UNT Theses and Dissertations - 385 Matching Results

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The Determinants and Consequences of Empathic Parenting: Testing an Expansion of Belsky's Model of Parenting Using SEM: An understanding of factors that enhance empathic parenting behaviors is of considerable importance to the study of child development and to the development of parenting interventions to promote child adjustment. Moreover, gaining a better understanding of the factors that predict empathic parenting with older children is of interest since most research examining parental empathy focuses on infants. These were the goals of the current study. Guided by Belsky's 1984 process model of the determinants of parenting that impact child development, an expanded model of the determinants of parenting is proposed that includes various parent, child, and contextual factors of influence. Using data from a community sample, a partial least squares path analysis approach was employed to test the model's strength in predicting empathically attuned parenting with children ages 5 to 10 years and, ultimately, the child's psychoemotional functioning. Results support the expanded model; however, a reduced model was found to be superior and revealed unique relationships between the determinants of parenting. Specifically, a parent's psychoemotional functioning and childrearing beliefs and attitudes were found to be critical to the parent's ability to engage in empathic parenting behaviors. Other parent factors such as the parent's developmental history of abuse, maladaptive personality traits, and age, along with contextual factors and child characteristics, were found to influence parenting only indirectly through their impact on the parent's level of psychoemotional distress or childrearing beliefs and attitudes. Ultimately, the current findings support Belsky's claim that parent factors are the strongest predictors of empathic parenting. Implications of these findings are many. The results highlight the importance of assessing a parent's childrearing beliefs and attitudes and level of distress in conjunction with characteristics of the child when a family comes in for treatment. Moreover, the results identify many points of intervention to stopping the cycle of abuse.
Understanding Quality of Life in Older Adults: I analyzed the 2004 and 2006 Health and Retirement Study data to test structural equation models of the quality of life (QOL) construct. The participants (N = 1352) were non-institutionalized individuals aged 42 and older (M = 65.70, SD = 10.88), with an average education of 12.73 years (SD = 2.96) and of varied ethnicities. The results indicated that physical functioning, affective experience, life satisfaction and social support could serve as indicators for a second order QOL factor. Furthermore, the developed QOL model explained 96% of the variance of the CASP-19 (Control, Autonomy, Self-realization and Pleasure), a QOL measure that reflects fulfillment of psychological needs. The results also indicated that Depression and Life Satisfaction are related through reciprocal causation and that Physical Functioning is more likely to cause a change in Depression than the reverse. The results suggest that QOL is a complex, multidimensional concept that should be studied at different levels of analysis.
QEEG and LORETA findings in children with histories of relational trauma.: Abuse and neglect occurring in childhood have been associated with a number of functional and physiological effects on the brain. This study extends previous research that investigated the quantitative electroencephalogram (qEEG) patterns in children with histories of relational trauma through the inclusion of additional participants and measures. As in previous studies, the relative power, absolute power, and coherence values in children with histories of abuse were compared to the Neuroguide database. Results did not show any significant differences in relative or absolute power in the theta range. Similarly, there were no significant coherence differences. Database comparisons were also made using low resolution electromagnetic tomography (LORETA) in order to determine which sub-cortical brain structures may be affected by abuse or trauma, though there were no significant differences in any frequency (0-30Hz). A review of the literature suggests that the prevalence of mu in normal adults and children ranges from 0 to 19%. The present study found a mu prevalence rate of 60.6% in the children who experienced abuse or neglect. Finally, comparisons were made between participants who demonstrate a mu pattern and those who do not to determine if this pattern is associated with certain behavioral and/or attention problems as assessed by the Child Behavior Checklist (CBCL) and the Tests of Variables of Attention (TOVA), respectively. There were no significant differences between children with a mu pattern versus children who did not exhibit a mu pattern on the Social Problems, Thought Problems, or Attention subscale scores on the CBCL or on the Commission subscale score on the TOVA.
Overgeneral Memory and Posttraumatic Stress Disorder in Adults Exposed to Family Violence: Childhood exposure to familial violence increases risk for adult pathology, namely posttraumatic stress disorder (PTSD) and depression. Primary PTSD symptoms of hyperarousal and avoidance are implicated in overgeneral memory (OGM) theory in prior research. Individuals with trauma history tend to report OGMs, or non-specific autobiographical memories, perhaps to avoid unpleasant arousal elicited by recalling specific events. OGM, PTSD, depression, and arousal were assessed in adults with and without familial violence history. Arousal was measured via galvanic skin response (GSR) during an autobiographical memory task (AMT), requiring memory recall in response to emotionally-valenced cue words. Familial violence history was linked to higher incidence of PTSD symptoms. Childhood psychological violence was predictive of adult PTSD. Rates of depression, OGM, and arousal did not significantly vary by violence history. Significant gender differences were found relating to type of violence exposure and adult functioning. Research limitations, clinical implications, and future research suggestions are discussed.
Is Mattering what Matters: A Validation Study of the Meta-Valuing Measure of Flexible Valuing: Freely choosing a life direction, or flexible valuing, is a core component of acceptance and commitment therapy (ACT). Initial research suggests that valuing behavior may contribute to psychological well-being, but has been stymied by a lack of an efficient measure. The current study examined the psychometric characteristics of a new measure of flexible valuing, the Meta-Valuing Measure (MVM), in a sample of 532 undergraduates. Exploratory factors analysis revealed 3 orthogonal factors, Valuing (α = .94), Freedom from Values Conflict (α = .92), and Flexibility in Valuing (α = .73). The majority of expected relationships with other constructs were significant including those with measures of values, mindfulness, quality of life, experiential avoidance, and psychological distress.
The Relationship between Physical Activity and Sleep: The current study aimed to examine the naturalistic relationship between physical activity and sleep by exploring frequency, type, and timing of exercise and their association with a variety of sleep variables (e.g., sleep onset latency, wake after sleep onset, sleep efficiency). Young adults (n = 1003) completed a variety of self-report questionnaires, including a week-long sleep diary and a survey of typical frequency, type, and timing of exercise completed in the past week. Increased frequency of physical activity was related to increased sleep efficiency (total sleep time/time in bed), decreased time in bed, and decreased time spent awake in bed in the morning. Greater amounts of exercise energy expenditure (i.e., metabolic equivalents) per week was related to increased sleep efficiency, and decreased time in bed and time spent awake in bed in the morning. After controlling for other factors, this relationship remained true only for time spent awake in bed in the morning. Early morning exercisers reported shorter total sleep time and time in bed than those who typically exercised at other times. No exercise differences were found between those who met the research diagnostic criteria for insomnia and those who did not. This study provides valuable information to help guide future experimental and intervention studies.
