Psychology Commons^™

The Role Of Microvascular Complications In The Relationship Between Glycemic Control And Depressive Symptomatology In Patients With Type 1 Diabetes: A Mediational Study, Laura Lynn Mayhew

USF Tampa Graduate Theses and Dissertations

People with diabetes are at double the risk of developing depression. Depression is associated with increased morbidity and mortality in people with diabetes. Levels of A1c have been linked to microvascular complications (e.g., retinopathy, nephropathy, and neuropathy) as well as depression. The interrelationship between A1c, microvascular complications, and depression has not previously been investigated in a comprehensive model, and a better understanding of the nature of these associations is needed. Preliminary analyses test the assumption that A1c mediates the relationship between group assignment in the Diabetes Control and Complications Trial (DCCT) and microvascular complications. The primary purpose of the study …

A Structural Equation Analysis Of Family Accommodation In Pediatric Obsessive-Compulsive Disorder, Nicole Elise Caporino

USF Tampa Graduate Theses and Dissertations

Family accommodation of symptoms conflicts with the primary goals of cognitive-behavioral therapy for pediatric obsessive-compulsive disorder (OCD) and can be an obstacle to positive outcomes. This study examined a structural equation model of parent and child variables related to family accommodation using a sample of 65 parent-child dyads recruited from a university-based clinic. Additionally, parents' motivations for engaging in accommodation were explored. Results generally supported the hypothesized model. Family accommodation mediated the relationship between OCD symptom severity and parent-rated functional impairment, child internalizing problems mediated the relationship between parent anxiety and family accommodation, and parent empathy and consideration of future …

Does D-Cycloserine Augmentation Of Cbt Improve Therapeutic Homework Compliance For Pediatric Obsessive Compulsive Disorder?, Jennifer M. Park

USF Tampa Graduate Theses and Dissertations

D-cycloserine (DCS), a partial agonist that acts on the N-methyl-D-aspartate (NMDA) receptor of the glutamatergic receptor complex, may enhance fear extinction learning during exposure-based therapy. Clinical studies in adults with obsessive-compulsive disorder (OCD) and non-OCD anxiety disorders - and a recent trial in pediatric OCD - have shown that DCS can improve treatment response to exposure therapy relative to placebo and exposure therapy. Some have hypothesized that improved treatment response is a function of increased compliance and engagement in therapeutic homework tasks, a core component of behavioral treatment. The present study examined the relationship between DCS and homework compliance in …

Using Environmental Sounds To Initiate Receptive Language Training For Children With Autism, Woan Tian Chow

Dissertations

A pre-test showed that three pre-school children with autism had difficulty learning to match spoken words to objects (receptive identification). Therefore, they were first taught to match environmental sounds to objects (e.g., to touch a tambourine, when they heard the sound of the tambourine) and then to match spoken words to other objects while continuing to match the mastered environmental sounds to the original objects.

For all three children, simply learning the environmental-sound/object matching did not facilitate learning spoken-word/object matching; however intermixing the training of spoken-word/object matching with the previously mastered environmentalsound/ object matching did result in the mastery of …

Evaluating The Effects Of Camera Perspective In Video Modelingfor Children With Autism: Point Of View Versus Scene Modeling, Courtney Cotter

Dissertations

Video modeling has been used effectively to teach a variety of skills to children with autism. This body of literature is characterized by a variety of procedural variations including the characteristics of the video model (e.g., self vs. other, adult vs. peer). Traditionally, most video models have been filmed using third person perspective (i.e., scene models), where the viewer is watching the actor perform in a scene. Recently, studies have successfully incorporated the use of first person perspective into video models (i.e., point of view models), where the view is directly from the actor's point of view. Currently, no studies …

A Training Curriculum For Assessing And Treating Sex Offenders With Mental Illnesses, Shawna Elizabeth Walker Boles

Antioch University Dissertations & Theses

The purpose of this paper was to develop a continuing education program to teach sex offender-specific treatment providers (SOSTP) in the community how to appropriately assess, treat and manage adults with severe mental illness who are also sex offenders (SMISOs) in an outpatient setting. This paper begins with an overview of the most relevant literature associated with the treatment of sex offenders and a presentation of some of the current programs developed to treat sex offenders with severe and persistent mental illnesses. This review also outlines the paucity of resources and the need for SOSTPs to receive expanded training to …

