Clinical Psychology Commons^™

The Experience Of Grief And Loss In Persons Affected By Long Qt Syndrome, David Haynes-Weller

PCOM Psychology Dissertations

No abstract provided.

A Web Of Distortion: How Internet Use Is Related To Cognitive Distortion, Personality Traits, And Relationship Dissatisfaction, Alexandra Morris

PCOM Psychology Dissertations

Internet use is a growing trend among every segment of the population. There are many positive aspects of internet use, such as increased information sharing, communication, business opportunities, and education. However, excessive internet usage has been shown to have a number of deleterious effects on individuals, families, and relationships. Pathological internet use is a growing concern that can have numerous negative outcomes. This study has demonstrated the fact that specific types of internet use were associated with cognitive distortion, personality traits, and relationship satisfaction. Moreover, the number of hours of internet use by type was related to average, weekly, total …

An Examination Of The Catch Nurture Program In The Treatment Of Children's Mental Health Disorders, Jessica Avart

PCOM Psychology Dissertations

School-based mental health services are in high demand due to the increased prevalence of diagnosable mental health disorders among the pediatric population, Attention Deficit/Hyperactivity Disorder (ADHD) foremost among them. The majority of research examining school-based services has been conducted in highly controlled settings and there has been a lack of research investigating such services within the actual school environment. The purpose of this study was to investigate the Catch Nurture Program, a school-based intervention, in the treatment of school-aged children with behavioral and/or emotional disturbances in the real-world setting. This study also examined the impact of gender and diagnosis on …

A National Study Of Amyotrophic Lateral Sclerosis Multidisciplinary Clinic Utilization, Jared L. Young

PCOM Psychology Dissertations

There is no cure for the fatal progression of Amyotrophic Lateral Sclerosis (ALS). Optimization of quality of life is the primary ALS treatment goal (Simmons, 2005). Consolidating multiple appointments into one visit is advantageous due to the severity of muscular deterioration and mobility problems associated with the disease. Multidisciplinary Clinics (MDC) provide improved care coordination, accessibility to health care professionals skilled in treating ALS, and improvements in symptom control for patients with ALS. The purpose of this study is to discuss the differences in quality of life, physical health status, and coping skills for individuals with ALS attending multidisciplinary clinics …

The Prevalence Of Adhd In Candidates For Gastric Bypass Surgery: Are Overeating And Obesity Accounted For By The Attention Deficits And Impulisivity Of Adhd?, Andrea M. Parry

PCOM Psychology Dissertations

The purpose of this study was to determine the prevalence of Attention Deficit-Hyperactivity Disorder (ADHD) and general psychological characteristics in an adult, presurgery population of patients seeking Gastric Bypass (GB). An ADHD diagnosis was defined as clinically significant scores as measured by the Conners Adult ADHD Rating Scale (CAARS). Other psychological characteristics were assessed using the Minnesota Multiphasic Personality Inventory – Second Edition (MMPI-2). The sample was selected from a homogeneous adult outpatient population. Participants meeting inclusion criteria presented for psychological assessment preparatory to GB surgery at the office of Dr. Steven Walfish. Participants were excluded if they failed to …

Does The Quality Of The Patient-Physician Relationship Moderate Predictors Of Poor Adherence In Urban, Underserved And Vulnerable Patients With Chronic Illness?, Laura Russo-Innamorato

PCOM Psychology Dissertations

Escalating prevalence rates and rising economic costs of chronic illnesses necessitate a better understanding of factors affecting patient adherence in the primary care setting. Despite technological advances and evidenced-based treatments, clinical outcomes are often poor. Data drawn from archival data of the “A Healthier You” wellness program designed to serve a predominately underserved population were examined to assess whether or not positive predictors of adherence could moderate the impact of negative predictors such as depression. Limitations of the study methodology precluded significant interpretations but suggested significant discrepancies between patient and physician perceptions of trust in the relationship and the satisfaction …