Optimism, Delay Discounting, and Physical Exercise: The Role of Delay Discounting on Individual Levels of Exercise: Deciding to exercise requires trade-offs between immediate and delayed benefits. These momentary decisions may be moderated by personality such that patterns of individual behavior emerge. The aim of the current study was to determine if higher levels of optimism and lower levels of delay discounting were related to exercise frequency. A sample of 360 undergraduate students completed a survey study related to understanding the choices made by undergraduates and how other factors relate to their decision-making. The survey included measures of optimism, delayed discounting, and self-reported exercise frequency in four domains: cardiovascular, resistance, sports, active lifestyle. Hierarchical linear regression was used to examine optimism and delay discounting as predictors of exercise frequency. Optimism and delay discounting were negatively correlated, but neither was related to exercise frequency. Furthermore, optimism and delay discounting were not significantly related to frequency spent in cardiovascular, resistance, or active lifestyle exercise. However, women scoring higher in delay discounting were more likely to participate in physical sports. The present study helps inform future research by showing potentially important psychosocial variables related to optimism, delay discounting, and exercise.
The Impact of Training on the Frequency of Internal Promotions of Employees and Managers: In this study, the relationship between formal training opportunities and internal promotions in organizations was examined in order to support the value of organizations investing in employees through training opportunities, as training is often seen as an expense to be cut in difficult times. Differences between general and specific training topics on the impact of frequency of promotion in an organization were addressed, as well as assessing differences between employees and managers. Training allows for a more capable workforce and pool of employees to pull from when an organization needs to hire. Hiring from within can save time, money, and allow for a proven person-organization fit that hiring from the external workforce cannot provide. The archival data used in the study were from the National Organizations Survey, 1996-1997 which included organizations of all sizes and forms. The analyses produced mixed support for the hypotheses. Significant relationships were found between hours of formal training and frequency of promotions of employees, and between importance of training in promotions and frequency of promotions for managers. Multiple regressions revealed that the hypothesis predicting that increased hours of training focused on general skills would positively contribute to promotion rates was not supported for either employees or managers. Exploratory analyses were also conducted to further investigate training and promotion practices. Significant contributions to hours and importance of training in promotion were discovered for certain types of skills training for both the employee and manager groups. Comparison between the employee and manager groups across variables found significant differences in certain skill type training. Practical implications of the findings and future study considerations are discussed.
The Utility of the Spatial Span from the Wechsler Memory Scales in a Geriatric Population with Cognitive Impairments: Performance on the Spatial Span subtest of the Wechsler Memory Scale has been viewed as an indicator of working memory and visuospatial processing. A number of factors including age and gender have been posited to effect performance on Spatial Span by older adults. The current study examined the impact of various forms of cognitive impairment and severity of impairment on Spatial Span performance. Five hundred thirty-eight individuals between the ages of 65 and 89 were evaluated in a university memory disorders clinic using a battery of neuropsychological tests that included Spatial Span. Participants were grouped by consensus diagnosis into type of cognitive impairment (Alzheimer's disease, vascular disease, amnestic mild cognitive impairment or non-amnestic mild cognitive impairment) or cognitively normal. As expected, an increase in severity of impairment results in a decrease in Spatial Span Total Score. Other findings included a weak relationship between age and Spatial Span Total Score. Gender, as well as age, did not fully account for the decline in Spatial Span Total Score. Spatial Span Forward score was not as good a predictor of severity in that reduction in score for Spatial Span Forward remains relatively stable regardless of level of impairment. Spatial Span Backward performance was found to be more sensitive to severity. No significant differences were found between performance of Alzheimer's disease and vascular disease suggesting they share similar deficit patterns with regard to the cognitive abilities measured by the Spatial Span subtest. A comparison between those diagnosed with mild cognitive impairment and individuals without such a diagnosis showed no significant difference suggesting that visuospatial processes are not affected early in the dementing process.
Differences Among Abused and Nonabused Younger and Older Adults as Measured by the Hand Test: The purpose of this study was to explore the effects of participants' abused or nonabused status as it interacted with their age and gender in producing different patterns of Hand Test responses as a function of the age or gender of the card. Participants, 61 young adults (M age = 23) and 60 older adults (M age = 73), were presented with the original Hand Test cards, as well as four alternate versions (e.g., young male, young female, older male, and older female). Expected effects varying by age, gender, and abuse status were not found. Results indicated main effects for participant abuse status, which were largely consistent with previous Hand Test research. Significant interaction effects were also found for participant age by participant abuse status (p < .05), as well as participant age by participant gender by participant abuse status (p < .05). An interaction effect was also found for Hand Test version by participant abuse status (p < .05), Hand Test version by participant age by participant abuse status (p < .05), as well as Hand Test version by participant gender by participant abuse status (p < .05). These results suggest that the alternate forms of the cards may pull for certain responses among abused participants that would not have been identified otherwise via the standard version of the Hand Test, clinical interviews, or other projective and self-report measures of personality. Overall, the variations in Hand Test stimuli interact with participants' abuse status, and warrant the use of alternate versions of the Hand Test as a viable projective measure.
The Relationship Between Sleep Variables and Headache: Headache pain impacts most of the population at some point in life, at an enormous cost to day-to-day functioning. Determination of the variables that are associated with prevalence and severity of headaches has been inconsistent. One area that deserves more attention is the relationship between headaches and sleep. For instance, several sleep parameters may precipitate or exacerbate headaches, but previous research often used inconsistent and limited assessments of both headaches and sleep, making results difficult to interpret and compare. The current study seeks to extend previous research by using more comprehensive and empirically validated assessment techniques to study the relationship between sleep and headaches in a healthy sample. Greater self-reported sleep quality is related to lower headache frequency and severity, and lower self-reported sleep quality is characteristic of individuals having migraine-type headaches. Greater sleep efficiency is related to lower headache severity and shorter headache duration. Greater sleep onset latency is related to longer headache duration and greater headache severity. Greater number of nighttime awakenings is related to greater headache severity and is characteristic of individuals having a diagnosable headache disorder (either tension-type or migraine-type). Stress appeared to be a partial mediator between self-reported sleep quality and headache severity. Further experimental studies may clarify causality between sleep and headache.
