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Clinical Psychology Commons

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Full-Text Articles in Clinical Psychology

Concordance Of Illness Representations: The Key To Improving Care Of Medically Unexplained Symptoms, Lisa M. Mcandrew, Myrna L. Friedlander, L. Alison Phillips, Susan L. Santos, Drew A. Helmer Jan 2018

Concordance Of Illness Representations: The Key To Improving Care Of Medically Unexplained Symptoms, Lisa M. Mcandrew, Myrna L. Friedlander, L. Alison Phillips, Susan L. Santos, Drew A. Helmer

Educational & Counseling Psychology Faculty Scholarship

How can effective patient-provider relationships be developed when the underlying cause of the health condition is not well understood and becomes a point of controversy between patient and provider? This problem underlies the difficulty in treating medically unexplained symptoms and syndromes (MUS; e.g., fibromyalgia, chronic fatigue syndrome), which primary care providers consider to be among the most difficult conditions to treat.1 This difficulty extends to the patient-provider relationship which is characterized by discord over MUS.1 In this article, we argue that the key to improving the patient provider relationship is for the patient and provider to develop congruent …


Longitudinal Relationship Between Onset Of Physical Symptoms And Functional Impairment, Lisa M. Mcandrew, Drew A. Helmer, Shou-En Lu, Helena K. Chandler, Sarah Slotkin, Karen S. Quigley Jan 2018

Longitudinal Relationship Between Onset Of Physical Symptoms And Functional Impairment, Lisa M. Mcandrew, Drew A. Helmer, Shou-En Lu, Helena K. Chandler, Sarah Slotkin, Karen S. Quigley

Educational & Counseling Psychology Faculty Scholarship

Patients with chronic physical symptoms (e.g., chronic pain) often have significant functional impairment (i.e., disability). The fear avoidance model is the dominant theoretical model of how the relationship between chronic physical symptoms and functional impairment develops and proposes a cyclical/bidirectional relationship. There has never been a definitive test of the proposed bi-directional relationship. The current study followed 767 Operation Enduring Freedom/Operation Iraqi Freedom soldiers from pre-deployment, when they were relatively healthy, to one year after deployment, when it was anticipated that symptoms would increase or develop. Over the four assessment time points, physical symptom severity consistently predicted worse functional impairment …


Barriers To The Implementation Of Effective Transition Services For Adolescents With Autism Spectrum Disorder, Laura Corona Jan 2018

Barriers To The Implementation Of Effective Transition Services For Adolescents With Autism Spectrum Disorder, Laura Corona

Legacy Theses & Dissertations (2009 - 2024)

In the years following high school, young adults with autism spectrum disorder (ASD) report lower rates of employment, post-secondary education, and independent living than do individuals with other disabilities (Newman et al., 2011). Though evidence-based practices exist to support individuals with disabilities generally during the transition from high school to post-school education or employment, little research has focused on evidence-based practices specifically targeting high school students with ASD (Test, Smith, & Carter, 2014). The present study utilized a mixed methods approach to investigate barriers to the implementation of effective transition services for adolescents with ASD. In Phase 1, parents, school …


Perseverative Thinking In Eating Pathology : Do Rumination Patterns Differ According To Symptom Type?, Lauren Eileen Ehrlich Jan 2018

Perseverative Thinking In Eating Pathology : Do Rumination Patterns Differ According To Symptom Type?, Lauren Eileen Ehrlich

Legacy Theses & Dissertations (2009 - 2024)

Rumination, defined as repetitive, negative, self-referential thinking, is strongly associated with the development and maintenance of many internalizing disorders. Although rumination was first examined within the depression literature, it is now considered a transdiagnostic risk factor that underlies many psychological disorders. Despite the negative consequences of engaging in these thought processes, rumination is a common cognitive process, perhaps due to positive metacognitive beliefs about the function of rumination. Recent work has demonstrated a link between eating pathology and a tendency to ruminate on eating disorder relevant themes, as well as beliefs about the usefulness of rumination. Our understanding of this …


Examining The Role Of Impulsivity And Expectancies In Predicting Marijuana Use : An Application Of The Acquired Preparedness Model, Rachel Luba Jan 2018

Examining The Role Of Impulsivity And Expectancies In Predicting Marijuana Use : An Application Of The Acquired Preparedness Model, Rachel Luba

Legacy Theses & Dissertations (2009 - 2024)

Impulsivity and substance use covary. Smith’s acquired preparedness model


Examining Types Of Motivation For Exercise In Relation To Pathological Exercise In Eating Disorders, Christina Scharmer Jan 2018

Examining Types Of Motivation For Exercise In Relation To Pathological Exercise In Eating Disorders, Christina Scharmer

Legacy Theses & Dissertations (2009 - 2024)

Exercise can serve adaptive and maladaptive functions among individuals with elevated eating disorder (ED) pathology; however, little is known about how best to distinguish healthy and problematic exercise within this population. The present study aimed to inform this distinction by examining associations between intrinsic and extrinsic motivations for exercise, problematic exercise, and ED pathology in a sample of undergraduate students (N=347, 70% female) with threshold or sub-threshold EDs. All participants completed the Eating Disorder Examination Questionnaire (EDE-Q), the Exercise Motivation Inventory-2 (EMI-2), the Compulsive Exercise Test (CET), and the Exercise Dependence Scale (EDS). Preliminary exploratory factor analysis of the EMI-2 …


Psychological Reactance Theory And Marijuana Craving, Melissa Nicole Slavin Jan 2018

Psychological Reactance Theory And Marijuana Craving, Melissa Nicole Slavin

Legacy Theses & Dissertations (2009 - 2024)

Psychological Reactance Theory (Brehm, 1966) asserts that people experience reactance (a retaliatory motivational state characterized by negative affect and resistant attitudes) when they perceive their autonomy is threatened. Reactance may lead to “boomerang effects”, where the individual is drawn toward the restricted object or behavior. Anti-marijuana (MJ) messages designed to discourage use might heighten reactance and inadvertently lead to greater craving for MJ and stronger intentions to use. The current online experiment determined that a message discouraging use of MJ evoked greater reactance in student and community member participants than a harm-reduction message. Additionally, reactance was associated with participants’ indirect …


Feasibility And Acceptability Of A Novel Tool For The Study Of Interpersonal Processes In Psychotherapy, Carly Max Schwartzman Jan 2018

Feasibility And Acceptability Of A Novel Tool For The Study Of Interpersonal Processes In Psychotherapy, Carly Max Schwartzman

Legacy Theses & Dissertations (2009 - 2024)

Psychotherapy process research methods often require extensive time and resources. Technology innovations have the potential to increase the efficiency of data collection and processing. A technology with potential applications for psychotherapy research is the Sociometric Badge (SB), which is a portable, palm-sized device that can simultaneously record session audio and data on social signals (e.g., speech patterns, body movement) in real-time and in varied contexts. This pilot study examined the feasibility and acceptance of these assessment devices in comparison with traditional audio recording equipment. Undergraduate students (N = 308; Mage = 19.16 years [SD = 1.4]; 50.3% female) were randomly …