Counseling Psychology Commons^™

The Ticking Of The “Biological Clock”: Worry About Future Fertility In Nulliparous Women, Karen E. Kersting

Theses and Dissertations

Abstract

Title: The Ticking of the “Biological Clock”: Worry about Future Fertility in Nulliparous Women

By: Karen Kersting, M.A., M.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.

Virginia Commonwealth University, 2013.

Major Director: Kathleen M. Ingram, J.D., Ph.D.

Associate Professor of Psychology

Department of Psychology

Modern women are waiting until later in their lives to have children than women of previous generations, a trend influenced by a number of factors including financial stability, dating norms, and career goals and responsibilities. As women age, their fertility may decline …

Increasing Positive Interactions Between Staff And Individuals With Disabilities: The Impact Of Training On Acquisition And Maintenance, Kimberly Anne Martell

Dissertations

The primary purpose of the present study was to evaluate the use of direct training to increase the rate of positive interactions between direct care staff (DCS) and individuals with developmental disabilities who reside in intermediate care facilities. Specifically, this study evaluated whether real-time prompts delivered via a one-way radio would result in immediate and sustained increases in rates of DCS positive interactions. Additionally, this study evaluated the link between increased rates of DCS positive interactions and concomitant decreases in residents’ challenging behaviors. A multiple baseline design across participants was implemented to assess DCS rates of positive and negative interactions. …

Does Psychopathy Predict Future Risky Sexual Behavior?, Jessica Jade Fulton

Dissertations

Risky sexual behavior (RSB), such as having sex with an unknown partner, is associated with a variety of negative consequences including sexually transmitted diseases and unplanned pregnancy. Previous research (e.g., Fulton, Marcus, & Payne, 2010) suggests that psychopathic personality traits as assessed by the Psychopathic Personality Inventory (Lilienfeld & Andrews, 1996) are associated with RSB. Self-Centered Impulsivity (SCI), which is characterized by impulsivity, irresponsibility, and reckless behavior, was positively associated with RSB among men and women. In contrast, Fearless Dominance (FD), which is characterized by fearlessness, manipulativeness, and social dominance, was positively associated with RSB among men but not women. …

Depression As A Risk Factor For Breast Cancer : Investigating Methodological Limitations In The Literature., Patrick Pössel, Erica Adams, Jeffrey C. Valentine

Faculty and Staff Scholarship

Purpose: A relationship between depression and the development of breast cancer has not been convincingly shown in the research conducted over the past three decades. Methods: In an effort to better understand the conflicting results, a review was conducted focusing on the methodological problems associated with this literature, including time frame between the assessment of depression and the diagnosis of breast cancer and the use of somatic items in measuring depression. Fifteen breast cancer prospective studies were reviewed. Results: While twelve of the studies found positive associations between depression and breast cancer development, three studies found negative associations. With regards …

Promoting Healthy Body Image In College Men: An Evaluation Of A Psychoeducation Program, Justin Henderson

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Current psychological research indicates that men are increasingly dissatisfied with their bodies (e.g., McCabe & Ricciardelli 2004; Olivardia, Pope, Borowiecki, & Cohane, 2004). The consequences of body image concerns range from mild discontent (e.g., body dissatisfaction) to the more pathological (e.g., muscle dysmorphic disorder, steroid use, and eating disorders). College-age men are at particular risk of body image disturbances. Drawing from body image research and theory, a one session prevention intervention was designed for college men to address this growing concern. The prevention intervention was intended to serve as a preliminary step into men’s body image prevention programming. The intervention …

Fruit Of Faith, Fruit Of The Spirit, Thomas G. Plante

Psychology

As contemporary behavioral scientists living and working within an often secular, scientific, and empirically focused world as well as being affiliated with rigorous academic institutions and research programs, we wonder if the fruits of the spirit have any empirical and scientific basis. Does engagement with religion and spirituality make us better people or make us worse?

