Digital Commons Network^™

Executive Deficits In Amyotrophic Lateral Sclerosis: Examining The Consequences Of Self-Regulatory Impairment On Quality Of Life, Abbey R. Roach

University of Kentucky Doctoral Dissertations

Amyotrophic Lateral Sclerosis (ALS) is a fatal neurodegenerative disease that attacks the motor system and contributes to a range of cognitive and behavioral impairments (e.g., behavioral and emotional disinhibition, planning and problem solving difficulties, impulsivity, attention, and personality change). This executive dysfunction may contribute to selfregulatory impairment across several domains, including cognitive skills, thought processes, emotion regulation, interpersonal skills, and physiology, that may be crucial to the quality of life (QOL), or well being, of patients and their caregivers. Given the relentless course and prognosis of ALS, palliative treatments for ALS should target the full range of self-regulatory deficits. Thirty-seven …

Cognitive Therapy For The Treatment Of Depressive Symptoms In Patients With Heart Failure, Rebecca L. Dekker

University of Kentucky Doctoral Dissertations

Depressive symptoms are common in patients with heart failure (HF) and adversely affect mortality, morbidity, and health-related quality of life. Cognitive therapy (CT) has been proposed as a non-pharmacological treatment for depressive symptoms in patients with HF. However, there is currently little evidence to support use of CT in patients with HF.

The purpose of this dissertation was to develop and test a brief, nurse-delivered CT intervention for the treatment of depressive symptoms in patients with HF. Prior to testing the intervention, preliminary work was conducted resulting in four manuscripts: 1) a review of the evidence for CT in treating …

Blood/Lust: Freud And The Trauma Of Killing In War, Nolen Gertz

Publications and Research

During World War I, Sigmund Freud and his followers held a special symposium in Budapest entitled "Psycho-Analysis and the War Neuroses." Their contributions centered on the importance of trying to understand what can cause a soldier to become traumatized in war by investigating the individual factors of each case as opposed to merely the situational factors. Thus by redefining such ambiguous illnesses as shell shock and war strain into the Freudian framework of the traumatic neuroses, they were able to do what the neurologists could not — explain the meaning behind the soldiers' symptoms and treat them with successful results. …

Youth Suicide Prevention In Rural Kentucky, Hatim A. Omar

Pediatrics Faculty Publications

Youth suicide continues to be one of the leading causes of death in the United States. Nation wide it is the third leading cause of death in the 10-24 year old age group. The rate of suicide varies somewhat from state to state. In the state of Kentucky, youth suicide is the second leading cause of death. This article describes a grass roots, community based program for youth suicide prevention and its impact on the community. The Stop Youth Suicide Campaign was launched in 2000 and included more than 30 local agencies. This program worked through public education, education of …

Social Support, Social Control And Health Behavior Change In Spouses, Kieran T. Sullivan, Lauri A. Pasch, Katherine Hanson, Kathrine Bejanyan

Psychology

Our work on support processes in intimate relationships has focused on how partners in committed relationships help one another contend with personal difficulties, and how partners elicit and provide support in their day-to-day interactions. We are particularly interested in how these support skills relate to marital outcomes (Pasch & Bradbury, 1998; Pasch, Harris, Sullivan, & Bradbury, 2004; Sullivan, Pasch, Eldridge, & Bradbury, 1998) and how they relate to behavior change in spouses (Sullivan, Pasch, Johnson, & Bradbury, 2006), especially health behavior changes. In this chapter, we review research examining the effects of social support and social control on spouses' health …

The Role Of Organizational Commitment In Practitioner Implementation Of Evidence-Based Practices In Substance Abuse Treatment Settings, Irene Teresa Manfredo

Legacy Theses & Dissertations (2009 - 2024)

Organizational commitment (OC) has been linked to different types of work-related behaviors including innovation implementation and professional behavior change but the influence of OC on technology transfer or research to practice processes is as yet unknown. Using a social exchange perspective, the study employed constructs derived from Klein & Sorra (1996) - perceived implementation climate and practitioner innovation-values fit - to understand the association between practitioner level OC and evidence-based practice implementation (EBP) in substance abuse treatment settings. Method: A secondary data analysis was conducted utilizing a 2008 cross-sectional survey of outpatient substance abuse practitioners in eastern New York State …

