Search results

Title: Maternal-Fetal Attachment: Does it predict parenting outcomes?
Creator: Desai, Shivani S.
Date: 2018
Description: Maternal-fetal attachment (MFA) predicts critical aspects of the caregiver-child relationship, including parental sensitivity and engagement....
Show moreMaternal-fetal attachment (MFA) predicts critical aspects of the caregiver-child relationship, including parental sensitivity and engagement. However, little is known about the relation between MFA and specific parenting beliefs and attitudes that contribute to these positive parenting behaviors, such as parenting sense of competence and parenting stress. The aim of this longitudinal study was to examine if MFA predicts specific domains of parenting sense of competence and parenting stress when children are two years of age. Participants included 53 mainly Caucasian women with a mean age of 33.9 years. MFA was assessed during pregnancy (mean gestational age = 27.02 weeks) using the Maternal Fetal Attachment Questionnaire. Parenting sense of competence and stress were assessed when the children were 2 years of age with the Parenting Sense of Competence questionnaire and the Parenting Stress Index questionnaire. Results of regression analyses indicated that higher levels of MFA significantly predicted higher levels of parenting satisfaction, a domain of parenting sense of competence. They also indicated that higher levels of MFA predicted lower levels of two domains of parenting stress, including stress associated with attachment and role restriction. These findings suggest that prenatal attachment is important to assess during pregnancy, as it may predict future parenting beliefs and attitudes, including sense of competence and stress.
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Title: A Randomized Controlled Trial of Direct-to-Consumer Advertising of Cognitive-Behavior Therapy for Depression
Creator: Antler, Caroline
Date: 2020
Description: Almost half of individuals in the US struggling with depression never seek treatment and, of those that do, over half receive inadequate care....
Show moreAlmost half of individuals in the US struggling with depression never seek treatment and, of those that do, over half receive inadequate care. Although the efficacy of CBT for MDD is well established, the rate of individuals receiving psychotherapy has declined. With copious evidence supporting the effectiveness of direct-to-consumer advertising (DTCA) of pharmaceuticals, the current study evaluated the potential utility of DTCA of CBT for MDD.One hundred seventy-eight adults with (a) prior exposure to DTCA for antidepressants and (b) no mental health diagnoses or treatment were randomly assigned to view one of three video conditions: CBT for depression (CBT, n = 60), CBT plus information on antidepressants (CBT+MED, n = 58), or Control (arthritis and diabetes Public Service Announcements (PSAs); n = 60). After viewing the video participants completed measures of attitudes about, and willingness to engage in, CBT and antidepressant medication. The study was conducted online with participants being recruited through Prolific and the survey created via Qualtrics.Compared to controls, participants viewing CBT DTCA videos (with or without information on antidepressants) were more willing to engage in CBT, had less public and self-stigma associated with CBT, and believed CBT has less potential for harm. Compared to the CBT group, the CBT+MED group reported greater concern about the risks of disclosing personal information in a therapy setting.These results extend previous findings by applying the DTCA marketing style to a specific diagnosis and type of therapy. Findings indicate that DTCA-style ads for CBT for MDD can be effective in reducing stigma and increasing treatment willingness. They further suggest that DTCA-style marketing of evidence-based psychotherapies can be efficacious when created for specific treatments and disorders. The findings have substantial implications for public health and the dissemination of evidence-based practice.
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Title: Exploring Growth After Vision Loss
Creator: BANGLE, MELISSA
Date: 2020
Description: Despite recent advances in our knowledge of positive growth following the onset of chronic illness or disability, little to no effort has been...
Show moreDespite recent advances in our knowledge of positive growth following the onset of chronic illness or disability, little to no effort has been made to understand how the phenomenon of growth might be experienced by individuals who are blind or visually impaired. This not only limits our understanding of how growth is experienced, but also our understanding of the experiences associated with vision loss. This qualitative study explores the perspectives and experiences of growth held by 35 adults with acquired disability due to severe vision impairment and blindness. Additionally, participants discussed their views on how growth can be experienced within the context of adjusting to vision loss. Results indicate that some individuals do experience positive psychological growth after vision loss which can lead to positive changes in one’s life. They also demonstrate that the structure of growth after vision loss shares some similarities with existing growth models like the model for Post Traumatic Growth. Results also suggest that growth may be an outcome of becoming well-adjusted to vision loss; although, the nature of the transition from adjustment to growth remains less clear. Specific factors that may facilitate growth are explored and implications for facilitation of successful adjustment and growth in the context of vision rehabilitation are discussed.
