Psychiatry and Psychology Commons^™

Study Of Executive Functioning Training In Adolescents Diagnosed With Autism, Jessica Postil

Loma Linda University Electronic Theses, Dissertations & Projects

This study investigated the effectiveness of a manualized executive functioning training program used with adolescents diagnosed with autism. Three male adolescents were trained on executive function activities using a combination of Applied Behavioral Analysis and executive functioning activities. Training programs were administered individually, lasting for 2 hours per day for 20 days. Participants were tested 1 month before training, 1 week before treatment, immediately after training and at a one-month follow-up. Significant improvements were seen in performance on executive functioning tasks that required motor speed, verbal fluency, monitoring, predicting, planning and organization skills. Significant changes in the participant’s adaptive behavior …

An Epidemiological Study Of Maternal Depression: Findings From The National Institute Of Child Health And Human Development Study Of Early Child Care And Youth Development., Liang Wang

Electronic Theses and Dissertations

This study examined maternal depression status from month 1 to 36 after birth using data from the NICHD Study of Early Child Care and Youth Development. Maternal depression was assessed with the Center of Epidemiological Studies Depression Scale. The prevalence of maternal depression was highest at 1 month, decreased at 6 months, and then kept fairly stable to 36 months. The prevalence was higher in blacks than other races, in 18-24 than 25-46 years old, and in single mothers than non-single mothers. Mothers with better physical health, social support, or employed had a lower prevalence than their counterparts. Mothers in …

When Agencies And Families Come Together: Dealing With Conflict In Building Partnerships, Robyn Boustead, Sheryl Schrepf, Huey Chen, Mary Evans, Andrea K. Blanch, Roger A. Boothroyd

Mental Health Law & Policy Faculty Publications

No abstract provided.

Child Sexual Trauma: Testing The Robustness Of Browne & Finkelhor's Theory, Jose Mauricio Ramirez

Loma Linda University Electronic Theses, Dissertations & Projects

Trauma has received great attention in the last three decades and a major societal issue today is child sexual abuse. Twelve percent of victims of maltreatment every year are victims of child sexual abuse (CSA). Several studies have suggested that the prevalence of CSA in women is in the range of 6% to 62% depending on how the data was collected (e.g., interviews, surveys) and the nature of the population sampled (e.g., general population, clinical population). Because of CSA, victims are impacted by the experience and encounter a change in the way they perceive the world on both the way …

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, …

Self-Mutilating Behaviors, Patience Niemoth-Coleman

Graduate Research Papers

Treating self-mutilating behaviors (SMB) is complex. Since people are continuing to engage in the behaviors, counselors need to be informed of the various techniques that are used with SMB as well as to be informed about common myths around self-mutilating behaviors. This paper will explore the methods of SMB, the common myths surrounding SMB, and the theories that explain and inform treatment of.

Electroconvulsive Therapy : A Brief Overview, Adam A. Sauceda

Graduate Research Papers

Electroconvulsive therapy (ECT) has been increasing in popularity for treating various types of mental health disorders. Although a notably controversial medical procedure, ECT continues to be an option when intense therapy and psychopharmacology fails. This research project will review the recent literature on ECT and provide useful information specific to mental health professionals. A definition, administration procedures, effectiveness, side effects, and specific disorders that have been targeted and most and least receptive for ECT treatment will be the focus of attention

Love-Variant: The Wakin-Vo I. D. R. Model Of Limerence, Albert H. Wakin, Duyen B. Vo

Psychology Faculty Publications

The purpose of the current paper is to 1) propose the Wakin-Vo I.D.R model of limerence and 2) establish grounds for the scientific query of limerence. Limerence is an involuntary interpersonal state that involves intrusive, obsessive, and compulsive thoughts, feelings, and behaviors that are contingent on perceived emotional reciprocation from the object of interest. The model that the authors propose holds that although limerence resembles normative love, it is a state that is necessarily negative, problematic, and impairing, with clinical implications. The model frames limerence as consisting of three functional components: initiating force, driving forces, and resultant forces. Parallels between …

The Effects Of Nicotine Conditioned Place Preference In D2 Primed Adolescent Rats: Age-Related And Gender Effects., Yoko Emily Ogawa

Electronic Theses and Dissertations

This study investigated nicotine conditioned place preference (CPP) in two different ages of adolescence using a rodent model of schizophrenia. Both 2- and 3-chambered CPP apparatuses were used to test whether the CPP was due to an aversion to the white chamber. Animals were neontally treated with the dopamine D₂/D₃ agonist, quinpirole, or saline and raised to either early postweanling age (P 22) or adolescence (P 29). Rats were conditioned to prefer the white chamber using nicotine. Results showed that nicotine induced CPP and appeared to alleviate an increased stress response in D₂ primed animals, which …

