Medicine and Health Sciences Commons^™

Disordered Eating Panel Discussion: Finding Help, Kelli Williams Ph.D., R.D., L.D., Candace Layne Ed.D., Alps, Lpc, Ncc, James R. Bailes M.D., Kristina M. Bryant-Melvin M.D., Licia Rei, Brittany Chapman, Tiffany Bowes, Sabrina Thomas

Sabrina Thomas

“Disordered Eating Panel Discussion: Finding Help,” is the fourth of five in the, “Don’t Call Me Crazy: MU Mental Health Initiative,” panel discussion series, which was held on February 21, 2019. This initiative is comprised of three major components: “Resiliency through Education;” which includes: panel discussions with mental health professionals and a research guide, “Resiliency through Art;” an art exhibition that featured works form MU students, faculty and staff, and community members, and “Resiliency through Community;” an extensive collection of campus, local, state, and national mental health resources. Libraries hold a unique position as places to hold civil conversations on …

Superior Episodic Memory Is Associated With Interhemispheric Processing, Ruth E. Propper, Stephen D. Christman

Ruth Propper

The dependence of episodic memories on interhemispheric processing was tested. In Experiment 1, positive familial sinistrality (FS+; e.g., the presence of left-handed relatives) was associated with superior episodic memory and inferior implicit memory in comparison with negative familial sinistrality (i.e., FS-). This reflected a greater degree of interhemispheric interaction in FS+ participants, which was hypothesized as facilitating episodic memory. In Experiment 2, the authors directly manipulated inter- versus intrahemispheric processing using tests of episodic (recognition) and semantic (lexical decision) memory in which letter strings were presented twice within trial blocks. Semantic memory was superior when the 2nd presentation went to …

Relation Of Depression Symptoms To Sustained Reward And Loss Sensitivity, Michael P. Berry, Ema Tanovic, Jutta Joormann, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

Organizational Culture Change In A Texas Hospital, Alberto Coustasse-Hencke M.D., M.B.A., M.P.H.

Alberto Coustasse, DrPH, MD, MBA, MPH

Coustasse-Hencke, Alberto, MD, MBA, MPH, Organizational Culture Change in a Texas Hospital. Doctor of Public Health (Health Behavior), June 2004, 329 pp., 11 tables, 8 illustrations, bibliography, 198 titles. The purpose of this research was to analyze a Balanced Scorecard (BSC) approach in a Texas hospital with a main focus in Patient Satisfaction (PS), and to measure organizational change and its impact on PS. This dissertation also applied a "Shared Vision" of the organization as the central process in bringing forth the knowledge shared by members of the community hospital who were both subjects and research participants. The development of …

Gratitude Intervention Modulates P3 Amplitude In A Temporal Discounting Task, Andrea L. Patalano, Sydney L. Lolli, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

Rumination Is Associated With Diminished Performance Monitoring, Ema Tanovic, Greg Hajack, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

Being While Doing: An Inductive Model Of Mindfulness At Work, Christopher Lyddy, Darren J. Good

Christopher J. Lyddy

Mindfulness at work has drawn growing interest as empirical evidence increasingly supports its positive workplace impacts. Yet theory also suggests that mindfulness is a cognitive mode of “Being” that may be incompatible with the cognitive mode of “Doing” that undergirds workplace functioning. Therefore, mindfulness at work has been theorized as “being while doing,” but little is known regarding how people experience these two modes in combination, nor the influences or outcomes of this interaction. Drawing on a sample of 39 semi-structured interviews, this study explores how professionals experience being mindful at work. The relationship between Being and Doing modes demonstrated …

Attitudes Toward Substance Abuse Clients: An Empirical Study Of Clinical Psychology Trainees, Chandra Mundon, Melissa Anderson, Lisa Najavits

Melissa L. Anderson

Despite the high prevalence of substance use disorder (SUD) and its frequent comorbidity with mental illness, individuals with SUD are less likely to receive effective SUD treatment from mental health practitioners than SUD counselors. Limited competence and interest in treating this clinical population are likely influenced by a lack of formal training in SUD treatment. Using a factorial survey-vignette design that included three clinical vignettes and a supplementary survey instrument, we investigated whether clinical psychology doctoral students differ in their level of negative emotional reactions toward clients with SUD versus major depressive disorder (MDD); whether they differ in their attributions …

