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Behavior Rehearsal Combined with Anxiety Relief Conditioning : A New Assertion Training Paradigm and Its Relative Efficacy: An experiment was conducted to investigate the relative effectiveness of a combined behavior rehearsal anxiety relief conditioning paradigm with a more conventional behavioral rehearsal program in the treatment of deficient assertive behavior.
A Behavioral Approach to Modifying Self-Concept in the Classroom: The problem with which this investigation was concerned was that of assessing the effects of token reinforcement on children's self-concept.
A Behavioral Approach Toward Strengthening Self-concept in Mental Retardates: The objective of this study was to systematize a method of strengthening self-concept in mental retardates through the use of operant conditioning techniques. This objective was pursued by investigating the effect of rewarding positive responses about self.
A Behavioral-Technological Approach to Increasing Attention-to-Task Behavior in "Hyperactive" Children: The present study sought to alleviate the response cost inefficiency of the behavioral approach to controlling classroom hyperactivity by increasing the observer-student ratio via behavioral-electronic technology. A portable, integrated-circuit, counting and timing device was developed to enable immediate time-sequenced data recording and reinforcing of eight target behaviors by a single observer. A multiple-baseline design, across matched individuals was utilized to demonstrate the reinforcing effects. The results indicated a significant increase over mean baseline frequency in attention-to-task behavior for the group of eight students. It was concluded that by utilizing the behavioral-technological intervention strategy applied in this study, one observer could accurately monitor and reinforce eight students simultaneously and subsequently increase task attentiveness.
Behavioral Treatment of Essential Hypertension: A Comparison of Cognitive Behavior and Multi-Element Self-Regulation Therapies: Self-monitoring, lowered arousal training (i.e., biofeedback and relaxation training) and maintenance follow-up appeared to contribute to effective treatment of hypertension. Cognitive therapy, while effective in treatment of some stress-related disorders, has not been studied as a specific treatment component for hypertension. The present study explored the use of cognitive therapy as a treatment variable to reduce blood pressure in hypertensive persons. The effectiveness of a multi-element treatment including cognitive therapy, blood-pressure biofeedback, and relaxation training was also assessed. Self-monitoring and maintenance training were included as a part of each treatment process.
Beliefs of Internal Versus External Control and Their Relationship to Stage of Moral Judgment: This investigation sought to explore the relationship of Julian Rotter's concept of internal versus external control (I-E) to stages of moral judgment. The I-E dimension is defined as the attribution by the individual of responsibility for behavioral outcomes to either oneself or to outside entities. The internal oriented person believes that the events in which he is involved lie within his control. Conversely, the external oriented person believes that the events that happen to him are controlled by other factors.
Bender-Gestalt Emotional Indicators and Acting-Out Behavior in Young Children: This study was designed to investigate the relationship between 15 emotional indicators on the Bender-Gestalt Test and acting-out behavior in young children. The subjects were 93 children ranging in age from 5 to 12 years. Each was administered the Bender. A measure of each subject's overt acting-out behavior was then obtained by having teachers rate each student on a Behavioral Rating Scale. Subjects' records were then divided into groups on the basis of both sex and age. Results indicated that neither the total number of Bender indicators nor any of the individual Bender indicators were significantly correlated with total scores on the rating scale. Use of the Bender as a projective device to measure acting-out behavior was seriously questioned.
The Bender-Gestalt Test and Its Relationships with Intelligence and Organicity in Neurologically Impaired and Emotionally Disturbed Children: The purpose of the present study is to investigate the differences in performance of a sample of children with organically based test behavior and learning disabilities and those children whose disorders are functional in origin. It is the purpose of this paper to determine if there exists a particular profile on the Bender Gestalt and the WISC that would help to differentiate these two diagnostic categories which at some levels of behavior are quite similar. The present study is an attempt to compare the WISC and the BGT of emotionally disturbed children with the WISC and the BGT of those children who have been diagnosed as neurologically impaired. It is more important today than ever before to ascertain a correct estimate of ability, the reasons for difficulties in learning and behavioral problems of young school age children, while at the same time taking into consideration the global intelligence and potentials of the individual. This eminates from the growing interest in, and work with, the different diagnostic categories of children by clinics and schools. This increased interest is evident in the larger number of diagnostic personnel associated with the school systems and more individualized types of instruction for the child with unusual difficulties or abilities.
The Bender Gestalt Test and Prediction of Behavioral Problems in Moderately Mentally Retarded Children: The purpose of this study was to determine the usefulness of Koppitz's method of scoring the Bender Gestalt (BG) Test for the prediction of behavioral problems in retarded children. The problem behaviors with which this study was concerned were those most often associated with the hyperactive child.
