Clinical Psychology Commons^™

A Delphi Survey Of Experts’ Opinions Regarding Prevention Of Impairment In Professional Psychology Training, Kin-Ming Chan

Dissertations

This study sought to identify the most important measures that may be implemented in professional psychology training to prevent the future impairment of professionals. An adjunctive research question of this study addressed how these important measures can be successfully implemented. A 2-round Delphi method was conducted. Twenty-eight experts in impairment prevention participated in the first round study, and 20 of them continued to participate in the second round. In the first round, the experts rated the importance of an original list of 38 preventive measures, suggested additional important preventive measures, and provided considerations for successful implementation of their most important …

Examination Of The Impact Of Age, Family Conflict, And Perceived Parental Involvement On Treatment Adherence For Children And Adolescents With Cystic Fibrosis And Diabetes, Blake M. Lancaster

Dissertations

The success of medical interventions for patients with diseases that require consistent adherence to a medical regimen is largely contingent upon the patient’s ability to consistently follow medical recommendations. Medical regimen adherence significantly influences the patient’s health and impacts the health care providers’ ability to treat any disease or medical problem. Adherence levels are particularly low in the pediatric population among young patients with diabetes and cystic fibrosis. Researchers and clinicians hypothesize that levels of adherence are particularly low during adolescence (ages 11-15) because this may be the period in which primary responsibility for daily adherence is transferred from the …

Understanding The Experience Of Teenage Parents: An Empirical Examination Of Attitudes And Expectations Among Education Professionals, Janet Lynn Pietrowski

Master's Theses and Doctoral Dissertations

Approximately 10% of all adolescents between 15-19 years old in the United States become pregnant, with about half of these pregnancies resulting in birth. Several variables have been correlated with long-term outcomes for teenage mothers, including poor academic achievement, lower occupational attainment, poor mental health, and socioeconomic hardship. Social support is one factor that moderates these outcomes. This study employed the use of written vignettes to examine differences in expectations for success (educational, economic, and psychological) that educational professionals have for teenage mothers and non-mother adolescents (N=145). Vignettes were varied according to levels of social support and parenting status, with …

The Contribution Of Self-Determination Theory To An Understanding Of Psychological Distress Among Young Adults: Mediation Of Practical Involvement And Autonomy Support By Autonomy, Controlled, And Impersonal Orientations, Bradley D. Rockafellow

Master's Theses and Doctoral Dissertations

The concept of autonomy, as conceptualized by SDT researchers, in relationship to the development of psychopathology has received little empirical attention. According to Selfdetermination theory (SDT; Ryan, Deci, & Grolnick, 1995), if parents facilitate, rather than undermine, the critical parenting dimensions of autonomy support, involvement, and structure, then children will develop as psychologically healthy adults. In addition, SDT would also predict that based on these critical parenting dimensions, children will develop differential inner motivational orientations (i.e., autonomy, control, and impersonal) representing varying degrees of autonomy (i.e., self determined behavior), which in turn should predict psychological distress or health. To test …

Preventing Generalized Anxiety Disorder In An At-Risk Sample Of College Students: A Brief Cognitive-Behavioral Approach, Diana M. Higgins

Electronic Theses and Dissertations

Empirical investigations of psychological interventions designed to prevent common mental health conditions have yielded encouraging results. Prior to the current investigation, however, there had been no published studies of a prevention program specifically designed for generalized anxiety disorder (GAD). A twosession prevention workshop for GAD was developed based upon empiricallysupported cognitive-behavioral treatments for GAD. The workshop provided participants with instruction in the following topics: psychological models of anxiety and worry, cognitive distortions, cognitive therapy techniques, relaxation training, worry exposure, problem-solving and problem orientation. The brief preventative intervention was examined in college students determined to be at-risk for developing GAD where …

Effects Of Anxiety Induction On Facial Recognition Skills Within A Sample Of Adult Victims Of Childhood Abuse, Kathryn M. Bell

