Medicine and Health Sciences Commons^™

Separate And Concomitant Use Of Lamotrigine, Lithium, And Divalproex In Bipolar Disorders., Daniel Z Lieberman, Frederick K Goodwin

Psychiatry and Behavioral Sciences Faculty Publications

Expert consensus emphasizes the need for better recognition and accurate diagnosis of bipolar disorder. Current research on lithium, divalproex, and lamotrigine provides new insight into the effective management of this illness. Advances in identifying the mechanism of action of mood stabilization has focused on signaling pathways within the cell that are associated with neurotrophic effects. Clinical research has led to confirmatory evidence of the efficacy of lithium in all phases of bipolar disorder, with the greatest effects seen in the treatment and prevention of mania. Compared to divalproex, lithium also has been found to have greater efficacy in the prevention …

Bridges And Barriers To Housing For Chronically Homeless Street Dwellers: The Effects Of Medical And Substance Abuse Services On Housing Attainment, Tatjana Meschede

Center for Social Policy Publications

In the winter of 1998/99, after the deaths of 16 homeless people in the streets of Boston attracted wide attention by the media, the Commissioner of the Massachusetts Department of Public Health (MDPH), Dr. Howard Koh, convened a group of I stakeholders serving the homeless street population. The goal of this MDPH Homeless Taskforce was to reduce the number of homeless people dying on the streets as well as to improve service delivery to those homeless individuals most at risk of dying. A wide range of individuals serving or encountering the homeless street population, including homeless outreach teams, law enforcement …

Ua61 Newsletter, Wku Health & Human Services

WKU Archives Records

Newsletter created by and about the College of Health & Human Services.

• Bonaguro, John. Letter from the Dean
• WKU Clinical Education Complex Moves Forward
• College Welcomes New Associate Dean – Sylvia Gaiko
• Visiting Scholar from Bournemouth University, England – Mandy Rumley
• Partners Key to Successful Hispanic Health Fair & Screening Event
• Area Health Education Centers (AHEC) 4-H Program
• Hispanic Initiative Gets $700K in Funding
• American Humanics Program Implemented at WKU
• CHHS Focuses on Gerontology
• Gerontologist Dr. John Krout Visits WKU
• Rural Elderly Advocacy Program with Students (REAPS)
• Kentucky Emergency Medical Services Academy Offers EMS Management Workshops
• A Day to Give …

Mental Healthcare In A Rural Community, Thuy Nguyen

Independent Study Project (ISP) Collection

This study intends to observe and document the picture of mental health in a rural setting specifically, the Keiskamahoek area. Also, the project aims to evaluate the changes, if any exist, that resulted from recent attempts to integrate mental healthcare into the primary healthcare setting and bring psychiatric patients back to the community environment for treatment.

Re-Engineering Systems For The Treatment Of Depression In Primary Care: Cluster Randomised Controlled Trial, A. J. Dietrich, Thomas E. Oxman, John W. Williams Jr., Herbert C. Schulberg, Martha L. Bruce, Pamela W. Lee, Sheila Barry

Dartmouth Scholarship

Objective: To test the effectiveness of an evidence based model for management of depression in primary care with support from quality improvement resources.

A Pilot Study Examining The Difference In Community Mental Health Services Users' Symptomatology And Concordance With Medication Regimens After Completion Of The Quarto Adherence Therapy Intervention, Stephanie Hall Ford

FIU Electronic Theses and Dissertations

A randomized, experimental pilot study of QUATRO Adherence Therapy examined differences at baseline and follow up in the dependent variables of severity of psychiatric symptomatology and medication concordance as measured by the Positive and Negative Symptom Scale and the Personal Evaluation of Transitions in Treatment for subjects with schizophrenia and schizoaffective disorder at a community mental health center. The sample was 23 subjects. A questionnaire developed for the study collected data at follow-up. Data were analyzed using descriptive statistics, /-tests, and repeat Anova to compare groups and determine significance of change following completion of the intervention. Program evaluation was positive. …

Social Support Protects Against The Negative Effects Of Partner Violence On Mental Health, Ann L. Coker, Paige H. Smith, Martie P. Thompson, Robert E. Mckeown, Lesa Bethea, Keith E. Davis

CRVAW Faculty Journal Articles

Objectives: Social support for abused women may reduce the impact of abuse on mental health, yet few studies have addressed this issue. We wish to determine associations between intimate partner violence (IPV) and mental health outcomes and to assess the protective role of abuse disclosure and support on mental health among abused women.