Profiling Executive Dysfunction In Adolescents With Autism, Nicole R. Rogers

PCOM Psychology Dissertations

Executive Functions (EF) have been assigned a causative role in a number of disorders, including schizophrenia, Tourette syndrome, autism, obsessive compulsive disorder, violent and criminal behavior, and nearly all learning disabilities. While the term executive functions in the professional literature easily yields more than 150 references, empirical research in which executive functions are studied and linked with specific disorders, such as autism, continues to help answer long-held questions about the disorder and adds to the literature base in order to better understand and treat the disorder. The purpose of this study was to review archival data collected using the Behavior …

An Exploration Of The Relationship Between Personality Traits And Cognitive Functioning In Neuropschological Outpatients In Community Based Treatment, Stacey Rivenburg

PCOM Psychology Dissertations

This study examined whether behavioral disturbances in obsessive compulsive personality disorder and borderline personality disorder were related to executive functioning. An archival database was used; this consisted of 104 subjects who had been given the Millon Clinical Multiaxial Inventory-III (MCMI-III) and the Wisconsin Card Sorting Test (WCST) at a local neuropsychology practice. Comparisons in executive functioning abilities were made between groups of subjects identified as reporting obsessive compulsive personality disorder traits or borderline personality disorder traits, and also between groups of subjects identified as reporting both obsessive compulsive personality traits and borderline personality traits. Findings concluded that a relationship does …

Does Participation In Christian Faith Affect The Healing Process Of Female African American Childhood Sexual Abuse Survivors, Tamika A. Thomas

PCOM Psychology Dissertations

Childhood sexual abuse (CSA) is often associated with devastating effects that are long-lasting and pervasive in nature. Though the sequelae vary from survivor to survivor, difficulties typically manifest psychologically, interpersonally, behaviorally, and in physical health problems. While there are many articles in the CSA literature on coping strategies and various treatment modalities, literature on the efficacy of treatment for this population is limited. Further absent from the CSA literature is an understanding of the impact that participation in religious activities has on the healing process within this population. The purpose of this qualitative study was to explore the impact that …

Psychosocial Factors Associated With Bullying Typologies In A Mental Health Population Of Adolescents, Jamie M. Bolton

PCOM Psychology Dissertations

Despite the well documented mental health consequences of bullying behavior, bullying has not been studied in a mental health population. This study has examined psychosocial factors (symptoms of internalizing disorders and cognitive style) in a population of adolescents admitted into a partial hospitalization program. Sixty-four participants completed five self-report measures. This study was not able to differentiate among bully typologies based on internalizing symptoms (PTSD and depression) or self-debasing cognitive style. Instead, a more relevant finding was that more than half of the sample had clinical levels of PTSD and depressive symptoms. Because this sample was more similar than it …

Addressing Disproportionality In School Discipline Through Universal School-Widepositive Behavior Support, Kelly Lane

PCOM Psychology Dissertations

Suspensions are the most commonly used discipline strategy in schools and in many cases these lead to poor academic and behavioral outcomes for students. Suspensions are also implemented inconsistently as a consequence of disciplinary infractions; this has resulted in the disproportionate suspension rates of minority and special education students. Recently, school-wide Positive Behavior Support (SWPBS) has emerged as an alternative model to suspension. SWPBS is a proactive, school-wide approach to discipline, which focuses on teaching and reinforcing appropriate behavior to all students. The purpose of the current study is to examine the effectiveness of SWPBS on reducing disproportionate rates of …

A Qualitative Analysis Of Homeless Women With Children In Transitional Housing: What Are Their Needs?, Urmi B. Jani

PCOM Psychology Dissertations

In 2004, the National Law Center on Homelessness and Poverty indicated that approximately 3.5 million people experienced homelessness. The literature indicates that families, specifically female-headed ones, are the fastest growing segment of the homeless population. The development of transitional housing has shown promise by seeking to move these homeless families towards independent living. A qualitative study based in grounded theory was utilized to explore the experiences of 10 female homeless participants at two regional transitional living facilities. Consistent themes that emerged included dissolution of relationships and a lack of personal supports as being the primary pathways that lead to homelessness. …

Changes In Appetite And Eating Behavior Associated With The Combination Of Sibutramine And Behavior Therapy, Raymond Carvajal

