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Friendship And Problem Solving : The Effect Of Various Situations On Co-Rumination In Emerging Adulthood Friendships, Kelly Larsen

Honors Theses

Co-rumination is the act of negatively discussing problems with another person. The focus of co-rumination is generally on the negative aspects, or things that cannot be changed as opposed to active problem solving. Co-rumination is positively associated with positive friendship quality as well as internalizing symptoms such as anxiety and depression. Co-rumination is most commonly studied in children and adolescents, but the present study extends this research by looking at the undergraduate population. In addition the current study aims to find differences in co-rumination in response to four different hypothetical scenarios. One hundred and thirty one students at the University …

The Association Between Depressive Symptoms, Relationship Satisfaction, And Self- And Partner-Attributions, Amy Harrison Smith

Psychology Theses & Dissertations

Attributions of partners have been examined in the depressive symptom-relationship satisfaction literature, while attributions of self have not been adequately addressed. In the present study, attributions of self and partner were investigated as mediators of the association between depressive symptoms and relationship satisfaction. A student and community sample of 270 adults in heterosexual romantic relationships completed an online survey consisting of depressive symptom, relationship satisfaction, and relationship attribution inventories. Pearson's product-moment correlation and multiple regression analyses were utilized to assess meditational pathways. Depressive symptoms were significantly negatively correlated with relationship satisfaction. Self- and partner-attributions were significantly positively correlated with relationship …

Examining Associations Between Mothers' Early Adversity, Depression And Maternal Sensitivity, Rossana Bisceglia, Greg Moran, Jennifer Jenkins

Psychology Presentations

This study tested two models for the indirect influence of mothers’ early adversity on maternal sensitivity:

Model A:

• Mothers’ appraisal of infant temperament was hypothesized to mediate the influence of mothers’ early adversity and depression on maternal sensitivity
• There would be no direct influence of maternal depression

Model B:

• Mothers’ depression was hypothesized to have a direct influence on maternal sensitivity
• Mothers’ perception of infant temperament would not mediate the influence of maternal depression on maternal sensitivity

Cognitive Triad As Mediator In The Hopelessness Model? : A Three-Wave Longitudinal Study., Patrick Pössel, S. Denise Thomas

Faculty and Staff Scholarship

Several authors proposed that all elements of Beck’s cognitive triad (1976) mediate the associations between inference style as described in the hopelessness model (Abramson, Alloy, & Metalsky, 1989) and depressive symptoms. Results of a 3-wave longitudinal study indicate only a partial mediation model with all elements of the cognitive triad being associated with all inference styles, with depressive symptoms fitting the data best. Controlling for direct and indirect effects, no individual element of the cognitive triad mediates the association between inference styles and depressive symptoms. The partial mediation model is not stable across sex or clinical vs subclinical samples. In …

Improving Function In Age-Related Macular Degeneration: Design And Methods Of A Randomized Clinical Trial., Barry W Rovner, Robin J Casten, Mark T Hegel, Robert W Massof, Benjamin E Leiby, William S Tasman

Department of Psychiatry and Human Behavior Faculty Papers

Age-Related Macular Degeneration (AMD) is the leading cause of severe vision loss in older adults and impairs the ability to read, drive, and live independently and increases the risk for depression, falls, and earlier mortality. Although new medical treatments have improved AMD's prognosis, vision-related disability remains a major public health problem. Improving Function in AMD (IF-AMD) is a two-group randomized, parallel design, controlled clinical trial that compares the efficacy of Problem-Solving Therapy (PST) with Supportive Therapy (ST) (an attention control treatment) to improve vision function in 240 patients with AMD. PST and ST therapists deliver 6 one-hour respective treatment sessions …

Association Of Depression With Treatment Outcomes In Type 2 Diabetes Mellitus: A Cross-Sectional Study From Karachi, Pakistan, Saman I. Zuberi, Ehsan U. Syed, Junaid A. Bhatti

