Psychology Commons^™

Impact Of A Cognitive Behavioral Pain Management Group On Depression, Anxiety, Pain Severity, And Opioid Use In An Inpatient Population, Breanna Bocciolatt

Doctor of Psychology (PsyD)

Chronic pain has significant, multifaceted effects on both the health care system and the individual. The total cost of pain to the U.S. healthcare system is estimated to be over $600 billion annually (Skinner, Wilson, & Turk, 2012). People with chronic pain may frequent multiple providers, often dominating the time and resources of healthcare professionals (Skinner et al., 2012). The approximately 100 million people with chronic pain miss work, experience financial distress, and strained relationships, which leads to comorbid psychological diagnoses (Birnie, McGrath, & Chambers, 2012). Pain treatment strategies have largely followed a biomedical framework, seeking to identify the source …

Challenges Of Child Trauma On Adoptive Families' Social And Emotional System, Jacqueline Yvonne Ford

Walden Dissertations and Doctoral Studies

Adoption-focused psychoeducation is deemed essential in maintaining the permanency of traumatized children within a new family unit. However, adoptive parents of traumatized children struggle to find training to address their unique concerns. Guided by the lens of psychodynamic theory, the purpose of this study was to investigate the challenges faced by adoptive families of traumatized children. Special focus was placed on the social and emotional relationships of the adoptive parents of traumatized children, to identify the realistic expectations towards attachment from the families' perspectives. Fifteen families were randomly selected to participate in this study from a group of 30 parents …

Borderline Personality Disorder: The Frequency Of Disclosure And The Choice To Disclose, Laci Marie Rumpza

Walden Dissertations and Doctoral Studies

The goals of this study were threefold: (1) to identify what percentage of psychologists and clinical social workers disclose the diagnostic label BPD to their patients, (2) to identify factors that influence disclosure, and (3) to gather data about the choice to disclose or not to disclose. The MUM effect was used as the theoretical framework. A sequential explanatory mixed methods design including an online survey was used during the first phase. A total of 125 psychologists and 45 social workers participated in the Phase 1 of the study. The majority of participants stated that they either always or usually …

Utilizing The Rorschach In Analyzing Characteristics Of Women Who Have Experienced Domestic Violence, Mary Aleksandra Iwanski

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) affects millions of women, men, and families throughout the world each year, with more than a million incidents of domestic partner abuse reported to law enforcement officials each year in the United States. Being able to accurately assess and help a woman who is experiencing this type of violence can be difficult for even a seasoned mental health or medical professional. The purpose of this study was to determine whether clinicians can gain insight into the personality structure of women who have experienced IPV by clinical interview and administration of the Rorschach alone. This study analyzed …

Maternal Depression: The Impact Of Perceived Social Support And Behavioral Health Rehabilitation Provider 50 Services, Tammy Lynn Gregorowicz

Walden Dissertations and Doctoral Studies

The purpose of this study was to identify if the rate of behavioral health rehabilitation services (BHRS) impacts depressive symptoms of mothers with children receiving these services and if the perception of social support moderates the severity of depression. The stress-buffering hypothesis and Bowen's family systems theory were used for the theoretical framework. A quantitative, cross-sectional survey design was used to collect data from mothers of children receiving BHRS Provider 50 services in northeast Pennsylvania. The Beck Depression Inventory, Second Edition and Multidimensional Scale of Perceived Social Support were used to assess depression and perceived social support. A self-made demographic …

Testing An Ecological Model Of Parent Involvement In Head Start: A Replication Study, Rebecca C. Horwitz

Theses and Dissertations

Parent involvement has been understood to elicit positive outcomes for school-age children, especially minority children and children from low socioeconomic families. Understanding the process by which parents engage in their child’s education may provide school staff with tools to develop interventions to increase parent involvement.

