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Cognitive And Psychodynamic Mechanisms Of Change In Treated And Untreated Depression, Daniel Coleman, Diane Cole, Leslie Wuest

Faculty Publications - College of Social Work

Two patient-level mechanisms of change, defenses, and cognition were tested over 3 time points in 65 depressed adults, approximately half receiving treatment. Early changes in automatic thoughts and immature defenses were associated with symptom change from time-one to time-three. The directionality of early automatic thought change predicting symptom change was partially supported, but immature defense change occurs simultaneously with, or after, symptom change. Given the convergent evidence of cognitive change as a mediator of depression reduction, all depression therapies should consider how they address depressive cognition. To build a more complete understanding of how to ameliorate depression, future studies should …

Quality Of Life, Religious/Spiritual Coping, Demoralization And Depression In Heart Failure Patients, Terry Larsen Phd, Rn, Cns

Dissertations

Background: Research suggests that the heart failure (HF) population is particularly vulnerable to depression. Other factors may also affect quality of life such as religious/spiritual coping, and demoralization. Purpose: The purpose of this descriptive correlational study was to examine factors that predict health-related quality of life (HRQoL) in adults with heart failure. Specific Aims: (1) to examine level of religious/spiritual coping, spiritual distress, demoralization, depression and HRQoL among adults with heart failure; (2) to examine the relationships of religious/spiritual coping, spiritual distress demoralization, depression and selected demographic variables (age, gender, race/ethnicity and length of living with HF) with HRQoL. Methods: …

Affective Forecasting In Depression:The Effects Of Rumination Versus Reappraisal, Catherine M. D'Avanzato

Open Access Theses

There is much evidence that people are inaccurate in predicting the impact of future situations on their emotions. At the same time, affective forecasts have important implications for behavior, decision-making, and current mood, and may play an important role in the maintenance of emotional disorders. This study investigated two factors that influence affective forecasting: (1) Whether affective forecasting is associated with depressive symptoms and (2) Whether strategies people use to regulate their current affect influence their predictions of future emotional responses. Participants ruminated or reappraised in response to a sad mood and completed a measure of depressive symptoms (BDI). Results …

The Impact Of Adherence To Traditional Masculine Gender Role Norms On Anger And Depression, Matthew Charles Genuchi

Electronic Theses and Dissertations

Large scale studies of the incidence and prevalence of psychological disorders have consistently shown that women meet full DSM-IV criteria for major depressive disorder at twice the rate of men (Kessler et al., 1994; Kessler et al., 2003; NCS-R, 2007; Robins & Reiger, 1991). Some have proposed (Cochran & Rabinowitz, 2000; Kilmartin, 2005; Pollack, 1998) that the current DSM-IV diagnostic criteria do not adequately reflect the depressive symptoms of some men. Men tend to use more externalizing defenses and distracting coping styles to manage negative affect, and anger is hypothesized as an externalizing symptom of a masculine variation of major …

Effects Of Chronic Paroxetine And Fluoxetine Treatment On Markers Of Suicidal Behavior In Adolescent Rats, Leslie Renee Horn

Theses Digitization Project

Major depression is a common problem in adolescents. Unfortunately, one of the most effective antidepressants in adults, the selective serotonin reuptake inhibitor (SSRI) paroxetine, is not clinically effective in pediatric populations. There are many variables that increase the risk of suicide including genetic, social, psychological, and biological factors, making the evaluation of the effect of SSRIs on suicidal behavior difficult to assess in human adolescents. The goal of the present investigation was to compare the effects of paroxetine and fluoxetine in adolescent rats on markers associated with depression and suicidal behavior in humans.

Assessment Of Early Maladaptive Schemas Via A Modified Stroop Task, Yelena Kholodenko

Theses Digitization Project

Processing biases play a major role in the understanding of anxiety disorders. The Schema theory hypothesizes that belief systems, early maladaptive schemas (EMS), cause selective processing of confirmatory information to the exclusion of disconfirmatory information. The current study was the first report attempting to provide empirical support for the measurement of EMS with a subtle cognitive processing assessment such as the Stoop task. A Schema Stroop task was constructed for the purposes of the current study.

