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Articles 91 - 120 of 254
Full-Text Articles in Clinical Psychology
The Examination Of A Mobile Application For The Reduction Of Posttraumatic Stress Related Symptoms In Emergency Dispatchers, Emy Willis
Electronic Theses and Dissertations
Emergency dispatchers report that their jobs are stressful, yet there are few controlled investigations examining their specific psychological complaints. Additionally, research examining the use of interventions directed at alleviating their work-related stress is limited. This study aims to examine the efficacy and feasibility of a mobile application (PTSD Coach) on various indicators of psychosocial well-being among emergency telecommunicator dispatchers. A sample of 117 emergency dispatchers completed self-report psychological mood assessments at baseline, weekly for five weeks during PTSD Coach use and post-treatment. Participant report of psychological symptoms showed statistically significant decreases in mood severity over the period of one month.
Stepping Outside Of Yourself: Social Anxiety, Dissociation, Alcohol Consequences, And Relationship Satisfaction, Matthew Cook
Stepping Outside Of Yourself: Social Anxiety, Dissociation, Alcohol Consequences, And Relationship Satisfaction, Matthew Cook
Electronic Theses and Dissertations
OVERVIEW: Social anxiety disorder is the third most prevalent psychiatric disorder in the United States. Dissociation can arise during acute daily social stressors in individuals with social anxiety. This study examined the relationship between social anxiety and functional outcomes (i.e., alcohol-related consequences and relationship satisfaction) as moderated by levels of dissociation (i.e., depersonalization/derealization). It was hypothesized that dissociation would moderate the relationships between social anxiety and alcohol-related consequences and between social anxiety and relationship satisfaction. METHOD: College students who endorsed alcohol use within the past 30 days (n = 320) and college students who reported having been in a romantic …
Brief Behavioral Health Intervention Program For Patients With Stable Coronary Artery Disease, Chelsea Wiener
Brief Behavioral Health Intervention Program For Patients With Stable Coronary Artery Disease, Chelsea Wiener
Electronic Theses and Dissertations
Healthy eating, physical activity, stress management, and smoking cessation are widely recognized as essential for preventing and treating coronary artery disease (CAD). Research on lifestyle programs for patients with CAD has largely focused on long-term interventions (e.g., several months to one-year in duration). Further, many studies have recruited patients immediately post-cardiac event. By contrast, evaluation of brief lifestyle interventions for stable patients treated in outpatient cardiology is lacking. The present study evaluated the feasibility, acceptability, and efficacy of a 3-session behavioral health lifestyle program for patients with stable CAD being treated in an outpatient cardiology clinic. Thirty-three patients were randomized …
Cognitive And Vascular Risk Factors For Depression: Testing An Integrated Theoretical Framework, Rosanna Scott
Cognitive And Vascular Risk Factors For Depression: Testing An Integrated Theoretical Framework, Rosanna Scott
Electronic Theses and Dissertations
Objective: Theoretical models that have guided the study of later-life depression include the vascular depression hypothesis, depression-executive dysfunction syndrome, and the CaR-FA-X model. Evidence suggests these can be integrated into a single developmental model of disordered mood (and its associated overgeneral memory feature) in later-life to delineate a mechanism of the vascular depression effect and identify modifiable intervention targets. Methods: In older adults, four serial mediation models evaluated the relationships between (1) vascular burden and depressive symptoms via executive control and rumination, and (2) vascular burden and autobiographical memory specificity (AMS) via executive control and rumination. In younger adults, four …
Do Cognitive Metaphors Moderate The Effectiveness Of Protective Behavioral Strategies?, Skyler M. Hoover
Do Cognitive Metaphors Moderate The Effectiveness Of Protective Behavioral Strategies?, Skyler M. Hoover
Honors Undergraduate Theses
Past research has shown a positive relationship between alcohol consumption and alcohol related consequences. Protective behavioral strategies (PBS) are able to lower the negative effects of drinking alcohol, however, the protective effects of PBS at times is moderated by situational circumstances or individual differences. This study looks at the cognitive metaphor of being a Head or Heart person and the moderating effects it has on PBS and alcohol consumption and alcohol related consequences. Participants completed the AUDIT-C to measure drinking habits, the PBSS to asses strategy usage, the YAAQC to measure drinking problems and a self-report single item measure for …
Dissociation, Identity Distress, And Rejection Sensitivity In Adult Adoptees, Lee J. Mclamb
Dissociation, Identity Distress, And Rejection Sensitivity In Adult Adoptees, Lee J. Mclamb
Digital Repository: Showcase of Undergraduate Research Excellence
No abstract provided.
