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Health Behaviors In Military Veterans With And Without Posttraumatic Stress Disorder, Emily Kitsmiller 2017 University of Central Florida

Health Behaviors In Military Veterans With And Without Posttraumatic Stress Disorder, Emily Kitsmiller

Electronic Theses and Dissertations

A link between posttraumatic stress disorder and health behaviors, such as exercise, alcohol, smoking, and caffeine has been suggested. However, it is unknown whether veterans with combat-related PTSD differ from combat veterans without PTSD and whether health behaviors change over the course of exposure therapy for PTSD or differ based on PTSD severity. This study examined the relationship between health behaviors and PTSD. More specifically, combat veterans with and without PTSD were compared across self-reported levels of alcohol use, smoking, exercise, and caffeine. Health behaviors of combat veterans with PTSD were compared before and after a 17-week treatment for PTSD. …


Using Exposure Therapy To Treat People Who Stutter: A Multiple Baseline Design, Jennifer Scheurich 2017 University of Central Florida

Using Exposure Therapy To Treat People Who Stutter: A Multiple Baseline Design, Jennifer Scheurich

Electronic Theses and Dissertations

Social anxiety disorder (SAD) is a debilitating condition, and it is estimated that approximately half of adults who stutter have SAD. Thus, there is a need for the assessment and treatment of SAD in this population. Cognitive-behavioral therapy (CBT) has shown promise in decreasing anxiety symptoms among adults who stutter and have SAD, but exposure, the key ingredient for successful CBT for SAD, has been understudied and underemphasized. The aims of this study were to develop an exposure therapy protocol specifically for people who stutter and have SAD and to evaluate its efficacy for reducing anxiety and stuttering severity. Utilizing …


Parental Advocacy, Stress, And Efficacy: The Hidden Costs Of Diagnosing Learning Disabilities, Katherine A. Behar 2017 Antioch University, New England

Parental Advocacy, Stress, And Efficacy: The Hidden Costs Of Diagnosing Learning Disabilities, Katherine A. Behar

Antioch University Dissertations & Theses

The allocation of educational resources has been a widely debated topic. While scholars and government officials have focused their attention on how resources are divided, significantly less attention has been paid to how parents are advocating for their children to obtain necessary resources themselves. Existing data agree that fighting for educational resources can cause stress to parents (Levine, 2006). This is especially true for parents of children with learning disabilities. These children often require more individualized academic and educational attention. Currently, little research exists which focuses on the relationship between parental stress and parental self efficacy (the belief that one …


Graduate Students And Geropsychology: Growing Need And Lacking Interest, Samantha Marie Hague 2017 Antioch University, New England

Graduate Students And Geropsychology: Growing Need And Lacking Interest, Samantha Marie Hague

Antioch University Dissertations & Theses

As the population of older adults continues to grow with time, the need for geropsychology clinicians also grows. Many barriers exist that contribute to why elderly individuals are not receiving adequate psychological treatment. This study explores why graduate psychology students are often disinterested in working with older adults and whether it is possible that student interest could increase with more geropsychology graduate coursework and practicum training opportunities. This study also explores the possible connection between quality of elderly relationships and interest in working with the elderly. The results of this study support that Clinical and Counseling Psychology graduate programs lack …


Double Whammy: Interpretive Phenomenological Analysis Of Older African Americans Experiencing Hiv & Age Related Comorbidities, James W. Chavers 2017 Antioch University Santa Barbara

Double Whammy: Interpretive Phenomenological Analysis Of Older African Americans Experiencing Hiv & Age Related Comorbidities, James W. Chavers

Antioch University Dissertations & Theses

HIV among older African Americans represents one of the fastest and largest growing populations of infected groups in America (CDC, 2008). With the availability of anti-retrovirals (ARV), or AIDS cocktail drugs, HIV has become a chronic illness. As African Americans are living longer with HIV, they are encountering the diseases that are consonant with aging. The effect of aging with HIV and an age-related comorbid condition can be physically and emotionally debilitating. Many of these older adults are also dealing with poverty, stigma, poor healthcare access, and limited social support. The purpose of this study was to explore how these …


