Social and Behavioral Sciences Commons^™

The Effects Of Parentification, Attachment, Family-Of-Origin Dysfunction And Health On Depression: A Comparative Study Between Gender And The Ethnic Groups Of South Koreans And Caucasian Americans, Sunnie Giles

Theses and Dissertations

Parentification is a process where children or adolescents assume adult roles before they are emotionally or developmentally ready, which, in turn, disrupts the development of healthy, secure attachment in childhood. Using 1,001 men and women from South Korea and the United States with equal division between males and females and multiple group comparison technique in structural equation modeling, this paper examined the relationship between parentification during childhood and depression during adulthood. It explores the cross-sectional long-term effects of parentification into adulthood, using a retrospective survey technique. This study also confirmed previous research findings that attachment, physical health and family-of-origin dysfunction, …

Family Structure And Family Instability: Evaluating Their Influence On Adult Outcomes, Hsin-Yao Chiu

Theses and Dissertations

Family structure is a widely used independent variable. However, in recent years researchers have questioned its predicting power. They also strive to improve its use. This study drew on Holman's (2001) theoretical model and examined the association between the family structure independent variables (Family Structure, Family Instability, and Parental Romantic Partners) and the outcome variables (Coming to Terms, Self-esteem, Maturity, and Depression). The analysis was conducted with a sample of 3,705 individuals (2,316 females and 1,389 males) randomly selected from the entire population that completed the Relationship Evaluation Questionnaire (RELATE). Results showed that Family Instability was a stronger predictor than …

Dispositional Mindfulness In People Diagnosed With Cancer: The Relationship To Depressive Symptoms And Well-Being, Karen Kersting

Theses and Dissertations

Coping with a cancer diagnosis is known to be a stressful experience that can be related to declines in personal well-being and increases in distress. Dispositional mindfulness is known to be related to depressive symptoms and well-being. The primary purpose of this study was to examine the relationship between mindfulness and experiences of depressive symptoms and well-being in people recently diagnosed with cancer. Seventy-four participants who were diagnosed with cancer in the last 12 months completed an initial self-report survey, and 43 of those completed another survey 3 months later. Cross-sectional regression analysis showed that higher levels of mindfulness were …

The Impact Of Depression And Health On Sexual Satisfaction For Older Couples, Victoria Celeste Scott

Theses and Dissertations

This study of 535 older married couples examined the relationship between depression and health and sexual satisfaction directly and when mediated by communication. The sample included 535 older couples who completed a survey questionnaire known as Project Couple Retire. Among the items in the questionnaire were measures of depression, health, perception of sexual intimacy, communication and other demographic information. Results from Structural Equation Modeling indicated that for women, health was a significant predictor of sexual satisfaction. For both genders, the results suggest that depression, when mediated by communication, is a predictor of sexual satisfaction among older couples.

Costs Of Treating Depression With Individual Versus Family Therapy, Sareta Dobbs Head

Theses and Dissertations

Marital discord contributes to the development and continuation of depression and to the recurrence of depressive episodes for those in troubled relationships. Early research suggests that family therapy may reduce the severity and frequency of depressive episodes through modification of family interactional patterns. This would result in a reduction in the cost of treating depression. This study summarizes the literature linking family dynamics with depression. Then,using a sample taken from a large health maintenance organization, data was statistically analyzed to measure the effectiveness of both individual and family therapy as delivered by different types of mental health professionals. Results indicated …

Relations Of Depression, Social Support, And Socio-Demographic Factors On Health Behaviors Of Mothers With Premature Infants Hospitalized In A Neonatal Intensive Care Unit (Nicu), Surbhi Kanotra

Theses and Dissertations

The present study examined the relationships of depression, social support, and socio-demographic factors on health behaviors of mothers with preterm infants hospitalized in the neonatal intensive care unit (NICU). In addition, the study also assessed the moderation effect of social support on the relationship between depression and health behaviors. Eighty-nine mothers with hospitalized infants in the central Richmond area participated in the study. Analyses found that mother’s education level and her marital status to be significantly associated with her health behaviors. Mothers with a higher level of education and those who were married, were less likely to smoke and more …

Hostility In Marital Interaction, Depressive Symptoms And Physical Health Of Husbands And Wives, Stanley D. Hall

Theses and Dissertations

The purpose of this study was to determine how hostility from either partner in a marital interaction affected marital partners' perceived general physical health, while investigating for indirect effects of partners' depression. A total of 296 married couples who participated in Waves 1 and 2 of the Flourishing Families Project were videotaped while completing a marital discussion task. Their interaction was coded for hostile behaviors using the Iowa Family Interaction Rating Scales, IFIRS. Structural equation modeling was used to examine how hostility in marital interactions at Wave 1 was related to partners' self-reports of physical health as measured by the …

