Psychiatry and Psychology Commons^™

Desvenlafaxine In Major Depressive Disorder: An Evidence-Based Review Of Its Place In Therapy., Daniel Z Lieberman, Suena H Massey

Psychiatry and Behavioral Sciences Faculty Publications

INTRODUCTION: Desvenlafaxine, the active metabolite of venlafaxine, is a serotonin norepinephrine reuptake inhibitor (SNRI) recently approved for the treatment of major depressive disorder. It is one of only three medications in this class available in the United States.

AIMS: The objective of this article is to review the published evidence for the safety and efficacy of desvenlafaxine, and to compare it to other antidepressants to delineate its role in the treatment of depression.

EVIDENCE REVIEW: At the recommended dose of 50 mg per day the rate of response and remission was similar to other SNRIs, as was the adverse effect …

Effects Of Naltrexone Treatment For Alcohol-Related Disorders On Healthcare Costs In An Insured Population, Henry R. Kranzler

UCHC Articles - Research

Objective To determine the impact of treatment with oral naltrexone on healthcare costs in patients with alcohol-related disorders. Methods Using data from the MarketScan Commercial Claims and Encounters Database for 2000–2004, we identified a Naltrexone Group (with an alcohol-related diagnosis and at least one pharmacy claim for oral naltrexone) and two control groups. Alcohol Controls had an alcohol-related diagnosis and were not prescribed an alcoholism treatment medication. Non-Alcohol Controls had no alcohol-related diagnosis and no prescription for an alcoholism treatment medication. The control groups were matched three to one to the naltrexone group on demographic and other relevant measures. Healthcare …

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.

Neural Substrates Of Reliability-Weighted Visual-Tactile Multisensory Integration, Michael S. Beauchamp, Siavash Pasalar, Tony Ro

Publications and Research

As sensory systems deteriorate in aging or disease, the brain must relearn the appropriate weights to assign each modality during multisensory integration. Using blood-oxygen level dependent functional magnetic resonance imaging of human subjects, we tested a model for the neural mechanisms of sensory weighting, termed “weighted connections.” This model holds that the connection weights between early and late areas vary depending on the reliability of the modality, independent of the level of early sensory cortex activity. When subjects detected viewed and felt touches to the hand, a network of brain areas was active, including visual areas in lateral occipital cortex, …

A History And One Or Two Things I’Ve Learned, Irvin Sam Schonfeld

Publications and Research

No abstract provided.

Stressors And Coping Mechanisms Of Married Female Physicians : A Qualitative Review, Eva Marie Starner

Loma Linda University Electronic Theses, Dissertations & Projects

Female physicians live and work in a very complex world fraught with professional demands and personal challenges. Twenty-seven married female physicians were interviewed for this study to assess demands and stressors endemic to them and to determine how they manage them. The breadth of this study looked at the demands and stressors of the female physician from the perspective of her work environment, home and family responsibilities, parenting responsibilities, and self-imposed demands in her perceived roles as a working wife and mother. Two main categories emerged during the development of grounded theory: System Challenge and System Adaptation. Additionally, work demands, …

Psychosocial Factors Associated With Nicotine Dependence Among College Students : Are There Differences Between Social And Regular Smokers?, Devan Rae Romero

Loma Linda University Electronic Theses, Dissertations & Projects

Background. Cigarette smoking, the primary source of tobacco used by adults 18-25, has remained stable, at around 21-25%, in the college population since 2003. Many college students report their smoking as primarily a “social” behavior, which may reflect an emerging type of smoker. Ambiguity exists in defining and categorizing smokers in the college population.

Purpose. The purpose of this study was to examine psychosocial perceptions related to smoking among college students who currently smoke and those who do not smoke, and among different types of smokers. In addition, validation of self-reported smoking behavior with saliva cotinine was conducted in …

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.

Psychological And Support Characteristics Of Parents Of Child Sexual Abuse Victims: Relationship With Child Functioning And Treatment, Poonam Tavkar

Department of Psychology: Dissertations, Theses, and Student Research

Child sexual abuse continues to be a prevalent and complex problem in today’s society as it poses serious and pervasive mental health risks to child victims and their non-offending parents. The main objectives of this study were (a) to elucidate the psychological symptoms and support needs of parents of child sexual abuse victims as they present to group treatment, (b) to examine changes in psychological symptoms and support needs and their relationship with child functioning over the course of a parallel group treatment, and (c) to examine the impact of these factors on completion of group treatment. Participants included 104 …

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.

Serum Lipids And Suicidality In Early Psychosis: Is There A Connection? A Preliminary Study, Amresh Srivastava, Megan Johnston, Lenore Purde, Robbie Campbell

Psychiatry Presentations

No abstract provided.

Psychoendocrinology (Thyroid Hormone) And Early Psychosis: Preliminary Findings, Amresh Srivastava, Megan Johnston, Lenore Purde, Robbie Campbell

Psychiatry Presentations

No abstract provided.