Parenting A Chronically Ill Child: Social Support, Coping, Family Hardiness, And Maternal Stress, Kathryn Lynch Bigalke

Master's Theses

Parents of children with cancer experience higher stress than parents of children with other medical conditions or with no developmental concerns (Canam, 1993; Cohen, 1999). Researchers are beginning to explore a number of protective factors that may influence parental stress in parents of children with cancer. Social support (Abidin, 1992), problem-focused coping (Judge, 1998), and family hardiness (Maddi et al., 2006) have been related to lower levels of stress and more positive outcomes in parents of healthy children, but have not been fully explored in the pediatric cancer population. The current study was designed to assess the relationship between parental …

Examination Of Anxiety And Substance Use Symptoms In Trauma Exposed Versus Environmentally Stressed College Students, Theresa M. Souza

Dissertations

Anxiety is a common problem among the college population, which rarely occurs in isolation. Oftentimes, an individual abuses substances in an attempt to eliminate the short term affect of these conditions. Post Traumatic Stress Disorder (PTSD), is the most persistent and severe type of anxiety disorder. It has been a long-standing belief within the psychological community that in order for PTSD to develop, the individual must first experience a traumatic event which meets certain criteria and must evidence a definable emotional response during the event. A recent study found PTSD in individuals who had not experienced the type of trauma …

Exploring The Experiences Of Living With A Controversial Illness In Patients With Fibromyalgia, Samantha L. Wheeler

Dissertations

Fibromyalgia is an illness of great controversy estimated to affect approximately 4% of the US population. There are no widely accepted etiological causes or clear physiological explanations of fibromyalgia. Only a few research studies have addressed the concept of illness uncertainty in patients with fibromyalgia. There are no current studies that examine how fibromyalgia patients experience, perceive, and understand their illness in terms of having a syndrome with an unknown etiology.

This qualitative study, using phenomenological methods, explored the concept of unknown etiology as one factor in illness uncertainty. Ten participants, diagnosed with fibromyalgia from 2-15 years were interviewed. The …

The Influence Of A Personal Practice Of Meditation On One’S Therapeutic Practice, William W. Fitzgerald

Dissertations

The focus of this study was to examine counseling professionals’ personal experience with meditation and how it influences their clinical work, including the formation of a therapeutic relationship. Using phenomenological methods, data were gathered from 10 psychotherapists and then analyzed.

There has been a great deal of effort devoted to investigating what contributes to positive counseling outcome for clients. One constant in the therapeutic process is the person of the therapist. While the person of the therapist is frequently mentioned in the literature, much less attention has been given to the examination of personal development paths of the therapist. Little …

The Santa Clara Strength Of Religious Faith Questionnaire: Assessing Faith Engagement In A Brief And Nondenominational Manner, Thomas G. Plante

Psychology

The Santa Clara Strength of Religious Faith Questionnaire is a brief (10-item, or five-item short form version), reliable and valid self report measure assessing strength of religious faith and engagement suitable for use with multiple religious traditions, denominations, and perspectives. It has been used in medical, student, psychiatric, substance abuse, and among general populations nationally and internationally and among multiple cultures and languages. Brief non denominational self report measures of religious and faith engagement that have demonstrated reliability and validity are not common but can have potential for general utility in both clinical and research settings. This article provides an …

School Counselors' Training, Knowledge, And Perceptions Of Non-Suicidal Self-Injury, Amy Reed

Masters Theses & Specialist Projects

This investigation examined school counselors’ perceptions and levels of knowledge in regard to nonsuicidal self-injury (NSSI), existing school prevention and protocol, resources and training opportunities available, as well as identified training needs. NSSI is the socially unaccepted, deliberate, self-inflicted harm of an individual’s body to reduce psychological distress with out the intention to die as a consequence (Simeon & Favazza, 2001). As a mental health professional in the schools, school counselors are often salient figures in adolescents’ educational environment. They are also many times the most appropriately qualified individuals to work with self-injuring adolescents in the school setting. While existing …

College Students Who Self-Injure: A Study Of Knowledge And Perceptions Of Self-Injury, Stacey Edwards Clinard