Testing The Effectiveness Of An Interactive Multimedia System To Train Clinicians In Behavioral Activation, Suzanne E. Decker

Dissertations

Although many treatments for mental health disorders have been found to be effective in research, community clinicians may not receive training in such empirically supported treatments, and therefore, individuals suffering from disorders may not have access to empirically supported treatment in the community. This study examined the use of an interactive multi-media computerized therapy program, Building a Meaningful Life through Behavioral Activation, as a training tool for mental health clinicians (N=21) using a pre-post study design. Participating clinicians were invited to complete this computer program over the course of several weeks, and to complete knowledge quizzes and written responses …

Psychometric Properties Of Diagnostic Assessment Instrumentsfor Autism Spectrum Disorders In A Community Sample Aged 2 Through 17 Years, Sheryl Lozowski-Sullivan

Dissertations

Recent estimates of the incidence and prevalence of autism spectrum disorders (ASDs) indicate substantial increases over the past 20 years (Centers for Disease Control and Prevention, 2009; Fombonne, 2009; Matson & Kozlowski, 2011; Schreibman & Koegel, 2005; Wing & Porter, 2002), in part because of the availability of significantly improved diagnostic assessment instruments (Lord & Corsello, 2005; Schreibman, 2005). In highly structured research settings, some of these diagnostic instruments correlate well with each other; however, few studies have examined the relation between these diagnostic tools in traditional clinical practice (Mazefsky & Oswald, 2006; South et al, 2002). This study examined …

African American Experiences Of Race Relations In The Supervision Dyad, Brandi L. Pritchett-Johnson

Dissertations

Everything we do is embedded within multiple contexts of collective and individual historical events that culminate in present day encounters. As an increasing number of racial minorities have entered the ranks as mental health practitioners, the configuration of the treatment and the supervision dyad has changed (Owens-Patterson, 2002). The fundamental aim of this study explored, captured, and described the supervision experience from the nuanced perspective of African American supervisors. A qualitative approach was employed using in-depth interviews to capture the complexity of race relations within the supervision dyad through an African Centered framework, aiding in our understanding of supervised training …

Dosed Versus Prolonged Exposures: A Direct Comparison Of One-Session Treatments For Animal Phobias, Richard William Seim

Dissertations

It is widely accepted that for exposure-based therapies to be effective feareliciting stimuli must be presented continuously until there is a marked decrease in the client's anxiety (e.g., Eysenck, 1979; Foa & Kozak, 1986). However, an emerging body of research (cf. Seim, Waller, & Spates, 2010) suggests that a massed series of very brief exposures (< 150 sec) may be effective in the extinction of fear responses. The present study was designed to compare the efficacy and acceptability of two one-session treatments for animal phobias: one that utilized continuous, uninterrupted periods of exposure to a feared animal (Prolonged Exposures) and the other that utilized a massed series of brief (5-120 sec) exposure trials (Dosed Exposures). 24 adults (7 males, 17 females) between the ages of 18 and 57 years (M = 23.6) participated in this study. Each individual met DSM-IV criteria for a diagnosis of snake phobia or spider phobia. Participants were randomly assigned to one of two the two interventions. Both treatments required participants to gradually enter a room, approach, and eventually hold a live ball python or tarantula. Results from mixed model (between x within subjects) analyses of variance showed that the Dosed Exposure treatment performed equally well to Prolonged Exposures at decreasing behavioral avoidance, feelings of anxiety, perceptions of threat, and phobiaspecific cognitions from pre-treatment to post-treatment, and these gains were maintained at one-week follow-up. Although participants receiving Prolonged Exposures reported lower ratings of within-session anxiety, participants in the Dosed Exposure group had lower rates of treatment dropout, better compliance with procedures, and fewer safety-seeking behaviors during the treatment. These findings suggest that, contrary to popular belief, brief exposure trials can be effective in the extinction of phobic responses under certain conditions.

Soviet Holocaust Survivors: An Ethnographic Study, Marina Shafran

Dissertations

The purpose of the current study was to help understand the lives, worldview, and meaning making of Soviet Holocaust survivors currently residing in the United States. Ethnographic interviews were conducted to explore survivor's childhood, family life, religion, political views, work, and social life. These areas were examined during the following time periods: pre-WWII, during WWII, and post-WWII.

