Cognitive Behavioral Therapy Commons^™

Influence Of Patient Characteristics On Perceived Risks And Willingness To Take A Proposed Anti-Rheumatic Drug, Richard W. Martin, Kelsey Mccallops, Andrew J. Head, Aaron T. Eggebeen

University Faculty Publications and Creative Works

The causes of the underutilization of disease modifying anti-rheumatic drugs (DMARDS) for rheumatoid arthritis (RA) are not fully known, but may in part, relate to individual patient factors including risk perception. Our objective was to identify the determinants of risk perception (RP) in RA patients and predictors of their willingness to take a proposed DMARD (DMARD willingness). Methods. A cross-sectional mail survey of RA patients in a community rheumatology practice. Patients were presented a hypothetical decision scenario where they were asked to consider switching DMARDs. They evaluated how risky the proposed medication was and how likely they would be to …

Bracing For Idiopathic Scoliosis: Improving Adherence Through Psychological Intervention, Shoshana J. Fagen

Antioch University Dissertations & Theses

Poor treatment adherence is increasingly being recognized as a significant problem in pediatric medicine. For the condition Adolescent Idiopathic Scoliosis, poor adherence rates to the most non-surgical intervention, orthotic bracing, have become a well-established fact. This treatment modality has been correlated with multiple psychosocial areas of difficulty, including low self image, suicidal ideation, feelings of isolation, social discomfort, depression, an external locus of control, increasing risk taking behavior, high levels of stress, anger, fear, shame, and eating disorders. Since the orthotic bracing has been linked to both poor adherence and to psychosocial problems, an intervention is created to increase adherence …

A Training Curriculum For Assessing And Treating Sex Offenders With Mental Illnesses, Shawna Elizabeth Walker Boles

Antioch University Dissertations & Theses

The purpose of this paper was to develop a continuing education program to teach sex offender-specific treatment providers (SOSTP) in the community how to appropriately assess, treat and manage adults with severe mental illness who are also sex offenders (SMISOs) in an outpatient setting. This paper begins with an overview of the most relevant literature associated with the treatment of sex offenders and a presentation of some of the current programs developed to treat sex offenders with severe and persistent mental illnesses. This review also outlines the paucity of resources and the need for SOSTPs to receive expanded training to …

Acceptability Of Behavioral Treatments For Insomnia, Daniel Bluestein, Amanda C. Healey, Carolyn M. Rutledge

Ellmer School of Nursing Faculty Publications

Background: Behavioral treatments for insomnia are safe and efficacious but may not be embraced by patients in primary care. Understanding factors associated with acceptability can enhance successful use of these modalities. The objective of this study was to identify demographic and clinical/psychosocial correlates of behavioral insomnia treatment acceptability.

Methods: This nonexperimental, inventory-based, cross-sectional study enrolled patients from a hospital-sponsored primary care clinic and 2 urban academic family practices. Participants (n = 236) were 18 years of age or older who had clinically significant insomnia (Insomnia Severity Index score >= 8) and were recruited consecutively at these sites. A study coordinator …

Male Anorexia: In The Modern 2011, Barbara Wallen-Adams

McNair Poster Presentations

It has been reported that homosexuality is a risk factor for males with anorexia. However, it is unclear whether it is a specific risk factor for eating pathology or just a common risk factor associated with psychopathology. If social stigmatization of homosexuality can cause general psychological suffering that express itself as a discomfort with sexual orientation, poor self-esteem, depression, and disordered eating, than homosexuality may act as a general risk factor in itself. It can also be interrelated to certain aspects that distinctively increase the risk for males developing anorexia, such as increased identification with the male gender roles (Munen …

Diagnosing And Treating Adhd: Discipline Differences, Lisa Marie Lliteras

Loma Linda University Electronic Theses, Dissertations & Projects

According to Barkley (2005), attention deficit hyperactivity disorder (ADHD) is one of the most common reasons children are referred to mental health workers in the United States and is now one of the most prevalent psychiatric disorders associated with childhood. The diagnostic criteria and labels for ADHD have changed over the last several decades, and with each change the prevalence rate for ADHD has increased (Wolraich & Baumgaertel, 1997). This increase in the prevalence of ADHD has led to a need for clinicians from different disciplines to assess and treat ADHD. As such, several guidelines from professional associations have been …

Locus Of Control And The Age Difference In Free Recall From Episodic Memory, Paul Amrhein, Judith K. Bond, Derek Hamilton

