Psychiatry and Psychology Commons^™

Depression Care Management: Can Employers Purchase Improved Outcomes?, Kathryn Rost, Donna Marshall, Benjamin Shearer, Allen J. Dietrich

Mental Health Law & Policy Faculty Publications

Fourteen vendors are currently selling depression care management products to US employers after randomized trials demonstrate improved work outcomes. The research team interviewed 10 (71.4%) of these vendors to compare their products to four key components of interventions demonstrated to improve work outcomes. Five of 10 depression products incorporate all four key components, three of which are sold by health maintenance organizations (HMOs); however, HMOs did not deliver these components at the recommended intensity and/or duration. Only one product delivered by a disease management company delivered all four components of care at the recommended intensity and duration. This “voltage drop,” …

Conflicts Of Interest In Clinical Practice Guidelines, Lisa Cosgrove, Allen F. Shaughnessy

Counseling, School Psychology & Sport Faculty Publication Series

Clinical practice guidelines are used increasingly across medical specialties and settings, making evaluation of their utility and validity a critical public health issue. In this paper, we describe some of the challenges that specialty organizations face as they try to ensure that their guidelines are trustworthy and useful. We examine the practice guidelines for Major Depressive Disorder recently published by the American Psychiatric Association (APA), identify five sources of potential bias that may affect the guideline development process and offer suggestions based on our review. For example, even for mild depression, this guideline privileges pharmacotherapy over other interventions, despite questions …

Effective Professional Development For Teachers Of Students With Autism, Erin Marie Torruella

Dissertations and Theses @ UNI

The number of students with autism is on the rise. The main treatment for children with autism is their education. It is essential that teachers are prepared to work with students with autism. The purpose of this study was to determine the effectiveness of a teacher training workshop held by Area Education Agency 267. Fifty-one participants of the workshop training responded to a survey regarding their implementation of strategies learned, their understanding of the content and strategies learned, the change in their planning and delivery of instruction, and the impact on their students' achievement.

The study found that the training …

What Is The Safety And Efficacy Of Tarenflurbil (R-Flurbiprofen) In Mild To Moderate Alzheimer’S Disease?, Lauren Viscount

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this systematic review is to determine what is the safety and efficacy of Tarenflurbil (R-flubiprofen) in mild to moderate Alzheimer’s Disease.

Does Beta Amyloid Immunization Reduce Amyloid Plaques And Preserve Cognitive Function In Patients With Alzheimer’S Disease?, Andrea Sasin

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this systematic review is to examine the efficacy of beta amyloid immunization in reducing amyloid plaques and preserving cognitive function in patients with Alzheimer’s disease (AD).

Does Fish Oil Supplementation (Omega-3 Pufa) Cause Mood Improvement In Adults With Depression, Lauren Cabana

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this systematic review is to determine whether or not “Does fish oil supplementation (omega-3 PUFA) cause mood improvement in adults with depression?”

Does High Intensity Treadmill Therapy In Infants With Down Syndrome Contribute To Attaining Motor Milestones At An Earlier Age?, Rebekah E. Bennett

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this systematic review is to determine whether or not high intensity treadmill therapy is effective in helping children with Down syndrome attain motor milestones at an earlier age.

An Examination Of The Relationship Between Positive Psychological Functioning And Depression, John Forbes

Theses: Doctorates and Masters

With unipolar depression one of the most disabling illnesses in the world, it is important to appropriately conceptualise this disorder in order to inform research, diagnosis, and treatment. While many psychological theories of depression include constructs of polarity, most research and diagnostic criteria have focused on a single dimension that concentrates on the presence of negative symptomatology. This is reflective of an illness model of mental health that predominantly considers the presence of negative symptoms in terms of mood, cognitions, behaviours, and overall functioning. Nevertheless, there is strong research evidence indicating that positive and negative aspects of psychological functioning are …

Using Led Lights As Prompts To Teach Receptive Identification To Preschool Children With Autism, Allison Pavlicek

