Clinical Psychology Commons^™

Burnout Is Associated With A Depressive Cognitive Style, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

We examined whether burnout is associated with a depressive cognitive style, understood as a combination of dysfunctional attitudes, ruminative responses, and pessimistic attributions. A total of 1386 U.S. public school teachers were included—1063 women (M_age: 42.73, SD_age = 11.36) and 323 men (M_age: 44.60, SD_age = 11.42). Burnout was assessed with the Shirom–Melamed Burnout Measure (SMBM). Dysfunctional attitudes were measured with the Dysfunctional Attitude Scale Short Form, ruminative responses with the Ruminative Responses Scale, and pessimistic attributions with the Depressive Attributions Questionnaire. For comparative purposes, depression was assessed using the 9-item depression module of the …

Biopsychosocial Models Of The Development Of Childhood Disruptive Behaviors, Anne Bernard Arnett

Electronic Theses and Dissertations

Hyperactivity/attention problems (HAP) and conduct problems (CP) are common and impairing disruptive behaviors in childhood and adolescence. Previous research has established that HAP and CP are highly comorbid, and that outcomes are worse for youth exhibiting both symptom clusters relative to youth with only one disruptive behavior type. Despite ample evidence that HAP and CP share common etiological factors and maladaptive outcomes, the nature of their developmental association remains unclear. This dissertation clarifies three important characteristics of comorbid HAP and CP development, in two replicate, longitudinal, population samples of youth. First, I test the theory that within-person variation in HAP …

Lesbian Couple Dynamics And Heterosexist Stressors: Building A Foundation For Culturally Competent Relationship Interventions, Shelby B. Scott

Electronic Theses and Dissertations

Lesbian relationships are severely underrepresented in the couples and family literature (Hartwell, Serovich, Grafsky, & Kerr, 2012). The current study sought to expand the basic science on lesbian couples with the overarching goal of informing evidence-based relationship interventions. The first aim of this study was to examine processes found to be important to relationship success in previous studies of couples in general, including communication, external support, household tasks, intimacy, and sex, as these processes are typically targeted in relationship interventions. The second aim was to examine the role of factors more specific to lesbian couples and related to heterosexist stressors …

Influence Of Self-Stigma, Distress Disclosure, And Self-Compassion On Post-Traumatic Stress Reactions In Deployment Veterans, June Marie Ashley

Electronic Theses and Dissertations

Military deployments can contribute to significant changes among the service members who experience them. Particularly regarding traumatic or highly stressful deployment experiences, the potential exists for posttraumatic stress reactions with both detrimental outcomes and beneficial influence. The present study explored this spectrum of reactions through the lenses of posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG). Given the well-researched presence of stigma within military culture toward psychological distress, consideration was given to how stigma may influence severity of PTSD and degree of PTG. Rather than focusing on public stigma, the present study explored the possible influence of internalized stigma, known …

Predictors Of Emerging Psychopathology Among Toddlers And Preschoolers Of Mothers With Childhood Abuse Histories, Rebecca Lynne Babcock Fenerci

Electronic Theses and Dissertations

The purpose of this study was to elucidate cognitive and behavioral mechanisms involved in the intergenerational transmission of trauma from abuse-survivor mothers to their toddler/preschool-aged children. This study investigated whether maternal trauma-related cognitions, i.e. child abuse-related appraisals (betrayal, self-blame, fear, anger, shame, alienation), disorganized memory and intrusive memory for abuse were associated with toddler internalizing and externalizing symptoms, and whether mother-child dysfunctional interactions mediated these relationships among a sample of 113 mothers who survived child abuse. When controlling for maternal trauma symptoms, maternal child abuse-related appraisals, disorganized memory, and trauma symptoms predicted toddler internalizing symptoms, whereas maternal intrusive memory and …

Childhood Trauma, Reflective Functioning And Attributions, Self-Efficacy, And Perceived Parenting Competence: What Happens When The Traumatized Child Grows Up And Becomes A Mother?, Annelise Cunningham

Electronic Theses and Dissertations

Previous research documented the relationship between self-efficacy and perceived parenting competence. Further, previous evidence supported the cognitive, emotional, and behavioral consequences of early exposure to trauma. To build on these previously noted relationships, the present study examined the relationships among reflective functioning and attributions, self-efficacy, and perceived parenting competence, with self-efficacy serving as a mediating variable. Specifically, this study sought to focus on the cognitive variables associated with mothers' perceived self-efficacy and parenting competence and how those variables interact differently when early exposure to trauma is present. As part of this study, a national community sample of 126 culturally diverse …

Pathways From Childhood Abuse To Positive Adapation: The Moderating Roles Of Social Support And Coping Style, Sarah Elizabeth Cleary

