Clinical Psychology Commons^™

The Relation Between Self-Compassion, Body Image, And Mood: How Do Women Internalize Weight-Related Feedback?, Nicole Helverson

PCOM Psychology Dissertations

Objective: Body dissatisfaction has been identified as a risk factor for depression and eating pathology, whereas, self-compassion has been associated with higher quality of life. This study sought to examine the relationship between negative body image and self-compassion as risk or protective factors for weight and body composition related feedback mood changes.

Method: This deception study used a true-experimental, pre- and post-test design in a sample of 117 female graduate and medical students and college staff, aged 18 to 45 years; women diagnosed with eating disorders were excluded. After completing baseline questionnaires (including mood, body image, and self-compassion), …

Parents' Coping With Children's Newly Diagnosed Long-Qt Syndrome: A Qualitative Study Of The Function And Utilization Of An Online User Group, Allison Burns-Pentecost

PCOM Psychology Dissertations

Long QT syndrome is a sudden death syndrome that occurs in about 1 in 2,000 births. LQTS is caused by genetic mutations that affect the electrophysiology of the heart, resulting in a prolonged QT interval and possible cardiac arrhythmia, syncope or sudden death. Treatments include medications, implantable cardioverter defibrillators and activity restrictions. Little research exists regarding the psychosocial factors of the illness or the ways in which families cope with diagnosis and management of the chronic illness. The current study used archival data from an online user group. Participants were members of the group who discussed concerns related to LQTS. …

A Self-Regulated Learning Approach For The Remediation Of Behavioral Issues In Children With Attention Deficit Hyperactivity Disorder, Richard G. Allen

PCOM Psychology Dissertations

Behavioral-based interventions have long been demonstrated to be effective for
addressing behavioral difficulties for children with ADHD; however, such interventions do not always include explicit procedures to develop self-regulated learning. This is surprising, considering the strong evidence-based literature related to behaviorally-based self-management interventions. Considering the neurocognitive basis of ADHD, current assessment and intervention practices should emphasize the identification of self-regulatory deficits and evidence-based interventions to build such capacities. The current outcome study examined archival data from 12 cases to determine the clinical effectiveness of a function-based self-management intervention model for children diagnosed with ADHD in a community behavioral health program. …

Hope And Explanatory Style: A Study Of Outcomes In Inpatient Headache Sufferers, Angela L. Borsuk

PCOM Psychology Dissertations

Chronic daily headache (CDH) imposes significant burden on sufferers, among which are impaired quality of life, physical suffering, and financial cost. Psychological factors are known to play a considerable role in headache onset, maintenance, progression, and treatment outcome. Furthermore, headache-related disability cannot be accounted for by biological factors alone; both headache symptoms and psychological variables contribute to headache-related disability (Nicholson et al., 2007). Hope is an important predictor of improved health-related quality of life and has been linked with better outcomes for many diseases, disorders, and also in managing pain. Explanatory style, an individual’s style of making sense out of …

Predictors Of Attrition And Success In A Weight Management Program For Patients With Type 2 Diabetes, Kevin O'Leary

PCOM Psychology Dissertations

Aim: To examine the factors that lead to attrition and success in a weight management program for patients diagnosed with type 2 diabetes. The current study specifically examines the effect of quality of life, expected weight loss, self-esteem, and early weight loss on attrition and success rates. Methods: Archival data from a study conducted at the University of Pennsylvania Center for Weight and Eating Disorders were used. Seventy-nine overweight and obese subjects with type 2 diabetes participated in a lifestyle modification program over 40 weeks. Logistic regression analyses were performed to explore the relationship between early weight loss, expected …

Predictors Of Vicarious Trauma And Secondary Traumatic Stress Among Correctional Officers, Bertee Thomas Jr

PCOM Psychology Dissertations

The correctional setting is often dangerous and unpredictable. Correctional officers have the unique and often dangerous charge of overseeing a very volatile population. The job of a correctional officer can be very stressful and often contributes to emotional, physiological, and psychological distress. Correctional officers may be exposed to violence either directly or indirectly. One of the psychological reactions most commonly associated with violence is the development of trauma. This type of traumatic response may be triggered by direct or indirect exposure to traumatic stimuli. The focus of this study was to identify variables associated with secondary traumatic responses among correctional …

The Relationship Between Cognitive Distortions And Risk To Sexually Re-Offend In Adolescents: Comparing Three Levels Of Treatment, Christina D. Haldaman