Section of Diabetes, Endocrinology and Metabolism

Background: To assess the associations of depression with glycemic control and compliance to self-care activities in adult Patients with Type 2 Diabetes Mellitus. Methods: This cross-sectional study was conducted at a tertiary-care hospital in Karachi (Aga Khan University Hospital). Equal numbers of depressed and non-depressed Patients were consecutively recruited from the diabetic clinic. Information on demographic and clinical characteristics was collected in face-to-face interviews and from medical records. Hospital Anxiety Depression Scale (HADS) was used to measure depression. Associations of depressed status (HADS >= 8) with poor glycemic control (Hemoglobin A1c level >= 7%) and compliance to self-care activities were …

Depression And Anxiety In Patients With Epilepsy, With Or Without Other Chronic Disorders., A A Asadi-Pooya, M R Sperling

Department of Neurology Faculty Papers

BACKGROUND: Most people with epilepsy lead a normal emotional and cognitive life, however neurobehavioral problems can be found in a large number of patients. This study evaluates the prevalence of depression and anxiety among patients with epilepsy and determines whether having other chronic somatic illnesses increases the prevalence.

METHODS: Adults with epilepsy were recruited in either the inpatient epilepsy monitoring unit or the Outpatient Epilepsy Clinic at Thomas Jefferson University in 2006. Patients anonymously filled out a questionnaire, included data about age, sex, education, having other chronic illnesses, and degree of seizure control. The Hospital Anxiety and Depression scale was …

Estimating The Effects Of Immigration Status On Mental Health Care Utilizations In The United States, Jie Chen, Arturo Vargas-Bustamante

Publications and Research

Immigration status is a likely deterrent of mental health care utilization in the United States. Using the Medical Expenditure Panel Survey and National Health Interview survey from 2002 to 2006, multivariable logistic regressions were used to estimate the effects of immigration status on mental health care utilization among patients with depression or anxiety disorders. Multivariate regressions showed that immigrants were significantly less likely to take any prescription drugs, but not significantly less likely to have any physician visits compared to US-born citizens. Results also showed that improving immigrants’ health care access and health insurance coverage could potentially reduce disparities between …

Bidirectional Relations Of Religious Orientation And Depressive Symptoms In Adolescents : A Short-Term Longitudinal Study., Patrick Pössel, Nina C. Martin, Judy Garber, Aaron W. Banister, Natalie K. Pickering, Martin Hautzinger

Faculty and Staff Scholarship

Religious orientation can be divided into intrinsic and extrinsic: intrinsically oriented individuals “live their religion,” whereas extrinsically oriented individuals practice religion mainly to gain external benefits. In adults, depression has been found to correlate negatively with intrinsic religious orientation and positively with extrinsic orientation. Studies of the relation between religiosity and depression typically have not been longitudinal, conducted with adolescents, controlled for the influence of other factors associated with depression (i.e., negative cognitions), or examined the reverse relation of depression predicting religious orientation. Our four-month longitudinal study of 273 ninth-grade students addressed these issues. Results showed that higher intrinsic religious …

Spiritual Well-Being And Quality Of Life Among Persons With Paraplegia, Darlene Nelson Finocchiaro Phd, Msn, Rn, Crrn

Dissertations

With the advent of better emergency response and medical advances, the life expectancy of persons with spinal cord injury (SCI) is about 85% to 90% compared to that of non-disabled persons. Since SCI survivors are living well into their 70s, quality of life (QOL) is a major concern. The purpose of this study, informed by Ferrell and Grant's Quality of Life Model, was to examine relationships between spiritual well-being (SWB), existential well-being (EWB), religious spiritual well-being (RWB), depression, length of injury, age, gender, ethnicity, and QOL while living with paraplegia one year and longer. A descriptive, correlational, cross-sectional design, with …

The Role Of Rumination In The Function, Content, And Affective Quality Of Self-Defining Memories, Mary Gover

Psychology Honors Papers

Rumination is a response to a negative mood that is characterized by an intense self focus, specifically on one’s negative feelings and the challenges or problems these feelings may pose (Nolen-Hoeksema, 1991). Numerous studies have stressed the maladaptive nature of this response style and several have begun to investigate its role in autobiographical memory recall (Lyubomirsky, Caldwell, & Nolen-Hoeksema, 1998; Lyubomirsky & Nolen-Hoeksema, 1995; Nolen-Hoeksema, Parker, & Larson, 1994). However, rumination research has yet to focus on self-defining memories which have an added relevance and importance to an individual (Singer & Blagov, 2004). The present study investigates rumination’s role in …

