Psychiatry and Psychology Commons^™

Psychosis Or Spiritual Emergency: The Potential Of Developmental Psychopathology For Differential Diagnosis, Kevin O. St. Arnaud, Damien C. Cormier

International Journal of Transpersonal Studies

This paper reviews the nosological systems in the field of psychology, comparing the classic medical model with a developmental approach to psychopathology and wellbeing. The argument is made that a developmental model offers greater refinement for distinguishing phenomenologically similar experiential states. Due to their substantial overt resemblance, a contrast between spiritual emergencies and pathological psychotic reactions is presented as an example. To make this comparison, the nature and etiology of psychotic disorders is reviewed, underscoring their developmental, as opposed to spontaneous, origins. This is followed by a brief overview of spirituality and its place in psychological wellbeing and development. Finally, …

Cortical Activation During Action Observation, Action Execution, And Interpersonal Synchrony In Adults: A Functional Near-Infrared Spectroscopy (Fnirs) Study, Anjana Bhat, Michael Hoffman, Susanna Trost, Mckenzie Culotta, Jeffrey Eilbott, Daisuke Tsuzuki, Kevin A. Pelphrey

Psychiatry and Behavioral Sciences Faculty Publications

Introduction: Humans engage in Interpersonal Synchrony (IPS) as they synchronize their own actions with that of a social partner over time. When humans engage in imitation/IPS behaviors, multiple regions in the frontal, temporal, and parietal cortices are activated including the putative Mirror Neuron Systems (Iacoboni, 2005; Buxbaum et al., 2014). In the present study, we compared fNIRS-based cortical activation patterns across three conditions of action observation (“Watch” partner), action execution (“Do” on your own), and IPS (move “Together”).

Methods: Fifteen typically developing adults completed a reach and cleanup task with the right arm while cortical activation was …

Reward Capacity Predicts Leptin Dynamics During Laboratory-Controlled Eating In Women As A Function Of Body Mass Index, Laura M. Holsen, Benita Jackson

Psychology: Faculty Publications

Objective—The role of leptin in mesolimbic signaling non-food-related reward has been well established at the pre-clinical level, yet studies in humans are lacking. The present investigation explored the association between hedonic capacity and leptin dynamics, and whether this association differed by BMI class.

Methods—In this cross-sectional study of 75 women (42 with lean BMIs, 33 with obese BMIs), we measured serum leptin before/after meal consumption. Reward capacity was assessed using the Snaith-Hamilton Pleasure Scale (SHAPS). Multiple regression tested whether reward capacity was associated with leptin AUC, with an interaction term to test differences between lean (LN) and obese …

Sources Of Medical Student Stress, Krishna Subhash Vyas, Terry D. Stratton, Neelkamal S. Soares

Behavioral Science Faculty Publications

Background: Key elements in the clinical practice of prevention, health and wellness are best cultivated in medical professionals during undergraduate medical training. This study explores students' self-assessed stress relative to gender, academic expectations, and level of medical training to guide development of targeted wellness interventions. Methods: In early 2012, undergraduate (M1-M4) students in four Southeastern U.S. allopathic medical schools were surveyed about health-related attitudes and behaviors. Results: A total of 575 students returned completed questionnaires. Students in the preclinical years (M1-M2), especially females, reported significantly higher stress levels. Academic expectations and satisfaction were also significantly implicated. Discussion: These findings highlight …

N-Acetylcysteine Reduces Cocaine-Cue Attentional Bias And Differentially Alters Cocaine Self-Administration Based On Dosing Order, B. Levi Bolin, Joseph L. Alcorn Iii, Joshua A. Lile, Craig R. Rush, Abner O. Rayapati, Lon R. Hays, William W. Stoops

Behavioral Science Faculty Publications

Background—Disrupted glutamate homeostasis is thought to contribute to cocaine-use disorder, in particular, by enhancing the incentive salience of cocaine stimuli. n-Acetylcysteine might be useful in cocaine-use disorder by normalizing glutamate function. In prior studies, n-acetylcysteine blocked the reinstatement of cocaine seeking in laboratory animals and reduced the salience of cocaine stimuli and delayed relapse in humans.

