Clinical Psychology Commons^™

Evaluating The Relationship Between Physician Characteristics And Opioid Knowledge And Use Of Opioid And Non-Opioid Chronic Pain Management Strategies, Erin Hopkins Stern

PCOM Psychology Dissertations

Opioid use disorder (OUD) is a mental health condition that has high personal, societal, and emotional costs. Opioid use disorder, misuse, and abuse is a national epidemic. Many factors have contributed to the increased use of opioids and OUD. One such factor is the heightened emphasis on pain management in the medical community, one that that began nearly two decades ago. This has led to increased prescribing of opioid-based medication for chronic pain patients. This contributed in part to the development of OUD in many individuals who became addicted to opioids. For this reason, current guidelines discourage the use of …

The Effects Of A Trauma-Informed Care Training Program On Mental Health Professionals Knowledge, Skills, And Attitudes With The Smi, Angelina Pelletier

PCOM Psychology Dissertations

Trauma has been found to be highly prevalent among individuals diagnosed with SMIs. Mental health professionals have been reported to misdiagnose or avoid addressing trauma in this population. There is a need to provide information about trauma and to foster awareness among mental health professionals who are treating individuals diagnosed with SMIs. With a TIC approach, operating from a recovery-oriented philosophy, there have been interventions created to address trauma and SMIs with the aim of developing awareness about trauma and the impact it may have on someone’s life. With these factors in mind, mental health professionals should be competent in …

Predicting Attitudes Towards Telemental Health Therapy Among U.S. Military Veterans, Rebekah L. Gingras

PCOM Psychology Dissertations

The recent U.S. military conflicts have brought to light the destruction of war. The amount of stress involved in deployment and exposure to combat has been found to increase the risk of mental health disorders. Many veterans are at risk for mental health disorders such as depression, anxiety, alcoholism, post-traumatic stress disorder, and traumatic brain injuries. The purpose of this study was to examine age, education level, computer technology skills, personality, and barriers to seeking treatment to determine if these variables would predict attitudes towards the use of telemental health (TMH) treatment. Participants from student veterans’ organizations across the country …

The Influence Of Perceived Relationship Quality With The Deceased, And Guilt, On Suicide Survivors' Grief Reactions, Nicole Carden Dishman

PCOM Psychology Dissertations

The objective of this study was to examine whether or not (1) the quality (emotional attachment, level of psychological closeness) of the pre-mortem relationship between a suicide survivor and the deceased, and (2) the amount of guilt experienced has influenced grief reactions in suicide survivors. Specifically, complicated grief, perceived stigma, and overall quality of life were examined. Data were collected from 1130 adult participants between the ages 18 and 80, who identified as having lost someone to suicide, in a time period more than six months prior to survey completion. This dissertation's findings suggest that guilt has a detrimental impact …

Perceptions And Attitudes Of A Sample Of Primary Care Patients Receiving Psychological Care From Their Pcp, Nadine Henzes Gowarty

PCOM Psychology Dissertations

With millions of Americans suffering from a mental health disorder and slightly more than half receiving treatment, the demand for psychological services far outweighs the number of practitioners available to provide direct care. Therefore, the majority of all primary-care visits are based on psychosocial factors; one third of a PCP’s caseloads consist of patients with mental-health problems. Given the fact that PCPs provide comprehensive psychosocial care, it is important to determine the beliefs and perceptions of their patients. Results from this study identified numerous factors that influence the relationship between patients receiving mental health care from their PCP. Specifically, if …

The Relationship Between Problem-Solving Ability/Eating Motivation And Perceived Quality Of Life In Individuals Diagnosed With Celiac Disease, Vincenzo Zaccheo

PCOM Psychology Dissertations

Celiac disease (CD) is a digestive disorder resulting from gluten intolerance that leads to damage of the small intestine. The only current available treatment for CD involves adherence to a strict gluten-free diet. Due to the restrictive nature of this treatment diet, and the increasing prevalence of CD in recent years, much research has been conducted examining factors that impact the quality of life (QOL) of individuals with CD. However, there has been a dearth of literature identifying those factors which can be modified within a treatment setting. Thus, a need for further research in this area was identified. Through …

Naturalistic Clinical Decision Making By Emergency Department Staff And The Assignment Of Categorical Suicide Risk Ratings Within An Urban Veteran Population, Gerd R. Naydock

PCOM Psychology Dissertations

The ability to comprehensively and effectively identify those individuals who are at greatest risk to engage in self-directed violence (SDV) forms the cornerstone for all professional suicide prevention activities. To that end, mental health professionals have come to rely on the use of risk stratification to identify at-risk individuals as a way to inform and guide risk management and treatment, without having the benefit of empirical evidence to support such practices. The current program evaluation examined archival data comprised of suicide risk assessments conducted by mental health professionals on suicidal veterans (N = 1,560) in the emergency department of a …