From the collected and analyzed data I was able to offer an insight into the experiences of five Soviet Holocaust survivors under the Soviet regime. I described the struggles that the survivors experienced during the Holocaust, the losses they had suffered, and the …

Effectiveness Of A Motivational Enhancement Group Treatment In A Community Treatment Program With A Substance Abusing Population, Matthew S. Willerick

Dissertations

Motivational interviewing (MI) is a directive, client-centered intervention to elicit behavior change by assisting clients in the exploration and resolution of ambivalence toward change. MI-inspired approaches have been used in an attempt to facilitate change in a wide variety of domains including alcohol and drug abuse, safe water handling practices, dual diagnoses, gambling, spousal abuse, health related areas, mood and anxiety disorders, and parental engagement. MI seeks to resolve ambivalence in the direction of change by increasing the client's self-efficacy. This is accomplished by combining clientcentered (e.g., reflective listening) and directive strategies (e.g., attending selectively to change statements). The origins …

Maternal Depressive Symptoms And Health Outcomes In Youths With Type 1 Diabetes: A Mediational Model, Struemph Kari Morgan

Theses and Dissertations

Objectives: The rate and impact of depressive symptoms were examined with two models based on known effects of depression on variables related to diabetes management, parental involvement and diabetes conflict. The proposed models will measure potential effects high maternal depressive symptoms may have on parental monitoring and involvement and diabetes specific conflict and how these variables may in turn relate to poor regimen adherence. Methods: Participants included 225 mothers and young adolescents (aged 11-14) with T1D. Diabetes self-care behaviors were measured with the 24 Hour Recall Interview, parental involvement and monitoring were measured with the Parent Management of Diabetes Scale, …

Differentiating Anxiety And Depression Using The Clinical Assessment Of Depression, Zane K. Dempsey

Masters Theses & Specialist Projects

Anxiety and depression are two disorders frequently diagnosed in adults. Given serious adverse affects such as physical health problems, interpersonal relationship difficulties, and suicide, differentiation in treatment of these often comorbid disorders is a necessity in providing appropriate care. The tripartite model of anxiety and depression (Clark & Watson, 1991) proposes that these disorders are linked by a common trait (Negative Affect) and differentiated by a trait common to depression (lack of Positive Affect) and a trait common to anxiety (Physiological Hyperarousal). The Clinical Assessment of Depression (CAD; Bracken & Howell, 2004), a recently published selfreport narrow-band measure of depression, …

Analysis Of An Online Support Group For Women With Breast Cancer, Laura Boxley

Loma Linda University Electronic Theses, Dissertations & Projects

With over 200,000 new diagnoses in 2004, breast cancer is one of the most commonly diagnosed cancers among women in the United States. Both the stress of treatment and the threat of a potentially lethal illness present significant challenges to an individual's emotional well-being and coping skills, yet paradoxically many women report benefits from dealing with this adversity. The aims of this investigation were to describe the characteristics of benefit finding as expressed by breast cancer survivors participating in an online breast cancer support group, and to assess the relationship between symptom distress, emotional well-being and benefit finding using baseline …

Neuropsychological Symptoms Associated With Multiple Shunts, Jared Jackson

Loma Linda University Electronic Theses, Dissertations & Projects

Hydrocephalus is the excessive accumulation of cerebrospinal fluid within the cranium which may result in increased intracranial pressure, dilation of cerebral ventricles and displacement of adjacent brain structures. Ventriculoperitoneal shunting is often needed to treat hydrocephalus. Patients with Ventriculoperitoneal shunts have been found to have IQ scores below the mean of the general population. In addition, many of these patients experience shunt infections or other complications that require shunt replacement. Shunt replacements and shunt infections have been associated with additional deficits in intellectual functioning. However, previous research has failed to address the neuropsychological ramifications of shunt infections and shunt replacements. …

A Psychometric Investigation Of The Young Adult Social Behavior Scale (Yasb), Michelle Rene Augustin

Dissertations

Aggressive behavior is a serious public health concern that has resulted in several problems in contemporary society. Despite a considerable body of literature on human aggression, both popular and scientific, a focus on overt physical aggression has obscured other forms of aggression. As a result, considerably less is known about other, more subtle forms of aggression, such as relational aggression. Moreover, research on relational aggression, particularly among older adolescents and adults, has been hindered by the lack of psychometrically sound measures. Research in this area would be enhanced by the availability of such a measure, facilitating comparison of data across …

