Clinical Psychology Commons^™

The Emotional Impact On Elderly Spouses Who Placed Their Loved Ones In Long-Term, Barbara Hunt

Walden Dissertations and Doctoral Studies

Aging may bring mental and/or physical decline. There may come a point when a loved

one needs long-term care in a nursing home. The purpose of this phenomenological study

was to examine the community dwelling spouses' emotional state. A study was

conducted with 10 individuals (5 men and 5 women) who had a spouse in long-term

nursing care. Inclusion criteria was to be at least 65-years old, have been married at least

30 years, and reside alone in his or her own home. The social emotional selectivity theory

and the construct of boundary ambiguity were applied to view the epoch. …

Risk Factors Associated With Depression And Anxiety In Older Adults Of Mexican Origin, Raquel Estrada Gonzalez

Walden Dissertations and Doctoral Studies

Older adults of Mexican origin are often underserved, especially those residing in nursing homes. Their number has increased in the past 4 years. There is a gap in the research literature on Hispanic elders, specifically those of Mexican origin, residing in nursing homes along the Texas-Mexico border. Because Texas has one of the fastest growing populations of Mexican elders, it is important to better understand this population. This nonexperimental study evaluated the relationship among risk factors' such as gender, marital status, family support, activities of daily living (ADLs) and participation in nursing home activities. These relationships were evaluated with a …

The Effects Of Buddhist Psychological Practices On The Mental Health And Social Attitudes Of Lesbian, Gay, And Bisexual People, Jessica Lynn Fritzges

Walden Dissertations and Doctoral Studies

This non-experimental, quantitative study explored the effects of the Buddhist-derived practices of mindfulness and loving-kindness meditations on the wellness of lesbian, gay, and bisexual (LGB) people. LGB people are at higher risk of mental illness and increased social isolation due to minority stress; Buddhist-derived mindfulness practices mediate these effects in other groups. Lazarus and Folkman's transactional model of stress and coping was the theoretical model explaining how positive cognitive appraisal induced by meditation can mediate effects of stress. This study examined whether mental health scores on the Emotional Symptoms Checklist (ESC), social attitudes measured on the Unjust World Views Scale, …

Impact Of Pretreatment Self-Perceived Quality Of Life On Chronic Pain Patients, Michelle Laird

Walden Dissertations and Doctoral Studies

Researchers and practitioners have developed new treatment options for chronic pain management based on biopsychosocial models of pain known as interdisciplinary pain management programs (IPMP), which involve interdisciplinary care that integrates physical treatment with emotional, environmental, behavioral, and cognitive interventions. Despite literature documenting the effectiveness of IPMPs, patients find it difficult to obtain authorization for these programs from third party insurance payers. The purpose of this quantitative causal comparative study was to explore whether a patient's perceived quality of life after injury but prior to treatment will affect his or her success in an IPMP. This study was based in …

A Resilient Warrior: Coping Positively With Combat Stress Exposure, William Stallard

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore and examine coping with combat stress exposure in a homogeneous group of 132 U.S. Marines who served in Operations Enduring Freedom or Iraqi Freedom, and who self-reported that they were coping positively. A mixed methods concurrent triangulation strategy was employed with positive psychology as the quantitative theoretical base and Husserlian transcendental phenomenology as the qualitative conceptual framework. Quantitatively, hardiness, hope, social support, personality, and coping strategies were assessed in the participants to examine how these variables may moderate or mediate the relationship between combat stress exposure and subjective well-being. Five hypotheses were …

Stress: The Development And Influence On Self-Identity, Earl Grey

2010-2016 Archived Posters

Using a grounded theory methodology and constantcomparative analysis, the investigator sought to develop an empirical understanding of the experience of stress and its influence on identity development. The 23 participants, who did not meet criteria for a DSM-IV-TR diagnoses, received 10 - 60 minutes sessions of eye movement desensitization and reprocessing treatment (EMDR). EMDR treatment targets stressful memories and elicits recall of thoughts, imagery, emotions, and physical body sensations related to the stressful experience. The data from video recorded sessions provided holistic information regarding each participant’s experience and recall of stressful events. The results yielded thematic developmental patterns of thoughts, …

Effects Of Memantine And One-On-One Caregiver Contact On Antipsychotic Medication Prescribed To Elderly Veterans With Dementia, Abimbola Farinde