Dissertations

Although it is well established that interpersonal victimization can lead to affect regulation problems, less is known about the extent to which childhood victimization impairs facial recognition skills. Most studies exploring this relationship have focused on emotion recognition (ER) in physically abused and neglected children. The degree to which these ER problems apply to sexual victimization and extend into adulthood is yet unknown. The current study examined the impact of physical and sexual childhood abuse on adult ER skills under a heightened arousal condition in 104 women with varying childhood victimization experiences. The relationship between childhood victimization and ER skills …

An Evaluation Of Intraverbal Training And Listener Training For Teaching Categorization Skills, Anna Ingeborg Petursdottir

Dissertations

Behavioral language interventions, such as those employed in early and intensive behavioral intervention (EIBI) programs, target both expressive and receptive language skills. Skinner's (1957) analysis of verbal behavior provides a framework for analyzing expressive and receptive language in terms of stimulus control and reinforcement history. From this perspective, different expressive language programs target different verbal operants, such as tacts, intraverbals, and echoics , whereas most receptive language programs target a type of listener behavior that may be referred to as manded stimulus selection (Michael, 1995). Although EIBI curricula (e.g., Maurice, Green, & Luce, 1996; Leaf & McEachin, 1999) have frequently …

Hate: Juror Perceptions Of Crime Classification, Attributions Of Blame, And Impact Of Extra-Legal Factors, Karyn M. Plumm

Theses and Dissertations

A jury simulation paradigm was employed in this series of studies exploring hate crime. In the first two studies., crime label (i.e., bias-motivated assault ·vs. first degree assault) and victim gender were varied within the context of a sexual orientation motivated (study 1) or gender motivated (study 2) hate crime scenario. Results from the first study indicated that attributions of blame against the victim varied as a function of participants' attitudes toward minority sexual orientation. Results of study two indicated that participants in the assault condition were more likely to find the defendant guilty than those in the hate crime …

An Ecological Momentary Assessment Of Retrospective Memory Accuracy In Patients With Obsessive-Compulsive Disorder, Andrew T. Gloster

Master's Theses and Doctoral Dissertations

Numerous studies have demonstrated the pervasiveness of inaccuracies in patients’ retrospective recall of their symptoms (e.g., Stone, Broderick, Shiffman, & Schwartz, 2004). Assessment methods that rely heavily on retrospective recall may lead to faulty clinical inferences should a patient’s recall be biased or inaccurate. Despite lingering concerns about the accuracy of retrospective recall in a variety of clinical and nonclinical populations, investigators have not studied individuals diagnosed with obsessive-compulsive disorder (OCD). This is troubling given findings from laboratory studies that OCD patients may have deficits in episodic memory (Muller & Roberts, 2005). This study investigated memory accuracy in OCD patients …

Childhood Developmental Trends In Executive Function As Measured By The Delis-Kaplan Executive Function System: An Exploration Of Gender Differences., Lane Karen Dewan

Doctor of Psychology (PsyD)

The purpose of this study is to examine the development of Executive Function (EF). Specifically, this study investigates whether there are consistent increases in EF performance on the Delis-Kaplan Executive Function System (D-KEFS) from the age of 8 years to 15 years. Gender differences in the development of EF are also examined. To this end, the standardization data for eight of the D-KEFS tests were analyzed, comparing performance across age groups (8- year-olds, 9-year-olds, etc.) and gender groups. Significant age effects were found for all tests overall. However, significant change between consecutive age groups was found only for some age …

Utilizing The Brief Symptom Inventory As A Prediction Tool For Treatment Response In Patients With Serious Mental Illness, Ryan Curtis Dix

Doctor of Psychology (PsyD)

Current data suggest that the cost of caring for people with serious mental illness in the United States was 2.64 billion dollars in the years between 1997 and 2004. The proper utilization of these funds is an important consideration if we are to successfully address the needs of this population. To maximize the use of mental health funds, the provider must quickly identify effective and efficient treatments. Assessment can facilitate the screening process and subsequent treatment decisions. For that reason, my research question addresses the issue of effective screening measures notably the Brief Symptom Inventory (BSI) in predicting movement through …

