Psychology Commons^™

Behavioral Therapy For Tourette Syndrome And Chronic Tic Disorders, Odette Frundt, Douglas W. Woods, Christos Ganos

Psychology Faculty Research and Publications

Purpose of review: To summarize behavioral interventions for the treatment of primary tic disorders.

Recent findings: Although tics were attributed to a disordered weak volition, the shift towards neurobiological models of tic disorders also transformed nonpharmacologic treatment practices. Current international guidelines recommend habit reversal training, comprehensive behavioral intervention, and exposure and response prevention as first-line therapies for tics. Appropriate patient selection, including age and presence of comorbidities, are salient clinical features that merit consideration. Evidence for further behavioral interventions is also presented.

Summary: Currently recommended behavioral interventions view tics as habitual responses that may be further strengthened through negative reinforcement. …

Clarifying The Relationship Between Trichotillomania And Anxiety, Jennifer R. Alexander, David C. Houghton, Michael P. Twohig, Martin E. Franklin, Stephen M. Saunders, Angela M. Neal-Barnett, Scott N. Compton, Douglas W. Woods

Psychology Faculty Research and Publications

Although research has consistently linked unidimensional anxiety with Trichotillomania (TTM) severity, the relationships between TTM severity and anxiety dimensions (e.g., cognitive and somatic anxiety) are unknown. This knowledge gap limits current TTM conceptualization and treatment. The present study examined these relationships with data collected from ninety-one adults who participated in a randomized clinical trial for TTM treatment. Based on prior research, it was hypothesized that TTM severity would be related to the cognitive anxiety dimension and that psychological inflexibility would mediate the association. Hypotheses were not made regarding the relationship between TTM severity and somatic anxiety. Regression analyses indicated that …

Moderators And Predictors Of Response To Behavior Therapy For Tics In Tourette Syndrome, Denis G. Sukhodolsky, Douglas W. Woods, John Piacentini, Sabine Wilhelm, Alan L. Peterson, Lily Katsovich, James Dziura, John T. Walkup, Lawrence Scahill

Psychology Faculty Research and Publications

Objective: To examine moderators and predictors of response to behavior therapy for tics in children and adults with Tourette syndrome and chronic tic disorders.

Methods: Data from 2 10-week, multisite studies (1 in children and 1 in adults; total n = 248) comparing comprehensive behavioral intervention for tics (CBIT) to psychoeducation and supportive therapy (PST) were combined for moderator analyses. Participants (177 male, 71 female) had a mean age of 21.5 ± 13.9 years (range 9–69). Demographic and clinical characteristics, baseline tic-suppressing medication, and co-occurring psychiatric disorders were tested as potential moderators for CBIT vs PST or predictors of outcome …

Neurocognitive Predictors Of Treatment Response To Randomized Treatment In Adults With Tic Disorders, Amitai Abramovitch, Lauren S. Hallion, Hannah E. Reese, Douglas W. Woods, Alan Peterson, John T. Walkup, John Piacentini, Lawrence Scahill, Thilo Deckersbach, Sabine Wilhelm

Psychology Faculty Research and Publications

Tourette's disorder (TS) and chronic tic disorder (CTD) are neurodevelopmental disorders characterized by involuntary vocal and motor tics. Consequently, TS/CTD have been conceptualized as disorders of cognitive and motor inhibitory control. However, most neurocognitive studies have found comparable or superior inhibitory capacity among individuals with TS/CTD relative to healthy controls. These findings have led to the hypothesis that individuals with TS/CTD develop increased inhibitory control due to the constant need to inhibit tics. However, the role of cognitive control in TS/CTD is not yet understood, particularly in adults. To examine the role of inhibitory control in TS/CTD, the present study …

Battling On The Home Front: Posttraumatic Stress Disorder And Conflict Behavior Among Military Couples, Lynne M. Knobloch-Fedders, Catherine Caska-Walace, Timothy W. Smith, Keith Renshaw