Presidential Alumni Research Dissemination Award

The reduction of antipsychotic medications for elderly patients diagnosed with dementia is an important goal for treatment because of the negative side effects and increased mortality risk associated with these drugs. Prior research has suggested the benefit of adding one-on-one caregiver intervention and memantine to a cholinesterase inhibitor protocol to reduce the amount of antipsychotic medication. This research examined the differences between these treatment protocols (cholinesterase inhibitor only and combination therapy) on antipsychotic drug dosage prescribed to 98 elderly male veteran outpatients with dementia. The theoretical foundations for this study are based on the neurochemical model, related to the cholingeric …

Inspiring Change: Exercise Self-Efficacy, Dispositional Optimism, And Perceived Stress In College Seniors, Joshua M. Garrin

Walden Dissertations and Doctoral Studies

Prohealth competencies, positive outcome expectancies, and adaptive stress appraisals have profound implications for the real-world transition of college seniors—a population for which engagement in physical activity reflects a preeminent concern. Prior studies on exercise self-efficacy (ESE), dispositional optimism (DO), perceived stress (PS), and physical activity have yielded inconclusive evidence of the emergent psychosocial challenges encountered during the final year of the college experience. Using a triadic framework of self-efficacy, attribution, and cognitive appraisal theories, this crosssectional, quantitative study was conducted using a web survey to examine (a) the impact of physical activity level on ESE, DO, and PS; (b) the …

Efficacy Of Cultural-Based Psychoeducational Group Therapy For Increasing Marital Satisfaction Among Latino Couples, Maria Jesus Ampuero

Walden Dissertations and Doctoral Studies

Previous research has indicated the importance of providing marriage education to ethnic minority couples who are struggling with their marital relationships. Despite this known importance, significantly fewer resources are available for Latino couples, who have a high rate of divorce. The purpose of this quantitative, randomized, wait-list control group trial design was to determine whether Couples in Contact, a culturally-based, psychoeducational intervention group program for Latino couples, increases marital satisfaction, as measured by the Marital Satisfaction Inventory, Revised (MSI-R). This study drew on cognitive behavioral therapy applied to couples, and the supportive theories underlying family systems theory and Gottman's theory. …

Understanding Distinctive Beliefs And Perceptions About Depression Among Haitian Men, Darlyne Richardson

Walden Dissertations and Doctoral Studies

As of 2010, depression was the second most serious disorder among developed nations. Historically, African Americans, Latinos, and people of Caribbean descent have underutilized mental health services and have therefore been underrepresented in such statistics. Investigation into depression among Haitian men, from a Western or a non-Western cultural perspective, has been sparse in the literature. Bandura's social learning theory and Mahalik's biopsychosocial framework provided the theoretical foundation for this investigation. The purpose of this quantitative analysis was to explore the relationship between levels of depression in Haitian men related to restrictive emotionality, self-reliance, subjective masculine stress, spiritual well-being, and length …

Hiv/Aids Care, Coping Strategies And Work Environmental Stress Among Nurses In Botswana, Thabo T. Fako, Debra Rose Wilson, James G. Linn, Ntonghanwah Forcheh

Walden Faculty and Staff Publications

Since 2006 there has been universal acceptance in both developing and industrialized societies that HIV treatment and related services, including more effective programs, be available to all citizens. However, as a result of the worldwide recession and shifting health priorities, progress toward these goals has stalled. While the epidemic continues to grow (approximately 34 million globally, with 2.7 million new cases in 2010), fewer resources are dedicated to treatment and prevention than previously, and clinical staffs, especially nurses are challenged by more patient care responsibilities. This paper focuses on the relationships of HIV/AIDS care, coping strategies and work environmental stress …

Relationship Satisfaction Among Married Or Cohabitating Heterosexual And Homosexual Couples In The State Of Hawaii, Adrianna Marie Flavin

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore relationship satisfaction among adult, cohabitating heterosexual and homosexual dyads. The United States has the highest rate of divorce among all the industrialized nations. Divorce has been linked to declines in mental and physical health, financial and social instability, unhealthy patterns of over-compensation, and higher levels of separation among the offspring of such couples. Hawaii has the fourth lowest rate of divorce in the country, despite also having the one of the highest rates of interethnic marriage worldwide. Researchers of relationship satisfaction and minority issues have yet to explore the correlates of relationship …