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Title: Correlating Veterans' Employment Status by Analysis of Recovery from the Recovery Assessment Scale-Short Form
Creator: Avezuela-Perez, Margaret
Date: 2020
Description: Past research has examined the low employment rates in veterans with serious mental illness (SMI) (Zivin et al., 2011) and the research...
Show morePast research has examined the low employment rates in veterans with serious mental illness (SMI) (Zivin et al., 2011) and the research suggests that the benefits of employment for veterans are improved mental health symptoms, better finances, and better self-esteem (Bond et al., 2001). The specific relationship between employment and recovery from SMI in individuals has been examined (Drake et al., 2001; Bond et al., 2001; Modini et al., 2016). Previous research has not examined the correlation between recovery from SMI and employment, specifically in a population of veterans with SMI. The current study examines the relationship between recovery and employment of veterans with SMI, using the Recovery Assessment Scale (RAS) as a measure of recovery. A logistic regression analysis yielded that no relationship was found between recovery and employment status. Results of this study suggest there may be other factors affecting the relationship between these two factors. Moreover, there is the possibility that there is no relationship between recovery and employment.
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Title: Is emotion regulation a mediator between parenting skills and treatment outcome in Parent-Child Interaction Therapy?
Creator: Butler, Kristina
Date: 2020
Description: Disruptive behavior disorders are prevalent in preschool children and are associated with a range of negative developmental sequelae. There is...
Show moreDisruptive behavior disorders are prevalent in preschool children and are associated with a range of negative developmental sequelae. There is extensive evidence that Parent-Child Interaction Therapy (PCIT) is an effective behavioral parent training program for decreasing disruptive behaviors in young children. However, the mechanism that accounts for the reduction in externalizing behaviors in PCIT is not well understood. Children’s emotion regulation (ER) is one possible mechanism that accounts for treatment effectiveness. Parenting skills focused on in PCIT serve to increase warmth in caregiver-child interactions, which, in turn, lead to increases in children’s ER skills. ER also has been shown to moderate externalizing behaviors in PCIT. However, to date, there are no longitudinal studies that have examined ER as a mediator in PCIT. The aim of this study was to determine if child ER serves as a mediator between changes in parenting skills and decreases in externalizing behavior problems after PCIT treatment. A diverse sample of 67 children and their mothers participated in PCIT treatment in a community mental health center. All variables were assessed twice, at baseline and after treatment. Positive parenting skills (“Do Skills”) and negative ones (“Don’t Skills”) were assessed during a video recorded 5-minute task using the Dyadic Parent-Child Interaction Coding System. Child ER was assessed during a video recorded 5-minute clean-up task with a behavioral coding scheme adapted from previous research. Child behavior problems were measured using the Child Behavior Checklist Externalizing Scale. Difference scores used in the final analyses were calculated by subtracting the baseline score from the final assessment score for each measure.Results of linear regression analyses revealed a significant, negative relation between changes in ER and externalizing behavior problems. Findings did not support ER as a partial mediator between parenting skills and child externalizing problems. However, moderation analyses indicated that change in ER moderated the relation between change in positive parenting skills (Do Skills) and change in behavior problems, such that the interaction was significant for greater changes in ER. Specifically, increases in Do Skills led to less improvement in disruptive behaviors in children whose ER skills decreased. Also, increases in Do Skills led to greater reductions in behavior problems in children whose ER skills showed greater improvement. This study provides evidence that change in ER moderates changes in Do Skills and change in externalizing problems in PCIT. Findings also suggest that adding strategies to PCIT that focus on increasing child ER may enhance effectiveness of this treatment.
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Title: PREPARE2THRIVE: A COMMUNITY-BASED PARTICIPATORY RESEARCH PILOT INTERVENTION
Creator: Guy, Arryn Aleia
Date: 2020
Description: African Americans living with HIV and serious mental illness (AALWH and SMI) experience multi-level barriers to treatment engagement including...