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.
Bias in the Diagnosis and Treatment of Gay Males: The purpose of this study was to explore heterosexual bias in the diagnosis and treatment of gay males. Two hundred-fifty (134 males and 116 females) mental health professionals from the Division of Psychotherapy (29) of the American Psychological Association participated in the study. Participants were randomly assigned to one of two case history conditions, which presented a 35-year-old male seeking therapy. Both conditions were equivalent with regards to the presenting problem (i.e., diagnostic symptoms) with the exception of his significant other (i.e., gay vs. non-gay condition). Potential bias was measured through a diagnostic rating Likert scale and a treatment plan questionnaire. Other independent variables that could potentially have an effect on diagnostic ratings were explored, such as gender, year of graduation, and theoretical orientation of the respondents. Results of the statistical analyses failed to confirm evidence of heterosexual bias. Implications for further research and training are discussed.
Bicultural Identity Integration and Psychological Wellness among Adult Children of Immigrants: Role of Cognitive Flexibility, Affect Regulation, and Adaptive Coping: Guided by the framework of bicultural identity integration (BII), a conceptual model depicting the direct and indirect effects of BII, cognitive flexibility, affect regulation, and coping on psychological wellbeing indicators (i.e., life satisfaction, depression) of adult children of immigrants (ACI) in the U.S. was developed. It was hypothesized that greater BII would contribute to greater cognitive flexibility and affect regulation, which would be associated with more utilization of adaptive coping strategies and greater psychological wellbeing. A total of 240 young ACI from across the U.S. completed the online research questionnaire that measured all variables of interest. Results from structural equation modeling analyses showed adequate model fit with the data. Findings provided support to the indirect effects of BII factors on wellbeing through affect regulation, however, the indirect effect paths are more complicated than what were hypothesized originally. Specifically, higher levels of identity harmony and identity blendedness contributed to more difficulties in emotion regulation, and subsequently, poorer wellbeing. Additionally, both cultural identity harmony and identity blendedness contributed to greater levels of cultural and relational maintenance strategies (i.e., avoidance, forbearance) in the context of intergenerational conflict through affect regulation, but not through cognitive flexibility. Notably, the latent variable of cultural coping strategies retained in the final model was not correlated with wellbeing. Findings are discussed from the BII framework and the sociological context of ACI in the U.S. Limitations, future directions, and implications for counseling, diversity, and advocacy issues are outlined.
Bidirectional Effects Between Engaged Lifestyle and Cognition in Later Life: Exploring the Moderation Hypothesis for Personality Variables.: Longitudinal data (N = 263) was used to investigate the bidirectional relationship between engagement (engaged lifestyle activities) and cognition (crystallized & fluid intelligence). Extroversion and openness to experience were also tested as moderators of the relationship between engagement and cognition. Results showed that the relationship between engagement at Wave 1 and cognition at Wave 2 did not differ from the relationship between cognition at Wave 1 and engagement at Wave 2. Testing for moderation with regression indicated that neither extroversion nor openness was moderating the relationship between engagement and cognition in either direction. Structural equation models provided further summary evidence that the relationships among engagement at Wave 1, extroversion, openness, and cognition at Wave 2 were not strong. However, a strong limitation to these results was the measurement error associated with a new measure of engagement.
Biochemically Induced Avoidance of Saccharin: a Parametric Study: The purpose of this study was to examine some of the parameters of saccharin avoidance relating to varying dose sizes of the colloidal suspension, Proferrin. Since studies reveal additive effects when irradiation and Proferrin are used together, it was hypothesized that different degrees of avoidance would be obtained by using various dose levels.
Biofeedback and Control of Skin Cell Proliferation in Psoriasis: The present study was designed to determine the effect of skin-temperature-biofeedback training on cellular proliferation in three psoriasis patients. It was hypothesized that (a) psoriasis patients would be able to consciously decrease skin temperature of psoriatic tissue, and (b) there would be a positive correlation between rate of cellular proliferation and temperature change. Results obtained indicated biofeedback training to be effective in decreasing the surface temperature of psoriatic tissue. A 2 X 7 analysis of variance for two repeated measures indicated the change in skin temperatures as a function of sample period to be significant, F (6,26) = 3.29, p < .02. Generalization of temperature-training effects from the biofeedback to the no-feedback condition were observed. Rate of proliferation decreased from pretraining to posttraining biopsies.
