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Cognitive Psychology

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Full-Text Articles in Social and Behavioral Sciences

The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright Apr 2024

The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright

Expressive Therapies Capstone Theses

The topic under investigation is whether physically embodying a morning routine that was designed through the lens of Laban Bartenieff Movement Analysis (LBMA) will reduce daily symptoms of individuals diagnosed with Generalized Anxiety Disorder.

Since morning routines play a significant part in one’s preparation for the day, I created an individualized LBMA morning routine for a specific client to embody. In addition to the routine, the client documented the process of their anxiety levels on a weekly basis. This client was a white, female, 19-year-old, lesbian college student who was previously diagnosed with Generalized Anxiety Disorder (GAD). The movement analysis …


The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe May 2023

The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe

Expressive Therapies Capstone Theses

Within the last ten years research on art therapy and its positive impact on oncology patients’ stress and anxiety during treatment has been minimal. Oncology patients whether they are children or adults when diagnosed experience similar reactions due to their diagnosis, treatment, and in some cases end of life care. The current question is whether or not art therapy does have a positive impact on decreasing the stress and anxiety with oncology patients while undergoing treatment. Deane, Fitch & Carmen (2000), discussed art therapy as a healing art that is “intended to integrate physical, emotional, and spiritual care by facilitating …


Moving Forward: Studying The Impact Of Future Self-Continuity And Active Commuting On Depression, Anxiety, And Stress, Max William Gehr Jan 2023

Moving Forward: Studying The Impact Of Future Self-Continuity And Active Commuting On Depression, Anxiety, And Stress, Max William Gehr

Senior Projects Fall 2023

The current research delves into the relationship between Future Self-Continuity (FSC) and mental health, particularly in the context of commuting behaviors. It employs a cross-sectional, observational design and relies on self-reported data. While this approach provides helpful perspicuity into the nature of the observed phenomena, it also expresses methodological limitations in terms of causal inference and variable control and manipulation. The study utilizes established psychometric tools as a basis for modified measures for the sake of brevity and digestibility by recruited online participants: the Truncated Future Self-Continuity Questionnaire (FSCQ-T) and the Depression Anxiety and Stress Scale-10 (DASS-10), to measure the …


Psychophysiological Effects Of Increasing Awareness Of Nondual Consciousness In Young Adults With Depression And Anxiety, Milena Braticevic Oct 2022

Psychophysiological Effects Of Increasing Awareness Of Nondual Consciousness In Young Adults With Depression And Anxiety, Milena Braticevic

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

Young adults increasingly suffer from anxiety and depression during the time of transition into adulthood. This research study examined the effects of increasing awareness of nondual consciousness in young adults who were experiencing various levels of anxiety and depression. The methodology was mixed-method and included four 1-hour group-based sessions over 4 weeks. Increasing awareness of nondual consciousness through educational, experiential, and behavioural components resulted in reduction in the average depression score from 19.4 (borderline clinical depression) to 10 (normal), and reduction in the average anxiety score from 12.7 (moderate anxiety) to 6.9 (mild). Participants reported increased mental, emotional, physical, and …


Memory And Attention While Scuba Diving At Shallow And Deep Depths: An Open Water Study, Leanne Boucher, Joshua Feingold, Kelly Concannon, Stephanie Talavera, Jaime Tartar, W. Matthew Collins Sep 2022

Memory And Attention While Scuba Diving At Shallow And Deep Depths: An Open Water Study, Leanne Boucher, Joshua Feingold, Kelly Concannon, Stephanie Talavera, Jaime Tartar, W. Matthew Collins

Journal for Sports Neuroscience

SCUBA diving requires a high level of cognitive functioning, however, many divers anecdotally report poor memory and attentional skills while underwater. Few studies have documented cognitive deficits resulting from an open-water dive. Here, 23 divers completed both shallow (8 m) and deep (28 m) dives over two days in the open-water. The order of the dives was counterbalanced across participants. While at depth, they completed the State-Trait Anxiety Inventory to assess anxiety levels, learned and were tested on a list of 36 words, and completed the trail making task (TMT) to assess executive functioning. They also gave saliva samples to …


The Relationship Between Cognitive Flexibility And Rumination: From Laboratory To Daily Life, Cassidy R. Girard Aug 2022