Show moreAfrican Americans living with HIV and serious mental illness (AALWH and SMI) experience multi-level barriers to treatment engagement including structural discrimination, HIV and SMI stigma, medical mistrust, and poor patient-provider relationships. Personal resources such as HIV treatment self-efficacy and active coping are identified in the extant literature as buffers to barriers to treatment engagement, and may be mechanisms by which individuals living with HIV engage effectively with treatment. Using Community-Based Participatory Research (CBPR) the current study piloted a culture-specific, group-level psychoeducational intervention to improve treatment engagement among AALWH and SMI (N = 16). Overall, acceptability for intervention was high (M(SD) = 33.18(5.66) [range 6-42]). Inferential statistics indicate significant increases in CD4+ counts; HIV treatment self-efficacy, perseverance; psychological appointment attendance; and instrumental support seeking. Additionally, there was a statistically significant decrease in medical appointment attendance and self-distraction coping. An increase in ART engagement, and a decrease in viral load were also observed, however these results were not statistically significant. The peer-led intervention was highly accepted by participants. Participants demonstrated increases in HIV treatment self-efficacy, psychological appointment attendance, and CD4+ counts following completion of the intervention; however, had worse medical appointment attendance. The author highlights the clinical significance of the findings here. Taken together, results support mixed outcomes for the CBPR-developed and peer-led intervention.
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Title: The Relation Between Community Violence Exposure and Young Children's Psychopathology Symptoms
Creator: Gibson, Lynda L
Date: 2020
Description: Chronic community violence exposure (CVE) has become an everyday issue for many children living in inner-city neighborhoods. However, few...
Show moreChronic community violence exposure (CVE) has become an everyday issue for many children living in inner-city neighborhoods. However, few studies have examined the effects of CVE on symptoms of psychopathology in young children. The primary aim of this study was to examine the relation between CVE and internalizing and externalizing symptoms in preschool children. Another goal was to determine if the relations between CVE and both types of symptoms were affected by the type of exposure, the location of the event, and the relationship between the child and the individual involved in the event. A signal-contingent ecological momentary assessment (EMA) design was used in which 32 caregivers reported on their age 3-5 year-old children’s exposure to community violence, and their internalizing and externalizing symptoms for one week. A total of 152 events of community violence were reported during this period, revealing that the children were exposed to an alarmingly high frequency of these events. Results of multilevel model (MLM) analyses showed that increased frequency of momentary CVE was associated with more severe caregiver-reported internalizing and externalizing symptoms throughout one-week. Additionally, witnessed CVE, situations occurring near home, and situations involving someone known by the child strengthened the association between CVE and symptom severity. The present findings reveal that some of the long-term negative effects associated with trauma exposure occur in a shorter time-span when children are exposed to community violence on a daily basis. They also provide guidelines that can be used to inform future assessment of CVE and strategies that may be effective for intervention.
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Title: THE MODERATING AND MEDIATING ROLE OF SELF-REPORTED FAMILY ACCOMMODATION ON THE RELATION BETWEEN OBSESSIVE-COMPULSIVE SYMPTOMS AND RELATIONSHIP SATISFACTION IN AN ADULT, CLINICAL SAMPLE OF INDIVIDUALS IN ROMANTIC RELATIONSHIPS
Creator: De Leonardis, Andrew J
Date: 2020
Description: Severity of obsessive-compulsive symptoms (OCS) is associated with treatment resistance, and in an interpersonal context, is associated with...
Show moreSeverity of obsessive-compulsive symptoms (OCS) is associated with treatment resistance, and in an interpersonal context, is associated with increased relationship distress and decreased relationship satisfaction. In addition, caregivers for those with clinical levels of OCS often engage in family accommodation (FA) behaviors that serve as an extension of the OCD patient’s compulsive behavior. However, the literature on the interchange of OCS, FA, and relationship satisfaction is limited in scope because it focuses mainly on the perspective of the caregiver or partner of the individual with OCD. The current study aims to address this limitation by examining OCS, FA, and relationship satisfaction variables from the perspective of the individual with OCD. Participants included 78 adults with self-reported OCD who were recruited in the US through clinics and clinicians specializing in OCD treatment, as well as from OCD non-profit organizations to target non-treatment-seeking participants. After controlling for demographic variables, results indicated the following: (1) a significant positive association between OCS and FA, (2) a significant negative association between OCS and relationship satisfaction, and (3) a lack of an interaction between FA and OCS when predicting relationship satisfaction. However, the third result was trending towards significance and may be statistically underpowered. Exploratory analyses found FA to be a partial mediator of the association of OCS and relationship satisfaction. The findings support current trends in the research literature as well as contradict extant research on the associations between OCS, FA, and relationship satisfaction. Additionally, findings continue to show the importance of addressing family accommodation in treatment of individuals with OCD.
