Social and Behavioral Sciences Commons^™

Psychotherapy Outcome For Eating Disorders: A Meta-Analysis, Julia Bryn Hubbard

Theses and Dissertations

The purpose of this project was to summarize psychotherapy outcomes for eating disorders using meta-analysis. Psychotherapy was defined as any psychosocial treatment including face-to-face therapy, self-help, and Internet approaches. All primary studies, meeting inclusion/exclusion criteria from 1980 to 2010, were included. Results suggested that individuals treated with active treatments demonstrate better outcomes than those in control conditions (d= 0.33, p <.01, 95% CI [0.19-0.46]). CBT was the most often occurring treatment in the primary studies and a small effect, favoring CBT, was found when the treatment was compared to all other active treatments (d = 0.16, p = .02, 95% CI [0.03-0.28]). Internet and self-help approaches continue to show promise with Internet treatments demonstrating superior outcomes to control conditions (d = 0.54, p <.01, 95% CI [0.19-0.90]). More research is needed to determine whether these approaches can suffice as stand-alone treatments or if they are best used in addition to already well-established approaches (i.e., individual CBT). The meta-analysis also explored whether treatment type, outcome measure, diagnosis, attrition, and diagnostic severity moderate treatment effect. Finally, the meta-analysis updated and improved upon previous meta-analyses by focusing on randomized controlled trials, including all diagnoses of eating disorder, only combining effect sizes from similar conditions, including all possible studies that meet inclusion criteria, computing and comparing effect sizes for outcome measures beyond those considered primary to eating disorder treatment, and also addressing outcomes for all brands of psychotherapy including traditional talk therapy, self-help, and Internet approaches.

Six Principles Of Self-Regulated Learning: Developing Self-Regulated Language Learners, Andrea Michelle Gonzalez

Theses and Dissertations

Self-regulation is an important aspect of learning, and all teachers want to instill this ability in their students. However, students often feel confused or inadequate when it comes to being in charge of their own learning. This is especially true in intensive English programs where students expect the teacher to provide them with the information they need to pass tests and advance to higher levels. While the teacher's role cannot be overlooked, encouraging self-regulated learning is also vital to students' success in learning. The author saw a need for this in the intensive English program where she is teaching. She …

Attachment Behaviors As Mediators Between Family-Of-Origin Quality And Couple Communication Quality In Marriage: Implications For Couples Therapy, Darin Justin Knapp

Theses and Dissertations

This study examined the mediating impact of couples' attachment behaviors on the relationship between poor quality family-of-origin experiences and marital communication quality. The couple data for this study was collected from the Relationship Evaluation (RELATE) database (see www.relate-institute.org). An Actor Partner Interdependence Model using structural equation modeling was used to evaluate 261 marriage relationships. Results indicated that the relationships between family-of-origin experiences and communication quality are significantly related, with more family-of-origin problems associated with poorer positive communication skills. When attachment behaviors (accessibility, responsiveness, and engagement) were added to the model, it significantly mediated the relationship. Implications for clinicians treating couples …

Perception Of Maximum Stepping And Leaping Ability, Brian Michael Day

Theses and Dissertations

To successfully perform everyday behaviors, people must be able to perceive affordances.

Two general categories of affordances have been investigated: body-scaled affordances depend on geometric properties (e.g., arm length) and action-scaled affordances depend on dynamic properties (e.g., maximum running speed, body compressibility, etc.). The fact that these affordances depend on different kinds of relationships between animal and environment, suggests that body scaled affordances and action scaled affordances may be qualitatively different. We investigated this hypothesis by using a transfer of calibration paradigm. In particular, we investigated whether improvements in perception of maximum stepping distance (a body scaled affordance) transferred to …

Shame Not The Same For Different Styles Of Blame: Shame As A Mediating Variable For Severity Of Childhood Sexual Abuse And Trauma Symptoms In Three Attribution Of Blame Groups, Tabitha Nicole Webster

Theses and Dissertations

This study examined the role of internalized shame in mediating the relationship between severity of childhood sexual abuse and adult symptoms in three groups based on attribution of blame. The random community sample of 318 female survivors completed the Trauma Symptom Checklist-40 (Briere, 1996), Internalized Shame Scale (Cook, 2001), questions about frequency of abuse, duration, and specific characteristics (no physical contact to vaginal/anal intercourse with force) and the degree to which they blamed self, fate, or perpetrator. It was hypothesized that severity (measured by abuse characteristics, frequency, and duration) would predict symptoms (measured by subscales of dissociation, anxiety, sexual problems, …

