Clinical Psychology Commons^™

Perceived Barriers And Facilitators To Mental And Behavioral Health Screening And Treatment In Primary Care For Women In Northeast Tennessee, Sarah K. Hill

Electronic Theses and Dissertations

Between one quarter and one third of all primary care patients meet criteria for at least one mental disorder. However, many women are not screened for mental disorders as recommended by the literature. Some studies suggest even lower rates of screening and treatment in rural areas. This researcher sought to identify barriers and facilitators to mental and behavioral health screening and treatment for women in primary care and solicit feedback on how to ameliorate perceived barriers. Given the limited extant data describing rural Appalachian women’s perceptions of barriers and facilitators to receiving mental health services an exploratory qualitative analysis was …

Feeling Sad? Maybe You Are Just Uncertain! A Predictive Test For Depression, Dana Elizabeth Larson

Masters Theses & Specialist Projects

The current study examined the relationship between depression and uncertainty within the stress-diathesis model. Depression is a mental health disorder that is wide spread within our society. However, few causes of this disease have been able to be identified. Studies in uncertainty have shown that it is a major stressor in day-to-day life. Previous research has shown that individuals with high levels of uncertainty show higher levels of depression. The stress-diathesis model, a model originally developed to explain differences in development of schizophrenia, provides a theoretically meaningful way to combine these two concepts. The model states that a person who …

Who Done It? Rurality Vs. Ses As Critical Factors In Evaluating The Prevalence Of Child Psychosocial Concerns In Primary Care, Robert M. Tolliver

Electronic Theses and Dissertations

The purpose of this study was to evaluate the prevalence of child psychosocial concerns in rural primary care, hypothesized to be greater than national averages due to lacking mental health services in rural areas. This study was an examination of the role of SES, various definitions of “rural,” and the interaction of SES and rurality, in predicting parent-reported child psychosocial concerns in Appalachian primary care clinics. Caregivers presenting with their child at one of 8 pediatric primary care sites (n=2,672) were recruited to complete a measure assessing demographics and the Pediatric Symptom Checklist (PSC). Results showed that while rural status …

Suicide-Related Imagining And Acquired Capability: Investigating The Role Of Imagery In Self-Harm Behaviors, Tara C. Holaday

Masters Theses & Specialist Projects

The purpose of this investigation was to examine the role of suicide-related mental imagery in suicidal behavior. It was hypothesized that engagement (frequency, emotional impact, vividness, realism) with suicidal imagery would be related to suicidality, with greater engagement with imagery associated with more suicidal behaviors. Acquired capability for suicide was expected to be a mediator of this relationship. These hypotheses were tested by surveying 237 undergraduate university students (59% female; mean age = 20). Students completed a packet of self-report measures: The Modified Suicidal Cognitions Interview, The Acquired Capability for Suicide Scale, and the Self-Harm Behavior Questionnaire. Results suggested that …

The Effectiveness Of Educational Interventions In Reducing Negative Attitudes And Stigmatisation Toward Patients With Anorexia Nervosa, Amy Bannatyne, Peta Stapleton

Peta B. Stapleton

It is frequently reported that clinicians across a range of professional disciplines experience strong negative reactions toward patients with eating disorders, particularly anorexia nervosa (AN). As research consistently demonstrates fear of stigma is the most frequently cited reason explaining why individuals with mental illness do not seek treatment, the current study aimed to develop, evaluate and compare the effectiveness of two differing educational interventions, based on an etiological framing model, against a wait-list control. Participants were fourth-year medicine students randomly assigned to one of three conditions. A three-hour educational workshop was delivered to participants at the beginning of an eight-week …

Evaluating The Response To Sexual And Emotional Infidelity Of The Married On The Verge And Non-Verge Of Divorce, Pegah Goodarzy, Alireza Mahdavian, Mohamad Reza Shaeeri, Ziba Javaheri

university of science & culture

Today infidelity in romantic relationships can be considered as a damage and greatest reason for divorcing couples and a source of suffering, sadness and jealousy for the people. This study is aimed to compare emotional and sexual jealousy between the married on the verge of divorce and the ordinary people. This study is pursuant of Causal – comparative type plan. Samples of people on the brink of divorce were 181 men and women who were referred to family courts for divorce on the first six months of 2012 in Tehran and normal individual sample was 176 available people at the …