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Title: Developing Leader Identity via Structured Reflection
Creator: Standish, Melanie P.
Date: 2020
Description: As leader identity research in the context of leader development continues to expand, it is important to understand the mechanisms through...
Show moreAs leader identity research in the context of leader development continues to expand, it is important to understand the mechanisms through which leader identity becomes more central to one’s self concept. Structured leadership reflection is proposed to positively impact leader development but has not been experimentally manipulated to understand what its impact is on leader identity change. In this study, 90 participants were assigned into one of three reflection conditions and were asked to respond to reflection prompts over the course of four days. Participants were divided into the control condition, the reflecting on others as leaders condition, or the reflecting on oneself as a leader condition. Results showed no significant differences between reflection groups and their impact on leader identity change. Though our results do not provide support for the use of structured reflection to elicit leader identity development, we suggest future research should further study structured self-reflection over a longer period of time.
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Title: FINANCIAL BURDEN AND COPING IN HEAD AND NECK CANCER PATIENTS
Creator: Yap, Bonnie Joyce
Date: 2020
Description: In order to contribute to knowledge about how treatment impacts the financial well-being of patients diagnosed with head and neck cancer, this...
Show moreIn order to contribute to knowledge about how treatment impacts the financial well-being of patients diagnosed with head and neck cancer, this study examined the relationship between patient characteristics, financial burden, and financial coping over the treatment period among patients receiving treatment for locally advanced head and neck cancer at a major midwestern medical center. A sample of 65 participants completed self-report questionnaires on out-of-pocket costs, use of financial coping strategies, healthcare utilization, and personal and medical characteristics. Participant disease-specific information was obtained from their medical charts. Age, illness intrusiveness, and distance significantly predicted use of lifestyle-altering financial coping strategies. In addition, human papillomavirus (HPV) status significantly predicted use of care-altering financial coping strategies. Results of hierarchical linear regression analyses found significant main effects of financial burden, loneliness, and social support as predictors of the use of financial coping strategies. Moderation effects of loneliness and social support were not found. Trajectories of out-of-pocket costs indicated that costs are highest at the beginning of treatment and decrease over time. The results highlight the non-disease characteristics of patients diagnosed with head and neck cancer that may make them more vulnerable to financial distress and financial burden. Future studies with larger and more representative sample sizes could further add to information about the impact of cancer treatment on patient financial wellbeing.
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Title: The effect of information overload on knowledge recall and related cognitions for an educational program based on the Mental Health First Aid Model
Creator: Bink, Andrea B.
Date: 2020
Description: Early-intervention public health education programs have been effective at teaching a skillset to help others. However, some of these programs...
Show moreEarly-intervention public health education programs have been effective at teaching a skillset to help others. However, some of these programs have also been criticized for delivering more information than is necessary to learn the skill. Receiving too much information could cause information overload and interfere with program goals. The current study investigated the differential effect on outcomes of two trainings: (i) a standard training with lecture material about depression and anxiety (illness-information), and a skillset to guide interpersonal support for someone with depression and anxiety (skill-information); and (ii) a targeted training that omitted the lecture material and only presented the skillset. Predicted outcomes were that the combination of illness-information and skill-information in the standard training would result in information overload and would interfere with skill-information recall and attitude change. The current study also investigated two variables that could influence outcomes: general information overload about mental health (MHIO) and interest in the topic of mental health. Results were that participants in the standard training endorsed significantly more information overload and performed significantly better on recall measures than participants in the targeted training. Both trainings were effective at attitude change. Finally, preexisting MHIO was associated with training information overload, care seeking, and skill-information recall. Preexisting topic interest was associated with skill-information recall. Results suggest that some background lecture material might be necessary to learn how to support someone with depression and anxiety. Also, programs that promote interpersonal support are effective at attitude change no matter how much information they provide.
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Title: The Differential Influence of Computerized Neuropsychological Assessment Across Psychopathology
Creator: Singh, Shifali
Date: 2020
Description: The method of administering neuropsychological assessments has transformed with the advent of novel technologies. The present study examined...
