Clinical Psychology Commons^™

Gender Differences In Treatment Seeking Gamblers With A Comorbid Eating Disorder, Maryam Sharif-Razi, Kristin M. Von Ranson

International Conference on Gambling & Risk Taking

Abstract: Recent literature suggests that gambling and eating disorders may co-occur more frequently than once thought. However, no studies have directly examined whether gender differences exist in comorbid gambling and eating disorders. The present study investigated gender differences in current gambling behaviors, gambling severity, gambling-related cognitive distortions, and psychiatric comorbidities in dual-diagnosed participants. The sample consisted of 349 treatment-seeking gamblers at a university hospital in São Paulo, Brazil. Gambling disorder and other psychiatric comorbidities were assessed via comprehensive clinical interviews. Of the total sample, 43 participants met criteria for both a gambling and eating disorder, and subsequently completed a series …

Redesigning Gambling Treatment Programs For Success: A Model Based Approach Toward Program Development, Jeffrey J. Marotta, Greta Coe

International Conference on Gambling & Risk Taking

Abstract

This presentation will describe a program improvement initiative launched by Oregon Problem Gambling Services to assist with the development of its 47 publicly-funded gambling treatment programs. The development approach incorporated best practices as identified by SAMHSA, the gambling disorders literature, and expert review. The resulting Technical Assistance Visit Toolkit & Gambling Treatment Program Capability Index (GTPCI) offer a streamline program improvement protocol for use specifically with gambling treatment programs. The presenters will share their experience in implementing this program development approach, merits of the model, and program results.

Implications

This presentation will introduce participants to a model and evaluation …

Interventions For Problem And Pathological Gambling: Status, Innovations, And Challenges, Matthew P. Martens

International Conference on Gambling & Risk Taking

The purpose of this presentation is to address research on the effectiveness of problem gambling interventions and offer insights for new directions. Dr. Martens has led two clinical trials over the past five years that have integrated technology into problem gambling interventions for young adults. In the first trial (Martens et al., 2015), he found that a computerized personalized feedback intervention reduced gambling problems among at-risk young adult gamblers. In the second trial (Martens et al., in preparation), he found that an intervention delivered via cell phone and text-message had an indirect effect on gambling-related problems. Although effect sizes for …

The Efficacy Of The “Who Really Wins?” Youth Gambling Prevention Program – Preliminary Results From The First National Implementation Study, Neven Ricijas Ph.D., Dora Dodig Hundric Ph.D., Sanja Radic Bursac Ma, Ana Rakic Ma

International Conference on Gambling & Risk Taking

“Who really wins” is the first comprehensive youth gambling prevention program developed and implemented in Croatia, based on a national research study on a representative sample of high-school students, conducted at the University of Zagreb. The Program was developed, piloted and modified between 2012 – 2014. Its pilot implementation was performed in 2 high-schools in the City of Zagreb, by the authors of the Program and evaluation results indicated a decrease in risk factors, namely better knowledge about gambling and less gambling related cognitive distortions among training group, compared to a control group of students (Huić et al., 2017).

In …

Using Misconceptions To Improve Education Programs That Aim To Prevent Gambling Problems, Brittany Keen, Alex Blaszczynski, Fadi Anjoul

International Conference on Gambling & Risk Taking

No abstract provided.

Disordered Eating And Body Dysmorphic Concerns In Asian American Women: Sociocultural And Culture-Specific Predictors, Liya Akoury

UNLV Theses, Dissertations, Professional Papers, and Capstones

The sociocultural idealization of thinness and Eurocentric features (e.g., lighter skin) is ubiquitous in Westernized cultures, yet only some women internalize these ideals and/or perceive heightened pressures to conform to such ideals. Elevated internalization and perceived pressures to obtain thinness and Eurocentric features may contribute to disordered eating and unique types of body dysmorphic concerns (e.g., dissatisfaction with skin color, eye size/ shape), respectively. Such difficulties may be particularly relevant for ethnic minority women; however, little research exists examining such effects. Further, few studies have comprehensively examined the intersection between sociocultural and culture-specific (e.g., ethnic identity; biculturalism) predictors on disordered …