Symptom Patterns Of Posttraumatic Stress Disorder Among Deaf Trauma Survivors, Melissa Anderson, Amanda Sortwell, Kelly Wolf Craig, Douglas Ziedonis

Melissa L. Anderson

Details about Deaf people’s pattern of posttraumatic stress disorder (PTSD) symptoms remain relatively unknown due to inaccessible methods used in most epidemiological research. We conducted semi-structured American Sign Language interviews with 16 trauma-exposed Deaf individuals to explore their PTSD symptom patterns. Half met criteria for current PTSD, a rate higher than the general population. Underlying this disparity may be heightened rates of dissociation and psychogenic amnesia reported by many Deaf trauma survivors. Future research with large samples of Deaf survivors is needed to clarify this hypothesis, and to inform interventions that more accurately target Deaf people’s pattern of trauma symptoms.

Age-Related Differences In The Association Between Stereotypic Behaviour And Salivary Cortisol In Young Males With An Autism Spectrum Disorder, Vicki Bitsika, Christopher Sharpley, Linda Agnew, Nicholas Andronicos

Vicki Bitsika

To identify if age influenced the relationship between one of the central symptoms of Autism Spectrum Disorder (ASD) and physiological stress, the association between stereotypic behaviour (SB) and stress-related cortisol concentrations was examined in a sample of 150 young males with an ASD. Parent-rated SB was significantly correlated with cortisol concentrations for boys aged 6 years to 12 years but not for adolescents aged 13 years to 18 years. This age-related difference in this association was not a function of cortisol concentrations but was related to differences in SB across these two age groups. IQ did not have a significant …

Psychosocial Moderators Of Perceived Stress, Anxiety And Depression In University Students: An International Study, Aileen Pidgeon, Stephanie Mcgrath, Heide Magya, Peta Stapleton, Barbara Lo

Peta B. Stapleton

Extensive research shows university students experience high levels of stress, which can lead to the development of mental health problems such as anxiety and depression. Preliminary evidence supports the role of psychosocial factors such as perceived social support (PSS) and campus connectedness (CC) as protective factors in the development of mental health problems in university students. However, research conducted on the potential ameliorating effects of social support on stress applying Cohen and Wills’ (1985) stress-buffering hypothesis produced weak, inconsistent, and even contradictory results. In addition, little attention has been given to examining the protective role of CC in the relationships …

Examining Characteristics Of Resilience Among University Students: An International Study, Aileen Pidgeon, Natasha Rowe, Peta Stapleton, Heidi Magyar, Barbara Lo

Peta B. Stapleton

Attending university is a particularly stressful time due to unique emergent stressors such as changes in environment, loss or diminishment of social support networks, academic pressures, developing peer relationships, and financial management. There is growing recognition that these common stressors may have deleterious effects on the mental health of students. Resilience, a personality characteristic that moderates the negative effects of stress and promotes adaptation, has been associated with increased psychological well-being. Despite a growing body of research on resilience and its clinical significance in preventing mental health problems, relatively little is known about contributing factors for resilience in well-adjusted university …

Variability In Depressive Symptoms Of Cognitive Deficit And Cognitive Bias During The First 2 Years After Diagnosis In Australian Men With Prostate Cancer, Christopher Sharpley, Vicki Bitsika, David Christie

Vicki Bitsika

The incidence and contribution to total depression of the depressive symptoms of cognitive deficit and cognitive bias in prostate cancer (PCa) patients were compared from cohorts sampled during the first 2 years after diagnosis. Survey data were collected from 394 patients with PCa, including background information, treatments, and disease status, plus total scores of depression and scores for subscales of the depressive symptoms of cognitive bias and cognitive deficit via the Zung Self-Rating Depression Scale. The sample was divided into eight 3-monthly time-since-diagnosis cohorts and according to depression severity. Mean scores for the depressive symptoms of cognitive deficit were significantly …

Differences In Major Depressive Disorder And Generalised Anxiety Disorder Symptomatology Between Prostate Cancer Patients Receiving Hormone Therapy And Those Who Are Not, Christopher Sharpley, Vicki Bitsika, Addie Wootten, David Christie