The Anxiolytic Effects Of Self-Selected Music Among Primary Care Patients, Jennifer West-Gavin

PCOM Psychology Dissertations

The primary care setting is commonly referred to as the first line of medical treatment sought for health related services. Anxiety is one of the most frequently encountered mental health issues in primary care. The purpose of this study was to examine the level of state anxiety experienced among primary care patients, attending for routine and nonroutine appointments; its further purpose was to examine if self-selected relaxing music accounts for the greatest reductions in state anxiety among primary care patients, as compared with investigator-selected (classical) music, audio commercials, or no music. Patients included a primarily underserved primary care population between …

Impacts Of Objective And Subjective Social Inclusion On The Quality Of Life Of Individuals With Schizophrenia Spectrum Disorders And Major Depressive Disorder, Katie A. Johanning-Gray

PCOM Psychology Dissertations

Increased social inclusion and enhanced quality of life for individuals with severe mental illnesses (SMIs) are goals of the recovery movement. The present study examined the differences in reported subjective social inclusion (SubSI) and objective social inclusion (ObjSI) between individuals diagnosed with schizophrenia spectrum disorders (SSDs) and those diagnosed with Major Depressive Disorder (MDD). Furthermore, the amount of variance in quality of life (QOL) which can be predicted by type of diagnosis, SSDs or MDD, symptom severity, and SubSI and ObjSi was determined. An archival data set was used. Participants were 337 individuals whose primary diagnosis was an SSD or …

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

PCOM Psychology Dissertations

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

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

PCOM Psychology Dissertations

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

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

PCOM Psychology Dissertations

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

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

PCOM Psychology Dissertations

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

Compassion Fatigue And Coping In Mental Health Professionals Working In Residential Treatment With Traumatized Youth, Michael J. Baniewicz

PCOM Psychology Dissertations

This study utilized a prospective cross-sectional design to examine if a coping profile can be identified, indicating whether or not a professional is able to cope effectively with exposure to trauma symptoms while working in a residential treatment setting. The participants in this study were employees at a residential treatment facility in the suburbs of a major metropolitan area. Results indicated that individuals who utilized an emotion-focused or problem-focused coping style were less likely to experience symptoms of burnout. Participants who worked directly with those individuals who had experienced trauma experienced levels of burnout similar to those who had not, …

Institutional Aggression: Psychometric Development Of A Predictive Risk Assessment Screening Tool, Lauren Spotts M.S.

PCOM Psychology Dissertations

Aggression among those with mental illnesses has been extensively reviewed. Research has shown that aggression within an institutional or hospital setting, that is presently termed “Institutional Aggression,” threatens the ability to provide a safe and therapeutic environment for both patients and staff. Although earlier measures have been designed to address this construct, the present study examines Institutional Aggression based on the parameters of the Overt Aggression Scale (OAS; Yudofsky, Silver, Jackson, Endicott, & Williams, 1986). The purpose of the current study was to determine the predictive relationship between clinical and sociodemographic factors and the rate of Institutional Aggression with the …

An Exploration Of The Benefits Of Working As A Certified Peer Specialist (Cps) And Predictors Of These Benefits, Tricia M. Angilletta

PCOM Psychology Dissertations

The mental health recovery movement has promoted the use of certified peer specialists (CPS) as an indispensable component of the recovery process when working with individuals with severe mental illnesses (SMI) (Solomon, 2004). In addition to assisting others, the literature indicates that the CPS may gain a shared benefit from the CPS experience (Solomon, 2004). The purpose of this study was to examine the benefits that working or volunteering as a CPS can have on the CPS’s personal recovery process and health care costs. Two benefits that were explored are a CPS’s service utilization (outpatient therapy, case management, and inpatient …

Autism Interventions In Educational Settings: Delivery Within A Response To Intervention Framework, Caitlin E. Gilmartin

PCOM Psychology Dissertations

Monitoring the progress of and delivering services to students with Autism present a unique challenge. Numerous interventions exist without a common, mandated progress monitoring system or service delivery system. The current study examined the principles of Response to Intervention (RTI) programs in the context of service delivery for students with Autism. An innovative service delivery system, the Autism Response to Systematic Intervention (ARTSI), was designed utilizing these principles. Outcomes of the study included a manual for the program, as well as forms and necessary materials to provide initial program implementation. Initial comment from stakeholders, future directives, and limitations are also …