The Relationship Between Cognitive Flexibility And Rumination: From Laboratory To Daily Life, Cassidy R. Girard

All NMU Master's Theses

Cognitive flexibility has been considered one of the risk factors for anxiety. People with high levels of anxiety tend to stick to more maladaptive strategies such as rumination. The interaction between cognitive flexibility and rumination may help explain the contribution of cognitive flexibility to the development of anxiety. This study investigated the relationship between cognitive flexibility and rumination. Each individual’s level of cognitive flexibility, anxiety, and rumination were measured through questionnaires and computer tasks. Daily changes in emotion and rumination were assessed using the experience sampling method. The results showed interesting relationship between rumination (both trait and momentary) and cognitive …


Introspective Meditation Before Seeking Pleasurable Activities As A Stress Reduction Tool Among College Students: A Multi-Theory Model-Based Pilot Study, Manoj Sharma, Amar Kanekar, Kavita Batra, Traci Hayes, Ram Lakhan Mar 2022

Introspective Meditation Before Seeking Pleasurable Activities As A Stress Reduction Tool Among College Students: A Multi-Theory Model-Based Pilot Study, Manoj Sharma, Amar Kanekar, Kavita Batra, Traci Hayes, Ram Lakhan

Social & Behavioral Health Faculty Publications

In the realm of behavioral interventions, a combined approach of yoga and a cognitive-behavioral strategy in the form of introspective meditation (manan-dhyana) may offer benefits as a stress management tool. This pilot study focuses on introspective meditation performed before seeking pleasurable activities, which is a self-reflection about whether to pursue a goal that will bring sensory pleasure in life. A non-probability sample of college students was recruited from a mid-sized Southern University of the United States using a 52-items web-based survey built in Qualtrics. Univariate, bivariate, and multivariate statistics were used to analyze data. Of total 65 students, only 21.5% …


The Impact Of Mindfulness Practices In Teachers, Shawn M. Martin Hettinga Mar 2022

The Impact Of Mindfulness Practices In Teachers, Shawn M. Martin Hettinga

ATU Theses and Dissertations 2021 - Present

Mindfulness training has been identified as a promising means for cultivating social and emotional competencies and reducing stress. The purpose of the quantitative pre-post study using convenience sampling of educators in a rural K-12 in the Arkansas River Valley was to examine whether teachers’ participation in mindfulness activities were associated with changes in levels of stress, anxiety, depression, and job satisfaction. The study used the Depression, Anxiety, and Stress Scale (DASS-21) and the Job Satisfaction Survey (JSS) and measured the responses from novice (0-3 years) and experienced (4+ years) teachers. The findings revealed that there was no difference between the …


Cerebellum-Seeded Functional Connectivity Changes In Trait-Anxious Individuals Undergoing Attention Bias Modification Training, Katherine Elwell Jul 2021

Cerebellum-Seeded Functional Connectivity Changes In Trait-Anxious Individuals Undergoing Attention Bias Modification Training, Katherine Elwell

All NMU Master's Theses

Anxiety and anxiety related disorders are increasing at a drastic rate in the past decade, with the NIMH reporting that 31.1% of U.S. adults will experience an anxiety disorder at some point in their lives. Anxiety is commonly characterized by increased attention bias to threat. Attention Bias Modification (ABM) is a new treatment used to reduce individual’s attention bias towards threat. The extent to which ABM leads to underlying neural changes is still unknown. The cerebellum is a neglected brain structure, with new research provides evidence that cerebellum’s functional connectivity and shared networks with threat processing regions has a direct …


Neural Correlates Underlying The Interactions Between Anxiety And Cannabis Use In Predicting Motor Response Inhibition, Richard Ward May 2021

Neural Correlates Underlying The Interactions Between Anxiety And Cannabis Use In Predicting Motor Response Inhibition, Richard Ward

Theses and Dissertations

The ability to effectively withhold an inappropriate response is a critical feature of cognitive control. Prior research indicates alterations in neural processes required for motor response inhibition in anxious individuals, including those with posttraumatic stress disorder (PTSD), and those who engage in regular cannabis use. However, thus far most research has examined how anxiety-related symptoms and cannabis use influence response inhibition in isolation of one another. The current study examined the interactions between anxious symptomology and recent cannabis use in a sample that recently experienced a traumatic event using functional magnetic resonance imaging (fMRI) during the completion of a Stop-Signal …


The Effects Of Emotional Working Memory Training On Trait Anxiety, Gabrielle C. Veloso, Welison Evenston G. Ty Jan 2021

The Effects Of Emotional Working Memory Training On Trait Anxiety, Gabrielle C. Veloso, Welison Evenston G. Ty

Psychology Department Faculty Publications

Background: Trait anxiety is a pervasive tendency to attend to and experience fears and worries to a disproportionate degree, across various situations. Decreased vulnerability to trait anxiety has been linked to having higher working memory capacity and better emotion regulation; however, the relationship between these factors has not been well-established.