Masters Theses & Specialist Projects

Archived data was utilized for the present study which examined self-injurious behaviors in a college population. College students, who engage in non-suicidal self-injury, or NSSI, were expected to evidence a higher knowledge base for the behavior than those who do not. The demographic variables of gender and sexual orientation were predicted to be over represented in the NSSI group. Further, this study examines the perceived riskiness of the behavior in individuals who self-injure, as well as their perceptions of others who engage in NSSI. The survey consisted of four sections: demographics, knowledge ofNSSI, experience with NSSI, and perceptions ofNSSI. Individuals …

Living With Inflammatory Bowel Disease (Ibd) : A Test Of The Meaning Making Model Of Coping., Erica Adams

Electronic Theses and Dissertations

Inflammatory Bowel Disease (IBD) is a chronic illness with the potential to affect many areas of one's life through painful physical symptoms and psychological distress. Despite the debilitating nature and increasing prevalence of IBD, there is little research addressing the coping processes and related psychological adjustment among individuals living with the disease. Moreover, there has been no research conducted investigating how those with IBD make meaning out of their illness experience. Research conducted with other illness populations suggests that meaning making, a specific type of coping may have important implications for psychological adjustment. This cross-sectional study examines the coping processes …

The Comparative Efficacy Of Dosed, Enhanced Dosed, Prolonged Exposure, And Mindfulness In The Reduction Of Anxiety, Sophie Rubin

Dissertations

Exposure-based treatments have proven effective in treating a range of fears and phobias and can be accounted for by mechanisms described in behavioral theory. Enhanced dosed and dosed-only exposure are promising new behavioral approaches for treating fears and phobias. Fifty participants with speech anxiety were randomly assigned to a prolonged exposure condition (PE), a dosed-only exposure condition (DE), a positively enhanced dosed exposure condition (PDE), a negatively-supplemented dosed exposure condition (NDE), or a mindfulness enhanced dosed exposure condition (MDE). End of session results for all of the enhanced groups resulted in significantly lower subjective ratings of discomfort than the non-enhanced …

What Makes Women Tired? A Community Sample, Donna E. Stewart, Susan Abbey, Marta Meana, Katherine M. Boydell

Psychology Faculty Research

We aimed to determine the major health concerns or problems of women and their personal attributions for the causes of their primary health concerns. We used a survey of women from the Toronto area attending a women's health symposium. Completed questionnaires were returned by 153 (85%) of 180 women attendees. Persistent fatigue was the primary and most commonly cited health concern. Fatigue was ranked first by 42 (27.5%) women and among the top 10 concerns by 123 (80.4%) women. Women attributed their fatigue to a combination of home and outside work (63.4%), poor sleep (38.2%), lack of time for self …

Religious Orientation And Religious Coping In Adolescents With And Without A Chronic Illness, Jacqueline Beine Brown

Dissertations

Religion plays an important role in most people's lives and can greatly affect how individuals cope and interpret stressful situations. However, very little is known about how adolescents incorporate religion into their lives (e.g., is it central or peripheral to their lives, do they utilize religious coping). Furthermore, given the additional stressors experienced by adolescents who have a chronic illness, it is likely their religious orientations and religious coping strategies are different from their healthy peers. Thus, the present study was designed to examine the constructs in both typically developing and chronically ill adolescents. Additional constructs of hope, general coping, …

Health Anxiety And Cognition: Chronic Awareness Of Health Concerns Or Situational Activation Of Latent Dysfunctional Assumptions About Illness?, Desmon Craig Mitchell

Dissertations

Rationale: This study investigated if health anxious individuals have chronically aroused illness-related concerns or if these concerns remain latent, only to be activated when first primed by illness-related stimuli. To test these alternatives this study examined whether participants, with varying levels of health anxiety, differed as to their (a) performance on an emotional Stroop task that included health-related words, (b) memory tasks (free recall and recognition tasks), and (c) the participants' dream content, after either being exposed, or not exposed, to an illness-related trigger. Hypotheses: If illness concerns are chronically activated in health anxious individuals, then participants will perform worse …