This investigation replicates a study that tested an ecological model of parent involvement in two Head Start programs (Waanders, 2002). Participants in the current study were 213 parents and/or caregivers of children who attended three Head Start programs in South Carolina. Two of the programs were located in a medium-sized city, while the third was …

College Students’ Knowledge Of Suicide Risk Factors And Prevention Strategies, Joshua Mitchell

Departmental Honors Projects

Suicide is one of the leading causes of death among college aged students (Hirsch & Barton, 2011). Several risk factors for suicidal ideation have been identified, but little work has focused on awareness of suicide prevention resources. The focus of this study is to assess a college population’s knowledge on suicide risk factors and determine whether they feel strongly about one method of prevention over another. This study is focused on assessing individual knowledge of risk factors and identification of appropriate prevention strategies. It was hypothesized that participants who are more successful at identifying risk factors will be more knowledgeable …

A Stress-Diathesis Model Of Depression: Examining Self-Compassion And Savoring, Justin Ford

College of Graduate Studies: Theses & Dissertations

Depression is a prevalent public health problem, with approximately 6.4% of Americans suffering from the condition each year. Emerging adults are especially vulnerable to depression, as approximately 25% of individuals from age 18-25 have reported experiencing at least one depressive episode. Considering the literature is replete with studies examining etiological components of depression, it surprising that few studies have examined the role of intrapersonal resources in the onset and maintenance of depressive symptoms. The current study sought to investigate depression in the context of intrapersonal resources in two important ways. First, the study examined the protective qualities of intrapersonal resources …

Health Behaviors, Hardiness, And Burnout In Mental Health Workers, Jeremiah Brian Schimp

Walden Dissertations and Doctoral Studies

Burnout has emerged as a significant and costly issue in the modern workforce. Researchers have not fully explored the role of individual health behaviors and personality in burnout among mental health workers. The knowledge gap addressed in this study was the connection between health behaviors, what mental health workers do to take care of themselves, and hardiness, the characteristic way they perceive and interpret environmental challenges. The purpose of this study was to examine the influence of health behaviors and hardiness among mental health workers on the 3 dimensions of burnout as measured by the MBI-HSS: emotional exhaustion, depersonalization, and …

Trauma In Patients With Serious Mental Illness: The Acceptability And Impact Of A Brief Psychoeducational Intervention For Trauma In The General Acute Inpatient Psychiatric Setting, Kevin E. A. Giangrasso

PCOM Psychology Dissertations

Prevalence rates of posttraumatic stress disorder (PTSD) for individuals with serious mental illnesses (SMIs) are high, with an estimated 49% to 100% being exposed to potentially traumatic events. The consequences of these disorders are serious and lasting, with PTSD being the costliest of mental health disorders. At the same time, established evidence-based treatments for PTSD are often not feasible in treatment settings utilized by individuals with SMIs, namely the general acute inpatient psychiatric hospital. Psychoeducational approaches have been incorporated as a component of evidence-based interventions for trauma and have been feasibly implemented in the general acute inpatient psychiatric hospital. The …

Inventory Of Cognitive Distortions: Validation Of A Measure Of Cognitive Distortions Using A Community Sample, Michael B. Roberts

PCOM Psychology Dissertations

The purpose of this study was to examine and evaluate further the psychometric properties of a self-report inventory of cognitive distortions using a nonclinical, community sample. A group of 474 individuals were contacted via the social networking site, Facebook, and through a college list-serve and were asked to complete multiple measures and also to send the link to other individuals, thus utilizing a snowball sample. The measures used included the Inventory of Cognitive Distortions (ICD), Dysfunctional Attitude Scale (DAS), Perceived Stress Scale (PSS), and a brief questionnaire to collect demographic information on each participant. Results revealed positive psychometric properties for …

The Impact Of Disturbed Sleep On Attention, Working Memory, And Reaction Time Tasks In Children With Adhd, Kathryn Robb M.A., M. S.

