Psychiatry and Psychology Commons^™

Patterns Of Referral In High School Concussion Management Programs: A Pilot Study Of Consultants From Different Disciplines, Jonathan Lichtenstein, Kate S. Linnea, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

School-based concussion management programs cover thousands of young athletes, yet there is little in the way of research to assess program processes or outcomes. This study examined the referral patterns of consultants working with ten high school concussion management programs. In addition to the number of referrals made to specialists, other potential outcome variables were explored. The sample included over 5,000 athlete-seasons and 298 concussions managed directly by certified athletic trainers. All programs used computerized neuropsychological testing (both baseline and post injury). Two groups were compared: five programs used a clinical neuropsychologist (NP) as the testing consultant and five used …

Attention Is Associated With Postural Control In Those With Chronic Ankle Instability, Adam B. Rosen, Nicholas T. Than, William Z. Smith, Jennifer M. Yentes, Melanie L. Mcgrath, Mukul Mukherjee, Sarah A. Myers, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

Chronic ankle instability (CAI) is often debilitating and may be affected by a number of intrinsic and environmental factors. Alterations in neurocognitive function and attention may contribute to repetitive injury in those with CAI and influence postural control strategies. Thus, the purpose of this study was to determine if there was a difference in attentional functioning and static postural control among groups of Comparison, Coper and CAI participants and assess the relationship between them within each of the groups. Recruited participants performed single-limb balance trials and completed the CNS Vital Signs (CNSVS) computer-based assessment to assess their attentional function. Center …

Sandbagging On The Immediate Post-Concussion Assessment And Cognitive Testing (Impact) In A High School Athlete Population, Kathryn L. Higgins, Robert L. Denny, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is a computerized neuropsychological test battery commonly used to assess cognitive functioning after a concussion. It is recommended that application of ImPACT utilizes a baseline administration so athletes have an individualized baseline with which to compare post-injury results should they sustain a concussion. It has been suggested that athletes may provide suboptimal effort, called “sandbagging,” in order to return to their baseline cognitive scores, and thus to play, more quickly. This research examines ImPACT baseline scores when high school athletes were asked to attempt to “sandbag,” and compares those scores with scores …

Psychological And Neural Contributions To Appetite Self-Regulation, Luke E. Stoeckel, Leann L. Birch, Todd Heatherton, Traci Mann, Christine Hunter, Susan Czajkowski, Lisa Onken, Paige K. Berger, Cary R. Savage

Center for Brain, Biology, and Behavior: Faculty Publications

Objective: This paper reviews the state of the science on psychological and neural contributions to appetite self-regulation in the context of obesity. Methods: Three content areas (neural systems and cognitive functions; parenting and early childhood development; and goal setting and goal striving) served to illustrate different perspectives on the psychological and neural factors that contribute to appetite dysregulation in the context of obesity. Talks were initially delivered at an NIH workshop consisting of experts in these three content areas, and then content areas were further developed through a review of the literature. Results: Self-regulation of appetite involves a complex interaction …

Pilot Study Of Endurance Runners And Brain Responses Associated With Delay Discounting, Laura E. Martin, Jason-Flor V. Sisante, David R. Wilson, Angela A. Moody, Cary R. Savage, Sandra A. Billinger

Center for Brain, Biology, and Behavior: Faculty Publications

High levels of endurance training have been associated with potentially negative health outcomes and addictive-like symptoms such as exercise in the presence of injury and higher levels of impulsivity. This pilot study examined the relationships among self-report measures of addictive symptoms related to exercise and behavioral and neural measures of impulsivity in endurance runners. We hypothesized endurance runners would have increased preference for immediate rewards and greater activation of cognitive control regions when making decisions involving delayed rewards. Twenty endurance runners (at least 20 miles/week) were recruited to undergo measures of self-report exercise addiction symptoms, impulsive decision-making (delay discounting) and …

Lateral Hypothalamic Activity Indicates Hunger And Satiety States In Humans, Omid Talakoub, Raquel R. Paiva, Matija Milosevic, Marcelo Q. Hoexter, Ruth Franco, Eduardo Alho, Jessie Navarro, Jose F. Pereira Jr., Milos R. Popovic, Cary Savage, Antonio C. Lopes, Pedro Alvarenga, Durval Damiani, Manoel J. Teixeira, Euripides C. Miguel, Erich T. Fonoff, Marcelo C. Batistuzzo, Clement Hamani

Center for Brain, Biology, and Behavior: Faculty Publications

Lateral hypothalamic area (LHA) local field potentials (LFPs) were recorded in a Prader–Willi patient undergoing deep brain stimulation (DBS) for obesity. During hunger, exposure to food-related cues induced an increase in beta/ low-gamma activity. In contrast, recordings during satiety were marked by prominent alpha rhythms. Based on these findings, we have delivered alphafrequency DBS prior to and during food intake. Despite reporting an early sensation of fullness, the patient continued to crave food. This suggests that the pattern of activity in LHA may indicate hunger/satiety states in humans but attest to the complexity of conducting neuromodulation studies in obesity.