Show moreThe method of administering neuropsychological assessments has transformed with the advent of novel technologies. The present study examined how the manual versus computerized administration of the Wisconsin Card Sorting Test (WCST) influenced the relation between psychological symptom severity and performance on the WCST, using perseverative responses and failures to maintain set (FMS) subscales. The Dot Counting Test, Depression Anxiety Stress Scales, and SUPPS-P Impulsive Behavior Scale were used to measure performance validity, depression and anxiety, and impulsivity. Eighty-five participants were recruited from the Chicagoland area. Participants reported their age, gender, handedness, education, ethnicity, computer and smartphone familiarity, and medication use. Age ranged from 18 to 66 years (mean (SD) = 34.3 (15.8)), and 49.4% were recruited from an outpatient facility. For perseverative responses, both method of administration of the WCST were equivalent regardless of psychological symptom severity. For FMS, method of administration itself influenced performance, and particularly the impact of impulsivity symptom severity on FMS. Specifically, method of administration significantly moderated the relationship between FMS and Lack of Perseverance, Sensation Seeking, and Positive Urgency. There were also significant main effects between FMS, Lack of Perseverance, and Positive Urgency. The findings from this study suggest that the equivalence between the manual and computerized versions of the WCST depends on the WCST subscale and the type of psychological symptom. New normative data need to be developed for the computerized WCST, along with a more consistent method of scoring and interpreting WCST subscales.
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Title: The Association Between Executive Functioning, Verbal Memory, and Internalized Stigma in Predicting Psychotropic Medication Adherence Behaviors Among People with Serious Mental Illness
Creator: Powell, Karina
Date: 2020
Description: Long-term symptom management is an important consideration for many individuals with serious mental illness to maintain recovery over time,...
Show moreLong-term symptom management is an important consideration for many individuals with serious mental illness to maintain recovery over time, prevent relapse and rehospitalization, and decrease symptom severity. Psychotropic medications can be an important aspect of treatment planning; however, many barriers exist that can impact medication adherence and treatment efficacy. Research suggests that internalized stigma and neurocognition may impact medication adherence, but research has yet to investigate the relationship between these three constructs in tandem. In this study, medication adherence was measured via medication possession ratio calculated from pharmacy records (objective) and self-reported medication use (subjective). Selection of neurocognitive domains and assessment measures was informed by MATRICS and ISBD-BANC consensus batteries. The primary expectations were that verbal memory and executive functioning would be related to medication adherence behaviors and that these domains would moderate the relationship between internalized stigma and medication adherence. A consistent association was seen between measures of self-reported medication use over time, suggesting participants were generally consistent in their reported use. While analyses testing the primary hypotheses were nonsignificant, in the context of limitations of statistical power, trends emerged that may be worthy of further investigation. Future research should continue to explore the potentially multifaceted relationships between factors contributing to adherence. A more comprehensive understanding these relationships has implications for clinicians and consumers in addressing treatment barriers and disengagement by developing more nuanced and targeted interventions.
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Title: The Impact of Depression and Cognitive Dietary Restraint on the Association between Obstructive Sleep Apnea and Disordered Eating Behaviors
Creator: Schwartz, Natalie
Date: 2020
Description: Obstructive sleep apnea (OSA) is characterized by loud snoring and repeated episodes of obstruction in the upper airway during sleep that...