PCOM Psychology Dissertations

This archival-data study assessed the potentially complementary mechanisms of action of sibutramine and behavior therapy (also known as lifestyle modification) believed to be responsible for the greater weight loss observed with combining the two approaches than with either approach alone. One hundred and seventy-one subjects were randomly assigned to receive 15 mg of sibutramine per day alone, delivered by a primary-care provider in five brief office visits; behavior therapy alone, delivered by a psychologist in

18 group sessions; and sibutramine (15 mg/day) plus 18 group sessions of behavior therapy (i.e., combined therapy). Mixed effects linear model analysis was used to …

Predictive Nature Of Commitment Language In Relation To Outcome Of Prolonged Exposure Therapy For Posttraumatic Stress Disorder, Aaron P. Brinen

PCOM Psychology Dissertations

Sessions of prolonged exposure therapy, an extensively studied treatment for posttraumatic stress disorder, were coded for client verbalization in favor of maintaining or changing the focal behavior of the treatment. The frequency of client verbalization was used to attempt discrimination of group membership based on treatment completion and diagnosis remission. Client language was not predictive of group membership. However, for treatment completers, average frequency of verbalization against the status quo was twice as high as noncompleters when reviewing common reactions experienced following a trauma. Implications for treatment conceptualization and delivery are discussed.

Understanding The Impact Of Physical Functioning On The Experience, Desire, And Satisfaction Of Physical, Emotional And Social Intimacies In Persons With Amyotrophic Lateral Sclerosis (Als), Jamie Lee Rodriguez

PCOM Psychology Dissertations

The understanding of intimate relationships in persons with amyotrophic lateral sclerosis (ALS) is not yet understood. A review of the current literature, including an overview of ALS and the development and maintenance of intimate relationships using psychological theory, is included. Comparisons to multiple sclerosis, acquired physical disability, and older adults are included to gain a greater understanding of how changes in physical functioning may impact an intimate relationship. This study used archival data, in which participants completed the following measures: ALS Functional Rating Scale–Revised, Personal Assessment of Intimacy in Relationships, and ALS Specific Quality of Life Measurement–Revised. Results suggest high …

The Relationship Between Therapeutic Alliance And Treatment Outcome In Prolonged Exposure Therapy For Adolescents With Posttraumatic Stress Disorder, Sandy Capaldi

PCOM Psychology Dissertations

The present study focused on the therapeutic alliance in Prolonged Exposure Therapy for adolescent girls with sexual abuse-related Posttraumatic Stress Disorder (PTSD). Two major questions were investigated. First, how does the therapeutic alliance act as a moderating variable between outcome and three predictor variables (homework compliance, habituation to the trauma memory, and number of sessions completed)? Second, how is the relationship between outcome and these same variables affected by the strength of the therapeutic alliance? The data used in this study were taken from an existing database of information on 40 sexually abused adolescent girls with PTSD (mean age = …

School Accommodations To Support Psychosocial Functioning And Self-Esteem In Adolescents With Long Qt Syndrome, Betsy E. Feinberg

PCOM Psychology Dissertations

The current manuscript, as part of a larger program of research, intended to examine whether long QT syndrome (LQTS), a chronic and life-threatening genetic cardiac illness, impacts adolescents' psychosocial functioning. After 2 1/2 years of involvement in the study and 13 months of attempted data collection, it was determined by the research team that the benefits of proceeding with an intervention plan outweighed the costs of waiting for data. Although the study was not able to be conducted within the anticipated time frame due to unforeseen logistical challenges, the study hypothesized that adolescents with higher ratings of self-reported social and …

Integration Of Spirituality And Cognitive-Behavioral Therapy For The Treatment Of Depression , Jennifer J. Good

PCOM Psychology Dissertations

Major depressive disorder (MDD) is a common mental health problem that is treated by many mental health practitioners. Cognitive-behavioral therapies have proven to be effective in helping restructure the cognitions of the client, which in turn reduces depressive symptom. Research has shown that individuals with MDD who value spirituality tend to view the world in a different way than those individuals that do not hold spirituality as an important value in their life. Spiritual individuals have religious schemas, and therefore, it would be important to incorporate spirituality into the treatment setting. This pilot study utilized a manualized treatment approach that …

Enhancing Group Cognitive Behavioral Therapy For Hispanic/Latino Clients With Depression : Recommendations For Culturally Sensitive Practice, Elizabeth Suarez Kuneman