Major Depression : Diagnosis And Intervention, Lindsay Linck

Graduate Research Papers

This paper will be an analysis of the psychological disorder of major depression. First, the classification of this disorder using the DSM-IV-TR will be reviewed. The areas of etiology, differential diagnosis, and treatment will then be considered. Following, a theory-specific approach to the disease including theoretical framework, diagnosis and treatment, and outcomes of using this approach, will be examined. Finally a personal reflection on the subject of major depression, and lessons learned from this project, will be discussed.

Exercise Intervention, Thomas Earl Loney

Graduate Research Papers

Depression is a major cause of hardship in the U.S., both in terms of individual mental health and cost of treatment. Exercise and physical activity presents a low-cost alternative to achieve the same positive alleviation of depressive symptoms as medications and psychotherapy. There is a large body of research linking exercise to an increase in positive emotions, as well as a range of other benefits.

This paper will discuss some reasons counselors may consider exercise intervention for clients suffering from clinical depression, describe the use of this intervention, as well as leading theories explaining the mechanics behind the emotionally lifting …

Exploration Of The Meaning Of Depression Among Psychologists: A Quantitative And Qualitative Approach, Akira Murata

Electronic Theses and Dissertations

While depression is considered the most common mental illness regardless of age, gender, ethnicity, and socioeconomic status, compared to research on the general population, depression among psychologists has received little attention. However, as they are one of the major mental health care professionals, psychologists' mental health could greatly affect their clients' mental health, which raises competency and ethical concerns regarding their work as clinicians. In order to learn more about depression in this group, questionnaires were mailed to 800 randomly selected psychologists in the state of Colorado to examine the prevalence of depression among psychologists, how they dealt with their …

The Role Of Employment Status, Work Disruption, Leisure, And Resources In The Mental Health Of Demenita Caregiving Daughters, Lisa Jones Ficker

Wayne State University Dissertations

Employment has been consistently identified as a role strain among dementia caregivers. This study sought to examine the patterns and context of employment and work disruption among dementia caregiving daughters and learn the extent to which work disruption influences mental health through hypothesized reductions in financial resources and leisure activities. This study was a cross-sectional design that extracted data of 486 daughter caregivers from a dataset that gathered information from Caucasian, African American, and Latina dementia caregivers at six research sites across the nation.

Results indicated that caregiving daughters who were employed reported the lowest number of depressive symptoms and …

The Relationship Of Maternal Age, Trimester Of Entry Into Prenatal Care, Maternal Postpartum Depression, And Race With Birth Weight Of Infants Born In Cincinnati, Ohio, Kelli Kohake

Master of Public Health Program Student Publications

Healthcare, resources, and technology in the United States (U.S.) has improved, yet the U.S. ranks 29th in the world for the highest infant mortality rates – behind other less developed countries. Within the U.S., Ohio (and Hamilton County in particular) has high rates of infant mortality. Low birth weight and preterm births are a major cause of infant mortality. Data analysis was done consisting of descriptive statistics and Analysis of Variance of the prenatal patients served at the Cincinnati Health Department health centers who delivered in 2009, with dependent variables of birth weight and postpartum depression. Independent variables included maternal …

The Hard Reduction Psychology And Neuroscience, Caleb Kaufman

Theses & ETDs

As theory from cognitive psychology and clinical psychology are being formally included under the auspice of neuroscience, the question of integration arises. Reductionism and the mind-body problem provide a framework from which to examine this question. Reductionism highlights particular problems in attempting to explain the mental, experiential content of psychology in terms of neurobiology, such that identity claims cannot yet be made. Nonetheless, attempts to explain, and explain away the mental experiential content of psychology make themselves evident in contemporary neuroscience. Interactionism, as a method, is a viable option which respects the irreducibility of the mental, while allowing productive research …

An Exploratory Investigation Of Sleep Disturbance In The Pathogenesis Of Depression, Kristen Linnae Ponte