Methods—The present study determined the ability of maintenance on n-acetylcysteine (0 or 2400 mg/day, counterbalanced) to reduce the incentive salience of cocaine stimuli, as measured by an attentional bias task, and attenuate intranasal cocaine self-administration (0, 30, and 60 mg). Fourteen individuals …

Healthcare Contact And Treatment Uptake Following Hepatitis C Virus Screening And Counseling Among Rural Appalachian People Who Use Drugs, Dustin B. Stephens, April M. Young, Jennifer R. Havens

Behavioral Science Faculty Publications

Background—Hepatitis C virus (HCV) remains a major contributor to morbidity and mortality worldwide. Since 2009, Kentucky has led the United States in cases of acute HCV, driven largely by injection drug use in rural areas. Improved treatment regimens hold promise of mitigating the impact and transmission of HCV, but numerous barriers obstruct people who inject drugs (PWID) from receiving care, particularly in medically underserved settings.

Methods—503 rural people who use drugs were recruited using respondent-driven sampling and received HCV screening and post-test counseling. Presence of HCV antibodies was assessed using enzyme immunoassay of dried blood samples. Sociodemographic and …

Cross-Lagged Relations Between Motives And Substance Use: Can Use Strengthen Your Motivation Over Time?, Christine A. Lee, Karen J Derefinko, Heather A. Davis, Richard S. Milich, Donald R. Lynam

Psychology Faculty Publications

Motives for substance use have garnered considerable attention due to the strong predictive utility of this construct, both in terms of use and problems associated with use. The current study examined the cross-lagged relations between alcohol use and motives, and marijuana use and motives over three yearly assessment periods in a large sample (N = 526, 48% male) of college students. The relations between substance use and motives were assessed at each time point, allowing for the examination of these inter-relations over time. Results indicated different trends based on the type of substance. For alcohol use, cross-lagged trends were …

Characteristics Of Repetitive Thought Associated With Borderline Personality Features: A Multimodal Investigation Of Ruminative Content And Style, Jessica R. Peters, Tory A. Eisenlohr-Moul, Brian T. Upton, Nina A. Talavera, Jacob J. Folsom, Ruth A. Baer

Psychology Faculty Publications

Increased ruminative style of thought has been well documented in borderline personality disorder (BPD); however, less is known about how the content of rumination relates to domains of BPD features. Relationships between forms of rumination and BPD features were examined in an undergraduate sample with a wide range of BPD features. Participants completed self-report measures of rumination and a free-writing task about their repetitive thought. Rumination on specific themes, including anger rumination, depressive brooding, rumination on interpersonal situations, anxious rumination, and stress-reactive rumination were significantly associated with most BPD features after controlling for general rumination. Coded writing samples suggested that …

Pathway Of Protection: Ethnic Identity, Self-Esteem, And Substance Use Among Multiracial Youth, Sycarah Fisher, Tamika C. B. Zapolski, Chelsea Sheehan, Jessica Barnes-Najor

Educational, School, and Counseling Psychology Faculty Publications

Fifty percent of adolescents have tried an illicit drug and 70% have tried alcohol by the end of high school, with even higher rates among multiracial youth. Ethnic identity is a protective factor against substance use for minority groups. However, little is known about the mechanisms that facilitate its protective effects, and even less is known about this relationship for multiracial youth. The purpose of the present study was to examine the protective effect of ethnic identity on substance use and to determine whether this relationship operated indirectly through self-esteem, a strong predictor of substance use for among adolescent populations. …

Attitudes Toward Antipsychotic Treatment Among Patients With Bipolar Disorders And Their Clinicians: A Systematic Review, Martha Sajatovic

Faculty Scholarship

Introduction: Antipsychotics are recommended as first-line therapy for acute mania and maintenance treatment of bipolar disorder; however, published literature suggests their real-world use remains limited. Understanding attitudes toward these medications may help identify barriers and inform personalized therapy. This literature review evaluated patient and clinician attitudes toward the use of antipsychotics for treating bipolar disorder. Materials and methods: A systematic search of the Cochrane Library, Ovid MEDLINE, Embase, and BIOSIS Previews identified English language articles published between January 1, 2000, and June 15, 2016, that reported attitudinal data from patients, health care professionals, or caregivers; treatment decision-making; or patient characteristics …

Psychological Well-Being’S Link With Cardiovascular Health In Older Adults, Julia K. Boehm, Jackie Soo, Ying Chen, Emily S. Zevon, Rosalba Hernandez, Donald Lloyd-Jones, Laura D. Kubzansky

Psychology Faculty Articles and Research

Introduction

Favorable cardiovascular health (FCH) is associated with healthy longevity and reduced cardiovascular mortality risk. However, limited work has investigated the distribution of FCH in older age or considered the antecedents of FCH. Based on prior work linking psychological well-being with cardiovascular endpoints, higher psychological well-being was hypothesized to be associated with increased likelihood of maintaining FCH over time.