Identifying Risk Factors For Youth Hospitalization In Crisis Settings: A Classification And Regression Tree Analysis, Yen-Ling Chen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Traditionally, treatment option for psychiatric crises was limited to psychiatric hospitalization. However, psychiatric hospitals are expensive and little evidence supports their utility. Youth returning from psychiatric hospitalizations often have difficulties readjusting to everyday life which can increase risk for negative outcomes. Alternative treatment options such as mobile crisis services might be useful for stabilizing youth in the community and garnering better long-term outcomes. For alternative treatment options to work, clinicians must be able to efficiently and accurately distinguish youth in need of psychiatric hospitalization and youth who could be served via an alternative service. Therefore, the purpose of the present …

Exploring The Pristine Inner Experience Of Individuals In Psychotherapy, Alek Emily Krumm

UNLV Theses, Dissertations, Professional Papers, and Capstones

Inner experience is a frequent topic in psychotherapy and in psychology more broadly, yet very little research has carefully and systematically observed the naturally-occurring experience of psychotherapy clients. The current study begins to fill that gap by using descriptive experience sampling (DES) to survey the inner experience of a small sample of individuals seeking psychotherapy. DES is a method that uses a random-interval beeper to signal participants to pay attention to their pristine inner experiences—the thoughts, feelings, sensations, and so on that are directly apprehendable ‘before the footlights of consciousness’—and describe them in high fidelity. We used about eight days …

The Influence Of Opponent Strategy And Psychopathic Traits On Point Gains And Cooperation In The Iterated Prisoner’S Dilemma, Mary Baggio

UNLV Theses, Dissertations, Professional Papers, and Capstones

The Prisoner’s Dilemma game is a paradigm used to model and measure social cooperation. Uncooperative behavior may be one manifestation of the unstable interpersonal functioning in psychopathy. I investigated the effect of opponent strategy as well as psychopathic traits of fearless dominance (FD) and impulsive antisociality (IA) on cooperation rates and total and competitive point gains in a sample of 177 undergraduates playing long, finitely iterated Prisoner’s Dilemma games against computerized opponents who varied in their interpersonal styles from very harsh to very lenient. I analyzed rates of cooperation during each game, participants’ total points gained, and the difference in …

Identifying Youth At Risk For Problematic Absenteeism Using Nonparametric Modeling: The Impact Of Youth Psychopathology And Family Environment Risk Factors, Mirae Fornander

UNLV Theses, Dissertations, Professional Papers, and Capstones

The best cutoff to differentiate problematic school absenteeism from nonproblematic school absenteeism has yet to be identified in the literature (Lyon & Cotler, 2007). Contemporary classification systems, including Multi-Tiered Systems of Support (MTSS), depend upon cutoffs to clearly define the various tiers (Jimerson, Burns, & VanDerHeyden, 2016). The current study aimed to inform the MTSS approach while also contributing to early identification, assessment, and intervention methods for those youth and families at the highest risk of problematic school absenteeism and its negative consequences. The current study identified subgroups of youth at the highest risk of problematic absenteeism, defined as equal …

Confirmatory Factor Analysis Of Oppositional Defiant Disorder Within Clinically Referred Youth, Breanna Garcia

UNLV Theses, Dissertations, Professional Papers, and Capstones

Each new edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; APA, 2013) has been met with substantial criticism. Particularly, in DSM-5, two disorders were defined by very similar criteria. Oppositional defiant disorder (ODD) was defined as consisting of three dimensions - irritability, noncompliance, and spiteful/vindictive. Additionally, ODD has duration criteria that indicate its symptoms must be present for at least 6 months suggesting the presence of chronic irritability. DSM-5 also included disruptive mood dysregulation disorder (DMDD) as a disorder marked by the presence of chronic irritability in childhood and adolescence. The question of whether chronic irritability (i.e., …

Development Of The Emotional Verbal Learning Test - Spanish (Evlt-S), Davor Nicolas Zink

UNLV Theses, Dissertations, Professional Papers, and Capstones

Emotional disturbances are common features of clinical disorders and are often present in individuals who have neurodevelopmental or acquired brain disorders. The Hispanic population is the largest and fastest growing ethnic minority group in the United States (U.S.) and by 2050 is projected to be the largest. However, few instruments are available to evaluate emotional functioning in individuals who speak Spanish. Fewer still are available to assess cognitive disturbances resulting from brain dysfunction that impact emotion processing. Normal processing of emotion is critical for social functioning. In recent years it has become apparent that cognitive abilities specialized to process social …

Malingering Undetected Successfully: Does Extrinsic Motivation And Coaching Have A Significant Impact?, Jennifer Golanics