The Relationship Between Body Dissatisfaction and Eating Disorder Symptomatology: An Examination of Moderating Variables: The purpose of this study was to examine whether Psychological Well-Being (comprised of self-esteem, optimism, satisfaction with life, and self-determination), perfectionism, body surveillance, and neuroticism moderated the relationship between body dissatisfaction and bulimic symptoms after controlling for social desirability and actual physical size. 847 female undergraduate students participated in the study. Participants completed an online questionnaire packet. An exploratory factor analysis determined that self-determination, optimism, self-esteem, and satisfaction with life loaded on to one factor representing Psychological Well-Being. Hierarchical moderated regression (HMR) was used to control for the influences of social desirability and body mass index on bulimic symptoms and then determine the main and interactive effects of body dissatisfaction and each moderator. Four variables (neuroticism, body surveillance, concern over mistakes, and doubts about actions) strengthened the relationship between body dissatisfaction and bulimic symptomatology, whereas Psychological Well-Being weakened the relationship. Parental expectations, parental criticism, and personal standards did not moderate the relationship between body dissatisfaction and bulimic symptomatology.
Organized Semantic Fluency and Executive Functioning in an Adult Clinical Sample and a Community Sample: The study investigated an organized semantic fluency task, (the Controlled Animal Fluency Task - CAFT) as a measure of executive functioning (EF) in adults, and the relationship with instrumental activities of daily living (IADL). Participants (N = 266) consisted of a clinical sample (n = 142) utilizing neuropsychological assessment data collected at an outpatient psychological center, and a community sample (n = 124). The clinical sample was a heterogeneous mixed neurological group including a variety of health conditions and comorbid anxiety and depression. The CAFT Animals by Size demonstrated a significant positive correlation with Category Fluency (r = .71, n = 142, p < .001) , Animal Fluency (r = .70, n = 142, p < .001), and with other, established neuropsychological measures. The CAFT Animals by Size condition demonstrated a significant moderate negative correlation with IADL for the sample as a whole (r = -.46, n = 248, p < .001), and for the clinical sample (r = -.38, n = 129, p < .001), but not for the community sample. In a hierarchical regression analysis, CAFT Animal by Size explained additional variance in IADL (ΔR2 = .15). In a hierarchical regression analysis predicting IADL with the control variables entered first, followed by Category Fluency, with CAFT Animal by Size entered last, CAFT Animals by Size did not make a significant additional contribution. A stepwise forward regression indicated Category Fluency, education, and Category Switching are better predictors of IADL than CAFT Animals by Size. Normative data for the CAFT were calculated separately for age groups and education levels. Simple logistic regression indicated CAFT Animal by Size was a significant predictor of clinical or community group membership. A second logistic regression analysis indicated the CAFT Animal by Size condition improved the prediction of membership in the clinical versus the community …
Validation of the Spanish SIRS: Beyond Linguistic Equivalence in the Assessment of Malingering among Spanish Speaking Clinical Populations: Malingering is the deliberate production of feigned symptoms by a person seeking external gain such as: financial compensation, exemption from duty, or leniency from the criminal justice system. The Test Translation and Adaptation Guidelines developed by the International Test Commission (ITC) specify that only tests which have been formally translated into another language and validated should be available for use in clinical practice. Thus, the current study evaluated the psychometric properties of a Spanish translation of the Structured Interview of Reported Symptoms (SIRS). Using a simulation design with 80 Spanish-speaking Hispanic American outpatients, the Spanish SIRS was produced reliable results with small standard errors of measurement (SEM). Regarding discriminant validity, very large effect sizes (mean Cohen's d = 2.00) were observed between feigners and honest responders for the SIRS primary scales. Research limitations and directions for future research are also discussed.
Effects of Adult Romantic Attachment and Social Support on Resilience and Depression in Patients with Acquired Disabilities: The acquirement of a disability (e.g., spinal cord injury, traumatic brain injury, amputation, multi trauma) is a risk factor for psychological disturbance (e.g., depression). Research has established that social support and secure attachment are protective factors against psychological disturbance. Attachment patterns have also been associated with differences in perceived social support. Secure attachment and higher perceived social support have been implicated in greater levels of resilience but need to be validated with a population of individuals who have acquired a disability. The Experiences in Close Relationships, Social Provisions Scale, Connor-Davidson Resilience Scale, Personal Health Questionnaire - 9 Depression Scale, and a Demographic were administered to 102 adult inpatients at a rehabilitation hospital undergoing an individualized rehabilitation program. Two MANOVAs were conducted to examine the direct associations of attachment classifications with the major dependent variables, as well as the various social support subscales. Path analysis tested two mediational models suggested by literature. Model 1 assessed the mediating role of attachment anxiety and attachment avoidance on the effect of social support on depression and resilience. Model 2 assessed the mediating role of social support on the effect of attachment anxiety or attachment avoidance on depression and resilience. Partial support was obtained for both models based on fit indices. A small but significant difference in the fit of the models was found, favoring Model 1. Clinical and research implications for this population and the limitations of the study are discussed.
Factors Affecting Revictimization in Survivors of Childhood Sexual Abuse: Structural equation modeling was used to examine how childhood sexual abuse (and other associated variables, such as family functioning and experiencing multiple forms of abuse) relates to revictimization and psychological distress. Participants were women who participated in Project HOW: Health Outcomes of Women interviews, a longitudinal study that spanned six waves of interviews. Only women with a history of childhood sexual abuse were included in the present study (n=178). Experiencing nonsexual child maltreatment in addition to childhood sexual abuse appears directly related to adult sexual and physical revictimization and indirectly related to psychological distress. Childhood sexual abuse alone was not predictive of revictimization or psychological abuse. This suggests that other mediating factors may explain the relation between CSA and revictimization found in other research. Clinical implications based on the results of the present study emphasize the importance of identifying children who have experienced multiple forms of abuse as particularly at risk for future victimization. In addition, providing interventions with a focus on education and empowerment might decrease risk for future violence and subsequent emotional maladjustment. Potential future research could examine the treatment outcomes and efficacy of these interventions as well as identify those mediating factors that increase the risk for adult revictimization for those individuals who experience only childhood sexual abuse.
The Effect of a Brief Acceptance-Based Protocol on Health Related Relational Framing: Behavior analysts who study verbal behavior theorize that people derive relationships between stimuli - forming stimulus classes such that psychological functions transfer among stimuli and therefore affect behavior. Verbal processes are thought to play a role in cancer patients' behavioral flexibility. The current study examined if an analogue intervention produced changes in relations between health-relevant stimuli from pre- to post-test in patient and student samples. A matching-to-sample (MTS) task required participants to form three 4-member classes that included health, treatment, or neutral terms. Participants next listened to either an acceptance-based or a control-based rationale and therapy exercise, or a distracter task. Then, they were re-exposed to the MTS task. Latencies and accuracies for learning each class as well as between condition differences were examined. Finally, changes in ratings of stimuli from pre to post analogues were measured. Differences in stimuli ratings were seen in the student sample, reflecting transfer of function and some reduction in responsiveness to stimuli following intervention, but overall no learning performances are found. Discussion explores the consistency of the findings with acceptance and commitment therapy (ACT) theory in light of the seemingly lack of findings.