Theses & ETDs

The relationships among stress, sleep, and depression were examined to understand the role of sleep in the etiology of depression. A sample of 335 participants, age range 18-29 years, completed the Pittsburgh Sleep Quality Index (PSQI), the Perceived Stress Scale (PSS), and the Depression Anxiety Stress Scale (DASS-21). Perceived stress, sleep quality, and sleep duration predicted levels of depression. Sleep quality and duration interacted with perceived stress and levels of depression. As sleep quality worsened or duration decreased, levels of depression increased much more rapidly. Sleep disruption should no longer be considered a stress-related outcome, but rather a biological stressor …

The Effects Of Brief Psychoeducation On Adolescents' Depressive Symptoms And Perceptions Of Parenting, Mallory Mcbride

Graduate Student Theses, Dissertations, & Professional Papers

Adolescent depression is a mental health disorder that occurs during the teenage years and involves chronic and persistent feelings of sadness and loss of interest in usual activities, as well as a broad range of additional physical and emotional symptoms. These maladaptive symptoms have repercussions across all areas of adolescents' functioning. One area that is affected when an adolescent is depressed is how the adolescent perceives his/her world, experiences, and situations. Research demonstrates that depressed adolescents are likely to perceive a wide variety of events and situations in overly negative ways, including their parents' parental styles and behaviors. One avenue …

Shame, Guilt, And Knowledge Of Hpv In Women Recently Diagnosed With Hpv-Related Cervical Intraepithelial Neoplasia (Cin), Sarah E. Flynn

University of Kentucky Doctoral Dissertations

The current study investigated the relationships between state shame, guilt, and disease knowledge in women recently diagnosed with cervical intraepithelial neoplasia (CIN) caused by the human papillomavirus (HPV). Recent research has indicated that diagnosis of HPV can elicit negative self-directed affect, including persistent experiences of shame. Studies have also shown that knowledge of HPV is low in the general population, even though it is the most common sexually transmitted infection. It is important to understand how shame affects those with HPV because shame is related to a decline in important immune parameters that may be essential in HPV clearance. A …

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 …

Rewiring Head And Heart : An Investigation Into The Efficacy Of A Clinical Psychotherapeutic Modality For The Treatment Of Depression, Genevieve Milnes

Theses: Doctorates and Masters

This is a presentation of the psychotherapeutic treatment modality, „Rewiring Head & Heart (Rewiring)‟ that combines cognitive therapy (“head”) with psychodynamic exercises (“heart”) into an evidence-based clinical treatment modality for use by therapists. This study extends previous research conducted by Milnes (1998). Descriptions of the origins of the treatment modality, the underpinning theoretical framework, and practical application in the Rewiring Manual are followed by an empirical investigation of its efficacy on a sample of adults with depressed mood, before discussing case studies and issues of clinical application of Rewiring. Rewiring consists of two contributing elements – Cognitive Fluency (CF) and …

Test-Retest Reliability Of Self-Reports Of Depression And Anxiety Among Students With High Functioning Autism Spectrum Disorders, Jill Williams

Legacy Theses & Dissertations (2009 - 2024)

Anxiety and depression are more prevalent in children and adolescents with Autism Spectrum Disorders (ASDs) than in the general population. Due to their cognitive impairments, and questions concerning the validity and reliability of their responses, it is unknown whether these individuals can accurately self-report their internalizing disorders. The aim of this study was to investigate the internal consistency reliability and test-retest reliability of self-reports of depression and anxiety amongst children and adolescents with ASDs. The study used a convenience sample of 31 subjects aged 8 to 17 with a diagnosis of high-functioning autism. Self-reports were administered using the Child Depression …

Life Transitions, Social Support And Psychological Well-Being Among The Elderly In Taiwan : A Longitudinal Study, Shiau-Fang Chao

Legacy Theses & Dissertations (2009 - 2024)

This study examines the relationships between life transitions, social support and psychological well-being. A decline in health and financial strain were selected as two types of chronic stressors and loss of a spouse as an acute stressor. This study integrates previous literature and develops a unique predictive model involving seven components of social support -- social network size, social network composition, frequency of social contact, satisfaction with social support, types of support, helping others, and proximity of support. Depression and life satisfaction were the two measures of psychological well-being. 3,585 elders who were interviewed up to five times over a …