PCOM Psychology Dissertations

Attention deficit/hyperactivity disorder is the most commonly diagnosed neurodevelopmental/psychiatric condition in childhood (CDC; Gruber, 2009). Disturbances in sleep can create a variety of impairments, both cognitive and behavioral, and may negatively affect attention, memory, visuo-spatial abilities, sustained attention and divergent intelligence (creativity) (Stores, 1999). The aim of the present study was to examine the role that sleep disturbances had on the cognitive performance of children with ADHD. Specifically, the possible relationship between poor sleep and children’s performance on working memory, attention and reaction time tasks and poor sleep were examined. Overall, in the current sample of 54 children who underwent …

Post Traumatic Stress Disorder Symptoms And Intimate Relationships Of Female Survivors Of Sexual Assault: The Effects Of Treatment With Prolonged Exposure, Group, And Supportive Counseling Therapy, Gabrielle Rhoads

PCOM Psychology Dissertations

Theory and research suggest that post traumatic stress disorder (PTSD) symptoms may disrupt intimate relationships of survivors of trauma. Nevertheless, little empirical research has examined the role of PTSD and how it affects intimate relationships of survivors of sexual assault. This study utilized selected measures to examine the degree to which symptoms and treatment(s) for PTSD contribute to relationship satisfaction in female survivors of sexual assault. Overall, the severity of PTSD predicted relationship maladjustment at baseline, which is consistent with past research findings. More specifically, avoidance and arousal were found to be the most robust predictors of relationship maladjustment. This …

Working Memory And Symptoms Of Attention Deficit Hyperactivity Disorder In Children, Alison Margaret Colbert

Master's Theses and Doctoral Dissertations

Attention Deficit Hyperactivity Disorder (ADHD) is a disorder mainly characterized by high levels of inattention, hyperactivity, and impulsiveness. Although ADHD is a topic of great interest in multiple domains, much remains to be explored before a thorough understanding will be possible. Recently, working memory (WM) has gained attention as a potential core deficit of ADHD. Therefore, theories of ADHD and WM may provide guidance for increased understanding of ADHD, and continued research on ADHD, guided by WM theory, will maximize the effectiveness of assessment and treatment for this disorder. The current study utilized a model integrating WM measurement and symptoms …

Culturally Sensitive Social Work And Mental Health Practice With The Amish, Julissa J. Coblentz Ms.

Williams Honors College, Honors Research Projects

With the growing number of Amish in the United States today, it is important for social workers and mental health practitioners serving this population to do so in a way that is sensitive to their culture. Even though the Amish live a unique, simplistic lifestyle which enables them to focus on the things which they value such as church membership and family, occasionally, they do have mental health and social service needs. This study attempts to explore specific culturally sensitive behaviors which social workers and mental health practitioners can utilize in striving to meet these needs. The researcher compiled a …

Interaction Of Severity Of Stressor And Coping Strategy On Psychological Distress From A Psychological Flexibility Conceptualization, Nadia Nicole Bethley

Electronic Theses and Dissertations

The majority of Americans report psychological or physical symptoms due to stress (APA, 2007). When stressed, people engage in coping strategies that differentially affect psychological distress. Psychologically flexible coping is associated with more positive outcomes (e.g., Ruiz, 2010; Sturmey, 2009), while psychologically inflexible strategies have been linked to greater psychological distress (e.g., Marcks & Woods, 2005; Hayes et al, 2006). Within the psychological flexibility model, few studies have looked at the interaction between severity of naturally occurring stressors and coping strategy and their influence on psychological distress. The current study further investigated the relationship between coping strategy and severity of …

Self-Compassion As A Moderator Of The Relationship Between Emotion Dysregulation And Borderline Personality Disorder Symptoms, Priya Loess

Graduate Student Theses, Dissertations, & Professional Papers

A core feature of borderline personality disorder (BPD) is emotion dysregulation (American Psychiatric Association, 2013). Such dysregulation leads to emotions spiraling out of control, hindering reason, and leading to out-of-control maladaptive behaviors (Conklin, Bradley, Westen, 2006). Invalidating environments, coupled with biologically based emotional vulnerability, are thought to account for the development of BPD (Linehan, 1993). Self-compassion (SC) is in contrast to some common symptoms related to BPD, such as self-hatred, intense shame, and negative self-schemas. SC was tested as a potential moderating mechanism in the relationship between emotion dysregulation and BPD symptoms among a sample of college students. SC consists …

Major Depressive Disorder: Precursors, Predictors, And Coping Mechanism Among Undergraduate Students, Grace Antia Bickham