Psychology Faculty Research and Publications

This study evaluated interpersonal behavior differences among male military service members with and without PTSD and their female partners. Couples (N = 64) completed a 17-minute videotaped conflict discussion, and their interaction behavior was coded using the circumplex-based Structural Analysis of Social Behavior model (SASB; Benjamin, 1979, 1987, 2000). Within couples, the behavior of partners was very similar. Compared to military couples without PTSD, couples with PTSD displayed more interpersonal hostility and control. Couples with PTSD also exhibited more sulking, blaming, and controlling behavior, and less affirming and connecting behavior, than couples without PTSD. Results advance our understanding of …

Health Effects Of Adverse Childhood Events: Identifying Promising Protective Factors At The Intersection Of Mental And Physical Well-Being, Victoria Banyard, Sherry L. Hamby, John H. Grych

Psychology Faculty Research and Publications

Research documents how exposure to adversity in childhood leads to negative health outcomes across the lifespan. Less is known about protective factors – aspects of the individual, family, and community that promote good health despite exposure to adversity. Guided by the Resilience Portfolio Model, this study examined protective factors associated with physical health in a sample of adolescents and adults exposed to high levels of adversity including child abuse. A rural community sample of 2565 individuals with average age of 30 participated in surveys via computer assisted software. Participants completed self-report measures of physical health, adversity, and a range of …

Development Of A Synchronization Coefficient For Biosocial Interactions In Groups And Teams, Stephen J. Guastello, Anthony F. Peressini

Psychology Faculty Research and Publications

Body movements, autonomic arousal, and electroencephalograms (EEGs) of group members are often coordinated or synchronized with those of other group members. Linear and nonlinear measures of synchronization have been developed for pairs of individuals, but little work has been done on measures of synchronization for groups. We define a new synchronization coefficient, S_E, for a group based on pairwise correlations in time series data and employing the notions of a group driver, who most drives the group’s responses, and empath, who is most driven by the group. S_E is developed here in the context of …

Motor Timing Intraindividual Variability In Amnestic Mild Cognitive Impairment And Cognitively Intact Elders At Genetic Risk For Alzheimer’S Disease, Christina D. Kay, Michael Seidenberg, Sally Durgerian, Kristy A. Nielson, J. Carson Smith, John L. Woodard, Stephen M. Rao

Psychology Faculty Research and Publications

Introduction: Intraindividual variability (IIV) in motor performance has been shown to predict future cognitive decline. The apolipoprotein E-epsilon 4 (APOE-ε4) allele is also a well-established risk factor for memory decline. Here, we present novel findings examining the influence of the APOE-ε4 allele on the performance of asymptomatic healthy elders in comparison to individuals with amnestic MCI (aMCI) on a fine motor synchronization, paced finger-tapping task (PFTT).

Method: Two Alzheimer’s disease (AD) risk groups, individuals with aMCI (n = 24) and cognitively intact APOE-ε4 carriers (n = 41), and a control group consisting of cognitively intact APOE-ε4 noncarriers ( …

Ethnic Identity Statuses And Latino/A Mental Health Outcomes, Roselee Ledesma

Maria Dittman Library Research Competition: Student Award Winners

No abstract provided.

Revising The Body Esteem Scale With A U.S. College Student Sample: Evaluation, Validation, And Uses For The Bes-R, Katherine Frost, Stephen L. Franzoi, Debra L. Oswald, Stephanie A. Shields

Psychology Faculty Research and Publications

The Body Esteem Scale (BES; Franzoi and Shields 1984) has been a primary research tool for over 30 years, yet its factor structure has not been fully assessed since its creation, so a two-study design examined whether the BES needed revision. In Study 1, a series of principal components analyses (PCAs) was conducted using the BES responses of 798 undergraduate students, with results indicating that changes were necessary to improve the scale’s accuracy. In Study 2, 1237 undergraduate students evaluated each BES item, along with a select set of new body items, while also rating each item’s importance to their …

Five-Year Longitudinal Brain Volume Change In Healthy Elders At Genetic Risk For Alzheimer's Disease, Katherine Reiter, Kristy A. Nielson, Sally Durgerian, John L. Woodard, J. Carson Smith, Michael Seidenberg, Dana A. Kelly, Stephen M. Rao

Psychology Faculty Research and Publications

No abstract provided.