Methods

Data were from the English Longitudinal Study of Ageing. The first study wave (2002–2003) included men and women aged ≥50 years. The analytic sample (N=4,925) was restricted to individuals without baseline cardiovascular disease and with clinical data from three follow-ups …

Subjective Well-Being And Hiv Prevention: A Cross-Country Descriptive Study Using Multiple Indicator Cluster Survey Data, Janine Foggia, Anne Sebert Kuhlmann

Journal of Refugee & Global Health

Subjective well-being (SWB) is positively associated with improved health outcomes and, in particular, preventative behaviors. Yet, the relationship between SWB and HIV prevention is not well understood, especially in the context of developing countries. Furthermore, young females experience a high burden of HIV as well as sociodemographic factors which influence SWB. Therefore, this descriptive study sought to describe the global landscape of three constructs of SWB - happiness, life satisfaction, and life perception - and the following HIV prevention variables: comprehensive HIV knowledge, HIV testing, and condom use among young adult females aged 15-24 years. Descriptive statistics of Multiple Indicator …

The Role Of Spirituality Among Schizophrenia Patients: An Integrated Literature Review, Sarah Bieber

Grace Peterson Nursing Research Colloquium

Abstract

Background: Over the past 30 years, the field of psychology has evolved to become more receptive towards spirituality as an influential concept in the recovery of many mental health illnesses. The role of spirituality as it relates to recovery for patients living with schizophrenia, however, has not been effectively explored. In order to induce a spiritual sense, one must have an ability to think and reflect abstractly; however, this requirement conflicts with the schizophrenic mind’s preference for concrete thinking. It is questionable whether patients with schizophrenia regard the role of spirituality as it relates to their recovery in the …

Effective Nursing Interventions For Patients With High Health Anxiety: An Integrative Literature Review, Christina Hetz

Grace Peterson Nursing Research Colloquium

Effective Nursing Interventions For Patients With High Health Anxiety: An Integrative Literature Review

Christina Hetz

Faculty Sponsor: Dr. Young-Me Lee, PhD, RN, Larry Maturin MSN, APN, ACNS-BC, CEN, CCRN

Background: Patients with high health anxiety over seek medical services, resulting unnecessary and possibly invasive tests, consultations, and medication. This behavior ultimately results in iatrogenesis and causes symptoms of high health anxiety to increase.

Aim: The purpose of this integrative literature review was to identify interventions to lessen symptoms of high health anxiety, and the healthcare providers most successful in providing these interventions.

Method: An integrative literature review was conducted using …

Personality Traits, Perceived Stress, And Coping Mechanisms Of Emergency Department Nurses, Brittany Knipp

Grace Peterson Nursing Research Colloquium

No abstract provided.

The Effects Of Physical Exercise On The Executive Functions Of Children With Attention Deficit Hyperactivity Disorder: An Integrative Review Of Literature, Julie Diamond

Grace Peterson Nursing Research Colloquium

Abstract

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder that affects 6.4 million children in the United States. These children often experience deficits in both behavioral and cognitive executive functioning. Physical exercise (PE) has been gaining recognition as an alternative non-pharmacological treatment option for children with ADHD. This study aims to gain a better understanding of the efficacy of physical exercise in improving the executive functions (EF) of these children. Critical gaps in the literature were identified and addressed. A detailed search was conducted using CINAHL, PubMed, and PsycINFO. Peer-reviewed studies written in English and published between 2006 …

Bedtime Fading With Response Cost For Treatment Of Sleep Disturbances In Children With Autism Spectrum Disorder, Sela Ann Sanberg

Theses & Dissertations

As many as 82% of children with Autism Spectrum Disorders (ASD) experience numerous chronic sleep-related problems and at a much higher frequency and severity than their typically developing peers. Behavioral treatments are considered best practice and first-line treatment to address sleep problems. These treatments tend to address one specific sleep-related behavior at a time. Bedtime Fading with Response Cost (BFRC) is a promising intervention that targets a multitude of sleep problems concurrently and has yet to be replicated by more than one investigative team in the home setting with children on the autism spectrum. This study evaluated the effectiveness of …

