

Outcomes Of The Sanctuary Model In An Education Setting, Brianna Matey

PCOM Psychology Dissertations

This study examines the short-term outcomes of implementing the Sanctuary Model in an emotional support educational setting over the 2011-2012 school year. The frequency of restraints, the therapeutic environment, and job satisfaction were evaluated pre and post implementation of the model. Study participants included teachers, teacher aides, and a licensed clinical social worker at a nonprofit behavioral health care organization in the mid-Atlantic region. Results indicated similar numbers of restraints employed in the 2010-2011 school year compared to the 2011-2012 school year. Three out of 10 domains in the therapeutic environment measured by the Community Oriented Program Environment Scale (COPES-R) …

Improving Cognitive-Behavioral Therapy Homework Adherence With Change Talk And Commitment Language: A Cognitive Dissonance Perspective Of Behavioral Change, Robert J. Brecher

PCOM Psychology Dissertations

Adherence to homework assigned during cognitive-behavioral therapy (CBT) is an important factor contributing to positive outcomes. However, rates of adherence are poor, limited evidence supporting methods to improve adherence is limited. The current study aimed to develop and test an intervention designed to promote CBT homework adherence based on cognitive dissonance theory. Patients participating in outpatient CBT were randomly assigned to either an experimental or a control condition. In the experimental condition, participants engaged in an induced-compliance procedure eliciting change talk targeting the recommended homework activity. The control condition consisted of treatment as usual. Owing to limited sample size (n …

Stress In Mothers Of Newly Diagnosed Children With Autism Spectrum Disorders: Barriers To Care, Use Of Support Services, And Child Behavior, Michelle Petrongolo

PCOM Psychology Dissertations

A reasonable amount of parenting stress is not only expected, but often adaptive (Deater- Deckard, & Scarr, 1996); however, in the presence of chronically high levels of stress, negative outcomes are common. Parents of children with special needs, particularly autism spectrum disorder (ASD), are especially vulnerable to the presence of clinically significant levels of stress, making this group an important focus in the prevention of negative outcomes. The purpose of the present study was to determine the contribution of barriers to care, social support, and child behavioral problems to stress levels of parents with a child newly diagnosed with ASD. …

The View From Across The Table: A Qualitative Study Of Parent Experiences With The School Psychologist During Initial Evaluation Feedback Conferences, Katherine Scipioni

PCOM Psychology Dissertations

This qualitative study focuses on the experiences of 11 parents whose child received an evaluation at school by the school psychologist. By using a semi-structured interview, the author examined the initial evaluation process, or the first time a parent had his or her child evaluated by a school psychologist. A special focus was placed on the meeting in which the parent received results from the school psychologist. The results indicated that there is a lack of connection between parents and the evaluation process. This disconnect becomes wider over the course of the evaluation and at the end of the process, …

Anxiety Disorders And School-Based Treatments: Assessing School Pyschologists' Knowledge And Perceptions, Kelly A. Myhasuk

PCOM Psychology Dissertations

Anxiety disorders are common in children and youth. Despite high prevalence rates, most children with anxiety disorders do not receive treatment. In fact, for the few children who are receiving treatment, schools are the primary source of mental health care. When left untreated, children experience significant disruptions in their academic, social, emotional, and behavioral functioning. Therefore, it is important for those working in schools to recognize and treat children with anxiety disorders. The present study surveyed school psychologists (n = 178) to assess their knowledge about anxiety disorders and about empirically supported school-based treatments. Also, this study sought to investigate …

The Therapeutic Relationship And Alliance-Building Behaviors: Treatment Implications For Childhood Social Phobia, William La Valle

PCOM Psychology Dissertations

The importance of alliance in therapy has been well documented. This study explored specific therapist behaviors and their relationship to child perceived alliance and outcome in a randomized controlled trial of a cognitive-behavioral treatment for youth anxiety disorders. Participants included 42 youth (male = 24; female = 18; Caucasian = 37; African American = 4; Hispanic = 1) between the ages of 7 and 13 years who met criteria for a principal anxiety diagnosis. The study examined the sample as a whole, as well as focused specifically on youth diagnosed with social phobia. Videos of the first session of treatment …

