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  Partner: UNT Libraries
 Department: Department of Psychology
 Degree Level: Doctoral
 Collection: UNT Theses and Dissertations
Anxiety, Depression, and Sleep Disorders: Their Relationship and Reduction with Neurotherapy

Anxiety, Depression, and Sleep Disorders: Their Relationship and Reduction with Neurotherapy

Date: August 2010
Creator: Fisher, Christopher, Alan
Description: This study investigated the relationship among anxiety, depression, and sleep disturbances and the treatment of these three disorders through neurotherapy. Research suggests that these conditions commonly co-occur in the general population and that central nervous system (CNS) arousal may play a primary role in the development and maintenance of these disorders. Several recent studies suggested that neurotherapy, a biofeedback-based treatment for CNS dysregulation, might be an effective treatment for comorbid conditions, particularly the ones of interest here, depression, anxiety, and sleep disturbances. This investigation used a clinical case-series design to assess pre/post neurotherapy changes on objective measures of anxiety, depression, and sleep and to determine whether changes in anxiety and depression then predict improvements in sleep quality. Data for 23 participants (10 males) were obtained from files of adults (Mage = 40.22 years, SD = 16.20) who received at least 15 neurotherapy sessions (M = 47.83 sessions, SD = 22.23) the University of North Texas Neurotherapy Lab. Matched pair t-tests revealed that symptoms of sleep disturbance, depression, and anxiety showed significant improvements following neurotherapy. Neurotherapy treatment effect sizes generally ranged from moderate to large (d = .414 - .849). Multiple regression analysis found that changes in self-reported anxiety symptoms, but ...
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Are Deficits in Mindfulness Core Features of Borderline Personality Disorder?

Are Deficits in Mindfulness Core Features of Borderline Personality Disorder?

Date: August 2006
Creator: Wupperman, Peggilee
Description: Mindfulness is a core component of dialectical behavior therapy (DBT), a widely utilized treatment for borderline personality disorder (BPD); however, the import of mindfulness in treating BPD has yet to be demonstrated, and the relationship of mindfulness to BPD constructs is unclear. The current study utilized structural equation modeling to examine the relations of mindfulness with BPD features and the underlying constructs of interpersonal problem-solving effectiveness, impulsivity, emotion regulation strategies, and neuroticism in 342 young adults. Mindfulness was significantly related to effectiveness in interpersonal problem-solving, impulsivity and passivity in emotion regulation, and borderline features. Furthermore, mindfulness continued to predict borderline features when controlling for interpersonal problem-solving and impulsive/passive emotion-regulation strategies, as well as when controlling for neuroticism. It is concluded that difficulties with mindfulness may represent a core feature of BPD and that improvement in mindfulness may be a key component of treatment efficacy with BPD. It is recommended that the unique contribution of mindfulness be investigated in future treatment-outcome research.
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Assessing Adolescent Personality and Interactional Style with the Rorschach and the Personality Inventory for Youth

Assessing Adolescent Personality and Interactional Style with the Rorschach and the Personality Inventory for Youth

Date: May 1993
Creator: Wheeler, Ann C.
Description: An investigation was undertaken to examine two measures of personality and their utility with adolescent patient populations. The Rorschach, scored using Exner's (1991) Comprehensive System (2nd Ed.), and the Personality Inventory for Youth (PIY; Lachar & Gruber, in press) were explored as to their ability to distinguish inpatients from outpatients, males from females, and diagnostic groups from one another. COP, AG, CDI, DEPI, SCZI, and HVI scores on the Rorschach were utilized, as were the DIS, SOM, FAM, RLTY, WDL, and SSK scores from the PIY.
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Assessing the Psychological Impact of Fertility Treatment

