Clinical Psychology Commons^™

Peer Victimization, Depression, And Suicidality In Adolescents, Anat Brunstein Klomek, Frank Marrocco, Marjorie Kleinman, Irvin Sam Schonfeld, Madelyn S. Gould

Publications and Research

Objective: To assess the association between bullying behavior and depression, suicidal ideation, and suicide attempts among adolescents. Method: A self-report survey was completed by 9th- through 12th-grade students (n = 2342) in six New York State high schools from 2002 through 2004. Regression analyses were conducted to examine the association between being victimized and bullying others with depression, ideation, and attempts. Results: Approximately 9% of the sample reported being victimized frequently, and 13% reported bullyingothers frequently. Frequent exposure to victimization or bullying others was related to high risks of depression, ideation, and suicide attempts compared …

Even Fighters Get The Blues, Randy Borum

Randy Borum

No abstract provided.

Analysis Of The Goodwin Sentence Completion Test In The Screening Of Clinical Depression, Karyn L. Goodwin-Tribble

PCOM Psychology Dissertations

The Goodwin Sentence Completion Test (GSCT) was developed as a screening instrument for clinical depression. This instrument, composed of 25 sentence stems, was designed to indicate the level depression and to assess the strength of negative perceptions associated with dimensions of the cognitive triad (self, world, and future). Although the GSCT follows the typical format of most projective sentence completion tests, an objective scoring method was also constructed in order to evaluate more reliably individual results. The tool was administered to 80 adult volunteers ranging in age from 18 to 72 years of age. Volunteers were randomly selected from a …

Even Fighters Get The Blues, Randy Borum

Mental Health Law & Policy Faculty Publications

No abstract provided.

Perfectionism And Depressive Symptoms 3 Years Later: Negative Social Interactions, Avoidant Coping, And Perceived Social Support As Mediators., David M. Dunkley, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Although research has demonstrated perfectionism to have a negative impact on the treatment of depression, little research has examined the mechanisms or processes through which perfectionism predicts subsequent depressive symptoms in clinical populations over time. Using data from a prospective, 3-year study of a clinical sample (N = 96), hierarchical regression analyses indicated that perfectionism, assessed by the Dysfunctional Attitude Scale (Weissman AN, Beck AT. Development and validation of the Dysfunctional Attitude Scale: a preliminary investigation. Paper presented at the 86th annual convention of the American Psychological Association, Toronto, Ontario, Canada; 1978), is distinguished from major depression and neuroticism for …

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 …

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 …

Relationship Between Discontinuation Of Anti-Depressant Medication During Pregnancy And Development Of Postpartum Depression, Maria Palombo Murphy

PCOM Psychology Dissertations

Postpartum depression (PPD) is a serious and potentially debilitating disorder that frequently goes undetected due to stigma and a lack of understanding about its course and etiology. The factor of particular interest to this study concerns the relationship between discontinuation of anti-depressant medication in pregnancy and the development of PPD. The study examined how the variables of pregnancy mood, child care stress, emotional support, instrumental support, marital satisfaction, history of depression, baby temperament, birth experience, and medication status affect symptoms of postpartum depression (PPD) in a sample of 202 patients at the six-week postpartum check-up. In addition to a demographic …

Preliminary Evidence For Medication Effects On Functional Abnormalities In The Amygdala And Anterior Cingulate In Bipolar Disorder, Hilary P. Blumberg, Nelson H. Donegan, Charles A. Sanislow, Susan Collins, Cheryl Lacadie, Pawel Skudlarski, Ralitza Gueorguieva, Robert K. Fulbright, Thomas H. Mcglashan, John C. Gore, John H. Krystal

Charles A. Sanislow, Ph.D.

RATIONALE: Abnormal amygdala and frontocortical responses to emotional stimuli are implicated in bipolar disorder (BD) and have been proposed as potential treatment targets.

OBJECTIVES: The aim of this study was to investigate amygdala and frontocortical responses to emotional face stimuli in BD and the influences of mood-stabilizing medications on these responses.

METHODS: Functional magnetic resonance imaging was performed while 17 BD participants (5 unmedicated) and 17 healthy comparison (HC) participants viewed faces with happy, sad, fearful, or neutral expressions.

RESULTS: The group by stimulus-condition interaction was significant (p<0.01) for amygdala activation, with the greatest effects in the happy face condition. Relative to HC, amygdala increases were greater in unmedicated BD, but lower in medicated BD. Rostral anterior cingulate (rAC) activation was decreased in unmedicated BD compared to HC; however, BD participants taking medication demonstrated rAC activation similar to HC participants.