Reliability And Validity Of The Hd-Pro-Triadtm, A Health-Related Quality Of Life Measure Designed To Assess The Symptom Triad Of Huntington's Disease., Nicholas R Boileau, Julie C Stout, Janes S Paulsen, David Cella, Michael K Mccormack, Martha A Nance, Samuel Frank, Jin-Shei Lai, Noelle E Carlozzi

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Huntington's disease (HD), is a neurodegenerative disorder that is associated with cognitive, behavioral, and motor impairments that diminish health related quality of life (HRQOL). The HD-PRO-TRIADTM is a quality of life measure that assesses health concerns specific to individuals with HD. Preliminary psychometric characterization was limited to a convenience sample of HD participants who completed measures at home so clinician-ratings were unavailable.

OBJECTIVES: The current study evaluates the reliability and validity of the HD-PRO-TRIADTM in a well-characterized sample of individuals with HD.

METHODS: Four-hundred and eighty-two individuals with HD (n = 192 prodromal, n = 193 early, and n …

Cognitive Behavioral Therapy Increases Amygdala Connectivity With The Cognitive Control Network In Both Mdd And Ptsd, Haochang Shou, Zhen Yang, Theodore Satterthwaite, Philip Cook, Steven Bruce, Russell Shinohara, Benjamin Rosenberg, Yvette Sheline

Psychology Faculty Works

BackgroundBoth major depressive disorder (MDD) and post-traumatic stress disorder (PTSD) are characterized by alterations in intrinsic functional connectivity. Here we investigated changes in intrinsic functional connectivity across these disorders as a function of cognitive behavioral therapy (CBT), an effective treatment in both disorders.Methods53 unmedicated right-handed participants were included in a longitudinal study. Patients were diagnosed with PTSD (n = 18) and MDD (n = 17) with a structured diagnostic interview and treated with 12 sessions of manualized CBT over a 12-week period. Patients received an MRI scan (Siemens 3 T Trio) before and after treatment. Longitudinal functional principal components analysis …

Realer Than Real:The Quest For Immersive Realism In Rpa Virtual Training, Matt J. Martin

International Symposium on Aviation Psychology - 2017

Aviationsimulation, including thatusedformilitaryaircrewtraining,hastypically focused on stick-and-rudder tasks.Butwhilegreat strides havebeenmadeovertheyearsinthefidelity of vir-tualaviationenvironments,enterprisetrainingeffortshavelaggedinareasofenvironmental im-mersion(physical,social,cognitive,etc.).Specifically,moreworkisneededonaircrew interac-tionwithcommandandcontrol, supporting groundunitsinnear-pearscenarios,andbuildingthe skillsneededtomaintain a highlevelofsituationalawarenessincomplexscenarios.This has of-tenleftpractitionersinthepositionofhavingtorelyonlive-flytrainingandaccumulatedexperi-encetofillinthegaps—evenwhenthatexperiencecanonlybegained during theactualemploy-mentoftheweaponssystemwithallofitsassociatedrisks.

Addressing Culture And Context In Humanitarian Response: Preparing Desk Reviews To Inform Mental Health And Psychosocial Support., M Claire Greene, Mark J D Jordans, Brandon A Kohrt, Peter Ventevogel, Laurence J Kirmayer, Ghayda Hassan, Anna Chiumento, Mark Van Ommeren, Wietse A Tol

Psychiatry and Behavioral Sciences Faculty Publications

Delivery of effective mental health and psychosocial support programs requires knowledge of existing health systems and socio-cultural context. To respond rapidly to humanitarian emergencies, international organizations often seek to design programs according to international guidelines and mobilize external human resources to manage and deliver programs. Familiarizing international humanitarian practitioners with local culture and contextualizing programs is essential to minimize risk of harm, maximize benefit, and optimize efficient use of resources. Timely literature reviews on traditional health practices, cultural beliefs and attitudes toward mental health and illness, local health care systems and previous experiences with humanitarian interventions can provide international practitioners …

Elucidating Adolescent Aspirational Models For The Design Of Public Mental Health Interventions: A Mixed-Method Study In Rural Nepal, Sauharda Rai, Safar Bikram Adhikari, Nanda Raj Acharya, Bonnie N. Kaiser, Brandon A. Kohrt

Psychiatry and Behavioral Sciences Faculty Publications

Background

Adolescent aspirational models are sets of preferences for an idealized self. Aspirational models influence behavior and exposure to risk factors that shape adult mental and physical health. Cross-cultural understandings of adolescent aspirational models are crucial for successful global mental health programs. The study objective was elucidating adolescent aspirational models to inform interventions in Nepal.