Improving Primary Care Outcomes For Hispanics With Anxiety Disorders : A Randomized Clinical Trial Evaluating The Effectiveness Of Cognitive-Behavioral Therapy, Velma -. Barrios

Legacy Theses & Dissertations (2009 - 2024)

The proportion of Hispanics in psychosocial treatment outcome research is limited. To our knowledge, no randomized clinical trials have investigated the effectiveness of cognitive-behavioral therapy in adult Hispanics with anxiety disorders. This is important because Hispanics are among the fastest growing minority group in the U. S., and as a group, they evidence pervasive and persistent anxiety disorders. The growth of the Hispanic population has taken place while social service systems are ill prepared to address the needs of these individuals. In this study, we addressed this gap in the literature by evaluating the difference in clinical effectiveness of cognitive …

Pharmacological Reversal Of Cognitive Bias In The Chick Anxiety-Depression Continuum Model, Kristen Anne Hymel

Electronic Theses and Dissertations

Cognitive bias is a phenomenon that presents in clinical populations where anxious individuals tend to adopt a more pessimistic interpretation of ambiguous aversive stimuli and depressed individuals not only tend to adopt a more pessimistic interpretation of ambiguous aversive stimuli, but also a less optimistic interpretation of ambiguous appetitive stimuli. Such biases have also been pharmacologically reversed in clinical trials. To measure cognitive bias in the chick anxiety-depression continuum model, chicks exposed to an isolation stressor of 5 min to induce an anxiety-like or 60 min to induce a depressive-like state were then tested in a straight alley maze to …

Phenomenological Examination Of Depression In Female Collegiate Athletes, Alyson Jones

Master's Theses

Collegiate athletes may be at an increased risk of depression due to the pressure and stress they face. This risk is of great concern because their health, safety, and sport performance may all be affected. In addition, collegiate athletes are more likely to turn to maladaptive coping behaviors and less likely to seek help for mental health struggles than other populations. It has been suggested that a greater understanding of personal experiences would be helpful in increasing awareness and improving treatment. Therefore, the purpose of the current study was to explore the lived experience of depression in female collegiate athletes. …

Depressive Symptoms In Women Being Screened For Cardiovascular Disease Risk, Suzanne Marie Savoy

Dissertations

Background: Depressive symptomology is an independent risk factor for cardiovascular disease. Over 15% of persons with cardiovascular disease have depressive symptoms, and women are twice as likely to experience these symptoms as men. Depressive symptoms in women “ at risk ” for cardiovascular disease has not been well studied.

Purpose: This study investigated the relationship between depressive symptoms, health-promoting lifestyle behaviors, heart disease risk awareness, cardiac risk, and quality of life in women at risk for cardiovascular disease. Whether the effect of depressive symptoms on quality of life was mediated by cardiac risk and/or health-promoting lifestyle behaviors was also examined. …

Integration Of Spirituality And Cognitive-Behavioral Therapy For The Treatment Of Depression , Jennifer J. Good

PCOM Psychology Dissertations

Major depressive disorder (MDD) is a common mental health problem that is treated by many mental health practitioners. Cognitive-behavioral therapies have proven to be effective in helping restructure the cognitions of the client, which in turn reduces depressive symptom. Research has shown that individuals with MDD who value spirituality tend to view the world in a different way than those individuals that do not hold spirituality as an important value in their life. Spiritual individuals have religious schemas, and therefore, it would be important to incorporate spirituality into the treatment setting. This pilot study utilized a manualized treatment approach that …

Enhancing Group Cognitive Behavioral Therapy For Hispanic/Latino Clients With Depression : Recommendations For Culturally Sensitive Practice, Elizabeth Suarez Kuneman

