Clinical Psychology Commons^™

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 …

The Impact Of Treating Major Depression During Pregnancy On The Postpartum Phase, Jamie Kent

Dissertations

Major depression during pregnancy is a risk factor for postpartum depression (PPD). Medically acceptable treatments for depression during pregnancy and postpartum are limited and many women are turning to complementary and alternative treatments. The current project examined whether treatment of major depression during pregnancy reduced the risk for PPD and explored predictors of PPD in this high-risk sample. One hundred twenty women were clinically assessed using the Hamilton Rating Scale for Depression (HRSD17), the Beck Depression Inventory (BDI-II), and the Structured Clinical Interview for DSM-IV (SCID) at ten weeks, six months, and nine months postpartum following random assignment to one …

Professional And Personal Lives Of Psychologists: Spillover, Family Functioning, And Life Satsiafction, Pedja Stevanovic

Dissertations

Two-wave, longitudinal data from a national, web-based survey of doctoral psychologists was used to examine work life, spillover, family, and personal lives. A measure of spillover, Stressors and Enhancers for Psychologists, was also evaluated. Confirmatory factor analysis indicated two negatively correlated dimensions of work spillover: positive spillover termed family enhancers and negative spillover termed family stressors. This measure was significantly related to a widely used, more general measure of positive and negative spillover and demonstrated high temporal stability. Respondents reported a significantly higher incidence of family enhancers than family stressors at both data collection points. Consistent with previous research, the …

A Multi-Method Assessment Approach To The Detection Of Malingered Pain: Association With The Mmpi-2 Restructured Form, Jaime L. Anderson

Online Theses and Dissertations

The present study investigated the utility of the MMPI-2-Restructured Form (MMPI-2-RF) over-reporting scales (F-r, Fp-r, Fs, and FBS-r) and the Response Bias Scale (RBS) to detect symptom exaggeration among litigants claiming chronic pain. Utilizing the Bianchini et al. (2005) multi-method criteria for Malingered Pain Related Disability (MPRD), patients were classified along a continuum ranging from incentive only to definite malingering. Malingering classification was found to have a significant effect on MMPI-2-RF over-reporting scales, particularly the RBS, Infrequent Symptoms Scale (F-r), and Infrequent Somatic Responses scale (Fs), which supports the use of the MMPI-2-RF in forensic disability evaluations.

Evaluating Changes In Families With Members On Military Deployment, Jill Brink

All Graduate Theses, Dissertations, and Other Capstone Projects

With ongoing operations in the Middle East, military families face a large amount of stress surrounding deployment. While many studies have been conducted on soldier mental health, few have been published on the health of their families and even less on their children. The present case studies examine the mental health of military children, the change in family environment, and the social supports dependent spouses use during deployment. Two families are presented in this study. One family represents an Army Reserve family and the other an Air Force family. By comparing scores to standardized scores, it was shown that mental …

A Multi-Method Approach To Risk Assessment Among Women With Sexual Abuse Histories, Susan Elizabeth Drevo

All Graduate Theses, Dissertations, and Other Capstone Projects

While many empirical works detail the experience of and effects from sexual victimization, the underlying mechanisms that promote a cycle of recurrent victimization are not well understood. The current study replicated a previous study examining the perceptions of the benefits, risks, and personal expected involvement regarding a variety of risk taking behaviors in a sample of 151 college women with and without histories of sexual abuse. The current study further introduced a behavioral task in effort to test the utility of a multi-method approach to risk assessment. T-test analyses revealed that individuals with a history of sexual abuse perceived lesser …

The Experience Of Mental Health Service Use For African American Mothers And Youth, Richard Thompson, Barbara L. Dancy, Tisha R. A. Wiley, Sylvia P. Perry, Cynthia J. Najdowski