PCOM Psychology Dissertations

This study examined the relationship between cognitive distortions, risk to sexually re-offend, and length of time in treatment, and psychopathy. This study investigated differential treatment effects across three different treatment modalities to gain a better understanding of cognitive distortions in the treatment of adolescent sexual offenders. Literature has theorized that a fundamental aspect of sex offender treatment is addressing these cognitive distortions. Archival data from an existing database were collected from 99 adolescent males between the ages of 12 and 18. Of these adolescents, 51.5% were Caucasian; 28.3% were Latino; 10% were African American; 8.1% were Bi-racial, and 2% were …

The Relationship Between Parental Stress, Cognitive Distortions, And Child Psychopathology, Daniel Kennedy

PCOM Psychology Dissertations

While there are a number of factors that may contribute to maladaptive parenting behaviors, parental stress has consistently been related to the increased risk of child maltreatment and, ultimately, the development of childhood. The question then is what drives parental stress and what are those key factors? Based on previous research, there are multiple parental, child, and environmental factors that lead to parental stress, but there is not a clear understanding of what initially drives parental stress. Based on cognitive behavioral models of stress and Abidin’s theory of parental stress, it is theorized that parental cognitions play an important role …

Clinician Factors In Psychotherapy Disparities For People With Intellectual Disabilities And Co-Occurring Mental Illness, Timothy Barksdale

PCOM Psychology Dissertations

An estimated 4.5 million Americans with intellectual disabilities (ID) have lived in the community for over twenty years now, following the closing of institutions that once isolated them from the public (Scott, Lakin & Larson, 2008). It has since become evident that this group has the same and more vulnerabilities of developing mental illness than the general public but often lack access to therapeutic service (Whitaker & Read, 2005). Unfortunately society’s lack of interaction with and education about this population has contributed to a number of misconceptions and fears. The hypothesized variables for the behavioral health disparity included: level of …

A Qualitative Study Of Recovery-Oriented Services In Inpatient Forensic Settings, Deanna Pecora Mellie

PCOM Psychology Dissertations

Recovery principles are currently guiding the transformation of mental health practice and policy in the United States (Anthony, 2000; Davidson et al., 2005; Davidson et al., 2006; Ralph & Corrigan, 2007). Although principles of recovery have become the focus of mental health care reform, they have just begun to enter the forensic system (Hillbrand & Young, 2008). This is important because the forensic state hospital population has experienced a significant growth, reportedly approximating 50 % of all beds in given states, while the general civil state hospital population continues to decline (Salzer et al., 2006). Furthermore, Hillbrand and Young (2008) …

Attention To Psychosocial Concerns Related To Lqts: A Survey Of Medical Providers, Elizabeth Conlin

PCOM Psychology Dissertations

Long QT Syndrome (LQTS) is a heritable condition characterized by syncopal episodes, arrhythmias, and sudden cardiac death in otherwise healthy individuals. Current research, although underrepresented, on the quality of life and psychosocial stressors indicate that some individuals experience depression and anxiety as a result of this chronic medical illness. A survey was created and administered to cardiologists and allied professionals, who offer medical services to LQTS patients, and belong to the Pediatric Arrhythmia and Congenital Electrophysiology Society (PACES). A Likert scale survey was developed for selfadministration and posted in an email for PACES members to complete voluntarily. This survey study …

Acculturation, Psychological Distress, And Family Adjustment Among Russian Immigrants In The United States, Eugene Dunaev

PCOM Psychology Dissertations

The purpose of this research was to investigate the effect of acculturation differences on psychological distress and family functioning in non-Jewish Russian immigrant families. Potential mediating effects of social support and parenting style and moderating effect of the child’s gender were investigated using regression analysis. The sample consisted of 80 Russian immigrant mother-child dyads residing in the northeast region of the U.S. The study included independent assessment of acculturation to American and Russian cultures. Results confirm the presence of associations between acculturative differences, psychological distress, and family problems. A mediational role of social support and parenting style on the impact …

An Evaluation Of A Group Nutritional Program In A Population Of Obese Individuals With Psychiatric Disabilities, Jamie Via

PCOM Psychology Dissertations

Individuals with serious mental illnesses are at high risk for obesity. The increased risk of obesity and comorbid medical conditions among individuals with serious mental illnesses has increased the need to seek and utilize effective treatments to address obesity in this population. In efforts to address the need for effective treatment, Eli Lilly and Company developed the Solutions for Wellness program. The aim of this study was to examine if the Solutions for Wellness nutritional program was effective in increasing wellness knowledge and increasing healthy lifestyle choices within a small sample of obese individuals with serious mental illnesses. The nutritional …

An Examination Of The Interactive Effects Of Mindfulness And Stress On Negative Health Habits In A Primary Care Population, Christina J. Dichiara

