Clinical Psychology Commons^™

Validity Of Immediate Post-Concussion Assessment And Cognitive Testing (Impact), Lisa Mason Koehl

Theses and Dissertations--Psychology

Sports concussions have been recognized as significant injuries among young athletes with research demonstrating that return-to-play prior to becoming asymptomatic can have significant repercussions, including risk of sustaining cognitive deficits. In tracking and monitoring concussions during sports seasons, many programs have begun utilizing computerized testing rather than traditional neuropsychological tests to 1) determine baseline scores, 2) track symptoms, and 3) measure cognitive deficits following concussion.

Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is one such instrument. The current study examined ImPACT’s convergent, discriminant, and diagnostic validity by comparing scores from post-concussion athletes (SPORT) to those from non-concussed controls (CONT). SPORT …

Utility Of The Caars Validity Scales In Identifying Feigned Adhd, Random Responding, And Genuine Adhd In A College Sample, Brittany D. Walls

Theses and Dissertations--Psychology

Due to increased concern about malingered self-report of symptoms of attention-deficit/hyperactivity disorder (ADHD) in college students, there is a need for instruments that can detect feigning. The present study provided further validation data for a recently developed validity scale for the Conners’ Adult ADHD Rating Scale (CAARS), the CAARS Infrequency Index (CII). The sample consisted of 139 undergraduate students; 21 individuals with diagnoses of ADHD, 29 individuals responding honestly, 54 individuals responding randomly (full or half), and 35 individuals assigned to malinger. The CII demonstrated modest sensitivity to malingering (.31-.46) and excellent specificity to ADHD (.91-.95). Sequential application of validity …

Deep Brain Stimulation For Parkinson's Disease: An Investigation Of Post-Surgical Self-Regulation And Executive Functioning, Hannah L. Combs

Theses and Dissertations--Psychology

Parkinson’s Disease (PD) is a common neurodegenerative disorder that attacks the basal ganglia and contributes to a range of motor, cognitive, and behavioral impairments (e.g., tremor, rigidity, and executive dysfunction). This dysfunction may contribute to self-regulatory impairment across several domains, including cognitive skills, thought processes, and emotion. Deep Brain Stimulation (DBS) is a neurosurgical procedure that allows for direct and reversible manipulation of brain activity in patients with PD. The procedure is growing in popularity and is commonly used as an adjunct or in some instances an alternative to dopaminometic medications. Preliminary studies suggest mild executive dysfunction follows DBS but …

Understanding Alcohol Use Trajectories From Adolescence To Young Adulthood: A Bioecological Approach, Jacqueline A. Bonsu

Theses and Dissertations--Psychology

The current study sought to better understand how alcohol use patterns develop over the transition to young adulthood by taking a bioecological approach in examining the joint influence of contextual and individual factors on drinking behaviors. Using a longitudinal design to include many factors that likely play key roles in this highly sensitive developmental period (e.g., peer norms, social activities, personality traits, access and exposure to substances), both mean levels of these variables and their change over time were considered in relation to alcohol use trajectories (AUTs). Participants were 525 students ages 18 to 25 recruited from the introductory psychology …

Ovarian Hormones, Adhd, Risk-Taking, & Impulsivity, Bethan A. Roberts

Theses and Dissertations--Psychology

Attention-Deficit/Hyperactivity Disorder (ADHD) is a highly impairing disorder of inattention, hyperactivity, and impulsivity that is more frequently diagnosed in males versus females at a ratio of 3:1. However, females with the disorder become highly impaired during adolescence, perhaps due to the onset of cycling ovarian hormones at puberty. The present study empirically assessed the role of the major female sex hormones, estrogen and progesterone, in the presentation of ADHD symptoms, impulsivity, and associated risk-taking behaviors (e.g., risky sex, substance use and abuse) in a non-clinical sample of young adult women. 32 healthy young adult women who were screened for hormonal …

Decision-Making Processes, Driving Performance, And Acute Responses To Alcohol In Dui Offenders, Walter Roberts

Theses and Dissertations--Psychology

Alcohol-impaired driving is a major cause of motor vehicle accident and death in the United States. People who are arrested for DUI (Driving under the Influence) are at high risk to reoffend; approximately one in three of these individuals will commit another DUI offense in the three years following their first conviction (Nochajski & Stasiewicz, 2006). This high risk for recidivism in these individuals suggests that cognitive characteristics may contribute to a pattern of pathological decision making leading to impaired driving. Indeed, individuals with a history of DUI report higher rates of impulsiveness and behavioral dysregulation compared to their nonoffending …

Burnout And Depression In Psychiatric Residents, Irvin Sam Schonfeld, Eric Laurent, Pierre Vandel, Renzo Bianchi

Publications and Research

Kealy et al. (2016) found that 21% of psychiatric residents were suffering symptoms of burnout. A number of problems call that finding into question. First, the writers used a one-item measure to assess burnout. Second, mounting evidence suggests that burnout is a depressive syndrome. Third, unresolvable job stress is related to depression. Given burnout's overlap with depression and the diagnostic blur around burnout, research on the impact of job stress should connect with depression, which is nosologically well characterized and diagnosable using clinically validated instruments.