Objective: This study sought to determine if participants who undergo emotional working memory training will have significantly lower trait anxiety post-training. The study also sought to determine if emotion regulation mediated the relationship between working memory training and trait anxiety.

Method: An experimental group comprising of 49 participants underwent 20 …


Frontal Alpha Wave Asymmetry In Regard To Affect, Monica Leigh Sewell Jan 2021

Frontal Alpha Wave Asymmetry In Regard To Affect, Monica Leigh Sewell

All Master's Theses

This study examines frontal alpha brain wave asymmetry (FAA) in relation to emotion processing. Previous research has shown that differences between left versus right FAA could exhibit a neurological marker for emotional intelligence (EI), mental health, and stress. Behavioral data were collected using Profile of Emotional Competence Questionnaire, Perceived Stress Questionnaire, Patient Health Questionnaire-9, and the Generalized Anxiety Disorder-7. This was followed by a series of resting EEG recordings. This study hypothesizes that participants who are mentally healthy, have higher EI scores and lower stress will display greater left FAA. The hypothesis is partially supported; participants with depression had greater …


Startle Response In Women With The Fmr1 Premutation And Risk For Anxiety Disorders, Azalfa Lateef Apr 2020

Startle Response In Women With The Fmr1 Premutation And Risk For Anxiety Disorders, Azalfa Lateef

Senior Theses

Background: The FMR1 premutation, which occurs when there is an expansion of 55 -200 repeats of the CGG trinucleotide on the FMR1 gene, is associated with an increased risk for anxiety disorders. Indices of autonomic regulation may prove to be useful biomarkers for psychopathological risk, including stress and anxiety. In the general population, diminished habituation to a startle response is linked to a variety of psychological disorders, including anxiety, yet little is known about this relationship in those with the FMR1 premutation. Given the increased risk for anxiety in those with the FMR1 premutation, the present study aims to examine …


The Process Of Therapeutic Change In The Attention Training Technique, Benjamin J. Laman-Maharg Jan 2020

The Process Of Therapeutic Change In The Attention Training Technique, Benjamin J. Laman-Maharg

Graduate Research Theses & Dissertations

Background: An unacceptably large proportion of individuals remain symptomatic after receiving first-line interventions. The attention training technique (ATT) is a potentially effective treatment augmentation and standalone treatment that may help improve the treatment of psychological disorders. The machanisms of therapuetic change of ATT remain understudied. This study is a randomized controlled trial of ATT compared to progressive muscle relaxation (PMR) that examined mindfulness and attentional control as potential mechisms of therapeutic change.

Method: A convenience sample of 64 participants (Mage = 20.13, SD = 3.65; 42.2% Male; 64.1% non-Hispanic White; 23.4% Black; 9.4% Hispanic/Latino; 3.1% Other) were randomly assigned to …


Construct Validity Of The Teate Depression Inventory: Convergent And Discriminant Validity And Equivalence For Black/African American And White/Caucasian Samples, Dylin Coons Jan 2020

Construct Validity Of The Teate Depression Inventory: Convergent And Discriminant Validity And Equivalence For Black/African American And White/Caucasian Samples, Dylin Coons

Masters Theses

The purpose of this study was to replicate the construct validity of a new measure of depression, the Teate Depression Inventory (TDI; Balsamo & Saggino, 2013), with the primary focus on Black/African American participants. Research has purported that Black/African Americans experience inequality in obtaining mental health care for internalizing disorders. This may partially be caused by errors in diagnosing these individuals with symptoms. Correctly diagnosing internalizing disorders is a critical step in obtaining appropriate treatment. More research on depression and anxiety is needed to enhance mental health practices by addressing the need for professionals to be culturally competent and conscious …