Psychology Faculty Scholarship

Little is known about African American families’ experiences with mental health services. A purposive sample of 40 dyads of African American youth (aged 13 to 19) and their mothers participated in a cross-sectional qualitative research design using semi-structured interviews that elicited information about their past experiences and satisfaction with mental health services. Though rarely received, group and family therapy were perceived favorably. However, both mothers and youth reported dissatisfaction centered on medication and lack of professionalism, confidentiality, and concern by providers. The failure of mental health services providers to meet basic standards of quality and professionalism may explain the low …

The Effects Of Amount Of Contact, Relationship Quality, And Types Of Activities On Child Social And Emotional Functioning In A Youth Mentoring Program, Dorothy Maria Lipski

All Graduate Theses, Dissertations, and Other Capstone Projects

Various factors in youth mentoring programs are associated with beneficial outcomes in youth. Extending mentoring research, this pilot study aimed to evaluate the effectiveness of the Y's Brother/Sister program. The particular factors under study included the influence of the amount of contact between mentors and mentees, the self-reported quality of the relationship, and the types of activities engaged in on mentee's mental health. Ten mentees between the ages of 8 and 17 years of age (M = 11.5) were included in the study. Contrary to the hypothesis, the results show that more contact was associated with elevated levels of behavioral …

Psychometric Properties Of Diagnostic Assessment Instrumentsfor Autism Spectrum Disorders In A Community Sample Aged 2 Through 17 Years, Sheryl Lozowski-Sullivan

Dissertations

Recent estimates of the incidence and prevalence of autism spectrum disorders (ASDs) indicate substantial increases over the past 20 years (Centers for Disease Control and Prevention, 2009; Fombonne, 2009; Matson & Kozlowski, 2011; Schreibman & Koegel, 2005; Wing & Porter, 2002), in part because of the availability of significantly improved diagnostic assessment instruments (Lord & Corsello, 2005; Schreibman, 2005). In highly structured research settings, some of these diagnostic instruments correlate well with each other; however, few studies have examined the relation between these diagnostic tools in traditional clinical practice (Mazefsky & Oswald, 2006; South et al, 2002). This study examined …

African American Experiences Of Race Relations In The Supervision Dyad, Brandi L. Pritchett-Johnson

Dissertations

Everything we do is embedded within multiple contexts of collective and individual historical events that culminate in present day encounters. As an increasing number of racial minorities have entered the ranks as mental health practitioners, the configuration of the treatment and the supervision dyad has changed (Owens-Patterson, 2002). The fundamental aim of this study explored, captured, and described the supervision experience from the nuanced perspective of African American supervisors. A qualitative approach was employed using in-depth interviews to capture the complexity of race relations within the supervision dyad through an African Centered framework, aiding in our understanding of supervised training …

Dosed Versus Prolonged Exposures: A Direct Comparison Of One-Session Treatments For Animal Phobias, Richard William Seim

Dissertations

It is widely accepted that for exposure-based therapies to be effective feareliciting stimuli must be presented continuously until there is a marked decrease in the client's anxiety (e.g., Eysenck, 1979; Foa & Kozak, 1986). However, an emerging body of research (cf. Seim, Waller, & Spates, 2010) suggests that a massed series of very brief exposures (< 150 sec) may be effective in the extinction of fear responses. The present study was designed to compare the efficacy and acceptability of two one-session treatments for animal phobias: one that utilized continuous, uninterrupted periods of exposure to a feared animal (Prolonged Exposures) and the other that utilized a massed series of brief (5-120 sec) exposure trials (Dosed Exposures). 24 adults (7 males, 17 females) between the ages of 18 and 57 years (M = 23.6) participated in this study. Each individual met DSM-IV criteria for a diagnosis of snake phobia or spider phobia. Participants were randomly assigned to one of two the two interventions. Both treatments required participants to gradually enter a room, approach, and eventually hold a live ball python or tarantula. Results from mixed model (between x within subjects) analyses of variance showed that the Dosed Exposure treatment performed equally well to Prolonged Exposures at decreasing behavioral avoidance, feelings of anxiety, perceptions of threat, and phobiaspecific cognitions from pre-treatment to post-treatment, and these gains were maintained at one-week follow-up. Although participants receiving Prolonged Exposures reported lower ratings of within-session anxiety, participants in the Dosed Exposure group had lower rates of treatment dropout, better compliance with procedures, and fewer safety-seeking behaviors during the treatment. These findings suggest that, contrary to popular belief, brief exposure trials can be effective in the extinction of phobic responses under certain conditions.