CONCLUSIONS: Although the sample sizes were small, these preliminary results suggest that …

Longitudinal Comparison Of Depressive Personality Disorder And Dysthymic Disorder, John C. Markowitz, Andrew E. Skodol, Eva Petkova, Hui Xie, Jianfeng Cheng, David J. Hellerstein, John G. Gunderson, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

BACKGROUND: Few studies have compared the related diagnostic constructs of depressive personality disorder (DPD) and dysthymic disorder (DD). The authors attempted to replicate findings of Klein and Shih in longitudinally followed patients with personality disorder or major depressive disorder (MDD) in the Collaborative Longitudinal Personality Disorders Study.

METHODS: Subjects (N = 665) were evaluated at baseline and over 2 years (n = 546) by reliably trained clinical interviewers using semistructured interviews and self-report personality questionnaires.

RESULTS: Only 44 subjects (24.6% of 179 DPD and 49.4% of 89 early-onset dysthymic subjects) met criteria for both disorders at baseline. Depressive personality disorder …

Coping And Psychological Hardiness And Their Relationship To Depression In Older Adults , Dianne E. Schellenberg

PCOM Psychology Dissertations

The roles of coping strategies and psychological hardiness as these affect the relationships to depression in older adults were explored in a population of older adult residents who had recently relocated to long-term-care nursing home facilities. Older adults experience many losses and subsequent stressors as a result of normal aging; therefore, the additional stress that accompanies loss of familiar surroundings and support systems and the relocation to new and unfamiliar surroundings can have a significant impact on physical and psychological well being. A total of 91 residents participated in this study. Coping abilities were evaluated in terms of social problem-solving …

Validity Of Das Perfectionism And Need For Approval In Relation To The Five-Factor Model Of Personality, David M. Dunkley, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

This study examined the validity of the perfectionism and need for approval scales of the Dysfunctional Attitude Scale (DAS; Weissman & Beck, 1978) by locating these measures within a comprehensive framework of personality, provided by the revised NEO Personality Inventory (NEO-PI-R; Costa & McCrae, 1992), in a clinical sample (N ¼ 132). The results indicated that: (1) DAS perfectionism reflects the self-critical aspects of the broader perfectionism construct rather than the active achievement striving aspects; (2) DAS need for approval generally lacks an association with positive interpersonal traits and shares much in common with DAS perfectionism; and (3) with shared …

Realism Or Distortion In Predicting And Evaluating Exam Performance Among Depressed And Nondepressed Students, Michael J. Kinney

PCOM Psychology Dissertations

Cognitive behavioral theories suggest that depressed people have negatively distorted and inaccurate perceptions and cognitions. The present study measures the accuracy of cognitions by comparing predictions made by depressed and by nondepressed students when they estimate the scores they will earn on an examination. It also compares depressed and nondepressed students on their levels of satisfaction with their exam scores. No difference was found between depressed and nondepressed students in either their predictions of their exam grades or their level of satisfaction with their exam grades. This study fails to support the notion that depression correlates with negative cognitive distortions. …

Correspondence Of Self- And Observer-Rated Depression Using The Bdi-Ii And Bdi-Ii-O, Linda A. Longan

PCOM Psychology Dissertations

This study describes the development, reliability, and validity of a new observer-rated version of the Beck Depression Inventory – Second Edition (BDI-II). This measure, called the Beck Depression Inventory – II – Observer (BDI-II-O), is identical in form, content, and scoring to the BDI-II, and allows informants to report on the depressive symptoms of others. The informants for this initial study were clinicians; however, the BDI-II-O is designed for use by a wider range of informants. A group of four clinicians completed the BDI-II-O on each of 36 adult psychiatric patients in an intensive outpatient/partial hospitalization program. The patients completed …

Correlates Of Suicide Risk In Juvenile Detainees And Adolescent Inpatients, Charles A. Sanislow, Carlos M. Grilo, Dwain C. Fehon, Seth R. Axelrod, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

OBJECTIVE: To compare correlates of risk for suicidal behavior in juvenile detainees with those in another high-risk group, adolescent psychiatric inpatients.

METHOD: Eighty-one adolescents in a short-term juvenile detention center were contrasted with a matched group of 81 adolescent psychiatric inpatients on a clinical assessment battery of established instruments including a measure for risk of suicidal behavior.