Adaptation To The U.S. And Religion/Spirituality: Experiences Of Indian International Students, Kirti Potkar

Theses and Dissertations

Religion and spirituality are deemed an important aspect of human diversity, found to be important to people, and have significant impact on different aspects of functioning. Given the rising numbers of international students on U.S. campuses, it becomes important to examine how religion/spirituality impacts their sojourn in the U.S. This study explored the religious/spiritual experiences of Indian international students here in the U.S. using a qualitative approach. Thirteen Indian international students pursuing graduate degrees in the U.S. were interviewed. The interviews were then transcribed and analyzed using a synthesis of hermeneutic methods informed by Kvale (1996). The following themes emerged …

Qeeg Correlates Of Cognitive Deficits In Multiple Sclerosis During Targeted Cognitive Tasks, Robert B. Frost

Theses and Dissertations

Multiple sclerosis (MS) is the most common neurological disorder of young adulthood and is often associated with cognitive impairment and emotional dysfunction. Due to the nature of the disease, the cognitive deficits in MS are often variable in their presentation, and consist of deficits in processing speed, attention, working memory, and executive functioning. The purpose of the present study was to explore common methods of documenting MS-related cognitive deficits, to elucidate the relationship between the cognitive deficits seen in MS and physiological markers of cognitive functioning (i.e., quantitative EEG), and to analyze the relationship between cognitive deficits and mood dysfunction …

Proactive Measures In Combating Bullying In Schools: Examining The Effectiveness Of The Bucket Fillers Program In Character Building Education, Karina Katsikis

Theses and Dissertations

Bullying continues to plague our schools. Some schools are implementing proactive solutions in the form of character building education to address bullying. The purpose of this research was to examine the character education program, Bucket Fillers, and its effectiveness on reducing bullying in one public elementary school by examining questionnaires containing homeroom teachers' evaluations. Data of behavioral incident reports from prior to the program's initiation and after were also collected and compared. The majority of teachers noticed more spontaneous positive interactions and less negative interactions between students after the establishment of the program. There was no significant correlation found between …

Adapt, Adopt Or Create New Approaches? Albania And The Question Of An Emerging Country In The Field Of Public Relations, Jetmira Karanxha

Theses and Dissertations

The purpose of this thesis is to provide a description of the emerging state of the public relations field in Albania under the framework and influence of four main public relations worldviews including persuasive/marketing, relationship management, community building, and personal influence. This study seeks to give insights into how an emerging country in the field of public relations approaches the development of the field; whether it adapts, adopts or creates new practices. The research design proposed by the author aims to shed some light on possible theoretical meanings and themes that could be developing in countries where the field of …

Empowering Professional Syndicates In Egypt To Achieve Good Governance; An Application To The Egyptian Medical Syndicate, Eissa Mohamed Mohamed Abou Omar

Theses and Dissertations

In searching for a governance reform strategy, the size, the vital roles of professional syndicates and their impact on the whole society place them among our top priorities. According to both the old and the new Egyptian constitutions, the professional syndicates have the legal base to represent the different professions, defend rights and interests of their members, improve the quality of the offered services to the society, and share in creating policies and procedures related to syndicates' members and their careers. The discrepancy between the proposed role of the professional syndicates and the reality motivated this research into the reasons …

Educational Services For Tibetan Students With Disabilities In India: A Case Study, Britany Anne Barnes

Theses and Dissertations

This case study describes services for students with disabilities at Karuna Home in Bylakuppe, Karnataka, India. Karuna Home is a residential rehabilitation center for students with cognitive or physical disabilities whose parents are Tibetan refugees. The study triangulated data from interviews, observations, and school documents to describe educational policies and procedures, and cultural attitudes toward disability. Results show that the Karuna Home program is undergirded by Buddhist thought and theology regarding care and concern for those in difficult circumstances. The school serves students with a range of mild to severe disabilities and is fully staffed, but teachers and other service …

Error Processing And Naturalistic Actions Following Moderate-To-Severe Traumatic Brain Injury, Daniel A. Good