Assessment, Referral, And Self Perception In Binge Eating And Obesity Among Adults, Mary Solberg

Walden Dissertations and Doctoral Studies

In the past 30 years, binge eating and obesity has increased among all age groups due to lifestyle, environment, social, and biological reasons. To change eating habits, individuals may have to collaborate with others beyond the medical professional. Societal impacts of binge eating and obesity include increases in insurance rates, medical costs, and increased early-age mortality. The purposes of this study were to assess how individuals are referred to other professionals if they self-identify as binge eaters or obese and to understand personal awareness individuals had of binge eating and obesity. Cognitive behavioral theory was used as the theoretical foundation. …

Emotional Intelligence And Graduate Student Satisfaction At Online Institutions Of Higher Education, Christa Thompson

Walden Dissertations and Doctoral Studies

The effect of emotional intelligence (EI) among students in education settings could prove essential to determining the needs of student satisfaction leading to retention and graduation. However, lack of research has yet to determine whether EI is an important factor of student satisfaction. The purpose of this quantitative survey study was to determine whether a relationship exists between EI in graduate students and satisfaction with their overall academic experience at their online institution of higher education. Participants included graduate students enrolled in a masters' or doctoral program at an online institution of higher education. They were surveyed to measure their …

Adult Outpatients With Major Depressive Disorder Forming Positive Responses During Challenging Events, Michelle Renee Victoria

Walden Dissertations and Doctoral Studies

Previous empirical research demonstrated that major depressive disorder (MDD) had a profound impact on adults. What remained unaddressed in the research was the ability of those with MDD to form positive responses during challenging life events. The purpose of this exploratory quantitative study was to examine the cognitive ability of MDD patients to form positive responses on a standardized psychological assessment. This study, guided by Beck's cognitive theory of depression, was designed to determine whether depressed individuals were prone to negativity and had decreased ability to form positive responses to challenging situations. A 2x2 ANOVA was used to analyze 116 …

Criminal History And Lsi-R Scores Of Rsat Participants In The State Of Massachusetts: Impact Of Offender Age On Program Completion And Rates Of Offender Recidivism, Jewell E. Hankins

Walden Dissertations and Doctoral Studies

The purpose of this study was to understand how offender age impacted residential substance abuse treatment (RSAT) program success in reducing rates of recidivism for offenders exiting the judicial system. Despite passing legislation in the 1980s and 1990s, which increased the penalties for certain crimes, offender recidivism remains high, with no apparent drop in the number of incarcerations and re-incarcerations, resulting in high costs and threats to the safety and quality of life experienced within communities. Social learning theory, behavioral decision theory, and biologically based theories of behavior were the theoretical foundations. Archival data collected from a RSAT grant program …

The Effect Of Positive Verbal Information On Reducing Fears About Bats In School-Aged Children, Kimberly J. Williams

Walden Dissertations and Doctoral Studies

Many school-aged children fear certain animals. Fear tends to make children worry and exhibit anxious behaviors, and this can negatively affect many aspects of their lives. Rachman (1977) speculated that some children might acquire fear through receiving negative verbal information. Few studies have examined whether positive verbal information can influence children's fear beliefs about bats. Based on Rachman's Theory on the Acquisition of Fear Behaviors this experimental research study examined whether positive verbal information might relate to decreasing fears about bats. One hundred and seventy-two participants in Grades 2 through 4 completed the Fear Beliefs Questionnaire (FBQ) and the Bat …

The Relationship Between Adult Attachment Style And Stress Coping Skills To College Graduation, Renee M. Ford

Walden Dissertations and Doctoral Studies

Previous research conducted with currently enrolled college students has suggested a relationship between secure attachment style, greater stress coping abilities, and academic success. However, there is an absence of research examining these variables as predictors of college graduation. Attachment theory was used as a theoretical framework to address this gap. The purpose of this study was to determine if there was a relationship between adult attachment style, stress coping skills, and college graduation. This logistic regression study included 81 individuals who either withdrew or graduated from college within the last 4 years. Participants provided demographic information, completed the Experiences in …

Correlates Of Resilience Among American Indians In A Northwestern Us State, Bruce M. Bradway