Methods: A cross-sectional survey was conducted of 1152 women, ages 18–65, recruited from family practice clinics from 1997 through 1999. They were screened for IPV during a brief in-clinic interview, and physical and mental health status was assessed in a follow-up interview.

Results: IPV, defined as sexual, …

Research In Home-Care Telemedicine: Challenges In Patient Recruitment, Usha Subramanian, Faith Hopp, Julie Lowery, Peter Woodbridge, David Smith

Social Work Faculty Publications

This study reports challenges in recruiting patients for a randomized controHed trial of home-care telemedicinae. Descriptive statistics on patient eligibility for home-care telemedidne services and patient refusals for participation are provided. Frequency counts of reasons for study exclusion and participant refusal and Chi-square tests to compare race and age-related differences are given. Of 302 home-care patients reviewed, 197 (65.2%) did not meet inclusion criteria. The most common reasons for study exclusion were patients either needing <2 visits per month (n = 59, 30%) or >3 skilled nurse visits per week (n = 46, 23.4%). Of the eligible patients (n = 105), 79 …

Linking Session Focus To Treatment Outcome In Evidence-Based Treatments For Adolescent Substance Abuse, Aaron Hogue, Howard A. Liddle, Sarah Dauber, Jessica Samuolis

Psychology Faculty Publications

The relation between specific therapy techniques and treatment outcome was examined for 2 empirically supported treatments for adolescent substance abuse: individual cognitive–behavioral therapy and multidimensional family therapy. Participants were 51 inner-city, substance-abusing adolescents receiving outpatient psychotherapy within a larger randomized trial. One session per case was evaluated using a 17-item observational measure of model-specific techniques and therapeutic foci. Exploratory factor analysis identified 2 subscales, Adolescent Focus and Family Focus, with strong interrater reliability and internal consistency. Process–outcome analyses revealed that family focus, but not adolescent focus, predicted posttreatment improvement in drug use, externalizing symptoms, and internalizing symptoms within both study …

Predictors Of Participation In Premarital Prevention Programs: The Health Belief Model And Social Norms, Kieran T. Sullivan, Lauri A. Pasch, Tara Cornelius, Ellen Cirigliano

Psychology

The development of effective programs to prevent marital dysfunction has been a recent focus for marital researchers, but the effective dissemination of these programs to engaged couples has received relatively little attention. The purpose of this study is to determine which factors predict couples' participation in premarital counseling. Predictive factors were derived from the health prevention literature, with a particular focus on the health belief model (HBM). Couples' beliefs and attitudes about premarital counseling were assessed at least six months before their wedding, and participation was assessed after their wedding. Results indicate that the strongest predictors of couples' participation were …

Trust And Health Service Use, Jen Chen Huey

Mental Health Law & Policy Faculty Publications

The emergence of managed care into the health care system was intended to change the behaviors of both providers and patients to contain rising health care costs. These management strategies raise concerns about interference with professional trust relationships and its impact on access to care and quality of care, especially for disabled individuals with severe mental illness. Due to their vulnerability, they are less likely to advocate for themselves in receiving proper quality health care. In addition, distrust of health care systems is a prominent feature of this population because of their past experiences with systems of care and providers …

The Effects Of Self-Monitoring And Religious Self-Discrepancies On Negative Affect, John Parker

Masters Theses & Specialist Projects

According to Higgins's (1987) self-discrepancy theory, an individual's selfesteem is based upon fulfilling one's self-expectations or the expectations of significant others (e.g., spouse or parent). Failure to live up to these expectations results in greater levels of depression, anxiety, and lower self-esteem. Previous research has also found that those low in Snyder and Gangestad's (1986) self-monitoring construct are more influenced by their own expectations, while those high in self-monitoring are more influenced by others' expectations. It was predicted that Christians who are low in self-monitoring will have greater levels of depression and anxiety and lower self-esteem if they fail to …

