Counseling Psychology Commons^™

The Meeting Of Pain And Depression: Comorbidity In Women, Marta Meana

Psychology Faculty Research

The higher prevalence of depression in women is coupled with a higher prevalence of pain complaints. Growing evidence suggests that the comorbidity of these conditions is also proportionately higher in women than men. This paper critically reviews the empirical findings relating to gender differences in comorbid pain and depression as well as findings in support of hypothesized etiologic factors that could explain why women may be more susceptible than men to comorbidity. The empirical evidence for biogenic, psychogenic, and sociogenic explanatory models is presented, and an integration of these models is proposed as a guideline to both research and clinical …

Cardiac Rehabilitation: Gender Differences In Factors Influencing Participation, Lani Lieberman, Marta Meana, Donna E. Stewart

Psychology Faculty Research

This study investigates gender differences in the barriers and incentives that are most influential in the coronary patient's decision to participate in cardiac rehabilitation (CRPs) and suggests strategies to counter these barriers. Patient surveys were administered to consecutive English-speaking attenders and referred nonattenders to a cardiac rehabilitation center at a university healthcare system in Toronto, Canada. A survey questionnaire, constructed from a literature review and advice from key informants, examined potential factors affecting decisions to engage in CRPs. One129 attenders at a CRP and 61 referred nonattenders completed the questionnaire. Physician recommendation was reported to be the most important factor …

Affect And Marital Adjustment In Women’S Rating Of Dyspareunic Pain, Marta Meana, Irv Binik, Sainir Khalife, Deborah Cohen

Psychology Faculty Research

OBJECTIVE: To investigate the extent to which depressive symptomatology, anxiety, and marital adjustment mediate pain ratings in women suffering from dyspareunia.

METHOD: Seventy-six women with dyspareunia were administered the depression and anxiety scales of Derogatis's Brief Symptom Inventory and the McGill Pain Questionnaire. They also underwent a manual-visual gynecological examination, an ultrasound, and a colposcopy in an attempt to identify potential evidence and type of organicity.

RESULTS: Depressive symptomatology, anxiety, and marital adjustment together accounted for a significant amount of the variance in pain ratings, although only anxiety and marital adjustment were independent predictors of pain ratings in the entire …

The Practicality Of Pre-Doctoral Prescription Training For Psychologists: A Survey Of Directors Of Clinical Training, Garret D. Evans

All-Inclusive List of Electronic Theses and Dissertations

The Directors of Clinical Training (DCTs) at the nation's 164 APA-accredited clinical psychology programs iii were surveyed regarding their attitudes toward the hypothetical implementation of a sample pre-doctoral prescription training model created by the Ad Hoc Task Force on Psychopharmacology of the APA (1992). A 60% return rate (99 questionnaires) was achieved. Results suggest that the majority of DCTs (62%) remain equivocal regarding the implementation of such training at their program. A majority (62%) identify post-doctoral specialization as the preferred method of prescription training. DCTs' perceptions of benefits stemming from pre-doctoral prescription training served as the most potent predictor of …

The Tripartite Model Of Rehabilitation Intervention: Basics, Goals And Rehabilitation Strategies, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

This paper discusses the tripartite model of rehabilitation as embedded within the broader model of therapeutic interventions. Rehabilitation, or tertiary intervention, can be viewed as addressing specific goals as they relate to diverse functional limitations. The three phases, or components, of rehabilitation intervention discussed include: (a) disability minimization in an effort to reduce its impact upon life activities; (b) skill development, as an attempt to compensate for limitations imposed by permanent losses; and (c) environmental manipulation to promote physical and social-attitudinal accessibility. The paper concludes with discussion of the model's applicability to the field of rehabilitation counseling.

Youth Stress, Support, Coping Skills And Depression: Developing A Model For Primary Prevention In The High Schools, M. Jill Somerville

Theses and Dissertations (Comprehensive)

This study examined the needs and resources of Galt Collegiate Institute and the City of Cambridge in order to develop a primary prevention program for adolescent stress, support, and coping skills. Two hundred and ten high school students (grade 9 to OAC) completed an adolescent experiences questionnaire including measures on daily hassles, social support, coping skills, depression, and affect. As well, ten individuals from the community completed an interview focusing on program ideas and available resources. Multiple regression analyses of the student data revealed that hassles were directly related to negative affect and depression, and coping skills were directly related …

Program Evaluation Of The Community Aftercare Program, Canadian Mental Health Association Waterloo Region, Karen J. Nesbitt

Theses and Dissertations (Comprehensive)

This paper describes an evaluation of the Community Aftercare Program, a program of the Canadian Mental Health Association, Waterloo Region. This case management program offers long-term support to psychiatrically disabled adults who were once hospitalized and now live in this community. Ten people from the Community Aftercare Program and ten individuals who were on the waiting list for the program were interviewed for this static group comparison design. Using a stakeholder approach, data were collected on measures of hospitalization, adaptive functioning, community integration, social support networks, employment, housing, service use, and quality of life. Results indicated that the program clients …

Introducing The Living With Illness Group: A Specialized Treatment For Patients With Chronic Schizophrenic Conditions, Thomas G. Plante, Stephanie L. Pinder, David Howe

Psychology

This paper introduces a specialized psychotherapy/psychoeducational group treatment for patients with chronic psychotic symptoms who receive only partial benefit from psychotropic medications, psychotherapy, and milieu/activities therapy. The goal of the group is to assist patients to accurately identify the feelings, thoughts, and behaviors that are dysfunctional symptoms of their disability and then use the functional aspects of their brain as well as learned coping strategies to compensate for their disability. The group format, philosophy, procedures, and typical topics of discussion are detailed.

Adjustment To Psycho-Social Stress, John William Carnes

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to determine the relationship between adjustment to life-event stressors and selected psycho-social variables. Recent research has consistently identified an etiological link between stressful life-events and physical and/or emotional disorders. It has often been noted, however, that exposure to seemingly identical stressors results in varying levels of adjustment among individuals. Lazarus (1966, 1967, 1971, 1974) has proposed that variations in stress responses are attributable to differences relative to the implicated individual's appraised threat from the stressor. Based on this conceptualization, adjustment to stressful life-events was selected as the dependent variable for the study. Five independent …

The Prediction Of Success-Failure And Terminating-Remaining In The Bibliotherapy Treatment Of Obesity, David John Mckay

Theses and Dissertations (Comprehensive)

136 obese adults, 119 females and 17 males, all at least 15% over their ideal weight, participated in a ten week self-administered bibliotherapy treatment of obesity. The study examined the relationship between socio-economic status, locus of control, field dependence and their interaction terms and success-failure and terminating-remaining in a totally self-administered behavioural self-help treatment. A multiple regression data analytic strategy was used for data analysis. Significant relationships were found between locus of control and total number of lessons completed and success-failure. Also, significant relationships were found between participants’ age and locus of control and terminating-remaining. The marginal results of the …