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Full-Text Articles in Medicine and Health Sciences

Testing Claims Of Efficacy And Mechanism Of Action For Emotion Focused Couples Therapy: A Dyadic Case Study Using Time-Series Design, Albert Jun-Wei Wong Dec 2014

Testing Claims Of Efficacy And Mechanism Of Action For Emotion Focused Couples Therapy: A Dyadic Case Study Using Time-Series Design, Albert Jun-Wei Wong

Doctoral Dissertations

The overall purpose of this study was to test claims regarding both the efficacy and mechanism of change for Emotion Focused Couple Therapy (EFT). Although a number of treatment outcome studies have been conducted on EFT, the vast majority of these studies emanate from the research laboratories associated with the two founders of EFT. Additionally, most EFT research has examined treatment outcome rather than mechanisms of change. This study used a time-series single-case experimental design approach to examine both the efficacy and the mechanisms of change in EFT for couple distress. I systematically tracked the symptoms of couple distress across …


Dissociation And Sexual Trauma: The Moderating Role Of Somatization, Amineh Abbas Dec 2014

Dissociation And Sexual Trauma: The Moderating Role Of Somatization, Amineh Abbas

Doctoral Dissertations

This study examined various types of trauma, with an emphasis on sexual trauma across the lifespan, in a clinical sample of male and female adult outpatients assessed for trauma, somatization, and dissociation. Two hundred forty-five adult outpatients at the University of Tennessee Psychological Clinic were administered the Dissociative Experiences Scale (DES), the Traumatic Experiences Checklist (TEC), and Symptom Checklist-90-Revised (SCL-90-R), as part of the routine intake procedure. Of those individuals, 200 patients completed the questionnaires correctly and were included in the final study sample. The experience of sexual trauma indeed accounted for additional variance in somatization scores over and above …


Longitudinal Trajectories And Predictors Of Functional Impairment In Mild Cognitive Impairment, Alzheimer’S Disease, And Vascular Dementia, Lauren Z. Chisholm Nov 2014

Longitudinal Trajectories And Predictors Of Functional Impairment In Mild Cognitive Impairment, Alzheimer’S Disease, And Vascular Dementia, Lauren Z. Chisholm

Doctoral Dissertations

Functional disability in older persons with cognitive impairment is associated with reduced quality of life and greater mortality, health care utilization, and caregiver burden. Episodic memory, executive function, apathy, depressive symptoms, and medical burden have been identified as cross-sectional predictors of functional disability but have received little longitudinal investigation in a way that explicates how changes in these variables relates to functional disability. Functional disability also drives the distinction between the diagnoses of Mild Cognitive Impairment (MCI) and dementia; however, little is known about the rates of functional decline in these groups over time. This study utilized multi-level modeling to …


Belief In The Efficacy Of Psychotherapy (Bep): Psychometric Scale Development And Examination Of Theoretical Correlates, Erin Gray Volpe Aug 2014

Belief In The Efficacy Of Psychotherapy (Bep): Psychometric Scale Development And Examination Of Theoretical Correlates, Erin Gray Volpe

Doctoral Dissertations

This study develops a psychometric scale measuring the extent to which an individual expects psychotherapy to be effective: The Belief in the Efficacy of Psychotherapy (BEP). Based in the research that describes expectations for therapy as process expectations or outcome expectations, the BEP scale is developed to measure outcome expectations for therapy exclusively (i.e., is psychotherapy helpful?). Current expectancy measures vastly underrepresent outcome expectations in particular, and BEP will be the first to focus solely on outcome expectations. Additionally, the proposed BEP scale measures the general cultural belief system (i.e., non-patients) and their beliefs about psychotherapy and therapists specifically, …


The Effects Of A Brief Mindfulness Intervention On Lab-Based Aggression, Amanda Eliza Seavey Aug 2014

The Effects Of A Brief Mindfulness Intervention On Lab-Based Aggression, Amanda Eliza Seavey

Doctoral Dissertations

Aggression and violence are severe and prevalent problems associated with numerous negative health consequences and increased health care costs. Prevalence rates vary with the highest rates being among young adult populations. Some research indicates that aggression perpetration is an attempt at controlling negative affect. Therefore, many have posited that emotion regulation may be an amenable risk factor for violence and aggression, and interventions such as mindfulness-based therapies designed to enhance emotion regulation and distress tolerance may be helpful. Previous research has found positive effects on psychological well-being using even brief mindfulness interventions. Thus, the current study aimed to investigate how …