Theses and Dissertations

Moderate-to-severe traumatic brain injury (M/S TBI) can affect an individual's ability to perform daily tasks. For example, individuals with M/S TBI are more likely to commit errors on tasks such as making a meal or wrapping a present. The neural processes involved in such errors are poorly understood. Studies suggest that neurophysiologic markers of cognitive control and error processing may be helpful in gaining additional insight into errors on naturalistic action tasks. Unfortunately, previous experimental methods left a methodological gap which limited the use of neurophysiological markers in the study of naturalistic action. Several recent studies in healthy adults have …

A Novice Teacher's Shoebox: A Volunteer Efl Teacher Training Curriculum, Piret Luik

Theses and Dissertations

This MA thesis presents the development of an online Pre-Missionary Training Centre (MTC) Teacher Training curriculum for missionaries of the Church of Jesus Christ of Latter-day Saints going to Mongolia to teach English. The thesis summarizes relevant literature on curriculum development and teacher preparation including a comparison of three prevalent curriculum development models - the ADDIE, Richards' principles, and Nation and Macalister. Thereafter, the process through which the online Pre-MTC Teacher Training was developed is outlined followed by the presentation of the curriculum. The implications, limitations and suggestions for improvement are then discussed.

Implications Of Child Abduction For Human Rights And Child Welfare Systems: A Constructivist Inquiry Of The Lived Experience Of Guatemalan Mothers Publically Reporting Child Abduction For Intercountry Adoption, Carmen Monico

Theses and Dissertations

The Hague Convention on the Protection of Children and Co-operation in Respect of Intercountry Adoption was agreed upon in 1993 at the Hague Conference on Private International Law to address growing allegations of abduction, sale, and trafficking of children around the world. The Hague Convention guides countries to attend to the “best interest of the child” in making decisions on intercountry adoptions, and to apply the “principle of subsidiarity,” which calls for the consideration of family and kinship placement and national adoption prior to the consideration of intercountry adoption. This dissertation research focused on the experience of Guatemalan mothers reporting …

Scheduled Healing: The Relationship Between Session Frequency And Psychotherapy Outcome In A Naturalistic Setting, David Mcconkie Erekson

Theses and Dissertations

The dose-effect relationship in psychotherapy has been examined extensively, but few studies have included session frequency as a component of psychotherapy "dose." Those studies that have examined the effects of session frequency have indicated that it may affect both the total amount of recovery and the speed of recovery. No studies were found examining the clinical significance of this construct in a naturalistic setting. The change trajectories of 16,003 clients were examined using multi-level modeling and including session frequency as a fixed effect. Of these clients, subgroups were identified that were scheduled approximately once a week or approximately once every …

The State Of The Research: Meta-Analysis And Conceptual Critique Of Mild Traumatic Brain Injury, Ryan Lance Nelson

Theses and Dissertations

Researchers studying the long-term cognitive sequelae of mild traumatic brain injury (mTBI) have produced disparate results. Some studies have shown little to no long-term cognitive effects while others have shown that persistent cognitive sequelae continue to affect a subgroup of patients. Meta-analysis has been used to try to integrate these contrasting results to foster a coherent understanding of the cognitive outcomes following mTBI. However, previous meta-analyses of long-term cognitive sequelae have used studies from a period of mTBI research where methodological rigor has been called into question (Carroll, Cassidy, Holm, Kraus, & Coronado, 2004). Using studies from this period, meta-analysts …

Evaluating The Effects Of A Group Cognitive Behavioral Therapy For Veterans With Posttraumatic Stress Disorder And Insomnia: A Pilot Study., Laurin Mack

Theses and Dissertations

Combat and war zone veterans are particularly vulnerable to developing Posttraumatic Stress Disorder (PTSD) due to the increased risk of experiencing trauma inherent in military service. Insomnia and nightmares are core symptoms of PTSD and can be factors in the development, maintenance, and exacerbation of PTSD. However, sleep disturbance has received relatively little attention from a treatment point of view until recently. Recent research has demonstrated that cognitive behavioral therapy for insomnia (CBT-I) and imagery rehearsal therapy (IRT) for nightmares are effective stand alone and combination treatments for sleep disturbance in civilian and veteran populations. Although group interventions are lower …

A Workbook To Promote Forgiveness For Ingroup Congregational Offenses, Chelsea Greer