Risk Factors And Their Effects On The Comorbidity Of Asthma And Anxiety Disorders In School Aged Children, Stephanie P. Seigel

Honors Capstone Projects - All

Asthma is the most common chronic childhood disease, characterized by attacks that make a child or adult feel like they are unable to breathe (Shohat, Graif, & Garty, 2005). Currently, nearly 6.3 million children between the ages of 5 and 14 are afflicted with asthma (EPA, 2006)

Children with asthma are also more prone to developing other disorders especially, anxiety. The prevalence of child patients with asthma suffering from anxiety disorders is found to be as high as 4.7% (Katon, Richardson, Lozano & McCauley, 2004). The current study aims to examine the risk factors that contribute to the comorbidity of …

Effects Of Single Versus Multiple Verbal Operant Arrangements On The Acquisition Of Mands And Tacts In Preschool Children, Tina M. Sidener

Dissertations

Verbal Behavior programs for children diagnosed with autism typically teach novel language in the context of multiple verbal operant arrangements. Commonly called "mixed verbal behavior", this involves the interspersal of various exemplars across verbal operant categories. Despite the current recommended use of this teaching procedure, only 2 studies to date have empirically evaluated its effectiveness (i.e., Arntzen & Almas, 2001; Carroll & Hesse, 1987). In both of these studies, mixed mand-tact training resulted in faster mean acquisition of tacts than tact-only training. In Experiment 1 of the current investigation, a systematic replication of previous studies was conducted with 3 typically-developing …

Pnes: Neuropsychological Impairments & Psychological Symptomatology, Adriana Macias

Loma Linda University Electronic Theses, Dissertations & Projects

The present study utilized a standardized neuropsychological evaluation and self report measures to compare 52 female patients, 18 years of age and older with a video-electroencephalogram (V-EEG) confirmed diagnosis of psychogenic non-epileptic seizures (PNES) (n₁=29) to a group of left temporal lobe epilepsy (L-TLE) demographically matched patients (n₂=23). In an attempt to overcome methodological confounds of previously reported studies, participants were chosen based on stringent exclusion criteria, which barred mixed etiologies. The purpose of this study was to investigate possible differences in neuropsychological functioning, mood, and personality characteristics between individuals with PNES and those with L-TLE. …

Exploring The Impact Of Rural And Urban Settings On Therapist Self-Disclosure, Katie Pierson Fruhauff

Doctor of Psychology (PsyD)

There has been a significant amount of research that addresses the topic of therapist self-disclosure. Issues such as what to disclose, when to disclose, the ethics of therapist disclosure, and the benefits and harm of therapist self-disclosure have been debated over the years. How self-disclosure varies among therapists has also been a focus of research. Unlike the area of self-disclosure, research on rural practice is a new and expanding field of research and there is great need for more research in this area. The hypothesis of this study proposes that therapist self-disclosure varies by setting; that rural therapists are more …

Rehabilitation After Brain Injury : Identifying Predictors Throughout Post Acute Rehabilitation, Elisabeth L. Bond

PCOM Psychology Dissertations

The purpose of this study was to investigate the functional outcomes of clients who received post-acute rehabilitation services following a Traumatic Brain Injury (TBI) in an effort to identify predictors affecting outcome. An archival database was used to study three different outcome measure ratings over two and or three consecutive time periods. There were 105 participants, 82 male, 23 female, 87 residential and 18 outpatient, who were 19-78 years of age. A multivariate analysis of variance (MANOVA) was conducted within subjects to identify changes across time. No significant changes were found. A between subjects MANOVA was conducted to study relationships …

Assessment Of Risk And Protective Factors For Homelessness : Preliminary Validation Of The Life Needs Inventory, Dena L. Brown-Young