Body Type And Perceived Physical Competence In College Female Dancers, Brenna Marie Vogel

Dissertations and Theses @ UNI

The relationship between body type and perceived physical competence was determined among college female company dancers. Participants were from one of four technique based dance companies at a midwestern university. They were questioned as to their perceived physical competence in seven different styles of dance, all of which had been offered at the selected university over the previous academic year. Body type was calculated using both the Body Mass Index Scale and the Body Composition Analyzer, which is a bioelectrical impedance analysis of one's body fat percentage, total body water, and body weight. A total of 44 participants took part …

Evidence Based Practices For Sensory Stimulation Seeking Impulsive Diagnosis, Sheena Gasner

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to identify evidence based practices that can be used in the treatment of Sensory Stimulation Seeking Impulsive Disorder (430.0). Identification of these practices will more effectively meet the therapeutic needs of the children diagnosed with this disorder.

Quality Of Life And Persons With Intellectual Disability: Can We Measure Qol In This Population?, Søren Ventegodt, Hatim A. Omar, Flemming Struve, Tove K. Nielsen, Isack Kandel, Joav Merrick

Pediatrics Faculty Publications

Quality of life (QOL) has been discussed by professionals working with persons with intellectual disability (ID) for some time, but since QOL is concerned with subjective well-being, satisfaction and happiness, how is it possible to measure, when the person in question is unable to communicate? Consciousness is believed to be an internal and personal thing, but we have done the simple experiment to ask observers to rate QOL of another person, also in sub dimensions like self-assessed physical and mental health, relationship with self, self-assessed sexual ability, self-assessed social ability, and we have found that people are able to assess …

Alcohol Abuse In The Workplace: Developing A Workable Plan Of Action, Pearl Jacobs, Linda Schain

Criminal Justice Faculty Publications

Businesses readily acknowledge that employees who use illegal drugs pose a significant risk to the company and its employees. Alcohol use on the job creates an even greater risk yet companies often do not deal with the use or abuse of alcohol in the same manner as the use of illegal drugs. The danger in the use of alcohol is not limited to those diagnosed as alcoholics. A threat is present when an employee consumes two or three beers at lunch and then returns to work. These individuals do the most to create a hazardous situation. The abuse of alcohol …

The Role Of The Arts Toward Healing Trauma And Building Resilience In The Palestinian Community, Yousef Al-Ajarma

Expressive Therapies Dissertations

This study has investigated the sources of resilience in a sample of Palestinians who experienced the first Intifada and are now studying in the United States. The study found that family and community support, the pursuit of an education, and participation in artistic activities all contribute to individual resilience among Palestinians. In addition, political awareness and activity are another source of resilience, because they help individuals living under the Occupation to find meaning in their life and make sense of their struggles. Currently, young people in Palestine are at risk of developing psychological trauma from exposure to the violence of …

Phenomenology Of Embodied Dreamwork With Puerto Rican Women: A Dissertation, Lourdes F. Brache-Tabar

Expressive Therapies Dissertations

The author investigated the experience of embodied dreamwork. Participants were eight Puerto Rican women who were chronically ill, of low socioeconomic status, who lived in Boston. The data were analyzed using transcendental phenomenology. Each participant engaged in one embodied dreamwork–unstructured interview session lasting approximately 1.5 hours. In addition, each participant drew a picture of how she felt after the dreamwork interview. This snowball, purposive sample gave detailed information about how they experienced embodied dreamwork. The participants’ statements were grouped into themes: (a) sense of place—environment, surroundings, spatiality; (b) the players—self, others; (c) plot; (d) in the sea of emotions—naming affective …

Foothills Academy: A Program Ranking And Comparative Analysis Of Residential Treatment Programs, William Aaron

MPA/MPP/MPFM Capstone Projects

The Foothills Academy is an all male adolescent residential treatment facility in Albany, Kentucky. As more states turn toward alternative treatment options to address the growing needs of youth suffering from mental and emotional disorders and substance abuse issues, demand for more efficient treatment programs is on the rise. To remain competitive and to administer the best treatment services for their clients, residential treatment programs must utilize industry best practices that allow efficient use of public funds. By identifying high performing programs, those programs may then be studied to identify factors key to individual program success.