Burnout And Depression: Label-Related Stigma, Help-Seeking, And Syndrome Overlap, Renzo Bianchi, Jay Verkuilen, Romain Brisson, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We investigated whether burnout and depression differed in terms of public stigma and help-seeking attitudes and behaviors. Secondarily, we examined the overlap of burnout and depressive symptoms. A total of 1046 French schoolteachers responded to an Internet survey in November–December 2015. The survey included measures of public stigma, help-seeking attitudes and behaviors, burnout and depressive symptoms, self-rated health, neuroticism, extraversion, history of anxiety or depressive disorder, social desirability, and socio-demographic variables. The burnout label appeared to be less stigmatizing than the depression label. In either case, however, fewer than 1% of the participants exhibited …

Help-Seeking And Intimate Partner Violence Re-Victimization Of Sexual Minority And Heterosexual College Students, Andrew T. Schramm

Theses and Dissertations

Recent estimates indicate that 18.5% of heterosexual college students and 30.3% of sexual minority college students are victims of physical intimate partner violence (IPV; Edwards, Sylaska, Barry, et al., 2015). Research among adult women in oppositesex relationships has shown that once an individual is victimized by IPV she is subsequently at high risk for future IPV victimization. Re-victimization is associated with more severe physical and mental health consequences of IPV. No prior study has assessed the rate of re-victimization among sexual minority adults. Help-seeking behavior, which refers to accessing a range of sources of support (e.g., family and friends, law …

Social Skills In Youth With Spina Bifida: A Longitudinal Multimethod Investigation Of Bio-Neuropsychosocial Predictors, Christina Ehrman Holbein

Dissertations

Objective: Despite research documenting social dysfunction in youth with spina bifida (SB), little is known about the etiology of these social difficulties; most investigations identifying predictors of social deficits have concentrated exclusively on one domain. This longitudinal study examines the relative predictive power of neurocognitive (attention and executive function), family (cohesion and conflict), and health-related (body mass index, condition severity) variables on later social skills in youth with SB.

Methods: 112 youth with SB (T1 mean age = 11.19 years) and their families participated in study visits two years apart. Study variables were assessed by multiple methods (questionnaire, medical chart …

Cognitive And Neural Correlates Of Coping And Resilience In Depression, Catherine Lee

Dissertations

Depression is one of the most prevalent and devastating psychological disorders, often with a chronic or remitting/reoccurring course. The inability to effectively cope with stress and negative life events has been strongly linked to the development and maintenance of depression symptoms; yet, the cognitive and biological processes underlying the complex and multidimensional behavioral construct of coping are not well understood. Using a combination of self-report measures, computerized cognitive tasks, and scalp electroencephalography (EEG) methodologies, the present study investigated associations between specific executive function abilities (i.e., inhibition and set-shifting), underlying neural activity, coping strategy and flexibility, and depression symptoms. Results did …

Community Violence Exposure Among Urban African American Males: Understanding The “Buffering Effect” Of Adaptive Social Support Coping On Psychosocial Outcomes, Cynthia L. Pierre

Dissertations

The current study explored the moderating roles of support coping and support

quality in the predictive relationship between community violence exposure (ECV) and a

variety of psychosocial outcomes. Participants were 119 African American males (9 th –

12 th grade; mean age at baseline = 15.33). Participants completed measures of exposure to

violence, support-seeking coping, quality of support from friends and family, and a range

of psychosocial outcomes, and completed these same measures approximately one year

after baseline. Regression analyses were conducted to examine the relationships between

ECV and psychosocial outcomes, as well as the relationships between support coping and …

The Relation Of Exposure To Community Violence To Self- Efficacy Based On Neighborhood, Family, And School Effects In A Community Sample Of Latino-American Youth, Arie Zakaryan

Dissertations

Community violence is considered a “public health epidemic” in the US. Latino youth and families are a burgeoning population in the United States, and many of whom live in neighborhoods exposed to community violence. Multiple contexts should be assessed identifying developmental assets youth use to adjust positively when exposed to violence. This study examines how different environmental contexts, i.e., home, school, neighborhood and acculturation, influence the relationship between exposure to community violence and self-efficacy for Latino youth. The current study uses an archival dataset of a larger longitudinal study (Project on Human Development in Chicago Neighborhoods). A confirmatory factor analysis …

The Role Of N-Acetyl-L-Cysteine (Nac) As An Adjuvant To Opioid Treatment In Patients With Inadequately Controlled Chronic Neuropathic Pain, Thomas B. Moore

Theses and Dissertations

Introduction. While opioid medications are commonly prescribed for management of neuropathic pain (NP), long-term use has been associated with increased risk for overdose, drug interactions and addiction. New strategies are necessary to better manage chronic pain, thereby reducing need for opioid medications and their associated adverse consequences. N-acetyl-L-cysteine (NAC), an over-the-counter supplement, has shown promise in the treatment of psychiatric and addictive disorders. In addition, NAC has shown promise for reducing physiological signs of NP in laboratory rat models, prompting this study.