Effects Of Distress On Health Care Utilization In Cancer Survivors (Nhis 2004), Natalie Christine Kaiser

Loma Linda University Electronic Theses, Dissertations & Projects

Distress rates have been found to be around 43%, as indicated by a study of five comprehensive cancer centers and as measured by the Distress Thermometer (Jacobsen, et ah, 2005). Furthermore, few studies have examined the current health care utilization among cancer patients as predicted by distress. Thus, population-based data from the NHIS (2004) was analyzed using SUDAAN software 1) to ascertain the current levels of distress as measured by the Kessler 6 scale experienced by cancer survivors based upon demographic characteristics, family structure, physical comorbitities, and cancer-related variables, and 2) to determine whether distress rates reported among cancer survivors …

Posttraumatic And Parent Stress In Parents Of Infant Heart Transplant Recipients, Jessie Rose Stevens

Loma Linda University Electronic Theses, Dissertations & Projects

Heart transplantation during infancy is a life-threatening event, and when successful, the treatment is a life-long process and the potential for life-threatening consequences never ceases. As a result, parents can be impacted in many ways by this traumatic and demanding experience that begins with the initial diagnosis of their infant and continues into the long-term life course of these children. This life-long process has the potential to cause symptoms of posttraumatic stress disorder as well as elevated levels of stress in parents. This study examined parental self-reported post-traumatic stress symptoms and parental stress in parents of children who received a …

Factor Analysis Of The Borderline Personality Inventory Using Item Response Theory, Courtney Mozo

Psychology Theses & Dissertations

The current study used a sample of 251 undergraduate females &om Old Dominion University to assess the item properties of the Borderline Personality Inventory (BPI). The BPI is a true/false self-report instrument used to measure borderline personality disorder. The BPI was created using classical test theory techniques, and traditional methods were used to assess the scale's properties (Leichsenring, 1999). Due to the dichotomous nature of the BPI, traditional classical test theory techniques are not ideal. The current study used Item Response Theory (IRT) to characterize the scale and item properties. The study was conducted using an online survey that also …

The Relations Of Pain, Religious Coping, And Depression In Fibromyalgia Patients, Derek O. Bacchus

Loma Linda University Electronic Theses, Dissertations & Projects

This study attempted to examine the relationship between Fibromyalgia Syndrome (FMS) pain, religious coping, and depression. The Fibromyalgia Impact Questionnaire (FIQ), Short-Form McGill Pain Questionnaire (SF-MPQ), RCOPE, and the Center for Epidemiologic Studies Depression Scale (CES-D) were used to assess these constructs in 50 participants. The sample was primarily middle aged and female, which is typical of the FMS population. This study used multiple regression to make assumptions about the causal progression of the variables. Study findings show that religious coping does not appear to significantly mediate the strong relationship between FMS pain and depression. This research served to uncover …

An Analysis Of Nicotine Exacerbation Of Reductions In Ppi In A Rodent Model Of Schizophrenia., Amanda Marie Maple

Electronic Theses and Dissertations

Prepulse inhibition (PPI) is an operational measure of sensorimotor gating and is known to be reduced when the dopamine D² receptor is activated. We used a rodent model of psychosis in which increases in dopamine D_{2 receptor sensitivity are produced through neonatal quinpirole (a dopamine D2 / D3 agonist) treatment to rats. Rats were administered quinpirole (1mg/kg) or saline from postnatal day (P) 1-21. Rats were raised to adulthood and tested on PPI. Results showed that neonatal quinpirole treatment produced a significant reduction in PPI, and nicotine exacerbated this reduction. This reduction was partially blocked by …}

Nicotine Sensitization In A Rodent Model Of Schizophrenia: A Comparison Of Adolescents, Adults, And Neurotrophic Factors., Marla Kay Perna

Electronic Theses and Dissertations

The behavioral effects of nicotine on locomotor activity in a rodent model of psychosis were analyzed. This model is based on neonatal quinpriole treatment (a dopamine D2/D3 agonist) which causes increased D2 receptor sensitivity, a phenomenon known as D2 priming that is common in schizophrenia. D2-primed adolescent rats did not demonstrate nicotine-induced hypoactivity early in training, and males demonstrated more rapid sensitization to nicotine as compared to controls administered nicotine. D2-primed females administered nicotine demonstrated increased stereotypic behavior. D2-primed adult rats given nicotine demonstrated significantly more robust sensitization to nicotine than controls given nicotine. Brain-derived neurotrophic factor (BDNF) was analyzed …

Binge Eating, Emotion Regulation, And Cognitive Resources, Jennifer A. Tucker

Loma Linda University Electronic Theses, Dissertations & Projects

Research has shown that individuals with binge eating disorder (BED) have difficulty coping with negative emotions, although no research to date has directly investigated emotion regulation and binge eating. In the current study individuals with varying amounts of BED characteristics were measured for accuracy on a computerized task involving attention and working memory. Subsequent to the task, participants were given three self-report measures: the Eating Disorder Examination Questionnaire (EDEQ-I; Fairbum & Celio, 2004), the Positive and Negative Affect Schedule (PANAS; Watson, Clark & Tellgen, 1988), and the Emotion Regulation Questionnaire (ERQ; Gross & John, 2003). It was hypothesized that in …

The Saint Of Worcester: Why Pilgrims Visit Audrey Santo, Mathew N. Schmalz

Religious Studies Faculty Scholarship

No abstract provided.

