Clinical Psychology Commons^™

Unattainable Beauty: An Analysis Of The Role Of Body Shame And Self-Objectification In Hopelessness Depression Among College-Age Women, Meredith A. Evans

Graduate Doctoral Dissertations

Despite substantial evidence that women suffer from depression at twice the rate of men, the etiology for this difference remains unclear. Prior to puberty, the difference in depression is negligible; however, when adolescence begins, a precipitous rise in female depression occurs that persists across the lifespan. While no definitive biological change has been linked to this phenomenon, objectification theory (Frederickson & Roberts, 1997) can be used to gain insight into the social influences at play during that transitional period. This study of 269 undergraduate women from a northeastern university used structural equation modeling to propose a path leading from self-objectification …

Personality Disorders Predict Relapse After Remission From An Episode Of Major Depressive Disorder: A 6-Year Prospective Study, Carlos M. Grilo, Robert L. Stout, John C. Markowitz, Charles A. Sanislow, Emily B. Ansell, Andrew E. Skodol, Donna S. Bender, Anthony Pinto, M. Tracie Shea, Shirley Yen, John G. Gunderson, Leslie C. Morey, Christropher J. Hopwood, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Objective: To examine prospectively the course of major depressive disorder (MDD) and to test for the moderating effects of personality disorder (PD) comorbidity on relapse after remission from an episode of MDD.

Method: Participants were 303 patients (196 women and 107 men) with current DSM-IV diagnosed MDD at baseline enrollment in the Col­laborative Longitudinal Personality Disorders Study. Major depressive disorder and Axis I psychiatric disorders were assessed with the Structured Clinical Interview for DSM-IV, and Axis II PDs were assessed with the Diagnostic Interview for DSM-IV Personality Disorders. The course of MDD was assessed with the Longitudinal Interval Follow­up Evaluation …

The Experience Of Feelings In Depression, Noelle L. Lefforge

UNLV Theses, Dissertations, Professional Papers, and Capstones

Emotions, such as sadness, guilt, and irritability, are at the core of depressive symptoms and suggest a need for an in-depth understanding of feelings, the experiential component of emotion, during depression. Therefore, the purpose of this study was to describe the experience of emotion in depressed participants and find out if these experiences are similar to those of nondepressed participants. Descriptive Experience Sampling (DES) was used to sample five depressed and four nondepressed participants for four days and then in a controlled setting while watching positive, negative, and neutral film clips. Due to the limited sample size, this study was …

Experience And Regulation Of Positive Emotions As Predictors Of Anxiety And Depression In Adolescents And Children, Ann Schlegelmilch

Psychology Theses & Dissertations

The high rate of comorbidity between anxiety and depression in children and adults raises questions concerning whether these disorders are two distinct disorders or a broad, but unitary construct. Clark and Watson's (1991) tripartite model purports that these disorders can be differentiated by two factors, positive affect (PA) and physiological hyperarousal (PH), in which low PA is unique to depression and PH is specific to anxiety. However, little is known about how specific positive emotions or their various facets may be related to depression and anxiety in children. Using 162 elementary and 148 middle school children (49% male, 66% Caucasian), …

Development Of A Men's Depression Inventory, Andrew Fields

Electronic Theses and Dissertations

This paper details the development of a scale to more accurately assess depression in men. It first summarizes the literature on depression, depression assessment, and current research on men and masculinity. It is argued that current conceptualizations of both depression and masculinity influence prevalence studies, which consistently find that men experience depression half as often as women. It is argued that an assessment measure that accounts for masculine variants of depression (substance use, anger, withdrawal, and emotional restriction) may identify more frequent depression in men than previously expected. Next, the paper details the development of a men's depression scale using …

State Effects Of Major Depression On The Assessment Of Personality And Personality Disorder, Leslie C. Morey, M. Tracie Shea, John C. Markowitz, Robert L. Stout, Christopher J. Hopwood, John G. Gunderson, Carlos M. Grilo, Thomas H. Mcglashan, Shirley Yen, Charles A. Sanislow, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

OBJECTIVE: The authors sought to determine whether personality disorders diagnosed during a depressive episode have long-term outcomes more typical of those of other patients with personality disorders or those of patients with noncomorbid major depression.

METHOD: The authors used 6-year outcome data collected from the multisite Collaborative Longitudinal Personality Disorders Study (CLPS). Diagnoses and personality measures gathered from the study cohort at the index assessment using interview and self-report methods were associated with symptomatic, functional, and personality measures at 6-year follow-up. Of 668 patients initially recruited to the CLPS, 522 were followed for 6 years. All participants had either a …

Neuropsychological Assessment Of Executive Functioning And Its Association With Depressive Symptomology, Erica Jean Kalkut

Dissertations

The current study explored the construct of executive functioning and neuropsychological measurement techniques used to assess executive functioning (EF). Two current comprehensive measures of executive functioning include the Behavior Rating Inventory of Executive Functioning-Adult Version (BRIEF-A) and the Delis-Kaplan Executive Functioning System (D-KEFS). The BRIEF-A is a self-report questionnaire that reportedly assesses behaviors associated with EF, and the D-KEFS is a battery of tests that are objectively administered by a trained examiner to directly measure different manifestations of EF ability. This study examined the relationship between gender and general intellectual ability on EF and investigated each measure's construct validity in …

The Role Of Employment Status, Work Disruption, Leisure, And Resources In The Mental Health Of Demenita Caregiving Daughters, Lisa Jones Ficker

Wayne State University Dissertations

Employment has been consistently identified as a role strain among dementia caregivers. This study sought to examine the patterns and context of employment and work disruption among dementia caregiving daughters and learn the extent to which work disruption influences mental health through hypothesized reductions in financial resources and leisure activities. This study was a cross-sectional design that extracted data of 486 daughter caregivers from a dataset that gathered information from Caucasian, African American, and Latina dementia caregivers at six research sites across the nation.

