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Articles 361 - 390 of 586
Full-Text Articles in Mental and Social Health
A Qualitative Analysis Of Clinician Attitudes And Experiences Learning And Implementing Transdiagnostic Evidence-Based Practices For Eating Disorders, Jennifer Marie Oswald
A Qualitative Analysis Of Clinician Attitudes And Experiences Learning And Implementing Transdiagnostic Evidence-Based Practices For Eating Disorders, Jennifer Marie Oswald
Legacy Theses & Dissertations (2009 - 2024)
Clinician experiences with the implementation of new practices are important factors in facilitating the use of new treatment models and evidence-based practices (EBPs). As such, they provide crucial information to behavioral health dissemination and implementation research. Qualitative interviewing allows researchers to learn from clinician experiences with greater depth and nuance. The present study qualitatively analyzed 8 clinicians’ experiences with the implementation of a new transdiagnostic treatment model for eating disorders (ED) at an intensive residential treatment center. Participating clinicians completed a semi-structured interview based on constructs from the Consolidated Framework for Implementation Research (CFIR), an organizing framework with demonstrated utility …
Demographic Characteristics And Trauma Symptomology In Juvenile Justice Residents At Echo Glen Children's Center, Britta L. Bergan
Demographic Characteristics And Trauma Symptomology In Juvenile Justice Residents At Echo Glen Children's Center, Britta L. Bergan
Antioch University Dissertations & Theses
Exposure to traumatic and stressful events has become increasingly commonplace and the impact of such experiences has been well documented. Trauma events in childhood have been associated with a number of factors, including maladaptive emotional and behavioral responses, increased vulnerability for exposure to additional traumatic events, and adverse experiences later in life. Juvenile justice youth have been found to have higher rates of trauma exposure, when compared to community samples of same-aged peers. The population of youth residing at Echo Glen Children’s Center, in Snoqualmie, Washington, exhibit unique characteristics for a juvenile justice population, including age (the youngest juvenile offenders …
Can The Complex Care And Intervention (Cci) Program Be Culturally Adapted As A Model For Use With Aboriginal Families Affected By Complex (Intergenerational) Trauma?, Chipo Mcnichols
Antioch University Dissertations & Theses
Despite living in a country with a world renowned healthcare system, Canadian Aboriginal children, youth and their families, consistently have poorer access to healthcare as well as higher mortality and morbidity rates, in comparison to non-Aboriginal Canadians (Tang & Browne, 2008). Among factors including their history of residential school and intergenerational trauma, the lack of a culturally specific treatment intervention for complex trauma, is identified as a key factor in maintaining this health disparity. This study used participatory action research within an identified Aboriginal community, to develop a culturally adapted complex trauma intervention model. This was based on an existing …
Perceptions And Attitudes Of A Sample Of Primary Care Patients Receiving Psychological Care From Their Pcp, Nadine Henzes Gowarty
Perceptions And Attitudes Of A Sample Of Primary Care Patients Receiving Psychological Care From Their Pcp, Nadine Henzes Gowarty
PCOM Psychology Dissertations
With millions of Americans suffering from a mental health disorder and slightly more than half receiving treatment, the demand for psychological services far outweighs the number of practitioners available to provide direct care. Therefore, the majority of all primary-care visits are based on psychosocial factors; one third of a PCP’s caseloads consist of patients with mental-health problems. Given the fact that PCPs provide comprehensive psychosocial care, it is important to determine the beliefs and perceptions of their patients. Results from this study identified numerous factors that influence the relationship between patients receiving mental health care from their PCP. Specifically, if …
The Effects Of A Trauma-Informed Care Training Program On Mental Health Professionals Knowledge, Skills, And Attitudes With The Smi, Angelina Pelletier
The Effects Of A Trauma-Informed Care Training Program On Mental Health Professionals Knowledge, Skills, And Attitudes With The Smi, Angelina Pelletier
PCOM Psychology Dissertations
Trauma has been found to be highly prevalent among individuals diagnosed with SMIs. Mental health professionals have been reported to misdiagnose or avoid addressing trauma in this population. There is a need to provide information about trauma and to foster awareness among mental health professionals who are treating individuals diagnosed with SMIs. With a TIC approach, operating from a recovery-oriented philosophy, there have been interventions created to address trauma and SMIs with the aim of developing awareness about trauma and the impact it may have on someone’s life. With these factors in mind, mental health professionals should be competent in …
