Clinical Psychology Commons^™

Biopsychosocial Management Of Long Covid Fibromyalgia: Lessons From The Penn Medicine Lancaster General Health Fibromyalgia Program, Joseph Harrison, Dennis Given Psy.D.

The Journal of Integrated Primary Care

The COVID-19 pandemic has increased the prevalence of chronic health concerns worldwide, leading to a new population of patients suffering from Long Covid. Patients with Long Covid often experience persistent symptoms impacting multiple organ systems, including neuroimmune and neurological manifestations. Recently, attention has grown toward Long Covid patients developing chronic widespread pain similar to fibromyalgia. Fibromyalgia is a nociplastic pain disorder characterized by widespread pain and central sensitization with fatigue, sleep disturbances, and impairments in cognitive functioning. Given the nascent and limited research exploring new treatment options, patients need support now from biopsychosocial multi-modal pain management strategies. The Fibromyalgia Program …

An Exploration Of Self-Reported Training Needs For Anxiety Interventions Among Primary Care Behavioral Health Consultants, Katherine Buckheit, Ryan Willard, Kyle Possemato, Robyn Shepardson, Abigail Lashinsky, Jen Funderburk

The Journal of Integrated Primary Care

Introduction: Despite the need for greater training in evidence-based interventions for the treatment of anxiety in primary care behavioral health (PCBH), there are limited data on which interventions are desired by behavioral healthcare consultants (BHCs). The objective of this study was to identify which interventions BHCs desired more training in when treating anxiety in PCBH practice, and to examine if this preference was associated with theoretical orientation. Method: We conducted an online survey of PCBH providers regarding their training preferences for treatment of anxiety symptoms. The final sample comprised 291 BHCs recruited from e-mail listservs of national professional organizations. Providers …

Social Problem-Solving, Stress, Social Support As Predictors Of Distress Among First-Generation Students, Marisa Leib

PCOM Psychology Dissertations

First-generation students are steadily increasing in the United States, and currently comprise one third of today’s college undergraduate population (Stebleton & Jehangir, 2020). First-generation students are more likely to face various academic, social, economic, and cultural challenges when transitioning to higher education. The culmination of these stressors put first-generation students at risk for developing mental health conditions. Social problem-solving (SPS) is one variable that has been shown to buffer against the negative effects of stress among the general college student population. The purpose of the current study was to examine how specific variables contribute to psychological distress among the population …

Relationship Quality And Metacognitive Beliefs On Grief Outcomes Of Bereaved Cancer Caregivers, Katelyn Anderson

PCOM Psychology Dissertations

Cancer caregivers are a unique population among grief literature due to the typical experience of preparedness for the loss. Nevertheless, their responses may vary, with some experiencing significant distress resulting in prolonged grief disorder (PGD). PGD has higher risks for mental and health problems, creating an urgency to understand the underlying factors for appropriate treatment interventions. Research mainly examines automatic thought processes in grief coping processes, but there is minimal research on the influence of metacognitive beliefs on PGD. Furthermore, there is a limited understanding of how the quality of the relationship between the deceased and the caregiver influences PGD …

Ptsd, Chaos, And Subjective Executive Dysfunction, And Its Impact On Qol, Emmy Y. Velazquez Santiago

PCOM Psychology Dissertations

Research with veterans suggests executive dysfunction associated with PTSD often results in problems with quality of life. Objective impairments in executive functions do not significantly correlate with subjective reports; despite this discrepancy, the perception of dysfunction impacts quality of life. Research indicates that perception of chaos/unpredictability can undermine the ability to perform executive functions. This study explored how the perception of chaos impacts the relationship between PTSD and subjective executive dysfunction and quality of life among veterans. A Pearson product-moment correlation was used to determine whether a relationship exists between PTSD symptomatology and subjective executive dysfunction and between subjective executive …

Anxiety Severity And Prescription Medication Utilization In First-Time Medical Marijuana Users, Karen L. Dugosh, Megan M. Short, Paulina Syracuse, Thomas R. Mccalmont, Michelle R. Lent

PCOM Scholarly Papers

Background

Anxiety and post-traumatic stress disorder (PTSD) are qualifying psychiatric conditions for medical marijuana (MM) treatment in Pennsylvania. This study examined baseline prevalence and changes in prescription anxiety medication use three months following MM treatment initiation among individuals with these qualifying conditions.