Anxiety And Its Impact On Memory, Blakeney C. Coleman, Ryan M. Yoder Dec 2019

Anxiety And Its Impact On Memory, Blakeney C. Coleman, Ryan M. Yoder

Honors Theses

From influences on our memories of common words to even eyewitness testimonies, anxiety can shape our view of the world (Amir et al., 1996). Our research attempted to show a relationship between anxiety and its effects as an impact on memory as is supported by the Theory of Attentional Control (Eysenck & Calvo, 1992). A video from Simons’ and Chabris’ (1999) study on Inattentional Blindness was used to assess whether anxiety is adaptive or maladaptive to functions of our memory. Our study did not find significance regarding the impact of anxiety on memory. However, the relevance and interest of studies …


Investigation Of The Relationship Between Mindfulness And Empathy In Pre-Nursing Students Exposed To A Four-Week Mindfulness Training, Debra L. Klich Dec 2019

Investigation Of The Relationship Between Mindfulness And Empathy In Pre-Nursing Students Exposed To A Four-Week Mindfulness Training, Debra L. Klich

Theses and Dissertations

Objective: To investigate the effects of a four-week mindfulness program on levels of mindfulness, empathy, and anxiety in a group of pre-nursing students.

Methods: This study utilized a multiple-baseline across subjects design. Results from nine study participants were examined.

Results: Data demonstrates that a detectable decrease in anxiety levels can result from participation in self-directed mindfulness program as short as four weeks. Results regarding mindfulness and empathy levels were less conclusive. A specific relationship between empathy and mindfulness cannot be determined from this study.

Conclusions: Because previous studies have demonstrated a persistence of skills, practice, and benefits acquired through mindfulness …


Investigating The Eeg Error-Related Negativity In College Students With Adhd, Anxiety, And Depression, Mariacristina Canini Dec 2019

Investigating The Eeg Error-Related Negativity In College Students With Adhd, Anxiety, And Depression, Mariacristina Canini

Undergraduate Honors Theses

Error-related negativity (ERN) is an event-related potential elicited by the commission of errors. It appears as a negative deflection peaking between 50ms and 100ms after an erroneous response. Previous literature demonstrated that individuals who suffer from either anxiety or depression display a higher ERN amplitude compared to a control group. It has also been shown that people with ADHD display a lower ERN amplitude. Based on these findings, we investigated the relationships between these three disorders and their effects on the amplitude of the ERN. We recruited thirty-one students at East Tennessee State University and gathered data on their level …


Effects Of Anxiety And Working Memory Capacity On Performance In The Emotional Stroop Task, Gia Macias Jun 2019

Effects Of Anxiety And Working Memory Capacity On Performance In The Emotional Stroop Task, Gia Macias

Electronic Theses, Projects, and Dissertations

Emotional Stroop task results have been shown to be inconsistent throughout the literature due to a multitude of factors including both stimulus and population factors. There are also several theories to explain the emotional Stroop effects, including the attentional control theory (Eysenck et al., 2007). This theory states that anxiety consumes attentional and memory resources, resulting in impairment in executive functions, and thus cognitive performance is lowered. Recently, Owens et al. (2014) reported that the effects of anxiety on cognitive performance might be moderated by working memory capacity (WMC). The present study explored whether Owens et al.'s (2014) paradigm fit …


The Effects Of Cognitive Stimulation Of Instagram On Anxiety, Fear Of Missing Out, Memory, And Self-Esteem, Anna Destino Apr 2019

The Effects Of Cognitive Stimulation Of Instagram On Anxiety, Fear Of Missing Out, Memory, And Self-Esteem, Anna Destino

Undergraduate Theses and Capstone Projects

With the increasing use of social media in the daily lives of undergraduate college students, it is important to investigate the effects of social media on psychological well-being and cognitive function. Lillard and Peterson (2011) found that overstimulating children’s televisions shows, such as SpongeBob, negatively impacted children’s impulsive behaviors and attention. The current research focused on emerging adults and considered the effect of overstimulation of social media, specifically Instagram, on anxiety level, self-esteem, fear of missing out (FoMo), and memory. Participants were randomly assigned into either the control (coloring on an Ipad) or experimental (Instagram stimulation) group and after a …