Theses and Dissertations

Since research on forgiveness has flourished over the past three decades, multiple interventions have been developed to aid individuals in this arduous process. Two interventions in particular have been most-widely studied with diverse groups: Enright’s process model (Enright & Fitzgibbons, 2000) and Worthington’s REACH Forgiveness model (2006). Thus far, these forgiveness interventions have been led by trained professionals in an in-person group. In-person interventions pose issues of cost and attendance. In the current study, I adapted Worthington’s Christian-adapted REACH Forgiveness intervention into a self-directed workbook for Christians who have experienced an offense within a religious community. Participants (N = 52) …

The Role Of Family Organization In Family Health History Communication About Cancer, Vivian M. Rodríguez

Theses and Dissertations

Family health history (FHH) has been recognized as an important tool in cancer prevention and health promotion. To date, literature on FHH discussions about cancer have largely focused on patient-physician communication or the dissemination of cancer-specific genetic tests results within the family. Fewer studies have sought to identify family factors that may promote FHH discussions, yet this type of information could be used to identify families needing support in having these conversations. Thus, the present study examined relations between family organization (cohesion and flexibility), communication openness, and FHH communication about cancer within a diverse group of women recruited from an …

Examining The Relations Between The Mental Health And Physical Health Of Caregivers Of Ms In A Mexican Sample, Gillian Leibach

Theses and Dissertations

Evidence suggests that caregiver health affects patient health. Consistent with the Biopsychosocial Model, mental health (anxiety, depression, satisfaction with life, self-esteem), physical health (bodily pain, general health, performance in physical role, physical functioning), burden, and social support were examined in the present study to understand the relations between these variables and the overall health of 81 caregivers of patients with multiple sclerosis (MS) in Mexico. The relation between mental health and physical health was significant. Canonical correlations revealed that depression and general health emerged as primary variables and these were entered into a series of analyses with burden and social …

Sociodemographic Risk Factors Of Glycemic Control For Youth With T1d: Cross-Sectional And Longitudinal Patterns Of Hba1c, Priscilla Powell

Theses and Dissertations

Individual growth curve (IGC) modeling evaluated longitudinal trajectories of glycemic control and diabetes care of youth with Type 1 Diabetes (T1D) over three years. IGC modeling allowed comparison of confounded sociodemographic predictors of disease outcomes that included ethnicity, SES, parent marital status, family structure, as well as disease duration, to determine the relative impact of these factors in the evolution of HbA1c and diabetes care throughout adolescence. At baseline, participants recruited from two pediatric endocrinology clinics included 198 youth, ages 9-15 (M age = 12.65, 77% Caucasian, 74% lived with married biological parents, M SES = 45.70) with average HbA1c …

Do It Yourself: A Content Analysis Of Free Pornographic Tube Sites, Jill Kubichan

Theses and Dissertations

In 2008 it was reported that there are approximately 28,258 internet users viewing pornography every second, and that men look at pornography online more than any other subject matter (Eberstadt 2009). Pornography has become a primary tool of sex education for young men (Bowater 2011) with the average age of first exposure being age 11 (Stefan 2012). However, research on viewer understanding and interpretation of the images is scarce. What are boys learning about sexuality as they watch pornography? Do they use pornography as a ‘how-to’ manual expressing a desire to mimic the onscreen act or do they use pornography …

Differential Behavioral Effects Of Ketamine Between Adolescent And Adult Sprague-Dawley Rats, Maria A. Greenwood

Theses and Dissertations

The dissociative anesthetic ketamine has been subject to growing abuse worldwide, particularly in adolescents. This project compared the effects of ketamine in conditioned place preference and intravenous self-administration in adolescent (PND 28-50) and adult (>PND70) Sprague-Dawley rats. Cocaine served as a positive control. In CPP, adolescents demonstrated preferences for ketamine, while adults developed an aversion. In the self-administration procedure, adults acquired the behavior more rapidly, but there was no difference in the percentage of subjects reaching acquisition nor in responding under a progressive ratio schedule for either drug. The CPP results suggest that adolescents have a greater sensitivity to …

The Seeds Of Mistrust: The Relationship Between Perceived Racism, Hiv Conspiracy Theories And Hiv Testing Attitudes, Joshua Brevard