Abuse And Dissociation Disorder, Myrtle Godfrey

Graduate Research Papers

Child sexual abuse is widely regarded as a cause of mental problems in adult life. The damage inflicted by child sexual abuse.has an affect on the child's capacity to develop trust, intimacy and sexuality. Sexually abused children not only encounter assaults on their developing sense of sexual identity, but a blow to their interpretation of the world as a safe environment, and their developing sense of others as trustworthy. In addition, childhood sexual abuse is correlated with higher levels of dissociation. (Fleming, J. & Mullen, P. E., 1998). Of the victims that were abused by someone with whom he or …

Ketamine-Enhanced Psychotherapy: Preliminary Clinical Observations On Its Effects In Treating Death Anxiety, Eli Kolp, M. Scott Young, Harris L. Friedman, Evgeny Krupitsky, Karl Jansen, Laurie-Ann O'Connor

Mental Health Law & Policy Faculty Publications

Ketamine, a dissociative anesthetic commonly used by US physicians, has recently been shown to be a powerful anti-depressant and is also capable of eliciting transpersonal experiences that can be transformative. Although currently approved in the US only for use as an anesthetic, physicians there can legally prescribe it off-label to treat various psychological/ psychiatric problems and it has been used for these non-anesthetic purposes in Argentina, Iran, Mexico, Russia, and the UK, as well as in the US. The literature on using ketamine psychotherapeutically is reviewed and two case studies using ketamine-enhanced psychotherapy (KEP) for treating death anxiety in terminally-ill …

Cutting Through The Confusion (Review), Kristina M. Kays

Faculty Publications - Psychology Department

Reviews the video, Self-Injury (with) Wendy Lader (2006). Self-injury behavior (SIB) includes, among other behaviors, "intentional carving or cutting of the skin and subdermal tissue, scratching, burning, ripping or pulling skin or hair, swallowing toxic substances, bruising, and breaking bones" (Cornell Research Program, 2006). Over the last two decades self-injury reports have risen noticeably because of increased SIB in adolescents, more clients seeking help, and increased reliability in diagnosis among professionals. The alarming numbers indicate a desperate need to understand how to diagnose and treat SIB clients effectively. In response to this escalating need, guest expert Wendy Lader is featured …

Practical Approaches To Treating Patients With Bipolar Disorder, Jane E. Neu, Susan M. Denisco

Nursing Faculty Publications

Many patients present to a primary care setting with symptoms of a mood disorder. These symptoms may be indicative of an anxiety disorder or a depressive disorder, but they may also represent bipolar disorder, which is more common than many practitioners think. Correctly diagnosing bipolar disorder can be complex, because patients tend to seek treatment when they are experiencing the symptoms of depression or anxiety rather than mania or hypomania. Comorbid disorders such as substance abuse and anxiety disorders may complicate the clinical presentation. Failing to correctly diagnose bipolar disorder can have serious consequences in terms of patients' morbidity and …

Behaviorally-Based Disorders: The Historical Social Construction Of Youths' Most Prevalent Psychiatric Diagnoses, Christopher A. Mallett

Social Work Faculty Publications

The article discusses the historical social construction of the most prevalent diagnosis of youth in the U.S. The country's psychiatry controls the definitions of mental health disorders and diagnosis through required practice utilization of the Diagnostic and Statistical Manual of Mental Disorders. A research is conducted through a social construction theoretical paradigm to identify diagnostic classification systems, nosology changes, and critical time periods.

Effects Of War Stressors And Life Events On Gulf War Veterans With Cfs Symptoms, Kieran K. Dhillon

Loma Linda University Electronic Theses, Dissertations & Projects

The present study examines the association of life stressors and the period when they occur, with the development of CFS symptoms in Gulf War veterans. From data collected from Gulf War Health Registry veterans, 113 met CFS criteria and 441 were controls. After hierarchical linear analysis, negative life stressors: wounded, traumatic war experience, frequent battle experiences, demotion, and unable to work within 2 years of returning from the Gulf predicted CFS symptoms; and positive life stressors of buying a house more than 2 years of returning was protective against CFS symptoms (all significant at p < .05). The findings are consistent with psycho social etiological hypotheses for CFS and are useful in developing programs for veterans returning from war.