Honors Theses

The purpose of the study "Using LED Lights as Prompts to Teach Receptive Identification to Preschool Children with Autism" is to implement a different prompting procedure than traditional least-to-most prompting procedures in teaching. One prompting procedure commonly used in discrete trial training classrooms involves least-to-most prompting in the form of gestural and physical prompts to guide children to make correct responses during teaching procedures. To specifically teach receptive identification skills, an apparatus with LED lights was used as a prompting device to vary light intensities on stimuli that the child will choose from. This alternate method of prompting may enable …

Research To Practice: Vocational Rehabilitation Services Received By Youth With Autism: Are They Associated With An Employment Outcome?, Jaime Lugas, Jaimie Ciulla Timmons, Frank A. Smith

Research to Practice Series, Institute for Community Inclusion

While youth with autism represent a small percentage of all vocational rehabilitation (VR) closures, the number who closed out of VR more than tripled between 2003 and 2008 (see Institute for Community Inclusion Data Note 26). As increasing numbers of youth with autism are accessing VR services, it is important to understand how they are using these services and the relationship of these services to outcomes and costs.

Diagnosing Conflict-Of-Interest Disorder, Lisa Cosgrove

Counseling, School Psychology & Sport Faculty Publication Series

In June 2010, the Association of American Medical Colleges issued the third and final portion of its conflict-of-interest policy initiatives. The task force on “Conflicts of Interest in Clinical Care” did not mince words when it described the impetus for these initiatives: “It is imperative that the possibility or perception of [financial conflict of interest] be advertently examined and appropriately evaluated to ensure that academic medicine in all of its missions is fundamentally dedicated to the welfare of patients and the improvement of public health.”

This report is especially timely because of recent questions raised by investigative journalists and policy …

Psychiatric Taxonomy, Psychopharmacology And Big Pharma, Lisa Cosgrove

Counseling, School Psychology & Sport Faculty Publication Series

Clinicians practicing today need to be aware of the ways in which the current industry-dominated climate may undermine the integrity of the scientific process and, thus, may compromise patient care. In the mental health field, corporate sponsorship bias can affect psychiatric taxonomy and clinical Practice Guidelines (CPG). Financial conflicts of interest (FCOI) can occur when there are financial associations between researchers, authors, or panel members developing psychiatric diagnostic and treatment guidelines, and the pharmaceutical industry, or when randomized clinical trials (RCTs) are industry funded. Therefore, clinicians need to be especially vigilant about the informed consent process when patients are prescribed …

Gender Difference In Age At Onset Of Schizophrenia: A Cross Sectional Study From Pakistan, Imama Naqvi, Muhammad Murtaza, Muhammad Ressam Nazir, Haider Ali Naqvi

Department of Psychiatry

OBJECTIVE: To validate the effect of gender on age at onset of schizophrenia in a developing country

METHODS: Medical records of 252 patients diagnosed with schizophrenia according to DSM-IV criteria at a tertiary care hospital in Karachi, Pakistan between 2002 and 2008 were reviewed using a structured questionnaire. Age at onset was defined as age at onset of psychotic symptoms, age at first contact with a health care provider and age at first hospitalization. Socio-demographic variables were reported using descriptive statistics and all measures of age at onset were compared across gender using t-test.

RESULTS: There were 119 women and …

Insights Gleaned From The Tragedy At Virginia Tech, Lucinda Roy

Washington and Lee Journal of Civil Rights and Social Justice

No abstract provided.

What Psychiatry, Developmental Psychology, And Neuroscience Can Teach Us About At- Risk Students, Eileen P. Ryan

Washington and Lee Journal of Civil Rights and Social Justice

No abstract provided.

Detecting And Engaging At-Risk Students, Ann P. Haas

Washington and Lee Journal of Civil Rights and Social Justice

No abstract provided.

What The Governor’S Panel Learned, Aradhana "Bela" Sood

Washington and Lee Journal of Civil Rights and Social Justice

No abstract provided.