Identifying the Level of Prognostic Information Desired by People with Cancer: The study explored whether certain factors might be used to distinguish between people with cancer who do or do not want detailed information about their disease progress, do or do not want to be informed if their disease is no longer considered curable, and who do or do not want an estimation of life expectancy if their disease is no longer considered curable. The factors included whether an individual has an internal versus external locus of control, uses an active coping strategy or a planning coping strategy, the level of spirituality, and age. Participants consisted of 51 people with cancer from a cancer center in the state of Washington. Results indicated that 98% wanted detailed information about their disease progress, 94% wanted to be informed if their disease was no longer considered curable, and 78% wanted an estimation of life expectancy if their disease was no longer considered curable. Due to the majority of the participants endorsing the need for prognostic information none of the factors (e.g. coping strategies, locus of control, spirituality) were able to predict the information needs of the patients with cancer. Clinical implications of this study suggest that physicians have an ongoing, open dialogue with their patients about their prognostic information needs. The dialogue might be especially important for patients undergoing active treatment for cancer, since it could affect treatment decisions.
Natural Course of Adolescent Insomnia: Patterns and Consequences: Approximately 2-11% of adolescents report chronic insomnia. The study used an archival data set from ADDHealth that assessed adolescent health and health-related behaviors. Adolescents (N = 4102) provided data at baseline (Time 1) and at 1-year follow-up (Time 2). Participants were excluded if no ethnicity, gender, or insomnia data were given at Time 1 or 2. Females were more likely to report insomnia than males at Times 1 and 2. In addition, adolescents with remitted insomnia were significantly younger than adolescents without insomnia at Times 1 and 2. Analyses found a prevalence of 9.6%, a remittance of 6.2%, an incidence of 4.4%, and a chronicity of 2.9%. At Time 1 and 2, AWI were significantly more likely to have depression, suicidal behaviors, and behavioral problems in school than AWOI. At Time 2, incidence and chronic insomnia increased the risk of depression, suicidal behaviors and behavioral problems in school. Risk and protective factors analyses indicated psychological counseling was associated with both remitted and chronic insomnia and depression was associated with incidence insomnia.
Effect of Loneliness on Older Adults' Death Anxiety: Previous research, as well as theory, has supported the existence of a relationship between death anxiety and loneliness in older adults but a causal examination has not been possible until now. A hypothesized model was developed which states that loneliness will lead to death anxiety mediated by cultural worldview. Longitudinal data was analyzed using Structural Equation Modeling in order to more fully explore this potentially causal relationship. The primary model was supported suggesting that loneliness can lead to death anxiety as mediated by cultural worldview. Implications and future directions are discussed.
The Effects of Positive Emotion, Negative Emotion, Flourishing, and Languishing on Cardiovascular Risk: Positive psychology has led a movement that concentrates on positive characteristics. The current study examined the relationship between positive emotions, negative emotions, flourishing, languishing, and cardiovascular functioning. The study uses guided imagery to help participants recall a negative emotional event and positive emotional event in a counterbalanced order. The reverse order allowed us to examine the differential contributions of stress buffering versus facilitated recovery effects to higher levels of heart rate variability (HRV). The study also examined the relationship between mental health categories and known cardiovascular disease risk. Univariate analysis of variance revealed that positive emotions can serve as a stress buffer and dampen cardiovascular responses to a negative event. Also, analysis revealed a trend for the prediction that positive emotions can facilitate cardiovascular recovery following a negative event. Exploratory analysis did not reveal differences between a facilitated recovery group and a buffering group for cardiovascular measures. Future studies should include tighter control to help compare the differential influences of stress facilitation and stress buffering on cardiovascular functioning. The results from the study indicate that it is still too early to tell whether mental health buffers those individuals from developing CVD, and to answer whether languishing increases the risk of CVD. Longitudinal studies of young individuals without a prior history of any risk of CVD and who are flourishing or languishing might help provide answers to these questions.
Measuring Male Body Dissatisfaction: Factorial and Construct Validity of the Body Parts Satisfaction Scale for Men: Given the centrality of body dissatisfaction in the manifestation of health risk behaviors (e.g., eating disorders, muscle dysmorphia) and psychological distress in men, the ability to measure it accurately is essential. Across two studies, the psychometric properties and factor structure of a new measure of male body satisfaction were established. The Body Parts Satisfaction Scale for Men (BPSS-M) was found to have three scores: full body muscularity and leanness (18 items), upper body (12 items), and legs (4 items). All three scores were internally and temporally reliable, and support was found for the convergent, discriminant, and concurrent validity of the scores. The BPSS-M represents an advance in the measurement of male body image, providing researchers and clinicians with a versatile and valid way to assess this important construct.
Parent Psychopathology, Marital Adjustment, and Child Psychological Dysfunction: The Mediating Role of Attachment and Sibling Relationship: This study is part of a larger research project examining family attachment processes. The current study tests a family process model that postulates the mediating role of parent-child attachment and sibling relationship quality in the associations of parent psychopathology or marital adjustment to children's psychological dysfunction. A community sample of 86 families with at least one school-aged (8-12 years) child was recruited from area schools and organizations. Families came to the UNT Family Attachment Lab, where they participated in research tasks, including interviews, self-report instruments, and videotaped interaction tasks. Specific questionnaires used in this study included the Sibling Relationship Questionnaire, the Security Scale, the Behavior Assessment System for Children, the Symptom Assessment-45 Questionnaire, and the Dyadic Adjustment Scale. Using a single indicator for each variable, path analyses tested three paternal models, three maternal models, and three systemic models using different informants' (i.e., father, mother, child) reports of child functioning as the outcome variable. Results of this study highlight the positive relationship between parent marital adjustment and parent-child attachment security, as well as the inverse relationship between maternal psychopathology and mother-child attachment security. In addition, the inverse relationship between parent-child attachment security and child psychological dysfunction was significant across nearly all paternal and maternal models. Particularly noteworthy was the consistent mediating influence of attachment security in the association between marital adjustment and child psychological dysfunction across paternal and maternal models.
Anxiety, Depression, and Sleep Disorders: Their Relationship and Reduction with Neurotherapy: 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 not depressive symptoms, predicted observed improvements in sleep quality (adjusted R2 = .26). Last, the implications and limitations were discussed in relation to neurotherapy practice and the associated research.