Types Of Prayer And Depressive Symptoms Among Cancer Patients: The Mediating Role Of Rumination And Social Support, John E. Perez, Amy Rex Smith, Rebecca L. Norris, Katia M. Canenguez, Elizabeth F. Tracey, Susan B. Decristofaro

Psychology

We examined the association between different types of prayer and depressive symptoms—with rumination and social support as potential mediators—in a sample of predominantly White, Christian, and female ambulatory cancer patients. In a cross-sectional design, 179 adult cancer outpatients completed measures of prayer, rumination, social support, depressive symptoms, and demographic variables. Type and stage of cancer were collected from electronic medical charts. Depressive symptoms were negatively correlated with adoration prayer (r = −.15), reception prayer (r = −.17), thanksgiving prayer (r = −.29), and prayer for the well-being of others (r = −.26). In the path analysis, …

Mild To Moderately Severe, J D. Valencia

Electronic Theses and Dissertations

Mild to Moderately Severe is an episodic memoir of a boy coming of age as a latch-key kid, living with a working single mother and partly raising himself, as a hearing impaired and depressed young adult, learning to navigate the culture with a strategy of faking it, as a nomad with seven mailing addresses before turning ten. It is an examination of accidental and cultivated loneliness, a narrative of a boy and later a man who is too adept at adapting to different environments, a reflection on relationships and popularity and a need for attention and love that clashes with …

Interpersonal Trauma, Posttraumatic Stress And Depression, Brennan J. Young

Electronic Theses and Dissertations

Dating aggression is common among emerging adults, and women who experience aggression from a dating partner are at risk for elevated depression and posttraumatic stress (Dutton et al., 2006). Although some women end their relationships as a result of aggression, other women remain committed to their partner, and aggression tends to escalate over time. The current study explored the role that depression and posttraumatic stress play in ending aggressive dating relationships as well as changes in these symptoms after ending such a relationship. The current study also sought to identify factors predictive of individual differences in emerging adults' commitment to …

Perceived Effectiveness Of Sports Interventions On Mental Health: Exploring The Perspectives Of Professional Educators, Isais Wellington Smith, Gamaliel Beltran

Theses Digitization Project

The purpose of this study was to examine sports interventions among professional educators and how sports as an exercise method can contribute to mental health well being. Sports and exercise in many therapeutic environments may help individuals alleviate symptoms pertaining to depression, anxiety, schizophrenia, bi-polar, and many other mental health disorders.

The Causal Role O F Attention Bias In Depressive Symptomatology, Rebecca Mcdermott

Digitized Theses

Cognitive theories of depression have, for years, postulated the causal role of

attentional biases in depression. The research that has investigated this relationship, however, has been entirely correlational. With the advent of cognitive bias modification techniques (Mathews & MacLeod, 2002) it is now possible to modify attentional bias experimentally. This study explored potential ethical implications o f negative attentional training and aimed to demonstrate that attentional biases are trainable and causally linked to changes in depression characteristics (self-esteem and dysfunctional attitudes). The first study

demonstrated that the results o f negative attentional training (using a modified dot- probe task) are …

The Efficacy Of Hippocampal Stimulation In Preventing Depressive Symptoms, Timothy B. Patrick

ETD Archive

The hippocampus provides negative feedback for the Hypothalamic-Pituitary- Adrenal (HPA) axis. The HPA axis is responsible for producing a response to stressful stimuli. The hippocampus is sensitive to high levels of glucocorticoids (GCs), because of its large number of GC receptors. In times of severe stress, hippocampal function is inhibited and its control over the HPA axis is diminished, leading to hyperactivity of the adrenal glands as well as hypercortisolism, typical of depression. Long-term stress and depression can eventually lead to chronic impairments in cognitive ability, as well as structural damage in the hippocampus. Exercise and environmental enrichment stimulate significant …