Serious Mental Illness In Florida Nursing Homes: A Study Of Resident, Facility And Cost Characteristics, Marion Becker, Shabnam Mehra

Mental Health Law & Policy Faculty Publications

No abstract provided.

Effect Of Depression On Attention Via Mood Induction In A Healthy Population, Cheryl Mae Calvano

Loma Linda University Electronic Theses, Dissertations & Projects

This project continues research into the cognitive attention of persons with a sad mood similar to that experienced by dysthymia. The project utilizes the Dot Probe Task to evaluate attention to affective stimuli presented in the International Affective Picture Set (IAPS). Participants were psychology students recruited from La Sierra University. Participants completed a word task that intended to induce a sad or neutral mood. The Positive and Negative Affect Scale (PANAS) was used to evaluate the efficacy of the mood induction. Overall, participant’s negative PANAS scale did not differ between groups. Groups differed between administrations of the PANAS on the …

Fetal Alcohol Spectrum Disorder, Mary (Katie) Busmire

Psychology and Child Development

This is a senior project about fetal alcohol spectrum disorder (FASD). Fetal Alcohol Spectrum Disorder (FASD) is the term given to a child who has been affected by exposure to prenatal alcohol. Drinking during pregnancy can lead to several physical, neurological and behavioral effects. However, there are several interventions that can help minimize the effects of prenatal alcohol. Focusing on family interventions and therapies will best benefit the lives of children with FASD and their families.

Undue Pharmaceutical Influence On Psychiatric Practice, Lisa Cosgrove, Harold J. Bursztajn

Counseling, School Psychology & Sport Faculty Publication Series

Within the past few years, increasing concerns have arisen about the ways in which corporate sponsorship of clinical trials and continuing medical education activities may bias the information that is published and disseminated about the benefits and risks of medications. Questions have also been raised about the extent of industry influence on the American Psychiatric Association’s diagnostic and treatment guidelines—namely, its DSM and Clinical Practice Guidelines.

Dialectical Behavior Therapy In State Hospitals: Does It Work And What Moderates The Outcomes?, Amanda L. Collins

Department of Psychology: Dissertations, Theses, and Student Research

Dialectical Behavior Therapy (DBT) demonstrates effectiveness in the treatment of individuals diagnosed with Borderline Personality Disorder in an outpatient setting. DBT has also been adapted for inpatient settings and demonstrates effectiveness with this population. To date no published literature examines the effectiveness of the standard outpatient model implemented in an inpatient setting. Furthermore, the literature examining inpatient DBT is done on treatment units where DBT is the sole treatment modality. There is no published literature regarding the use of DBT in conjunction with another treatment program. Therefore, this study examines the effectiveness of the standard outpatient DBT model implemented in …

Seeking Safety Group Proposal For Posttraumatic Stress Disorder And Co-Occurring Substance Use Disorder, Caryn P. Brakenridge

Counselor Education and Counseling Psychology Research Exchange Conference

Reports on rates of PTSD among women receiving treatment for substance use disorders (SUDs) ranges from 20% to as much as 59%. Research however has shown that fewer than half of women with SUDs will receive treatment that addresses their PTSD symptoms. Research over the past three decades has shown an increased interest in individuals diagnosed with posttraumatic stress disorder (PTSD) using group psychotherapy. However, group psychotherapy approaches for co-occurring PTSD and substance use disorders are not as well developed. This proposal suggests the creation of a psychotherapy group for women suffering from SUDs with co-occurring PTSD symptoms. The group …

Pharmaceutical Philanthropic Shell Games, Lisa Cosgrove, Harold J. Bursztajn

Counseling, School Psychology & Sport Faculty Publication Series

In response to increasing public distrust and congressional concerns regarding pharmaceutical company influence on medical research and education, professional organizations have taken steps to phase out or regulate industry-sponsored educational support. A related problem is industry funding of philanthropic organizations, such as patient advocacy groups. Thus, when the office of Sen Charles Grassley (R-Iowa) recently reported that the National Alliance for the Mentally Ill received substantial pharmaceutical funding, there was concern among the membership’s psychiatric patients and their families.