Incremental Clinical Utility Of Adhd Assessment Measures With Latino Families, Margaret Grace, Theresa Lauer Kapke, Al Castro, Alyson C. Gerdes

Psychology Faculty Research and Publications

Objective: This study examined the incremental clinical utility of parent and teacher reports of ADHD symptomatology and functional impairment in Latino youth, as well as parent and teacher agreement with the final clinical judgment on a diagnostic structured interview. Method: Participants included 70 Latino youth (47 males, 23 females; M age = 8.13 years, SD = 2.51 years) and their parents and teachers; 60 participants were diagnosed with ADHD. Correlations, percent agreement, kappas, and regressions were utilized. Results: Results demonstrated that teachers agreed with the final clinical judgment more often than did parents. Results additionally demonstrated that functional impairment did …

Military Children’S Difficulty With Reintegration After Deployment: A Relational Turbulence Model Perspective, Leanne K. Knobloch, Lynne M. Knobloch-Fedders, Jeremy B. Yorgason, Aaron T. Ebata, Patricia C. Mcglaughlin

Psychology Faculty Research and Publications

This study drew on the relational turbulence model to investigate how the interpersonal dynamics of military couples predict parents’ reports of the reintegration difficulty of military children upon homecoming after deployment. Longitudinal data were collected from 118 military couples once per month for 3 consecutive months after reunion. Military couples reported on their depressive symptoms, characteristics of their romantic relationship, and the reintegration difficulty of their oldest child. Results of dyadic growth curve models indicated that the mean levels of parents’ depressive symptoms (H1), relationship uncertainty (H2), and interference from a partner (H3) were positively associated with parents’ reports of …

College Students’ Perceptions Of Barriers To Bystander Intervention, Kristen Yule, John H. Grych

Psychology Faculty Research and Publications

Sexual violence is a major problem on college campuses and is associated with a range of negative health consequences for victims. Teaching students to intervene as prosocial bystanders has become a common element of sexual assault prevention efforts; although these programs have demonstrated positive effects on participants’ beliefs and knowledge, their impact on actual behavior is weaker. Understanding the factors that inhibit intervening in risky situations may enhance the effectiveness of bystander programs by identifying material that addresses these barriers. A sample of 281 first-year college students indicated whether they had encountered 10 situations that may present elevated risk of …

Invariant Two-Component Structure Of The Repeatable Battery For The Assessment Of Neuropsychological Status (Rbans), Elisabeth M. Vogt, Gregory D. Prichett, James B. Hoelzle

Psychology Faculty Research and Publications

The Repeatable Battery for the Assessment of Neuropsychological Status is a brief neurocognitive instrument used to evaluate cognitive functioning in clinical settings. Prior investigations of the factor structure have revealed subtle differences across samples. It was hypothesized that these differences are primarily the result of methodological decisions made by researchers. The present study utilized empirically supported extraction criteria (parallel analysis; minimum average partial procedure) and uniformly investigated 5 samples. RBANS data from 4 previously published studies (Carlozzi, Horner, Yang, & Tilley, 2008; Duff, Hobson, Beglinger, & O'Bryant, 2010; Duff et al., 2006; Wilde, 2006) were reanalyzed, and a new clinical …

The Role Body-Esteem Plays In Impairment Associated With Hair-Pulling And Skin Picking In Adolescents, Elle Brennan, Douglas W. Woods, Martin E. Franklin, Nancy Keuthen, John Piacentini, Christopher A. Flessner

Psychology Faculty Research and Publications

Trichotillomania (hair pulling disorder, HPD) and pathological skin picking (PSP) are associated with significant rates of psychosocial impairment and distress. Little research has addressed the physical consequences and associated impairment in youth (e.g., poor body-esteem). The present study explores the relationship between body-esteem, skin picking (SP), and pulling-related impairment in a sample of adolescents with primary HPD. Ninety four adolescents who pull their hair, 40 of whom also pick their skin, were recruited via internet-sampling as part of the Child and Adolescent Trichotillomania Impact Study (CA-TIP). All youth and a parent completed anonymous questionnaires online assessing psychiatric symptoms, repetitive behaviors, …