Department of Psychology Faculty Scholarship and Creative Works

The authors investigated the relation of locus of control (LOC) to age differences in free-recall memory performance. Older and younger participants completed P. C. Duttweiler's (1984) Internal Control Index (ICI) and subsequently performed free-recall memory tasks. Compared with the younger participants, the older participants exhibited poorer recall with more intrusions and uncorrected repetition errors as well as reduced categorical clustering. For the older participants with less internal LOC, recall proportion and item-pair associative recall clustering were lower than for the older participants with more internal LOC. By contrast, the younger participants did not exhibit any LOC effects in their recall …

Psychosocial Correlates Of Insomnia Severity In Primary Care, Daniel Bluestein, Carolyn M. Rutledge, Amanda C. Healey

Ellmer School of Nursing Faculty Publications

Purpose: Insomnia is a substantive primary care issue that leads to adverse outcomes. These can be improved by addressing factors that accentuate insomnia severity. Accordingly, this study identifies correlates of insomnia severity and determines whether these relationships vary with sociodemographic attributes.

Methods: This correlational cross-sectional study was conducted in a hospital-sponsored primary care clinic and 2 urban, academic family practice centers. Participants consisted of 236 patients 18 years old or older with clinically significant insomnia (Insomnia Severity Index scores of 7 or more). Surveys instruments included the Insomnia Severity Index, SF-8 (Medical Outcomes Study SF-8 global health status measure), CES-D …

A Psychoeducational Group Intervention For Fibromyalgia Patients, Derek O. Bacchus

Loma Linda University Electronic Theses, Dissertations & Projects

This study examined the effect of a multidisciplinary psychoeducational treatment group on Fibromyalgia Syndrome (FMS) pain, depression, catastrophizing, and quality of life. The Short-Form McGill Pain Questionnaire (SF-MPQ), Center for Epidemiologic Studies Depression Scale (CES-D), Coping Strategies Questionnaire (CSQ), and the World Health Organization Quality of Life Assessment—Abbreviated Version were used to assess these constructs in 15 participants. The sample was composed entirely of female participants and was predominantly middle aged, which is typical of the FMS population. Two separate groups of FMS patients—seven in Group 1, eight in Group 2—completed a 10-week psychoeducational intervention where they were presented with …

The Effects Of A Psychoneuroimmunology Based Lifestyle Intervention In Modifying The Progression Of Major Depression In Clinically Depressed Adults, Ruth A. Tanyi

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic stress can lead to poorly controlled upsurges of cortisol and dysregulation of the hypothalamic pituitary-adrenal axis, thereby contributing to major depression. Hence, researchers have begun to examine the effects of individual psychoneuroimmunology (PNI) interventions and their impact on modifying stress and depression. However, there is a lack of studies that have examined the composite effect(s) of a PNI-based lifestyle intervention and major depression. Thus, this randomized interventional study examined the composite effect(s) of a PNI-based lifestyle intervention: combined progressive muscle relaxation and spiritual guided imagery and humor as an adjunct therapy to modifying the progression of depression. Participants were …

Acute Psychiatric Group Therapy For Hospitalized Individuals With Serious And Persistent Mental Illness, Lindsey Bednar

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to identify group therapy interventions to be provided during a time limited acute psychiatric hospitalization for individuals with serious and persistent mental illness (SPMI) derived from evidenced-based research.

Research Question: What skills deficits and theory of practice are most efficacious with individuals with SPMI diagnosis served by ISJ Behavioral Health Unit?

Combined Cognitive Behavioral Treatment Plus Caregiver Sessions For Childhood Depression, Dikla Eckshtain

Dissertations

Childhood depression is intimately related to the family context and caregiver-child relations, but only a limited number of treatment outcome studies for depressed youth have formally included members of the family in the intervention. To address this discrepancy the present study evaluated the efficacy of adding caregiver sessions to individual cognitive behavioral therapy (CBT) for the treatment of depressed youth. The treatment included 16 individual sessions and 7 caregiver sessions administered in the child's school to promote accessibility. Fifteen children (10 females and 5 males ranging in age from 8-13), who met inclusion criteria based on self-report and interview measures …

The Psychophysiology Of Information Processing Differences In Eating Disorders, Kathryn Grace Truitt

