Clinical Psychology Commons^™

Treatment Preferences And Outcome In A Randomized Controlled Trial For Depression Comparing Supportive-Expressive Therapy To Medication And Pill Placebo, Sophia Elsie Winter

Doctoral Dissertations

Previous research regarding the relationship between patient treatment preferences on outcome has been equivocal, with some studies finding a significant relationship between preference match and outcome, and others finding no such evidence. This study examines the effect of patient treatment preference match on outcome using data from a previously published randomized controlled trial comparing supportive-expressive therapy (SET), to antidepressant medication plus clinical management, and to pill-placebo plus clinical management. The original study included 156 participants receiving treatment at the Center for Psychotherapy research at the University of Pennsylvania in Philadelphia, PA. This study is the first to examine the relationship …

The Neural Correlates Of Emotion Reactivity And Regulation In Young Children With Adhd, Claudia I. Lugo-Candelas

Doctoral Dissertations

Attention-deficit hyperactivity disorder (ADHD) is the most frequently occurring pediatric neurobehavioral disorder. Although emotion reactivity and regulation are frequently impaired in ADHD, few studies have examined these factors in preschool aged children with ADHD, and none have explored the neural correlates of emotion reactivity and regulation in this group though event-related potentials (ERPs). Children aged 4 to 7 with (n = 24) and without (n = 30) ADHD symptoms completed an attention task composed of four blocks: baseline, frustration, suppression, and recovery. In the frustration and suppression blocks, negative affect was induced by false negative feedback. During the …

The Relationship Between Executive Functioning And Substance Abuse, John M. Tracy

Doctoral Dissertations

Substance use disorders are a widespread issue in society today with approximately 20 million people in the U.S. alone experiencing drug-related problems (Substance Abuse and Mental Health Services Administration, 2012). However, treatment is often ineffectual with approximately 50% of addicted individuals returning to substance use. One factor found to impact individuals' treatment response is their neuropsychological functioning. Drug-abusers frequently exhibit severe executive functioning impairments across a number of domains, and there is evidence that these deficits may be time and substance-dependent. Executive functions are mental processes critical in motivation, planning, and goal-directed behaviors. With extended abstinence, research suggests cognitive improvements …

Relationship Qualities: Investigating The Nature Of Self-Identified Couple Strengths And Language Use During A Strengths Interview, Katie Cassandra Wischkaemper

Doctoral Dissertations

Research and practice in couple therapy has been influenced by positive psychology, and other factors, to create a nuanced viewed of relationship health. Relationship strengths are thought to be informative of overall relationship health, possibly even more so than relationship concerns (Gable, Gonzaga, & Strachman, 2006; Sullivan, Pasch, Johnson, & Bradbury, 2010). The present project explored the association between self-identified relationship strengths and couple satisfaction. Then, the study examined the association between self and partner pronoun use and level of couple satisfaction during an interview about relationship strengths.

Aim 1 replicated Gray and colleagues’ (under review) project which examined the …

Factors Predicting Weight Loss And Weight Gain In Bariatric Surgery Patients, Deborah Potisek Simpson

Doctoral Dissertations

Obesity has become an epidemic in the United States that can result in problems in multiple areas of an individual's life. Bariatric surgery has been shown to be an effective weight loss treatment for obese and morbidly obese individuals; however, although many individuals obtain long-term weight loss success after surgery, there is a percentage of patients who do not obtain the expected weight loss or end up regaining the weight they had initially lost. In an attempt to identify those who may be at risk for poorer results after bariatric surgery, most surgeons require that an individual undergo a psychological …

Ptsd, Academic Achievement, And College Persistence: The Moderating Effects Of Coping Mechanisms And Social Support, Rebecca Granda

Doctoral Dissertations

Prevalence rates of lifetime exposure to trauma for college students range from 50 to 90% indicating that most college students begin the first year of college with a history of trauma. Previous studies suggest a significant negative relationship between posttraumatic stress disorder (PTSD) and college retention; however, these studies have mainly focused on the negative effects of trauma exposure and PTSD on college students' persistence. As a result, it was unknown whether the effects of PTSD on academic achievement and college persistence can be moderated by protective factors, such as coping skills and social support. The purpose of this study …