Methods

The study sample was comprised of 108 adults with anxiety or PTSD as a referring condition; they were enrolled in a longitudinal study evaluating biopsychosocial outcomes in new MM patients. Consenting participants completed an assessment battery at baseline and Month 3 (n = 94, 87 % follow-up rate) that included a measure of anxiety severity and …

Awareness With Paralysis And Symptoms Of Post-Traumatic Stress Disorder Among Mechanically Ventilated Emergency Department Survivors (Ed-Awareness-2 Trial): Study Protocol For A Pragmatic, Multicenter, Stepped Wedge Cluster Randomized Trial., Brian M Fuller, Brian E Driver, Michael B. Roberts, Christa A Schorr, Kathryn Thompson, Brett Faine, Julianne Yeary, Nicholas M Mohr, Ryan D Pappal, Robert J Stephens, Yan Yan, Nicholas J Johnson, Brian W Roberts

PCOM Scholarly Papers

BACKGROUND: Awareness with paralysis (AWP) is memory recall during neuromuscular blockade (NMB) and can cause significant psychological harm. Decades of effort and rigorous trials have been conducted to prevent AWP in the operating room, where prevalence is 0.1-0.2%. By contrast, AWP in mechanically ventilated emergency department (ED) patients is common, with estimated prevalence of 3.3-7.4% among survivors given NMB. Longer-acting NMB use is a critical risk for AWP, and we have shown an association between ED rocuronium use and increased AWP prevalence. As NMB are given to more than 90% of ED patients during tracheal intubation, this trial provides a …

Sex And Gender Differences In Attention-Deficit / Hyperactive Disorder (Adhd): A Literature Review, Kaitlyn N. Blair, Min Young Kim

Research Day

Background:

The American Medical Women's Association (AMWA) Sex and Gender Health Collaborative identified the need for a concise factsheet for clinicians outlining sex and gender differences in Attention Deficit Hyperactive Disorder (ADHD) as ADHD is underdiagnosed, undertreated, and frequently misdiagnosed in women due to lack of recognition of gender-specific presentation. AMWA's goal is to improve access and exposure to sex and gender differences in healthcare as few medical schools educate students on these differences. The poster summarizes the reviewed literature on the prevalence, diagnosis, referral for, prevention, clinical presentation, and treatment of ADHD with a goal to reduce sex and …

Examining The Relationship Between Outcome Expectancies And Anxiety Severity In Patients Using Medical Marijuana, Paulina Syracuse

PCOM Psychology Dissertations

Many states have legalized marijuana for medical and recreational use despite it being classified as a Schedule I controlled substance. Although research regarding its efficacy is limited, one of the most common medical marijuana referral reasons is anxiety and patients often report experiencing reductions in anxiety. Many patients have beliefs about the effects of medical marijuana, called outcome expectancies, which may differ based on previous recreational marijuana use. These beliefs may influence anxiety outcomes, but this relationship is still unclear. The purpose of this study is to examine the relationship between patients’ medical marijuana outcome expectancies, previous recreational marijuana use, …

The Clinical Utility Of A Short Form Version For The Rey Complex Figure Test (Rcft) In Identifying Visual Memory Impairments With Older Adults, Adam D. Christmann

PCOM Psychology Dissertations

The aim of this study was to examine if a short-form version of the Rey Complex Figure Test (RCFT-SF) was equivalent to the measure’s standard administration procedures as part of a neuropsychological battery for testing visual memory in an older adult population as well as the impact of anxiety on their performance. The RCFT-SF consisted of a similar administration procedure to the standard form (e.g., copy, immediate recall, delayed recall, and recognition trial) while reducing the period between the immediate and delayed recall portions of the measure to 10 minutes. Participants involved with this study were divided into two groups, …

Association Between Trauma History And Body Image, Depression, Posttraumatic Stress, And Relationship Satisfaction In Postpartum Women, Kristen Hawk-Purcell

PCOM Psychology Dissertations

The postpartum period can be a time of significant change and transition. Little is known about how a history of trauma may impact functioning during this critical time. English-speaking adult women (age ≥ 18 years, N = 61) who gave birth in the United States in the past year, but not in the last month, were in an intimate relationship, and did not use any assisted reproductive technology to conceive participated in the study. Participants were recruited through social media and online forums related to pregnancy and the postpartum period. They completed a demographic questionnaire, the PTSD Checklist for Diagnostic …

The Inventory Of Cognitive Distortions-Youth Version: The Development And Validation Of A Psychometric Test For The Measurement Of Cognitive Distortions In Youth, Kelsey Jones

PCOM Psychology Dissertations

Cognitive distortions are systematic biases in an individual’s thinking that maintain a person’s belief in their negative views of themselves or others, even in the presence of contradictory evidence. The Inventory of Cognitive Distortions (ICD), created by Yurica and DiTomasso, measures distorted thinking in adults. Currently, there is not a youth measure of distortions that adequately encapsulates the range of distorted thinking that may be present in youth. Therefore, the purpose of the current study was to create and validate a newly designed instrument of cognitive distortions, The Inventory of Cognitive Distortions-Youth Version (ICD-YV), with youth ages 11 to 17. …