Loma Linda University Electronic Theses, Dissertations & Projects

Maladaptive or dysfunctional cognitive factors are believed to be significant contributors to pathology in eating disorders. The emotional Stroop task was used to examine [the] these dysfunctional cognitive factors. A sample of 31 women (14 nonclinical controls, 13 BN, 4 AN) participated in this investigation, after exclusion for ocular and movement artifacts and equipment problems the remaining sample contained 4 women diagnosed with BN, 4 women diagnosed with AN, and 9 matched non-clinical control subjects. Participants completed an Emotional Stroop task comprised of 8 blocks of words. On each trial, a word was presented in one of four colors (black, …

Efficacy Of Cognitive Therapy And Pharmacotherapy In Depression: A Meta-Analysis, Daniel B. Michel

Loma Linda University Electronic Theses, Dissertations & Projects

A meta-analysis comparing the long-term effectiveness of cognitive behavioral therapy (CBT) and pharmacotherapy in preventing relapse following treatment discontinuation was performed using published studies of depressed participants. Twenty-three articles met inclusionary criteria and were included in the analyses. Weighted effect sizes and moderators, treatment type, were calculated using statistical analysis software. Initially, fixed effects models were applied to the data, but due to significant between-group heterogeneity that could not be fully explained by treatment type, mixed effect models were used to account for the residual heterogeneity. Results indicated that overall, depressed individuals treated to remission with CBT evidence decreased relapse …

Behavioral Compliance And Verbal Intelligence In Children, Jared Jackson

Loma Linda University Electronic Theses, Dissertations & Projects

Compliance with parental requests is an important developmental task necessary in the socialization of children. The majority of research has focused on the relationship between child compliance and variables related to age, parental interactions, and child temperament. While these variables account for almost half of the variance related to compliance in children, there is still a large amount of variance unaccounted for. An area that has not been fully explored is the role of verbal intelligence in behavioral compliance of children. This study explored the contributions that verbal intelligence may play in the behavioral compliance of children. Results from this …

Female Patients’ Perspectives On The Stages Of Eating Disorder Recovery, Cherish C. Knoll

Loma Linda University Electronic Theses, Dissertations & Projects

Eating disorders are severe psychiatric disorders that most commonly begin in the female population during adolescence and across ethnicity (Lucas, 2004). However, the face of eating disorders is changing as they become more apparent across cultures and lifespan, impacting both young and aging women as well as males. In the past few decades progress has been made in the diagnostic, treatment, and recovery phases of eating disorders. These gains have contributed to a better understanding of eating disorders, assisting in the decrease of mortality and morbidity rates seen in eating disorder patients. Nevertheless, there are significant challenges that still remain …

Methamphetamine: The New Epidemic, Jessica Gingery

Honors Capstones

Capstone submitted as a graduation requirement for the BSU Honors Program.

Bereavement In The Modern Western World, David San Filippo Ph.D.

Faculty Publications

Bereavement is the process of suffering that follows the loss of a living being that is significant to someone. When one suffers, she or he has to endure an unpleasant experience, in the case of bereavement, the loss of something special to the person. This loss most often is a loved one but could also include the loss of a pet, relationship, or physical or mental capability. This state of suffering is called grief. In describing his grief, C. S. Lewis stated, after the loss of his wife, “No one ever told me that grief felt so much like fear. …

An Overview Of The Near-Death Experience Phenomenon, David San Filippo Ph.D.

Faculty Publications

Near-death experiences appear to be universal phenomena that have been reported for centuries. A near-death encounter is defined as an event in which the individual could very easily die or be killed, or may have already been considered clinically dead, but nonetheless survives, and continue his or her physical life. Reports of near-death experiences date back to the Ice Age. There are cave paintings, in France and Spain that depict possible after life scenes that are similar to reported scenes related to near-death experiences. Plato's Republic presents the story of a near-death experience of a Greek soldier named Er. In …

A Framework For The Representation Of Cohesion In Small Combat Units, William Eugene Warner

Computational Modeling & Simulation Engineering Theses & Dissertations

Current combat simulations deal well with large unit formations, weapon systems, and physical effects such as attrition. Human factors such as morale, cohesion, and effects of stress are modeled much less adequately. Of the human factors affecting the psychology of a combat unit, military psychologists have identified cohesion as one of the most important. The concept of cohesion, referring to both the interpersonal relationships between soldiers in a military unit and to the morale solidarity of a military force, has been central to military analysis for many years.

A model framework has been developed that can operationalize the concept of …

Historical Perspectives On Attitudes Concerning Death And Dying, David San Filippo Ph.D.