Outcomes Of The Sanctuary Model In An Education Setting, Brianna Matey

PCOM Psychology Dissertations

This study examines the short-term outcomes of implementing the Sanctuary Model in an emotional support educational setting over the 2011-2012 school year. The frequency of restraints, the therapeutic environment, and job satisfaction were evaluated pre and post implementation of the model. Study participants included teachers, teacher aides, and a licensed clinical social worker at a nonprofit behavioral health care organization in the mid-Atlantic region. Results indicated similar numbers of restraints employed in the 2010-2011 school year compared to the 2011-2012 school year. Three out of 10 domains in the therapeutic environment measured by the Community Oriented Program Environment Scale (COPES-R) …

Self-Reported Strengths And Weaknesses In The Prediction Of Institutional Aggression, Sarah A. Demarco

PCOM Psychology Dissertations

Aggression on inpatient psychiatric units poses a multitude of issues not only for patients, but also for staff. Thus, the identification of dynamic risk factors that may increase and also of protective factors that may decrease the likelihood of a patient becoming aggressive is important. The current study sought to expand on the current literature by examining if there is a difference between self-perceived strengths and risk factors between aggressive and nonaggressive patients. More specifically, it was hypothesized that self-reported strengths would moderate the relationship between self-reported risk factors and institutional aggression (IA) in forensic and in civil psychiatric units …

Recovery Knowledge, Skills, And Attitudes Of Doctoral Students In Apa-Accredited Clinical Psychology Programs, And Interns In Apa-Accredited And Appic-Member Internships, Carmella R. Tress

PCOM Psychology Dissertations

The concept of Recovery can be understood as an attitude or perspective about people, an attitude that encompasses beliefs about the respect, power, responsibility, empowerment, and hope that people deserve. Knowledge of and attitudes towards Recovery principles are instrumental to the development of Recovery-oriented approaches to mental health care. However, until the present study, information had not been gathered regarding the knowledge and attitudes that clinical psychology doctoral students and pre-doctoral interns have towards Recovery principles and the provision of Recovery-oriented services. A survey of a national sample of 189 doctoral students in APA-accredited programs, and 185 pre-doctoral interns in …

Perceived Parenting Styles Of Mothers With Posttraumatic Stress Disorder, Madina Bakhitova

PCOM Psychology Dissertations

The aim of this study was to examine the relationship between maternal PTSD symptoms and parenting, specifically the authoritarian and permissive parenting styles, and parental dimensions of nurturance, consistency, control, and physical punishment. Participants included a convenience sample of 84 mothers (40% Hispanic, 35% African American, and 25% Caucasian) from a community behavioral-health agency in Philadelphia. The mothers completed a brief demographic questionnaire, the Posttraumatic Stress Disorder Checklist – Civilian Version (PCL – C), the Beck Depression Inventory (BDI), the Parenting Authority Questionnaire – Revised Version (PAQ – R), and the Parenting Dimensions Inventory – Short Version (PDI – S). …

Impacts Of The Recovery Movement On Treatment Adherence For Individuals With Schizophrenia Spectrum Disorders, Kelly J. Campanile

PCOM Psychology Dissertations

The recovery movement presents a shift in the treatment of severe mental illness to a more person-centered approach. The current researcher hypothesized that the more recovery-oriented a treatment was perceived to be, the more participants would have attended appointments and adhered to their psychiatric medication regimen. The variables of empowerment, recovery assessment, attitudes toward treatment, and participatory decision-making were explored in relation to their possible correlation with increased treatment adherence. An archival data set was used. Participants included 215 adults who met criteria for a schizophrenia spectrum disorder. The participants generally rated their treatment as high on all four of …

Testing A Brief Treatment To Reduce The Frequency Of Panic Attacks In A Clinical Outpatient Population, Benjamin N. Daniels

PCOM Psychology Dissertations

Panic attacks, the key symptom of panic disorder and an associated feature of various anxiety disorders, are extremely distressing events that can negatively impact an individual’s mental health, physical health, and quality of life. This study validated a brief treatment for panic attacks, designed to reduce the frequency of panic attacks after the first session, in an outpatient clinical population. One participant was recruited to participate in this single case experimental ABA design with follow-up, where a reversal was not expected, due to the maintenance of positive effects. The treatment included both cognitive and behavioral techniques. The results were analyzed …