Soviet Holocaust Survivors: An Ethnographic Study, Marina Shafran

Dissertations

The purpose of the current study was to help understand the lives, worldview, and meaning making of Soviet Holocaust survivors currently residing in the United States. Ethnographic interviews were conducted to explore survivor's childhood, family life, religion, political views, work, and social life. These areas were examined during the following time periods: pre-WWII, during WWII, and post-WWII.

From the collected and analyzed data I was able to offer an insight into the experiences of five Soviet Holocaust survivors under the Soviet regime. I described the struggles that the survivors experienced during the Holocaust, the losses they had suffered, and the …

Effectiveness Of A Motivational Enhancement Group Treatment In A Community Treatment Program With A Substance Abusing Population, Matthew S. Willerick

Dissertations

Motivational interviewing (MI) is a directive, client-centered intervention to elicit behavior change by assisting clients in the exploration and resolution of ambivalence toward change. MI-inspired approaches have been used in an attempt to facilitate change in a wide variety of domains including alcohol and drug abuse, safe water handling practices, dual diagnoses, gambling, spousal abuse, health related areas, mood and anxiety disorders, and parental engagement. MI seeks to resolve ambivalence in the direction of change by increasing the client's self-efficacy. This is accomplished by combining clientcentered (e.g., reflective listening) and directive strategies (e.g., attending selectively to change statements). The origins …

Impact Of Exercise Partner Attractiveness On Mood, Enjoyment, And Exertion, Thomas G. Plante, Sarah Gregg, Jaclyn Rubbo, Thomas Favero, Ashley Morisako, Jessica Cuadra

Psychology

Social comparison theory was used to examine if males exercising with a female research confederate posing as either attractive or unattractive would alter their exercise mood, exertion, and enjoyment. A total of 101 college students (51 males and 51 females) were randomly assigned to one of three conditions: biking alone, biking with an attractive female confederate, or biking with the same female confederate appearing unattractive. All participants were instructed to complete 20 minutes of exercise at 60%-70% of their maximum target heart rate. Standard exercise mood measures (e.g., Activation-Deactivation Adjective Check List) were administered immediately prior to and immediately following …

A Functional Analysis Of Elderspeak Use By Certified Nursing Assistants In Caregiving Situations, Nathaniel Joseph Lombardi

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of the current study was to assess the function of Elderspeak (i.e., a patronizing style of speech used with older adults) use by Certified Nursing Assistants (CNA's) in caregiving situations, with the intention of identifying factors or variables related to its use. This was done using a questionnaire intended to ascertain CNA's general evaluations of the likelihood and appropriateness of Elderspeak use in a variety of different contexts. The questionnaire included a total of 36 items that identified positive and negative factors pertaining to residents and caregivers. Consistent with existing models and previous research, it was hypothesized that …

Awareness Of Deficits And On-Road Driving Performance Among Persons With Acquired Brain Injury, Julie Ann Griffen

Wayne State University Dissertations

This study examined the relationship of neuropsychological and on-road driving evaluations among adults with acquired brain injury (ABI), and the extent to which that relationship is moderated by awareness of deficit. Awareness of deficit may partly explain mixed findings regarding the relationship between cognitive function and driving outcomes, inasmuch as persons aware of their deficits attempt to compensate for them accordingly, thereby minimizing deficit-related risk.

Sixty-two pairs of adults with ABI and significant-other informants recruited from a driving evaluation center and 40 healthy controls participated. Adults with ABI and controls completed neuropsychological and on-road evaluations.