Walden Dissertations and Doctoral Studies

Major depressive disorder (MDD) is common among college students. The disease perpetuates depressive symptoms and potentially leads to chronic depressive episodes. Existing literature has shown that students who use both cognitive and behavioral maladaptive coping skills are more prone to endure depressive symptoms and poorer academic performance. Despite these known associations, little research has examined the relationship between coping skills and self-efficacy in response to warning signs of MDD in college students. This study sought to fill the gaps in the research of MDD related to precursors, predictors, and coping mechanisms among undergraduate students in a national sample of U.S. …

Compassion Development In Higher Education, Roxanne Rashedi, Thomas G. Plante, Erin S. Callister

Psychology

Many schools of psychology and religious studies intend to promote the cultivation of compassion. Compassion is currently an integral area of study in psychology, religious studies, and higher education, specifically in faith-based higher education. While secular universities in the United States strive to generate disciplinary-based knowledge through scholarship, their ability to promote students' use of the information they are learning to create positive social change has typically lagged. Conscious of the magnitude of today's global issues and dissatisfied with the current disparity between the world's reality and university curricula, scholars have begun to re-imagine the role of higher education in …

The Psychological Resilience Of Spousal Caregivers Of Multiple Sclerosis Family, Marisa Diane Diaz

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to examine an under-researched topic: the relationship between psychological resilience and personal growth with spousal caregivers of patients diagnosed with Multiple Sclerosis (MS). Chronic illnesses contribute to potentially stressful changes (i.e., lifestyle, quality of life, financial wellbeing, and interpersonal relationships) for the caregiver. The theoretical foundation for this study was Walsh's family resilience theory, which contends that resilience is vital for coping with stressful life experiences and leading a more successful life. Three separate analyses were conducted to examine the relationship between the total scores of the RS and the PGIS, the SWLS, …

A Study On The Relationship Between Emotional Intelligence And Mental Illness Stigma, E. Nicole Armstrong

Walden Dissertations and Doctoral Studies

Stigmatizing mental illness involves negative perceptions or attitudes about mental illness and the individuals who have mental illness, generating problematic consequences for both the general population and for people with mental illness. The theory of multiple intelligences proposes that intelligence includes skills and abilities in any area; emotional intelligence (EI), therefore, includes an individual's ability to identify, interpret, and regulate emotions and emotional responses. This study was designed to evaluate level of familiarity with mental illness as a potential predictor for stigmatizing mental illness, to assist in evaluating the relationship between stigmatizing mental illness and EI. The study was specifically …

Depression And Psychotherapy For Adults In Long-Term Care Facilities, Jasper Joseph Watts

Walden Dissertations and Doctoral Studies

The purpose of this study was to investigate depression and psychotherapy for adults who are in long-term care facilities. Depression is a serious problem for the elderly in general and for residents of nursing homes in particular. The current study drew on the dynamic stress vulnerability approach to explain how illness occurs in older people, using evidence obtained from the biological, social, and psychological domains with respect to depression. The research question addressed the difference in posttreatment depressive symptoms among 6 types of psychotherapy as measured by the Hamilton rating scale for depression (HRSD)? The 6 therapy techniques were (a) …

An Examination Of Social Support, Contentment With Life And Time Spent In An Assisted Living Setting., Rebecca Esliker

Walden Dissertations and Doctoral Studies

Policies at assisted living facilities should be designed to develop high quality social relationships among older persons that could increase the contentment of the residents. Despite the broad consensus on this mission, the role of social support in the perceived contentment of assisted living facility residents has not been adequately explored. Using social network theory as the framework for this study, the purpose of this quantitative study was to determine whether (a) perceived level of social support was related to perceived level of contentment with life among assisted living facility residents, (b) the length of time spent in the facility …

Parental Perceptions Of The Diagnostic Process For Autism Spectrum Disorder In British Columbia, Ramen Kaur Saggu

Walden Dissertations and Doctoral Studies

In 2014, the Center for Disease Control and Prevention reported that the incidence of autism had reached a prevalence rate of 1 out of every 68 children. This increase means that more families have experienced the difficult Autism Spectrum Disorder (ASD) diagnostic process. Although research on parental perspectives of the ASD diagnostic process is almost 2 decades old, to date, there have been no studies conducted in Canada comparing parental experiences between the private and government-funded assessment routes. Research in general has shown that parents are generally dissatisfied with the ASD diagnosis process. The theoretical foundation for this study is …