Prediction Of Cognitive Sequelae And Ecological Validity In Critically-Ill Adult Patients, Fu Lye Woon

Theses and Dissertations

Survivors of critical illness have a high prevalence of long-term cognitive and psychiatric morbidity and poor quality of life years after hospital discharge. Data are lacking regarding whether cognitive screening tests predict which critically ill patients may be at risk to develop long-term cognitive sequelae and whether cognitive sequelae predict the patients everyday functioning. This study sought to determine whether cognitive screening tests, including the Mini-Mental State Examination (MMSE) and Mini-Cog, predict long-term cognitive sequelae and everyday functioning in survivors of critical illness 6-month post-hospital discharge. A second purpose was to investigate whether cognitive sequelae are associated with poor everyday …

Neuroprotective Effects Of Postinjury Lithium Treatment: Determining The Optimal Dosing Paradigm And Assessing Potential Mechanisms Of Action, Katharine Eakin

Theses and Dissertations

Traumatic brain injury (TBI) has a dramatic impact on our society in terms of mortality, morbidity, and inherently high financial costs. Formidable research efforts are being addressed to the identification of neuroprotective agents capable of ameliorating the neurological outcome after TBI. Preclinical studies have recently demonstrated lithium to be a promising neuroprotective agent for both acute ischemic brain injury and chronic neurodegenerative disease. In light of these encouraging data, we designed a lateral fluid-percussion injury (FPI) study aimed at investigating the role of early post-traumatic administration of lithium as a strategy for reducing TBI-induced motor and cognitive deficits. The optimal …

Individual And Family Predictors Of The Caregiver Burden Of Parents Rearing A Child With Diabetes, Joan Margaret Leishman

Theses and Dissertations

Caregiver burden results from the stress that parents feel due to their responsibilities as a caregiver. This study was performed to analyze a proposed model of variables that predict caregiver burden of parents raising a child with type 1 diabetes, as well as determine differences in mothers' and fathers' models of caregiver burden. The predictor variables of caregiver burden were based on mothers and fathers perceptions of marital conflict, marital satisfaction, depression, child externalizing behaviors, number of children in the family, and family income. The results showed that for mothers, marital conflict, depression, and child externalizing behaviors had significant direct …

Parental Factors As A Moderator Of The Co-Occurrence Of Substance Use And Depression In Hispanic Adolescents, Rebecca Shoff

Theses and Dissertations

The purpose of this study was to evaluate the relationship between parenting factors and Hispanic adolescent substance use and depression. Specifically, the study examined the relationship between parental support, parental knowledge, and parental psychological control among Hispanic adolescents' use of alcohol, tobacco, marijuana, hard drugs and depressive symptoms. The sample included 839 Hispanic (primarily Mexican) 9th – 12th graders from west Texas area school districts who were given a self-reported survey to assess parental behaviors, substance use, and adolescent depression. Using structural equation modeling (SEM), findings indicated that higher levels of maternal support were related to lower levels of depressive …

Family-Of-Origin Experience And Emotional Health As Predictors Of Relationship Self-Regulation, Matthew Dean Brown

Theses and Dissertations

The general purpose of this study was to understand differences in one's ability to implement relationship self-regulation (RSR) based on the predictor variables of parental marital satisfaction, parent-child relationship quality, and neuroticism. Participants were 380 married couples (760 individuals) in their first marriage who completed the RELATionship Evaluation (RELATE) between 2006 and 2008. This sample was used to test a structural equation model of the study variables. Results were mixed, indicating that proximal factors may have a larger effect on RSR than more distal family-of-origin factors. There was no direct relationship between perceived parental marital satisfaction and RSR for males …

Does Mindfulness Reduce Negativity Bias? A Potential Mechanism For Reduced Emotional Distress, Laura Kiken

Theses and Dissertations

The present research examined if mindfulness reduced negativity bias on measures of attitude formation and cognitive style, as a potential explanation for the beneficial effects of mindfulness on emotional disturbance. Two studies were conducted. Study One was correlational and found that trait mindfulness inversely correlated with measures of negative cognitive style, and that the latter partially mediated an inverse association between mindfulness and predisposition to depression and anxiety. Further, correlations between mindfulness and both positive attitude formation and optimism hinted at a potential positivity bias. Study Two extended these findings using a randomized experimental design comparing a mindfulness induction to …