PCOM Psychology Dissertations

Using a qualitative approach, this study explored the process of developing treatment suggestions for adding cultural sensitivity to an empirically supported, group cognitive-behavioral therapy (CBT) treatment manual for Hispanic/Latino clients with depression. Suggestions were formulated through the implementation of one vignette centered on a male character, addressing Hispanic/Latino cultural values as described in the literature. This researcher sought bilingual mental health providers (English-Spanish/Spanish-English) who worked with Hispanic/Latino clients; four from a group of ten who responded, reviewed the researcher’s suggestions and answered a seven item semi-structured questionnaire, which was developed to elicit their comments. Analysis of the data revealed themes …

Effect Of Individual Cognitive Behavioral Therapy On Depression And Anxiety In Older Adults With Chronic Obstructive Pulmonary Disease : A Feasibility Study, Eileen Lightner

PCOM Psychology Dissertations

The progression of chronic obstructive pulmonary disease (COPD) in older adults has been associated with a high prevalence of depression and anxiety (Kunik et al., 2005). The purpose of this study was to examine the effects of a COPD-specific individual cognitive behavioral therapy (CBT) intervention on depression and anxiety in older adults with COPD. Three older adult patients with moderate to severe COPD and comorbid depression and anxiety were recruited from a large hospital affiliated pulmonary practice to participate in this single subject multiple baseline feasibility study. Pre-test-post test assessments were conducted utilizing the Geriatric Depression Scale (GDS), the State …

Factor Structure And Psychometric Characteristics Of The Beck Depression Inventory-Fast Screen In A Sample Of Patients With Pain, Robin L. Carosella

PCOM Psychology Dissertations

The purpose of this study was to extend previous literature of the BDI-FastScreen and demonstrate a more empirical clinical utility within a sample of patients with pain. This study utilized existing data found in a large, multiphysician, multilocation pain management practice. The sample consisted of 328 male and female patients with pain. Various psychometric analyses were performed. Results pertaining to the internal consistency of the BDI-FastScreen determined the items most highly correlated were pessimism and loss of pleasure. A factor analysis revealed 49.18 % of the variance of the factor structure of the BDI-FastScreen was comprised of one factor. …

Training The Forgetting Of Negative Material: The Role Of Active Suppression And The Relation To Stress Reactivity, J. Lemoult, Paula T. Hertel, Jutta Joormann

Psychology Faculty Research

In this study, the authors investigated whether training participants to use cognitive strategies can aid forgetting in depression. Participants diagnosed with major depressive disorder (MDD) and never-depressed participants learned to associate neutral cue words with a positive or negative target word and were then instructed not to think about the negative targets when shown their cues. The authors compared 3 different conditions: an unaided condition, a positive-substitute condition, and a negative-substitute condition. In the substitute conditions, participants were instructed to use new targets to keep from thinking about the original targets. After the trainingphase, participants were instructed to recall all …

Conquering Avoidance By Avoiding Death: The Effects Of Mortality Salience On Goal Value, Goal Commitment, And Goal Pursuit In Depressive Individuals, Peter John Myxter

Psychology

Research into the antecedents and consequences of successful goal pursuit is reviewed within the framework of a proposed existential intervention for depression. Behavioral perspectives propose that insufficient goal pursuit and concomitant positive reinforcement leads to depressed mood. While substantial research has been conducted examining the relation between goal pursuit and psychological well-being, little research exists regarding strategies for fostering increased motivation for goal pursuit in depressed individuals. This review suggests that novel strategies for increasing goal pursuit motivation can be derived from the existential paradigm of Terror Management Theory (TMT). Past TMT research indicates that reminders of mortality lead to …

Screening For Delirium, Dementia And Depression In Older Adults, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This guideline has been developed to improve the screening assessment of older adult clients for delirium, dementia and depression. This guideline does not include recommendations for the management of these conditions in day-to-day nursing practice.

Best practice guidelines are systematically developed statements to assist nurses and clients in decision making about appropriate healthcare (Field & Lohr, 1990). This guideline focuses on: (1) Practice recommendations: directed at the nurse to guide practice regarding assessment and screening for delirium, dementia and depression in older adults; (2) Education recommendations: directed at educational institutions and organizations in which nurses work to support its implementation; …