Inflamation And Depression, Elena Jeliazkova

Theses & ETDs

Over a century ago, Professor Julius Wagner von Jauregg received the Nobel Prize for his work on the immunological implications of psychiatry. In the past twenty years, Psychoneuroimmunology has produced novel research on the immunological implications of psychiatric disorders, such as depression. Established by the American Psychiatric Association, the Diagnostic and Statistical Manual of Mental Disorders, defines the depression as a depressed mood and loss of interest, insomnia or hypersomnia, fatigue, inability to concentrate, suicidality, psychomotor retardation and weight change. While no clear etiological explanation has been discovered, the pathophysiology of depression involves neurotransmitter imbalance. This review investigates the bidirectional …

Hippocampal Volume Differences In Gulf War Veterans With Current Versus Lifetime Posttraumatic Stress Disorder Symptoms, Brigitte A. Apfel, Jessica Ross, Jennifer Hlavin, Dieter J. Meyerhoff, Thomas J. Metzler, Charles R. Marmar, Michael W. Weiner, Norbert Schuff, Thomas C. Neylan

United States Public Health Resources

Background: Decreased hippocampal volume is described in posttraumatic stress disorder (PTSD) and depression. However, it is not known whether it is a risk factor for the development of PTSD or a consequence of PTSD. We sought to determine the effects of PTSD and depressive symptoms on hippocampal volume.

Methods: Clinical and magnetic resonance imaging data were collected in a cross sectional study of 244 GulfWarveterans. Measures included lifetime and current Clinician Administered PTSD Scale, Hamilton Depression Scale, Life Stressor Checklist, and Lifetime Drinking History. Magnetic resonance imaging data were acquired with a 1.5-T scanner and analyzed with automated …

Factors Associated With Suicidal Ideation In Oef/Oif Veterans, Chad M. Lemaire, David P. Graham

United States Public Health Resources

Background: The purpose of this projectwas to examine factors associated with suicidal ideation in returning Iraq and Afghanistan war veterans.

Methods: A cross-sectional review of 1740 veterans' initial mental health screening evaluations. One-hundred and thirteen (6.5%) OEF/OIF veterans reported active suicidal ideation at the time of the interview.

Results: Prior exposures of physical or sexual abuse and having a history of a prior suicide attempt(s) were associated with the presence of current suicidal ideation, as were having a diagnosis of a psychotic disorder, a depressive disorder, or posttraumatic stress disorder (PTSD). Deployment concerns related to training (protective), …

The Impact Of Treating Major Depression During Pregnancy On The Postpartum Phase, Jamie Kent

Dissertations

Major depression during pregnancy is a risk factor for postpartum depression (PPD). Medically acceptable treatments for depression during pregnancy and postpartum are limited and many women are turning to complementary and alternative treatments. The current project examined whether treatment of major depression during pregnancy reduced the risk for PPD and explored predictors of PPD in this high-risk sample. One hundred twenty women were clinically assessed using the Hamilton Rating Scale for Depression (HRSD17), the Beck Depression Inventory (BDI-II), and the Structured Clinical Interview for DSM-IV (SCID) at ten weeks, six months, and nine months postpartum following random assignment to one …

The Impact Of Exposure To Domestic Violence On Developmental Trajectories Of Depressive Symptoms And Antisocial Behavior Across The Transition To Adulthood, Aely Park

Legacy Theses & Dissertations (2009 - 2024)

Principal Aims:

Effects Of Combat Deployment On Risky And Self-Destructive Behavior Among Active Duty Military Personnel, Cynthia J. Thomsen, Valerie A. Stander, Stephanie K. Mcwhorter, Mandy M. Rabenhorst, Joel S. Milner

United States Navy: Publications

Although research has documented negative effects of combat deployment on mental health, few studies have examined whether deployment increases risky or self-destructive behavior. The present study addressed this issue. In addition, we examined whether deployment effects on risky behavior varied depending on history of pre-deployment risky behavior, and assessed whether psychiatric conditions mediated effects of deployment on risky behavior. In an anonymous survey, active duty members of the U.S. Marine Corps and U.S. Navy (N = 2116) described their deployment experiences and their participation in risky recreational activities, unprotected sex, illegal drug use, self-injurious behavior, and suicide attempts during …