Telephone-Delivered Cognitive Behavioral Therapy For Insomnia In Patients With Cancer: A Randomized Controlled Trial, Andel Nicasio
Telephone-Delivered Cognitive Behavioral Therapy For Insomnia In Patients With Cancer: A Randomized Controlled Trial, Andel Nicasio
Electronic Theses and Dissertations
This study examined the efficacy and feasibility of a brief telephone-delivered CBT-I (TeleCBT-I) intervention in cancer patients compared to a control group. The study used a randomized controlled trial design. The TeleCBT-I program consisted of a brief four-week CBT-I program adapted for cancer patients. Patients completed assessment measures at pre-treatment, post-treatment and one-month follow-up. Out of 184 patients screened, 39 were randomly assigned, and 35 (TeleCBT-I, n = 19; Control, n = 16) completed pre- and post-treatment measures and were included in the analyses. Compared to control group, the TeleCBT-I group reported decreased insomnia severity symptoms (p < .014), improved sleep quality (p < .023), and reduced dysfunctional beliefs about sleep (p = .039) at post-treatment with sustained treatment effects at one-month follow-up. Sleep measures yielded large effect sizes (Hedges' g, 0.84-2.7). Although the TeleCBT-I group indicated improvements in fatigue, general functioning, physical well-being, functional well-being, and physical quality of life, effects at follow-up were observed only for fatigue, functional well-being and physical quality of life. No effects were found on depression at any of the time points. In terms of feasibility, TeleCBT-I demonstrated high adherence, high homework completion and high overall satisfaction. These results advance the empirical evidence of CBT-I in cancer patients and support the use of telephone-delivered CBT-I to widely disseminate and implement among patients with cancer.
Development Of Filial Obligation In Young Adults: An Examination Of Crisis And Lifespan Theory, Rachel Bassett
Development Of Filial Obligation In Young Adults: An Examination Of Crisis And Lifespan Theory, Rachel Bassett
Electronic Theses and Dissertations
Formal care institutions are unable to meet care demands. As a result, informal caregivers (friends, family, neighbors) are called upon to fulfill this need. Adult children make up the majority of these informal caregivers. Adult children vary with respect to whether or not they provide care, and the amount of care provided. Filial obligation and attachment are positive predictors of these care behaviors. A better understanding of how these factors emerge and invoke caregiving behaviors is crucial. The primary hypothesis of this study was that anxiety attachment dimension score would positively relate to baseline filial obligation, and that avoid attachment …
Habituation Trajectory During Exposure Therapy: Comparing Trauma Frequency And Trauma Type, Madeline Marks
Habituation Trajectory During Exposure Therapy: Comparing Trauma Frequency And Trauma Type, Madeline Marks
Electronic Theses and Dissertations
The current DSM-5 criteria for Posttraumatic Stress Disorder (PTSD) affords heterogeneous symptom presentations; however, current treatment fails to consider differences in trauma frequency and trauma type. These different symptom profiles that exist within the PTSD framework lead to questions about the generalizability of treatment outcomes from one group to another group. One group of interest is those that experience multiple traumatic events and report multiple index traumas (trauma frequency). The second group of interest is those with a PTSD diagnosis from occupational exposure to traumatic events (trauma type). Appreciation of the reinforcement schedule may be particularly crucial for understanding treatment …
Neurological Reactivity To Personalized Odors And Sounds In Combat-Related Posttraumatic Stress Disorder, Michael Gramlich
Neurological Reactivity To Personalized Odors And Sounds In Combat-Related Posttraumatic Stress Disorder, Michael Gramlich
Electronic Theses and Dissertations
Functional near-infrared spectroscopy (fNIRS) is a neurophysiological procedure that offers immense clinical utility due to its cost effectiveness, ease of use, and mobile application. Using fNIRS to measure neurological reactions to personalized trauma-related cues might strengthen diagnostic screening, tailor treatment planning, and improve detection of remission among individuals with posttraumatic stress disorder (PTSD). Odors elicit strong emotional responses but remain underutilized in clinical research. This fNIRS study examined whether personalizing combat-related odors and sounds to have a higher or lower match to distressing combat experiences increased the observed neurological effect among combat veterans with and without combat-related PTSD. This study …