Impact Of Distance, Diagnosis, And Demographics On Attendance For Rural Outpatient Treatment, Trey Howard Jensen
Impact Of Distance, Diagnosis, And Demographics On Attendance For Rural Outpatient Treatment, Trey Howard Jensen
Walden Dissertations and Doctoral Studies
Missed psychotherapy appointments inhibit mental health treatment, limit the availability of treatment to those waiting for care, and reduce clinician revenue. Previous research has revealed that the factors that predict missed appointments vary depending on the geographic location in which that research is conducted. There is not a complete understanding of the characteristics of people who miss appointments in a rural context. This study used information from 281 client records to examine the predictive relationships among missed appointments and the distance traveled to the clinic, mental health diagnosis, age, and gender at a rural outpatient mental health clinic. The purpose …
Chronic Pain Causal Attributions In An Interdisciplinary Primary Care Clinic: Patient-Provider And Provider-Provider Discrepancies, Bryan Jensen
Theses and Dissertations
The purpose of the present study was to investigate the influence of pain causal attributions on patient pain-related functioning, treatment engagement, and clinical outcomes. Additionally, the impact of discordant pain causal attributions between patients and their providers as well as between interdisciplinary providers was examined. Patients rated their pain functioning and causal pain attributions during a regular clinic visit. Following the patient’s visit both the behavioral medicine provider and internal medicine resident provided ratings of similar pain-related functioning domains and causal attributions. Follow-up data were collected from the electronic medical record three months following that clinic visit. Overall, results revealed …
Association Between Depression And Aggression In Rural Women, Laetitia Meyrueix, Gabriel Durham, Jasmine Miller, K. Bryant Smalley Phd, Psyd, Jacob C. Warren Phd
Association Between Depression And Aggression In Rural Women, Laetitia Meyrueix, Gabriel Durham, Jasmine Miller, K. Bryant Smalley Phd, Psyd, Jacob C. Warren Phd
Journal of Health Disparities Research and Practice
Rural women represent approximately 20% of women living in the United States, yet research on the specific mental health needs of rural women is limited. Given the well-recognized gender-linked disparity in depression, its correlated symptoms in women still need much investigation. While emerging notions of depression in men embrace potential symptoms related to irritability and aggression, less research has focused on the potential role of aggression in depressed women. This connection may be particularly relevant for rural women who face unique mental health stressors in comparison to their urban counterparts. The purpose of this study was to examine if aggression …
Physical Aggression, Compromised Social Support, And 10-Year Marital Outcomes: Testing A Relational Spillover Model, Kieran T. Sullivan, Lauri A. Pasch, Erika E. Lawrence, Thomas N. Bradbury
Physical Aggression, Compromised Social Support, And 10-Year Marital Outcomes: Testing A Relational Spillover Model, Kieran T. Sullivan, Lauri A. Pasch, Erika E. Lawrence, Thomas N. Bradbury
Psychology
The purpose of the present study was to test a relational spillover model of physical aggression whereby physical aggression affects marital outcomes due to its effects on how spouses ask for and provide support to one another. Newlywed couples (n = 172) reported levels of physical aggression over the past year and engaged in interactions designed to elicit social support; marital adjustment, and stability were assessed periodically over the first 10 years of marriage. Multilevel modeling revealed that negative support behavior mediated the relationship between physical aggression and 10-year marital adjustment levels whereas positive support behavior mediated the relationship between …
Relationship Education And Marital Satisfaction In Newlywed Couples: A Propensity Score Analysis., Rebecca J. Cobb, Kieran T. Sullivan
Relationship Education And Marital Satisfaction In Newlywed Couples: A Propensity Score Analysis., Rebecca J. Cobb, Kieran T. Sullivan
Psychology
The purpose of this study was to investigate whether premarital relationship education and characteristics of relationship education in a community sample of newlywed couples predicted marital trajectories over 27 months. Newlywed couples (N = 191) completed measures of marital satisfaction 9 times over 27 months, and prior to marriage they provided information about relationship education and demographic, personal, and relationship risk factors for marital distress. Propensity scores (i.e., the probability of receiving relationship education) were estimated using the marital distress risk factors, and used to derive a matched sample of 72 couples who participated in relationship education and 86 couples …