Neuropsychological Functioning in Active Duty Soldiers with Physical and/or Psychological Trauma: This quasi-experimental study investigates neuropsychological functioning differences between 63 active duty soldiers who were placed into three groups (MTBI, PTSD, control) to provide better information for differentiating PTSD and MTBI. The ANAM and MicroCog were utilized to measure psychomotor speed, memory, and attention. Participants with PTSD performed worse on most measures of psychomotor speed and attention, and endorsed more symptoms of depression and anxiety when compared to MTBI and control participants. Further, attention appears to be the best cognitive domain for differentiating PTSD from MTBI, whereas memory variables did not differentiate these groups. Clinical and research implications of these findings are discussed.
Correlates of Video Game Addiction: Video game addiction often leads to a tremendous burden on those afflicted with the condition, draining their time, resources, and life away until they have nothing left. To further elucidate the problem of video game addiction, the current research examines the level of video game addiction of 111 participants, along with their motivation for their addictive behaviors, the quality of life of addicted individuals, and possible relations between video game addiction and other forms of addiction. Results of the current research indicate a correlation between addictive video game use and depression, alcohol use, a desire for escapism, a need for social interaction, and lack of self-control. The results of a multiple regression indicate that, amongst the various research factors, depression is the factor with the most significant link to addictive video game use, implying a dangerous correlation between mental health and an addictive behavior that some erroneously disqualify as a true addiction.
Pediatric Feeding Disorders: A Controlled Comparison of Multidisciplinary Inpatient and Outpatient Treatment of Gastrostomy Tube Dependent Children: The efficacy of multidisciplinary inpatient and outpatient treatment for transitioning children with severe pediatric feeding disorders from gastrostomy tube dependency to oral nutrition was investigated utilizing caloric and fluid intakes as an outcome measure. The study involved 29 children ages 12 months to 5 years of age with gastrostomy tube dependency. Treatments were provided by speech therapists, occupational therapist, dietician and psychologist for a 30 day period. Four treatment groups were evaluated and average intakes compared at 4 observation periods including pretreatment, initiation of treatment, completion of treatment at 30 days and 4 month follow-up. Children receiving inpatient treatment for feeding disorders evidenced significant differences in oral caloric intake from pretreatment to discharge than outpatient treatment (p < .01) and wait list control group (p = .04). Oral caloric intake from discharge to 4 month follow up yielded no significant differences indicating treatment gains were maintained. Change in environment and caretaker showed a significant effect for the inpatient group (d = 1.89). Effects of treatment by age and weight at 4 month follow up were also analyzed.
Depression in Diabetic and Non-Diabetic Individuals: Physical Activity, Nutrition, and Diet: About 8.3% of individuals diagnosed with diabetes mellitus (DM) are diagnosed with comorbid depression, a higher rate than the general adult population. This project examined the differences of depression symptoms experienced between diabetic and matched non-diabetic individuals and the relationship of daily activity and nutrition behaviors with depression between these groups. The 2005-2006 National Health and Nutrition Examination Survey (NHANES) was utilized to assess: depression symptoms, diabetic glycemic control as measured by glycoginated hemoglobin (HbA1c), amount of physical activity, percentage of macronutrients, daily frequencies of foods consumed, and the use of nutritional food labels to make food choices. A sample of diabetic (n = 451) and non-diabetic individuals (n = 451) were matched to on age, gender, ethnicity, and education. The diabetic individuals experienced greater depression on both continuous and ordinal diagnostic variables. Counter to expectation, there was no relationship observed between depression and HbA1c in diabetic individuals, r = .04, p > .05.
Benefits and Costs of Social Interactions Among Firefighters: Despite high levels of exposure, firefighter posttraumatic stress disorder (PTSD) rates are unclear. Likewise, questions remain regarding how social interactions and beliefs about emotion might interact to influence PTSD in firefighters. In this study, U.S. urban firefighters (N = 225) completed measures of social support, negative social interactions, and fear of emotion which were then used via regression analyses to predict PTSD symptoms. Each independent variable predicted PTSD beyond variance accounted for by demographic variables. Additionally, fear of emotion emerged as the strongest individual predictor of PTSD and a moderator of the relation between social interactions and PTSD symptoms. These findings emphasize the importance of beliefs about emotion; both in how these beliefs might influence the expression of PTSD symptoms, and in how the social networks of trauma survivors might buffer distress.
Demographic and Psychosocial Contributions to the Expression of Schizotypal Personality Traits.: Previous research suggests there are a number of variables that are associated with the expression of schizotypal personality disorder (SPD) symptoms. Such variables include childhood trauma, depression and anxiety, substance use, normal-range personality traits, ethnicity, and gender. However, research to date has not examined all of these variables in a single study to determine how they may be interrelated or differentially related to SPD symptom domains. Of particular interest is the association of these variables as explained by the diathesis-stress model. This study utilized a convenience sample of 298 undergraduate students to examine a continuous range of scores for symptoms of SPD and how the interrelation of biological factors such as gender and ethnicity and psychosocial factors and stressors such as childhood trauma and personality traits, specifically neuroticism and extroversion, influence the expression of SPD symptoms. It was predicted that anxiety, depression, stress, and childhood trauma would positively correlate to SPD symptoms. It was also hypothesized that neuroticism and substance use would positively correlate to schizotypal traits and extroversion would be negatively correlated to schizotypal traits as measured by the Schizotypal Personality Questionnaire-Brief. It was further hypothesized that psychosocial stressors would be moderated by the aforementioned biological factors.
Evaluating Social Factors in Diabetes Management by Mexican American Ethnicity: Differences in Mexican American ethnicity, family and friend social support, and importance of diabetes self-management as related to diabetes management in the older adult population were evaluated with the University of Michigan Health and Retirement Study (HRS) 2003 Diabetes Study. Comparisons were made between Mexican Americans with Type II diabetes and similar non-Hispanic Caucasian and African American individuals with Type II diabetes. Neither family/friend social support nor importance of diabetes self-management were significant predictors of HbA1c levels. Results did not support the idea that perception of receiving support from family/friends or placing importance on diabetes self-management covaried with lower HbAlc level (family/friend: beta = -.13, t = -1.47, p = .143; self management: beta = .08, t = .55, p = .584).