PCOM Psychology Dissertations

Using a qualitative approach, this study explored the process of developing treatment suggestions for adding cultural sensitivity to an empirically supported, group cognitive-behavioral therapy (CBT) treatment manual for Hispanic/Latino clients with depression. Suggestions were formulated through the implementation of one vignette centered on a male character, addressing Hispanic/Latino cultural values as described in the literature. This researcher sought bilingual mental health providers (English-Spanish/Spanish-English) who worked with Hispanic/Latino clients; four from a group of ten who responded, reviewed the researcher’s suggestions and answered a seven item semi-structured questionnaire, which was developed to elicit their comments. Analysis of the data revealed themes …

Effect Of Individual Cognitive Behavioral Therapy On Depression And Anxiety In Older Adults With Chronic Obstructive Pulmonary Disease : A Feasibility Study, Eileen Lightner

PCOM Psychology Dissertations

The progression of chronic obstructive pulmonary disease (COPD) in older adults has been associated with a high prevalence of depression and anxiety (Kunik et al., 2005). The purpose of this study was to examine the effects of a COPD-specific individual cognitive behavioral therapy (CBT) intervention on depression and anxiety in older adults with COPD. Three older adult patients with moderate to severe COPD and comorbid depression and anxiety were recruited from a large hospital affiliated pulmonary practice to participate in this single subject multiple baseline feasibility study. Pre-test-post test assessments were conducted utilizing the Geriatric Depression Scale (GDS), the State …

Addressing Negative Effects Of Psychotherapy During The Informed Consent Process : The Licensed Psychologists' Perspectives , Neshe Sarkozy

PCOM Psychology Dissertations

This survey study investigated attitudes and practices of 161 licensed psychologists from a nationwide sample, relative to addressing negative effects of psychotherapy during the informed consent process. Results revealed discrepancies in attitudes toward risk of negative treatment effects in psychotherapy and in addressing risk during the process of informed consent. Information obtained from this study may contribute to research in the area of clinical implementation of the American Psychological Association’s Code of Ethics. Implications for clinical practice are discussed. Limitations of the study and directions for future research are also addressed.

Gender Differences In Symptom Presentation Of Sexually Abused African American Children Ages 8 Through 12, Tania Czarnecki Wismar

PCOM Psychology Dissertations

A well-documented connection exists between child sexual abuse and psychological symptoms that may persist into adulthood. Because of the significant public health implications of child sexual abuse, it is critical to examine the many variables related to such a potentially traumatic event, including its psychological effects and effects on gender, so that treatment providers are able to gain a better understanding of how males and females are affected by their abuse experiences. This study examined the role of gender on psychological symptoms in a largely understudied population of inner city African American children; it also examined gender roles regarding the …

Spirituality As A Mediator In The Relationship Between Self-Care Practices And Perceived Stress Levels Among Lutheran Clergy, David W. Brant

PCOM Psychology Dissertations

There is currently a shortage of ordained ministers to fill the current vacancies in Lutheran churches due, in part, to the multiplicity of pastoral roles, the stressors clergy encounter in their vocation, and poor self-care. This exploratory research found a statistically significant, small, negative relationship when examining the relationship between clergy self-care practices and perceived levels of stress. The research did not support a relationship between clergy self-care practices and perceived levels of stress when mediated by clergy spiritual maturity. Other predictor variables such as first vocation, gender, spousal financial contributions and stress also did not yield statistically significant results …

A Comparison Of The Parenting Dimensions That Lead To Positive Social Problem Solving In The Children From Traditional Versus Children From Same-Sex Parent Families, Karen Joan Taratuski

PCOM Psychology Dissertations

Building social competence is an important task of childhood. Effective social problem solving is a vital skill in the development of social competence. Although there are myriad factors that influence a child’s learning of social problem solving skills, the quality of the interaction between parents and children has been found to be a pivotal influence. Although much research focuses on the effects of parenting in the context of a traditional family (two parents of opposite gender), little more than half of all children are living in this type of family. Same-sex parent households draw particular criticism. However, research suggests that …

The Development Of The Measure Of Perceived Overscheduling (Mops), Aaron S. Pollock