Unattainable Beauty: An Analysis Of The Role Of Body Shame And Self-Objectification In Hopelessness Depression Among College-Age Women, Meredith A. Evans

Graduate Doctoral Dissertations

Despite substantial evidence that women suffer from depression at twice the rate of men, the etiology for this difference remains unclear. Prior to puberty, the difference in depression is negligible; however, when adolescence begins, a precipitous rise in female depression occurs that persists across the lifespan. While no definitive biological change has been linked to this phenomenon, objectification theory (Frederickson & Roberts, 1997) can be used to gain insight into the social influences at play during that transitional period. This study of 269 undergraduate women from a northeastern university used structural equation modeling to propose a path leading from self-objectification …

Clarifying The Relationship Between Emotion Regulation, Gender, And Depression, Emi Sumida

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study investigates the relation between emotion regulation problems and clinical depression. One goal of the present study was to bring increased clarity and parsimony to how emotion regulation is presently measured by consolidating three widely used instruments. In addition, of interest was an investigation of whether particular emotion regulation problems and management strategies interact with gender to predict either severity of overall depression symptoms or the presence of a formal mood disorder diagnosis. The results clearly showed that irrespective of a person's gender, particular emotion regulation indicators, both singly, and in combination, are, indeed, more strongly related to the …

Young's Schema Theory: Exploring The Direct And Indirect Links Between Negative Childhood Experiences And Temperament To Negative Affectivity In Adulthood, Mark S. Jesinoski

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Young's schema theory offers a theoretical approach that relates negative childhood experiences, temperament, and early maladaptive schema, to the experience of negative affect and/or depression in adulthood. However, despite the widespread use of schema therapy in clinical practice, little research has explored the pathways theorized by Young. This study explored the pathways posited by Young and colleagues looking at the direct and indirect relationships among negative childhood experience, temperament, early maladaptive schema, and the experience of negative affect in adulthood. Self-report data were collected from 365 undergraduate students. Results demonstrated consistent and robust direct relationships between temperament and negative affect, …

Examining The Effectiveness And Efficiency Of Two Delivery Models To Teach Children Abduction Prevention Skills, Kimberly E. Seckinger-Bancroft

Dissertations

Nearly all children receive abduction prevention training. Most traditional education programs increase the learner's knowledge, but often fail to produce concomitant behavior change. Behavioral Skills Training (BST) is a multicomponent, behavior-based training strategy with empirical support demonstrating its effectiveness in teaching children safety skills, behavioral generalization and maintenance over time. BST, however, is restricted by financial, human and time costs and limited resources to implement the training protocol. These factors likely limit widespread adoption of the training model. This study examined the use of computer-based instruction that emphasized active responding and mastery level performance requirements to teach school-aged children abduction …

The Predictive Power Of Therapeutic Alliance On Treatment Retention, James B. Anderson

Dissertations

Therapeutic alliance has long been recognized as an important contributor to successful psychotherapy, and research has demonstrated that it has a moderate and reliable impact on treatment outcome across studies employing a variety of treatment strategies. The current study seeks to build on the alliance literature by examining the degree to which therapeutic alliance is predictive of treatment retention. Two trained raters assessed the alliance between therapists and their patients by watching and rating therapeutic alliance in videotaped psychotherapy sessions. They watched tapes of therapists using two different types of treatment: cognitive modification and supportive therapy. Alliance was assessed via …

Body Depilation Among Women And Men: The Association Of Body Hair Reduction Or Removal With Body Satisfaction, Appearance Comparison, Body Image Disturbance, And Body Dysmorphic Disorder Symptomatology, Michael Scott Boroughs

USF Tampa Graduate Theses and Dissertations

Body depilation, or the reduction or removal of body hair, is a relatively new area of research inquiry. Although women in many industrialized cultures have engaged in depilation for several decades, this behavior has been documented only recently among men. Though originally thought to be widely practiced by women and only a small proportion of men, including athletes or bodybuilders, recent studies suggest that more men engage in body depilation than previously hypothesized. In fact, one recent study estimated the prevalence of men's body depilation at 83.7% which suggests that men are depilating at rates similar to women. Nevertheless sparse …

The Santa Clara Strength Of Religious Faith Questionnaire: Assessing Faith Engagement In A Brief And Nondenominational Manner, Thomas G. Plante

Psychology

The Santa Clara Strength of Religious Faith Questionnaire is a brief (10-item, or five-item short form version), reliable and valid self report measure assessing strength of religious faith and engagement suitable for use with multiple religious traditions, denominations, and perspectives. It has been used in medical, student, psychiatric, substance abuse, and among general populations nationally and internationally and among multiple cultures and languages. Brief non denominational self report measures of religious and faith engagement that have demonstrated reliability and validity are not common but can have potential for general utility in both clinical and research settings. This article provides an …

Editor’S Farewell, Irvin Sam Schonfeld

Publications and Research

No abstract provided.