The Effects Of Parent-Adolescent Communication And Parenting Style On The Physical Activity And Dietary Behaviors Of Latino Adolescents, Dianna Mary Boone
The Effects Of Parent-Adolescent Communication And Parenting Style On The Physical Activity And Dietary Behaviors Of Latino Adolescents, Dianna Mary Boone
USF Tampa Graduate Theses and Dissertations
The obesity epidemic among children and adolescents has been growing rapidly over the past 10 years, particularly in Latino children. Multiple researchers have found support for positive associations between parent-child communication and healthy nutrition and exercise behaviors. The present study examined the relations between parent-adolescent communication and parenting style and the dietary and exercise behaviors of Latino adolescents. The study included 79 adolescents between the ages of 13 and 18 years and their parents (100% are Latino). Correlation and hierarchical regression analyses were conducted to determine which parenting style and communication variables are significantly associated with adolescents’ dietary and physical …
Acceptance And Commitment Therapist Views On The Sacred, Amal Abuzalaf Mull
Acceptance And Commitment Therapist Views On The Sacred, Amal Abuzalaf Mull
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Spirituality and/or religion (S/R) continue to be an important topic in mental health treatment, especially regarding their relationship to a psychotherapist’s theoretical orientation and practice with clients. Given the increased relevance of spirituality to third-wave cognitive behavioral therapies, the current study explores the S/R of Acceptance and Commitment Therapy (ACT) psychotherapists and how their S/R is associated to their attitudes and behaviors within mental health and their use of ACT. Online surveys were administered, producing a sample of 97 ACT psychotherapists in the United States. Results indicated low levels of religiosity and high levels of spirituality among ACT psychotherapists in …
Human Trafficking & Commercial Sex Exploitation: Treatment Recommendations For An Invisible Population, Abigail K. Wolfe
Human Trafficking & Commercial Sex Exploitation: Treatment Recommendations For An Invisible Population, Abigail K. Wolfe
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
This article addresses the issue of human trafficking, also termed modern slavery, specifically focusing on the treatment of survivors of Commercial Sexual Exploitation (CSE). Treatment recommendations are made based on a trauma-focused, relational model aimed at reinstating psychological well-being in the survivor. This article reviews the literature on three related bodies of research due to the absence of direct psychological literature. Literature on captivity, control and torture, literature on the treatment of refugees and asylum seekers, and literature on sexual abuse treatment for those who have been victimized through the sex trade. Additionally, practical aspects of human trafficking are discussed …
Therapeutic Assessment In Sport Psychology, Fernando Frias
Therapeutic Assessment In Sport Psychology, Fernando Frias
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
This paper outlines the history of assessment in sport psychology and provides a summary of controversies and criticisms of psychological testing in athletics that have persisted throughout the development of the field. Such concerns include the use of personality inventories and tests for talent identification, the misuse of tests and related ethical concerns, cultural sensitivity of tests, and debates about the validity and reliability of assessment measures. In spite of these concerns, interest and demand for psychological assessment in sport remains. Therapeutic Assessment, an emerging but not yet well-known model of collaborative psychological assessment, addresses many of these criticisms and …
Living With Dignity: A Pilot Study Implementing Dignity Therapy With Allogeneic Blood Or Marrow Transplant Recipients, Emily Newman
Living With Dignity: A Pilot Study Implementing Dignity Therapy With Allogeneic Blood Or Marrow Transplant Recipients, Emily Newman
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Dignity Therapy is a relatively novel therapeutic intervention designed to address psychosocial and existential distress among those facing life threatening circumstances. This narrative psychotherapy approach invites patients to reflect and speak about issues that are most important to them and hopes to elicit feelings of purposefulness and autonomy, characteristics that are typically waning when nearing end of life. Dignity Therapy consists of a ten question semi-structured interview designed to integrate themes of accomplishments and sources of pride, things that may feel unsaid, and/or particular lessons or wisdom that the patient hopes to pass on to loved ones. The interview is …