Awareness of deficit was directly …

Examination Of The Interaction Of Drinking Motives And Personality On Alcohol Use And Alcohol-Related Problems Among College Students, Jessica Lynn Martin

Legacy Theses & Dissertations (2009 - 2024)

Approximately 55% of U.S. college students report binge drinking at least once in the previous two weeks (Core Institute, 2006). Students who engage in binge drinking are more likely to experience academic, social and legal problems as a result of their drinking (e.g., Wechsler et al., 2002). It is important for researchers to investigate factors associated with alcohol use and related problems so that prevention and intervention efforts can be targeted toward those students most at-risk for heavy consumption and alcohol-related problems.

Using The Unmatched Count Technique To Increase The Accuracy Of Base Rate Estimates Of Psychosocial Problems In Returning Active Duty Service Members, Sean C. Sheppard

Legacy Theses & Dissertations (2009 - 2024)

The wars in Iraq and Afghanistan represent the most extensive conflicts since the Vietnam War, and a large body of research has focused on identifying base rates of PTSD, depression, and alcohol abuse and related behaviors in returning service members.

Development And Validation Of An Assessment For Longitudinal Symptom Fluctuation In The Eating Disorders And The Relationship Between Motivation To Change And Naturalistic Fluctuations In Body Weight And Eating Disorder Symptom Frequencies, Kyle Patrick De Young

Legacy Theses & Dissertations (2009 - 2024)

The frequencies of behavioral symptoms of eating disorders (e.g., binge eating and purging) are highly variable across and within individuals. The presence and severity of these symptoms define both diagnostic boundaries and outcome states, but validated tools to retrospectively assess symptom frequencies that capture variability at the week-level do not exist. This study evaluated the reliability and validity of an assessment designed for this purpose in a mixed eating disorder sample of 113 individuals recruited from the community who provided symptom frequency data once weekly for 12 weeks and completed the Interactive, Graphical Assessment Tool for Eating Disorders (IGAT-ED) on …

The Evaluation Of A Parent-Implemented Behavioral Intervention For The Treatment Of Food Selectivity And Mealtime Behavior Problems In Children With Autism Spectrum Disorders, Suzanne Michelle Milnes

Legacy Theses & Dissertations (2009 - 2024)

The purpose of the current study was to extend and replicate the procedures used by Gentry and Luiselli (2008) and evaluate whether their parent-implemented treatment package was effective in increasing food acceptance in children with an autism spectrum disorder. Additionally, this study evaluated whether food acceptance generalized to foods and mealtimes not targeted during intervention. A secondary purpose of the current study was to evaluate the impact of the same treatment package on each child's inappropriate mealtime behavior. Parents conducted all sessions in a naturalistic setting (i.e., the home) and parent training took place via a consultative model. The primary …

A Comparative Evaluation Of Acceptance And Cognitive Restructuring Techniques For Coping With Acute Panicogenic Distress : An Experimental Evaluation In An Anxious Non-Clinical Sample, Erica Moses

Legacy Theses & Dissertations (2009 - 2024)

Cognitive-behavioral therapy (CBT), an approach that emphasizes increasing perceptions of control and cognitive change through cognitive restructuring, has proven to be an efficacious treatment for panic disorder. However, significant proportions of patients fail to achieve clinically significant improvement. Acceptance, an alternative contextually-based approach to content- and change-based cognitive strategies, has gained popularity within the field. Research on the utility of acceptance-based strategies for anxiety is promising, particularly in comparison to control-based emotion regulation strategies, such as suppression and distraction. Yet, to date, no studies have rigorously compared acceptance-based strategies to analogs of cognitive-behavioral techniques. The present study is the first …

Cardiovascular Reactivity And Recovery To Stressful Tasks Following A Mindfulness-Analog In College Students With A Family History Of Hypertension, Christoffer Grant

