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PCOM Psychology Dissertations

Physician-Patient Relations

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Full-Text Articles in Psychology

Examination Of Adherence, The Quality Of The Physician/Patient Relationship, And Illness-Related Beliefs Among Adults With Long Qt Syndrome, Maggie Monk Jan 2016

Examination Of Adherence, The Quality Of The Physician/Patient Relationship, And Illness-Related Beliefs Among Adults With Long Qt Syndrome, Maggie Monk

PCOM Psychology Dissertations

Long QT Syndrome (LQTS) is a cardiac arrhythmia disorder that affects 1 in 2,000 individuals and is a precursor to various cardiac events, including sudden cardiac arrest (Schwartz et al., 2016). As a precaution, individuals with all types of LQTS have been advised to modify their lifestyles to avoid triggers, including limiting physical activity (PA). Nonadherence to treatment recommendations could result in devastating outcomes. The purpose of the study was to explore characteristics pertaining to adherence and nonadherence to PA recommendations, including the quality of the physician/patient relationship and illness beliefs among adults with LQTS. An Internet survey was completed …


The Effects Of Acknowledging Cultural Differences On Therapeutic Alliance In Cross-Cultural Therapy, Jean-Pierre Assouad Jan 2014

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 …


Effect Of Medical Education On Empathy In Osteopathic Medical Students, Adam J. Mctighe Jan 2014

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 Cultural Competence And Racial Identity Development On The Working Alliance In African-American And Caucasian Counseling Dyads: A Preliminary Analysis, Peter J. Scoma Jan 2012

The Effects Of Cultural Competence And Racial Identity Development On The Working Alliance In African-American And Caucasian Counseling Dyads: A Preliminary Analysis, Peter J. Scoma

PCOM Psychology Dissertations

Multicultural considerations in behavioral healthcare rightfully remain a point of interest for practitioners, administrators and educators alike. Attention to culturally sensitive practice as a core competency for mental health practitioners has become rooted in academic curriculum and clinical trainings (Bussema & Nemec, 2006; Schottler et al., 2004). Despite this increased awareness of culturally competent practice, the results of these efforts are unclear as minority utilization of behavioral healthcare services continues to decline (Flaskerud, 2007). Racial biases and prejudice are still apparent in administrative and institutional settings that aspire to integrate cultural competencies into their organizations (Sue & Sue, 2007). Literature …


Does The Quality Of The Patient-Physician Relationship Moderate Predictors Of Poor Adherence In Urban, Underserved And Vulnerable Patients With Chronic Illness?, Laura Russo-Innamorato Jan 2011

Does The Quality Of The Patient-Physician Relationship Moderate Predictors Of Poor Adherence In Urban, Underserved And Vulnerable Patients With Chronic Illness?, Laura Russo-Innamorato

PCOM Psychology Dissertations

Escalating prevalence rates and rising economic costs of chronic illnesses necessitate a better understanding of factors affecting patient adherence in the primary care setting. Despite technological advances and evidenced-based treatments, clinical outcomes are often poor. Data drawn from archival data of the “A Healthier You” wellness program designed to serve a predominately underserved population were examined to assess whether or not positive predictors of adherence could moderate the impact of negative predictors such as depression. Limitations of the study methodology precluded significant interpretations but suggested significant discrepancies between patient and physician perceptions of trust in the relationship and the satisfaction …


Patient Perceptions Of Receiving Bad News : Individual Coping Styles And Receiving The Diagnosis Of Cancer , Kyle B. Holsinger Jan 2005

Patient Perceptions Of Receiving Bad News : Individual Coping Styles And Receiving The Diagnosis Of Cancer , Kyle B. Holsinger

PCOM Psychology Dissertations

Cancer is the second leading cause of death in the United States (CDC, 2005). Physicians who disclose the cancer diagnosis to patients are faced with limited professional training and few consensus clinical guidelines for communicating this diagnosis to their patients (Buckman, 1992; Girgis, Sanson-Fisher, & Schofield, 1999). Use of guidelines for delivering bad news and tailoring the bad news message to individual patients is recommended, but it is unclear if this is followed in the medical community (Baile, Lenzi, Parker, Buckman, & Cohen, 2002). The current study was conducted through a mail-in survey, of 186 surveys delivered, 111 were returned, …