Reminiscence Of An Elderly Woman: An Artistic Inquiry, Cathy Gamby-Weideman

Creative Arts Therapies Theses

This thesis explores the clinical value to the elderly population of combining reminiscence and dance. This five month collaboration between a recently widowed elderly female and a dance/movement therapy intern culminated in a 13 minute choreographed dance performance. Themes that emerged during this art-based study were her relationship with her husband, her role as his primary caregiver and her grief after his death. Eric Erikson identifies integrity vs. despair as the struggle or crisis to be grappled with in the last stage of human development, old age. This theoretical framework has been incorporated in this study.

Dance/Movement Therapy And Responsive Classroom: A Theoretical Synthesis, Shawna L. Solsvig

Creative Arts Therapies Theses

This theoretical synthesis combines concepts from Chacian dance/movement therapy and the Responsive Classroom approach to teaching and learning, and suggests a proactive behavioral management style for dance/movement therapists that incorporates aspects from these two frameworks. For this synthesis, Chacian dance/movement therapy and Responsive Classroom techniques were adapted and implemented. Through combining these two methods, the researcher suggests a unique treatment model as a way to prevent and confront violent and aggressive behaviors of children that present in a dance/movement therapy session.

Inviting Consciousness: Authentic Movement And The Injured Brain, Ande Welling

Creative Arts Therapies Theses

This thesis is guided by curiosity regarding the possibility of incorporatingAuthentic Movement into a neuro-rehabilitation treatment program. Using Authentic Movement as part of one client's dance/movement therapy treatment, this qualitative case study explores and documents how mover consciousness, the first layer of Authentic Movement, develops and is taught to one client surviving brain injury. Data includes the researcher's journal entries, embodied knowledge, and notes written using a technique called embodied writing, as well as client journal entries, verbal responses, and the art work produced during each session. Data were analyzed by reviewing the material, embodying the data in my personal …

The Mechanisms Of Muscle Hypertrophy And Their Application To Resistance Training, Brad Schoenfeld

Graduate Theses

The quest to increase lean body mass is widely pursued by those who lift weights. Research is lacking, however, as to the best approach for maximizing exercise-induced muscle growth. Bodybuilders generally train with moderate loads and fairly short rest intervals that induce high amounts of metabolic stress. Powerlifters, on the other hand, routinely train with high intensity loads and lengthy rest periods between sets. While both groups are known to display impressive muscularity, it is not clear which method is superior for hypertrophic gains, or whether other training methods may perhaps show superiority. Therefore, the purpose of this proposed paper …

To Be Or Not To Be': Education For Clinical Practice In Risk Assessment Of Suicide Behavior, Amresh Srivastava, Megan Johnstom

Data and Test Instruments

Clinical practice of psychiatry has acquired role and responsibility which goes far beyond traditional expectations .Incident of suicide, particularly, is considered a high liability for then professionals, organizations and the consumer. It also remains a clinical issue which examines can we prevent suicide which in the system of care. Studies have shown about 1 in 6 psychologists or psychiatrist are likely to loose a patient due to suicide in a mean duration of 18-20 years practice. Repeatedly it has demonstrated that clinical skill training for risk assessment is the necessary for all professionals not only in mental health but also …

To Be Or Not To Be: Education For Clinical Decisions In Risk Assessment Of Suicide Behavior, Amresh Srivastava, Megan Johnston

Data and Test Instruments

Clinical practice of psychiatry has acquired role and responsibility which goes far beyond traditional expectations .Incident of suicide, particularly, is considered a high liability for then professionals, organizations and the consumer. It also remains a clinical issue which examines can we prevent suicide which in the system of care. Studies have shown about 1 in 6 psychologist or psychiatrist are likely to loose a patient due to suicide in a mean duration of 18-20 years practice. Repeatedly it has demonstrated that clinical skill training for risk assessment is the necessary for all professionals not only in mental health but also …

Should 'Risk Syndrome Of Psychosis' Be Included In Dsm V As A Diagnosis? A Road Towards Preventive Psychiatry, Amresh Srivastava

Psychiatry Presentations

No abstract provided.

Enhancing Risk Assessment Across Mental Health Services, Amresh Srivastava, Megan Johnston, Charles Nelson

Psychiatry Presentations

No abstract provided.

Ask A Different Question, Get A Different Answer: Why Living Wills Are Poor Guides To Care Preferences At The End Of Life., Laraine Winter, Susan M Parks, James J Diamond

Center for Applied Research on Aging and Health Research Papers

CONTEXT: Living wills have a poor record of directing care at the end of life, as a copious literature attests. Some speculation centers on the questionable correspondence between the scenario described in living wills versus the real-life circumstances that typically arise at the end of life.

OBJECTIVE: To assess the strength of association between responses to a standard living will question and preferences for treatments in six end-of-life scenarios.

DESIGN: Cross-sectional.

SETTING: Telephone interviews.

PARTICIPANTS: Two hundred two community-dwelling men and women 70 years of age or older in the greater Philadelphia area.