UNLV Theses, Dissertations, Professional Papers, and Capstones

The present study examined the effectiveness of a Mild Traumatic Brain Injury (mTBI) coaching (i.e., providing information about mTBI symptoms) and motivational incentive (i.e., a $50 gift card lottery) on the Automated Neuropsychological Assessment Metrics (ANAM) test performance. The sample included a total of 162 undergraduate and graduate students enrolled in an introductory educational psychology course. Participants were randomly assigned to one of six conditions: coached plus warning instruction and motivation incentive, coached instruction and motivation incentive, uncoached instruction and motivation incentive, coached plus warning instruction and no motivation incentive, coached instruction and no motivation incentive, and uncoached instruction and …

An Examination Of Student-Athlete Stress And Risky Alcohol Use, Travis Albert Loughran

UNLV Theses, Dissertations, Professional Papers, and Capstones

Student-athletes are a sub-population of college students that are likely to engage in binge drinking behavior and experience the negative consequences associated with alcohol use (Barry, Howell, Riplinger, & Piazza-Gardner, 2015; Nelson & Wechsler, 2001). In addition, participating in intercollegiate athletics comes with unique stressors not faced by non-athlete students, such as balancing academic responsibilities with athletic obligations, managing the strain associated with playing competitive sport, and navigating complex interpersonal relationships with coaches, teammates, and peers (Parham, 1993; Watson, 2002). However, there appears to be little research examining the relationship between alcohol risk and the specific stressors associated with being …

The Structure Of Psychopathology And Its Relationship To Personality And Eeg, Vincent Rozalski

UNLV Theses, Dissertations, Professional Papers, and Capstones

The factor structure of psychopathology has been debated in the literature, with studies showing support for several models, including one-, two-, and three-factor solutions. The factor structures often vary as a function of what symptoms and diagnoses are included, and when a wide array of diagnoses are present, a three-factor solution is often found. Personality has been shown to be related to psychopathology and its higher order structures, but there is little research regarding neurobiological associations that take into account the factor structure of psychopathology along with personality. This dissertation examined the factor structure of a wide range of psychopathology, …

Evaluation Of A Brief “Surf The Urge” Intervention, Kimberly N. Schubert

UNLV Theses, Dissertations, Professional Papers, and Capstones

Previous research has demonstrated that mindfulness interventions can assist in increasing an individual’s wellbeing. This includes improving an individual’s mental health and decreasing urge-related behaviors (e.g., substance use, deliberate self-harm, aggression). Nevertheless, there is limited research on the efficaciousness of mindfulness interventions with adolescents. These interventions are also time consuming and expensive. The purpose of this study is to examine the effectiveness of a brief (i.e., 10 to 20 minutes) mindfulness intervention to assist adolescents in reducing their urge-related behaviors. I hypothesized that the brief intervention would reduce participants’ urge-related behaviors but not urge feelings. The intervention was also predicted …

Examination Of A Screening Tool For Athletes’ Mental Health And Its Direct Implications To Sport Training And Competition, Jesse Scott

UNLV Theses, Dissertations, Professional Papers, and Capstones

The Sport Interference Checklist (SIC) is a psychometrically validated instrument designed to assess how often cognitive and behavioral factors interfere with athletes performance during training and/or competition as well as the extent to which athletes are interested in pursuing sport psychology to address these problems. The success of this scale inspired an interest in developing new items that assess the influence of specific mental health concerns on sport performance using the SIC format. The Sport Interference Checklist’s Sport Specific Screen for Mental Health (SIC-SSSMH) was empirically developed using 259 athletes to assist in the identification of mental health problems explicitly …

Validity And Diagnostic Accuracy Of Broad Symptom Measures And Adhd Symptom Ratings For Identifying Individuals With Adhd Combined And Adhd Inattentive, Stacy Jean Graves

UNLV Theses, Dissertations, Professional Papers, and Capstones

Neuropsychological assessments conducted with children with Attention Deficit Hyperactivity Disorder (ADHD) often includes broad measures of behavioral disturbances, as well as specific measures of ADHD symptomatology. However, it is unclear the extent to which these two types of measures share substantial common variance or are useful in improving diagnostic accuracy. In efforts to increase efficiency, the current study examined these matters to provide clinicians with information that might help improve the selection of behavioral ratings for evaluation purposes.