Walden Dissertations and Doctoral Studies

Despite low life expectancy, high suicide and homicide rates, and excessive levels of poverty and violence, American Indians continue to survive. However, few researchers have assessed the correlates of resilience among adult American Indians. Current researchers assessing American Indian resilience have focused primarily on adolescents and preadolescents, resulting in a definition of resilience that is more often than not defined by the lack of negative youth outcomes. In this quantitative survey study, data were collected from 103 American Indians living off-reservation in a northwestern state. Gender, age, education level, degree of enculturation (using the Multigroup Ethnic Identity Measure), level of …

Gatekeeper Suicide Prevention Training And Its Impact On Attitudes Toward Help Seeking, John Angelo Cascamo Jr.

Walden Dissertations and Doctoral Studies

Gatekeeper Suicide Prevention Trainings such as Question Persuade and Refer (QPR) are used to increase suicide awareness and teach participants basic suicide intervention skills. Previous researchers showed that QPR training increases knowledge of suicide risk factors and increases participants' willingness to intervene with individuals at risk of suicide. It was hypothesized that completion of QPR would also increase positive attitudes toward the utilization of mental health services and that this outcome would be more pronounced among male participants. The examination of attitudes was rooted in the theoretical framework of Ajzen's theory of planned behavior. The Inventory of Attitudes toward Seeking …

The Human-Animal Bond And Combat-Related Posttraumatic Stress Symptoms, Melissa White

Walden Dissertations and Doctoral Studies

Early into the Afghanistan and Iraq wars, reports revealed that less than half of individuals displaying symptoms of posttraumatic stress disorder sought help from the mental health community. As a means to cope with the stresses of war, many soldiers turned to animals for emotional support, and anecdotal reports identified reduction in the severity of distress among soldiers. However, no study was found that investigates this phenomenon. The purpose of this study was to explore the lived experiences of service members with combat-related posttraumatic stress symptoms and the human-animal bond. The study applied a blend of constructivism and phenomenology to …

Effect Of Stress, Emotional Lability And Depression On The Development Of Pregnancy Complications, Servitje, Estibalitz Laresgoiti Servitje

Walden Dissertations and Doctoral Studies

Chronic stress and other emotional factors may have relevant impacts on pregnancy outcomes because they are related to neuroendocrine changes that lead to alterations in immunomodulation during pregnancy. In this quantitative prospective cross-sectional study, the relationship of emotional lability, depression, and stress during pregnancy and the development of preterm labor, preeclampsia, placental abruption, and low birth weight for gestational age babies was examined. Additionally, social support scores were compared to levels of stress/anxiety, depression, and emotional lability in pregnant women. Two hundred and forty two pregnant women who received prenatal services at the National Institute of Perinatology in Mexico City …

The Nature And Impact Of Cyberbullying On The Middle School Student, Jacqueline K. Pilkey

Walden Dissertations and Doctoral Studies

Cyberbullying is harassment through the Internet or other technologies. Forty-two percent of youth nationally have experienced cyberbullying and 53% admitted to being the cyberbully. A lack of understanding by adults of cyberbullying logistics and impact causes cyberbullying to remain a serious issue that has not yet been appropriately addressed within schools. A sequential, mixed methods study was implemented to investigate the prevalence of cyberbullying in one middle school and to determine the nature and impact of the experience in order to inform site-based interventions. Bandura's social learning theory, Bronfenbrenner's ecological framework, and Agnew's strain theory provided this investigation's theoretical foundation. …

Psychiatric Disorders As Potential Predictors In Medical Disease Development, Linda Kay Taliaferro

Walden Dissertations and Doctoral Studies

Millions of individuals suffer disability or death from immune-based inflammatory diseases. If psychiatric disorders could be empirically linked to the prediction of immune-based inflammatory diseases, there would be a basis for promoting disease prevention measures for individuals diagnosed with one of four psychiatric disorders. Psychoneuroimmunology provided the theoretical base for understanding emotionally induced medical disease development. In this quantitative study, a parallel archival research design was used to investigate the degree to which generalized anxiety disorder, posttraumatic stress disorder, major depression recurrent, and dysthymic disorder predicted the presence of atherosclerosis, cardiovascular heart disease, rheumatoid arthritis, cancer, and type II diabetes. …