Assessing the Psychological Impact of Fertility Treatment

Date: August 1997
Creator: McKenna, Kenneth A. (Kenneth Allen)
Description: This controlled descriptive study was designed to investigate the psychological status of couples who are engaged in advanced fertility treatments. A battery of psychological test instruments, including the Millon Behavioral Health Inventory (MBHI), the Health Attribution Test (HAT), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the Marlowe-Crowne Social Desirability Scale (MCSDS), was used to measure psychological variables that have been shown in the infertility research literature to be associated with the psychological experiences of infertility patients. The scores from the four assessment instruments were compared with those of pregnant couples in childbirth education classes to differentiate the impact of stress associated with fertility treatment from the stress experienced by third trimester pregnant couples. Eighty-five subjects (42 male and 43 female) volunteered for the study and completed packets of questionnaires. The groups were designated Treatment (infertile couples) and Control (pregnant couples). The resulting data were collected and analyzed on the basis of group mean scores on the test instruments.
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The Assessment of Cognitive Functioning among Patients with Unilateral Visual Neglect: Effects of Field of Presentation and Cueing

The Assessment of Cognitive Functioning among Patients with Unilateral Visual Neglect: Effects of Field of Presentation and Cueing

Date: August 1992
Creator: Soukup, Vicki Marlene
Description: Prior evidence has shown a reduction of neglect on line bisection tasks as a function of altered hemispace presentation and left cueing. The present study was conducted to examine the effect of these factors in reducing symptoms of neglect on measures of general cognitive functioning. To examine proposed changes, revised versions of the Raven's Coloured Progressive Matrices and the Memory-for-Designs (MFD) Test were constructed by placing the target stimuli in the right hemifield. Two experimental presentations, a right hemispace condition and a right hemispace plus left cue prompt condition, were compared to the standard presentation format. The primary hypotheses predicted that RBD neglect patients would reveal enhanced performance on the criterion measures as a result of these manipulations. Significant correlations were predicted between the neglect measures and between the two scoring systems for the MFD. The sample was comprised of 54 hospitalized patients, assigned to either a RBD neglect group (N = 18), a RBD nonneglect group (N = 18) , or an orthopedic control group (N = 18) . Both RBD groups were administered the Mini Inventory of Right Brain Injury, to document the presence and severity of right brain injury. Presence of neglect was assessed via the Schenkenberg ...
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The Assessment of Cognitive Functioning of Persons with Schizophrenia: Identification of Neuropsychological Markers

The Assessment of Cognitive Functioning of Persons with Schizophrenia: Identification of Neuropsychological Markers

Date: December 1995
Creator: Hall, Janice Anne Crawford
Description: The present study was conducted to clarify and expand knowledge of cognitive functioning in chronic schizophrenia patients (N=21) as compared to a bipolar group (N=20) and a normal group (N=20).
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Assessment of Feigning with the Trauma Symptom Inventory: Development and Validation of new Validity Scales with Severely Traumatized Patients

Assessment of Feigning with the Trauma Symptom Inventory: Development and Validation of new Validity Scales with Severely Traumatized Patients

Date: May 2011
Creator: Payne, Joshua W.
Description: Currently, only the TSI assesses complex traumatic reactions and patient response styles. However, its feigning scale, ATR, uses a flawed detection strategy and is potentially confounded by experiences of complex PTSD. As a consequence, clinicians using the TSI to evaluate severely traumatized patients have no useful method for discriminating genuine and feigned responding. Several detection strategies have demonstrated utility within evaluations of feigned trauma including the assessment of rare symptoms, symptom combinations, symptom selectivity, and symptom severity. The current study created scales on the TSI according to these strategies using a development sample of 107 severely traumatized patients. Validation of all TSI feigning scales was then performed with a second independent sample of 71 severely traumatized patients using a mixed simulation design. Results found support for each scale's convergent validity with SIRS primary scales (M rs = .52) and discriminant validity with measures of defensiveness on the SIRS (M rs = -.07) and TSI (M rs = -.19). Each scale also produced expectedly mild to moderate relationships with SADS-C clinical scales (M rs = .32) and the SCID-IV PTSD module (M rs = -.02). Support for their criterion validity was only moderate (M ds = .69) when comparing the scores ...
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Assessment of Malingering in a Jail Referral Population : Screening and Comprehensive Evaluation