My findings were consistently …

What Is The Impact Of Kentucky’S Pharmacy Recovery Network?, Benjamin Paul Clark

MPA/MPP/MPFM Capstone Projects

Problem Statement: This capstone will focus on Kentucky’s Pharmacy Recovery Network (PRN). In general, professional recovery networks are organizations that act as a liaison between professional state boards and the health professionals who are dealing with substance abuse and addictions that sometimes result in negative consequences to that individual and/or their profession. Instead of a “one-strike and you are out” approach, these organizations recognize that there is a disease process occurring. Thus, as opposed to engaging in strictly punitive measures, a rehabilitative approach is chosen to allow the health professional an opportunity to recover and successfully reenter into their profession. …

Mindfulness Based Stress Reduction And Chronic Illness, Kelly Dulohery

All Graduate Theses, Dissertations, and Other Capstone Projects

The Minnesota Department of Health (n.d.) defines a chronic health condition as having an extended course, does not resolve suddenly, and complete cure is a rarity. The literature suggests that stress can exacerbate the symptoms of chronic health condition (Roth and Robins, 2004). Addressing the biopsychosocial needs of individuals with chronic health conditions pushes the limits of conventional medicine (Grossman, Niemann, Schmidt, & Walach, 2004). A chronic health condition, if left untreated can lead to additional physical and psychological conditions (e.g. contributing to the development of anxiety, depression, and feelings of isolation, hopelessness, and helplessness) (Ledesma & Kumano, 2009); (Reibel, …

Early Psychosis Intervention In Oregon: Building A Positive Future For This Generation, Ryan P. Melton, Tamara Sale

Regional Research Institute for Human Services

The article focuses on the importance of early Schizophrenia intervention.

Psychosocial Correlates Of Insomnia Severity In Primary Care, Daniel Bluestein, Carolyn M. Rutledge, Amanda C. Healey

Ellmer School of Nursing Faculty Publications

Purpose: Insomnia is a substantive primary care issue that leads to adverse outcomes. These can be improved by addressing factors that accentuate insomnia severity. Accordingly, this study identifies correlates of insomnia severity and determines whether these relationships vary with sociodemographic attributes.

Methods: This correlational cross-sectional study was conducted in a hospital-sponsored primary care clinic and 2 urban, academic family practice centers. Participants consisted of 236 patients 18 years old or older with clinically significant insomnia (Insomnia Severity Index scores of 7 or more). Surveys instruments included the Insomnia Severity Index, SF-8 (Medical Outcomes Study SF-8 global health status measure), CES-D …

Inpatient Group Psychotherapy: Predicting Attendance And Participation, Sharon E. Silverberg

Counseling & Human Services Theses & Dissertations

Inpatient group psychotherapy is one of the primary talk therapy interventions offered to patients necessitating acute psychiatric treatment. Research indicates that patients who attend and participate in group psychotherapy sessions while admitted to psychiatric hospitals have a lower rate of recidivism and are more successful in the community utilizing lower levels of psychiatric care. Unfortunately, not all patients attend group psychotherapy while admitted to a psychiatric facility and therefore do not benefit, possibly contributing to non-compliance with community-based treatment and readmissions to inpatient psychiatric institutions for stabilization and safety. This lack of participation in group psychotherapy deprives the patient the …

The Physiological Correlates Of Race-Related Stress And Health Among African Americans And Latinos, Daniel Cruz

Seton Hall University Dissertations and Theses (ETDs)

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Comparative Validity Of Mmpi-A Scales Scores In African American And Caucasian Male Juvenile Delinquents, Stacy Natasha Wilson