Assessing The Quality Of Life In Spousal Caregivers Of Kidney Dialysis Patients, Mallory Christman

PCOM Psychology Dissertations

Caregivers are considered extended parts of the healthcare system. As the responsibilities of caregivers increase, they are more prone to develop a poorer quality of life (QOL; Avsar et al., 2013; Rafati et al., 2019; Sajadi et al., 2020; Turner & Finch-Guthrie, 2020). Further, as the prevalence of end-stage renal disease (ESRD) continues to increase, factors that impact coping and QOL should be evaluated.

Understanding the relationship between coping, social problem solving, and QOL may increase professionals’ ability to help caregivers flourish. However, little is known about the QOL in spousal caregivers of kidney dialysis patients in the United States. …

Intuitions Across The Theistic-Atheistic Spectrum: A Convergence Of Social Psychology And Experimental Philosophy Research Paradigms, Janessa R. Brown

PCOM Psychology Dissertations

The aim of the present study was to examine what intuitions individuals have regarding factors related to religious belief and non-belief. This was achieved via the convergence of experimental philosophy and social psychology research paradigms. Participants were randomly assigned to one of three vignette conditions depicting either a theistic, agnostic, or atheistic universe or a non-vignette control condition. Participants reported intuitions in the context of the universe to which they were assigned on factors of death anxiety, awe, pure evil, and fine-tuning. Responses were compared across vignette conditions and by category of belief. It was hypothesized that group differences regarding …

Attitudes Of Providers And Researchers Toward Harm Reduction Strategies, Portia Womer

PCOM Psychology Dissertations

The present study utilized a mix methods approach to examine the relationship between professional role, years of experience, and support for harm reduction strategies to treat Opioid Use Disorder. There were 84 participants who completed the online survey. The survey included both quantitative and qualitative questions about their professional role, years of experience, age, use of cognitive behavioral therapy for opioid use disorder, and support for harm reduction strategies. There was no significant association among years of experience and support for harm reduction strategies (including safe injection sites). Additionally, there were no significant findings among age and support for harm …

Examining Social Media Use, Connectedness, And Depression In Graduate Students, Marisa Gretz

PCOM Psychology Dissertations

This study examined the relationship between social media use, sense of connectedness, and depression among graduate students. Graduate students are at risk of depression and often disconnect from their social supports due to their program's demands. Literature on the impact of social media on depression is discrepant. The relationship between a sense of connection, the use of social media, and depression in a graduate student population is a novel area of research. Graduate students at The Philadelphia College of Osteopathic Medicine (PCOM) and other universities, including healthcare and non-healthcare-related disciplines, were included. Participants were recruited via social media or email. …

The Relationship Between Adhd-Specific Cognitive Distortions And Adult Adhd After Accounting For Clinical Syndromes And Personality Pathology, Carly Gerbi

PCOM Psychology Dissertations

Adults with attention-deficit/hyperactivity disorder (ADHD) experience many difficulties in daily functioning. It is theorized that some of the difficulties experienced by adults with ADHD result from cognitive distortions. Although previous studies have identified a preliminary relationship between cognitive distortions and ADHD, which may be accounted for by comorbid disorders; these studies did not measure ADHD-specific cognitive distortions after accounting for these comorbidities. The purpose of the current study was to assess the relationship between the frequency of ADHD-specific cognitive distortions, operationalized as ADHD Cognition Scale (ACS) and the severity of adult ADHD, operationalized as the Brown Executive Function/Attention Scale (BEF/A), …

Predictive Abilities Of Neuropsychological Measures On Functional Outcomes In The Mild Cognitive Impairment (Mci) And Dementia Populations, Morgan Bare

PCOM Psychology Dissertations

During the aging process, a decline in ability to perform everyday tasks is commonly observed. This is increasingly so for those with dementia and is a diagnostic requirement. These daily tasks require certain cognitive skills which can be measured by various neuropsychological measures. The purpose of this study is to examine which neuropsychological measures are able to detect various deficits in self-reported activities of daily living (ADL) and instrumental activities of daily living (IADL) in individuals with mild cognitive impairment (MCI) and dementia. It is hypothesized that Trail Making Test– B (TMT-B) would be the most sensitive predictor in functional …

The Impact Of Gender Minority Stress On Eating Pathology And Body Checking Behaviors In Transgender And Non-Binary Adults, Klaudia Bialy