Participants included in this study were evaluated for clinical purposes at a community based private practice. Participants included 253 of these children …

Sexual Desire Trajectories: Heterosexual Individuals' Perceptions Of The State And Trait Characteristics Of Desire, Caroline Maykut

UNLV Theses, Dissertations, Professional Papers, and Capstones

Significant theoretical and empirical attention has aimed to classify sexual desire in a way that accounts for its complexities. A recent question to arise from this discussion is whether desire is best conceptualized as a state or a trait. Limited data examine patterns of desire spanning several years, and most data emanate from cross-sectional or short-term follow-up studies. Long-term accounts of desire level variability remain a gap in the literature, as does research inquiring directly about the question of trait desire.

Thirteen heterosexual women and ten heterosexual men, ages 40-63, participated in a semi-structured interview focusing on desire level and …

Understanding Stress Reactivity In Schizophrenia, Mary Vertinski

UNLV Theses, Dissertations, Professional Papers, and Capstones

The role of stress has long been recognized in schizophrenia; several theories have identified the role of stress as an important factor in the etiology of schizophrenia. A handful of studies have used laboratory psychosocial stressors to examine cortisol stress response in schizophrenia; the results obtained have consistently suggested that the stress response is attenuated in people with schizophrenia. Present study set out to examine stress responsivity in schizophrenia relative to healthy controls. A laboratory stress test was used to investigate cortisol response, heart rate and task appraisal in a sample of 17 healthy controls and 16 men diagnosed with …

Development And Validation Of A Brief Assessment Of Social Cognitive Abilities, Ryanna Zenisek

UNLV Theses, Dissertations, Professional Papers, and Capstones

It has been consistently found that individuals with schizophrenia exhibit impairments across various social cognitive domains, including emotion processing, social perception, and theory of mind. These deficits have been found across illness stages and cannot be accounted for by clinical symptomatology or neurocognitive skills. Further, while it has been well established that there is a link between cognition and functional outcome, social cognition has been found to be uniquely related to functional impairment in the disorder. Despite this evidence, the field is currently lacking efficient ways to identify and characterize these deficits in clinical settings. The Brief Test of Social …

Social Cognition In Children With Attention-Deficit/Hyperactivity Disorder, Elyse Parke

UNLV Theses, Dissertations, Professional Papers, and Capstones

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder, which impacts behavioral outcomes, including social functioning. Children with ADHD demonstrate impairment across a number of social domains, including aggressive behavior, poor social skills, and higher rates of Oppositional Defiant Disorder compared to typically developing peers. However, the underlying neurocognitive underpinnings of these poor social outcomes are unclear. Furthermore, little is known regarding the impact of ADHD symptomatology on aspects of social cognition. Inattention, hyperactivity, and impulsivity may differentially impact components of social cognition. Determining whether performance on social cognition tasks is predictive of social skills and problem behaviors is also an area …

An Evaluation Of The Effects Of The Coach-Athlete Relationship On Athlete Mental Health, Corey Rae Phillips

UNLV Theses, Dissertations, Professional Papers, and Capstones

There is a demand to target the mental health needs of collegiate athletes, who are

considered to be at-risk for physiological injuries, psychological disturbances, and

academic problems. Due to the dynamic nature of the coach-athlete relationship,

assessing the impact coaches have on athletes’ psychological wellbeing is imperative to

shift the way mental health is addressed within this population. The current study aims to

address the relationship between perceived problems in the coach-athlete relationship and

mental health of college students who participate in organized sport. I hypothesize that

problems in the relationship have serious implications for athletes and mental health

providers …

Athlete Alcohol Use And Alcohol-Related Consequences: The Role Of Drinking Motives, Michelle Pitts

UNLV Theses, Dissertations, Professional Papers, and Capstones

Intercollegiate athlete alcohol use, particularly in softball athletes, is higher compared to nonathletes and they experience greater alcohol-related consequences. Motivation to drink alcohol is a strong predictor of alcohol use and alcohol-related problems in college students, including collegiate athletes. Drinking motives are reasons why people consume alcohol, including reasons that are specific to the context of athletics. Two dimensions underlie drinking motives: positively or negatively reinforcing motives and internal or external motives (Cox & Klinger, 1988). In this study the influence of sport-related and general drinking motives on alcohol use and negative alcohol-related consequences was examined in 721 collegiate softball …

Sociocultural Risk Factors For Elevated Perceived Stress Among African American Smokers, Monica Webb Hooper, Noella A. Dietz, Joseph C. Wilson

Journal of Health Disparities Research and Practice

Introduction: African Americans experience unique stressors that may inhibit smoking cessation and enhance relapse rates. Few studies, however, have focused on risk factors for perceived stress among treatment seekers. Because African Americans are less likely to quit compared to the larger community, understanding factors associated with perceived stress among smokers has the potential to improve intervention outcomes. This study examined psychosocial and cultural correlates of stress in a sample of African American participants in a randomized controlled trial.