Disclosure Of Gender And Sexual Minority Identities In Military Cultures Post-Dadt, Katherine E. Evarts 2017 Antioch University, New England

Disclosure Of Gender And Sexual Minority Identities In Military Cultures Post-Dadt, Katherine E. Evarts

Antioch University Dissertations & Theses

The repeal of Don’t Ask Don’t Tell (DADT) banned legally-supported discrimination against United States (US) military personnel who identify with sexual minority identities, but has the repeal also had an impact on gender and sexual minority veteran and military personnel comfort with disclosing such identities to Veterans Affairs (VA) mental health providers? The current research illuminates veteran and military personnel perspectives about this possible shift in VA mental health care culture, as well as about ways that such disclosure could be further facilitated in order to improve the care provided. US veterans who identify with sexual minority identities have multiple, …


Service Members’ Perspectives On Treatment: Bridging The Military-Civilian Divide, Kevin R. O'Leary 2017 Antioch University, New England

Service Members’ Perspectives On Treatment: Bridging The Military-Civilian Divide, Kevin R. O'Leary

Antioch University Dissertations & Theses

The difficulties some service members have reintegrating into and reconnecting with civilian society are well established across the literature. Despite the veteran’s voices describing these struggles to connect with civilians and the current zeitgeist in psychotherapy on the therapeutic relationship and multicultural competence, little attention has been given to the implications of the civilian military divide in therapy. This study used a mixed method approach to conduct an exploratory study of 70 service members’ perceptions of working with a civilian and active duty or veteran therapist and what factors contribute to therapeutic alliance. Of interest are service members’ beliefs about …


Male Student Veterans: A Survey Of Current Transition Challenges And Issues From Active Duty To Collegiate Life, Mara Alyce Rowcliffe 2017 Florida Institute of Technology

Male Student Veterans: A Survey Of Current Transition Challenges And Issues From Active Duty To Collegiate Life, Mara Alyce Rowcliffe

Theses and Dissertations

The present study evaluated the challenges associated with transitioning from active duty to collegiate life. This included examining if psychological factors and demographic variables influence a male veteran’s ability to succeed in an academic institution. Success was defined by how well they performed in school measured by their self-reported grade point average. Other measures included the Combat Exposure Scale (CES), PTSD Checklist- Military Version (PCL-M), and Suicidal Behavior Questionnaire-Revised (SBQ-R). This study aimed to contribute to the limited research among student veterans, as well as inform academic institutions of how to approach improving retention rates among prior military members. Results …


Defining Physician Burnout, And Differentiating Between Burnout And Depression—I, Bianchi Renzo, Irvin Sam Schonfeld 2017 Université de Neuchâtel

Defining Physician Burnout, And Differentiating Between Burnout And Depression—I, Bianchi Renzo, Irvin Sam Schonfeld

Publications and Research

A redefinition of burnout as a depressive condition is called for so that the harmful effects of unresolvable job stress can be more accurately and comprehensively assessed. As research compellingly suggests, reducing the harmful effects of unresolvable job stress to the experience of burnout's dimensions of emotional exhaustion, depersonalization, and reduced personal accomplishment is mistaken in that it denies the depressive core of the syndrome referred to as “burnout.” Replacing the notion of burnout by the concept of job-induced depression would help us be more effective in the management of occupational adversity.


Burnout And The Hypothalamic-Pituitary-Thyroid Axis: A Methodological Comment, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent 2017 Université de Neuchâtel

Burnout And The Hypothalamic-Pituitary-Thyroid Axis: A Methodological Comment, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Because (a) burnout overlaps with depression and (b) depression has been associated with altered functioning of the hypothalamic-pituitary-thyroid axis changes in the activity of the HPT axis can be expected in burnout. Most probably, Guo et al.’s (2017) results are flawed by a severe form of the “healthy worker effect.”