Vicki Bitsika

Objective: The aim of this study is to explore the associations between hormone treatment variables and depression, and the nature of depression in prostate cancer (PCa) patients by comparing the severity and symptom profile of anxiety and depression in men who were currently receiving hormone therapy (HT) versus those who were not. Method: Self-reports of anxiety and depression on standardized scales of GAD and major depressive disorder (MDD) were collected from 156 PCa patients across two recruitment sites in Australia. Patients who were currently receiving HT were compared with patients not receiving HT for their severity and symptom profiles on …

The Dance Of Life: A Cognitive & Contextual Theory Of Adult Development, T. L. Brink

T. L. Brink

Adult development cannot be conceptualized by stage theories, but involves numerous competing roles. Religion can be a force for resilience.

Personality Disorder Risk Factors For Suicide Attempts Over 10 Years Of Follow-Up, Emily B. Ansell, Aidan G. C. Wright, John C. Markowitz, Charles A. Sanislow, Christopher J. Hopwood, Mary C. Zanarini, Shirley Yen, Anthony Pinto, Thomas H. Mcglashan, Carlos M. Grilo

Charles A. Sanislow, Ph.D.

Identifying personality disorder (PD) risk factors for suicide attempts is an important consideration for research and clinical care alike. However, most prior research has focused on single PDs or categorical PD diagnoses without considering unique influences of different PDs or of severity (sum) of PD criteria on the risk for suicide-related outcomes. This has usually been done with cross-sectional or retrospective assessment methods. Rarely are dimensional models of PDs examined in longitudinal, naturalistic prospective designs. In addition, it is important to consider divergent risk factors in predicting the risk of ever making a suicide attempt versus the risk of making …

A Critical Discourse Analysis Of The Response Of Aamft Approved Supervisors To A Case Vignette Describing The Perpetration Of Violence In A Family , Kathleen Murphy Adams

Kathleen M. Adams

Concerns about how family therapists respond to violence in families have been discussed in the literature for more than two decades (e.g., Bograd, 1984; Cook & Franz-Cook, 1984; Crnkovic, Del Campo, & Steiner, 2000; Goldner, 1985; Hansen, 1993; Harway, Hansen, & Cervantes, 1991, 1997; James & McIntyre, 1983; Pressman, 1989; Shamai, 1996,).;This study was designed to determine to what extent clinical supervisors' awareness of violence in families reflects or contradicts the poor awareness of family therapists as reported in the literature. Feminist informed critical discourse analysis was used, with a particular emphasis on exploring how the language that supervisors used …

Overcoming Anxiety And Depression On The Autism Spectrum: A Self-Help Guide Using Cbt, Lee Wilkinson

Lee A Wilkinson, PhD

Cognitive Behavioral Therapy (CBT) has been shown to be effective for treating mental health problems such as anxiety and depression in individuals both with and without autism spectrum disorders. This book bridges the gap between research and practice and shows adults on the spectrum practical ways to manage their emotions. Many adults on the autism spectrum experience isolation, interpersonal difficulties, anxiety, depressed mood, and coping problems. By applying theory and concepts from autism research, this book will help adults on the spectrum to understand their challenges. The author takes the best of CBT self-help strategies, to encourage self-analysis, and to …

Interactions Of Borderline Personality Disorder And Anxiety Disorders Over Ten Years, Alex S. Keuroghlian,, John G. Gunderson, Maria E. Pagano, John C. Markowitz, Emily B. Ansell, M. Tracie Shea, Leslie C. Morey, Charles A. Sanislow, Carlos M. Grilo, Robert L. Stout, Mary C. Zanarini, Thomas H. Mcglashan, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

Use And Perceived Effectiveness Of Coping Skills Among Police Officer Spouses, Andrea L. Dinsmore

Andrea L. Dinsmore

Discusses her research on the types of psychological stressors faced by the spouses of police officers and their methods of coping.

Assessment Of Competence Restoration: Determining The Threshold, Andrea L. Dinsmore

Andrea L. Dinsmore

Discusses the legal precedent and research basis of evaluating a defendant's mental competency to stand trial, the variables that contribute to non-restorable incompetence to stand trial, and the differences between patients who are restorable to competency versus those who are not restorable to competency.