Understanding Psychosocial Rehabilitation Workers' Perceptions Of Difficult Psychiatric Situations, James B. Arnold

Walden Dissertations and Doctoral Studies

Psychosocial rehabilitation (PSR) is a community-based service that addresses the challenges faced by people diagnosed as having psychiatric disabilities. While working with co workers and clients, PSR workers may harbor perceptions that could lower the effectiveness of their work and hinder recovery by their clients. Although cognitive-behavioral theory has suggested an association, research has not yet connected PSR worker attitudes about psychiatric situations to their feelings and behavior. In this nonexperimental factorial design, 196 PSR workers were surveyed about the frustrations presented by stressful interpersonal job situations using the Psychiatric Situations Scale to identify whether occupation (case workers, residential workers, …

The Impact Of Canine Companion Service Animal (Csa) Use On Social Behaviors Between Individuals With Autism Spectrum Disorders Who Use Csa And Those Who Do Not, Melanie D. Hoffman

Walden Dissertations and Doctoral Studies

According to theory of the mind, individuals with autism spectrum disorders (ASD) are unable to interpret the social cues of others, which results in anxiety and social behavior deficits . Individuals with ASD are currently using canine Companion Service Animals (CSAs) in order to practice developing attachment bonds ; however, no known quantitative studies have demonstrated the efficacy of CSA in improving social behaviors in ASD populations. The purpose of this quantitative study was to examine the extent to which exposure to CSA impacts social skills and social interaction in children and adolescents with ASD as measured by the parent …

How Adult Children Experience Parent Dependency In A Caregiving/Care-Receiving Dyad, Anna C. Johnson

Walden Dissertations and Doctoral Studies

Despite plentiful research on the physical, psychological, and emotional demands on adult child caregivers, there are few studies that highlight developmental issues in the adult child/dependent parent dyad. This study was designed to highlight the dependency factor in this dyad, thus addressing the gap in the literature. With family systems theory, attachment theory, and role conceptualizations constituting the bases for the study, research questions addressed how adult child caregivers experience parental dependency and how dependency affects the caregiving/care-receiving dynamic. Ten volunteer participants were interviewed, and the results were analyzed using a variation of the van Kaam method of data analysis …

Discrete Trial Instruction: Comparing The Abbreviated Performance Feedback And Lecture Test Models, Tammy J. Dobbs

Walden Dissertations and Doctoral Studies

Growing media attention and a high diagnosis rate of autism places significant demand on the service industry to provide qualified staff to work with individuals who have autism. Discrete trial instruction (DTI) is one of the most sought-after treatment approaches for those individuals. However, there is a gap in research regarding the efficacy of training methods for those who train direct staff to implement DTI. This quantitative study used an applied behavior analysis basis, deriving from foundations of behavior theory, to compare the abbreviated feedback form (AFF) to the lecture test model (LTM) to understand which will improve direct staff's …

Perceptions Of The Role Of Nurses In Providing Psychosocial Care For Patients With Cancer, Kerry Suzuki

Walden Dissertations and Doctoral Studies

Psychosocial care for patients with cancer is aimed at detection, diagnosis, treatment, and prevention of psychological distress (PD). PD is a universal clinical phenomenon experienced by at least 38% of patients with cancer, yet only10% are identified as having PD. Nurses are presumed providers of psychosocial care, yet no research examined what nurses perceive as their role in caring for patients with cancer, and whether nurses believe that providing psychosocial care to patients with cancer is within their role. Patient care that rests on assumptions is too precarious; nurses' role beliefs are critical in light of their impact on practice …

Effects Of Neurofeedback On Neuropsychological Functioning In An Adult With Autism, Michael J. Lucido

Walden Dissertations and Doctoral Studies

Autism spectrum condition (ASC) is a complex neurodevelopmental disorder that impacts physiological processes, cognition, functional behaviors, social-communication, and often has comorbidities. One approach gaining empirical support for ASC treatment is neurofeedback. Neurofeedback uses operant conditioning to normalize cerebral activity through auditory and visual reinforcement. Live Z-score Training (LZT) has become the latest advancement in neurofeedback. There is no published research to date on LZT neurofeedback in adulthood ASC. The purpose of this study was to evaluate LZT's impact on neuropsychological measures in an adult with ASC. A multiple baseline single-case research design was used with a convenience sample of one …