Clinical Psychology Students’ Perceived Training In Working With Transgender Clients: An Exploratory Study, Vanessa Zimmerman
Clinical Psychology Students’ Perceived Training In Working With Transgender Clients: An Exploratory Study, Vanessa Zimmerman
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Literature on appropriate psychological care for the transgender population has been sparse (American Psychological Association [APA], 2009; Carroll, Gilroy, & Ryan, 2002; Israel, Gorcheva, Walther, Sulzner, & Cohen, 2008; Korell & Lorah, 2007; Maguen, Shipherd, Harris, & Welch, 2007; Walker & Prince, 2010). Historically, the focus of research has been on medical care for transgender individuals, and this literature has tended to pathologize the population (APA, 2009). More recently, individuals who identify as transgender have been included under the umbrella of lesbian, gay, bisexual, and transgender (LGBT) studies, where their unique needs are often overlooked or ignored (APA, 2009; Carroll …
Integrating Clinical Training & Self-Care: Overview, Analysis & Recommendations For Relieving Stress Among Clinicians In Training, Erich Haezebrouck
Integrating Clinical Training & Self-Care: Overview, Analysis & Recommendations For Relieving Stress Among Clinicians In Training, Erich Haezebrouck
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Numerous studies over the past two decades have highlighted the prevalence of stress, mental health disorders and interpersonal problems among psychologists. These statistics parallel those for students currently enrolled in clinical psychology graduate programs where such problems have become even more severe. This results in a significant ethical issue in that clinician competency is negatively impacted by emotional problems. This paper seeks to provide an analysis of current self-care literature. The importance of addressing graduate student self-care is first explored and followed by a literature review on interventions that have been successful in maintaining trainee wellness and competence. Recommendations to …
Examining The Role Of Antisocial Personality Disorder In Intimate Partner Violence Among Substance Use Disorder Treatment Seekers With Clinically Significant Trauma Histories, Rita E. Dykstra, Julie A. Schumacher, Natalie Mota, Scott F. Coffey
Examining The Role Of Antisocial Personality Disorder In Intimate Partner Violence Among Substance Use Disorder Treatment Seekers With Clinically Significant Trauma Histories, Rita E. Dykstra, Julie A. Schumacher, Natalie Mota, Scott F. Coffey
Department of Psychology: Faculty Publications
This study examined the associations among posttraumatic stress disorder (PTSD) symptom severity, antisocial personality disorder (ASPD) diagnosis, and intimate partner violence (IPV) in a sample of 145 substance abuse treatment-seeking men and women with positive trauma histories; sex was examined as a moderator. ASPD diagnosis significantly predicted both verbal and physical aggression; sex moderated the association between ASPD diagnosis and physical violence. PTSD symptom severity significantly predicted engaging in verbal, but not physical, aggression. Overall, these results suggest that an ASPD diagnosis may be an important risk factor for engaging in IPV among women seeking treatment for a substance use …
Perceptions Of Child Wellbeing And Attitudes Towards Polygamy Between Members And Non-Members Of The Lds Church, Mccall Bowcut Lyon
Perceptions Of Child Wellbeing And Attitudes Towards Polygamy Between Members And Non-Members Of The Lds Church, Mccall Bowcut Lyon
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Perceptions of the wellbeing of children in polygamous families and attitudes toward polygamy in general were examined in this study, with comparisons between individuals who have a history of membership in the Church of Jesus Christ of Latter-Day Saints (LDS) and individuals who have never been members of the LDS church. No significant differences were found between members and non-members. Comparisons were also made between current and past members of the LDS church, resulting in only one significant difference: support/opposition for the legalization of polygamy. These results suggest that having a recent religious history of practicing polygamy does not necessarily …
Executive Function Predictors Of Children's Talk, Jacqlyne D. Weber
Executive Function Predictors Of Children's Talk, Jacqlyne D. Weber
Undergraduate Honors Theses
Relatively few studies have investigated the relationship between executive functioning (EF) and language development, and even fewer have researched hot and cool EF as a predictor language development. This study is an investigation into the relationship between EF and language development in preschool aged children. More specifically, the ability for hot or cool EF to predict language, this will be the focus of the study. It was found that hot EF was a better predictor of language development in preschool aged children.