Adult Attachment Patterns, Mental Representation of Self, and Faith: Mediators of Childhood Trauma and Affect-Behavior Regulations in Adulthood: The purpose of this study was to investigate psychological mechanism by which four intra- and inter-personal characteristics of an individual (anxious and avoidant adult attachment patterns, images of self, and religious faith) mediate the relationship between childhood trauma and each of three affect-behavior regulation problems in adulthood (symptoms of depression, disordered eating behaviors, and substance abuse). A total of 401 college student participants completed a packet of 18 surveys including 10 surveys used in the present study. Structural equation modeling was used to test each of three hypothesized structural models (Depression, Eating Disturbances, and Substance Abuse). A series of multi-group analyses conducted to test if each of three hypothesized models is invariant across gender indicated no significant difference between females and males. Thus, the data were combined across gender to test for mediated effects in each of three hypothesized models. The results indicated: (a) for the hypothesized model for depression, anxious attachment patterns, avoidant attachment patterns, and negative self-images, but not religious faith, fully mediated the relationship between childhood trauma and symptoms of depression; (b) for the model for eating disturbances, anxious attachment and negative images of self, but not avoidant attachment and religious faith, fully mediated the association between childhood trauma and disordered eating behaviors; and (3) for the mode for substance abuse, anxious attachment and poor religious faith, but not avoidant attachment and negative self-images, fully mediated the relationship between childhood trauma and substance abuse. The findings of the present study have noteworthy implications for treatment. When clients who suffer from symptoms of depression, disordered eating behaviors, and/or substance abuse report a history of repetitive abuse and neglect by primary caregivers in childhood, clinicians need to assist clients in: (a) understanding an association of childhood maltreatment with affect-behavior regulation problems; (b) being aware of an impact of abuse …
Methodological Issues in Malingering Research: The Use of Simulation Designs: The accurate determination of malingering relies on the use of validated and clinically relevant assessment measures. Simulation design is the most often-used research design to accomplish this. However, its external validity is sometimes questioned. The goal of the thesis was to systematically evaluate these major elements: situation, incentives, and coaching. The situation in simulation studies can vary from relevant (academic failure in a college population) to irrelevant (capital murder) for the samples being studied. Incentives refer to the external motivation given to improve simulators' performance and can be positive (extra credit and monetary reward) or negative (extra time and effort). Finally, coaching refers to whether the participant receives any information on detection strategies that are designed to identify feigners. Using a large undergraduate sample in a factorial design, results indicate that a scenario familiar to the participants generally improved the believability of their responses. Coaching also improved the ability to feign convincingly, while incentive type was not associated with any change in scores. The implications of these findings for future research designs and the connection to practice are discussed.
The Role of Attachment in the Intergenerational Transmission of Abuse: From Childhood Victimization to Adult Re-Victimization and Distress: Research indicates that victims of childhood abuse are at increased risk for transmitting violence in adulthood-a phenomenon known as the intergenerational transmission of abuse (ITA). Adult survivors of childhood victimization (i.e., child abuse or witnessed parental violence) are at increased risk for becoming abusive parents, perpetrators of intimate partner violence, and victims of intimate partner violence. The current study examined the latter form of ITA, in which a survivor of childhood victimization is re-victimized in adulthood by intimate partner violence. Attachment theory has been used to explain the ITA by positing that abuse is transmitted across generations via insecure attachment. The purpose of this study was to use structural equation modeling to test the attachment theory of ITA by examining the role of childhood and adult attachment in predicting re-victimization and symptoms of distress in adulthood. In the hypothesized model, childhood victimization by one's parents was hypothesized to predict adult intimate partner violence victimization through insecure attachment relationships in childhood (with one's parents) and adulthood (with one's partner). Furthermore, adult romantic attachment anxiety and attachment avoidance were hypothesized to predict different symptoms of distress. Self-report measures from 59 adult woman seeking services for intimate partner victimization at a domestic violence clinic were analyzed using a partial least squares path analysis. Results supported a reduced model in which insecure attachments in childhood and adulthood significantly predicted the ITA, but only through father-child attachment and not mother-child attachment. In addition, adult romantic attachment anxiety and attachment avoidance predicted different symptoms of distress. Results supported the attachment theory of the ITA and highlighted the importance of examining outcomes of adult attachment anxiety and avoidance separately. Implications and directions for future research are discussed.
The Biopsychosocial Approach to Understanding, Subtyping, and Treating Depression: Results from the National Comorbidity Survey - Replication.: The most effective and useful way to diagnose and subtype depression has been a long debated topic which even now does not have a definite answer. The biopsychosocial approach to diagnosis may be a solution to this problem by linking various etiologies to symptom presentation. The biopsychosocial model, in regard to depression, takes into account biological risk factors/contributors, psychological or cognitive risk factors/contributors, and social risk factors/contributors to depression when making diagnosis and subtyping determinations. However, the most effective way to use this model in the assessment, diagnosis, and treatment of depression is not yet clear. In this study, the utility of the biopsychosocial model as an effective approach to conceptualizing and treating depression was assessed by testing hypotheses that showed that etiological contributors are related to the presence and differential presentation of depression, and that these etiologically-based subtypes of depression respond differently to different forms of treatment. These hypotheses were tested using data from the National Comorbidity Survey - Replication (NCS-R). Results showed that the biopsychosocial model can effectively predict the presence, severity and chronicity of depression, and may inform specific biopsychosocially-based subtypes. No conclusions could be drawn regarding success in treatment based on the biopsychosocial model. Future directions for research based on the current study are discussed.
Perceptions of Control and Social Support: Correlates of HIV-Related Self-Efficacy: This study examines the extent to which locus of control and social support are linked to self-efficacy with regard to disease management in HIV-positive adults. Perceived ability to effectively manage illness was measured with the Self-Efficacy for Managing Chronic Disease Scale. Scores from the Multidimensional Scale of Perceived Social Support and the Multidimensional Locus of Control Scale were used as predictors. The gender-balanced sample (N = 69) of HIV+ adults was primarily African-American (65.3%) and European American (30.5%), with a mean age of 47 years (SD = 8.37). Correlational analyses suggested significant positive relationships between self-efficacy, social support, and locus of control due to powerful others. A regression analysis found that the model accounted for 23% of the variance in self-efficacy (adj. R-squared =.23, F (5, 63) = 4.81, p < .01), with social support (β = .37, t = 3.28, p < .01) and locus of control (β = .25, t = 2.26, p < .05) both significant predictors. Results suggest that social support and locus of control contribute to the belief that HIV can be managed. Interestingly, an external locus of control contributed to this belief, perhaps due to the perception of a physician, religious icon, or partner as a "powerful other." Results suggest that a strong supportive relationship with a trusted other along with enhanced social support typically associated with group-based interventions may improve health outcomes by increasing self-efficacy in disease management in HIV-positive adults.
Assessment of Feigning with the Trauma Symptom Inventory: Development and Validation of new Validity Scales with Severely Traumatized Patients: 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 of genuine patients to those simulating disability. Potential explanations for this trend were reviewed, including (a) the impact of comorbidity, (b) the restrictions associated with creating embedded feigning scales, and (c) the influence of simulator knowledge in analogue designs. Limitations of the study and future avenues of research were discussed.
