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 Degree Discipline: Clinical Psychology
 Collection: UNT Theses and Dissertations
Dementia, Diabetes, and Depression: Relationship to Cognitive Functioning

Dementia, Diabetes, and Depression: Relationship to Cognitive Functioning

Date: August 2009
Creator: Jackson, Lauren Innes
Description: The number of adults in the United States who are age 65 or older is rapidly increasing. With longer lifespan comes an increase in chronic diseases such as dementia, diabetes, and depression. This study used archival data from a larger study conducted at the Memory Clinic at John Peter Smith County Hospital in Ft. Worth, Texas to examine several hypotheses and research questions related to the influence of type of dementia, presence of Type II diabetes, and presence of depression on neuropsychological test performance. First, this study attempted to identify specific patterns of performance on neuropsychological measures for those with Alzheimer's dementia (AD), vascular dementia (VaD), or mild cognitive impairment (MCI). The results indicated that those with MCI perform better than those with AD or VaD on all neuropsychological measures, and that those with VaD perform better than those with AD on a measure of verbal memory. Another purpose of the study was to determine how the presence of Type II diabetes affects this pattern of functioning; the overall finding in this study was that the presence or absence of diabetes did not affect performance on measures of cognitive functioning. Additionally, the study attempted to add to literature examining the ...
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Depression and Heart Rate Variability in Patients with Coronary Artery Disease

Depression and Heart Rate Variability in Patients with Coronary Artery Disease

Date: December 1994
Creator: Saunders, Roger D. (Roger Dean)
Description: Depression is an independent risk factor for morbidity and mortality in patients with coronary artery disease (CAD). Altered autonomic nervous system (ANS) activity, a common feature of depression, is also a risk factor for cardiac events in patients with CAD. Heart rate variability (HRV) reflects ANS activity, and reduced HRV predicts morbidity in cardiac populations. The purpose of this study was to determine whether differences in HRV exist between depressed and nondepressed patients with CAD. Twenty-one depressed inpatients, with angiographically documented CAD were retrospectively matched to 21 nondepressed CAD patients by sex, age, and smoking status. Demographic, medical, psychological interview data, and 24-hour ECG recordings were obtained. Depressed subjects had significantly lower HRV, or trends toward lower HRV, than nondepressed subjects, even after controlling for severity of CAD. Subject groups did not differ on left ventricular ejection fraction, history of myocardial infarction, or any other relevant medical variable assessed. These results suggest that depression is associated with decreased HRV in patients with CAD, and may help to explain the increased rates of cardiac events observed in CAD patients with depression.
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Detection of Malingering on Raven's Standard Progressive Matrices and the Booklet Category Test

Detection of Malingering on Raven's Standard Progressive Matrices and the Booklet Category Test

Date: December 1997
Creator: Isler, William C. (William Charles)
Description: The capacity of Raven's Standard Progressive Matrices (SPM) and the Booklet Category Test (BCT) to discriminate between groups of brain-injured, simulated malingering, and normal participants was investigated in this study. Exploratory analyses were also conducted to examine the differences between groups categorized as sophisticated and naive fakers. Clinical decision rules and discriminant function analyses were utilized to identify malingerers. Clinical decision rules ranged in hit rates from 41% to 78%, in sensitivity from 2% to 100%, and in specificity from 86% to 100%. Discriminant functions ranged in hit rates from 81% to 86%, in sensitivity from 68% to 73% and in specificity from 82% to 87%. Overall, the least helpful detection method examined was below chance responding on either measure, while the most efficient was gross errors for SPM.
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The Detection of Neuropsychological Malingering

The Detection of Neuropsychological Malingering

Date: August 2003
Creator: Liff, Christine D.
Description: The present study compared the responses of a group of simulating malingerers who were offered a monetary incentive to feign symptoms of a head injury, with the responses of head injured groups both with and without litigation, a forensic parole group, and an honest-responding control group. The following six neuropsychological measures were utilized: Rey 15-Item Memory Test, Controlled Oral Word Association Test, Finger Oscillation Test, WAIS-R Neuropsychological Instrument (Vocabulary, Information, and Similarities subtests), Booklet Category Test, and Wisconsin Card Sorting Test. The statistical concepts of floor effect, performance curve, and magnitude of error were examined. Additionally, the statistical differences in the responses of the five groups were analyzed to determine cutting scores for use in distinguishing malingerers from nonmalingerers.
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Development of a Multidimensional Approach to Understanding Youthful Offenders: The Influence of Psychosocial and Personality Risk Factors

Development of a Multidimensional Approach to Understanding Youthful Offenders: The Influence of Psychosocial and Personality Risk Factors