Methods

Twenty qualitative life trajectory interviews were conducted among adolescents, teachers, and parents. Card sorting (rating and ranking activities) were administered to 72 adolescents aged 15–19 years, stratified by caste/ethnicity: upper caste Brahman and Chhetri, occupational caste Dalit, and ethnic minority Janajati. …

P2: Differential Effects Of Adjacent-Letter And Open Flanking Bigrams On Lexical Decision Performance, Lea G. Araya, Nicole M. Russo

Undergraduate Research Posters 2017

Some models of word identification hypotheses units responsive to bigrams—letter pairs—that may not be adjacent in a letter-string stimulus. Grainger, Mathot, and Vitu (2014) and Palinski (2016) found, for words, responding was more efficient when flanking bigrams contained target-string letters than when they did not. They also found that responding was more efficient when flanking bigrams contained letters ordered as in the target than switched but whether flanking bigrams were ordered as in the target did not affect performance. Palinski (2016) replicated the results of Grainger et al. (2014) and conducted a second experiment that included four additional conditions in …

Delirium Update For Postacute Care And Long-Term Care Settings: A Narrative Review., Martin M Forsberg

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Advances have been made in our understanding of the neuropathogenesis, recognition, and strategies for reducing the incidence of delirium in acute-care settings. However, relatively little attention has been given to delirium in elderly patients in the postacute care (PAC) and long-term care (LTC) settings. The present article reviews the most relevant current research pertaining to this population. Hospital patients with delirium are often discharged to PAC settings. Delirium that develops in the LTC setting is often more insidious and subtle in presentation. Despite incorporating systematic screening tools for delirium in PAC and LTC settings, delirium prevention strategies have not yet …

Qualitative Research And Vicarious Trauma: The Use Of Reflexivity, Dawn Higgins

2017 Program & Posters

Qualitative researchers studying traumatic events may experience vicarious trauma. The research practice of reflexivity addresses biases of the researcher, however, there is no explicit practice to address symptoms of vicarious trauma. In this introspective study, the researcher uses a reflexive worksheet to explore vicarious trauma in her study on 9/ll.

Identity And Career Experiences Of Muslim Immigrant Women: The United States Context, Basak Kacar Khamush

ETD Archive

Muslim women's sense of self is at stake due to prevailing stigma and oppression toward Muslims. Employment and workplace have emerged as primary settings for encounters of negative bias, prejudice, and discrimination. Muslim immigrant women face multiple disadvantages on the basis of their various intersecting identities. The purpose of this study was to explore identity and career experiences of first generation immigrant Muslim women in American society, particularly in work and career settings. Informed by relational approaches to career development and social identity perspective, and grounded on the constructivist paradigm, a phenomenological qualitative analysis using consensual qualitative research (CQR) was …

Change Detection Of Emotional Information Across The Adult Lifespan, Maria J. Donaldson-Misener

ETD Archive

Visual change detection ability is necessary for successful interaction with the environment, yet few studies have been conducted on change detection with older adults, and whether their use of top-down and bottom-up processing differs from younger adults, especially with emotional processing. Emotions can be motivating and guide the scope of attention using top-down processing and can capture attention in an automatic, bottom-up fashion. Theories of socioemotional aging suggest that younger and older adults may be differentially motivated to process positive and/or negative aspects of the environment, and these tendencies may have implications for age-related trajectories in well-being. Change detection efficacy …

The Utilization Of Eyetracking To Understand Attention Switching In Socially Anxious And Depressed Individuals, Allison E. Griesmer

ETD Archive

Individuals with social anxiety disorder (SAD) and major depressive disorder (MDD) have demonstrated differences in attention bias processing, leading to a differential processing of the world around them. As such, there is a pressing need to further understand these hypothesized attentional biases to lend to improved therapeutic deliveries. The present study utilized a novel eye-tracking paradigm to understand attentional biases in individuals with disorder-specific symptomology of SAD and MDD. A sample of 103 undergraduates completed measures of social anxiety, depression and a novel eye-tracking paradigm. Results showed that a combination of elevated SAD and MDD symptoms lends to a slower …