Development Of A Psychological Assessment Battery To Measure Client Beliefs About The Effectiveness Of Psychotherapy, Christopher Peavey
Development Of A Psychological Assessment Battery To Measure Client Beliefs About The Effectiveness Of Psychotherapy, Christopher Peavey
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
The author attempted to develop a brief scale to measure clients' beliefs about the effectiveness of psychotherapy. The study is an early pilot study to determine if the scale can predict therapy outcomes. While the scale did differ significantly between clients who were active in therapy and those who were not, higher scores on the instrument were not indicative of greater involvement. Possibilities for future research to refine the instrument are discussed.
Understanding Change In A Therapeutic Community For People With Severe Mental Illness: An Interpretive Phenomenological Study, Julie Caroline Keys
Understanding Change In A Therapeutic Community For People With Severe Mental Illness: An Interpretive Phenomenological Study, Julie Caroline Keys
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
In order to gain better understanding of how therapeutic communities instigate change, this interpretative phenomenological study explores the recognized agents of change as reported by current and recent community members of a particular therapeutic community. Four superordinate themes were discovered: the structure of the program, engagement in the community, intentionality/mindfulness, and applied knowledge. While the results from this study are similar in several ways to the current literature, they also expand the literature about therapeutic communities in one important way. The change agents reported as leading to healing strongly resemble current best practice for the treatment of trauma. Limitations and …
Exploring Mindfulness As A Culturally Sensitive Intervention For The Deaf Community, Barrymore R. Rosellini
Exploring Mindfulness As A Culturally Sensitive Intervention For The Deaf Community, Barrymore R. Rosellini
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Mental health issues are as prevalent in the deaf community as the hearing community, if not more. Yet, Deaf individuals are often treated by mental health professionals less frequently and less effectively. Many systemic barriers exist that influence the lack of services provided to the Deaf community, primarily related to a lack of cultural understanding rooted in perceptions of Deaf individuals. However, the Deaf community may be best understood as a cultural minority, a unique community sharing a distinct culture, history, and language. This paper investigates the effects of systematic barriers and cultural misunderstanding among mental health professions regarding the …
The Effects Of Schedule Density Of Reinforcement For Alternative Behavior On Resurgence, Kathryn M. Kestner
The Effects Of Schedule Density Of Reinforcement For Alternative Behavior On Resurgence, Kathryn M. Kestner
Dissertations
Resurgence is the reemergence of a previously extinguished response when an alternative response no longer produces reinforcement. Although returning to previously successful methods for obtaining reinforcement is likely advantageous, resurgence also occurs in the form of treatment relapse. An individual may return to problematic behavior (e.g., aggression, self-injury, drug use) when an alternative behavior (e.g., communication response, coping skill, social behavior, etc.) is no longer successful at producing a reinforcer. Behavior analysts rely on treatments based on differential reinforcement of alternative behavior, and resurgence has been demonstrated following changes to reinforcement schedules due to errors in treatment integrity or intentional …
Functional Analysis Of Gambling, Mack S. Costello
Functional Analysis Of Gambling, Mack S. Costello
Dissertations
Given high rates of gambling and the growing population of disordered gamblers, there is a need to develop assessment strategies with improved treatment validity. More specifically, assessment strategies are needed that identify the controlling variables for disordered gambling and, thus, provide guidance in the selection of treatment and prevention strategies. This study sought to develop a functional analysis for gambling by utilizing a simulated gambling environment in which contextual variables hypothesized to be causally linked to disordered gambling could be systematically manipulated. Seven experienced gamblers participated in the multi-element, single-subject experimental study. Participants who endorsed at least some problems from …