Consequences Of Job Stress For The Psychological Well-Being Of Teachers, Irvin Sam Schonfeld, Renzo Bianchi, Peter Luehring-Jones 2017 CUNY Graduate Center

Consequences Of Job Stress For The Psychological Well-Being Of Teachers, Irvin Sam Schonfeld, Renzo Bianchi, Peter Luehring-Jones

Publications and Research

This chapter examines research on the relationship between job stressors and mental health (depressive symptoms, burnout, and mental disorders such as depression) in teachers. Teachers are exposed daily to job stressors (e.g., student disruptiveness) that have been linked to adverse mental health effects. Epidemiologic research indicates that when compared to members of other groups, teachers experience higher rates of mental disorder, although some studies question that conclusion. Large-scale studies indicate when compared to members of other occupational groups, teachers are at higher risk for exposure to workplace violence, with its adverse mental health consequences. Longitudinal research has linked teaching-related stressors …


Mechanisms Of Motivational Interviewing In A Parent-Focused Pediatric Obesity Intervention, Nadia Islam 2017 Virginia Commonwealth University

Mechanisms Of Motivational Interviewing In A Parent-Focused Pediatric Obesity Intervention, Nadia Islam

Theses and Dissertations

Pediatric obesity is a major public health epidemic with serious physical and psychological consequences. Difficulty engaging families in treatment is a significant obstacle in addressing pediatric obesity, especially among underserved populations. Motivational interviewing (MI) is a collaborative, person-centered communication style that has been shown to reduce attrition, increase attendance, and improve patient treatment adherence; however, little is known about the process of MI and how it improves treatment engagement. This study examined clinician and parent language in a pre-treatment MI session that increased initial engagement in a parent- focused pediatric obesity intervention (N= 81). Results showed that increased parent change …


The Development Of The Treatment Integrity - Efficient Scale For Cognitive Behavioral Treatment For Youth Anxiety (Ties-Cbt-Ya), Meghan Smith 2017 Virginia Commonwealth University

The Development Of The Treatment Integrity - Efficient Scale For Cognitive Behavioral Treatment For Youth Anxiety (Ties-Cbt-Ya), Meghan Smith

Theses and Dissertations

Brief, easy to use, psychometrically strong (i.e., pragmatic) instruments are needed to support implementation research; the current study assessed whether it was possible to develop a pragmatic observational treatment integrity instrument and reduce the amount of time coders spend making treatment integrity ratings (while maintaining score validity) of therapists delivering two protocols of individual cognitive-behavioral treatment (ICBT) for youth anxiety in research and practice settings. The 12-item instrument was derived from four observational treatment integrity instruments with promising score reliability and validity that assess adherence, competence, differentiation, and alliance. A sample of 106 youths (M age = 10.12, SD …


Coping With Acculturative Stress: Mdma Usage Among Asian American Young Adults In The Electronic Dance Music Scene, Michelle Stephanie Chan 2017 Pomona College

Coping With Acculturative Stress: Mdma Usage Among Asian American Young Adults In The Electronic Dance Music Scene, Michelle Stephanie Chan

Pomona Senior Theses

The intersection of Asian American identity and illicit substance use is greatly understudied in psychological literature, especially with matters of mental health and drug use being stigmatized by Asian cultural norms. However, with an increasingly alarming number of fatal drug overdoses by Asian Americans at electronic dance music (EDM) events, attention must be drawn to the needs of this unique population. The present study characterizes this community by drawing from data of 1,290 Asian American young adults who participate in the EDM scene. This study also hypothesizes the impact of acculturative stress and feelings of social belonging on MDMA usage …


Identification Of Areas Of Patient Need Using The Cancer Support Source Program, Emily Ross 2017 University of Central Florida

Identification Of Areas Of Patient Need Using The Cancer Support Source Program, Emily Ross

Electronic Theses and Dissertations

Understanding, screening, and providing resources for quality of life factors and psychosocial distress have become an important area of focus in cancer care. Negative consequences of poor quality of life and psychosocial distress have been widely studied in oncological research. The National Comprehensive Cancer Network, or NCCN, defines "psychosocial distress" as extending on a continuum, "ranging from common normal feelings of vulnerability, sadness, and fears to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual crisis" ("National Comprehensive Cancer Network," n.d.). Findings have indicated the significant impact of poor quality of life and …