PCOM Psychology Dissertations

Transgender and gender non-binary (TNB) individuals commonly report diminished mental health when compared to cisgender individuals. TNB individuals experience unique stressors due to their gender identity such as gender-based discrimination and victimization, internalized transphobia, and non-affirmation of their gender. Due to these unique stressors, TNB individuals experience elevated rates of psychological distress such as anxiety, depression, and suicidality. Additionally, TNB individuals report body image issues and disordered eating. This study examined if gender minority stress predicts the relationship between body checking behaviors and eating pathology amongst TNB individuals. Simple linear regression models were used to assess the possible impact gender …

The Impact Of Trauma On Exposure And Response Prevention (Ex/Rp) Treatment Outcomes For Obsessive-Compulsive Disorder, Lindsey Salerno

PCOM Psychology Dissertations

Despite the high prevalence of trauma in treatment-seeking individuals with obsessive-compulsive disorder (OCD), the role of trauma in OCD treatment is under-studied. This study examined the relationship between trauma and treatment outcomes using a gold standard intervention for OCD—exposure and response prevention (Ex/RP) therapy. This study also investigated whether inherent traits (intolerance of uncertainty, anxiety sensitivity, emotion regulation, and perfectionism) act as mechanisms of change that mediate the relationship between trauma and Ex/RP treatment outcomes. Using data collected as part of a larger research study, analyses were performed for 76 adult patients with a primary diagnosis of OCD who completed …

Motherhood And Me (Mom-Me): The Development Of An Acceptance-Based Group For Women With Postpartum Mood And Anxiety Symptoms, Victoria A Grunberg, Pamela A Geller, Kelley Durham, Alexa Bonacquisti, Jennifer L Barkin

PCOM Scholarly Papers

Untreated postpartum mood and anxiety disorders (PMADs) place women and their families at risk for negative biopsychosocial sequelae. Innovative and tailored treatments are needed to address potential disruptions in maternal functioning. Third-wave cognitive-behavioral approaches, including acceptance and commitment therapy (ACT) and dialectical behavioral therapy (DBT), hold promise for optimizing functioning given the focus on values-based living, rather than symptom reduction.

Purpose: The purpose of this paper is to describe the development of an innovative psychotherapy group for women with symptoms of PMADs.

Methods: This seven-session group, Motherhood and Me (Mom-Me), includes selected skills training from ACT, DBT, and Emotion-Centered …

Study Protocol: Cluster Randomized Trial Of Consultation Strategies For The Sustainment Of Mental Health Interventions In Under-Resourced Urban Schools: Rationale, Design, And Methods., Ricardo Eiraldi, Barry L. Mccurdy, Muniya S Khanna, Courtney Benjamin Wolk, Henry A Glick, Quinn A Rabenau-Mcdonnell, Rachel Comly, Laura E Rutherford, Jayme Banks, Steven A Rufe, Kristina M Popkin, Tara Wilson, Kathryn Henson, Abraham Wandersman, Abbas F Jawad

PCOM Scholarly Papers

BACKGROUND: The school is a key setting for the provision of mental health services to children, particularly those underserved through traditional service delivery systems. School-wide Positive Behavioral Interventions and Supports (PBIS) is a tiered approach to service delivery based on the public health model that schools use to implement universal (Tier 1) supports to improve school climate and safety. As our prior research has demonstrated, PBIS is a useful vehicle for implementing mental and behavioral health evidence-based practices (EBPs) at Tier 2 for children with, or at risk for, mental health disorders. Very little research has been conducted regarding the …

The Association Between Neuroticism, Self-Esteem, And Peer Interactions And Disordered Eating And Body Checking Behavior In Female College Athletes, Alyssa Hertz

PCOM Psychology Dissertations

Numerous studies have investigated whether participation in collegiate sports is a risk or protective factor for disordered eating attitudes and behaviors. The purpose of this study was to evaluate potential psychosocial factors (neuroticism, peer relations, and self-esteem) that may contribute to increased risk for disordered eating or maladaptive body checking behaviors in female college athletes. This anonymous, cross sectional, online study recruited 206 participants. Participants completed screening questions, a demographic questionnaire in addition to the Eating Attitudes Test-26, Rosenberg Self-Esteem Scale, Body Checking and Avoidance Questionnaire, Inventory of Peer Influence, and Ten Item Personality Inventory. There was no significant relationship …

Cognitive Distortions, Partisan Strength, And Authoritarianism: Exploring Potential Factors Contributing To The Current Partisan Divide, Brooke C. Singer