Developmental Disabilities And Family Dynamics, Meghan Murray

ETD Archive

Typically developing (TD) siblings of children with an Intellectual or Developmental Disability (IDD) are among those most influenced by their sibling’s diagnosis. Factors such as increased family stress, lack of family communication, and negative sibling perception can play a role in leading to internalizing and externalizing problems from the TD child. A limit to the existing sibling relationship literature is that the relationships in families with a child with IDD have only been collected via self-report measures through which respondents have been found to fake their responses to avoid being perceived in certain ways. Conversely, implicit measures, such as the …

Testing The Impact Of Post-Traumatic Stress On Existential Motivation For Ideological Close- And Open-Mindedness, Lauren M. Kahle

ETD Archive

The present thesis builds on terror management theory and anxiety buffer disruption theory to propose that although existential motivation normally leads people to become more certain of their worldviews, traumatic experiences can disrupt those belief systems and cause people to respond to death-awareness by making an open-minded search for alternative belief systems instead. To test that hypothesis, groups of participants with low and high levels of traumatic stress were reminded of death (vs. a control topic condition), followed by an assessment of closed- and open-mindedness. Thus, the present research explored the previously untested hypothesis that increased awareness of mortality will …

Decline Of Nonverbal Executive Functions Across The Lifespan – Distinguishing Between Outcome And Process, Anna Krivenko

ETD Archive

Numerous studies have attempted to validate nonverbal fluency tests but none have examined construct validity, particularly the correlation of measures and self-reported executive functioning deficits. The current study examined this issue by correlating the results of the Five-Point Test (5PT) and the Delis Kaplan Executive Functioning System (D-KEFS) Design Fluency Test with the Barkley Deficits in Executive Functioning Scale – Short Form (BDEFS-SF) in 306 English speaking adults. Participants were volunteers from undergraduate classes and those serving jury duty in a large urban city. The mean age was 36.89 ± 18.08 with an average of 14.65 ± 2.85 years of …

Construct Validity For The Poreh Nonverbal Memory Test On Participants With Right, Left, And Bilateral Temporal Lobe Epilepsy, Sarah E. Tolfo

ETD Archive

The present study examined the construct validity of a novel nonverbal memory measure, the Poreh Nonverbal Memory Test (PNMT), using a heterogeneous sample of patients with epilepsy. Results from this study shows that the PNMT differentially correlated with existing memory measures. Namely, the PNMT delay scores significantly correlated with ROCF delay scores, and RAVLT delay and ROCF delay scores were significantly correlated with each other. However, the PNMT did not significantly correlate with RAVLT, which was hypothesized. PNMT and RAVLT learning trials produced logarithmic learning curves that indicate both are good measures of learning. When controlling for gender, education, and …

He Repercussions Of Childhood Trauma On Posttraumatic Stress: The Mediating Effects Of Dissociation And Emotion Dysregulation, Jessica A. Ward

ETD Archive

The present study explored the mediating effects of dissociation and emotion dysregulation on the relationship between different types of childhood trauma and symptoms of posttraumatic stress. Participants were 181 undergraduate students at Cleveland State University, who competed measures of childhood trauma (emotional abuse, physical abuse, sexual abuse, and general trauma), posttraumatic stress symptoms, dissociation, and emotion dysregulation. Multiple mediation analyses were conducted to examine the model proposed in this study. The results of this study revealed that all trauma types significantly predicted adulthood posttraumatic stress. The relationship between emotional abuse and posttraumatic stress was mediated through both dissociation and emotion …

How The Illness Experience Predicts Key Psychosocial Outcomes In Veterans With Brain Injury, Carmen M. Tyler

ETD Archive

The object of this thesis was to examine the illness experience of veterans who have suffered either a stroke or traumatic brain injury. Predictors of key psychosocial outcomes were identified by looking at the illness experience through the veterans’ perspective via self-report measures. Results confirmed relationships between the stressors role captivity, low self-esteem, decreased socialization, and dyad relationship strain and the outcome of depression and between the stressors physical strain and emotional strain and the outcome social/recreational participation for this population. More importantly, role captivity, social/recreational strain, and self-esteem uniquely predicted depression, and both physical and emotional strain uniquely predicted …

Title Examination Of Somatic Symptomatology Using The Cleveland Adaptive Personality Inventory And The Dimensional Somatic Questionnaire, Elizabeth Kisela