Internal Consistency And Factor Structure Of The Revised Conflict Tactics Scales In A Sample Of Deaf Female College Students, Melissa Anderson, Irene Leigh

Melissa L. Anderson

The Revised Conflict Tactics Scales (CTS2) is currently the most widely used measure for identifying cases of intimate partner violence within the hearing population. The CTS2 has been used successfully with individuals from various countries and cultural backgrounds. However, the CTS2 had not yet been used with Deaf individuals. The goal of the present study was to investigate the internal consistency reliability and the factor structure of the CTS2 within a sample of Deaf female college students. Psychometric analyses indicated that subscales measuring Victimization of Negotiation, Psychological Aggression, Physical Assault, and Injury proved both reliable and valid in the current …

Nimh Research Domain Criteria (Rdoc), Charles A. Sanislow, Kevin J. Quinn, Isaiah Sypher

Charles A. Sanislow, Ph.D.

The Research Domain Criteria (RDoC) project is a framework for studying domains of biological and behavioral function that cut across traditional psychiatric diagnostic boundaries with the long-term objective of creating a new nosology based on specific biobehavioral measures. The initial aim is to provide a framework to drive clinical research. One goal of RDoC is to facilitate the development of biomarkers that could eventually be used for practical clinical diagnostic purposes and allow the development of new treatments targeting specific mechanisms of mental illness. In this entry, RDoC, its development, and the ways that it may evolve are described.

Effect Of Apolipoprotein Ε4 On Hippocampal And Brain Volume In Intractable Temporal Lobe Epilepsy, Robyn Busch, Darlene Floden, Tara Lineweaver, Jessica Chapin, Kanjana Ungwongse, Tim Wehner, Ramon Diaz-Arrastia, Imad Najm

Tara T. Lineweaver

This study investigated the relationship between the apolipoprotein (APOE) ε4 allele and brain volumes in patients with medically intractable temporal lobe epilepsy (TLE). MRI-based volumetric analyses of the hippocampi, cerebral hemispheres, and whole brain were conducted in 59 patients with TLE (31 with left TLE, 28 with right TLE) with hippocampal sclerosis (HS). There were no differences in hippocampal, hemispheric, or whole brain volumes as a function of ε4 status even after correcting for hemispheric and total brain volumes. However, APOE ε4 carriers showed a trend toward having a smaller discrepancy between ipsilateral and contralateral hippocampal volumes than patients without …

Interactions Of Borderline Personality Disorder And Mood Disorders Over Ten Years, John G. Gunderson, Robert L. Stout, M. Tracie Shea, Carlos M. Grilo, John C. Markowitz, Leslie C. Morey, Charles A. Sanislow, Shirley Yen, Mary C. Zanarini, Alex S. Keuroghlian, Thomas H. Mcglashan, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

Objective: To examine the relationship of borderline personality disorder (BPD) to mood disorders by using data from the Collaborative Longitudinal Personality Disorders Study on the reciprocal interactions of BPD with both depressive and bipolar disorders over the course of 10 years.

Method: The study included 223 BPD patients with DSM-IV–defined co-occurring major depressive disorder (MDD) (n = 161), bipolar I disorder (n = 34), and bipolar II disorder (n = 28) who were reliably and prospectively assessed over a period of 10 years between 1997 and 2009. Proportional hazards regression analyses were used to assess the effects of improvement or …

Personality Heterogeneity In Ptsd: Distinct Temperamental And Interpersonal Typologies, Katherine M. Thomas, Christopher J. Hopwood, M. Brent Donnellan, Aidan G. C. Wright, Charles A. Sanislow, Meghan E. Mcdevitt-Murphy, Emily B. Ansell, Carlos M. Grilo, Thomas H. Mcglashan, M. Tracie Shea, John C. Markowitz, Andrew E. Skodol, Mary C. Zanarini, Leslie C. Morey

Charles A. Sanislow, Ph.D.