A Pilot Study: Attention Deficit Hyperactivity Disorder, Sensation Seeking, And Pubertal Changes, Catherine A. Martin, Greg Guenthner, Christopher Bingcang, W. Jackson Smith, Thomas E. Curry, Hatim A. Omar, Mary Kay Rayens, Tom H. Kelly

Pediatrics Faculty Publications

This study was designed to examine the relationship of pubertal changes and sensation seeking (SS) in adolescents with Attention Deficit Hyperactivity Disorder (ADHD). Patients with current or past histories of uncomplicated stimulant medication use for ADHD between the ages of 11 and 15 (13 ± 1.5) were recruited from a Child Psychiatry and a General Pediatric Clinic. SS was measured using the SS Scale for Children. Pubertal development was measured using Tanner staging, free testosterone, and DHEAS. Subjects and their parent were interviewed with the Diagnostic Interview Schedule for Children (DISC). SS total score was correlated with Tanner stage, free …

Comparing Chemical Dependency And Mental Health Programs For The Dually Diagnosed, Kelly L. Hacker

Loma Linda University Electronic Theses, Dissertations & Projects

In order to better understand the needs of an increasing dually diagnosed population, this study compares the efficacy of integrated vs. nonintegrated treatment programs for a dually diagnosed population, residing at a Long Term Care facility in San Bernardino, California. Patients in this setting are diagnosed with chronic and acute mental illness and chemical dependency. This study tested the hypotheses that the nonintegrated treatment program would result in a higher frequency of assaults, PRNs, Q15s, and Code Reds; increase the duration of Q15s; and, increase the Addiction Severity Index’s (ASI) Family/Social and Psychiatric subscales’ scores, which would indicate lower levels …

Early-Onset Bipolar Disorder: The Relationship Between Symptoms And Family Functioning, Meryl Yoches

Psychology Honors Papers

The incidence, course, and diagnostic criteria of early-onset bipolar disorder are heavily debated within the psychological community. Although new research has solved some of the uncertainties about the disorder, questions remain about its course, presentation and specific features in childhood. The goal of this study was to evaluate the relationship between family functioning and symptom presentation. The cases of 406 children diagnosed with bipolar disorder were examined. The statistics suggest that not only are there differences in symptom presentation among bipolar type, sex and age, there are also differences in family functioning.

Post Traumatic Stress Disorder And The Benefits Of Guided Mental Imagery In Treatment, Lisa A. Langstraat

Graduate Research Papers

Seventy percent of adults in the United States will experience at least one traumatic event in their lifetime. Out of these individuals, 25% will develop post-traumatic stress disorder (PTSD). This disorder is characterized by distinct physiological changes as well as notable psychological symptoms. If left untreated or improperly treated, PTSD exacts significant costs in individual suffering, quality of life, interpersonal relationships, productivity, and increased use of medical and psychiatric services.

The purpose of this paper is to present comprehensive information about PTSD and its impact on those who suffer from the disorder. This paper will also provide a brief synopsis …

Attachment Disorders In Residential Treatment, John Church

Graduate Research Papers

Various aspects of developmental attachment are explored in this power point presentation. Attachment is defined and differentiated from bonding. The variations of attachment are described as they relate to the work of Mary Ainsworth (1978) and Katharine Leslie (2004). Trauma is also explored as one of the major contributors to attachment disorders. The trauma information is also linked with how the brain develops and ultimately is affected by trauma. Lastly, the symptoms of reactive attachment disorder are discussed and explored as they relate to other diagnoses such as depression and oppositional defiant disorder.

An Introduction To Body Dysmorphic Disorder For Mental Health Counselors, Teresa M. Barrett

Graduate Research Papers

Although researchers have been studying Body Dysmorphic Disorder (BDD) for almost two decades, the majority of research findings with regard to the disorder have only recently been reviewed and published. Additional research is needed to better understand and treat BDD. But those that currently suffer from BDD cannot wait for these studies to be published; they are in need of adequate treatment and competent professionals to assist them with their disorder. Information from published literature has been synthesized within this paper to provide mental health counselors with an awareness of BDD including the definition of BDD, the relation of gender …

Validation Of A Serotonin Depletion Checklist In Parkinson’S Disease, Kelly Diane Darby Holder

Loma Linda University Electronic Theses, Dissertations & Projects

The distinctive pathological marker of Parkinson’s Disease (PD) is the progressive death of neurons that produce dopamine; however, there are also major alterations in the production of quantities of other neurotransmitters, such as norepinephrine and serotonin that contribute to the signs, symptoms, neuropsychological manifestations of the diseases. PD patients can be divided into classes based on the manifestation of motor symptoms, type A, classified as tremor dominant, and type B PD, classified as akinetic. Type B PD patients, often manifest symptoms in which serotonin deficiency plays an important role, such as frontal cognitive impairments, which often includes a history of …