Comparing Stress Responses In Generalized Anxiety Disorder Vs. Non-Clinical Populations: A Cortisol And Alpha-Amylase Study, Dominic Joseph Di Loreto

Masters Theses

Debilitating anxiety affects 6.8 million Americans. Cortisol is an established measure of the stress response which reflects the hypothalamic-pituitary-adrenal (HPA) axis activity. However, salivary alpha-amylase (sAA) is a relatively new measure of the stress response, and it reflects the sympathetic-adrenal-medullary pathway (SAM pathway) activity. Our aim was to compare these two aspects of the stress response in a Generalized Anxiety Disorder (GAD) and a non-clinical population under a stressful stimulus (Knee replacement surgery video). To our knowledge this is the first time anyone has looked at both sAA and cortisol together with respect to GAD. We hypothesized that both cortisol …

Exploring Parental Experiences And Decision-Making Processes Following A Fetal Anomaly Diagnosis, Ramona L. Fernandez

Electronic Thesis and Dissertation Repository

Often the first indication that something may be wrong in a seemingly normal pregnancy occurs during the first detailed ultrasound appointment between 16 and 20 weeks gestation. Even the most tentative suspicions of fetal anomalies is jarring. Parent’s default reality of a normal pregnancy and a ‘perfect child’ changes to one of risk factors and the possibility of an ‘unhealthy child’. This study begins with the realization of this first loss in a series of losses that follow for parents as they grapple with diagnostic information to be able to make informed medical decisions regarding their fetus and pregnancy. The …

Constructing Body Image In University Women: The Relationship Between Self-Esteem, Self-Compassion, And Intuitive Eating, Peta Stapleton, Ankita Nikalje

Peta B. Stapleton

Body image related concerns among women are well researched. However, this research has consistently focussed on identifying pathological and maladaptive correlates of body image. Body image research has been based on the assumption that a positive body image is merely an absence of or is defined by low levels of a negative body image. Therefore, the aim of this study was to examine the relationship between self-esteem, self-compassion and intuitive eating in conceptualising body image related avoidance behaviours. Female university students (N = 137) completed four measures online: the Rosenberg Self-Esteem Scale, Self-Compassion Scale of Neff, Intuitive Eating Scale of …

The Effects Of Hiv/Aids On The Mother-Child Relationship, Margaret Gross

Creative Activity and Research Day - CARD

39 semi-structured interviews were conducted with HIV+/- mothers living in central Uganda. Interviews were assisted by a translator and recorded manually on paper then coded and analyzed. The majority of HIV+ mothers were found to be single, supported 5+ children, worked longer days to get by, and emphasized the importance of having a counselor. These findings suggest a strong relationship exists between HIV and motherhood. There is a need for further attention to help single mothers and foster programs that encourage economic growth within their families, nutritional improvement, and overall attention to a group that is currently receiving little assistance.

Stress, Anxiety, And Somatic Symptoms: A Comparison Of Biomarkers In A Clinical Sample, David J. Finitsis

Master's Theses

Anxiety disorders are the most prevalent class of mental disorders, often characterized by a chronic course and comorbid psychopathology. The anxiety-stress literature utilizing cortisol as a biomarker of the hypothalamus pituitary adrenal (HPA) axis has been inconsistent. The establishment of salivary alpha-amylase (sAA) as a biomarker of sympathetic nervous system (SNS) activation allows researchers an opportunity to examine the stress response more fully. This study sought to explore relationships between trait anxiety and salivary stress biomarkers in an outpatient sample attending a specialized anxiety treatment center. Multiple regression and moderator analyses were conducted to examine associations between psychosocial and physiological …

The Role Of Psychological Flexibility In Mental Health Stigma And Psychological Distress For The Stigmatizer In An African American College Sample, Chantel M. Sims, Akihiko Masuda

Georgia State Undergraduate Research Conference

No abstract provided.