Date: August 2006
Creator: Noffsinger, Mary A.
Description: This study employed a multivariate, multidimensional approach to understanding psychosocial and personality variables associated with institutional maladjustment and recidivism among youthful offenders. Participants included nine hundred serious and chronic male youthful offenders incarcerated in the Texas Youth Commission (TYC); sample sizes varied by analysis. Empirically-validated psychosocial factors (e.g., intelligence, home approval status), past criminal history variables, and two self-report personality measures of empathy and hostility were entered into hierarchical regression and structural equation modeling (SEM) analyses to predict institutional behavior and recidivism at one- and three-year intervals after release from the TYC. Confirmatory factor analysis of the personality measures revealed one underlying factor indicative of their theoretical constructs of empathy and hostility. Some differences were noted between youth in the specialized treatment programs; however, effect sizes were small to moderate. Overall, regression and SEM results indicated the variables accounted for a meaningful proportion of the variance in the outcomes. Specifically, although length of stay in the TYC was associated with institutional behavior, younger age of onset, higher hostility, and greater home disapproval also contributed significantly. Past criminal behavior was predictive of future reoffending, but lower empathy, greater home disapproval, and younger age of onset accounted for a substantial portion of ...
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Developmental Stressors and Associated Coping Skills in the Development of Disordered Eating in College Females

Developmental Stressors and Associated Coping Skills in the Development of Disordered Eating in College Females

Access: Use of this item is restricted to the UNT Community.
Date: August 2002
Creator: Tripp, Margaret Murphy
Description: There is a lack of clarity in the current literature in how potential etiological factors interact and result in disordered eating. The purpose of this study was to examine an expanded model of Personality, Social Support, Appraisal/Coping Processes, Abuse History, Internalization of Sociocultural Standards, Psychological Disturbances, and Body Disparagement in the development of disordered eating. The current model was evaluated using 276 women in their transition to college, a time period highly associated with symptoms believed to increase a woman's risk for the development of disordered eating including perceived difficulty coping, weight gain, and negative affect. Structural equation modeling was used to allow simultaneous examination of the causal relationships between the factors. Structural analyses confirmed that college women with previous stressful experiences appraised the adjustment to college as more stressful and reported feeling less able to cope with the transition. Those women who identified the transition as overwhelming were also aware of increased negative mood and psychological states since beginning the school semester. Further, women with previous traumatic sexual experiences appeared to be at additional risk for increased negative affective symptoms. The resulting model confirmed that those women who experience negative mood states and those that endorse strong internalization of ...
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Disclosure and its Perceived Impact as Mediators of the Long-Term Consequences of Child Sexual Abuse

Disclosure and its Perceived Impact as Mediators of the Long-Term Consequences of Child Sexual Abuse

Date: October 1992
Creator: Phelan-McAuliffe, Debra
Description: The primary purpose of the present study was to investigate factors associated with childhood sexual abuse which mediate long-term effects. Of particular interest were the mediators of disclosure and its perceived impact, as well as variables related to the severity of the abuse. Also of interest were impact areas related to a history of molestation which have received little attention in the literature. Five hundred and seventy-five female undergraduates completed an extensive questionnaire with measures of family background, childhood and adult sexual experiences, health status, and psychological variables. Of these subjects, 286 reported at least one incident of child sexual abuse. It was hypothesized that those females with histories of sexual abuse who received a positive response to their disclosure of abuse would demonstrate more adaptive adult functioning as compared to those victims receiving a negative response, or those who never disclosed. Significant differences were not detected among the three groups on the outcome measures. A number of reasons were explored for why these differences may not have been detected in the present investigation. Although differences were not detected for disclosure status, significant differences were detected between females reporting a history of child sexual abuse and those reporting no abuse ...
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Dogmatism and Sex Role Differentiation in Adults

Dogmatism and Sex Role Differentiation in Adults

Date: May 1973
Creator: Westmoreland, Robert W.
Description: This study is an investigation of the general questions Is there a relationship or interaction between a subject's dogmatism score (as measured by the Dogmatism Scale) and his self-rating of the perceived stereotypical masculinity-femininity dimension (as measured by the abridged Mf scale of the Minnesota Multiphasic Personality Inventory)?
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Dogmatism in Adults and Correlates of Early Parent-Child Relationships

Dogmatism in Adults and Correlates of Early Parent-Child Relationships

Date: May 1971
Creator: Cole, Troy H.
Description: The results suggest that children's perceptions of parental child-rearing behavior are related to their tendencies to be dogmatic in their beliefs, and apparently perceptions of parents as loving has reinforcing properties for the child that may lead to the uncritical acceptance of the belief system of the parents.
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Early Recognition of Minimal Brain Injury through Use of the Metropolitan Readiness Tests

Early Recognition of Minimal Brain Injury through Use of the Metropolitan Readiness Tests

Date: December 1971
Creator: Spurgin, Raymon David
Description: This study explored the usefulness of the Metropolitan Readiness Tests (MRT) as a screening device for minimal brain injury. It was hypothesized that brain injured (BI) children would score significantly lower on Test Six of the MRT than non-brain injured (NBI) children. Test Six is a visual-motor perceptual task.
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