Act-Enhanced Behavior Therapy In Group Format For Trichotillomania: An Effectiveness Study, Ashild Tellefsen Haaland, Shirin O. Eskeland, Erna M. Moen, Patrick A. Vogel, Svein Haseth, Kjetil Mellingen, Joseph A. Himle, Douglas W. Woods, Benjamin Hummelen

Psychology Faculty Research and Publications

Background

This study sought to investigate the effectiveness of group treatment for trichotillomania (TTM) in ordinary clinical settings. Treatment consisted of a combination of habit reversal training (HRT) and acceptance and commitment treatment (ACT). Both short- and long-term effects were explored, as well as individual change trajectories.

Methods

The sample consist of fifty-three patients with TTM. Treatment outcomes were evaluated at post-treatment and at one-year follow-up using self-report questionnaires (Massachusetts General Hospital Hair Pulling Scale, MGH-HS), structured clinical interviews (National Institute of Mental Health Trichotillomania Severity Scale, NIMH-TSS), and the Clinical Global Impression scale for TTM (CGI-TTM).

Results

Analyses by …

Comparing Fixed-Amount And Progressive-Amount Dro Schedules For Tic Suppression In Youth With Chronic Tic Disorders, Matthew R. Capriotti, Jennifer E. Turkel, Rachel A. Johnson, Flint M. Espil, Douglas W. Woods

Psychology Faculty Research and Publications

Chronic tic disorders (CTDs) involve motor and/or vocal tics that often cause substantial distress and impairment. Differential reinforcement of other behavior (DRO) schedules of reinforcement produce robust, but incomplete, reductions in tic frequency in youth with CTDs; however, a more robust reduction may be needed to affect durable clinical change. Standard, fixed‐amount DRO schedules have not commonly yielded such reductions, so we evaluated a novel, progressive‐amount DRO schedule, based on its ability to facilitate sustained abstinence from functionally similar behaviors. Five youth with CTDs were exposed to periods of baseline, fixed‐amount DRO (DRO‐F), and progressive‐amount DRO (DRO‐P). Both DRO schedules …

Introduction To The Special Issue: Advances In Methods And Measurement In Family Psychology, Barbara H. Fiese, Brian Doss, Galena K. Rhoades, Arin Connell, Astrida S. Kaugars, Christopher J. Trentacosta

Psychology Faculty Research and Publications

This special issue presents a collection of reports that highlight recent advances in methods and measurement and also shed light on the complexity of family psychology. The importance of theory in guiding solid family science is evident throughout these reports. The reports include guides for researchers who incorporate direct observation into their research protocols and the ever-expanding field of tele-health interventions. Advanced analytic approaches are offered in the areas of grid sequence analysis, latent fixed-effects models, and the Factors of Curves Model (FOCUS). These sophisticated analytic approaches may be applied to advance systemic thinking in family psychology. The last set …

Takecare, A Video To Promote Bystander Behavior On College Campuses: Replication And Extension, Ernest N. Jouriles, Kelli Sargent, Katie Lee Salis, Christina Caiozzo, David Rosenfield, Michele Cascardi, John H. Grych, K. Daniel O'Leary, Renee Mcdonald

Psychology Faculty Research and Publications

Previous research has demonstrated that college students who view TakeCARE, a video bystander program designed to encourage students to take action to prevent sexual and relationship violence (i.e., bystander behavior), display more bystander behavior relative to students who view a control video. The current study aimed to replicate and extend these findings by testing two different methods of administering TakeCARE and examining moderators of TakeCARE’s effects on bystander behavior. Students at four universities (n = 557) were randomly assigned to one of three conditions: (a) view TakeCARE in a monitored computer lab, (b) view TakeCARE at their own convenience …