The Relation of Witnessing Interparental Violence to PTSD and Complex PTSD: Complex posttraumatic stress disorder (CPTSD) integrates symptoms common to victims of "complex" traumas, like childhood physical or sexual abuse, with the diagnostic criteria of posttraumatic stress disorder (PTSD). It was hypothesized that a history of witnessing interparental violence would be related to adulthood CPTSD symptoms. Results from hierarchical multiple regressions with 287 college students showed that witnessing interparental violence and experiencing child physical abuse predicted higher levels of CPTSD, PTSD, and depression symptoms. After controlling for child abuse, witnessing interparental violence predicted higher levels of traditional PTSD symptoms, but it did not predict an increase in overall CPTSD symptom severity or depression. Results suggest that the traditional PTSD construct, rather than CPTSD, best accounts for the symptoms of those who witnessed interparental violence in childhood.
Psychosocial Determinants of Diabetic Control and Satisfaction with Diabetes Care: Diabetes mellitus affects 7.8% of the American population. National health statistic data and other research shows that racial/ethnic disparities exist in terms of prevalence and treatment outcomes. The present study investigated the role of patient health beliefs (i.e., locus of control, self-efficacy) and the doctor-patient relationship (e.g., satisfaction and collaboration with health care provider), as relative predictors of diabetic control (i.e., HbA1c levels) and overall satisfaction with diabetes care, in older adult participants with diabetes. Demographic, psychosocial, and diabetes-related data from the Health and Retirement Study (HRS) 2003 Diabetes Study were analyzed to compare treatment outcomes among non-Hispanic White, non-Hispanic Black, and Hispanic individuals with various types of diabetes. Non-Hispanic White individuals exhibited better diabetic control than their minority counterparts (F(2, 592) = 7.60, p < .001); however, no significant group differences were noted in terms of psychosocial factors. Diabetic control was best predicted by time since diagnosis (β = -.21, p < .001), satisfaction with diabetes self-care (β = .19, p < .001) and age (β = .12, p < .01). In addition, satisfaction with provider care was best predicted by perceived collaboration with provider (β = .44, p < .001), satisfaction with diabetes self-care (β = .22, p < .001) and diabetes self-efficacy (β = .08, p < .05). Recommendations for future research were discussed.
The Impact of Training on Employee Advancement: In recent years, organizations have invested increasing financial and labor-related resources on employee training. The assumption is that training will benefit the organization through improved performance which will result in greater efficiency, greater customer satisfaction and, ultimately, increased revenue and profits. Further, employees are assumed to benefit because their improved performance should lead to career advancement and increased compensation. However, measuring the effect of training on employee performance has been problematic due to the difficulty of isolating the effect of training from other human resource management practices and environmental and organizational influences. Hierarchical multiple regression analyses were used to test a model for predicting merit pay increase, job promotion and performance ratings from measures of general and finance training, as well as employee tenure, gender, educational level and organizational level. It was found that while significant contributions (i.e., betas) were made by finance and general training for performance ratings, promotion and merit pay increase, they did not increase the variance accounted for by tenure, organizational level and gender.
Implementation of a Therapy Group for Wives of Veterans with Posttraumatic Stress Disorder: Development and Preliminary Outcomes: The purpose of this study was to develop a manualized therapy group for wives or significant others of veterans with posttraumatic stress disorder and to evaluate its effectiveness in reducing wives' psychological symptoms. A second aim of the study was to determine if women's involvement in the wives group resulted in decreases in their husbands' PTSD symptoms. Women recruited for the study were administered pre-test measures during a screening session. They then participated in a 9-session manualized therapy group designed by the researcher that included psychoeducational, process, and support components. Examples of group topics included psychoeducation regarding PTSD, assertiveness and communication, intimacy, self-care, and stress management. After completing the group sessions, participants were asked to complete post-test measures. Other factors explored in this study included marital satisfaction, perceived social support, general satisfaction with the group, and demographic variables. Results indicated that wives who participated in the group treatment exhibited significant decreases in secondary stress symptoms and increases in marital satisfaction from pre-test to post-test. The majority of participants also reported high levels of satisfaction with the group process. Therefore, it appears that the group protocol presented in this study could be a useful tool in the treatment of wives of veterans with PTSD. The results of this study have potential implications regarding the clinical treatment of families of veterans with PTSD and the development of future programs within the VA system.
Acculturation, Acculturative Stress, and Anxiety Among Hispanic Undergraduates: First generation college students face some unique challenges in the pursuit of higher education. Aside from academic stressors, there are stressors related to social and cultural transitions which may exacerbate pre-existing emotional or psychological distress. Research suggests that acculturation influences psychological well-being and development. The current study examined the relationships between acculturation, acculturative stress, socio-economic status, and symptoms of anxiety among first-generation college students of Hispanic origin. Participants (N = 125) included those who were first in their family to attend college and were primarily female, of traditional college age, and of Mexican heritage. All measures were self-report and were completed online. Overall, this study was inconclusive as most analyses were underpowered. The present study failed to support a relationship between style of acculturation and symptoms of anxiety, although, experiencing Anglo marginality was related to high levels of acculturative stress and anxiety. Finally, regression analysis revealed that acculturative stress, age, and Anglo marginalization were significant predictors of anxiety and accounted for 31% of variance in anxiety. Implications of the present study were discussed. Further study with adequate power is highly recommended.
Executive Control of Craving: An Examination of College Students: Previous research has shown that alcohol abuse may cause a deficit in frontal lobe functioning, specifically, areas of the frontal lobe that are related to executive function. Additionally, problems with executive function have been related to increased difficulty in managing cravings to addictive substances. The current study explored the relationship between alcohol use and performance on measures of executive functioning in a sample of 121 traditional college students. Students were given 5 measures of executive function designed to explore mental set shifting, updating, inhibition, sustained attention, and planning. These measures were used to examine the relationship between executive function and craving as measured by the Obsessive Compulsive Drinking Scale. Levels of alcohol use were also examined using the Alcohol Use Disorders Identification Test in relation to executive function performance and family history of alcohol abuse.
The Effectiveness of Substance use Measures in the Detection of Denial and Partial Denial: Many substance users deny their substance use to avoid negative consequences, thus diluting the accuracy of assessment. To address this issue, indirect items are often included on substance use measures to identify those who deny their use. The purpose of this study was to examine the effect of complete denial and partial denial on substance use measures. Partial denial, also termed denial of effects, is the denial of substance use interfering in multiple domains of a person's functioning. The study used a mixed within- and between-subjects design with participants from a dual diagnosis inpatient unit. Each participant completed the study under two different conditions which include an honest condition and an experimental condition (either complete denial or partial denial). Results show that partial denial is distinctly different from complete denial across three self-report substance use measures. Importantly, substance users engaging in these denial conditions were often undetected by these measures.