Purpose. The present study was an open-label clinical trial of NAC as an adjuvant to opioid treatment for …

Evaluating A Brief Web-Based Prevention Intervention For Risky Alcohol Use Among College Students, Zoe Neale

Theses and Dissertations

The purpose of this study was to evaluate a brief, web-based alcohol prevention intervention program as a universal approach to addressing the range of alcohol behaviors present on college campuses. The sample of freshman college students recruited from Spit for Science (Dick et al., 2014) included 153 intervention participants, and 151 control participants matched on demographics and baseline alcohol variables. Hierarchical multiple regression, logistic regression, and moderated multiple regression were used to compare intervention and control participants on post-intervention alcohol variables. Treatment predicted lower alcohol use disorder (AUD) symptoms, particularly among baseline drinkers. For non-drinkers, the intervention was associated with …

Representativeness Of Patients Enrolled In A Primary Care Clinical Trial For Substance Use Disorders, Sydney S. Kelpin

Theses and Dissertations

Understanding the characteristics of research participants is crucial to ensuring sample representativeness and generalizability of findings to broader patient groups with substance use disorders. Using anonymous computer-administered health survey data, the present study had a unique opportunity to compare patients who chose to participate in an RCT for heavy/problem drinking or drug use (N=713; consenters) with those that chose not to participate (N=625; non-consenters). The sample was 40% male, 76% African American, and had a mean age of 45.2 years. Using multivariate regression, the most parsimonious model found older age, unemployment, prescription misuse, positive screen for drug problems (CAGE), having …

Examining Ptsd Symptoms And The Effectiveness Of Group Therapy Among African American And Caucasian Veterans, Jennifer A. Coleman

Theses and Dissertations

Millions of Americans have served in the military, and improved survival rates in wars have increased the percentage of those who return home. Posttraumatic stress disorder (PTSD) is one of the most prevalent mental health diagnoses for veterans. Although few studies have examined the link, previous research as well as the minority stress model and transgenerational trauma theories, suggest that race may be associated with PTSD, particularly in military samples. The current study examined whether there were differences in PTSD symptomology (global and symptom cluster-specific) based on veterans’ race and whether group therapy effectively reduced symptoms of PTSD. Data were …

The Relationship Between Problem-Solving Ability/Eating Motivation And Perceived Quality Of Life In Individuals Diagnosed With Celiac Disease, Vincenzo Zaccheo

PCOM Psychology Dissertations

Celiac disease (CD) is a digestive disorder resulting from gluten intolerance that leads to damage of the small intestine. The only current available treatment for CD involves adherence to a strict gluten-free diet. Due to the restrictive nature of this treatment diet, and the increasing prevalence of CD in recent years, much research has been conducted examining factors that impact the quality of life (QOL) of individuals with CD. However, there has been a dearth of literature identifying those factors which can be modified within a treatment setting. Thus, a need for further research in this area was identified. Through …

Narratives Of Aging And Patient Activation, T. A. Hulslander

Antioch University Dissertations & Theses

I highlight the generally negative social discourse on aging in the United States, which is often characterized by themes of marginalization and stagnation, and I advocate for a more developmental view. I propose a conceptual framework of social constructionism to consider how the intersection between social discourse and personal narrative regarding aging might influence older adults’ patient activation; Interpretative Phenomenological Analysis (IPA) is an appropriate qualitative methodology through which to understand these relational dynamics. Key constructs are defined and evidentiary, social justice, and pragmatic rationales are provided. In a discussion of the application to clinical psychology I suggests that how …

Peer-Mediated Sandplay And Symbolic Play In Children With Autism Spectrum Disorder, Meagan Adley

Antioch University Dissertations & Theses

This manuscript describes an exploratory study that assessed whether play with typically developing peers increased the use of symbolic play in children with Autism Spectrum Disorder (ASD). A version of a sandplay intervention previously investigated by Lu, Petersen, Lacroix, and Rousseau (2010), and modified to include peer-mediated play was used. The intervention explored the effects of sandplay with typically developing peers on engagement in symbolic play by children with ASD. A multiple-case intervention design was used with three children with ASD with varying degrees of severity in functioning. While use of symbolic play by two of the children did increase …