Surface Facial Electromyography, Skin Conductance, And Self-Reported Emotional Responses To Light- And Season-Relevant Stimuli In Seasonal Affective Disorder, Kathryn Tierney Lindsey, Kelly J. Rohan, Kathryn A. Roecklein, Jennifer N. Mahon

Uniformed Services University of the Health Sciences

Background: Learned associations between depressive behavior and environmental stimuli signaling low light availability and winter season may play a role in seasonal affective disorder (SAD). The purpose of this study was to determine whether light and season environmental cues elicit emotional responses that are distinct in individuals with SAD.

Methods: Twenty-four currently depressed SAD participants were compared to 24 demographicallymatched controls with no depression history on emotional responses to outdoor scenes captured under two light intensity (i.e., clear, sunny vs. overcast sky) and three season (i.e., summer with green leaves, fall with autumn foliage, and winterwith bare trees) conditions. Emotion …

Fit Of The Tripartite Model With Residential Youth Referred For Externalizing Problems, Eu Gene Chin

Electronic Theses and Dissertations

The tripartite model of anxiety and depression (Clark & Watson, 1991) has received strong support among adult, adolescent, and child populations. Clinical samples of children and adolescents in these studies, however, have usually been referred for treatment of anxiety and depression. This study investigated the fit of the tripartite model for children and adolescents in a large, inpatient facility who were referred primarily for externalizing problems. Structural Equation Modeling was used to test the tripartite model relationship between negative affect, positive affect, and mood symptoms. Multiple fit indices were used to provide a reliable and conservative evaluation of the model. …

Conflicts Of Interest In Clinical Practice Guidelines, Lisa Cosgrove, Allen F. Shaughnessy

Counseling, School Psychology & Sport Faculty Publication Series

Clinical practice guidelines are used increasingly across medical specialties and settings, making evaluation of their utility and validity a critical public health issue. In this paper, we describe some of the challenges that specialty organizations face as they try to ensure that their guidelines are trustworthy and useful. We examine the practice guidelines for Major Depressive Disorder recently published by the American Psychiatric Association (APA), identify five sources of potential bias that may affect the guideline development process and offer suggestions based on our review. For example, even for mild depression, this guideline privileges pharmacotherapy over other interventions, despite questions …

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 …

Acceptability Of Behavioral Treatments For Insomnia, Daniel Bluestein, Amanda C. Healey, Carolyn M. Rutledge

Ellmer School of Nursing Faculty Publications

Background: Behavioral treatments for insomnia are safe and efficacious but may not be embraced by patients in primary care. Understanding factors associated with acceptability can enhance successful use of these modalities. The objective of this study was to identify demographic and clinical/psychosocial correlates of behavioral insomnia treatment acceptability.

Methods: This nonexperimental, inventory-based, cross-sectional study enrolled patients from a hospital-sponsored primary care clinic and 2 urban academic family practices. Participants (n = 236) were 18 years of age or older who had clinically significant insomnia (Insomnia Severity Index score >= 8) and were recruited consecutively at these sites. A study coordinator …

Can Religious Coping, Religious Involvement, Spirituality, And Social Support Predict Trauma Symptoms At Six Months After Combat? , Justin Orton

Doctor of Psychology (PsyD)

No abstract provided.

Evaluation Of The Youth Development Project: A School And Community Based Intervention Program For At-Risk Youth, Mike Sherman

Theses and Dissertations

Attempts to meet the mental health needs of at-risk youth have led to the development of numerous prevention, intervention, and diversion programs. This study is the first to utilize statistical analyses to assess the treatment efficacy of the Saint John's Child and Family Development Center's Youth Development Project (CFDC-YDP), a school- and community-based treatment program for at-risk youth. The study involved analysis of data that were collected from 87 culturally diverse at-risk youth, ranging in age from 11-19 years old, who were treated by the Youth Development Project program within John Adams Middle School, Lincoln Middle School, Olympic Continuation High …