Future Psychologists' Perceptions Of Managed Care, Michele Renae Boyer Blood

Dissertations

This study was designed to examine future psychologists' perceptions of managed care, as well as their managed care related training and work experience. Data for this project were gathered electronically via a specially designed website. Participants were 119 future psychologists completing predoctoral internships in university counseling centers (n = 61) and hospitals (n = 58). Variables examined included predoctoral interns' attitudes towards managed care and their perceptions of the importance of knowledge in three critical domains relevant to service provision in the contemporary marketplace (i.e., general reimbursement, risk management, misdiagnosis). One measure, the Demographic and Practice Information Form (DAPIF), was …

An Investigation Of Relationship Characteristics, Exercise And Physical Activity, Couple And Life Satisfaction, Mark W. St. Martin

Dissertations

Exercise has been shown to be positively related to many different variables including sexual satisfaction, mental health, and physical health. These variables, in turn, have been linked to increased life satisfaction and couple satisfaction. The primary purpose of this study was to examine the relationships between exercise and couple satisfaction as well as exercise and life satisfaction. A secondary purpose was to replicate previous findings on the relationships between communication, love, sexual satisfaction, self-esteem, and physical health and couple satisfaction.

A total of 229 undergraduate and graduate students from a large Midwestern university in the United States participated in this …

Are Successful Applicants To The Roman Catholic Deaconate Psychologically Healthy?, Thomas G. Plante, Kathleen Lackey

Psychology

The current investigation evaluated psychological and personality profiles of successful applicants to the deaconate in several Roman Catholic dioceses in California. The MMPI-2 and 16PF were administered to 25 applicants between 2004 and 2006 who subsequently entered the permanent deaconate program. Results indicate that these applicants to the deaconate were generally well-adjusted as well as being socially responsible. Findings also suggest some tendency for defensiveness, repression, naivete, and a strong need for affection, as well as for being emotionally stable, genuine, and cooperative.

Invitation To The Table Conversation: A Few Diverse Perspectives On Integration, Natalia Yangarber-Hicks, Charles Behensky, Sally Schwer, Kelly Schimmel Flanagan, Nicholas J.S. Gibson, Mitchell W. Hicks, Cynthia Neal Kimball, Jenny H. Pak, Thomas G. Plante, Steven L. Porter

Psychology

This article represents an invitation to the "integration table" to several previously underrepresented perspectives within Christian psychology. The Judeo-Christian tradition and current views on scholarship and Christian faith compel us to extend hospitality to minority voices within integration, thereby enriching and challenging existing paradigms in the field. Contributors to this article, spanning areas of cultural, disciplinary, and theological diversity, provide suggestions for how their distinct voices can enhance future integrative efforts.

Gender Differences In How Men And Women Referred With In Vitro Fertilization (Ivf) Cope With Infertility Stress, Brennan Peterson, C. R. Newton, K. H. Rosen, G. E. Skaggs

Psychology Faculty Articles and Research

Men and women use a variety of coping strategies to manage stress associated with infertility. While previous research has helped us understand these coping processes, questions remain about gender differences in coping and the nature of the relationship between coping and specific types of infertility stress. Methods: This study examined the coping behaviors of 1,026 (520 women, 506 men) consecutively referred patients at a Universityaffiliated teaching hospital. Participants completed the Ways of Coping Questionnaire, Fertility Problem Inventory, and the Dyadic Adjustment Scale. Results: Women used proportionately greater amounts of confrontive coping, accepting responsibility, seeking social support, and escape/avoidance when compared …

Chronic Pain: The Extra Burden On Canadian Women, Marta Meana, Robert Cho, Marie Desmeules

Psychology Faculty Research

Health Issue

Chronic pain is a major health problem associated with significant costs to both afflicted individuals and society as a whole. These costs seem to be disproportionately borne by women, who generally have higher prevalence rates for chronic pain than do men.