Assessment of Malingering in a Jail Referral Population : Screening and Comprehensive Evaluation

Date: August 1997
Creator: Ustad, Karen L. (Karen Lee)
Description: Psychological assessment of mentally disordered offenders requires a systematic consideration of response styles, including malingering and defensiveness. Important components of these evaluations are standardized diagnostic interviews. However, the ability of offenders to feign mental disorders on such measures to achieve such external incentives as treatment, placement on safer units, or possible release from jail remains uninvestigated. With a known-groups comparison with the data from the Structured Interview of Reported Symptoms as a criterion, 24 suspected malingerers were compared to 64 genuine patients on the Schedule of Affective Disorders and Schizophrenia (SADS), the abbreviated SADS-C, the Suicide Probability Scale, and the Referral Decision Scale.
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Assessment of the Effects of Interpersonal Openness and Coping Resources on the Psychological Sequelae of Traumatic Victimization

Assessment of the Effects of Interpersonal Openness and Coping Resources on the Psychological Sequelae of Traumatic Victimization

Date: December 2000
Creator: Sedillo, Diane Marie
Description: The present study tested a model addressing whether interpersonal Openness and interpersonal and intrapersonal Coping Resources mediated the relationship between interpersonal Victimization and the Psychological Symptoms women experience as a result of these traumas. Victimization indicators (physical violence, sexual assault, psychological abuse, and revictimization), Coping indicators (optimism, self-esteem, private self-consciousness, social network and therapy), Openness indicators (self-silencing, communal orientation, trust, self-monitoring, and network orientation), and Psychological Symptoms indicators (global distress, dissociation, and suicidal ideation) were examined separately for African American (n = 245), Euro-American (n = 185), and Mexican American (n = 202) women. Structural Equation Modeling revealed that for African American and Euro-American women, Openness partially mediated the victimization-distress relationship. The model for Mexican Americans was the most complex with Openness and intrapersonal Coping fully mediating the psychological effects of victimization. Approximately 50% of the variance in psychological symptoms resulting from victimization was predicted by this model for African American and Euro-American women; over 80% of the variance was predicted for Mexican Americans. Thus, the importance of Openness to relationships in alleviating the psychological sequelae following interpersonal victimization was underscored by the results. Similarities and differences between these models are discussed. Implications of the results for future research and ...
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Association Between Cognition and Depression: A Cross-Sectional and Longitudinal Study of Individuals with Learning Disabilities.

Association Between Cognition and Depression: A Cross-Sectional and Longitudinal Study of Individuals with Learning Disabilities.

Date: August 2003
Creator: Schraufnagel, Caitlin D.
Description: Over the past twenty years the number of children identified with learning disabilities has risen drastically. In addition, 26 - 40% of these children also experience depression. While cognitive functioning has been demonstrated to be associated with depression, it is unclear whether the mood, vegetative, or cognitive symptoms of depression predict particular cognitive processes and vice versa. The purpose of this study was to determine which particular cognitive processes were associated with specific depressive symptoms and depression as a whole. Structural equation modeling (SEM) was conducted to test a model which examined how three cognitive processing factors (verbal & visual reasoning, and attention/working memory) were associated with three depressive symptom factors (disturbances in mood, vegetative, and cognitive functioning). The data for SEM came from a large data set of children with learning disabilities (n=227). Model fit results supported the proposed model, and a significant association was found between the attention/working memory factor and the depression symptom factor reflecting disturbances in cognitive functioning. Less robust relationships were observed between verbal reasoning and cognitive depressive symptoms and an approach toward the conventional level of significance was noted between visual reasoning and cognitive depressive symptoms. Using a sub-sample of original participants who were ...
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