Methods: At baseline, participants reported demographic factors and completed assessments of smoking history, alcohol use, friend and household smoking, weight concerns, acculturation, …

Pk11195 Increases Anxiety Like Behaviors In The Open Field, Audrey Donald, Dustin Hines

AANAPISI Poster Presentations

Anxiety is one of the most common mental illnesses in the US. Signaling between regions of the brain can be corrupted causing stress related behaviors. Medications that help treat these behaviors target GABA receptors in an inhibitory manner. However, these medications only work for a period of time. The likelihood of being free of these medications becomes uncertain. Another approach is a protein called translocator protein. TSPO, once known as peripheral benzodiazepine receptor is known to mediate anxiety related behaviors through the synthesis of neurosteriods. While TSPO may mediate these behaviors, its mechanism is not well known. Ligand PK11195 was …

Testing A Comprehensive Model Of Body Image, Anxiety, And Eating Pathology Among College Men, Emily Katherine White

UNLV Theses, Dissertations, Professional Papers, and Capstones

Historically, researchers conceptualized eating disorders, subclinical eating pathology, and negative body image as issues that only affected women. However, more recent research suggests that men experience significant body image concerns that mirror current Western cultural ideals of appearance (i.e., desire to attain a lean, muscular physique with very little body fat). Theoretically, men with a strong desire to achieve this cultural ideal (i.e., drive for muscularity) may experience dissatisfaction with their appearance (i.e., muscle dysmorphia), unpleasant psychological states (e.g., social physique anxiety), and engage in potentially harmful behaviors related to eating pathology (e.g., body checking) that lead to clinical impairment …

Cognitive Restructuring For The Treatment Of Gambling Related Thoughts: A Systematic Review, Maxime Chrétien, Isabelle Giroux, Annie Goulet, Christian Jacques, Stéphane Bouchard

International Conference on Gambling & Risk Taking

Cognitive restructuring is the best practice for treating gambling related thoughts, but some therapists do not apply this technique due to a lack of training regarding its application. The increase of skill game players (e.g., poker) entering treatment adds a challenge for therapists because these gamblers present with different thoughts than those of other gamblers usually encountered in treatment (e.g., EGM). This systematic review aims to describe how cognitive restructuring is carried out with gamblers, particularly skill game players, based on the evidence available in empirical studies that include cognitive interventions for gambling. Of the 2607 studies collected, 41 were …

Indicators Of Clinically Significant Gambling Treatment Gains, Meredith K. Ginley, Walter R. Winfree, James P. Whelan, Rory A. Pfund, Andrew W. Meyers

International Conference on Gambling & Risk Taking

Treatments should be tailored to the individual in order to improve their effectiveness and efficiency. An assessment of treatment gains is essential to this goal, particularly the ability to identify when clinically significant change is achieved. This paper will examine the sensitivity and specificity of two constructs that moderate change for gambling-focused treatments: self-efficacy to control gambling and strength of gambling-related cognitive distortions.

Participants completed measures of gambling symptoms: the Gambling Self-Efficacy Questionnaire (GSEQ) to assess self-efficacy to control gambling, and the Gamblers’ Beliefs Questionnaire to assess cognitive distortions (GBQ). Included was a clinical sample of 312 treatment-seeking outpatient disordered …

Gambling Warning Messages: The Impact Of Winning And Losing On Message Reception Across A Gambling Episode, Rory A. Pfund, Meredith K. Ginley, Samuel C. Peter, James P. Whelan, Andrew W. Meyers

International Conference on Gambling & Risk Taking

Warning messages prevent and modify risk-taking behaviors. When controlling the outcome of each wager, studies suggest such messages can increase a player’s knowledge about gambling-specific risks, modify their gambling-related cognitive distortions, and even change play. The present study takes the next step by asking if the reception of the warning message is influenced by the player’s experience of winning or losing.

In a laboratory study, participants were randomly assigned to a winning or losing gambling experience where they either viewed periodic warning messages or not. Using a mixed model analysis, the influence of the warning messages was related to players’ …