Show moreObstructive sleep apnea (OSA) is characterized by loud snoring and repeated episodes of obstruction in the upper airway during sleep that cause partial or total stop in the airflow, often resulting in short, disruptive sleep. Sleep disruption as a result of OSA has been shown to result in reduced cognitive functioning and disordered eating behaviors, however, few studies to date have sought to determine whether OSA is associated with disordered eating behaviors. Bariatric patients are asked to restrict their food intake prior to surgery; however, restraint theory suggests that the eating behavior of those intending to restrict their intake can be disinhibited by a variety of conditions, which cause the restrained eater to engage in disinhibited and overeating behaviors. Depression has also demonstrated an association with disordered eating behaviors and cognitive dysfunction. Affect regulation theory is often cited as a possible explanation for this association, with the desire to avoid unpleasant affective states resulting in disordered eating behaviors. A sample of 93 bariatric surgery candidates were recruited from an academic medical center in a large metropolitan city to participate in the current study. Participants were recruited during their routine pre-surgical assessment for bariatric surgery and completed measures of disordered eating and depression. Both body mass index and diagnosis of OSA were obtained from patient medical chart. It was hypothesized that the presence of OSA would be related to higher levels of disordered eating behaviors, including disinhibited eating, frequency of loss of control and frequency of binge eating. Additionally, it was hypothesized that cognitive dietary restraint would moderate the association between OSA and disordered eating in bariatric patients, such that the greater the intent to strictly control food intake (i.e., greater cognitive dietary restraint), the more strongly sleep disturbance will be associated with disordered eating. Finally, it was hypothesized that depression would mediate the association between OSA and disordered eating in bariatric patients, such that depressive symptomatology accounts for the relation between OSA and disordered eating behaviors. Results indicated that the presence of OSA was not related to higher levels of disordered eating behaviors, nor did depression mediate the association between OSA and the disordered eating outcomes. Two of the moderation models were significant, including the disinhibited eating model and the frequency of loss of control over eating model. Although bariatric patients are encouraged to restrict their food intake, findings suggested that restraint does not appear to function as intended in reducing disinhibited eating behaviors in individuals with OSA. The findings for the loss of control model supported restraint theory and suggested that those with OSA who also endorse high restraint are at increased risk for experiencing loss of control over eating, whereas those who do not have cognitive dysfunction associated with OSA may or may not exhibit the same association. The current study highlights the impact of restraint on bariatric patients’ disordered eating behaviors, suggesting that restraint theory may not be entirely applicable to bariatric populations and may depend on the disordered eating behavior being examined. The current study also points to numerous gaps in the current literature and provides future directions for research on OSA and disordered eating in bariatric populations.
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Title: A Network Analysis to Examine the Construct of Acculturative Stress in Mexican Americans
Creator: Mosqueda, Andrea I
Date: 2020
Description: Acculturative stress (AS) is a negative consequence of acculturation and occurs when acculturation is problematic for the individual. There is...
Show moreAcculturative stress (AS) is a negative consequence of acculturation and occurs when acculturation is problematic for the individual. There is a substantial variation in AS phenomena across different cultural/ethnic groups, across individual variables (e.g., sex, age, education, attitude, cognitive style), and across social variables (e.g., contact, social support, status). There does not seem to be one specific way in which AS affects all groups or individuals. Elevated levels of AS are associated with multiple manifest difficulties, including family dysfunction, geographical separation from family, low-income levels, and non-positive expectations for the future. AS has been associated with outcomes such as anxiety, depression, suicidal ideation, and feelings of isolation and alienation. Using a network analysis approach, this exploratory study examined the structure of the construct of AS as represented in the Social, Attitudinal, Familial, and Environmental (SAFE) AS Scale, a measure used to assess the AS construct across four contexts. Results of the network analysis of AS aspects suggest that the AS construct is best understood as a latent variable rather than as a network of interacting AS aspects, and that distress is related to particular aspects of AS. The present study findings suggest a particular model of relations between latent AS, its manifest aspects, and clinical outcomes. Further research can help to better understand the relationship between individual AS aspects (i.e., treatment targets) and treatment goals of impacting AS-related outcomes (e.g., distress), as well as the mechanisms of change.
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Title: Attitudes of Adults Treated for Depression Toward Technology-Assisted Therapy
Creator: Johnston, Winter D.
Date: 2021
Description: Depression is associated with functional impairment (Saarni et al., 2007), high economic costs (Cuijpers et al., 2007; Greenberg & Birnbaum,...