Decision Making And Pediatric Bipolar Disorder Assessment/Diagnosis: A Phenomenographic Study, Kristen Davies

Walden Dissertations and Doctoral Studies

Prior to the 1990s, bipolar disorder, a behavioral disorder characterized by severe mood fluctuations, was not considered an suitable diagnosis for children. However, in recent decades, an increase in pediatric bipolar disorder (PBD) diagnosis has occurred in the U.S. The purpose of this study was to explore the perceptions and lived experiences of licensed mental health clinicians regarding their decision-making processes used during assessment and diagnosis of PBD. This phenomenographic study utilized individual, semi-structured interviews to explore the perceptions and lived experiences of 14 licensed clinicians in the Commonwealth of Massachusetts who assess and diagnose PBD. Data were collected with …

The Emotional Impact On Elderly Spouses Who Placed Their Loved Ones In Long-Term, Barbara Hunt

Walden Dissertations and Doctoral Studies

Aging may bring mental and/or physical decline. There may come a point when a loved

one needs long-term care in a nursing home. The purpose of this phenomenological study

was to examine the community dwelling spouses' emotional state. A study was

conducted with 10 individuals (5 men and 5 women) who had a spouse in long-term

nursing care. Inclusion criteria was to be at least 65-years old, have been married at least

30 years, and reside alone in his or her own home. The social emotional selectivity theory

and the construct of boundary ambiguity were applied to view the epoch. …

Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer

DNP Projects

Rates of depression in older home healthcare (HH) patients are highly prevalent. Although depression in this population is associated with increased rates of re-hospitalization, falls, and suicides, it is frequently under diagnosed and under treated. This Capstone Report examined this problem through three interrelated manuscripts. The first manuscript explored the problem through a review of the literature. This review determined that while there are many barriers to adequate depression care, programs that train clinicians to screen for depression and connect patients to depression care encourage adequate evaluation and treatment and can result in clinically significant changes in depression scores. This …

Do Olfactory Stimuli Increase Presence During Exposure Tasks: A Comparative Study, Benson Munyan

Electronic Theses and Dissertations

Exposure therapy (ET) is an extensively studied and supported treatment for anxiety and trauma-related disorders. ET works by exposing the patient to the feared object or situation without any danger in order to overcome the related anxiety. Over the past few years, various technologies including head-mounted displays (HMDs), scent machines, and headphones have been used to augment the exposure therapy process by presenting multi-sensory cues (e.g., sights, smells, sounds) to increase the patient*s sense of presence. While studies have shown that scents can elicit emotionally charged memories, no prior research could be identified that examined the effect of olfactory stimuli …

The Effect Of Traumatic Brain Injury On Exposure Therapy In Veterans With Combat-Related Posttraumatic Stress Disorder, Kathleen Ragsdale

Electronic Theses and Dissertations

Veterans of Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn are presenting for treatment with high rates of combat-related posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI), spurring a need for clinical research on optimal treatment strategies. While exposure therapy has long been supported as an efficacious treatment for combat-related PTSD, some clinicians are hesitant to utilize this treatment for veterans with TBI history due to presumed cognitive deficits that may preclude successful engagement. The purpose of this study was to compare exposure therapy process variables in veterans with PTSD only and veterans with PTSD+TBI. Results suggest …

My Own Worst Enemy: Exploring Factors That Predict Self-Harm, Matthew Allen Loesch

UNF Graduate Theses and Dissertations

Current research on factors predicting self-harm focus on disparate factors and may not be able to comprehensively explain the mechanisms causing self-harm. The aim of the current study was to examine factors that may be related yet independently predict self-harm. Factors discussed include rumination, self-criticism, and working memory. A binary logistic regression found that the only factor that predicted the presence of self-harming behavior was a high level of self-criticism. Further, a Classification and Regression Tree found that the single strongest predictor of self-harming behavior was a belief that love needs to be continually earned from others. Our findings have …