PCOM Psychology Dissertations

The purpose of this study was to examine the LNI (Life Needs Inventory), used by the VOADV (Volunteers of America Delaware Valley) organization to identify risk factors, as well as protective strengths, associated with the securing of stable housing among the homeless population. Homelessness is a growing concern in the United States (Rosenberg, Solarz, & Bailey, 1991) and individuals or families who become homeless are at risk for many more problems. Finding suitable shelter is just the beginning, as physical safety and mental health issues become major concerns. Violence, drugs, risky sexual behaviors, lack of social support, limited employment opportunities, …

Factors In Relapse Among Physicians In Recovery From Substance Dependence Disorders, Gregory K. Gable

PCOM Psychology Dissertations

This study examines factors in relapse to alcohol and drug dependence among health professionals, seeking to identify relationships between identified conditions and relapse. The subjects are 100 health professionals, 84 male and 16 female, randomly selected from a cohort of 308, who provided data in a previous study taking place between 1995 and 1998. These subjects were broken into two groups, relapse vs. no relapse at 5 years after participation in the original study, the post-marketing survey on tramadol (Knisely J, Campbell E, Dawson K, Schnoll S, 2002). Archival data from the previous study was used. Chart review and analysis …

Evaluation Of A Cognitive-Behavioral Group Therapy Program For The Treatment Of Posttraumatic Stress Disorder In Female Juvenile Delinquents In Residential Placements, Janet Heesen Knapp

PCOM Psychology Dissertations

Female juvenile delinquents have a high incidence of posttraumatic stress disorder (PTSD). Residential treatment programs for female juvenile offenders typically lack gender-specific programming and empirically supported treatment protocols. This study attempted to examine the effectiveness of the Alternative Rehabilitation Communities, Inc., Group Therapy Program for Female Juvenile Delinquents with Posttraumatic Stress Disorder (Alternative Rehabilitation Community, 2004). This manual-based treatment program was conducted in 5 residential treatment agencies in Pennsylvania. Two comparable agencies served as comparison sites. Data was obtained from a larger study performed by the University of Pittsburgh Office of Child Development Division of Planning and Evaluation, which had …

Effects Of Perceived Social Norms And Locus Of Control On Condom Use And High Risk Sexual Behaviors In Military Personnel, Anthony M. Kraemer

PCOM Psychology Dissertations

This study looked at the role of perceived social norms and internal versus external locus of control on high-risk sexual behaviors and condom use in a population of 333 U.S. Army soldiers from Combat and Non-Combat units of the Ist Cavalry Division, Fort Hood, Texas. This study showed that younger (17 -24 years of age) soldiers of lower rank (junior enlisted, E-l to E-5) displayed more misperceptions of what constitutes appropriate sexual behavior and condom use than their peers. It also showed that soldiers, in general, not only reported higher rates of high-risk sexual behavior themselves, but that internality or …

Integrative Therapeutic Approach Combining Cognitive Behavioral Therapy For The Treatment Of Recurrent Depression In An Adult Client , William J. Librizzi, Iii

PCOM Psychology Dissertations

Major Depressive Disorder (MDD) is the most often diagnosed psychiatric illness worldwide, with prevalence rates indicating that as many as 25% of the population during their lifetimes will experience symptoms of MDD (Holmes, 1997). Therapies that focus on restructuring the client's cognitions have been shown to be effective in the treatment of this disorder. For some clients, however, reoccurring depressive episodes are common and symptom reduction is infrequent. The research of Worthington (1988) suggests that the highly religious client may actually see the world in a uniquely differently way than does the non-religious. These individuals utilize more religious schema and …

Norming The Mad-As To The Staxi-2 In A Hypertensive Population , Robert J. Liskowicz

PCOM Psychology Dissertations

Development of the Mahan and DiTomasso Anger Scale (MAD-AS) provided a valid and preferable alternative to the existing, lengthy tests of anger which are currently available. However, the MAD-AS was developed on a clinical, psychiatric population, and only one other study to date has attempted to utilize this test on a normal population. With strong links between anger and adverse physical health, and an ongoing controversy over whether anger expression versus anger suppression contributes more highly to the development and maintenance of hypertension, a prospective study measuring anger with established hypertensive subjects is being proposed utilizing both the MAD-AS, as …