Electronic Theses and Dissertations

Studies show that up to 50% of children worldwide are affected by physical, emotional, sexual abuse and/or neglect. While these traumatic events can have profound consequences on development across the lifespan, it is important to note that approximately 20-30% of childhood abuse survivors do not report negative impacts. One explanation for this difference in outcomes is the concept of resilience, defined as successful adaptation in spite of the experience of high-risk trauma. Many studies have been conducted to delineate factors fostering resilience. Some researchers argue that individuals' ability to achieve resilience is a direct result of the environment, while others …

Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul

Walden Faculty and Staff Publications

The pervasiveness of autism has significantly increased over the past 2 decades with the 2014 Center for Disease Control and Prevention report indicating 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD). Early intervention is recommended as the most effective treatment approach. Nevertheless, previous research has indicated that White children are diagnosed with ASD about 1.5 years earlier than are Non-White children. A current gap remains in literature regarding ASD and different racial groups, and evidence has been inconclusive regarding disparities in identifying and diagnosing ASD. To fill this gap, this study investigated the relationship between child race, …

The Semantic Memory Imaging In Late Life Pilot Study, Michael Adam Sugarman

Wayne State University Dissertations

Introduction: Several functional magnetic resonance imaging (fMRI) studies have analyzed the famous name discrimination task (FNDT), an uncontrolled semantic memory probe requiring discrimination between famous and unfamiliar individuals. Completion of this simple task recruits a semantic memory network that has shown utility in determining risk for Alzheimer's disease (AD). Specific semantic memory probes using biographical information associated with famous individuals may build on previous findings and yield superior information regarding risk for AD.

Method: Sixteen cognitively intact elders completed the FNDT and two novel tasks during fMRI: Categories (matching famous individuals to occupational categories) and Attributes (matching famous individuals to …

Borderline Personality Disorder: How Various Stressors Impact Rumination Tendencies, Corey J. Maddox

ETD Archive

The high prevalence of Borderline Personality Disorder (BPD) combined with a need to improve treatment efficacy produced a demand for the identification of how various risk factors are more likely to exacerbate BPD symptoms. While emotion dysregulation and interpersonal difficulties are known maladies of BPD, the goal of the present research was to examine their influence on rumination processes, thereby allowing therapeutic providers to facilitate treatment by honing in on specific stressors that are more likely to exacerbate symptoms due to initiating a ruminative response. A sample of 127 participants, 21 of whom endorsed clinical levels of BPD symptoms, were …

The Mediating Effects Of Self-Handicapping On Eating Disorder Symptomatology, Brooke Kelly Strumbel

ETD Archive

With the high prevalence of eating disorders (ED) and the functional impairment that they cause, there is a pressing need to more fully identify their risk factors and mechanisms. While perfectionism and negative affect are known risk factors for ED, the mechanisms by which they develop are not well understood. The present study examined the roles of self-handicapping, thought suppression, and maladaptive emotion regulation strategies, as potential mechanisms through which perfectionism and negative affect confer risk for ED. A sample of 161 female undergraduates completed measures of perfectionism, negative affect, thought suppression, self-handicapping, eating disorder tendencies, and an Implicit Association …

An Interpersonal Model Of Depression: A Psychophysiological Perspective, Kelsey J. Pritchard

ETD Archive

This study examined whether parasympathetic nervous system (PNS) activity predicts depression risk through excessive reassurance seeking (ERS) which subsequently erodes social support and generates stress. Recent theories suggest that the PNS evolved to regulate social interaction and that the PNS is associated with depression and interpersonal deficits. Therefore, PNS deficits may be associated to ERS, given its interpersonal function. Participants (N= 65) completed measures of ERS, interpersonal stressors, social support quality, depression symptoms, and a protocol that measured indices of the PNS (i.e., respiratory sinus arrhythmia; RSA) at rest and during a paced breathing task. Multiple mediator models …

Exploring The Relationship Between Ego Development And Mental Health, Heather R. Bonnett

ETD Archive

The goal of this study was to examine the relationship between ego identity in adults (ego development), symptoms of psychological distress, and self-esteem. Ego identity was operationalized using Loevinger’s (1976) stage theory of ego development, further modified by Cook-Greuter (1994; 2010). The test used to measure ego development was the Sentence Completion Test Integral (SCTi). Symptoms of mental disorders or psychological distress were measured using Derogatis’ (1994) Symptom Checklist 90 Revised (SCL-90-Revised). Self-esteem was measured using the Rosenberg Self Esteem Scale (RSES). It has been thought there would be noticeable differences in the relationship between ego development and the types …