Se Habla Inglés Aquí: Las Dificultades En El Tratamiento De La Depresión En Latinos En Los Estados Unidos, Melissa Kim Dundas

World Languages and Cultures

This project attempts to identify and bring to light the issues relating to treatment of Latinos and native Spanish speakers in the United States. The stigma surrounding depression is already strong in the U.S., and when minorities, who tend to have their own views of mental health disorders and who are less likely to seek treatment for any mental health disorder they might have, are added to the picture, the rates of treatment go drastically down. There are many factors that play into whether or not Latinos will seek treatment for depression, many of which revolve around language and culture, …

Increasing College Football Attendance: An Exploratory Study Of Fan Typology, Oscar T. Mcknight, Ronald Paugh, Jordan Mcknight, Wenhui Jin

Oscar T McKnight Ph.D.

No sport enjoys more popularity in the USA than football. However, not every college can fill their stadium. This study examined spectator typology and college football attendance. Four typologies emerged as well as a chronology of expectations for game events. Presented is PUNT a sport marketing strategy to increase football game attendance.

Age-Related Concomitants Of Obtaining Mental Health Care In Adulthood, Erin L. Woodhead, R. C. Cronkite, R. H. Moos, H. Valenstein, C. Timko

Erin L. Woodhead

No abstract provided.

Age-Related Concomitants Of Obtaining Mental Health Care In Adulthood, Erin L. Woodhead, R. C. Cronkite, R. H. Moos, H. Valenstein, C. Timko

Faculty Publications

No abstract provided.

Get Rich U Or Get Transformed U: Reflections On Catholic Liberal Arts Education In The 21st Century, Thomas G. Plante

Psychology

Catholic liberal arts educators can proclaim boldly that we are in the business of formation and transformation of students at multiple levels and in multiple ways. We want our students to be competent, ethical, and compassionate global citizens who are thoughtful, savvy, deep thinkers who love learning and who love helping others. Research and best practices support the claim that the virtues cultivated by the liberal arts contribute to the flourishing of individuals and society as a whole. Catholic colleges and universities have a long history of promoting the liberal arts, and data from various sources suggest that we are …

Parents' Coping With Children's Newly Diagnosed Long-Qt Syndrome: A Qualitative Study Of The Function And Utilization Of An Online User Group, Allison Burns-Pentecost

PCOM Psychology Dissertations

Long QT syndrome is a sudden death syndrome that occurs in about 1 in 2,000 births. LQTS is caused by genetic mutations that affect the electrophysiology of the heart, resulting in a prolonged QT interval and possible cardiac arrhythmia, syncope or sudden death. Treatments include medications, implantable cardioverter defibrillators and activity restrictions. Little research exists regarding the psychosocial factors of the illness or the ways in which families cope with diagnosis and management of the chronic illness. The current study used archival data from an online user group. Participants were members of the group who discussed concerns related to LQTS. …

The Ticking Of The “Biological Clock”: Worry About Future Fertility In Nulliparous Women, Karen E. Kersting

Theses and Dissertations

Abstract

Title: The Ticking of the “Biological Clock”: Worry about Future Fertility in Nulliparous Women

By: Karen Kersting, M.A., M.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.

Virginia Commonwealth University, 2013.

Major Director: Kathleen M. Ingram, J.D., Ph.D.

Associate Professor of Psychology

Department of Psychology

Modern women are waiting until later in their lives to have children than women of previous generations, a trend influenced by a number of factors including financial stability, dating norms, and career goals and responsibilities. As women age, their fertility may decline …

Short Communication: Powerless And Jobless? Comparing The Effects Of Powerless Speech And Speech Disorders On An Applicant’S Employability, Christian M. End, Katherine Saunders

Faculty Scholarship

The present study examines the impact of a speech disorder (a lateral lisp) and powerless speech on an applicant’s hireability. College students (N = 113) reviewed an applicant’s resume, as well as a description of two occupations/job openings that varied in regard to necessitating speech. Participants listened to one of three interviews (speech disorder vs. powerless speech vs. control), indicated their willingness to hire the applicant, and then completed hire-ability and employability scales for both positions, as well as an impressions ratings form. Contrary to the hypotheses, few differences between the “employers” responses to the control and speech disorder applicants …

Ovarian Cancer Screening As A Teachable Moment For Health Behavior Change: Determining The Role Of Positive Affect And Self-Efficacy, Rachel F. Steffens