Psychology Theses & Dissertations

This study examined comparative validity of the MMPI-A scale scores of African American and Caucasian male juvenile delinquents utilizing a step down hierarchical regression procedure proposed by Laughtenschlager & Mendoza (1986). The MMPI-A (Butcher et al., 1992) was administered to 281 African American and Caucasian juvenile delinquents while their caretakers filled out the CBCL (Achenbach, 1991; Achenbach & Rescorla, 2001) and DBRS (Barkley & Murphy, 1998), which were used as extra-test measures. Significant overall prediction bias was detected in 15 out of 56 regressions. Statistically significant prediction bias was found for a subset of criterion variables for Clinical Scales 2, …

Athlete And Coach Knowledge, Attitudes, And Perceptions Of Sickle Cell Trait And National Collegiate Athletic Association Mandated Testing: Recommendations For Intervention, Raymona Holloway Lawrence

College of Graduate Studies: Theses & Dissertations

Individuals with Sickle Cell Trait have died suddenly after extreme exertion during military training, athletic practice or games (Kerle & Nishimura, 1996; Harrelson, Fincher & Robinson, 1995; Howe & Bowden, 2007). One of those deaths, Dale Lloyd, a football player at Rice University, prompted a change in the National Collegiate Athletic Association's (NCAA) Sports Medicine Handbook Guideline 3c: The Student Athlete with Sickle Cell Trait. Effective August 2010, the NCAA Division I Proposal No. 2009-75-B mandated sickle cell trait testing in all Division I athletes unless documented results of a prior test are provided to the institution or the student-athlete …

Introversion And Autism: A Conceptual Exploration Of The Placement Of Introversion On The Autism Spectrum, Jennifer Grimes

Electronic Theses and Dissertations

The conceptualization of the personality construct of introversion has been problematic since the term's inception due to the complexity and seemingly self-contradictory nature of the collection of attributes of which it is comprised. To advance the understanding of introversion, I propose that it is a continuous segment of the non-clinical part of the autism spectrum, and that it is not the same as the inverse of extraversion. When introversion and autism are placed on the same continuum, the nature of the relationship of the traits becomes more apparent, and new possibilities are available for exploration of both autism and introversion. …

Social Transmission Of Fear In Rats: The Role Of 22-Khz Ultrasonic Distress Vocalization, Eun Joo Kim, Earnest S. Kim, Ellen Covey, Jeansok J. Kim

Faculty Publications - Psychology Department

Background

Social alarm calls alert animals to potential danger and thereby promote group survival. Adult laboratory rats in distress emit 22-kHz ultrasonic vocalization (USV) calls, but the question of whether these USV calls directly elicit defensive behavior in conspecifics is unresolved.

Methodology/Principal Findings

The present study investigated, in pair-housed male rats, whether and how the conditioned fear-induced 22-kHz USVs emitted by the ‘sender’ animal affect the behavior of its partner, the ‘receiver’ animal, when both are placed together in a novel chamber. The sender rats’ conditioned fear responses evoked significant freezing (an overt evidence of fear) in receiver rats that …

The Influence Of Treatment Team Cohesion In The Success Of In-Home Mental Health Treatment For Children And Adolescents With Emotional And Behavioral Disorders, Jaimie C. Orndorff

Antioch University Dissertations & Theses

Background: The author pursued this area of interest due to having had a positive experience working as a therapist within a high cohesion treatment team in an in-home setting. This experience with a high cohesion team seemed to lead to more successful results than other teams that were deemed low cohesion, in the same format. This experience led to a general curiosity about why the team this author was on was more effective. Additional research allowed this author to determine the possible link between cohesion, success of treatment and reduced risk for burnout, defined as a response to chronic job …

Exploring The Impact Of Race On Mental Health Service Utilization Among African Americans And Whites With Severe Mental Illness, Michelle Hampton, Linda Chafetz, Mary White