Show moreDepression is associated with functional impairment (Saarni et al., 2007), high economic costs (Cuijpers et al., 2007; Greenberg & Birnbaum, 2005), and loss of quality of life (Rapaport et al., 2005), and has been named a major reason for illness-related disability worldwide (Vos et al., 2013). Barriers to treatment include being physically limited to access services (Apolinario-Hagen et al., 2018), fear of stigmatization, desire to handle the problem on ones’ own, lack of confidence in the healthcare system (Königbauer et al., 2017), lack of motivation to change, and negative perception of psychological and/or drug treatments (Richards et al., 2015). As technological options have advanced and become more reliable, they have become tools to improve access to care and reduce barriers. Clinicians’ attitudes have been studied pertaining to incorporating different technology modalities into traditional therapy; however, client attitudes are less explored. The present study aims to (1) explore client attitudes towards hypothetical technology-assisted interventions, (2) assess the relative preferences for various technology-assisted interventions, (3) identify correlates of the participant’s preference of different technology-assisted interventions, including: (a) attitudes towards technology-assisted therapy, (b) sociodemographic variables, (c) help-seeking variables (seeking health information, use of technology outside therapy, awareness of technology-assisted options for therapy), (d) previous therapy experience (therapeutic approach, helpfulness of therapy, number of previous therapists), and (4) assess if working alliance with participants’ most recent therapist moderated the effect of therapist condition (current/recent or new) on preferences. The technology options in this study are videoconferencing, online therapy, mobile phones, and virtual reality/avatars. Individuals were asked to imagine continuing therapy using these technological options. Participants viewed videos demonstrating how each technology is used in a therapeutic setting and provided their attitudes and preferences afterwards. The participants consisted of adults who currently or in the recent past have received therapy to treat any severity of depression. Overall, participants had a positive attitude towards technology-assisted therapy. Participants’ relative preference for various technology-assisted interventions and their first-choice modality of therapy did not differ by whether the participant was to keep their same therapist or start therapy with a new therapist. A variety of determinants were associated with greater preference towards the different modalities. Lastly, the strength of working alliance did not moderate whether preferences differed based on staying with the participant’s current/most recent therapist or starting with a new therapist. Limitations, strengths, and conclusions are also discussed.
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Title: UNDERSTANDING MARIJUANA USE AS A TREATMENT OPTION FOR PEOPLE WITH EPILEPSY: USE, ATTITUDES, AND QUALITY OF LIFE
Creator: Johnson, Kristina
Date: 2021
Description: Epilepsy is the most common neurological disorder worldwide with a heterogeneous range of negative symptoms. Current treatments for epilepsy...
Show moreEpilepsy is the most common neurological disorder worldwide with a heterogeneous range of negative symptoms. Current treatments for epilepsy have side effects that can negatively impact the quality of a person’s life. Alternative treatments are being explored, including marijuana. This study aimed to understand marijuana use in adults with epilepsy across U.S. states. Rates of use, preferred method of use, and reasons to use and not use marijuana were examined. Additionally, levels of comfort discussing marijuana compared to other treatment options and with different types of providers were explored. Lastly, this was one of the first studies to examine the relationship between quality of life (QOL) and marijuana use for people with epilepsy. Participants included 128 individuals with epilepsy from 26 states, with non-legal states having significantly fewer people who reported using marijuana. Smoking was reported as the primary method of use, knowing someone else that uses as their primary reason for using, and health concerns as the primary reason not to use. There was no difference in level of comfort discussing marijuana compared to other treatments, and participants reported feeling most comfortable discussing marijuana with neurologists compared to other providers. Finally, total QOLIE-31 and the social functioning subscale were significantly lower among marijuana users; however, this difference did not remain when anxiety was entered as a covariate. In fact, the relationship between anxiety and QOL was significant, with anxiety accounting for η2 = .12 to η2 = .57 of the variance in QOLIE-31 subscale scores, controlling for marijuana use. Findings from this study further the understanding of marijuana use by people with epilepsy in the United States.
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Title: FACTORS INFLUENCING INDIVIDUALS’ PROVISION OF AUTONOMY SUPPORT TO THEIR PARTNERS WITH CHRONIC PAIN: A PATH ANALYSIS MODEL BASED ON SELF-DETERMINATION THEORY
Creator: Ivins-Lukse, Melissa N.
Date: 2021
Description: Receiving autonomy support from a relationship partner has been associated with increased physical activity among individuals with chronic...
Show moreReceiving autonomy support from a relationship partner has been associated with increased physical activity among individuals with chronic pain (ICP), but no studies have explored what factors may influence partners’ use of an autonomy supportive interpersonal style with an ICP. Self-determination theory (SDT) posits that contextual, perceptual, and individual factors influence how much individuals use an autonomy supportive interpersonal style through the mediators of basic psychological need satisfaction and autonomous motivation. The present study used path analysis to test a SDT model of the relationships between a contextual factor (autonomy support from health care provider), a perceptual factor (partner’s perception of ICP motivation for physical activity), an individual factor (partner catastrophizing about ICP’s pain), and the sequential mediators of relationship need satisfaction and autonomous motivation with respect to the dependent variable of partners’ use of an autonomy supportive interpersonal style. 176 partners of ICPs completed a cross-sectional survey including the Health Care Climate Questionnaire, partner-report revised Behavioral Regulation in Exercise Questionnaire, Pain Catastrophizing Scale – Significant Other version, Need Satisfaction Scale, Motivation to Help, and Interpersonal Behaviours Questionnaire-Self. The proposed model demonstrated poor fit to the data: χ2 (10) = 31.949, p < 0.001), RMSEA = 0.11 (90% CI = .07 to .16, p = 0.01), CFI = 0.81, and SRMR = .10. While the overall model was not supported, most individual pathways in the model were significant. Alternative analyses were conducted to identify a model with acceptable fit.