Theses and Dissertations--Psychology

In medical settings, a teachable moment (TM) has been described as an event which may lead to psychological changes prompting individuals to engage in health promoting behaviors. A cancer screening (CS) has been suggested as a potential TM because several types of positive health behavior change (HBC), ranging from dietary changes to smoking cessation, have been linked to CS. However, most research has examined the TM in CS settings using cross-sectional and prospective methodologies and has lacked a theory-driven model. Moreover, few intervention studies have attempted to capitalize on the potential TM in CS settings. In light of this, the …

Depression Symptoms Improve After Successful Weight Loss With Emotional Freedom Techniques, Peta Stapleton, Dawson Church, Terri Sheldon, Brett Porter, Cassandra Carlopio

Peta B. Stapleton

Ninety-six overweight or obese adults were randomly allocated to a four-week EFT treatment or waitlist condition. Waitlist participants crossed over to the EFT group upon completion of wait period. Degree of food craving, perceived power of food, restraint capabilities, and psychological symptoms were assessed at pretreatment, posttreatment and at 12-month follow-up for combined EFT groups. Significant improvements in weight, body mass index, food cravings, subjective power of food, craving restraint and psychological coping for EFT participants from pretreatment to 12-month follow-up (p<0.05) were reported. The current paper isolates the depression symptom levels of participants, as well as levels of eight other psychological conditions. Significant decreases from pre- to posttreatment were found for depression, interpersonal sensitivity, obsessive-compulsivity, paranoid ideation, and somatization (p<0.05). Significant decreases from pretreatment to 12-month follow-up were found for depression, interpersonal sensitivity, psychoticism, and hostility. The results point to the role depression, and other mental health conditions may play in the successful maintenance of weight loss.

Quitting Smoking: How To Use Emotional Freedom Techniques, Peta Stapleton, Brett Porter, Terri Sheldon

Peta B. Stapleton

Emotional Freedom Techniques (EFT) have been gaining strength in the published literature as strategies to reduce arousal symptoms such as anxiety. EFT falls under the umbrella of energy psychology techniques which combine physical or somatic processes with cognitive focus in order to reduce psychological distress. This article discusses the practical application of EFT to smoking cessation, and the associated physical and psychological concerns that can be addressed.

The Interplay Between Depression, Anxiety, Interpersonal Problems And Self-Weighing On The Overall Eating Styles Of University Students, Peta Stapleton, Sheree Empson

Peta B. Stapleton

The world is facing an epidemic of obesity. As a result, it is vital that the contributing factors of this issue are identified and addressed. The aim of this study was to investigate the interplay between overall eating style scores in University students with depression, anxiety, interpersonal problems and self-weighing. The present study consisted of 170 participants (73% female). The results indicated that when social desirability, gender and race were controlled for, depression, interpersonal problems, and self-weighing significantly negatively contributed to overall eating style scores. When self-weighing and interpersonal problems were accounted for, anxiety was found to not significantly predict …

Health Locus Of Control, Self-Awareness, And Integrative Eating Styles In University Students, Peta Stapleton, Hayley Smith

Peta B. Stapleton

The psychological and physical well-being of students is a cause for concern. For the majority of the student population this means substantial changes in healthy behaviours including eating habits. The current research was aimed at investigating integrative eating in 170 Australian university students. Self-awareness and health locus of control were measured in order to assess their relative impact on positive integrative eating practices. The self-report measures included Your Personal Eating Style Profile, Forms A and B of the Multidimensional Health Locus of Control Scale, and the Situational Self-Awareness Scale. Hierarchical multiple regression analyses provided tentative support for the hypothesis that …

The Effects Of Somatisation, Depression, And Anxiety On Eating Habits Among University Students, Peta Stapleton, Morreen Brunetti

Peta B. Stapleton

While it is known that depression and anxiety are associated with poor eating habits, little is known about the relationship between these common psychological disorders, somatisation and poor eating habits. The aim of the current study was to investigate the effects of depression, anxiety and somatisation on eating habits across gender. University students (N = 167) participated in the study by completing an internet based survey. No specific gender differences were found for depression, anxiety or eating habits scores. However, females had significantly higher somatisation scores. Higher somatisation scores were significantly positively associated with reported depression, reported anxiety and poorer …