The Efficacy And Feasibility Of Neuropsychological Services In A Primary Care Setting, Danielle Herring
The Efficacy And Feasibility Of Neuropsychological Services In A Primary Care Setting, Danielle Herring
Electronic Theses and Dissertations
Integrated primary care assimilates psychologists into the primary care setting, thus improving health outcomes and physician satisfaction. Neuropsychology has also begun to assimilate into primary care, as neurocognitive impairment is a correlate of many medical disorders. Subjective cognitive decline (SCD), a common complaint among older adults, is an increasingly recognized warning sign of non-normative cognitive aging. These patients typically present first to their primary care providers who may play a critical role in the early detection of cognitive impairment. Given the growing awareness about cognitive health and disability, the importance of neuropsychological assessment as a standard component of integrated care …
Lifetime History Of Concussions And Behavioral Measures Of Anhedonia, John O'Donnell
Lifetime History Of Concussions And Behavioral Measures Of Anhedonia, John O'Donnell
Electronic Theses and Dissertations
Concussions are the most common neuropsychological problem in the United States and are associated with sequelae such as cognitive complaints and depression-related symptoms. Recent research suggests that head trauma is associated with anhedonia and that concussions have the potential to damage axons and postsynaptic connections in neural circuits that play a role in reward processing. Anhedonia may be better understood as an overarching construct with multiple subtypes including motivational, decisional, and consummatory. The current study examines the relationship between lifetime concussion history and subtypes of anhedonia using behavioral measures of reward processing: the Effort Expenditure for Rewards Task (EEfRT), Probabilistic …
Protective Behavioral Strategies And Alcohol-Related Sex Among College Students, Roselyn Peterson
Protective Behavioral Strategies And Alcohol-Related Sex Among College Students, Roselyn Peterson
Electronic Theses and Dissertations
Adverse sexual outcomes (e.g., sexual regret, sexual risk, and sexual assault) are a common experience among college students. In particular, regretted sex is reported by a third of college students and may result in psychological harm. Previous literature has found that alcohol is involved in approximately one third of regretted sex experienced by college students. A gap exists in the literature identifying who is more susceptible to experiencing a regretted sexual experience. Previous research has shown that students who implement protective behavioral strategies (PBS) while drinking are able to reduce alcohol-related negative consequences, including regretted sexual experiences. Three sub-types of …
Emotional Abuse In College Students: Gender Differences In Psychological Outcomes, Kayla G. Bushong
Emotional Abuse In College Students: Gender Differences In Psychological Outcomes, Kayla G. Bushong
Honors Undergraduate Theses
Emotional abuse is defined as humiliation, controlling behavior, financial coercion, isolation, and threatening behavior, and both men and women experience emotional abuse. This paper examined the relationship between gender and the frequency of emotional abuse, the relationship between frequency of emotional abuse and mental health outcomes, and whether there are gender differences in the relationship between frequency of emotional abuse and mental health outcomes. A total of 101 college students who had been in a romantic relationship lasting at least six months completed an online survey assessing depression, anxiety, PTSD, self-esteem, and emotional abuse. Frequency of emotional abuse did not …
Potential Relationship Between Vascular Depression And Autobiographical Memory Specificity In An Older Adult Population According To The Car-Fa-X Model, Manuel Herrera Legon
Potential Relationship Between Vascular Depression And Autobiographical Memory Specificity In An Older Adult Population According To The Car-Fa-X Model, Manuel Herrera Legon
Electronic Theses and Dissertations
Vascular depression is a type of depression that has its onset later in life, and it has been associated with cardiovascular or metabolic diseases. Depression can be costly and associated with other health problems, which is why it becomes imperative to uncover the multiple mechanisms of action for depression symptomatology. A proposed mechanism of action for the emergence of depressive symptomatology is poor autobiographical memory specificity according to the CaR-FA-X model. However, it remains unclear whether this mechanism contributes somehow to the vascular depression specific type. The purpose of this research was to determine the potential relationship between the mechanisms …