Faculty Publications

BACKGROUND: Disparities among African Americans and Whites with severe mental illness have been identified in numerous studies. Yet it remains unknown if disparities are associated with race or other vulnerabilities common to this population. OBJECTIVES: This study used the Behavioral Model for Vulnerable Populations to examine mental health service utilization among 155 African Americans and Whites with severe mental illness for 12 months after discharge from a residential crisis program. DESIGN: This cross-sectional study was a secondary analysis of data from a randomized trial. RESULTS: Race did not emerge as a significant predictor of mental health service utilization. Factors associated …

Examining The Impact Of Student Involvement And Intercultural Experiences On Perceptions Of Institutional Commitment To Diversity, Aaron Klein Haight

Master's Theses and Doctoral Dissertations

The purpose of this study was to examine the impact of involvement in student organizations as it relates to perceptions of campus climate. The researcher conducted a crosssectional, ex-post facto secondary data analysis of a 2005 institutional survey on diversity at Great Falls State University. The researcher utilized a Chi Square Test for Independence, as well as a Forward Thinking Logistic Regression Model to analyze the data. Although the main emphasis of the research was student involvement in student organizations, the researcher also analyzed data pertaining to background demographics and campus climate. The data results demonstrated differences in perception in …

Rational Understanding In Competency To Stand Trial: A Qualitative Study And Development Of An Assessment Instrument, Kenneth C. Cole Jr.

Antioch University Dissertations & Theses

Mental competency as a prerequisite for due process was established by the United States Supreme Court‟s Dusky decision (1960). The Court mandated that a defendant must possess reasonable levels of factual and rational understanding in order to competently participate in the adjudication process. The precise definitions of competence were not included in any of the Court‟s decisions regarding the concept of Competency to Stand Trial (CST). The original purpose of this research was to contribute knowledge regarding the psychological dimensions of CST and to suggest definitions of the psychological dimensions of CST and the standardization of the CST evaluation process. …

Levels Of Acculturation And Resilience Among Southeast Asian Adolescents Who Have And Have Not Witnessed Domestic Violence, Skultip (Jill) Sirikantraporn

Antioch University Dissertations & Theses

The central purpose of this research study was to elucidate the relationship between the levels of acculturation and resilience among Southeast Asian adolescents in the U.S. who have and have not witnessed domestic violence. There is a voluminous amount of research on resilience, acculturation, and domestic violence and their impacts on adolescents. However, there is virtually no research that investigates the relationship among these three major social constructs. Previous research on acculturation, resilience, and coping abilities showed that immigrant children and adolescents who were bicultural were found to be highly adaptive in the midst of stress. No previous studies were …

A Qualitative Study Of Stressors, Stress Symptoms, And Coping Mechanisms Among College Students Using Nominal Group Process, Helen W. Bland, Bridget F. Melton, Stephen Patrick Gonzalez

Community Health: Faculty Publications

Background: Stress is part of the college experience; however, how students deal with stress can greatly impact their behaviors and health status. Purpose: The purpose of this study was to qualitatively assess sources of stress, types of stressors, and coping mechanisms employed among undergraduate students.

Methods: Nominal group process was utilized to obtain information related to study variables and help prioritize the accounts provided by study participants (n = 173).

Results: Participants gave insight into the unique stress faced by this generation (grades, GPA, multitasking, parental expectations), stress symptoms (more psychological in nature), and coping strategies (prayer, talking to mom, …

Experiences And Perceptions Of How Community-Based Interventions Can Promote Young Adults' Resilience To Suicide Within Rural/Regional Communities, Tracy Evans

Theses : Honours

In the literature, both statistics and studies have noted that suicide in rural/regional young adults' is an important concern. Recent research suggests, that to facilitate a primary approach to suicide prevention in young people, there is a need to promote the protective construct of resilience at a community level, highlighting strategies such as connectedness, and decreasing the stigma related to mental illness and health-seeking behaviour (Commonwealth Department of Health & Aged Care, 2005; Injury Control Council of Western Australia, 2006). However, there is a need to investigate and identify the links or mediating factors that promote individual resilience within a …