Biofeedback and Progressive Relaxation in the Treatment of Muscle Tension Headaches: A Comparison: This study was designed to compare the clinical effectiveness of EMG biofeedback and progressive relaxation training in the treatment of muscle tension headache. These procedures also were compared with a treatment-element control group. Results from this study indicated that EMG biofeedback, progressive relaxation, and the control procedures all led to significant improvements across sessions on EMG and most self-report measures. There was little evidence that either treatment technique was superior to the other or to the control procedures. Although in most cases there were rather large numerical differences between groups, these differences generally were not statistically significant. Analysis of correlations between EMG and self-report data revealed a pattern of variable but generally nonsignificant relationships. However, for the biofeedback and progressive relaxation groups, there were a number of highly significant correlations. The pattern of correlations suggested that the relationship between EMG tension and subjective headache pain may be better predicted by something other than a strict linear model.
Biofeedback-Assisted Relaxation: Effects on Phagocytic Immune Functioning: Life events and one's ability to adapt to these events has significant effects on immune functioning. Immunosuppression has been related to a high magnitude of life stress and low adaptive ability. While studies have explored immune response in stressed individuals, no study has approached the area of prevention with low-immunity individuals. The purpose of this study was to investigate whether subjects who self-report stressful lives have lower immunity, and whether "low" immunity subjects under "high" stress could enhance phagocytic activity through biofeedback-assisted relaxation.
Biofeedback Training: Avoidance Conditioning of Frontal EMG: The present study was designed to evaluate the efficacy of utilizing an avoidance conditioning paradigm in EMG biofeedback training and to compare this method to the standard biofeedback training paradigm. Frontalis EMG levels of 20 college students were monitored during non-stress and stress conditions. Half then received standard EMG biofeedback training. The other half received biofeedback with contingent aversive stimulation. Both groups received training to a relaxation criterion of 3 microvolts for 100 seconds or, for a maximum of two 20 minute sessions. Subjects were then monitored again during non-stress and stress conditions. Both groups obtained significant EMG reductions due to training with no significant differences between them. Standard biofeedback training required less time for subjects to achieve the relaxation criterion than did biofeedback with a shock-avoidance contingency. Possible applications of avoidance contingent biofeedback were suggested.
Biofeedback Treatment of Systolic and Diastolic Blood Pressure Under Stress and No-Stress Conditions: This study compares the relative efficacy of systolic and diastolic biofeedback in lowering the systolic and diastolic blood pressures of normotensives. The importance of testing these biofeedback procedures lies in assessment of their potential as blood pressure self-control techniques for the treatment of essential hypertension.
Biological and Environmental Determinants of Self-conception : Implications for Empathy: The purpose of this study was to determine if two elements of self-conception, environment and biology, influenced trait and dyadic measures of empathy.
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.
Biopsychosocial Factors Related to Health among Older Women: Older adults are more vulnerable to the ill effects of life stress due to physiological changes associated with aging that result in decreased immunocompetence. Stressors interacting with an aging immune system may produce further declines in health. Variables shown to modulate the effect of stressors on neuroendocrine and immune function and health include social support, personality, coping style, and health locus of control. A comprehensive model is proposed that includes: life stressors, social resources, psychological resources, interaction between stressors and social resources, neuroendocrine and immune function, and symptomatology. This model was evaluated using structured equation modeling. Participants were 97 active, community dwelling, older women, ranging in age from 60 to 93 years.
A Biopsychosocial Model of Dietary Restraint in Early Adolescent Boys: The current study replicated and extended previous research by examining empirically the direct and indirect influence of social pressure (to lose weight and diet), social body comparisons, internalization of the thin ideal, body dissatisfaction, self-esteem, and cardiorespiratory fitness on self-reported dietary restraint in a diverse sample of middle school boys (n = 663); Mage was 12.49 years (SD = .99). With IRB approval, parental consent, and child assent, during annual FITNESSGRAM testing, participants completed questionnaires that measured the study’s constructs. Cardiorespiratory fitness (CRF) was determined by the boys’ performance on the PACER running test. The proposed model was examined using structural equation modeling (SEM). Because measures demonstrated univariate and multivariate normality, the maximum likelihood procedure within EQS to examine the measurement and structural models was used. Fit was determined using a two-index procedure. Participants were randomly split into exploratory (Sample A - 331) and confirmatory (Sample B - 332) samples. For Sample A, the measurement and structural models fit the data well. The structural model was confirmed in Sample B, with the same paths being significant and nonsignficant. For both Sample A and Sample B, 35% of the Dietary Restraint variance was explained. These findings support a multifactorial approach to understanding boys’ self-reported dietary restraint, and illuminate the negative influence of sociocultural weight pressures and salutary effects of CRF on early adolescents’ psychosocial well-being and dietary behaviors.