Results indicated that caregiving daughters who were employed reported the lowest number of depressive symptoms and …

Integration Of Spirituality And Cognitive-Behavioral Therapy For The Treatment Of Depression , Jennifer J. Good

PCOM Psychology Dissertations

Major depressive disorder (MDD) is a common mental health problem that is treated by many mental health practitioners. Cognitive-behavioral therapies have proven to be effective in helping restructure the cognitions of the client, which in turn reduces depressive symptom. Research has shown that individuals with MDD who value spirituality tend to view the world in a different way than those individuals that do not hold spirituality as an important value in their life. Spiritual individuals have religious schemas, and therefore, it would be important to incorporate spirituality into the treatment setting. This pilot study utilized a manualized treatment approach that …

Do Family Dynamics Mediate The Relationshp Between Early Pubertal Development And Depression For Girls With And Without Spina Bifida?, Rachel Wasserman

Master's Theses

Girls who experience premature puberty have higher levels of depressive symptoms than their peers (Rierdan & Koff, 1991; Hayward et al., 1997). However, girls with spina bifida (SB) experience different psychosocial changes during puberty. This study proposed two longitudinal, mediated moderation models to investigate whether family variables (i.e., parent-child conflict and emotional distancing) contributed to differences in the connection between early pubertal timing and depressive symptoms for girls with and without SB. 62 families (31 SB, 31typically developing) were recruited for a larger longitudinal study. Constructs were assessed subjectively and objectively with the use of questionnaire and observational data. Findings …

Enhancing Group Cognitive Behavioral Therapy For Hispanic/Latino Clients With Depression : Recommendations For Culturally Sensitive Practice, Elizabeth Suarez Kuneman

PCOM Psychology Dissertations

Using a qualitative approach, this study explored the process of developing treatment suggestions for adding cultural sensitivity to an empirically supported, group cognitive-behavioral therapy (CBT) treatment manual for Hispanic/Latino clients with depression. Suggestions were formulated through the implementation of one vignette centered on a male character, addressing Hispanic/Latino cultural values as described in the literature. This researcher sought bilingual mental health providers (English-Spanish/Spanish-English) who worked with Hispanic/Latino clients; four from a group of ten who responded, reviewed the researcher’s suggestions and answered a seven item semi-structured questionnaire, which was developed to elicit their comments. Analysis of the data revealed themes …

Effect Of Individual Cognitive Behavioral Therapy On Depression And Anxiety In Older Adults With Chronic Obstructive Pulmonary Disease : A Feasibility Study, Eileen Lightner

PCOM Psychology Dissertations

The progression of chronic obstructive pulmonary disease (COPD) in older adults has been associated with a high prevalence of depression and anxiety (Kunik et al., 2005). The purpose of this study was to examine the effects of a COPD-specific individual cognitive behavioral therapy (CBT) intervention on depression and anxiety in older adults with COPD. Three older adult patients with moderate to severe COPD and comorbid depression and anxiety were recruited from a large hospital affiliated pulmonary practice to participate in this single subject multiple baseline feasibility study. Pre-test-post test assessments were conducted utilizing the Geriatric Depression Scale (GDS), the State …

Improving Primary Care Outcomes For Hispanics With Anxiety Disorders : A Randomized Clinical Trial Evaluating The Effectiveness Of Cognitive-Behavioral Therapy, Velma -. Barrios

Legacy Theses & Dissertations (2009 - 2024)

The proportion of Hispanics in psychosocial treatment outcome research is limited. To our knowledge, no randomized clinical trials have investigated the effectiveness of cognitive-behavioral therapy in adult Hispanics with anxiety disorders. This is important because Hispanics are among the fastest growing minority group in the U. S., and as a group, they evidence pervasive and persistent anxiety disorders. The growth of the Hispanic population has taken place while social service systems are ill prepared to address the needs of these individuals. In this study, we addressed this gap in the literature by evaluating the difference in clinical effectiveness of cognitive …

Help-Negation And Suicidal Ideation: The Role Of Depression, Anxiety And Hopelessness., Coralie J. Wilson

Frank Deane

Help-negation is expressed behaviorally by the refusal or avoidance of available help and cognitively by the inverse relationship between self-reported symptoms of psychological distress and help-seeking intentions. The current study is part of a larger multi-cite research program developed and led by the first author. It examines the association between suicidal ideation and intentions to seek help from friends, family and professional mental health sources in a sample of 302 Australian university students. Participants were 77.5% female and aged from 18-25 years old, with 85.4% aged 21 years or younger. Higher levels of suicidal ideation were related to lower help-seeking …

Help-Negation And Suicidal Ideation: The Role Of Depression, Anxiety And Hopelessness., Coralie J. Wilson

Coralie J Wilson

Help-negation is expressed behaviorally by the refusal or avoidance of available help and cognitively by the inverse relationship between self-reported symptoms of psychological distress and help-seeking intentions. The current study is part of a larger multi-cite research program developed and led by the first author. It examines the association between suicidal ideation and intentions to seek help from friends, family and professional mental health sources in a sample of 302 Australian university students. Participants were 77.5% female and aged from 18-25 years old, with 85.4% aged 21 years or younger. Higher levels of suicidal ideation were related to lower help-seeking …