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Association Between Latent Toxoplasma Gondii Infection And Alzheimer's Disease, Cynthia Elizabeth Wyman Dec 2017

Association Between Latent Toxoplasma Gondii Infection And Alzheimer's Disease, Cynthia Elizabeth Wyman

Theses and Dissertations

Introduction: Many studies have found an association between Toxoplasma gondii seropositivity and behavioral and cognitive changes in animal models and in humans. In addition, early findings have suggested an association between T. gondii seropositivity and Alzheimer's disease (AD). We sought to determine whether there is an association between T. gondii seropositivity and AD as well as cognitive functioning (including memory, working memory, processing speed, language functioning, executive functioning) in a large, well-characterized sample of subjects with AD and matched controls without dementia. Method: Using ELISA assays, we determined anti-T. gondii IgG antibody titers in 114 control subjects and in 105 …


Parental Influence On Risk Factors For Obesity In African American School Aged Children, Brittney Joy Parish Dec 2017

Parental Influence On Risk Factors For Obesity In African American School Aged Children, Brittney Joy Parish

Electronic Theses, Projects, and Dissertations

The growing childhood obesity epidemic and its association with adverse health outcomes have prompted increasing research in the recent past. Researchers have examined numerous aspects of the obesity epidemic. For example, the impact of parent behavior on child behavior has been considered. Likewise, researchers have examined the connection between parent perceptions of obesity and concern regarding a child’s weight status. Still other research has focused on the influence of a child’s behavior on weight status.

Existing research has reported that within the African American community there is an apparent inaccuracy in perceptions regarding weight. Children who would be classified as …


Association Between Latent Toxoplasma Gondii Infection And Alzheimer's Disease, Cynthia Elizabeth Wyman Dec 2017

Association Between Latent Toxoplasma Gondii Infection And Alzheimer's Disease, Cynthia Elizabeth Wyman

Theses and Dissertations

Introduction: Many studies have found an association between Toxoplasma gondii seropositivity and behavioral and cognitive changes in animal models and in humans. In addition, early findings have suggested an association between T. gondii seropositivity and Alzheimer's disease (AD). We sought to determine whether there is an association between T. gondii seropositivity and AD as well as cognitive functioning (including memory, working memory, processing speed, language functioning, executive functioning) in a large, well-characterized sample of subjects with AD and matched controls without dementia. Method: Using ELISA assays, we determined anti-T. gondii IgG antibody titers in 114 control subjects and in …


Parental Quality Of Life Among Parents In The Nicu: Examining Moderators Of Change Over Time, Evan Lima Dec 2017

Parental Quality Of Life Among Parents In The Nicu: Examining Moderators Of Change Over Time, Evan Lima

Loma Linda University Electronic Theses, Dissertations & Projects

Having a child is both an exciting and overwhelming time for parents (Wigert et al., 2006; Cooper & Pells, 2015). While having a child is an exciting time, approximately 10% of infants are born prematurely and admitted into the Neonatal Intensive Care Unit (NICU), with additional infants being admitted for other reasons (e.g., sickness, low birth weight, etc.) (March of Dimes, 2015). Overall, parents of children admitted to the NICU have consistently reported experiencing lower quality of life than prior the their child being admitted to the NICU (Rosenbaum et al., 2011). Previous research has found anxiety, depression, and posttraumatic …


Evaluating Social Network Dynamics Of Bigg’S Killer Whales (Orcinus Orca) And Vessel Traffic Within A Transboundary Region: Implications For Conservation Management, Courtney Smith Dec 2017

Evaluating Social Network Dynamics Of Bigg’S Killer Whales (Orcinus Orca) And Vessel Traffic Within A Transboundary Region: Implications For Conservation Management, Courtney Smith

Dissertations

The social lives of animals are defined by group dynamics based on the nature and strength of associations and movements between individuals, often resulting in highly complex and interconnected social networks. However, understanding of how environmental variables may shape this structure is poorly understood. Within the inland waters of Washington State and southern Vancouver Island, British Columbia, mammal-eating Bigg’s (transient) killer whales occur in relatively small, but stable social groups. Group size and occurrence in recent years has increased, coinciding with a growing whale watching industry. Given the central importance of the social network within killer whale population dynamics, such …