An Examination of Contextual and Process Variables Influencing the Career Development of African-American Male Athletes and Non-Athletes: The purpose of this study was to examine the career development of African-American male athletes and non-athletes. The study utilizes Gottfredson’s circumscription and compromise model of career development as a framework for understanding the way individuals go about selecting different career paths based on various contextual variables and career development processes. A sample of 71 African-American male college students completed self-report questionnaires measuring different aspects of their background make-up, relevant career development processes, and career development outcome variables. Results of the study suggest that non-athlete students have a more developmentally appropriate approach to careers. Results also suggest that perceived career barriers and career locus of control mediate the relationship between athletic status and maturity surrounding careers. Career development is a complicated process and further study on this population is very important, especially when considering athletes. Implications for the findings are discussed as are suggestions for directions of new research concerning African-American career development.
Is Mind Wandering the Mechanism Responsible for Life Stress Induced Impairments in Working Memory Capacity?: The relationship between life stress and working memory capacity (WMC) has been documented in college students and older adults. It has been proposed that intrusive thoughts about life stress are the mechanism responsible for the impairments seen in WMC. To examine the mechanism responsible for these impairments the current study attempted to induce intrusive thoughts about personal events. The current study allowed for a test of predictions made by two theories of mind wandering regarding the impact of these intrusive thoughts on WMC task performance. One hundred fifty undergraduates were assigned to a control group, positive event group, or negative event group. Participants in the positive and negative event groups completed a short emotional disclosure about an imagined future positive or negative event, respectively, to induce positive or negative intrusive thoughts. WMC measures were completed prior to and following the emotional writing. Results indicated a significant relationship between WMC and mind wandering, however the writing manipulation did not result in any consistent changes in intrusive thoughts or WMC. The results suggest a causal relationship between WMC and mind wandering. The emotional valence of the intrusive thought altered the impact on WMC. No relationship was seen between the measures of stress and WMC. The results of the current study suggest that negative intrusive thoughts result in impaired WMC task performance but other types of off-task thoughts may not result in similar impairments.
Religious Coping and Experience of Body Satisfaction Among College Women: This study examined whether religious coping moderated the effects of thin-ideal images on body satisfaction among college women. Religious (N = 178) participants met for a pre-test to complete religiosity measures. A week later, the participants reconvened and were assigned to one of two conditions: before (n = 83) or after (n = 95). Within each of these two groups, participants were randomly assigned to read a list of statements: positive religious statements, positive nonreligious statements, negative religious statements, positive body neutral religious statements, and neutral statements. Each participant was exposed to a task that included 10 images of thin-ideal models, read her list of statements, and completed the Body Dissatisfaction Scale of the EDI-3. The results revealed no significant main effect of placement, type of statement and no significant Placement X Statement Type interaction. However, when religious statements were collapsed and a subsequent 2 (Placement) X 3 (Statement type) analysis was conducted the results indicated a significant main effect for type of statement. Reading religious statements resulted in less body dissatisfaction than non-religious statements. There was no main effect for placement and no Placement X Statement Type interaction. Ethnic differences in religiosity were noted (all p’s <.05). Implications and future directions in research are discussed.
Chronic Insomnia and Healthcare Utilization in Young Adults: Chronic insomnia is a highly prevalent disorder in general and young adult populations, and contributes a significant economic burden on society. Previous studies have shown healthcare utilization (HCU) is significantly higher for people with insomnia than people without insomnia. One limitation with previous research is accurate measurement of HCU in people with insomnia is difficult due to a high co-morbidity of medical and mental health problems as well as varying operational definitions of insomnia. Assessing HCU in people with insomnia can be improved by applying research diagnostic criteria (RDC) for insomnia, using a population with low rates of co-morbid medical/mental health problems, and measuring HCU with subjective, objective, and predictive methods. The current study found young adults with chronic insomnia had greater HCU than normal sleepers, specifically on number of medications, and chronic disease score (CDS) estimates of total healthcare costs, outpatient costs, and predicted number of primary care visits. The presence of a medical and/or mental health problem acted as a moderating variable between chronic insomnia and HCU. Simple effects testing found young adults with chronic insomnia and a medical/mental health problem had the greatest HCU followed by normal sleepers with a medical/mental health problem, chronic insomnia, and normal sleepers. Exploratory analyses found young adults with chronic insomnia had a greater likelihood of emergency room visits and overnight hospital admissions. More efforts for early identification and intervention of insomnia are necessary to help reduce costs associated with chronic insomnia co-morbid with medical and/or mental health problems.
Anticipating Work and Family: Experience, Conflict, and Planning in the Transition to Adulthood: The purpose of this study was to examine the development of work and family plans in young adults, and to clarify the long-term stability, prevalence, and consequences of anticipated work-family conflict. The study utilizes Super’s model of career development and social cognitive career theory, as well as research on current work-family interface, as a framework for understanding the period of anticipating and planning for multiple role integration that occurs between adolescence and adulthood. A sample of 48 male and 52 female college students assessed two years prior completed self-report questionnaires measuring work, marriage, and parenting experience; anticipated work-family conflict; and multiple-role planning. Results of this study suggest that students desire both a career and a family, and recognize potential challenges of a multiple-role lifestyle. Such recognition of anticipated work-family conflict varies by conflict domains and measurement methods, but remains stable over two years. Results also suggest that anticipated work-family conflict does not mediate the relationship between experience and planning; instead, marriage experience predicts planning directly. Implications for the findings are discussed as are suggestions for directions of new research concerning anticipated work-family conflict and planning for multiple roles.
Coaches’ Influence on Male Adolescents’ Achievement Motivation, Psychological Factors, and Sport Participation: The motivational climate, as created by coaches, and athletes’ goal orientations are key constructs in understanding children’s experiences with sport. In this study, the relationship between the perceived motivational climates, male adolescents’ goal orientation, and their experiences of self-esteem, sport competence, enjoyment, and ultimately, intention to continue participating in sport was examined. Participants were 405 male adolescents (Sample A: n = 200; Sample B: n = 205) aged 13-15 years old. Structural equation modeling indicated an overall good fit to the structural model for both data sets. A task goal orientation was predicted by higher levels of coach-created task climate. Participants with higher task goal orientation had greater sport competence, self-esteem, and more enjoyment in sport; enjoyment was the only significant predictor of their intention to continue playing the sport they believe is most important over the next three years.

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