The Relationship Between Stress, Satisfaction, And Emotional Intelligence In College Students, Jessica Largen

Masters Theses & Specialist Projects

The relationship between stress and satisfaction has been well documented. However, little is known about the possible mediating effect that emotional intelligence may have on that relationship. This study addressed the role emotional intelligence plays between stress and satisfaction. By collecting measures of stress, life satisfaction, satisfaction with school, and emotional intelligence, this researcher examined the question "Does emotional intelligence serve as a moderator in the relationship between satisfaction and stress?" Results indicated that, after removing the effects of stress, emotional intelligence and satisfaction demonstrated a positive significant relationship. Emotional intelligence was related to the Big Five factors of Conscientiousness, …

Relationships Between Personality And Individual Perceptions Of Social Cohesion, James Garrett

Masters Theses & Specialist Projects

This research explored personality correlates of social cohesion. Groups of two were given a task to perform that required cooperation between the two team members. This task exposed each team member to the other's personality. Upon completion of the task, the individual perceptions of social cohesion were assessed by each individual. We hypothesized that extraversion, emotional stability, and agreeableness of one team member will correlate positively with the other team member's perception of social cohesion. These hypotheses were not supported. However an exploratory analysis showed that an individual's level of extraversion and conscientiousness were positively correlated to that same individual's …

Women Alcoholics And Addicts : An Examination Of The Role Of Gender-Specific Treatment Programs In Substance Abuse Counseling, Adarienne L. Burrow

Graduate Research Papers

Traditionally, substance abuse treatment programs have been developed based on data collected on male substance abusers. Women entering into these traditional treatment programs often are not successful at recovery. Male-based treatment programs are not designed to meet the complex set of needs of women substance abusers and addicts. The purpose of this research is two-fold. First, to identify the specific needs of women substance abusers and addicts. And secondly, determine how to address these identified needs in a substance abuse treatment program in order to provide a holistic approach to substance abusing and addicted women.

Early Adolescent Through Young Adult Alcohol And Marijuana Use Trajectories: Early Predictors, Young Adult Outcomes, And Predictive Utility, Kate Flory, Donald Lynam, Richard Milich, Carl Leukefeld, Richard Clayton

Psychology Faculty Publications

The present study takes a developmental approach to subgrouping and examines the trajectories of substance use from early adolescence through young adulthood among a community sample of 481 individuals. The patterns of use were examined, subgroups were identified separately for men and women and for alcohol and marijuana, and psychosocial predictors and psychopathology outcomes that differentiated the groups were identified. The results revealed three substantially overlapping subgroups for both alcohol and marijuana: early onset, late onset, and nonuser. Although the general patterns of which dependent variables were related to group were similar for alcohol and marijuana, a closer examination revealed …

Characteristics Of Aboriginal Injecting Drug Users In Sydney, Australia: Prison History, Hepatitis C Status And Drug Treatment Experiences, Carolyn Day, Joanne Ross, Kate Dolan

Aboriginal Policy Research Consortium International (APRCi)

Australian Aboriginals are overrepresented in prisons and tend to be overrepresented in studies of injecting drug users (IDU). The aim of this study was to examine differences between Aboriginal and non-Aboriginal IDUs in terms of gender, prison history and hepatitis C status and testing. Secondary analyses were conducted on data from three cross-sectional studies of IDUs. These studies employed similar methodologies, with recruitment being through needle and syringe programs, methadone clinics, snowballing and street intercepts. All studies were coordinated through the National Drug and Alcohol Research Centre. Aboriginal people were overrepresented in all studies, were more likely to have been …

Environmental Risk Factors In Hospital Suicide., Daniel Z Lieberman, Harvey L P Resnik, Vicenzio Holder-Perkins

Psychiatry and Behavioral Sciences Faculty Publications

Suicide of hospitalized patients is the most common sentinel event reviewed by The Joint Commission on Accreditation of Healthcare Organizations. Shorter lengths of stay, sicker patients, and higher patient to staff ratios challenge the ability of the hospital to maintain safety. Risk factors associated with the physical environment of the inpatient psychiatric unit, cited as the most common root cause of inpatient suicide, may be neglected because evaluation of these factors is generally not included in medical education and training. Minimization of fixtures that can facilitate strangulation and other high risk aspects within the hospital environment is an important element …