Key findings

Data obtained from 125,574 respondents to the Canadian Community Health Survey (2000–2001) indicated that 18% of Canadian women suffered from chronic pain, compared to 14% of men. This gender discrepancy, however, seemed to be linked primarily to differences in age, income, and education between adult men and women in this large sample. Age, income, depression …

The Sexual Abuse Crisis In The Roman Catholic Church: What Psychologists And Counselors Should Know, Thomas G. Plante, Courtney Daniels

Psychology

Recent events regarding child sexual abuse committed by Roman Catholic priests in the Archdiocese of Boston and elsewhere have yet again resulted in a tremendous amount of media attention and frenzy regarding this topic. During 2002 alone, approximately 300 American Catholic priests, including several bishops, were accused of child sexual abuse. Many were forced to resign their positions while others were prosecuted and went to prison. Curiously, there still exist many myths and misperceptions about priests who sexually abuse children and their victims. Since psychologists and other mental health professionals are likely to interact with many who have been impacted …

Chronic Pain: The Extra Burden On Canadian Women, Marta Meana, Robert Cho, Marie Desmeules

Psychology Faculty Research

Health Issue: Chronic pain is a major health problem associated with significant costs to both afflicted individuals and society as a whole. These costs seem to be disproportionately borne by women, who generally have higher prevalence rates for chronic pain than do men.

Key findings: Data obtained from 125,574 respondents to the Canadian Community Health Survey (2000–2001) indicated that 18% of Canadian women suffered from chronic pain, compared to 14% of men. This gender discrepancy, however, seemed to be linked primarily to differences in age, income, and education between adult men and women in this large sample. Age, income, depression …

Physician-Related Determinants Of Cervical Cancer Screening Among Caribbean Women In Toronto, Ilene Hyman, Punam Mony Singh, Marta Meana, Usha George, Lilian M. Wells, Donna E. Stewart

Psychology Faculty Research

BACKGROUND: Minority women in Canada are less likely to be screened for cervical cancer than their counterparts in the general population, despite the fact that the proportion of these women who consult a general practitioner about their health each year is similar to minority women. This study examined the physician and practice characteristics associated with Pap testing and perceived barriers to Pap testing of family physicians serving the Caribbean community of Toronto.

METHODS: A mail-back questionnaire was sent to Toronto family physicians practicing in neighborhoods with a high proportion of Caribbean Canadians.

RESULTS: Although 79.7% of the 64 participating physicians …

The Effect Of Individual Counseling On Hope And Its Impact On The Utilization Of Services By Individuals With Hiv Disease, Barry Michael Vesciglio

All-Inclusive List of Electronic Theses and Dissertations

The interrelationships of participation in counseling, level of hope, and care service utilization in a sample of individuals with HIV disease was the focus of this study. It was hypothesized that individual counseling would improve an HIV-positive person's level of hope, and would increase participation in additional care services. It was also hypothesized that individuals with more hope would seek a greater number of care services. The Health Status Questionnaire, which contains the Hope Scale, and the Social Support Questionnaire were used to collect data. Participation in individual counseling was not related to level of hope. Additionally, stage of illness …

Psychosocial Adaptation To Spinal Cord Injury: The Role Of Coping Strategies, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

Reviews the literature on the role played by coping efforts in fostering psychosocial adaptation to spinal cord injury. Following an introductory discussion of coping in general, and coping with chronic illnesses and disabilities more specifically, the review focuses on the research literature (1980?1999) regarding coping with spinal cord injuries. The paper continues with a summary of findings based on over 30 empirical studies focusing on coping with this disability. Among the prominent findings are the following: (1) More successful psychosocial adaptation is generally associated with higher levels of ego strength and internal locus of control and (2) better adaptation is …

Patient Preference For The Management Of Mildly Abnormal Papanicolau Smears, Marta Meana, Donna E. Stewart, Gordon M. Lickrish, Joan Murphy, Barry Rosen

Psychology Faculty Research

The article provides information on a study that investigated management preference and desire for decision-making involvement in women who have received a first mildly abnormal Papanicolaou smear. The majority of women in this highly educated sample preferred active management of their mildly abnormal Pap smears, although a substantial minority either opted for the surveillance strategy or reported no strong preference. Furthermore, management preference in this sample was not related to knowledge but rather to level of state anxiety. This indicates that these decisions may be guided more by emotions than by facts. Research has shown repeatedly that abnormal Pap smears …