An Examination Of Psychoeducation And Its Potential Modifying Influence On Alcohol Use Patterns Among Adults Reporting Co-Occurring Posttraumatic Stress Symptoms And Hazardous Alcohol Consumption, Sarah Jo Bujarski
Graduate Theses and Dissertations
Research has suggested that consumption of alcohol in the presence of elevated posttraumatic stress symptom (PTSS) may serve an avoidant function to cope with negative emotions. These coping-related motives for use are theorized to both maintain PTSS and relate to poorer prognoses in treatment for alcohol use disorders (AUDs). Treatments utilizing coping skills training, which typically also involves educating clients about the negative consequences of drinking alcohol to cope, suggest the utility of targeting coping behaviors to reduce alcohol use. These studies, however, have not attempted to isolate the effects of psychoeducation on alcohol-related factors. The current study investigated the …
Investigating The Theory Of Ambiguous Loss: The Role Of Ambiguity Tolerance In Pre-Death Grief For Caregivers Of Individuals With Dementia, Megan Kale-Cheever
Investigating The Theory Of Ambiguous Loss: The Role Of Ambiguity Tolerance In Pre-Death Grief For Caregivers Of Individuals With Dementia, Megan Kale-Cheever
Graduate Theses and Dissertations
This thesis sought to investigate the relationship between ambiguity tolerance and caregiver grief within the framework of ambiguous loss theory. Thirty-one family caregivers completed a quantitative survey comprising two pre-existing scales and several demographic questions designed to assess level of ambiguity tolerance, level of grief, caregiver age and gender, type of relationship to the care recipient, living situation, length of caregiving career, level of Social support and frequency of difficult behaviors. Quantitative data analysis revealed that while no relationship existed between total ambiguity tolerance and total caregiver grief, a modest, inverse relationship exists between tolerance toward general-type ambiguity and burden, …
The Importance Of Treatment For Foster Youth, Lyl T. Cartagena
The Importance Of Treatment For Foster Youth, Lyl T. Cartagena
Creative Activity and Research Day - CARD
This presentation provides an overview of mental health interventions including highlights of their outcomes.The summary of the extant findings helps identify the strengths and deficits of what has been done, and supports a call for further research in order to change current methods of care provided along with developing an improved method of treatment for foster care youth.
Understanding Representations Of Impulsivity In Dimensional Models Of Personality Pathology, Sarah Ann Griffin
Understanding Representations Of Impulsivity In Dimensional Models Of Personality Pathology, Sarah Ann Griffin
Open Access Theses
Impulsivity is an individual difference that impacts many aspects of an individual's functioning; however, there as of yet has been no consensus on a single definition of impulsivity across the various fields that study it and its related outcomes. In fact, research at this point predominantly supports the idea that "impulsivity" is actually a multi-faceted construct comprised of multiple lower-order traits, but there is little agreement on what those lower-order facets should be. The purpose of the present study was to investigate the conceptualization of complex trait impulsivity within two new omnibus measures of maladaptive personality in terms of both …
Using Yoga Practice To Empower Psychotherapists’ Interpersonal Process, Jennifer Paz
Using Yoga Practice To Empower Psychotherapists’ Interpersonal Process, Jennifer Paz
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Yoga practice promotes awareness and acceptance, and serves as a body-centered medium for developing deepened self-understanding. Among patient populations, a growing body of evidence suggests that the benefits of yoga practice extend to both physical health and psychological well-being. However, the psychological impact of yoga practice on psychotherapists’ interpersonal responses, while potentially promising, has received little attention in the literature. This paper provides a historical overview of contemplative practices and discusses the role that yoga can play in developing certain interpersonal characteristics of the psychotherapist that are hypothesized to empower the therapeutic relationship and facilitate constructive behavior change on the …