Efficacy Of A Brief Intervention For Insomnia Among Psychiatric Outpatients, James Nile Wagley

Theses and Dissertations

Psychiatric patients are particularly affected by symptoms of insomnia. Because insomnia is often secondary to other conditions and was once thought to be less treatable, this condition has received little attention in terms of treatment and research. Additionally, psychiatric patients have typically fewer resources to seek treatment. Generally, insomnia is treated with medications that may have biological side effects and offer little restorative sleep. Behavioral or cognitive interventions have often been overlooked. This experiment uses profile analysis to test the hypothesis that psychiatric outpatients randomized to a treatment group would have decreased levels of sleep difficulties (measured by PSQI) when …

Residual Symptoms After Treatment Of Chronic Depression: A Comparison Across Treatment Modalities, Katherine L. Schaefer

Theses and Dissertations

Despite the development of several effective treatments for depression, symptoms often persist in a number of individuals. Unfortunately, these residual symptoms are associated with several negative outcomes, including persistence of depressive illness. Few studies have examined the exact nature of individual residual symptoms across specific treatment modalities, and studies have failed to distinguish between depression courses. The current study expands on previous findings by examining, among a chronically depressed population, differences in individual residual symptoms and clusters between treatment modality (medication, psychotherapy, combination) and treatment response (full response, partial response). Five hundred and nineteen chronically depressed participants completed the study. …

Posttraumatic Growth Among College Students At A Large Urban University: The Role Of Social Support And Unsupportive Social Interactions, Wendy E. Balliet

Theses and Dissertations

The objective of this study was to investigate the association between both social support and unsupportive interactions and psychological outcomes, in a sample of college students who recently had experienced a stressful event. The research design was cross-sectional, and data were collected from 142 college students. As hypothesized, a significant positive association was found between unsupportive interactions received by participants and depressive symptoms. Contrary to hypotheses, no significant associations were found between unsupportive interactions and positive emotion or posttraumatic growth. Additionally, no significant relationship was evident between received emotional support and the outcome variables. Exploratory analysis revealed that positive reappraisal …

Intrapersonal Grief As A Clinical Entity Distinct From Depression: Does It Exist Among A Medically Ill Parkinson's Disease Population?, Rashelle Brown Hayes

Theses and Dissertations

There has been growing support for the idea that complicated grief symptoms following bereavement are independent of symptoms of depression and anxiety. However, the loss of a loved one is not the only or the most frequent type of loss to be encountered. The onset of an insidious medical illness may trigger a mourning process for the lost function or body part that is posited to also involve feelings of grief. While the risk of depression is high among a medical or rehabilitative population, the impact of grief over functional losses has never been empirically investigated as a contributing factor …

Binge Eating In Ethnically Diverse Obese Adolescents, Clarice K. Gerke

Theses and Dissertations

Rates of pediatric obesity in America are reaching epidemic proportions. Studies using both community and treatment-seeking samples of obese adolescents indicate that a subset engage in binge eating behaviors. This study investigated the prevalence and severity of binge eating behaviors among 86 primarily African American 11 to 17 year old adolescents seeking outpatient treatment for obesity. This study also examined the associations of stressful experiences (specifically, weight-related teasing, trauma, and daily hassles) with binge eating, as well as potential mediators and moderators of these relationships. Twenty-eight percent of the sample reported at least one episode of binge eating in the …

Measuring Therapist Adherence To A Manual-Based Treatment Tested In A Community Setting: The Pascet Manual Adherence Scale (P-Mas), Alyssa M. Marder

Theses and Dissertations

The goal of the current study was to develop and test a rigorous measure of therapist adherence to a cognitive-behavioral, manual-based treatment for childhood and adolescent depression. This project employed data from the recently completed UCLAYouth Anxiety and Depression Treatment study. This study aimed to advance the literature by devoting the full focus of the project to the development of a manual-based measure that would demonstrate interrater reliability across multiple raters. This study reported on the psychometric development of the PASCET Manual Adherence Scale (PMAS) (e.g. scoring strategy, item development, reliability), a unique measure of therapist adherence that represents the …

Supportive And Unsupportive Responses From Parents As Moderators Of The Relationship Between Stressful Events And Negative Outcomes In Adolescents, Karen A. Muehl