Men's Sexual Coerciveness, Perceptions Of Women's Attachment, And Dating Preferences, Lucie Holmgreen, Debra L. Oswald

Psychology Faculty Research and Publications

This study examined whether sexually coercive men are uniquely drawn to certain attachment styles in women. Specifically, it employed an experimental design to investigate what sorts of inferences men draw about women based on women's attachment styles and whether a woman's attachment style may serve as an indicator of vulnerability, rendering sexually coercive men more attracted to some women than to others. One-hundred thirty-six college men completed a measure of sexual coerciveness and answered questions about personal ads experimentally manipulated for portrayed attachment style. Findings suggest that sexually coercive men may be more attracted to women with characteristics associated with …

The Role Of Internalized Homonegativity In The Faith And Psychological Health Of Lesbians, Dane R. Whicker, Ed De St. Aubin, Kimberly R. Skerven

Psychology Faculty Research and Publications

Among lesbians, faith-based beliefs and behaviors may be associated with negative psychological health due to the interplay between religious and sexual identities. The present study examined health outcomes, faith-based beliefs (views of God as loving and controlling), faith-based behaviors (personal spiritual practices, religious activities), and internalized homonegativity in a sample of 225 self-identified lesbians. We hypothesized that internalized homonegativity would moderate the relationship between health outcomes and faith-based beliefs and behaviors among lesbians. Generally, results indicated that some faith-based beliefs and behaviors were related to negative health outcomes among lesbians with higher levels of internalized homonegativity, but among those with …

Adverse Consequences To Assisting Victims Of Campus Violence: Initial Investigations Among College Students, Alison Krauss, Ernest N. Jouriles, Kristen Yule, John H. Grych, Kelli S. Sargent, Victoria Banyard

Psychology Faculty Research and Publications

Despite growing interest in the use of bystander education programs to address the problems of sexual and relationship violence on college campuses, little knowledge exists on adverse consequences experienced by students intervening as a bystander. The current study examined the prevalence and correlates of adverse consequences of bystander intervention in two samples of first-year college students. In Study 1, 281 students completed a measure of negative consequences experienced when acting as a bystander to help someone at risk of sexual assault, relationship abuse, or stalking. Efficacy for bystander behavior was also assessed. Approximately one third of the students (97/281) reported …

Predicting Aggression In Late Adolescent Romantic Relationships: A Short-Term Longitudinal Study, Christina Caiozzo, Jessica Houston, John H. Grych

Psychology Faculty Research and Publications

This study sought to prospectively predict aggression in the romantic relationships of 1180 college students from the United States (807 females; 373 males) over the course of two months with a set of intrapersonal risk and protective factors, including personality characteristics that rarely have been examined in this population. After accounting for prior dating aggression, perpetration of verbal aggression was predicted uniquely by aggressive attitudes, emotion regulation, and for females, narcissism. Perpetration of physical aggression was predicted by aggressive attitudes, but only at low levels of emotion regulation, and the interaction of callous-unemotional traits, emotion regulation, and gender: males with …

Advances In Research With Lgbtq Youth In Schools, Nicholas C. Heck, Paul V. Poteat, Carol S. Goodenow

Psychology Faculty Research and Publications

Over the past decade, there has been an increase in scholarship devoted to the topic of sexual and gender minority youth in schools (e.g., lesbian, gay, bisexual, transgender, queer, or questioning; LGBTQ). In this special section, we highlight this group of LGBTQ youth, a group that needs as many allies as possible, a group that lacks the social standing, the financial capital necessary, and the rights afforded to adults to directly influence the political climate in ways that affect their lives. Collectively, these seven data-driven articles are reflective of the innovation that is occurring in our field as we continue …

A Replication And Extension Of The Peers® For Young Adults Social Skills Intervention: Examining Effects On Social Skills And Social Anxiety In Young Adults With Autism Spectrum Disorder, Alana J. Mcvey, Bridget Dolan, Kirsten S. Willar, Sheryl Pleiss, Jeffrey S. Karst, Christina L. Casnar, Christina Caiozzo, Elisabeth M. Vogt, Nakia S. Gordon, Amy V. Van Hecke