Cognitive Behavioral Therapy With A Depressed Outpatient: Assessing Change In Cognitive Distortions As Measured By The Inventory Of Cognitive Distortions, Detta S. Tate

PCOM Psychology Dissertations

This single subject case study was conducted to determine the usefulness of a new measure, the Inventory of Cognitive Distortions (lCD). The main purpose was to determine the effectiveness of the ICD in noting changes in dysfunctional thinking during cognitive behavioral therapy. Because of the high incidence of depression in the population, a subject diagnosed with Major Depressive Disorder was determined to be the most appropriate choice for assessing the effectiveness of this measure in the clinical setting. The cognitive behavioral treatment implemented was a manualized approach using Gilson and Freeman's (1999), Overcoming Depression. This treatment was a collaborative effort …

The Quality Of The Sibling Relationship Of Children Diagnosed With Autism, Kelly C. O'Laughlin

PCOM Psychology Dissertations

Seldom has the quality of the sibling relationship between children with disabilities and their siblings without disabilities been explored, particularly via firsthand accounts from the non-disabled sibling, rather than from parental observations and reports. Furthermore, research has shown mixed results regarding whether or not the siblings of children with disabilities have increased internalizing (anxiety, depression, and obsessive compulsive disorder) or externalizing (attention deficits, hyperactivity, and oppositional) behaviors, psychosocial maladjustment, or impaired developmental stages, as opposed to siblings of children without disabilities. This study attempted to determine whether or not there was a correlation between the severity of autism disability; as …

Older Adults And Depression : The Relationships Between Distorted Thinking, Quality Of Life And Depressive Themes, Carissa Y. Ferguson

PCOM Psychology Dissertations

This study analyzed the relationships between depression, distorted thinking and quality of life in an elderly population. Ninety non-depressed and 72 depressed individuals were interviewed and administered 3 self report measures. The study results demonstrate that: (a) Those who reported greater numbers of cognitive distortions, reported lower quality of life than those who reported less cognitive distortions; (b) depressed individuals reported lower quality of life than non-depressed individuals; (c) depressed individuals endorsed more distorted thinking phrases than non-depressed individuals and (d) depressed individuals reported more subcategories of cognitive distortions than nondepressed individuals. The results of this study support the ideas …

A Qualitative Investigation Of The Counseling Experiences Of College-Aged Women With A History Of Self-Injury, Laurie Marie Craigen

Dissertations, Theses, and Masters Projects

No abstract provided.

Family Functioning And Coping Behaviors In Parents Of Children With Autism, Matthew J. Altiere

Master's Theses and Doctoral Dissertations

We looked at how a child with autism affects the dynamics and coping behaviors of a family. A majority of studies on families with a child with autism collect information from the mother but not the father. Therefore, this study examined the involvement of both parents from a family systems theory approach, which compares relationships among different familial variables, to determine the contributions of each individual to the developmental outcomes of the family unit. It was hypothesized that moderate levels of cohesion and adaptability would be associated with higher levels of positive coping mechanisms. Further, the more coping strategies implemented …

Application Of Dimensional Personality Models To Personality Disorders, Erik Pettersson

Dissertations, Theses, and Masters Projects

No abstract provided.

Interpretation Of Nonverbal Expression Of Emotion In Relation To Schizotypal Characteristics, Emily K. Bell

Dissertations, Theses, and Masters Projects

No abstract provided.

Development Of An Internet-Based Disease Management Program For People With Diabetes , Robert L. Mailliard

PCOM Psychology Dissertations

Diabetes is a chronic illness that currently has no cure. Quality of life can be improved by the person’s own adherence to treatment and motivation to manage their diabetes. Both of these factors are difficult maintain and access to patient education materials is limited. This study developed an Internet-based disease management program for people with diabetes. This diabetes disease management program followed the PRECEDE health program planning model. Focus groups and key informant interviews people with diabetes were run in order to obtain feedback for this program. Cognitive-behavioral and health behavior change theory were integrated in to the program to …