Moving Toward A Collective Impact Effort: The Volunteer Program Assessment, Sheridan Trent, Kelly Prange, Joseph A. Allen Nov 2017

Moving Toward A Collective Impact Effort: The Volunteer Program Assessment, Sheridan Trent, Kelly Prange, Joseph A. Allen

Psychology Faculty Publications

Volunteers are essential to the operation of many nonprofits, but some experience challenges in retaining their volunteer workforce. The Volunteer Program Assessment (VPA) seeks to address this issue by helping organizations to identify strengths, growth areas, and recommendations for improving volunteer experiences. To maximize the effectiveness of VPA’s mission, the organization is moving toward a collective impact (CI) approach. Although not developed as a CI effort, the program currently exemplifies many of its characteristics, which have been instrumental in expanding reach to more organizations. We examine VPA’s alignment with collective impact and outline how VPA will continue to improve efforts.


How Socioeconomic Disadvantages Get Under The Skin And Into The Brain To Influence Health Development Across The Lifespan, Pilyoung Kim, Gary W. Evans, Edith Chen, Gregory Miller, Teresa Seeman Nov 2017

How Socioeconomic Disadvantages Get Under The Skin And Into The Brain To Influence Health Development Across The Lifespan, Pilyoung Kim, Gary W. Evans, Edith Chen, Gregory Miller, Teresa Seeman

Psychology: Faculty Scholarship

Socioeconomic disadvantage (SED) has adverse impacts on physical (Adler and Rehkopf 2008; Blair and Raver 2012; Braverman and Egerter 2008; Cohen et al. 2010; Poulton et al. 2002) and psychological (Adler and Rehkopf 2008; Bradley and Corwyn 2002; Grant et al. 2003) health development. SED is similar to low socioeconomic status (SES) which is based on occupation, income, and education or a composite of more than one of these indicators (McLoyd 1998). However, we conceptualize SED more broadly than socioeconomic status to also include subjective perception of social position and contextual indicators of disadvantage, such as neighborhood deprivation. One of …


“If I Don’T Take Care Of Myself, I Can’T Take Care Of Them:” Exploring Caregiving Grandmothers’ Experiences Of A 9-Session Self-Care Curriculum, Jacquelyn J. Lee Phd, Lcsw, Stacey R. Kolomer Phd Nov 2017

“If I Don’T Take Care Of Myself, I Can’T Take Care Of Them:” Exploring Caregiving Grandmothers’ Experiences Of A 9-Session Self-Care Curriculum, Jacquelyn J. Lee Phd, Lcsw, Stacey R. Kolomer Phd

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Abstract

The predominance of research on custodial grandparent caregiving focuses on prevalence, risk factors, and challenges; less attention has been paid to the development of interventions to support this population. In response to a decrease in length of service provision at a local agency, a 9-session self-care curriculum was designed to focus on caregiver health through the empowering, multi-dimensional practice of self-care. The curriculum uses a mind-body approach and was integrated into a pre-existing 9-month support program for grandparents raising grandchildren. Using a basic, interpretive qualitative design, the purpose of this study was to explore how grandparent caregivers: 1) understand …


Family Income, Cumulative Risk Exposure, And White Matter Structure In Middle Childhood, Alexander J. Dufford, Pilyoung Kim Nov 2017

Family Income, Cumulative Risk Exposure, And White Matter Structure In Middle Childhood, Alexander J. Dufford, Pilyoung Kim

Psychology: Faculty Scholarship

Family income is associated with gray matter morphometry in children, but little is known about the relationship between family income and white matter structure. In this paper, using Tract-Based Spatial Statistics, a whole brain, voxel-wise approach, we examined the relationship between family income (assessed by income-to-needs ratio) and white matter organization in middle childhood (N = 27, M = 8.66 years). Results from a non-parametric, voxel-wise, multiple regression (threshold-free cluster enhancement, p < 0.05 FWE corrected) indicated that lower family income was associated with lower white matter organization [assessed by fractional anisotropy (FA)] for several clusters in white matter tracts involved in cognitive and emotional functions including fronto-limbic circuitry (uncinate fasciculus and cingulum bundle), association fibers (inferior longitudinal fasciculus, superior longitudinal fasciculus), and corticospinal tracts. Further, we examined the possibility that cumulative risk (CR) exposure might function as one of the potential pathways by which family income influences neural outcomes. Using multiple regressions, we found lower FA in portions of these tracts, including those found in the left cingulum bundle and left superior longitudinal fasciculus, was significantly related to greater exposure to CR (β = -0.47, p < 0.05 and β = -0.45, p < 0.05).