Masculine Stereotypes Of Lesbians And Masculine-Looking Women : Potential Advantages Of Assumed Agentic Qualities In Employment, Kiah Breslin-Kessler 2017 Eastern Washington University

Masculine Stereotypes Of Lesbians And Masculine-Looking Women : Potential Advantages Of Assumed Agentic Qualities In Employment, Kiah Breslin-Kessler

EWU Masters Thesis Collection

The purpose of the present study was to explore whether or not agentic stereotypes attributed to lesbian and masculine appearing women would provide an advantage in obtaining employment. Previous research has shown that lesbian women are favored over heterosexual women, and masculine appearing individuals are favored over feminine appearing individuals for traditionally masculine jobs. The present study contributes to this body of research in that it examines the role of appearance for lesbian women (in addition to heterosexual women), as well as the potential mediating role of agency in these hiring decisions. I predicted that the lesbian and masculine appearing …


Static-99, Mnsost-R, And Pcl-R In Predicting Recidivism Among Texas' Sexual Violent Predators, Diana Jefferson Jefferson 2017 Walden University

Static-99, Mnsost-R, And Pcl-R In Predicting Recidivism Among Texas' Sexual Violent Predators, Diana Jefferson Jefferson

Walden Dissertations and Doctoral Studies

Recidivism within the sexually violent predator (SVP) population has gained worldwide attention because of the lack of protection offered to the victims that may lead to loss of life. Behavioral theory suggests that accuracy of predictive behaviors based on empirical judgement is more reliable than that based on clinical judgement. The purpose of this research was to see whether three actuarial assessment tools, Static-99, PCL-R, and MnSOST-R, could predict recidivism and whether the combination of the three-increased predictive value in the Texas SVP population. As yet, the literature provides no evidence. The Texas Open Record System provided assessment scores and …


The Relationships Among Kindergarten Entrance Age, Preschool Experience, And Reading Achievement, Courtney Lynne Kowalczyk 2017 Walden University

The Relationships Among Kindergarten Entrance Age, Preschool Experience, And Reading Achievement, Courtney Lynne Kowalczyk

Walden Dissertations and Doctoral Studies

Children participating in kindergarten programming across the United States are expected to perform at a higher level than ever before. Many of these children are unprepared and developmentally unready for the academic tasks that await them. Researchers have shown that an older age at the start of kindergarten is a predictor of academic achievement. Researchers have also shown that prior preschool experience impacts academic achievement. What has been unknown though is how the relationship between both beginning kindergarten at an older age and attending preschool prior to beginning kindergarten impacts academic success. Using Piaget's theory of development as a foundation, …


Emotional Eating In The Work Place: The Eating Patterns Of Mental Health Workers, Carly Rene Zies 2017 Walden University

Emotional Eating In The Work Place: The Eating Patterns Of Mental Health Workers, Carly Rene Zies

Walden Dissertations and Doctoral Studies

More than a third of all adults in the United States are considered obese. Due to the high costs of health care for obese adults and children, obesity has become a national health crisis. Many government programs have been developed to curtail obesity in adults and children. Unfortunately, there has only been limited success. Past research has shown that obesity has been linked to stress and eating while stressed. Emotional eating occurs when individuals respond to certain emotions, such as stress, by eating to cope with the emotion. Research has shown a correlation between nursing and disordered eating. Given the …


Therapeutic Alliance Between African American Clients And European American Providers: A Phenomenological Study, Dr. Pamela Johnson-Hood 2017 Walden University

Therapeutic Alliance Between African American Clients And European American Providers: A Phenomenological Study, Dr. Pamela Johnson-Hood

Walden Dissertations and Doctoral Studies

African Americans do not seek mental health help at the same rate, as do European Americans; furthermore, African Americans who do seek help tend to leave therapy prematurely. A poor therapeutic alliance between African American clients and European American clinicians may be one reason that African Americans do not seek therapy or leave prematurely. The purpose of this phenomenological study was to understand the lived experience of African American clients in therapeutic relationship with European American clinicians. Rogers' theory of therapeutic alliance, which included empathy as a key concept, served as the conceptual framework of this study. Through purposeful sampling …


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