PCOM Psychology Dissertations

It has been suggested that extracurricular activity involvement can lead to later behavioral or developmental challenges for children, particularly when children are pressured or overscheduled. Research, however, has shown mixed results in attempts to find a relationship between overinvolvement in activities and emotional/behavioral challenges. However, previous research did not take into consideration the individual’s perception of being overscheduled. The Measure of Perceived Over-Scheduling (MOPS) was developed to assess if a difference exists between adolescents who believe they are overinvolved in activities and adolescents who do not hold this belief. The MOPS was subsequently utilized to assess the relationship between perceived …

A Cultural Competency Program For Psychologists: Clinical And Supervisory Practices With Latino Culture And Language, Marie C. Weil

PCOM Psychology Dissertations

This study was designed to develop and evaluate an online cultural competence training program for psychologists (N = 6). Psychologists who supervise clinical psychology graduate students were recruited via their affiliations with the Philadelphia College of Osteopathic Medicine (PCOM), the National Council of Schools and Programs of Professional Psychology (NCSPP), the Association of Psychology Training Clinics (APTC), the Association of Psychology Postdoctoral and Internship Centers (APPIC), and the Pennsylvania Psychological Association (PPA). The purpose of the study was to address multicultural training gaps between supervisors and doctoral students in psychology and to meet the psychological needs of Latinos, the largest …

Feasibility Of Brief Hospital-Based Interventions For Postpartum Depression : Effects On Depressive Symptoms, Perceived Support, & Treatment Utilization, Sabra N. Abboud

PCOM Psychology Dissertations

It is estimated that 10-20% of childbearing women develop postpartum depression (PPD), affecting up to 400,000 women in the United States each year. As many an 82% of women diagnosed with PPD decline recommended treatment, primarily due to a lack of knowledge about PPD, to societal stigma and to practical barriers. The objective of this study is to evaluate the feasibility of conducting a large-scale study examining the impact of screening measures and a supportive approach immediately postpartum on utilization of recommended care, levels of depression and perceived social support. Women were randomly assigned (N=40) on a maternity unit to …

Differential Effects Of Personality Disorders On Treatment Outcome For Adult Patients With Adhd, Emily M. Tomer

PCOM Psychology Dissertations

Approximately seven million adults meet the diagnostic criteria for attention deficit/hyperactivity disorder (ADHD) and the prevalence rate is between 3.3 and 5.3%; however, these are likely underestimates because the diagnostic criteria are based on those originally devised for children, aged four to 17 years. Not only does this underdiagnosis cause a problem in making an accurate diagnosis, but also the high rate (65-89%) of psychiatric comorbidity complicates the situation, resulting in poorer treatment outcome for individuals with comorbid diagnoses, when compared with those who have no comorbid diagnoses. Therefore, the current study was designed to examine whether or not the …

The Effect Of Homesickness On Air Force Academy Cadets, Earl J. Banning

PCOM Psychology Dissertations

A slightly modified version of the Homesickness Questionnaire (HQ) was administered to 176 Air Force Academy cadets during the spring semester of 2010. Total HQ scores were positively correlated with cadet somatic complaints. Total HQ scores were negatively correlated with cadet Grade Point Average (GPA), but only for male cadets. Factor analysis of the HQ revealed two factors, as in previous studies, disliking the Academy and attachment to home. There were no significant correlations found between cadet HQ total score and Military Performance Average (MPA), Physical Education Average score (PEA), or number of demerits received. Cadets were less likely to …

A Qualitative Study Examining Factors Related To Treatment Adherence In Persons With Long Qt Syndrome, Alison B. Steinhauser

PCOM Psychology Dissertations

Long QT syndrome (LQTS) is an electrophysiological disorder of the heart affecting as many as 1 in 2,000 persons. LQTS can result in potentially catastrophic and fatal arrhythmias in infants, children, adolescents, and adults. Maintaining adherence to treatment can decrease these negative outcomes and result in favorable quality of life in this population. The present study utilized a qualitative research design to examine and understand nonadherent and adherent behaviors in persons with LQTS. This study was part of a larger study and used a sample from an existing online LQTS user group message board consisting of 780 international members. A …