What's It To Me? Self-Interest And Evaluations Of Financial Conflicts Of Interest, Samuel Bruton, Donald Sacco Nov 2017

What's It To Me? Self-Interest And Evaluations Of Financial Conflicts Of Interest, Samuel Bruton, Donald Sacco

Faculty Publications

Disclosure has become the preferred way of addressing the threat to researcher objectivity arising from financial conflicts of interest (FCOIs). This article argues that the effectiveness of disclosure at protecting science from the corrupting effects of FCOIs—particularly the kind of disclosure mandated by US federal granting agencies—is more limited than is generally acknowledged. Current NIH and NSF regulations require disclosed FCOIs to be reviewed, evaluated, and managed by officials at researchers’ home institutions. However, these reviewers are likely to have institutional and personal interests of their own that may undermine the integrity of their evaluations. This paper presents experimental findings …


Patient Experience Of Taking Adjuvant Endocrine Therapy For Breast Cancer: A Tough Pill To Swallow, Kuang-Yi Wen, Rita Smith, Aruna Padmanabhan, Lori Goldstein Nov 2017

Patient Experience Of Taking Adjuvant Endocrine Therapy For Breast Cancer: A Tough Pill To Swallow, Kuang-Yi Wen, Rita Smith, Aruna Padmanabhan, Lori Goldstein

Patient Experience Journal

Adjuvant endocrine therapy (AET) has substantially improved the mortality rate among breast cancer survivors. Despite the proven efficacy, the non-adherence rate to therapy is still high. This study is aimed to examine women’s challenges related to AET adherence and management. Semi-structured interviews were conducted with six Caucasian and six African American breast cancer survivors who were prescribed for AET. The transcripts of audio-taped interviews were qualitatively analyzed. Key themes were: 1) positive beliefs in AET, 2) uncertainty about long-term adherence, 3) experiences with side effects, 4) forgetting and remembering, 5) other concerns and information needs, 6) potential intervention format, and …


The Role Of Feature-Based Discrimination In Driving Health Disparities Among Black Americans, Randl B. Dent, Nao Hagiwara, Elena V. Stepanova, Tiffany L. Green Nov 2017

The Role Of Feature-Based Discrimination In Driving Health Disparities Among Black Americans, Randl B. Dent, Nao Hagiwara, Elena V. Stepanova, Tiffany L. Green

Faculty Publications

Objective: A growing body of research finds that darker skin tone is often associated with poorer physical and mental health in Blacks. However, the psychosocial mechanisms underlying the skin tone-health link remain elusive. The present study seeks to address this knowledge gap by investigating the direct and indirect (through perceived discrimination, socioeconomic status, and self-esteem) effects of skin tone on self-reported physical and mental health.

Design: An urban sample of 130 Blacks aged 35 and above completed a self-administered computerized survey as a part of larger cross-sectional study.

Results: Self-esteem played a particularly important role in mediating the associations between …


Attaining The Peak: Three Factors That Inhibit Performance, Marcus Marsden Nov 2017

Attaining The Peak: Three Factors That Inhibit Performance, Marcus Marsden

Asian Management Insights

The willingness of individuals and teams to experience the ‘discomfort of adaptation’, as opposed to the ‘comfort of learning’, is the crucial meta-factor in the drive to increase performance. Too much time and effort is spent on strategy and knowledge. This is not to say that strategy and knowledge are not important. However, the focus on looking ‘outside’ rather than ‘inside’ for performance solutions, while it may be more comfortable for everyone concerned, does not quite cut it. As Grashow and Heifetz state in The Practice of Adaptive Leadership, “The most common error organisations make is to try and solve …


Weight Beliefs And Messages: Mindsets Predict Body-Shame And Anti-Fat Attitudes Via Attributions, Jeni L. Burnette, Crystal L. Hoyt, Carol S. Dweck, Lisa Auster-Gussman Nov 2017

Weight Beliefs And Messages: Mindsets Predict Body-Shame And Anti-Fat Attitudes Via Attributions, Jeni L. Burnette, Crystal L. Hoyt, Carol S. Dweck, Lisa Auster-Gussman