Public Posting As A Strategy To Increase Walking: A Worksite Intervention, Rayleen Earney, Timothy J. Bungum

Environmental & Occupational Health Faculty Publications

Because most American adults do not meet recommended physical activity guidelines, the need for new and innovative strategies is apparent. The current study employed public posting in an attempt to increase walking behavior in a worksite setting. Pedometer generated data was publicly posted in a prominent location in the worksite. In our study that utilized a pre-experimental design, we found that walking steps were statistically higher during the intervention and in a post intervention period as compared to the baseline data. We conclude that the public posting of physical activity data has the potential to increase walking behavior.

Designing Educational Opportunities For The Hazards Manager Of The 21st Century: Workshop Report October 22-24, 2003, Deborah S. K. Thomas, Dennis S. Mileti

FMHI Publications

No abstract provided.

The Role Of Operational Research In Counterterrorism, Randy Borum, Robert Fein, Bryan Vossekuil, Michael Gelles, Scott Shumate

Mental Health Law & Policy Faculty Publications

No abstract provided.

Exposure To Televised Alcohol Ads And Subsequent Adolescent Alcohol Use, Alan W. Stacy, Jennifer Zogg, Jennifer Unger, Clyde W. Dent

CGU Faculty Publications and Research

Objective: To assess the impact of televised alcohol commercials on adolescents, alcohol use. Methods: Adolescents completed questionnaires about alcohol commercials and alcohol use in a prospective study. Results: A one standard deviation increase in viewing television programs containing alcohol commercials in seventh grade was associated with an excess risk of beer use (44%}, wine/liquor use (34%}, and 3-drlnk episodes (26%} in eighth grade. The strength of associations varied across exposure measures and was most consistent for beer. Conclusions: Although replication is warranted, results showed that exposure was associated with an increased risk of subsequent beer consumption and possibly other consumption …

Impact Of Extra-Curricular Activities On Adolescents' Connectedness And Cigarette Smoking: Annual Report, Donna Cross, Greg Hamilton, Rob Mcgee, Margaret Hall

Research outputs pre 2011

Cigarette smoking is the primary cause of preventable death in Australia, killing approximately 19,000 people every year.⁸ Up to 90% of smokers begin smoking by 18 years of age.^9,10 In spite of the obvious public health burden, current approaches have led to very modest decreases in adolescent smoking in the past 10 years. ¹¹ The Smoking Cessation for Youth Project (SCYP)⁴ was a cluster randomised control trial that resulted in lower cigarette smoking among Year 10 students who received a harm minimisation intervention over two years. This project also led to the identification of connectedness as a …

Trans-Adaption Of Successful Cigarette Smoking Intervention To Randomised School-Based Cannabis Intervention Trial, Child Health Promotion Unit, Edith Cowan University

Research outputs pre 2011

Despite the emergence of cannabis use as a public health issue of significance in the 21st Century, no school-based interventions specifically addressing cannabis use have been reported in the literature. The prevalence of adolescent cannabis use has risen during the 1990s while the age of onset has decreased. This three-year trial seeks to trans-adapt a successful school-based cigarette smoking program underpinned by harm minimisation (HM) theory (including abstinence messages), into a school-based cannabis intervention trial. This innovative intervention will be compared to the largely abstinence-based drug use prevention activities currently used in W A. The first and second years of …

Bibliotherapy For Hospital Patients, P. S. Mcmillen, D. Pehrsson

Library Faculty Publications

The purpose of this paper is to provide an overview of bibliotherapy in relation to hospital patients. It includes a brief history as well as discussion of practitioners, patients and problems, methodology and effectiveness. It also offers recommendations for those who provide bibliotherapy within the hospital context. The focus is on the use of bibliotherapy by professionals other than mental health practitioners. Coverage includes common literary genres that can be used for bibliotherapy addressing patients’ affective issues.