Psychology Faculty Research and Publications

Young adults with ASD experience difficulties with social skills, empathy, loneliness, and social anxiety. One intervention, PEERS® for Young Adults, shows promise in addressing these challenges. The present study replicated and extended the original study by recruiting a larger sample (N = 56), employing a gold standard ASD assessment tool, and examining changes in social anxiety utilizing a randomized controlled trial design. Results indicated improvements in social responsiveness (SSIS-RS SS, p = .006 and CPB, p = .005; SRS, p = .004), PEERS® knowledge (TYASSK, p = .001), empathy (EQ, p = .044), direct interactions (QSQ-YA, p = …

Diffusion Tensor Imaging Predictors Of Episodic Memory Decline In Healthy Elders At Genetic Risk For Alzheimer’S Disease, Melissa A. Lancaster, Michael Seidenberg, J. Carson Smith, Kristy A. Nielson, John L. Woodard, Sally Durgerian, Stephen M. Rao

Psychology Faculty Research and Publications

Objectives: White matter (WM) integrity within the mesial temporal lobe (MTL) is important for episodic memory (EM) functioning. The current study investigated the ability of diffusion tensor imaging (DTI) in MTL WM tracts to predict 3-year changes in EM performance in healthy elders at disproportionately higher genetic risk for Alzheimer’s disease (AD). Methods: Fifty-one cognitively intact elders (52% with family history (FH) of dementia and 33% possessing an Apolipoprotein E ε4 allelle) were administered the Rey Auditory Verbal Learning Test (RAVLT) at study entry and at 3-year follow-up. DTI scanning, conducted at study entry, examined fractional anisotropy and mean, radial …

Suicidal Risk At A College Counseling Center: Correlates At Intake And Therapeutic Outcomes, Maha Baalbaki

Master's Theses (2009 -)

Suicidal risk is examined within the population of college students entering therapy. College student suicidal risk factors are examined among those entering therapy. Based on suicidal risk presented at intake, subsequent outcomes, with respect to treatment duration and mental health functioning, are evaluated. Participants include 1717 students aged 18-22 receiving therapy services at the Johns Hopkins University Counseling Center. Measures included the Personal Identification Form, Problem Checklist, and Behavioral Health Questionnaire-20. Various demographic (race/ethnicity), clinical (previous treatment and referral source), emotional (depression, anxiety, and substance abuse), and collegiate (thwarted belongingness, academic stress, and identity confusion) factors were associated with increased …

Incremental Clinical Utility Of Adhd Assessment Measures With Latino Families, Margaret A. Grace

Master's Theses (2009 -)

Attention-Deficit/Hyperactivity Disorder (ADHD) is a common disorder beginning in childhood, with related symptoms and impairment across settings often persisting into adolescence and adulthood if effective treatment is not provided (Bernardi et al., 2012). Therefore, the early and accurate assessment and diagnosis of ADHD is critical. While the prevalence of ADHD symptomatology has been found to be consistent between Latinos and European Americans (Morgan, Hillemeir, Farkas, & Maczuga, 2014), there is little research on the best practices for assessing ADHD in Latinos. The current study sought to examine the incremental clinical utility of two parent- and teacher-report measures of ADHD symptomatology …

Initial Validation Of The Race-Ethnicity Supervision Scale (Ress), Stephanie Bartell

Dissertations (1934 -)

In this dissertation study, the author reports on the initial psychometric evaluation of the Race-Ethnicity Supervision Scale (RESS) with data collected from three studies and 307 mental health counseling and psychology trainees. Exploratory factor analyses yielded a 29-item scale with a four factor model (a) Promoting Supervisee Racial/Ethnic Cultural Competence, (b) Development and Responsivity to Cultural Identity in Supervision, (c) Perceived Supervisor Cultural Competence, and (d) Harmful Supervisory Practices. RESS scores were internally consistent and remained stable over a 3-week period. Construct validity evidence suggested RESS scores were positively related to MSI scores and unrelated to social desirability. Limitations and …