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Title: THE RELATIONSHIP BETWEEN SLUGGISH COGNITIVE TEMPO AND PERFORMANCE ON TASKS OF PROCESSING SPEED: INFLUENCE OF DEPRESSION
Creator: Kim, Jeong Hye
Date: 2021
Description: Sluggish cognitive tempo (SCT) is often associated with reported difficulties in various functional areas, including daily activities,...
Show moreSluggish cognitive tempo (SCT) is often associated with reported difficulties in various functional areas, including daily activities, emotional functioning, cognitive functioning, academic performance, and sleep. However, there are only a handful of research studies on SCT and neurocognitive functioning in adult populations, and the neuropsychological profile of SCT in adults is unclear.The purpose of this research is to investigate the effect of depression on the relationship between a self-reported measure of SCT and objective measures of SCT in adults by focusing on processing speed performance. The result of this research supports the previous notion that SCT is a novel and independent condition distinct from ADHD, and there are significantly positive relationships between symptoms of SCT and Inattention and Hyperactivity/Impulsivity. Furthermore, SCT and depression are also positively associated indicating the people who experience more symptoms of SCT report more symptoms of depression. However, results did not support the hypothesis that SCT significantly contribute to differences in performance on various types of neuropsychological tasks (WAIS PSI, Trail Making Test, and CPT-II Reaction Time) assessing processing speed after controlling for symptoms of ADHD (inattention and hyperactivity/impulsivity) and symptoms of depression. It is notable that the significant model beta weights for SCT in the final regression model suggests that the relationship between SCT and processing speed is worthy of additional investigation.
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Title: Eating Pathology Among Ethnic Subgroups of Latinas: An Examination of Acculturative Stress and Ethnic Identity
Creator: Quinones, Isabel Cristina
Date: 2021
Description: Latin women (Latinas) in the U.S may experience acculturative stress if ethnic group pressures regarding body ideals differ from the U.S. body...
Show moreLatin women (Latinas) in the U.S may experience acculturative stress if ethnic group pressures regarding body ideals differ from the U.S. body ideal. As a population consisting of multiple countries, the distinct cultures and customs among subgroups may impact how women from heterogeneous Latino countries/cultures perceive acceptable body weight and shape, as body ideals are culturally constructed. Furthermore, an individual’s ethnic identity level may impact the way acculturative stress relates to eating pathology. This study investigated 1) acculturative stress as a mediator of the relationbetween ethnic group and eating pathology among specific Latina subgroups, and 2) ethnic identity as a moderator of the association between ethnic group and acculturative stress, acculturative stress and eating pathology, and ethnic group and eating pathology. Mexican (n=30), Puerto Rican (n=31), Cuban (n=29), and non-Hispanic, White (n=30) women living in the U.S. were recruited via Prolific Academic to complete self-report questionnaires regarding ethnic group, ethnic identity level, acculturative stress, and eating pathology. Moderated mediation analyses supported a significant indirect effect of ethnic group on body dissatisfaction, binge eating, purging, restricting, excessive exercise, and negative attitudes towards obesity through acculturative stress, such that group differences were mediated by acculturative stress levels. Further, the association between acculturative stress and body dissatisfaction was dependent on strength of ethnic identity; there was a positive simple slope for women with low and moderate levels of ethnic identification (low b = 2.30, moderate b = 1.36, both p <0.001) but not for those with high ethnic identity (b = 0.52, p = 0.22), suggesting that a higher ethnic identification may be protective against the development of body dissatisfaction in Latinas experiencing acculturative stress. Findings support the importance of separating heterogeneous subgroups of Latinas and explicitly assessing acculturative stress. Assessment and preventive action should include addressing increased acculturative stress and the risk it may pose for Latinas endorsing eating pathology given that the combination of ethnic group, acculturative stress, and ethnic identity may pose an increased risk for Latina individuals vulnerable to eating pathology.
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