Young Adult Development And Caregiving: Disposition And Involvement In Care, Nicholas James
Young Adult Development And Caregiving: Disposition And Involvement In Care, Nicholas James
Electronic Theses and Dissertations
Caregivers are a diverse group of individuals with a variety of backgrounds and roles; however, research has widely overlooked young adults in this population. This study investigated young adult caregiver circumstance, burden, and use of support services with the purpose of improving future caregiving research and interventions. Study 1 compared burden and circumstance among young, middle aged, and older adult caregivers (N = 285) in addition to developmental indicators among young adults caregiver and demographically matched non-caregiver peers (n = 225). Study 2 surveyed caregivers from each age group (N = 151) on barriers to care, treatment preferences, and interest …
Olfaction, Memory, And Presence In Warfighters: Do The Scents Of War Matter?, Benson Munyan
Olfaction, Memory, And Presence In Warfighters: Do The Scents Of War Matter?, Benson Munyan
Electronic Theses and Dissertations
Background: Exposure therapy (EXP) is a first-line intervention for combat-related PTSD. EXP works by repeatedly exposing the patient to the feared stimuli, situation, or physical sensations in the absence of actual danger until the stimuli no longer evoke maladaptive responses. Over the past decade, multiple technologies have been introduced to augment the EXP process by presenting multi-sensory cues (e.g., sights, smells, sounds) to increase patients' sense of presence. Exploratory research has only broadly examined the effect of odorants on the patient's sense of presence during simulated exposure tasks. This study hypothesized that those with autobiographical memories similar to the virtual …
Rumination And Executive Dysfunction: Risk Factors For Vascular Depression, David Brush
Rumination And Executive Dysfunction: Risk Factors For Vascular Depression, David Brush
Electronic Theses and Dissertations
Introduction: The widely-supported vascular depression hypothesis is underspecified with respect to cognitive mechanisms by which high cerebrovascular burden (CVB) and neuropathology relate to depressive symptoms. Integration of the vascular depression hypothesis with the CaR-FA-X model, a framework of affect regulation mechanisms, suggest that Rumination (R) and executive dysfunction (X) may increase due to altered recruitment of the dorsolateral prefrontal cortex resulting from high CVB and underlying neuropathology. This process would contribute to depressive symptomatology among older adults with high CVB. The progression of examined hypotheses included mediation models examining mechanistic relationships between predictors (CVB, DLPFC activation), cognitive correlates (rumination, executive …
Exploring The Relationship Between Attitudes About Mental Illness, About Guns, And Personality Variables, Rachel N. Chavez
Exploring The Relationship Between Attitudes About Mental Illness, About Guns, And Personality Variables, Rachel N. Chavez
Honors Undergraduate Theses
This study explores relationships among attitudes about mental illness and guns in order to shed some light on two issues often mentioned in the same realm: mental illness and gun violence. This study also explores if personality variables relate to these attitudes about guns and mental illness. The results of this study found that those who reported more positive attitudes toward guns will have more negative attitudes toward mental illness. The data supported another part of the hypothesis that males would report more positive attitudes towards guns and more negative attitudes towards mental illness than females. This study did not …
A Deviance Regulation Theory Intervention To Reduce Alcohol Problems Among First-Year College Students, Angelina V. Leary
A Deviance Regulation Theory Intervention To Reduce Alcohol Problems Among First-Year College Students, Angelina V. Leary
Honors Undergraduate Theses
OBJECTIVE: An alcohol-drinking culture exists among first-time-in-college students, where many of these students come to their university relatively inexperienced with alcohol, which may increase alcohol-related consequences. Several interventions exist to combat this campus problem. The current study investigates the use of a Deviance Regulation Theory (DRT) intervention, presented in a web-based manner, to increase alcohol Protective Behavioral Strategies (PBS), such as monitoring drinks, using a designated driver, and drinking water in between alcoholic beverages, among college freshmen. METHOD: College freshmen participants (N = 157) completed web-based surveys examining alcohol behaviors once a week for six weeks. Participants were randomly …