Legacy Theses & Dissertations (2009 - 2024)

Ninety-seven undergraduate students with a family history of hypertension participated in a study that evaluated the effects of a brief mindfulness-induction on cardiovascular reactivity and recovery to two stressors. Participants were randomized to either a mindfulness-induction or control condition and were then exposed to the cold pressor task (CPT) followed by the mirror-tracing task (MT). Blood pressure and heart rate were measured at baseline, post-induction, as well as during and immediately following each stressor. There were no group differences in reactivity to either stressor. Participants in the mindfulness-analog condition experienced significantly greater latency to systolic blood pressure recovery following the …

Exploring Curvilinear Effects And Gender Differences In Posttraumatic Growth And Posttraumatic Stress Disorder Symptoms In College Students, Vivian S. Hwang

Legacy Theses & Dissertations (2009 - 2024)

Posttraumatic growth following stressful and traumatic experiences has been associated with positive psychological and physical outcomes. In addition, distress-related variables, such as symptoms of posttraumatic stress disorder, have been related to growth. Some studies suggest that a curvilinear relation may exist between distress and growth, although literature in this area is sparse. This study examined how distress, as measured by the civilian version of the PTSD Checklist, and posttraumatic growth are related. Results demonstrated both linear and curvilinear effects of PTSD symptom severity on growth. Data for men were significantly explained by a linear effect only, whereas data for women …

Examining The Role Of Ethnicity In The Nature And Assessment Of Body Image In Men, Jason Matthew Lavender

Legacy Theses & Dissertations (2009 - 2024)

Although body image research has historically focused on dissatisfaction among women, studies within the past decade have begun to focus on body dissatisfaction among men, revealing important gender differences in the nature, conceptualization, and assessment of this construct. Despite recent advances in the research literature in this area, few studies have examined ethnic differences in male body image, and no information is available on the psychometric properties of many of the most widely used body image measures for samples of ethnic minority men. The purpose of the present research was to evaluate the psychometric properties of the Drive for Muscularity …

Typically Developing Children's Attitudes Towards A Peer With Behaviors Indicative Of Autism, Lindsay A. Washington

Legacy Theses & Dissertations (2009 - 2024)

Although inclusive educational programming offers opportunities for increased contact between children with autism spectrum disorders (ASD) and typically developing peers, research indicates that children with ASD continue to struggle socially in these settings. One possible contributing factor could be the type of attitudes that typically developing peers hold regarding children with ASD. The purpose of the present study was to determine whether typically developing first grade children express rejecting attitudes towards a hypothetical peer with behaviors indicative of autism. This study employed a between-groups design and included 89 participants. Participating children viewed a brief video that depicted either a child …

The Role Of Expectancy In Prescription Stimulant Misuse, Alison Looby

Legacy Theses & Dissertations (2009 - 2024)

Misuse of prescription stimulant medication such as methylphenidate (MPH) has increased among college students over the past several years. Common motivations for misuse include enhancements in cognitive function and subjective arousal. Researchers have recently cited a need to better understand and develop treatments for this behavior. Expectancy effects, which impact initiation and maintenance of substance use, may also be implicated in one's decision to engage in prescription stimulant misuse. This study first examined whether subjective mood and cognitive performance could be elevated solely by one's expectation to receive MPH. Additionally, this study examined the efficacy of an expectancy challenge in …

The Illusion Of Transparency And Public Speaking: A Study Of Social Anxiety, Chelsea Gloth

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study is to determine whether participants who are informed of a phenomenon termed "the illusion of transparency" (Gilovich, Savitsky & Medvec, 1998) give higher quality speeches, feel and appear less anxious while delivering the speech, and give longer speeches. Participants consisted of 543 students from a Midwestern university. First they completed the FNE (Watson & Friend, 1969), and 31 of those with the top quartile of scores returned to the lab to give a 3-minute speech. Participants in the illusion condition were informed about what the illusion of transparency is, while those in the reassured condition …