Self-Reported Strengths And Weaknesses In The Prediction Of Institutional Aggression, Sarah A. Demarco

PCOM Psychology Dissertations

Aggression on inpatient psychiatric units poses a multitude of issues not only for patients, but also for staff. Thus, the identification of dynamic risk factors that may increase and also of protective factors that may decrease the likelihood of a patient becoming aggressive is important. The current study sought to expand on the current literature by examining if there is a difference between self-perceived strengths and risk factors between aggressive and nonaggressive patients. More specifically, it was hypothesized that self-reported strengths would moderate the relationship between self-reported risk factors and institutional aggression (IA) in forensic and in civil psychiatric units …

The Effects Of Mental Health Stigma On Treatment Attitude Within The Therapeutic Dyad: Therapist Beliefts In The Mental Health Recovery Process For Patients With Schizophrenia, Michele R. Miele

PCOM Psychology Dissertations

OBJECTIVE: Stigma maintains a belief that a recovery process is infeasible for patients with schizophrenia. As clients internalize stigma and therapists maintain a conceptualization of non-recovery, their core beliefs about recovery may become treatment barriers. This study investigated clinicians’ attitudes towards recovery by evaluating the relationship between knowledge of schizophrenia, attitudes of stigma, and attitudes of tolerance held towards people with schizophrenia; included in the evaluation are years of experience working as a mental health professional.

METHOD: This study is a cross-sectional survey design using a sample of 319 participants. The survey consisted of the following measures: knowledge of …

The Effects Of Acknowledging Cultural Differences On Therapeutic Alliance In Cross-Cultural Therapy, Jean-Pierre Assouad

PCOM Psychology Dissertations

Therapeutic alliance has been documented to have a significant impact on therapy. This study examined the impact that acknowledging visible cultural differences in the first session of treatment has on therapeutic alliance, perceived clinician cross-cultural competency, and potential attrition. A vignette study design was utilized with 26 subjects who were patients at the PCOM Center for Brief Therapy. The patients were randomly assigned one of four vignettes that consisted of a cross-cultural therapy situation, in which visible cultural differences were either addressed or not by a clinician. Following the reading of the vignette, the subjects were asked to complete the …

Exploring Perceived Benefits Of And Barriers To The Use Of Pet Therapy Dogs In A Private School For Children With Special Needs, Sarah Wodder

PCOM Psychology Dissertations

Evidence-based psychotherapy is becoming an increasingly accepted way for individuals to manage a variety of clinical disorders and psychosocial stressors. Complementary therapies are designed to support, facilitate, or enhance existing treatment strategies. Animal-assisted therapy (AAT) is one such complementary treatment, in which animals are deliberately included in psychotherapeutic treatment plans in order to facilitate pre-designed treatment goals. Current literature suggests that AAT could have a multitude of benefits for both adults and children for an array of disorders and disabilities. Currently, there is a limited understanding of how AAT might contribute to learning and development for children with special needs. …

Service Engagement And Serious Mental Illness: The Obstacles And Barriers To Attendance In A Post-Treatment Recovery Outpatient Setting, Marisa Jeanne Friedman

PCOM Psychology Dissertations

This qualitative study examined the factors that affect treatment adherence and service engagement in individuals with serious mental illnesses (SMI). A semistructured interview was used to collect data from treatment adherent and treatment nonadherent adults with SMI. What factors make one more or less likely to disengage from treatment? What boundaries stand in the way of quality mental-health care, and how do adults with SMI overcome these barriers? Service engagement in the population with SMI in the study was explained according to three healthcare behavioral models, the health belief model, the network episode model, and the demoralization framework model. Data …

An Exploration Of The Benefits Of Working As A Certified Peer Specialist (Cps) And Predictors Of These Benefits, Tricia M. Angilletta