Social Anxiety And Subtypes Of Empathy: The Moderating Influence Of Biological Sex, Samantha K. Berg
Social Anxiety And Subtypes Of Empathy: The Moderating Influence Of Biological Sex, Samantha K. Berg
Honors Undergraduate Theses
Only a few studies have examined relationships between social anxiety and subtypes of empathy. Findings are mixed. The present study examined social anxiety severity on a continuum and how it related to affective and cognitive empathy in 684 nonpsychiatric adults (77% female). Participants completed an online battery of measures that included: a self-report measure of social anxiety severity (Fear of Negative Evaluation), a self-report measure with subscales for affective and cognitive empathy (Interpersonal Reactivity Index), and a behavioral measure of cognitive empathy (Reading the Mind in the Eyes Task; MIE). After statistically covarying for general anxiety severity, biological sex moderated …
Childhood Experiences And Domestic Violence: The Role That Interpartner Violence Plays In Relationship Functioning And Parenting Behaviors In Adulthood., J'Nelle Stephenson
Childhood Experiences And Domestic Violence: The Role That Interpartner Violence Plays In Relationship Functioning And Parenting Behaviors In Adulthood., J'Nelle Stephenson
Electronic Theses and Dissertations
It is estimated that approximately 25% of women and 7.6% of men report experiencing violence from their romantic partner during their lifetime. Additionally, in households where interpartner violence occurs, there are between 3.3 and 10 million children in the United States alone. It is important to understand the cycle of domestic violence that can occur, as it can inform us about expected outcomes across time. This study examined mothers' childhood exposure to their own parents' domestic violence. It was hypothesized that childhood exposure to domestic violence would be related to unhealthy intimate relationships and to the development of maladaptive parenting …
Sleep Disturbances Among Firefighters: The Impact Of Shift Work On Sleep And Cognition, Jeremy Stout
Sleep Disturbances Among Firefighters: The Impact Of Shift Work On Sleep And Cognition, Jeremy Stout
Electronic Theses and Dissertations
A comprehensive sleep assessment of 45 firefighters was conducted over 9- days in an effort to determine the impact of their 24 hour work and 48 hour off work schedule on their sleep duration, sleep quality, processing speed, sustained attention, vigilance, and mental health. Chronic patterns of poor sleep are associated with an increased likelihood of performing poorly on tasks that require processing speed and sustained attention/vigilance which could lead to firefighters' suboptimal work performance or an increased risk of injury. Firefighters completed sleep actigraphy, self- report measures, as well as neuropsychological sub-tests at their beginning of their shift and …
The Efficacy Of A 6-Week Evidence-Based Support Group For Caregivers Of Dementia In A Primary Care Setting, Mona Shah
Electronic Theses and Dissertations
More than 16 million Americans provide unpaid care for those with Alzheimer's disease and other dementias. Extant literature has well documented the increased risk for physical, emotional, social and financial burden associated with caregiving. While intensive support groups may be well-suited to caregiver needs, they are often difficult to implement given financial, personnel and resource constraints. Thus, the purpose of this study is to examine the efficacy of a theoretically-based, 6-week caregiver support group in a community primary care setting. The group focuses on self-care, behavior management techniques and interdisciplinary caregiver resources. A total of 22 participants completed the active …
The State Of Trauma-Informed Care In The Preschool, Ellen Kolomeyer
The State Of Trauma-Informed Care In The Preschool, Ellen Kolomeyer
Electronic Theses and Dissertations
This study aimed to provide a foundational knowledge base from which to begin bridging the gap between research on trauma-informed, relationship-based therapeutic interventions in early childhood preschool classrooms and the practice of such classroom-based interventions. Specifically, this study identified several specific predictors (e.g., funding) and barriers (e.g., lack of knowledge and training in assessment instruments and referral options) to gaining trauma-informed knowledge and engaging in trauma-informed practices in preschool classrooms. Individuals in leadership roles at preschools were sampled anonymously with regard to their current trauma-informed knowledge and program practices. Participants included 98 preschool leaders from Florida, 36 preschool leaders from …
Subjective-Objective Discrepancies Among Patients With Sleep Complaints In The Patient-Centered Medical Home, Keri Bayley