Theses and Dissertations

The objective of this study was to investigate the relationship between stressful events in adolescents and negative outcomes of substance use, depressive symptoms, and anxiety symptoms. Parental support and unsupportive parental responses were examined as moderators of this relationship. The research design was cross-sectional, and self-report data were collected from 100 adolescents in the 8th and 9th grades. As hypothesized, significant positive associations were found between perceived stressors and each of the three negative outcomes, as well as between unsupportive parental responses and the outcomes. Also consistent with hypotheses, and previous literature, was the finding of a significant inverse association …

Relationships Between Cohesion And Depression In Parents Of Children With Developmental Disabilities, Amy Leigh Giauque

Theses and Dissertations

This research study examined the relationship between family cohesion and depression in mothers and fathers of children with disabilities. One hundred and six two-parent families who had a child with a disability provided information on their feelings of cohesion through Bloom's cohesion subscale and depression through the Center for Epidemiological Studies Depression scale (CES-D). Analyses indicated that mothers and fathers of this sample are not significantly more depressed than the general population. However, there was a correlation between mothers' and fathers' depression, indicating that when mothers' depression increased, fathers' depression increased. Negative correlations were found between mothers' and fathers' self-reported …

Personality Predictors Of Relationship Satisfaction Among Engaged And Married Couples: An Analysis Of Actor And Partner Effects, Nicole L. Mead

Theses and Dissertations

With a sample of 3,436 engaged and married couples, this study explores the prediction of relationship satisfaction using the personality traits of neuroticism, depression, kindness, impulsivity, flexibility, self-esteem, and extraversion while utilizing controls for non-independent couple data in structural equation modeling. Both actor effects (the impact of an individual's personality on his or her own satisfaction) and partner effects (the impact of the partner's personality on satisfaction) are examined, including comparisons of the relative strength of each for males and females. A comparison is also made of engaged and married couples to determine if relationship status acts as a moderator. …

Triangulation Between Elderly Parents And Adult Children, Ryan J. Anderson

Theses and Dissertations

This study explored the extent of triangulation between elderly people and their adult children, and examines the relationship of triangulation with marital and individual outcomes such as problem solving, negative affective communication, time spent together, intimacy, depression, and marital satisfaction. Triangulation between adult children and elderly parents was found to be strongly related with negative outcomes for elderly parents in each of the dependent variables.

Innovative Interventions For Disordered Eating: A Pilot Comparison Between Dissonance-Based And Yoga Interventions, Karen S. Mitchell

Theses and Dissertations

Disordered eating, including bingeing, dieting, purging, and clinical and subclinical forms of anorexia nervosa, bulimia nervosa, and binge eating disorder, is prevalent among college-aged women. To date, few interventions have successfully reduced risk factors related to disordered eating. One promising intervention utilizes principles of cognitive dissonance to reduce thin-ideal internalization among women at risk for eating disorders. Additionally, the benefits of yoga, including increased awareness of bodily processes, offer hope that this practice might reduce disordered eating symptomatology. The current study compared cognitive dissonance and yoga interventions for disordered eating attitudes and behaviors. Hierarchical regression analyses revealed that there were …

Marital Satisfaction And Depression In A Study Of Brazilian Women: A Cross-Cultural Test Of The Marital Discord Model Of Depression, Cody S. Hollist

Theses and Dissertations

Depression is a major societal health problem with individual, familial, social, and economic costs. Cross sectional research has linked depression and marital discord, with women frequently having a higher association between variables. Several longitudinal research studies have linked marital satisfaction to subsequent depression. The Marital Discord Model of Depression states that marital discord is an important antecedent in the development of depression. While some empirical evidence exists supporting this premise, no research has been done with Latinos. The purpose of this study was to test the longitudinal relationship between marital satisfaction and depression among Latina women.

The data was conducted …

Other-Centeredness And Depression In A Sample Of Mormon Women, Janice G. Nielson

Theses and Dissertations

Other-centeredness and depression were examined to see if a relationship existed between the two. One scale measuring other-centeredness and another measuring depression were given to a sample of married Mormon women who did not work outside the home. Other-centeredness and depression were significantly negatively correlated. The women scoring in the top one-third of the range of other-centeredness scores suffered no depression on the depression scale. The factor most predictive for depression was the relationship the women had with her husband, and other-centeredness was found to overlap with this variable to some extent. The factors of health, income, and education were …

Employment And Happiness Among Mormon And Non-Mormon Mothers In Utah, Kimberly Grace Andersen

Theses and Dissertations

The effects of maternal employment status on the happiness and/or unhappiness of married Utah women with children were studied. The independent variables were employment status, age, and denomination. Covariates were health, husbands income, and number of children. Denominational differences were not found to impact happiness, but age and employment status were related to happiness, with non-employed and younger mothers being happier.