Theses and Dissertations

Although the number of HIV infected peaked in the late 1980’s, HIV remains a major concern within the African American community (CDC, 2008). African Americans are disproportionately affected, comprising 14% of the U.S. population but representing 44% of new HIV infections in 2009 (CDC, 2011). It is vital to identify barriers to positive health behaviors like consistent condom use and HIV testing. This study focus on factors impacting attitudes towards HIV testing, including mistrust of the healthcare system, measured by support for HIV conspiracy theories (Thomas & Quinn, 1991). It also examined the prevalence of HIV conspiracy beliefs among African …

Exploring The Marital Conflict Of Police Officers: The Roles Of Job Stress, Job Burnout, And Work-To-Family Conflict, Shannon Marie Morley

Theses and Dissertations

Previous scholarship suggests that the nature of policing is stressful and has important implications for the marital quality of police officers. Given the stresses inherent in policing, the purpose of this study is to examine how job stress, job burnout, and work-to-family conflict experienced by male and female police officers impact the likelihood of experiencing marital conflict; the potential mediating role of work-to-family conflict is also examined. This thesis also explores gender differences that may exist in the experience of these variables. Data from the 1995 Work and Family Services for Law Enforcement Personnel in the United States study was …

Classifier Constructions As Procedural Signs In American Sign Language, Stephen Perry Jones Ii

Theses and Dissertations

In this thesis I will be analyzing what has typically, in sign language literature, been termed classifiers and classifier constructions. I will be approaching them from the pragmatic perspective by applying Relevance Theory to explain their usage as representations that manipulate and modify their referents. The data comes from texts signed by native users of American Sign Language and are from academic lectures, interviews, narrative, and course curriculum. I have found that Relevance Theory adequately describes why and when classifiers constructions are used and that they function as a procedural referring expression.

Class Is Out: Mental Health Professionals' Social Class Identification And Classist Attitudes Toward Low-Income Clients, Kipp Ryan Pietrantonio

Theses and Dissertations

Social class as a variable of culturally competent psychology remains a misunderstood and understudied phenomenon. This study was designed to explore how mental health providers’ social class of origin and classist attitudes impact their beliefs and treatment of clients from different economic backgrounds. This was accomplished by exploring five domains across two vignettes that varied in SES indicators (Low-­‐Income vs. Middle Class Vignette). The domains of study included classist beliefs, GAF scores with or without treatment over time, positive and negative stereotype endorsement, perceptions of the therapeutic relationship, and potential treatment modalities. Clinicians did not rate the vignettes differently in …

Relations Between Sexual Identity Exploration And Risky Sexual Behavior In Emerging Adulthood, Jennifer J. Reid

Theses and Dissertations

Examined within this study were the relations between two processes within sexual identity development, sexual identity exploration and sexual identity commitment, and risky sexual behaviors. The moderating effects of sexual identity commitment, sexual self-efficacy, and positive condom use attitudes on relations between sexual identity exploration and risky sexual behaviors were also examined. Risky sexual behaviors included the frequency of substance prior to and barrier protection use during sex, multiple sex partners, and the initiation of sex prior to age sixteen. Study participants included 322 college students attending an urban university in the Southeastern United States. All were heterosexual and reported …

A Dual Dilemma: An Examination Of Body Dissatisfaction Among Asian American Females In Emerging Adulthood, Sarah Javier

Theses and Dissertations

The purpose of this study was to examine what factors contribute to and result from body dissatisfaction using the theoretical framework of the Tripartite Model of Influence, which included family, peer, and media influence. Participants were recruited from SONA and student organizations and participated in an online survey (N =148). A MANCOVA indicated that Asian and White females did not differ in body dissatisfaction and other health outcomes. Thin-ideal internalization mediated the relationships between media influence, peer influence, and body dissatisfaction among Asian American females. Moderation analyses indicated that ethnic identity, Asian American identity, and acculturation did not moderate the …

Land Grab Or Development Planning Strategy: An Analysis Of Agricultural Development Led Industrialization Planning In Ethiopia., Nathan Teklemariam

Theses and Dissertations

Observing the current wave of large scale land acquisitions in Sub-Saharan Africa, many have found it easy to call the situation land grab, the new form of neo colonialism in Africa. In Ethiopia, few underlining socio-economic and political currents have shaped the leasing of its arable land to both national and international investors in recent years. The Agricultural Development Led Industrialization strategy the country adopted in the early 1990s, followed with consecutive short-term strategic plans focused primarily on agriculture as the driver for the nation’s economic growth and structural transformation, have acted as the main underpinnings in the commercialization of …