ETD Archive

This study was designed to assess the reliability and validity of the Cleveland Adaptive Personality Inventory (CAPI) and the Dimensional Somatic Questionnaire (DSQ) on the chronic pain population, depression population, and healthy control population. A total of 178 chronic pain participants, 208 depression participants, and 220 healthy control participants were collected, though not all were used for analysis due to missing data. Each participant was administered an online version of the CAPI with the Dimensional Somatic Questionnaire. Both questionnaires were significantly shortened during or prior to analysis. The questionnaires were shortened to make them more practical for use in the …

Why Be Moral? Moral Identity Motivation And Age, Tobias Krettenauer, Rosemary Victor

Psychology Faculty Publications

Moral identity research up to date has largely failed to provide evidence for developmental trends in moral identity presumably because of restrictions in the age range of studies and the use of moral identity measures that are insensitive to age-related change. The present study investigated moral identity motivation across a broad age range (14-65 years, N = 252, M = 33.48 years) using a modified version of the Good-Self Assessment Interview (Arnold, 1993). Individuals' moral identity motivation was coded and categorized as external, internal or relationship-oriented. It was found that with age external moral identity motivation decreased, whereas internal moral …

The Rise Of Anxiety Among The College Age Population, Kaleigh Landberg

Student Research Posters

Anxiety among college students is a common occurrence today. This study has researched how students are dealing with this mental health issue as well as looked into many different variables that were incorporated such as gender differences, treatment options, potential triggers and coping mechanisms.

Burnout Or Depression: Both Individual And Social Issue, Renzo Bianchi, Irvin Sam Schonfeld, Éric Laurent

Publications and Research

In view of the profound problems attached to the construct of burnout, we recommended in our that occupational health specialists focus on (job-related) depression rather than burnout to help workers more effectively. The phenomena of interest (burnout or depression) should not be confused with the perspectives (individual or social) adopted to elucidate those phenomena. Both burnout and depression are best explained through the interaction of social or external conditions with individual or internal dispositions.

P1: Adjacent-Letter Flanking Bigrams Affect Lexical Decision Performance, Nicole M. Russo, Lea G. Araya

Undergraduate Research Posters 2017

In a lexical decision task in which target strings were flanked by pairs of bigrams, Grainger, Mathot, and Vitu (Acta Psychologica, 2014) found, for words, better performance when flanking bigrams contained target-string letters (e.g., BI BIRD RD; RD BIRD BI; IB BIRD DR; DR BIRD IB) than when they did not (e.g., CE BIRD NT); better performance when flanking bigrams contained letters ordered as in the target (e.g., BI BIRD RD; RD BIRD BI) than switched (e.g., IB BIRD DR; DR BIRD IB); and that only letter order within bigrams—not bigram order relative to the respective target—affected performance. Palinski (CSU …

Crew State Monitoring And Line-Oriented Flight Training For Attention Management, Chad Stephens, Lawrence Prinzel, Angela Harrivel, Ray Comstock, Nijo Abraham, Alan Pope, James Wilkerson, Daniel Kiggins

International Symposium on Aviation Psychology - 2017

Loss of control –inflight (LOC-I) has historically represented the largest category of commercial aviation fatal accidents. A review of worldwide transport airplane accidents (2001-2010) indicated that loss of airplane state awareness (ASA) was responsible for the majority of the LOC-I fatality rate. The Commercial Aviation Safety Team (CAST) ASA study identified12 major themes that were indicated across the ASA accident and incident events. One of the themes was crew distractionorineffective attention management, which was found to be involved in all 18 events including flight crew channelized attention, startle/surprise, diverted attention, and/or confirmation bias. Safety Enhancement(SE)-211, “Training for Attention Management” was …

Interviews Of General Aviation Pilots: An Insight To Airspace Infringements, Elena Psylou, Arnab Majumdar, Washington Ochieng

International Symposium on Aviation Psychology - 2017

This paper findscontributory factors to airspace infringements concerning the planning undertaken bygeneral aviation pilots. Twenty seven recreational pilots who flew a light fixed-wing motor, glider and ultralight aircraft were interviewed using semi-structured interviews in Finland, Norway and United Kingdom. These countries experienced a major problem with the number of reported AIs. Interview transcripts were analysed using thematic analysis. The success of this study is attributed to the carefully design of both the questions of the interview and the sample that comprises the diverse general aviation sector.The newly found contributory factorsare associated with a pilot’s performance as well as airspace design …