Ethical Decision-Making Regarding Nonsexual Multiple Relationships, Diana Jochai

Loma Linda University Electronic Theses, Dissertations & Projects

The current American Psychological Association Ethical Principles of Psychologists and Code of Conduct (APA Ethics Code) states that a multiple relationship is established between a psychotherapist and a client when they engage in a relationship (personal or professional) in addition to the therapeutic relationship (AP A, 2002). Evidence that psychologists do become involved in such relationships, sometimes resulting in harm to the client, comes from examination of complaints to professional organizations and licensing boards, and of scant existing research. Remarkably, however, there has been no research to date regarding the ethical decision-making process in which a psychologist engages regarding whether …

Validity Study Of The Psychopathic Personality Inventory In A Noncriminal Population, Julie Madeleine Woltil

Loma Linda University Electronic Theses, Dissertations & Projects

The Psychopathic Personality Inventory (PPI) is a self-report measure which was created by Lilienfeld and Andrews (1996) to identify the personality traits of psychopathy in noncriminal populations. These personality traits were grouped into eight subscales in the PPI including Machiavellian Egocentricity, Social Potency, Coldheartedness, Carefree Nonplanfulness, Fearlessness, Blame Extemalization, Impulsive Nonconformity and Stress Immunity. In this study, the relationship between the PPI and four theoretically related concepts (psychopathy, empathy, sensation seeking and driving anger) were examined to evaluate its concurrent and construct validity. A positive correlation was found between the PPI and the Self-Rep0l1 Psychopathy Scale, the Driving Anger Scale, …

Body Image Satisfaction In Infant And Pediatric Cardiac Transplant Recipients As Adolescents, Danusia Nedilskyj

Loma Linda University Electronic Theses, Dissertations & Projects

With the long-term survival rate of infant and pediatric heart transplant recipients reaching as high as 85%, there is now a significant number of these youths entering adolescence. Although psychological factors thought to be associated with pediatric heart transplant have reached clearer delineation in the literature, few studies have been conducted. Given the emphasis on development typically seen in adolescence combined with the unique experience of receiving a heart transplant, factors such as body image, self-perception, stress and mood have emerged from the literature. As such, this study assessed psychosocial variables of body image satisfaction, self-concept, depression, and social stress …

The Use Of The Minnesota Multiphasic Personality Inventory-Ii (Mmpi-2) In Pre-Employment Evaluations, Ana M. Gamez

Loma Linda University Electronic Theses, Dissertations & Projects

Psychological testing is an important facet in the selection and hiring processes of law enforcement and public safety personnel. Research in this area suggests that the MMPI-2 scales have been correlated with problematic behavior among police officers, poor job performance, and officer misconduct. This study examined the extent to which suitability for hire could be predicted by the MMPI-2 scale L (Lie), scale K (correction), Infrequency scale (F), scale 4 Psychopathic Deviate (Pd), scale 6 Paranoia (Pa), scale 7 Psychasthenia (Pt), and scale 9 Hypomania (Ma). It examined whether profile differences emerged as a function of suitability across gender, between …

Post-Traumatic Stress Disorder-Like Symptomatology In Pediatric Intensivists, Dina Gabriella Cuervo

Loma Linda University Electronic Theses, Dissertations & Projects

Helping professionals, such as social workers, emergency first responders and medical personnel are susceptible to traumatic stress reactions through indirect exposure to trauma via the traumatized population whom they serve. This phenomenon, known as secondary traumatic stress (STS), mimicking the symptoms of posttraumatic stress disorder, can have an impact on a provider’s work with his/her patient or have longer-term effects such as deciding to leave the profession. This study found that physicians’ level of job stress was the strongest predictor of STS and that this relationship was also influenced by resiliency, ego strength and attachment style. Individuals with higher levels …