Threat-Related Attentional Bias In Relation To Anxiety And Depressive Symptoms In The General Population: The Potential Role Of Sex Effects, Beril Yaffe Sep 2018

Threat-Related Attentional Bias In Relation To Anxiety And Depressive Symptoms In The General Population: The Potential Role Of Sex Effects, Beril Yaffe

Dissertations, Theses, and Capstone Projects

Heightened sensitivity to relevant environmental stimuli (attentional bias) has been observed in relation to clinical and non-clinical anxiety and depression symptoms. While depression symptoms are associated with sensitivity to disorder and self-relevant words, hypervigilance to threatening stimuli is observed in relation to anxiety symptoms. Furthermore, attentional bias has been shown to play an important role in the development and maintenance of depressive and anxiety disorders. Accordingly, a large body of literature has examined threat-related attentional bias in relation to symptoms of anxiety and depression. However, several methodological inconsistencies exist across studies, including variability in definitions of threat, lack of consideration …


Attention Deficit Hyperactivity Disorder With Comorbid Anxiety/Depression In Adults: Impacts On Neuropsychological Functioning, Cristina Valdivieso Bain Jul 2018

Attention Deficit Hyperactivity Disorder With Comorbid Anxiety/Depression In Adults: Impacts On Neuropsychological Functioning, Cristina Valdivieso Bain

Psychology Theses & Dissertations

ADHD comorbidity with other disorders is high in the adult population (over 44% of individuals carry a second diagnosis, 25% anxiety, 18.6% in depression). Separately, these disorders can impact scores on neuropsychological assessments. Little research has investigated how comorbidity among ADHD and other disorders impacts test scores collectively. Given high rates of comorbidity between ADHD and anxiety/depressive disorders and the potential impact on neuropsychological functioning, the current study examined how these comorbid disorders collectively impact cognition. Specifically, the present study investigated differences in full scale intelligence, general ability, and cognitive proficiency on the WAIS-IV between those diagnosed with ADHD only …


The Effects Anxiety Has On Attentional Bias And Working Memory, Breana Mcswain Jan 2018

The Effects Anxiety Has On Attentional Bias And Working Memory, Breana Mcswain

USC Aiken Psychology Theses

Research has shown that anxiety impairs attention and working memory, especially when it comes to completing a mentally demanding cognitive task such as the emotional Stroop paradigm or the n-back task. The purpose of this study was to investigate whether state anxiety affects behavioral performance on executive function tasks. State anxiety was induced using negatively valenced images from the International Affective Picture System, while neutral images served as the control. We compared behavioral performance between individuals in the negative mood induction against those in the neutral mood induction. Trait anxiety was used as a covariate for both groups. This allowed …


Can Coloring Reduce Stress And Increase Working Memory In The Elderly?, Alexus Lepere Jan 2017

Can Coloring Reduce Stress And Increase Working Memory In The Elderly?, Alexus Lepere

UNF Graduate Theses and Dissertations

This study explores whether the observed effects of coloring on anxiety and stress apply to the elderly. Two coloring activities were administered to elderly participants to evaluate the effects on stress, anxiety, and working memory. The Mini Mental State Examination was used to establish cognitive level. The Perceived Stress Scale and Brief State Trait Anxiety Inventory were administered to obtain pretest and posttest scores on stress and anxiety levels. Working memory was measured using the Backward Digit Recall to test if the potential calming effects improve working memory. A near significant increase in stress scores was demonstrated in the mandala …


Is The Smartphone A Smart Choice? The Effect Of Smartphone Separation On Executive Functions, Andree Hartanto, Hwajin Yang Nov 2016

Is The Smartphone A Smart Choice? The Effect Of Smartphone Separation On Executive Functions, Andree Hartanto, Hwajin Yang

Research Collection School of Social Sciences

Despite a huge spike in smartphone overuse, the cognitive and emotional consequences of smartphone overuse have rarely been examined empirically. In two studies, we investigated whether separation from a smartphone influences state anxiety and impairs higher-order cognitive processes, such as executive functions. We found that smartphone separation causes heightened anxiety, which in turn mediates the adverse effect of smartphone separation on all core aspects of executive functions, including shifting (Experiment 1) and inhibitory control and working-memory capacity (Experiment 2). Interestingly, impaired mental shifting was evident regardless of the extent of smartphone addiction, whereas smartphone addiction significantly moderated the negative effect …