Jepson School of Leadership Studies articles, book chapters and other publications

In two samples (N=247, N= 291), we examined the link between beliefs and messages about the changeable (incremental theory) vs. fixed (entity theory) nature of weight, attributions for weight, and body shame. We recruited participants using online sampling, employing a correlational design in Study 1 and an experimental design in Study 2. Across both studies, we found evidence for the stigma-asymmetry effect—incremental, relative to entity beliefs/messages of weight predicted both (a) stronger onset responsibility attributions, indirectly increasing body shame and (b) stronger offset efficacy attributions, indirectly decreasing body shame. Study 2 replicated the stigma-asymmetry effect with anti-fat …


11.1 Oct 2017

11.1

Intuition: The BYU Undergraduate Journal of Psychology

No abstract provided.


Self-Worth In The Development And Treatment Of Eating Disorders Oct 2017

Self-Worth In The Development And Treatment Of Eating Disorders

Intuition: The BYU Undergraduate Journal of Psychology

Eating Disorders (EDs) involve a consuming drive for thinness. They cause significant physical and psychosocial impairment. A core commonality between EDs is the overvaluation of body weight and shape as a measure of selfworth. The purpose of this paper is to review the importance of self-worth perception in the development and treatment of EDs in women and girls. Women and girls with EDs tend to believe their worth comes from body weight and shape, as opposed to intrinsic sources. Self-worth can interact with other factors such as relationships, body dissatisfaction, and perfectionism in ED development. A major goal of treatment …


Addressing Mental Health, Substance Abuse, And Recidivism In The Juvenile Justice System, Danielle N. Gieschen Oct 2017

Addressing Mental Health, Substance Abuse, And Recidivism In The Juvenile Justice System, Danielle N. Gieschen

Theses and Dissertations

Research has shown links between mental health concerns, substance abuse concerns, and recidivism for youth. However, the vast majority of studies have not examined the impact that receiving services or treatment compliance has on this relationship. In this study, mental health concerns, mental health treatment, alcohol and substance abuse concerns, alcohol and substance abuse treatment and recidivism within the juvenile justice system were examined. The electronic and paper probation files and the paper court files for 77 youth were examined to determine the impact that receiving mental health or substance abuse services has on reducing the likelihood of recidivism. Furthermore, …


Mindfulness And Acceptance-Based Trainings For Fostering Self-Care And Reducing Stress In Mental Health Professionals: A Systematic Review, Myriam Rudaz, Michael P. Twohig, Clarissa W. Ong, Michael E. Levin Oct 2017

Mindfulness And Acceptance-Based Trainings For Fostering Self-Care And Reducing Stress In Mental Health Professionals: A Systematic Review, Myriam Rudaz, Michael P. Twohig, Clarissa W. Ong, Michael E. Levin

Psychology Faculty Publications

This review summarizes the effectiveness of Mindfulness-Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT), Mindful Self-Compassion (MSC), and Acceptance and Commitment Therapy (ACT) to foster self-care and reduce stress in mental health professionals. Twenty-four quantitative articles from PsycInfo and PubMed were identified that focused on mindfulness, self-compassion, psychological flexibility, stress, burnout, or psychological well-being. All MBSR and MBCT studies lacked active control conditions, but some of the ACT studies and one MSC study included an active control. Most studies support evidence that all training programs tend to improve mindfulness and some also self-compassion. In addition, psychological flexibility was measured in …


Do You Have Internet Addiction? Oct 2017

Do You Have Internet Addiction?

Intuition: The BYU Undergraduate Journal of Psychology

The Internet is a readily available tool that can quickly access a vast range of information, resources, and services. Despite the abundance of resources provided by the Internet, it can prove more detrimental than helpful if we do not wisely manage our personal time on and use of the Internet. This lack of personal time management for the Internet has developed a recently new mental disorder called Problematic Internet Use, but more commonly referred to as Internet addiction. Although this disorder is applicable for all ages, it is found to be a common addiction in adolescents. By examining Internet addiction …


The Use Of Ect As A Standard Treatment For Mdd, George Major Oct 2017

The Use Of Ect As A Standard Treatment For Mdd, George Major

Intuition: The BYU Undergraduate Journal of Psychology

The arsenal of effective, standardized treatment options for major depressive disorder (MDD) is shockingly low considering one in three individuals in the Unit- ed States will experience clinical depression during their lifetime (American Psychiatric Association, 2013). MDD is usually limited to drug therapy and cognitive therapy, and alternative treatment methods are often disregarded as ineffective or unethical. This review explores the possibility of electroconvulsive therapy (ECT) as an alternative standard treatment for MDD. ECT has been used for decades for the treatment of mood disorders, but only recently has the medical community begun to understand how ECT affects the brain. …


11.2 Complete Oct 2017

11.2 Complete

Intuition: The BYU Undergraduate Journal of Psychology

No abstract provided.