Psychometric Properties Of The Psychopathic Personality Inventory In A Non-Criminal Population, Julie Madeleine Woltil

Loma Linda University Electronic Theses, Dissertations & Projects

The Psychopathic Personality Inventory (PPI) is a self-report measure which was created to identify the personality traits of psychopathy in noncriminal populations. These personality traits were grouped into eight subscales in the PPI including Machiavellian Egocentricity, Social Potency, Coldheartedness, Carefree Nonplanfulness, Fearlessness, Blame Externalization, Impulsive Nonconformity and Stress Immunity. The hypothesized relationships and factor structure of this study follow the theory of psychopathy as being a disorder rooted in antisocial behaviors (often aggressive and impulsive in nature) and inappropriate emotional reactivity (characterized as a lack in empathy and anxiety). A confirmatory factor analysis was done with an ethnically diverse undergraduate …

Major Depression : Diagnosis And Intervention, Lindsay Linck

Graduate Research Papers

This paper will be an analysis of the psychological disorder of major depression. First, the classification of this disorder using the DSM-IV-TR will be reviewed. The areas of etiology, differential diagnosis, and treatment will then be considered. Following, a theory-specific approach to the disease including theoretical framework, diagnosis and treatment, and outcomes of using this approach, will be examined. Finally a personal reflection on the subject of major depression, and lessons learned from this project, will be discussed.

Borderline Personality Disorder And Suicidal Attempts: How To Calm An Uprising Dilemma, Ashley Anne Welter

Graduate Research Papers

Patients with Borderline Personality Disorder (BPD) are more likely than patients with any other personality disorder to commit suicide. Many programs have been found successful in helping these patients control their thoughts. Using the Behavioral Activation Treatment for Depression (BATD) with a cathartic journal process in addition to the treatment, instead of hospitalization, it is hypothesized that BPD patients will reduce thoughts and attempts of suicide. This is a five year program that will be implemented to see how patients progress through the treatment. There will be a pretest-posttest control group design used in this research. With adding a journaling …

Obsessive Compulsive Disorder, Angela Bigelow

Graduate Research Papers

Obsessive Compulsive Disorders have the potential to destroy people's lives. The negative consequences of Obsessive Compulsive Disorder can affect so many people-the people suffering from the disorder, the family of the sufferer, as well as the lack of insight of the disorder within the community. According to the Obsessive Compulsive Foundation (2010), the disorder affects between 2 to 3 million adults in the United States and around 500,000 children and teens have Obsessive Compulsive Disorder. Due to the alarming statistics and the secret lives of incredible pain and humiliation OCD sufferers' experience, it is imperative that mental health counselors educate …

Psychological Care For Persons Of Diverse Religions: A Collaborative Continuum, Glen Milstein, Anne Marie Yali

Publications and Research

The purpose of this paper is to describe to psychologists and other clinicians a continuum of mental health care for persons of diverse religions. The continuum delineates boundaries between clinical care provided by mental health professionals and religious care provided by clergy, as well as describes pathways of collaboration across these boundaries. A prevention science based model of Clergy Outreach and Professional Engagement (COPE) is offered to guide this collaboration. The model describes a continuum that moves from the care already present in religious communities, through professional clinical care provided in response to dysfunction and returns persons to their own …

Investigation Of Working Memory Across Behavioral And Executive Function Variables In Adolescents With Emotional Disturbance, Eleazar Cruz Eusebio

PCOM Psychology Dissertations

Newer insights into working memory may have important implications for understanding varying cognitive abilities in adolescents and their corresponding degrees of success and efforts to accomplish real-world goals. It is important to investigate the construct of working memory in relation to academic, behavioral, and emotional success at school for students classified with an Emotionally Disturbance (ED). In the educational system, students are classified as ED, based upon IDEA regulations present within a multiplicity of these cognitive, behavioral, socio-emotional, and academic difficulties. The associated cognitive deficits often involve poor working memory skills thought to be related to frontal lobe processes. Considering …