MAIN OUTCOME MEASURES: Strength of preferences for …

Are Violence-Tolerant Individuals More Susceptible To Involvement In Violent/Risky Behaviors?, Justine Egan

Senior Honors Projects

The Center for Nonviolence and Peace Studies at the University of Rhode Island’s mission is to promote nonviolence at the national/international level through the use of education and training. This occurs through the involvement of projects which provide understanding to people on nonviolence theory and practice. Embracing this mission, my study examined individual views on violent behaviors and whether this correlated to their involvement in violent/risky behaviors.

Participants were 348 students, 120 males and 254 females from a general psychology course at the University of Rhode Island. The sample was similar in characteristics to the smaller sample of Collyer and …

Experienced Clinician’S Understanding And Approach To Treatment With Male Survivors Of Child Sexual Abuse, Blendine Perreire Hawkins

UNLV Theses, Dissertations, Professional Papers, and Capstones

The number of males abused sexually as children are significant and while the awareness of the needs of this population has increased, the process in treatment has not been sufficiently examined. The purpose of this study was to explore experienced clinicians' approach and understanding within treatment with adult male survivors of child sexual abuse. A qualitative research design was utilized, using purposeful expert sampling procedures. In this study, data was collected from phone interviews with five participants who were identified as highly experienced clinicians in the area of male survivors of child sexual abuse treatment. Using qualitative methods within phenomenological …

Eye Movement Measures Of Cognitive Control In Children With To Urette Syndrome, Cameron B. Jeter

Dissertations and Theses (Open Access)

Tourette Syndrome begins in childhood and is characterized by uncontrollable repetitive actions like neck craning or hopping and noises such as sniffing or chirping. Worst in early adolescence, these tics wax and wane in severity and occur in bouts unpredictably, often drawing unwanted attention from bystanders. Making matters worse, over half of children with Tourette Syndrome also suffer from comorbid, or concurrent, disorders such as attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD). These disorders introduce anxious thoughts, impulsivity, inattention, and mood variability that further disrupt children with Tourette Syndrome from focusing and performing well at school and home. …

Waitlist-Controlled Trial Of Cognitive Behavior Therapy For Hoarding Disorder, Gail Steketee, Randy O. Frost, David F. Tolin, Jessica Rasmussen, Timothy A. Brown

Psychology: Faculty Publications

Objective: This study investigated a multicomponent cognitive behavioral treatment (CBT) for hoarding based on a model proposed by Frost and colleagues and manualized in Steketee and Frost (2007).

Method: Participants with clinically significant hoarding were recruited from the community and a university-based anxiety clinic. Of the 46 patients randomly assigned to CBT or waitlist (WL), 40 completed the 12-week assessment and 36 completed 26 sessions. Treatment included education and case formulation, motivational interviewing, skills training for organizing and problem solving, direct exposure to nonacquiring and discarding, and cognitive therapy. Measures included the Saving Inventory-Revised (self-report), Hoarding Rating Scale-Interview, and measures …

Evaluation Of Medication Effects On Academic Performance, Sleep, And Core Adhd Symptoms In Children, Tina K. Head

Dissertations

Idiosyncratic effects of Vyvanse™ (lisdexamfetamine dimesylate) and placebo were evaluated in a double-blind alternating treatments experimental design in this 4-week study. Direct, objective measures were combined with traditional behavior ratings to provide data sets to assess whether or not the prescribed stimulant medication showed detectable therapeutic effects for a child whose positive response to medication was not obvious via traditional subjective methods. Effects of medication on core ADHD symptoms, academic performance, and sleep in four children ages 10-12 with attention deficit/ hyperactivity disorder. Potential side effects were also measured. Daily measures included parent rating scales, side effects checklist, sleep journal …

Relationship Between Cognitive Reserve And Rate Of Decline In Alzheimer’S Disease: A Population Study, Katherine Treiber

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

According to the theory of cognitive reserve, cognitively enriching aspects of life experience (e.g., education, occupation, and leisure activity) foster the development of more efficient neural networks and cognitive strategies, enabling individuals to cope more effectively with the pathology of dementia. Using extant data from a population-based study, we examined: (1) the effect of reserve accrued through middle life on course of neuropsychological decline; and (2) the role of ongoing engagement in mentally stimulating leisure activities in rate of general cognitive and functional deterioration.

In linear mixed models, level of occupational attainment did not affect rate of cognitive or functional …

Does Empathic Accuracy Mediate The Relationships Between Individual Psychological Characteristics And Adolescent Romantic Relationship Functioning?, Charles George Bentley

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study investigated empathic accuracy in adolescent romantic relationships. The project examined the relationships between psychological characteristics and relationship outcomes (i.e., satisfaction and aggression) to determine if the relationships were mediated by empathic accuracy. Participants were 92 heterosexual couples aged 14-18 years old who lived in rural areas in Utah and Arizona. Couple members completed surveys assessing attitudes and behaviors in their relationships and a video-recall procedure in which partners rated their own and their partner's behaviors during problem-solving discussion.

Empathic accuracy was generally not related to psychological characteristics or outcomes. It became apparent that there were limitations with the …

Development Of A Multifactored Measure Of Gender: Identity And Expression, Erin Strauts, Jennifer Daniels, Faculty Advisor

John Wesley Powell Student Research Conference

No abstract provided.