Disordered Diabetics: The "Highs And Lows" Of Coping With Chronic Illness Oct 2017

Disordered Diabetics: The "Highs And Lows" Of Coping With Chronic Illness

Intuition: The BYU Undergraduate Journal of Psychology

No abstract provided.


The Touchscreen Advantage: Understanding The Educational Value Of Touchscreen Applications For Preschool-Age Children Oct 2017

The Touchscreen Advantage: Understanding The Educational Value Of Touchscreen Applications For Preschool-Age Children

Intuition: The BYU Undergraduate Journal of Psychology

No abstract provided.


Workforce Well-Being: Personal And Workplace Contributions To Early Educators' Depression Across Settings, Amy M. Roberts, Kathleen C. Gallagher, Alexandra Daro, Iheoma Iruka, Susan Sarver Oct 2017

Workforce Well-Being: Personal And Workplace Contributions To Early Educators' Depression Across Settings, Amy M. Roberts, Kathleen C. Gallagher, Alexandra Daro, Iheoma Iruka, Susan Sarver

Buffet Early Childhood Institute Reports and Publications

Building on research demonstrating the importance of teachers' well-being, this study examined personal and contextual factors related to early childhood educators' (n =1640) depressive symptoms across licensed child care homes, centers, and schools. Aspects of teachers' beliefs, economic status, and work-related stress were explored, and components of each emerged as significant in an OLS regression. After controlling for demographics and setting, teachers with more adult-centered beliefs, lower wages, multiple jobs, no health insurance, more workplace demands, and fewer work-related resources, had more depressive symptoms. Adult-centered beliefs were more closely associated with depression for teachers working in home-based settings compared …


Sleep, Internalizing Symptoms, Executive Functioning, And Diabetes Outcomes In Adolescents With Type 1 Diabetes Mellitus, Ashley Charlene Moss Oct 2017

Sleep, Internalizing Symptoms, Executive Functioning, And Diabetes Outcomes In Adolescents With Type 1 Diabetes Mellitus, Ashley Charlene Moss

Dissertations (1934 -)

Insufficient sleep is a nearly universal problem during adolescence and is likely associated with various biopsychosocial and contextual factors present with this developmental period. Youth with type 1 diabetes mellitus (T1DM) may experience greater sleep difficulties, poorer sleep quality, and greater daytime sleepiness/fatigue compared to healthy youth. Also, sleep difficulties are associated with poorer diabetes outcomes (e.g., treatment adherence). Understanding how sleep may impact illness management during adolescence is critical given increasing rates of non-adherence during this developmental period. Although research suggests poor sleep is associated with decreased neurocognitive functioning and increased internalizing behavior among healthy youth, limited research has …


Assessing The Factor Structure Of The Childhood Trauma Questionnaire, And Cumulative Effect Of Abuse And Neglect On Mental Health Among Adolescents In Conflict-Affected Burundi, Ruby Charak, Jtvm De Jong, Lidewyde H. Berckmoes, Herman Ndayisaba, Ria Reis Oct 2017

Assessing The Factor Structure Of The Childhood Trauma Questionnaire, And Cumulative Effect Of Abuse And Neglect On Mental Health Among Adolescents In Conflict-Affected Burundi, Ruby Charak, Jtvm De Jong, Lidewyde H. Berckmoes, Herman Ndayisaba, Ria Reis

Psychological Science Faculty Publications

The present study aimed to examine the factor structure of the Childhood Trauma Questionnaire (CTQ; Bernstein & Fink, 1998), highlight rates of abuse and neglect among Burundian adolescents, compare these rates with those found in high-income nations, and examine the cumulative effect of multiple types of abuse and neglect on depression and PTSD symptoms. Participants were 231 adolescents and youth (M = 14.9, SD = 1.99, 58.4% female) from five provinces of Burundi, a country in Central Africa affected by war and political violence. Translation and back-translation of the CTQ was carried out to obtain an adaptation of CTQ …