Burnout’S Prevalence Estimations: A House Of Cards?, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Elmariah et al. (2016) found that 65% of the internal medicine residents who were assessed suffered from burnout. We have 3 concerns about the conclusion. First, the authors used a cutoff score on a burnout measure that is problematic because (a) it is devoid of theoretical or clinical grounding and (b) burnout items were formatted in an unorthodox manner, and (c) including residents who responded "neutral" to a symptom item among those identified as burned out. Second, the authors identified as burned out residents who worked on the night float rotation although the data suggest otherwise. Third information on symptom …

On The Dead End Of Current Research On Burnout's Prevalence, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Dimou et al. (2016) concluded that >50% of surgeons experience burnout. For three reasons, we think that such conclusions are unwarranted. First, there are no consensual or binding diagnostic criteria for burnout. Second, recent research (e.g., Bianchi, Schonfeld, & Laurent, 2015) suggests that burnout is actually a depressive syndrome. Finally, we note that researchers’ recommendations about stress-reducing organizational changes often remain incantatory because they insufficiently consider the economic issues and macrosocial power relationships that can hamper the recommendations’ implementation. Current practices in burnout research have led to an accumulation of results, the clinical meaning of which is obscure.

Burnout-Depression Overlap: A Study Of New Zealand Schoolteachers, Renzo Bianchi, Irvin Sam Schonfeld, Eric Mayor, Eric Laurent

Publications and Research

We examined the overlap of burnout with depression in a sample of 184 New Zealand schoolteachers. Burnout and depressive symptoms were strongly correlated with each other (r = .73; disattenuated correlation: .82) and moderately correlated with dysfunctional attitudes, ruminative responses, and pessimistic attributions. All the participants with high frequencies of burnout symptoms were identified as clinically depressed. Suicidal ideation was reported by 36% of those participants. Three groups of teachers emerged from a two-step cluster analysis: “low burnout-depression,” “medium burnout-depression,” and “high burnout-depression.” The correlation between the affective-cognitive and somatic symptoms of depression was similar in strength to the burnout-depression …

The Effects Of A Life-Stress Interview For Women With Chronic Urogenital Pain: A Randomized Trial, Jennifer Carty

Wayne State University Dissertations

Chronic urogenital pain, pressure, and dysfunction are common, affecting nearly one in seven women in the U.S., who are commonly diagnosed with pelvic floor dysfunction, painful bladder syndrome, or interstitial cystitis. Women with these symptoms tend to have co-morbid anxiety and depression, relatively high rates of lifetime trauma and abuse, and conflicts or stress from key relationships. There is theory and evidence indicating that unresolved abuse or emotional conflicts can trigger or exacerbate urogenital pain and other symptoms (Abbass, 2009), but assessment of the presence and role of psychological stress is rarely done in women’s health care settings. When mental …

Urban African American Youths' Academic Performance As Related To Fathers' Involvement During Development, Travis A. Goldwire

Wayne State University Dissertations

Father involvement in the context of urban African American youth was examined using a subsample (n = 556) of a large cohort of participants followed longitudinally through development. Data was collected at regular intervals (e.g., Age 7, 14, 19 and young adult). Young adults (n = 93) were surveyed for retrospective accounts of their fathers’ involvement in their lives before age 18. In the young adult data collection phase (the main subject of this project), most participants reported varying levels and frequency of involvement from their fathers while growing up, including helping at school, providing social support, and encouraging academic …

Emotion Perception Correlates In Moderate And Severe Traumatic Brain Injury, Rachel Keelan

Wayne State University Dissertations

Introduction: Studies have demonstrated that individuals with TBI experience impairments in emotion perception accuracy in facial and auditory modalities but does not yet understand patterns of emotion perception and their relation to neurocognitive performance. The current study assessed why emotion perception deficits occur via psychological and cognitive relationships as well as patterns of emotion misattributions.

Methods: 50 adults with a bona-fide moderate or severe traumatic brain injury and 39 healthy comparison adults were included in the study. Eligible participants completed a battery of paper-and-pencil and computerized neuropsychological measures, including three tasks of emotion perception, and psychological questionnaires.

Results: The TBI …

The Moderating Effects Of Protective And Risk Factors On Outcomes For Behavioral Smoking Cessation Treatment, Holly Reid

Wayne State University Dissertations

The rate of cigarette smoking is three-fold higher among adults living with Human Immunodeficiency Virus (HIV)/Autoimmune Deficiency Syndrome (AIDS) than in the general population (Centers for Disease Control and Prevention, 2015). Relative to non-smoking HIV-positive adults, HIV-positive cigarette smokers have even higher mortality rates, more physical health problems, greater tobacco-related health disparities, lower quality of life, and more barriers to treatment. These barriers are often interrelated with the significantly higher rate of trauma and violence exposure reported in both cigarette smokers and persons living with HIV/AIDS (PLWHA; CDC). Violence exposure not only predicts emotional distress and substance use, but also …