Researchers examining personality typologies of posttraumatic stress disorder (PTSD) have consistently identified 3 groups: low pathology, internalizing, and externalizing. These groups have been found to predict functional severity and psychiatric comorbidity. In this study, we employed Latent Profile Analysis to compare this previously established typology, grounded in temperament traits (negative emotionality; positive emotionality; constraint), to a novel typology rooted in interpersonal traits (dominance; warmth) in a sample of individuals with PTSD (n = 155). Using Schedule for Nonadaptive and Adaptive Personality (SNAP) traits to create latent profiles, the 3-group temperament model was replicated. Using Interpersonal Circumplex (IPC) traits to create …

Depression Screening On A Maternity Unit: A Mixed-Methods Evaluation Of Nurses’ Views And Implementation Strategies, Lisa Segre, Lauren Pollack, Rebecca Brock, Jeana Andrew, Michael O'Hara

Lisa S. Segre

Postpartum women often suffer clinically significant depressive symptoms, a problem addressed by nurse-delivered screening programs. In the past, success of these identification programs was measured in terms of screening rates; however, merely evaluating the screening rate does little to inform howto implement depression screening in clinical practice. This article describes the experiences of nurses in implementing depression screening on a maternity unit. We evaluate the practice qualitatively, by asking nurses to describe their screening strategies and their views about implementation, as well as quantitatively by assessing their screening rates and the number of women identified. Utilizing a framework of program …

Socioeconomic-Status And Mental Health In A Personality Disorder Sample: The Importance Of Neighborhood Factors, Zach Walsh, M. Tracie Shea, Shirley Yen, Emily B. Ansell, Carlos M. Grilo, Thomas H. Mcglashan, Robert L. Stout, Donna S. Bender, Andrew E. Skodol, Charles A. Sanislow, Leslie C. Morey, John G. Gunderson

Charles A. Sanislow, Ph.D.

This cross-sectional study examined the associations between neighborhood-level socioeconomic-status (NSES), and psychosocial functioning and personality pathology among 335 adults drawn from the Collaborative Longitudinal Personality Disorders Study. Participants belonged to four personality disorder (PD) diagnostic groups: Avoidant, Borderline, Schizotypal, and Obsessive Compulsive. Global functioning, social adjustment, and PD symptoms were assessed following a minimum two-year period of residential stability. Residence in higher-risk neighborhoods was associated with more PD symptoms and lower levels of functioning and social adjustment. These relationships were consistent after controlling for individual-level socioeconomic-status and ethnicity; however, the positive association between neighborhood-level socio-economic risk and PD symptoms was …

The Effectiveness Of Educational Interventions In Reducing Negative Attitudes And Stigmatisation Toward Patients With Anorexia Nervosa, Amy Bannatyne, Peta Stapleton

Peta B. Stapleton

It is frequently reported that clinicians across a range of professional disciplines experience strong negative reactions toward patients with eating disorders, particularly anorexia nervosa (AN). As research consistently demonstrates fear of stigma is the most frequently cited reason explaining why individuals with mental illness do not seek treatment, the current study aimed to develop, evaluate and compare the effectiveness of two differing educational interventions, based on an etiological framing model, against a wait-list control. Participants were fourth-year medicine students randomly assigned to one of three conditions. A three-hour educational workshop was delivered to participants at the beginning of an eight-week …

Convergent And Incremental Predictive Validity Of Clinician, Self-Report, And Structured Interview Diagnoses For Personality Disorders Over 5 Years, Douglas B. Samuel, Charles A. Sanislow, Christopher J. Hopwood, M. Tracie Shea, Andrew E. Skodol, Leslie C. Morey, Emily B. Ansell, John C. Markowitz, Mary C. Zanarini, Carlos M. Grilo

Charles A. Sanislow, Ph.D.

OBJECTIVE: Research has demonstrated poor agreement between clinician-assigned personality disorder (PD) diagnoses and those generated by self-report questionnaires and semistructured diagnostic interviews. No research has compared prospectively the predictive validity of these methods. We investigated the convergence of these 3 diagnostic methods and tested their relative and incremental validity in predicting independent, multimethod assessments of psychosocial functioning performed prospectively over 5 years.

METHOD: Participants were 320 patients in the Collaborative Longitudinal Personality Disorders Study diagnosed with PDs by therapist, self-report, and semistructured interview at baseline. We examined the relative incremental validity of therapists' naturalistic ratings relative to these other diagnostic …