PCOM Psychology Dissertations

Over the past two decades, the number of Americans on the extremes of the political spectrum has more than doubled, and politically motivated aggression has increased. In addition, an unprecedented division has emerged between the left and right on fundamental political values and animosity continues to rise. The purpose of this study was to explore factors that potentially contribute to political polarization and animosity in the United States, including authoritarianism, strength of partisan commitment, and distorted thinking. The participants for this study comprised 513 individuals from the general population of the United States recruited from online platforms. Participants completed an …

Are Narcissism And Entitlement Associated With Higher Rates Of Violence And Unsuccessful Treatment Completion?, Melissa Chipollini

PCOM Psychology Dissertations

Following the dimensional-categorical model of personality functioning, this study used archival data to examine the degree to which narcissism and entitlement determined engagement in violent acts and treatment completion. The study reviewed MCMI-III/IV scores, discharge summaries, and violence histories for a sample of 105 individuals who were referred for forensic outpatient services by the court. One-way ANOVAs were used to assess all four of the hypotheses (a) individuals with more than one violent act (vs. one violent act) would have significantly higher mean scores on the MCMI-III/IV entitlement subscale, (b) individuals with more than one violent act would have significantly …

Do Law Enforcement Officers’ Attitudes And Knowledge Impact Their Likelihood Of Administering Naloxone?, Nicole Alexis Gulkis

PCOM Psychology Dissertations

Law enforcement officers (LEOs) are integral public service providers who have been called upon by government personnel across state and local government bodies to aid in combating the opioid epidemic. As LEOs are often the primary front-line workers who encounter opioid overdose scenarios, more states across the nation are training LEOs to administer naloxone. The emergence of Coronavirus (COVID-19) has complicated LEOs’ involvement with naloxone administration because of shifts in policing strategies and occupational safety procedures. Given the current pandemic, concerns about contraction and transmission of COVID-19 must be considered for LEOs working in the frontlines of these concurrent public …

Addressing Cultural Considerations Of African Americans In Interdisciplinary Care, Ashley M. Smith

PCOM Psychology Dissertations

Communication and appreciation for culturally significant factors are essential to the helping relationship between the patient and the interdisciplinary team members in the health care setting. Historically, the relationship between African Americans and health care professionals in the American health care system has been one of mistrust based on unequal treatment, stereotypes, and other factors negatively affecting rapport. The main purpose of this study was to identify the cultural considerations within the Black and African American communities and their impact on the relationship between interdisciplinary care team members and their African American patients. This study used a qualitative grounded theory …

Diabetes Training Camp: A Brief Intervention To Improve Self-Management And Physical Activity In Adults With Type 1 Diabetes, David Charny

PCOM Psychology Dissertations

Type 1 Diabetes (T1D) is less common than Type 2 Diabetes (T2D); however, its growing incidence, chronic prognosis, and increased self-management burden, produce unique psychosocial challenges for this population. Specifically, these individuals are atrisk for poor diabetes self-efficacy, and poor glycemic control, which can contribute to diabetes-specific mood alterations, or diabetes distress (DD), and an overall reduction in diabetes-specific health-related quality of life. This study evaluated the effectiveness of the Diabetes Training Camp (DTC) 1-week intervention in mitigating psychosocial distress utilizing a repeated measures design to evaluate the impact of participation on measures of DD, diabetes quality of life (DQOL) …

Prosocial Behaviors, Gross Motor Abilities, And Soccer Skill Acquisition Of Preschool-Aged Children, Julia Gomes

PCOM Psychology Dissertations

The psychosocial and physical benefits of organized sports participation for school-aged children, collegiate athletes, and professional athletes is well understood and recognized in the literature; however, less is known about the possible benefits of sport participation for preschool-aged children. The objective of the study was to examine whether children’s involvement in an organized team sport program facilitated their gross motor, soccer skill, and prosocial development, as well as their soccer experiences. This study examined participants between the ages of 1.5 and 4.5 years old, who were first time participants of a soccer program. To examine the research questions, a paired …

Assessing Factors That Increase The Likelihood Of Naloxone Administration, Samantha Nagy

PCOM Psychology Dissertations

For more than two decades, the opioid epidemic has swept through the United States and has caused thousands of deaths every year due to opioid overdose. The Centers for Disease Control and Prevention (CDC; 2019) has reported that since 1999, over 770,000 Americans have died from overdoses. Nearly 70% of deaths in 2018 were due to opioids, 47% of which were the result of fentanyl or a non-methadone opioid and 22% were the result of heroin (CDC, 2019). As policy and treatment protocols attempt to manage those who seek treatment, the pharmaceutical industry has developed a life-saving medication that gives …