PCOM Psychology Dissertations

The overarching goal of this study was to better understand relationships between health habits, stress, and mindfulness. In doing so, this research examined the interaction of mindfulness with responses to stress as it affects negative health habits. There was also a psychometric development study conducted, using confirmatory factor analyses (CFA) to test the applicability of the two-factor model of the PHLMS to a primary care population. Data were collected from 198 adult patients in a primary care medical practice. Participants ranged in age from 18 to 89 years old, were 51% female, and 92% Caucasian. For CFA analyses, three fit …

Understanding The Thoughts And Attitudes Related To Participation In Youth Sports, Jeanine A. Johnson

PCOM Psychology Dissertations

The present study was designed to examine the thinking and attitudes that may be associated with elementary and middle school students participating in youth sports. Girls benefit physically, socially, and educationally from ongoing participation in sports. However, compared to boys, girls tend to start later, quit sooner, and participate less often in sports, despite the numerous advantages that athletics provides. The external barriers that contribute to girls’ decreased involvement in sports as they increase in age and grade are well researched. However, there is a lack of information about the possible cognitive variables related to a girls’ decision to play …

Interpersonal Difficulty, Affective Problems, And Ineffectiveness As Predictors Of Eating Disordered Attitudes And Behavior, Paige L. Marmer

PCOM Psychology Dissertations

The goal of this study was to better understand the relationships between psychological variables (i.e., interpersonal problems, affective problems, and ineffectiveness) and factors (i.e., previous hospitalizations, self-harm, and length of stay) related to disordered eating. A set of psychological variables and ED-related symptoms from the EDI-3 were examined within an inpatient eating disorder treatment center. Data were analyzed from an existing dataset consisting of 1,331 female participants, ranging in age from 14-65. Multiple linear regression analyses were conducted to test the hypothesis that the independent variables would predict ED-related symptoms (i.e., bulimia, body dissatisfaction, and drive for thinness). Regression models …

Factors Associated With A Longer Length Of Stay And Minimal Improvement In An Inpatient Headache Unit, Kristen Wenrich

PCOM Psychology Dissertations

The purpose of the present study is to identify psychological factors that predict a longer length of stay (LOS) and minimal improvement in a headache inpatient unit. Research shows that some psychological factors associated with headache disorders, such as anxiety, depression, and maladaptive coping skills, can complicate the disorder. The present study theorized that psychological factors that complicate the headache disorder would predict a longer LOS and minimal improvement. The present study used a quasiexperimental, prospective, cross-sectional survey research design, with multiple regression analyses. There was a total of 51 completed protocols. Of those completed protocols, 78% of participants were …

The Effects Of Cultural Competence And Racial Identity Development On The Working Alliance In African-American And Caucasian Counseling Dyads: A Preliminary Analysis, Peter J. Scoma

PCOM Psychology Dissertations

Multicultural considerations in behavioral healthcare rightfully remain a point of interest for practitioners, administrators and educators alike. Attention to culturally sensitive practice as a core competency for mental health practitioners has become rooted in academic curriculum and clinical trainings (Bussema & Nemec, 2006; Schottler et al., 2004). Despite this increased awareness of culturally competent practice, the results of these efforts are unclear as minority utilization of behavioral healthcare services continues to decline (Flaskerud, 2007). Racial biases and prejudice are still apparent in administrative and institutional settings that aspire to integrate cultural competencies into their organizations (Sue & Sue, 2007). Literature …

Traumatic Stress Responses In Mothers And Fathers To Pediatric Intensive Care Treatment: The Role Of Beliefs, Carla Cirilli

PCOM Psychology Dissertations

The aim of this study was to examine the prevalence of traumatic stress responses in parents of children treated in a pediatric intensive care unit, specifically parental beliefs about their child’s illness and their own coping self-efficacy as related to the severity of parental acute and posttraumatic stress. Archival data from a study conducted August 2004 through July 2005 in the Children’s Hospital of Philadelphia PICU were used. Two hundred and forty-five parents were assessed at 48 hours after admission, and 180 parents were assessed 3 months postdischarge. At Time 1, parents completed a screening measure assessing psychosocial factors and …

The Role Of Cognitive Insight, Hope, Self-Stigma, And Symptomatology In Predicting Treatment Engagement In Individuals Diagnosed With Serious Mental Illnesses, Patrick D. Boyle

PCOM Psychology Dissertations

Adherence to and engagement with treatment is a complex and multifaceted issue encountered throughout many medical and helping professions, particularly in the fields of psychology and psychiatry. Adherence to treatment/service engagement is especially an issue in the treatment of serious mental illnesses; studies have shown that up to 80% of individuals do not adhere to their treatment (Tait et al., 2003). This study investigated if cognitive insight, as measured by the Beck Cognitive Insight Scale ([BCIS] Beck et al., 2004), and clinical insight are related to the recovery concepts of hope and self-stigma as well as symptomatology in predicting treatment …

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 …