Stepping In: My Experience Of Embodied Power Through The Relations-Cultural Framework, Sarah C. Rot

Creative Arts Therapies Theses

This qualitative embodied artistic inquiry self-study explored how I used my embodied power in an ethical and intentional way as a dance/movement therapist and illustrated how I experienced my embodied power as informed by relational-cultural theory. At the time of the study, I was a 24-year-old, White, female identified, Midwestern, second-year dance/movement therapy and counseling graduate student. Data were collected through five authentic movement sessions with a trained authentic movement practitioner. Data analysis took the form of creative synthesis through embodied writing passages following each authentic movement session. Results included a journey of self-compassion through a growing movement repertoire, which …

A Mixed Methods Study Of Hiv-Related Services In Buprenorphine Treatment, Hannah K. Knudsen, Jennifer Cook, Michelle R. Lofwall, Sharon L. Walsh, Jamie L. Studts, Jennifer R. Havens

Behavioral Science Faculty Publications

Background: Opioid use disorder (OUD) is a major risk factor in the acquisition and transmission of HIV. Clinical practice guidelines call for the integration of HIV services in OUD treatment. This mixed methods study describes the integration of HIV services in buprenorphine treatment and examines whether HIV services vary by prescribers’ medical specialty and across practice settings.

Methods: Data were obtained via qualitative interviews with buprenorphine experts (n = 21) and mailed surveys from US buprenorphine prescribers (n = 1174). Survey measures asked about screening for HIV risk behaviors at intake, offering HIV education, recommending all new patients …

Addressing Common Mental Health Issues Prevalent Among Honors College Students, Steven Pham

Honors Theses

The prevalence and severity of mental health disorders on college campuses has been increasing nationwide. This review aims to address some of the prevalent mental health issues that continuously plague college students today. Recent trends in college student mental health are analyzed as well as literature regarding common disorders including depression, anxiety, and bipolar disorder. A comparison of honors and non-honors students is provided to contribute to an otherwise lacking area of research surrounding honors student populations. Effective practices and policies for colleges and universities to incorporate into their counseling services are also considered, with viable goals centering on the …

Rock Climbing And Acute Emotion Regulation In Patients With Major Depressive Disorder In The Context Of A Psychological Inpatient Treatment: A Controlled Pilot Trial, Maria Kleinstäuber, Merle Reuter, Norbert Doll, Andreas J. Fallgatter

Psychology Faculty Publications

Background: Major depressive disorder is characterized by deficits in emotion regulation. This study examined associations between rock climbing and acute emotion regulating effects in patients with major depression. Patients and methods: In a nonrandomized, controlled study, 40 major depressive disorder inpatients were assigned to either a climbing session (n=20) or a relaxation session (n=20). Positive and negative affect, depressiveness, and coping emotions were assessed immediately before and after the session. Results: Mixed analyses of variance and covariance revealed significant time × group interaction effects for all assessed outcomes (p≤0.012): positive affect and coping emotions significantly increased and negative affect and …

A Heuristic Inquiry: The Narrative Of A Beginning Dance/Movement Therapist's Professional Identity Development, Danielle Parmacek

Creative Arts Therapies Theses

There are theories, models, and theses that explain what generally happens as people move through the identified phases of counselor and professional identity development. However, there is little literature that illustrates how this growth actually happens for clinicians. The purpose of this heuristic self-study was to identify and gain a deeper understanding of the narrative of how my clinical experiences have influenced my professional identity as a dance/movement therapist. This study utilized the six phases of heuristic inquiry as a structure to guide this discovery. My personal recollections of three identified cases were used as data, which was then analyzed …

Encountering Disenfranchised Grief: A Pilot Investigation Of The Clinical Lived Experiences In Dance/Movement Therapy, Kate M. Dominguez

Creative Arts Therapies Theses

This study employed a transcendental phenomenological methodology to understand how clients’ lived experiences of disenfranchised grief are present within the clinical therapeutic relationship in dance/movement therapy. Data was collected through individual semi-structured interviews from four dance/movement therapists who have worked with clients experiencing disenfranchised grief. Moustakas’ (1994) adaptation of the Stevick-Colaizzi-Keen method of data analysis was used concurrently with data collection. Data analysis resulted in four textural themes: a) Disenfranchised grief can be described as disconnecting, overwhelming, complex, unrecognized, and pervasive; b) It is distinguished by exacerbated grief; c) It is recognized as a distinct form of grief; and d) …