The Relationship Between Chronic Health Conditions And Health Literacy, Resiliency And Support/Self-Advocacy In Youth, Mercedes N. Cambric Sep 2017

The Relationship Between Chronic Health Conditions And Health Literacy, Resiliency And Support/Self-Advocacy In Youth, Mercedes N. Cambric

USF Tampa Graduate Theses and Dissertations

Over the past several decades the number of youth living with a chronic health condition has drastically increased. A chronic health condition can be defined as an illness that lasts three months or more that can be controlled but not cured (Centers for Disease Control and Prevention [CDC], 2010). Although there is existing literature on youth with chronic health conditions, there are very few studies that examine the levels of health literacy, resiliency and support/advocacy within this population. The current study is a secondary analysis that utilized data collected from the 37-item Youth Health Literacy and Resiliency Scale (HLRS-Y version) …


Spiritual Emergency: The Understanding And Treatment Of Transpersonal Crises, Christina Grof, Stanislav Grof Sep 2017

Spiritual Emergency: The Understanding And Treatment Of Transpersonal Crises, Christina Grof, Stanislav Grof

International Journal of Transpersonal Studies

There exists increasing evidence that many individuals experiencing episodes of nonordinary states of consciousness accompanied by various emotional, perceptual, and psychosomatic manifestations are undergoing an evolutionary crisis rather than suffering from a mental disease (Grof, 1985). The recognition of this fact has important practical and theoretical consequences. If properly understood and treated as difficult stages in a natural developmental process, these experiences—spiritual emergencies or transpersonal crises—can result in emotional and psychosomatic healing, creative problem-solving, personality transformation, and consciousness evolution. is fact is reflected in the term “spiritual emergency,” which suggests a crisis, but also suggests the potential for rising to …


Roles Of Gabab, Muscarinic And Nicotinic Receptor Signaling In The Acquisition And Expression Of Fructose And Fat-Conditioned Flavor Preferences And Acquisition Of Quinine-Conditioned Flavor Avoidances In Rats, Francis M. Rotella Sep 2017

Roles Of Gabab, Muscarinic And Nicotinic Receptor Signaling In The Acquisition And Expression Of Fructose And Fat-Conditioned Flavor Preferences And Acquisition Of Quinine-Conditioned Flavor Avoidances In Rats, Francis M. Rotella

Dissertations, Theses, and Capstone Projects

In addition to increased intake of sweet solutions by mammals, learning, particularly classically-conditioned “Pavlovian-like” learning, also plays an important role. An orosensory conditioned flavor preference (CFP) can be elicited by pairing one novel flavor (conditioned stimulus, CS+) with a fructose solution and a second novel flavor (CS-) with a saccharin solution. Rats will prefer the CS+ flavor in a subsequent 2-bottle choice test with both flavors mixed in saccharin. Previous pharmacological analyses revealed that systemic administration of dopamine (DA) D1 and D2 as well as NMDA, but not opioid, receptor antagonists eliminated the acquisition (learning) of fructose-CFP. Further, expression of …


Making Sense Of Missing Sessions: Attendance Patterns In Posttraumatic Stress Disorder And Substance Use Disorder Treatments, Margaret Rauen Sep 2017

Making Sense Of Missing Sessions: Attendance Patterns In Posttraumatic Stress Disorder And Substance Use Disorder Treatments, Margaret Rauen

Dissertations, Theses, and Capstone Projects

The current study examined the diverse ways individuals with co-occurring Posttraumatic Stress Disorder and Substance Use Disorders (PTSD-SUD) attend treatment. The study was a secondary analysis of a randomized controlled trial for PTSD-SUD (Ruglass et al., 2017), in which participants meeting criteria for both PTSD and SUD (N=82) were randomized to either Concurrent Treatment of PTSD and SUD using Prolonged Exposure (COPE: n=39) or Relapse Prevention Therapy (RPT: n=43). Latent class growth analysis (Muthén & Muthén, 2000) revealed three distinct classes of attendance as the model of best fit. Diagnostic, but not demographic, variables were significantly associated with treatment attendance …