Faculty Publications

Beliefs and practices concerning death have changed throughout human history. In pre-modern times, death at a young age was common due to living conditions and medical practices. As medical science has advanced and helped humans live longer, attitudes and responses to death also have changed. In modern Western societies, death is often ignored or feared. Changes in lifestyles and improved medical science have depersonalized death and made it an encroachment on life instead of part of life. This has left many people ill equipped to deal with death when it touches their lives.

Religious Interpretations Of Death, Afterlife & Ndes, David San Filippo Ph.D.

Faculty Publications

This E-book reviews religious beliefs concerning death, afterlife, and near-death experiences. The discussion will provide commentary regarding the similarities between different religious beliefs and experiences concerning death, as well as between religious interpretations of near-death experiences.

Perspectives On The Fears Of Death & Dying, David San Filippo Ph.D.

Faculty Publications

This E-Book will examine some perspectives on fear, the fears of death, and constructs used to overcome or deal with the fears of death. By examining the literature on fear in general, a framework can be developed to understand how individuals become fearful. In the section, “Fears of Death,” what people fear about death and why they fear it will be discussed.

Philosophical, Psychological & Spiritual Perspectives On Death & Dying, David San Filippo Ph.D.

Faculty Publications

This Ebook reviews the philosophical perspectives on death, the psychological perspectives on death and the fears of death and some religious perspectives of death. The philosophic section will review perspectives of death from ancient Greece through modernity. The psychological section will review death, and the fear of death, from the perspectives of psychoanalytic, humanistic, and existentialist theories. The religious section will provide a brief overview of Prehistoric, African, Buddhist, Hindu, Islamic, Jewish, and Christian religious beliefs concerning death and afterlife.

Understanding The Mind-Body Connection For Optimal Health And Healing, Molly M. Cretsinger

Graduate Research Papers

The purpose of the research paper is to understand how a person's attitudes and beliefs shape their life and influence their health and healing. It is fundamental for someone in the helping profession to gain insight into the role of love, faith, hope, and forgiveness in overall health and healing. The key to health and healing is to understand, accept, and believe in the notion of control over one's thinking and the ability to be who one chooses to be. Every day and every thought is a choice. It is crucial for health and overall wellness that individuals take responsibility …

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 …

A Measurable Model Of Resilience, Heidi E. Keller

Seton Hall University Dissertations and Theses (ETDs)

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Characteristics Of Effective Employment Services: The Consumers’ Perspective, Jaimie Ciulla Timmons, Jennifer Schuster, Doris Hamner, Jennifer Bose

All Institute for Community Inclusion Publications

This monograph reports on a study investigating the characteristics of effective state service systems. Findings are based on the experiences of individuals with disabilities who have used a state agency (Vocational Rehabilitation, Department of Mental Retardation, Department of Mental Health, or One Stop Center) to find employment. Interviews were conducted to examine individuals' experiences with employment services including job search, job entry, strategies that facilitated involvement, supports provided, and barriers experienced. Findings indicated five key components to effective service delivery, including agency culture, consumer-directedness, access to resources, quality personnel, and coordinated services. Obstacles faced during the employment process and personal …

Vocational Rehabilitation Outcomes For People With Mental Retardation, Cerebral Palsy, And Epilepsy: An Analysis Of Trends From 1985 To 1998, Dana Scott Gilmore, Jennifer Schuster, John Butterworth

All Institute for Community Inclusion Publications

This monograph presents the results of secondary analysis of the RSA-911 database from the Rehabilitation Services Administration. All successful VR closures for individuals with mental retardation, cerebral palsy, and epilepsy for six data points between 1985 and 1998 were investigated. Trends in competitive labor market and extended employment (sheltered workshops) closures were examined. The use of supported employment in the VR system and its outcomes were also discussed. Findings include increased incidence of competitive labor market closures and supported employment services, with a decrease in extended employment closures.

Comparisons of successful VR closure outcomes to trends in the general labor …

The Effects Of Sibling-Implemented Training On Social Behaviors Of Autistic Children, Cristin L. Sullivan

Dissertations

The present study investigated the effectiveness of sibling-implemented pivotal response training (PRT) on the social behaviors of five children with autism. Using a multiple-baseline design across sibling pairs, participants were trained to use PRT while playing with their brother’s with autism. Measures of play skills and social behavior were assessed during baseline, training, sibling-independent play, and two-month follow-up sessions. Also, parents were asked to rate randomly selected video-tape segments from baseline and sibling-independent play sessions. The results indicated that siblings were able to learn effectively and implement PRT strategies following training. All of the children with autism demonstrated an increase …