PCOM Psychology Dissertations

The mental health recovery movement has promoted the use of certified peer specialists (CPS) as an indispensable component of the recovery process when working with individuals with severe mental illnesses (SMI) (Solomon, 2004). In addition to assisting others, the literature indicates that the CPS may gain a shared benefit from the CPS experience (Solomon, 2004). The purpose of this study was to examine the benefits that working or volunteering as a CPS can have on the CPS’s personal recovery process and health care costs. Two benefits that were explored are a CPS’s service utilization (outpatient therapy, case management, and inpatient …

Lqts: Gender Differences And Mother-Son Vs. Mother-Daughter, Thea Gallagher

PCOM Psychology Dissertations

Long QT syndrome is a chronic disorder, and one of the most common genetic arrhythmia syndromes that can cause unexpected cardiac arrest and death in individuals. Treatment options include medications, use of implantable cardioverter defibrillators (ICD) and restricting activities of daily life. Minimal research exists exploring the specific psychosocial aspects of the illness and/or the impact on the quality of life of individuals and families coping with the management and diagnosis of this illness. Furthermore, little research has attempted to understand the role of gender differences and mother-child perceptions among individuals with Long QT syndrome. The current study used data …

Relationship Of Therapist Beliefs And Competence In Predoctoral Clinical Psychology Trainees, Kaycee Begalu

PCOM Psychology Dissertations

This study utilized a prospective, multi-group cohort, correlational design to examine the relationship between clinical psychology trainees’ beliefs related to themselves and the role of being a psychotherapist and the factors associated with objectively-rated and self-rated measures of clinical competence. The participants in this study were pre-doctoral graduate students currently enrolled in a Doctor of Psychology (Psy.D.) Clinical Psychology Program. All were in the first through fourth years of the five year program. Results indicated there were not significant differences between first, second, third and fourth year students in terms of irrational beliefs. There were no significant differences between students …

The Effects Of Terrorism And Bias Against Muslims And Evangelical Christians In An Online Adult Sample: A Test Of Terror Management Theory, Angelo L. Rannazzisi

PCOM Psychology Dissertations

Considering the sociopolitical events of the past decade, the effect of terrorism on the behavior of others has gathered interest in the field of social psychology. Terror Management Theory has been used to conceptualize responses to individual’s fears of mortality. Because one of the goals of terrorism is to generate fear in a specific population, using Terror Management Theory to conceptualize responses to terrorism is appropriate. The current study attempts to ascertain if participants’ responses to stimuli that are indirectly related to Islam can be conceptualized using Terror Management Theory. The results of the study did not support this interpretation. …

Learned Helplessness, Spirituality, Abstinence Efficacy, And Alcohol Recovery, Nicholas J. Demarco

PCOM Psychology Dissertations

Treatment for alcoholism is a long and difficult process. Identifying variables that aid in treatment completion and retention of its effects is something that continues to be sought after. Research has identified the factors of spirituality, learned helplessness, and abstinence efficacy as some of the variables that can influence a person’s ability to complete treatment successfully (Sterling, Weinstein, Hill, Gottheil, Gordon, & Shorie, 2006). What it has failed to address is whether or not learned helplessness, spirituality, and abstinence efficacy can impact a person’s ability to sustain treatment effects for a period, post treatment. The data for this project were …

In Their Own Words: Perceived Experiences And Family Functioning Of Suicide Survivors Before And After Suicide Loss, Wendy Shallcross Lam

PCOM Psychology Dissertations

This research explored the unique experiences of relatives of individuals who have died by suicide, termed suicide survivors, in an in-depth fashion using qualitative methods. Through a semi-structured interview, the present study explored how families dealt with general stress prior to the experience of suicide loss, how they handled the loss of a family member to suicide, and what has been used to cope in the aftermath. A major focus was to explore whether or not the event of suicide dramatically altered family dynamics or if families continued a pre-existing interaction pattern established prior to the loss. The results revealed …