RESULTS: Juvenile detainees and adolescent psychiatric inpatients reported similar levels of distress on measures of suicide risk, depression, impulsivity, and drug abuse. After controlling for depression, impulsivity and drug abuse remained significantly associated with suicide risk scores in the juvenile detention group, but …

Depression And Social Support As Moderators Of Withon-Person Relationships Between Daily Events And Daily Adjustments During Adolescence, Rebecca M. Plesko

Psychology Theses & Dissertations

Everyday for 2 weeks, adolescents described the events that occurred each day and provided measures of their daily self-esteem and depressogenic adjustment. Adolescents also provided trait measures of depression and social support. Within-person relationships were found between social and achievement, positive and negative daily events and daily adjustment. Depression and social support moderated specific within-person relationships. Less well-adjusted adolescents were more reactive to social positive events than better-adjusted adolescents, but surprisingly, better-adjusted adolescents were more reactive to social negative events than less well-adjusted adolescents. Better-adjusted adolescents were also more reactive to achievement positive events than less well-adjusted adolescents. Girls were …

Relation Of Therapeutic Alliance And Perfectionism To Outcome In Brief Outpatient Treatment Of Depression, David C. Zuroff, Sidney J. Blatt, Stuart M. Sotsky, Janice L. Krupnick, Daniel J. Martin, Charles A. Sanislow, Sam Simmens

Charles A. Sanislow, Ph.D.

Prior analyses of the National Institute of Mental Health Treatment of Depression Collaborative Research Program demonstrated that perfectionism was negatively related to outcome, whereas both the patient's perception of the quality of the therapeutic relationship and the patient contribution to the therapeutic alliance were positively related to outcome across treatment conditions (S. J. Blatt, D. C. Zuroff, D. M. Quinlan, & P. A. Pilkonis, 1996; J. L. Krupnick et al., 1996). New analyses examining the relations among perfectionism, perceived relationship quality, and the therapeutic alliance demonstrated that (a) the patient contribution to the alliance and the perceived quality of the …

Short And Long-Term Effects Of Medication And Psychotherapy In The Brief Treatment Of Depression: Further Analyses Of Data From The Nimh Tdcrp, Sidney J. Blatt, David C. Zuroff, Colin M. Bondi, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

Prior analyses of data from the NIMH sponsored Treatment for Depression Collaborative Research Program (TDCRP; e.g., I. Elkin, 1994) indicated greater reduction of symptoms at midtreatment (8th wk) with Imipramine (IMI-CM) than with Cognitive-behavioral therapy (CBT) and Interpersonal therapy (IPT), but no significant differences in symptom reduction among these 3 active treatments at termination. Current analyses of previously unanalyzed data from ratings by therapists, clinical evaluators, and 162 patients (mean age 35 yrs) at termination and at 18-mo follow-up also indicated no significant differences among these treatments in symptom reduction or ratings of current clinical condition. But significant treatment differences …

Vulnerability To Depression: Reexamining State Dependence And Relative Stability, David C. Zuroff, Sidney J. Blatt, Charles A. Sanislow, Colin M. Bondi, Paul A. Pilkonis

Charles A. Sanislow, Ph.D.

Treatment-related decreases in Dysfunctional Attitudes Scale (DAS; Weissman & Beck, 1978) scores have been interpreted as evidence that dysfunctional attitudes are state-dependent concomitants of depression. Data from the National Institute of Mental Health Treatment of Depression Collaborative Research Program were used to reexamine the stability of dysfunctional attitudes. Mean scores for Perfectionism, Need for Approval, and total DAS decreased after 16 weeks of treatment. However, test-retest correlations showed that the DAS variables displayed considerable relative stability. Structural equation models demonstrated that dysfunctional attitudes after treatment were significantly predicted by initial level of dysfunctional attitudes as well as by posttreatment depression. …

The Relationship Between Ethnic Identity, Self-Esteem, Emotional Well-Being And Depression Among Lakota/Dakota Sioux Adolescents, Susan M. Pittenger

Psychology Theses & Dissertations

Despite conceptual support linking ethnic identity and psychological adjustment among Native Americans, empirical research examining this relationship remains limited. In light of recent developments in the area of ethnic identity research, including alternative conceptual models, improved methodologies, and more sophisticated measures, this study examined the relationship between ethnic identity, self-esteem, emotional well-being, and depression among Native American reservation youth.