You, Me, And We: An Artistic Inquiry Exploring Embodied Self-Awareness, Peter Navarro

Creative Arts Therapies Theses

Heuristic research methodology was used to engage in a creative and systematic process of self-exploration with a goal of fostering embodied self-awareness. I answered the following research question: How will engaging in embodied self-awareness influence and inform the relationships I create with others and myself? Additionally, I explored my use of Effort time and its influence on my embodied self-awareness. As the sole-researcher and participant, data were collected for 4 weeks in 8 sessions by self-reflecting on intuitively felt meaningful experiences between myself and another person(s), in addition to self-reflecting on my individual experience amidst those interactions. Movement narratives, embodied …

Decluttering The Mind: A Creative Approach Towards Becoming, Jessica Ann Lochte

Creative Arts Therapies Theses

The purpose of this research was to explore the researcher’s mind, as defined within the field of interpersonal neurobiology (IPNB), and concept of self in the context of professional development as a dance/movement therapist. An embodied artistic inquiry methodology was chosen to support this in-depth reflective exploration, utilizing visual art making and movement as methods of data collection and analysis. Primary research questions were inspired by Rogers’ (1961) views of psychotherapy, asking “Who am I as a therapist?” and “How may I become myself as a therapist?” The process was further structured through Siegel’s (2010a) nine domains of integration: consciousness, …

Maternal Intuition Of Fetal Gender, Michael Mcfadzen, David P. Dielentheis, Ronda Kasten, Maharaj Singh, Joe Grundle

Journal of Patient-Centered Research and Reviews

Purpose: Fetal gender speculation is a preoccupation of many expecting parents, and pregnant women commonly profess to intuitively know the gender of their unborn babies. This study objectively compared pregnant mothers’ perceptions of fetal gender to sonographically proven gender determinations. Also, success rates from previously published studies, noninvasive prenatal testing and a myriad of gender determination methods were observed and reported for context.

Methods: All pregnant women presenting for second-trimester screening ultrasound (at 17–23 weeks gestation) in the obstetrics department of a single health center were asked to participate. A medical sonographer described the ultrasound examination, obtained appropriate consent and …

Teen, Parent, And Clinician Expectations About Obesity And Related Conditions During The Annual Well-Child Visit, Andrew S. Bossick, Charles Barone, Gwen L. Alexander, Heather A. Olden, Tanya Troy, Andrea E. Cassidy-Bushrow

Journal of Patient-Centered Research and Reviews

Purpose: This study aimed to examine family (patient, parent/guardian) and clinician preferences for identification and management of obesity and obesity-related conditions during the well-child visit.

Methods: Four focus groups with teen patients (n = 16), four focus groups with parents (n = 15) and one focus group with providers (n = 12) were conducted using a structured moderator guide tailored to each population. Eligible patients had a well-child visit during the past 12 months and a diagnosis of overweight, obesity, hyperlipidemia or elevated blood pressure. Parents who attended their child’s well-child visit and whose child met the diagnostic …

Every Word, Every Gesture, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Two nonverbal patients teach a novice clinician the power and often hidden impact of the physician-patient relationship.

Kuelewa: Evaluating The Jabe Therapeutic Dance Program In Kibera, Sarah Moore

Creative Arts Therapies Theses

The purpose of this study was to evaluate the effectives of the JABE (Just And Best Entertainers) therapeutic arts dance program in meeting their stated goals and outcomes through a pilot summative mixed methods program evaluation. The participants of the study included 65% of JABE program participants ages 12 to 19 and JABE’s two program leaders including the Chairman and Program Coordinator. The data were collected through an embodied survey, art based individual interviews, semi-structured interviews, and a focus group. Data were analyzed using descriptive statistics, Kvale’s interview analysis method, and Forniash’s analysis method. Findings showed JABE’s overall effectiveness at …

Role Exploration: A Heuristic Study Into How Various Roles Influence The Role Of Emerging Dance/Movement Therapist, Patrick Thomas Justin

Creative Arts Therapies Theses

The purpose of this study was to understand the roles I experience and how these roles inform my new role as an emerging dance/movement therapist. A qualitative heuristic study was used to explore the experience in the roles of student, peer, family member, and therapist. Data was collected through unstructured and semi-structured journaling, as well as journaling that occurred in response to movement sessions at the end of each data collection week. Movement sessions were structured in a way that each role was explored and then journaled about to find more depth in the data from the previous week. After …