Subjective-Objective Discrepancies Among Patients With Sleep Complaints In The Patient-Centered Medical Home, Keri Bayley
Electronic Theses and Dissertations
Sleep misperception – the discrepancy between objective and subjective measures of sleep – has been shown to be prevalent among patients with insomnia and may be a promising target for sleep intervention. This study examined sleep misperception in a diverse outpatient medical sample using consumer-grade wearable actigraphs (i.e., Fitbit Charge HR™). Forty-four self-identified problem sleepers aged 20 to 79 participated in the study. Participants completed sleep diaries for one week while also tracking their sleep using the Fitbit Charge HR™. After receiving a personalized sleep report based on these data, participants repeated another week of sleep assessment. Sleep misperception was …
Alcohol Pathology And The Triarchic Model Of Psychopathy: The Role Of Protective Behavioral Strategies And Impulsivity, Matthew Kramer
Alcohol Pathology And The Triarchic Model Of Psychopathy: The Role Of Protective Behavioral Strategies And Impulsivity, Matthew Kramer
Electronic Theses and Dissertations
OVERVIEW: Psychopathy has been an area of growing interest in psychology for the last half century. Currently, the most common conceptualization of psychopathy breaks it down into two factors: primary and secondary psychopathy. More recently, psychopathy has been viewed through a more nuanced model, the Triarchic Model of Psychopathy. The present study examines the relationship between the three facets of the Triarchic Model and alcohol pathology via aspects of impulsivity and Protective Behavioral Strategies (PBS). METHOD: A college student sample of n = 967 individuals who endorsed consuming alcohol completed surveys regarding the Triarchic Model, impulsivity, PBS use, and alcohol …
How Much Is Enough? Trauma Recall And The Exposure Therapy Process, Krystal Morrison
How Much Is Enough? Trauma Recall And The Exposure Therapy Process, Krystal Morrison
Electronic Theses and Dissertations
Prevailing theoretical models of posttraumatic stress disorder (PTSD) as well as exposure therapy (EXP) methodology suggest that recall of a trauma is crucial to altering the conditioned fear response associated with PTSD (Benito & Walther, 2015; Craske et al., 2008; Foa & Kozak, 1986). However, it is unclear whether limited recall of the event impacts the EXP process and treatment outcomes. This study examined whether incomplete trauma recall affected pre-treatment PTSD severity, Initial Fear Activation (IFA), Overall Fear Activation (OFA), Within-Session Habituation (WSH), Between-Session Habituation (BSH; overall extinction), average length of EXP sessions, number of EXP sessions, and post-treatment PTSD …
Domestic Parent-Child Interaction Problems And Working Memory: The Mediating Role Of Inattentive Adhd Symptoms, Svetha Mohan
Domestic Parent-Child Interaction Problems And Working Memory: The Mediating Role Of Inattentive Adhd Symptoms, Svetha Mohan
Honors Undergraduate Theses
The intent of this thesis is to explore the mediating effects of ADHD Inattentive symptoms on domestic parent-child interaction problems and working memory. Inattentive symptoms in children with ADHD are known to cause forgetfulness, slow processing speed, and negative parent-child interactions. Working memory deficits in phonological short term memory and the central executive are also well-established in children with ADHD. However, it is currently unknown to what extent inattentive symptoms are responsible for home behavior problems in conjunction with phonological working memory deficits. The aims are tested using two validated, common clinical questionnaires: The Teacher Report Form and the Home …
Posttraumatic Stress Disorder Or Combat Experience? A Functional Near-Infrared Spectroscopy Study Of Trauma-Related Auditory And Olfactory Cues, Michael Gramlich
Posttraumatic Stress Disorder Or Combat Experience? A Functional Near-Infrared Spectroscopy Study Of Trauma-Related Auditory And Olfactory Cues, Michael Gramlich
Electronic Theses and Dissertations
While the clinical communities are aware of the prevalence of posttraumatic stress disorder (PTSD) among OEF/OIF/OND veterans, further efforts are necessary to bolster comprehensive strategies for assessment and treatment. The purpose of this study was to investigate whether a combat-related PTSD symptom provocation paradigm would elicit unique neurological responses via functional near-infrared spectroscopy across three groups – combat veterans with PTSD, combat veterans without PTSD, and nonmilitary participants without PTSD. Results indicated that combat veterans with PTSD demonstrated significant activation during exposure to a trauma-related sound compared to nonmilitary personnel at channels 14 (d = 1.03) and 15 (d = …