Bipolar Disorder in the Family: Impact on Functioning and Adjustment to College: Bipolar disorder is a serious mental disorder, affecting anywhere from 2 to 4 percent of Americans. Though research has indicated that this disorder can be devastating for patients, less is known about how the disorder impacts family members. There is no research that has considered impacts on family members adjusting to college. The purpose of the current study was to determine the extent to which having a family member with bipolar disorder impacts adjustment to college, as well as factors that might account for worse functioning. Two groups were recruited: students with a bipolar family member (n = 25) and students with no family history of the disorder (n = 50). Participants were interviewed regarding their own histories of a mood disorder, as well as mood disorder histories in their immediate families. They then completed surveys assessing adjustment to college, functioning, caregiving burden, parental relationship, and attachment style. Students with a family history of bipolar disorder had significantly lower social adjustment scores, lower personal-emotional adjustment scores, and lower financial functioning scores than students without this history. Lower scores were found even after controlling for psychopathology. Avoidant attachment behaviors, anxious attachment behaviors, and aspects of the paternal relationship were identified as potential mediators. Caregiving burden was identified as a partial mediator. Implications for families and educational institutions are discussed.
Birth Order and Parent-Child Relations: The purpose of this study was to investigate the birth order differences in perception of parental child-rearing practices in one-and two-sibling families. The two-sibling families were separated into all the possible sex permutations (male-male, female-female, male-female, female-male) to assess the influence of sex of sibling in viewing the parents' child-rearing practices.
Black Male Collegiate Football Players' Experiences of Racial Mistreatment and Its Effects: A Qualitative Analysis: Research examining how these athletes, specifically football players, are racially mistreated in revenue sports in Power Five conferences, as well as the effect of this mistreatment on their health and well-being, has been sparse. Thus, the purpose of my study was to examine current Black male college football players' experiences of racial mistreatment within their lives in general, and their collegiate sport experiences in particular, and to learn how these experiences have affected their health and well-being across their academic, athletic, and social spheres of functioning. Through reflexive thematic analysis, I gathered that (a) the athletes believed that football defines and limits them, (b) they felt misunderstood and isolated on campus, (b) they were dehumanized and criminalized, and (d) they were physically and psychologically exhausted from chronic racial mistreatment. Despite the NCAA making positive strides toward addressing mental health concerns within collegiate athletics, there remains a clear need for more support and nourishment regarding the mental health of Black male college athletes, particularly football players. Further results and implications are discussed.
Blood Pressure Biofeedback and Relaxation Training: The Effects of Home Practice on Reduction of Blood Pressure in Persons with Essential Hypertension: Blood pressure biofeedback at home was compared with relaxation training and a combination of the two procedures for the treatment of essential hypertension, Ten subjects were taught to monitor blood pressure (BP) at home with electronic sphygmomanometers designed for self-use. Although situational factors appeared to have rather potent effects on BP levels, results suggested that training to control BP did generalize across situations. Although pretreatment BP level seemed to be related to the amount of reduction obtained, there was some evidence to indicate that subjects trained in behavioral methods of control could maintain BP in the average range after medication was discontinued, even if no significant reductions were obtained during treatment . Home practice of BP biofeedback was found to be the most successful single treatment for reducing systolic BP in the practice setting.
Bodies in Motion for Life: A Long-Term Qualitative Evaluation of an ED Prevention Program with Retired Female Athletes: Female collegiate athletes have been identified as a group at risk of developing eating disorders (EDs) and unhealthy weight control behaviors. Interventions grounded in cognitive dissonance theory and those that incorporate mindfulness-based interventions have shown improved body image and reductions in internalization and ED symptomatology over time in female non-athletes. However, few studies have examined the efficacy of intervention programs among female athletes, and, despite early promising results, previous research has been limited in several ways (e.g., methodology, small sample size). The purpose of this study was to conduct a long-term (i.e., three years) qualitative follow-up evaluation of Bodies in Motion (BIM), an ED prevention program developed specifically to acknowledge the unique experience and needs of female athletes with respect to their bodies as women and athletes. Results indicate that, similar to their initial experiences, now-retired athletes reported increased awareness of sport and societal messages and their impact on body image, shifted perspectives in their view of themselves and their bodies, and ongoing use of skills to manage body image in their lives. Further, with the passage of time, athletes continued to report a positive experience in the program and the utility of Bodies in Motion as they navigated challenging life transitions. These results indicate that the Bodies in Motion program has long-term benefits for female collegiate athletes consistent with program aims, even as athletes transition out of their sports.