Neural Circuitry Underlying The Intrusion Of Task-Irrelevant Threat Into Working Memory In Anxiety, Daniel Stout Aug 2016

Neural Circuitry Underlying The Intrusion Of Task-Irrelevant Threat Into Working Memory In Anxiety, Daniel Stout

Theses and Dissertations

Dispositional anxiety is an important risk factor for the development of anxiety and other psychological disorders. Symptoms commonly expressed by highly anxious individuals include intrusive memories, uncertainty, and worry — all occurring in the absence of immediate threat. This raises the possibility that anxious individuals have difficulty governing threat’s access to working memory, the mental workspace where goal-related information is actively retained for guiding on-going behavior. Using functional magnetic resonance imaging (fMRI) while 81 subjects completed a well-validated working memory task, I show that threat-related and neutral distracters unnecessarily gain access to working memory, as evidenced by increased neural activity …


The Nerve: Associations Between Perceived Parenting Style And Coping With Stress, Lauren Mcgrew May 2016

The Nerve: Associations Between Perceived Parenting Style And Coping With Stress, Lauren Mcgrew

Undergraduate Theses

Throughout a lifetime, women are twice as likely as men to develop an anxiety disorder. Several factors – biological, psychological, and social/environmental – are involved in the mechanisms of anxiety. The present study was designed with particular interest in the association between parents’ parenting styles and daughter anxiety, specifically paternal influences in correlation with how daughters cope with stress. Previous studies suggest that anxious tendencies in parents can be transferred to their children (Ballash, Leyfer, Buckley, & Woodruff-Borden, 2006). Studies have also identified three main parenting styles – authoritarian, authoritative, and permissive – which may also play a role in …


A Brief Rational Disputation Exercise Enhances Cardiovascular, Anxiety, And Affective Recovery Following Worry-Recall, Michelle Rosalie Di Paolo May 2016

A Brief Rational Disputation Exercise Enhances Cardiovascular, Anxiety, And Affective Recovery Following Worry-Recall, Michelle Rosalie Di Paolo

Theses and Dissertations

Rational Emotive Behavior Therapy (REBT) (Ellis, 1958), educates a client on the relationship between one’s irrational beliefs (IBs) and the dysfunctional emotional/behavioral consequences of maintaining those beliefs such as symptoms of anxiety, depression, and sleep dysfunction (Ellis, Gordan, Neenan, & Palmer, 1997), symptoms also commonly correlated with high trait perseverative cognition (PC; Verkuil, Brosschot, de Beurs, & Thayer, 2009). In addition to symptoms of anxiety and depression, high levels of PC, a construct comprised of measures of trait worry and rumination, have been linked to acute cardiovascular (CV) health concerns that overtime when left unmitigated may lead to chronic conditions …


Evidence-Based Alternative Therapy To Reduce Anxiety In Ambulatory Mental Health Patients, Renee Ann Denobrega Jan 2016

Evidence-Based Alternative Therapy To Reduce Anxiety In Ambulatory Mental Health Patients, Renee Ann Denobrega

Walden Dissertations and Doctoral Studies

Evidence-Based Alternative Therapy to Reduce Anxiety in Ambulatory Mental Health Patients

by

Renee Denobrega

MS, Widener University, 2013

BS, Alvernia University, 2007

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

January 2016


An Examination Of The Relationship Between Psychological Distress And Risky Sexual Behaviors Among A Treatment-Seeking Opioid-Dependent Population, Hayley M. Smith Dec 2015

An Examination Of The Relationship Between Psychological Distress And Risky Sexual Behaviors Among A Treatment-Seeking Opioid-Dependent Population, Hayley M. Smith

USC Aiken Psychology Theses

Substance abusing populations are at an increased risk for disease transmission and have higher rates of psychological comorbidity compared to the general population (e.g., Centers for Disease Control and Prevention [CDC], 2012a; Chaudhury & Singh, 2009; Des Jarlais, Semaan, & Arasteh, 2011; Goodwin & Stein, 2013). Numerous studies have implicated the interaction of psychological distress and risky sexual behaviors in the increased risk of disease transmission, however, several studies have not found this association. It has been suggested that there may be curvilinear relationship between psychological distress and risky sexual behaviors but this theory has yet to be tested. The …