The relationship between the predictor variables of American Indian ethnic identity, White-American identity and bicultural identity, and the criterion measures of self-esteem, emotional well-being, and depression were examined for 137 Lakota/Dakota Sioux reservation youth. Participants completed surveys including the Multigroup Ethnic …

When And How Perfectionism Impedes The Brief Treatment Of Depression: Further Analyses Of The Nimh Tdcrp, Sidney J. Blatt, David C. Zuroff, Colin M. Bondi, Charles A. Sanislow, Paul A. Pilkonis

Charles A. Sanislow, Ph.D.

Perfectionism has previously been identified as having a significant negative impact on therapeutic outcome at termination in the brief (16-week) treatment of depression (S. J. Blatt, D. M. Quinlan, P. A. Pilkonis, & T. Shea, 1995) as measured by the 5 primary outcome measures used in the National Institute of Mental Health Treatment of Depression Collaborative Research Program (TDCRP). The present analyses of other data from the TDCRP indicated that this impact of perfectionism on therapeutic outcome was also found in ratings by therapists, independent clinical evaluators, and the patients and that this effect persisted 18 months after termination. In …

Characteristics Of The Effective Therapist: Further Analyses Of The Nimh Tdcrp, Sidney J. Blatt, Charles A. Sanislow, David C. Zuroff, Paul A. Pilkonis

Charles A. Sanislow, Ph.D.

Analyses of the data of the National Institute of Mental Health-sponsored Treatment of Depression Collaborative Research Program have primarily examined the effects of types of treatment and patient characteristics on outcome, but scant attention has been directed toward evaluating the contributions of the therapist. With an aggregate of residualized therapeutic change scores of the 5 primary outcome measures for each patient at termination as an overall measure of improvement, an average therapeutic effectiveness measure was derived for each of the 28 therapists based on the outcome of the patients they saw in active treatment. The distribution of the therapists was …

Assessing Stress In Teachers: Depressive Symptoms Scales And Neutral Self-Reports Of The Work Environment, Irvin Sam Schonfeld

Publications and Research

The focal interest of this chapter on teacher stress is methodologic. The chapter enumerates a number of defects in existing measures of job stress in teachers and, concomitantly, other helping professionals. Alternative ways of measuring stress in teachers are suggested and evaluated. The use of depressive symptom scales in concert with more 'objective' measures of the work environment is discussed. An application of the proposed alternative measurement strategy is described. The wider utility of the measurement strategy is briefly described.

Gender Effects On Recall, Clinical Judgement And Treatment Recommendations For A Combination Of Major Depression And Alcohol Dependence Symptoms, Jodi L. French

Psychology Theses & Dissertations

This study investigated the effect of client gender on several aspects of clinical decision-making processes and clinical judgement when a client presented with a combination of depressive and alcohol-dependent symptoms. Forty-four male and 44 female clinicians, who came from various mental health disciplines (i.e., psychology, social work, counseling, nursing, and psychiatry), volunteered to participate as subjects.

The subjects were assigned to hear one of four audiotapes (two male tapes and two female tapes) in which mock clients gave the same initial presentation of symptoms and problems. After listening to the tapes, the clinicians were asked to engage in a number …

Mood Induction, Interpersonal Perceptions, And Behavioral Rejection In Students With Depressed, Non-Depressed Disturbed, And Normal Roommates, Charles A. Sanislow, David V. Perkins, Deborah Ware Balogh

Charles A. Sanislow, Ph.D.

The present study used the Minnesota Multiphasic Personality Inventory (MMPI) to select, based on multidimensional criteria, 51 college students who displayed depression alone, depression in conjunction with other psychological disturbance (PD), nondepressive PD, or no PD. All students had been living with randomly assigned roommates (RMs) for at least 10 wks. RMs of these students completed the Multiple Affect Adjective Check List, the Profile of Mood States, MMPI-168 Depression scale items, and items concerning roommate behavior. RMs of students depressed in conjunction with other PD were significantly more depressed themselves on 2 measures than were RMs of students in the …

The Effects Of Coverant Control Therapy Under Two Different Conditions On Depression, Steven Brian Lucks

Retrospective Theses and Dissertations

Twenty seven undergraduate psychology students were randomly assigned to two treatment groups and one no treatment control group to assess the effects of Coverant Control Therapy (CCT) under 2 different conditions on depression. The research was an analogue study. The first treatment group received CCT in a didactic format, while the second treatment group received CCT in an encounter group format. The control group assembled jigsaw puzzles. All subjects were administered the Multiple Affective Adjective Check List (MAACL) and the Minnesota Multiphasic Personality Inventory "D" scale for pre-, post-, and followup testing. Groups met for 4 sessions. Separate one-way analyses …