Effectiveness Of A Brief Parent Training Intervention, Brian Legg

PCOM Psychology Dissertations

This study examined the effectiveness of a brief parent-training intervention in reducing defiance in children. Four African American single mothers with children demonstrating clinically diagnosable levels of defiance participated in this study. Parental stress and general maladaptive behaviors of children were evaluated pre- and post-treatment. In addition, participants completed treatment-satisfaction questionnaires to assess the perceived value of the accommodations and training structure. Results indicated some reduction in child defiance in three of the four participants. Parental stress and overall child maladaptive externalizing behaviors were both reduced over the entire study for two participants. Participants reported that the flexibility of individually …

The Effects Of Mental Health Stigma On Treatment Attitude Within The Therapeutic Dyad: Therapist Beliefts In The Mental Health Recovery Process For Patients With Schizophrenia, Michele R. Miele

PCOM Psychology Dissertations

OBJECTIVE: Stigma maintains a belief that a recovery process is infeasible for patients with schizophrenia. As clients internalize stigma and therapists maintain a conceptualization of non-recovery, their core beliefs about recovery may become treatment barriers. This study investigated clinicians’ attitudes towards recovery by evaluating the relationship between knowledge of schizophrenia, attitudes of stigma, and attitudes of tolerance held towards people with schizophrenia; included in the evaluation are years of experience working as a mental health professional.

METHOD: This study is a cross-sectional survey design using a sample of 319 participants. The survey consisted of the following measures: knowledge of …

The Effects Of Acknowledging Cultural Differences On Therapeutic Alliance In Cross-Cultural Therapy, Jean-Pierre Assouad

PCOM Psychology Dissertations

Therapeutic alliance has been documented to have a significant impact on therapy. This study examined the impact that acknowledging visible cultural differences in the first session of treatment has on therapeutic alliance, perceived clinician cross-cultural competency, and potential attrition. A vignette study design was utilized with 26 subjects who were patients at the PCOM Center for Brief Therapy. The patients were randomly assigned one of four vignettes that consisted of a cross-cultural therapy situation, in which visible cultural differences were either addressed or not by a clinician. Following the reading of the vignette, the subjects were asked to complete the …

The Effects Of Yoga With Meditation (Ywm) On Self-Criticism, Self-Compassion, And Mindfulness, Kelly Newby

PCOM Psychology Dissertations

This study investigated the effects of a mindfulness-based intervention, Yoga with Meditation (YWM), on self-criticism, self-compassion, and mindfulness in a graduate student population. When compared to a control group, the experimental group reported decreased self-criticism, and increased self-compassion and mindfulness. The experimental group consisted of graduate students interested in participating in weekly yoga and meditation classes over the course of a two-month time period. Each participant was encouraged to complete self-report measures prior to the first YWM session, and after the completion of each YWM class. Baseline and post-intervention scores of 24 individuals who attended at least four of the …

Stress In Mothers Of Newly Diagnosed Children With Autism Spectrum Disorders: Barriers To Care, Use Of Support Services, And Child Behavior, Michelle Petrongolo

PCOM Psychology Dissertations

A reasonable amount of parenting stress is not only expected, but often adaptive (Deater- Deckard, & Scarr, 1996); however, in the presence of chronically high levels of stress, negative outcomes are common. Parents of children with special needs, particularly autism spectrum disorder (ASD), are especially vulnerable to the presence of clinically significant levels of stress, making this group an important focus in the prevention of negative outcomes. The purpose of the present study was to determine the contribution of barriers to care, social support, and child behavioral problems to stress levels of parents with a child newly diagnosed with ASD. …

Learned Helplessness, Spirituality, Abstinence Efficacy, And Alcohol Recovery, Nicholas J. Demarco

PCOM Psychology Dissertations

Treatment for alcoholism is a long and difficult process. Identifying variables that aid in treatment completion and retention of its effects is something that continues to be sought after. Research has identified the factors of spirituality, learned helplessness, and abstinence efficacy as some of the variables that can influence a person’s ability to complete treatment successfully (Sterling, Weinstein, Hill, Gottheil, Gordon, & Shorie, 2006). What it has failed to address is whether or not learned helplessness, spirituality, and abstinence efficacy can impact a person’s ability to sustain treatment effects for a period, post treatment. The data for this project were …

The Inclusion Of Spirituality In Sex Offender Treatment, Vanessa Bennifield

PCOM Psychology Dissertations

The management of sex offenders is a collaborative effort that typically includes law enforcement and treatment professionals. The management of sex offenders has focused largely on assessing for risk and need of the offender, with limited attention paid to addressing responsivity factors of the sex offender, such as worldview, interpersonal style, and cultural influences. In an effort to understand how therapists perceive the influence of responsivity factors, this study explored sex offender therapists’ perceptions of the inclusion of spirituality in sex offender treatment. The investigator conducted semi-structured interviews with sex offender therapists who had at least 1 year of experience …