Body Dissatisfaction, Disordered Eating Behaviors and Body Image Quality of Life in African American Women with Hiv: The purpose of the current study was to further our understanding of the subjective experience of middle-age African American women who are HIV+ and on highly active antiretroviral therapy, particularly how self-reported lipodystrophy (LD), levels of body dissatisfaction, body image quality of life, and engagement in disordered eating behaviors are related. Multiple regression, MANOVA, MANCOVA, ANOVA, and chi-square were utilized to test hypotheses. Results revealed that HIV+ and HIV- women did not differ significantly on their levels of body dissatisfaction or drive for thinness. When HIV+ women were examined in more detail a pattern emerged: women who self-reported fat hypertrophy had significantly higher levels of body dissatisfaction, bingeing, but not purging, and dietary restriction and fear of weight gain compared to women who did not self-report LD. About 75% of the sample was overweight or obese, and when BMI was controlled for, these differences persisted for body dissatisfaction and disordered eating behaviors for fat hypertrophy, but not fat atrophy. Overall, the findings indicate that the type of LD, specifically hypertrophy, is more related to body dissatisfaction and disordered eating behaviors, than LD in general. Clinical implications and limitations of these findings are discussed.
Body Image as Mediated by Age, Sex, and Relationship Status: Traditionally, body image research has focused on young women. However, there are indications of cultural shifts which extend physical appearance pressures to both men and women, as well as to middle-aged and older adults. Two hundred and ten subjects were administered objective body image measures including the Figure Rating Scale, the Body Shape Questionnaire, and the Multidimensional Body-Self Relations Questionnaire, as well as projective measures including the Holtzman Inkblot Technique and the Draw-A-Person. The NEO-Five Factor Inventory and the Social Anxiety Subscale were also used to explore variables which might covary with body image. A 3 X 2 X 2 Multivariate Analysis of Covariance (MANCOVA) was utilized with social desirability as the covariate.
Borrowing or Stealing: The Language and Moral Development of Criminals and Noncriminals: The present study was undertaken (1) to compare the connotative meanings criminals attach to a sampling of concepts with those meanings attached by noncriminals, and (2) to examine the possible relationship between moral development and criminal behavior. One hundred thirty four male subjects completed the Wide Range Achievement Test- Revised (Reading Section); a personal data sheet; the Ammons Quick Test-Form I; the Criminal Semantic Inventory; the Test for Criminal Cognitions; and the Sociomoral Reflection Questionnaire. Subjects were divided into four groups (Noncriminals, Against Person Group, Against Property Group, and Against Statute Group) on the basis of history of criminal conviction. A one-way MANOVA was conducted on each of the 16 concepts under investigation. Significant differences were found for five concepts. In addition, criminals were found to differ significantly from noncriminals on level of moral development.
Boston Naming Test with Latencies (BNT-L): Although most people have experienced word-finding difficulty at one time or another, there are no clinical instruments able to reliably distinguish normal age-related effects from pathology in word-finding impairment. Two experiments were conducted to establish a modified version of the Boston Naming Test (BNT) that includes latency times, the Boston Naming Test of Latencies (BNT-L), in order to improve the instrument's sensitivity to mild to moderate word-finding impairment. Experiment 1: Latency times on the 60-item BNT (Goodglass et al., 2001) for 235 healthy adults' ages 18-89 years were collected on a representative sample. Qualitative features of the BNT items, statistical analyses, IRT, and demographic considerations of age, gender, education, vocabulary, race and culture, helped create a reduced BNT-L version with 15 of the most discriminating items. Statistically sound and sophisticated normative tables are provided that adjust for unseen covariates. Response latencies did not indicate earlier age-related decline in an optimally healthy sample. Experiment 2: Twenty-three patients referred for neuropsychological testing were administered the BNT-L. Patients referred for evaluation of mild cognitive impairment or possible dementia produced significantly different response BNT-L latencies from the healthy sample whereas patients referred for mild brain injury evaluation did not. Normal word-finding problems were discussed in terms of serial stage models of lexical access, as well as in terms of automatic and controlled cognitive processes in younger and older adults. Statistical process for creating a psychometric instrument using latencies is illustrated.
Bouncing Back: Resilience as a Moderator between Aggression and Depression in Older Gay Men and Lesbians Group Differences: Older gay men and lesbians may be at greater risk for depression than older sexual majority adults due to a lifetime of sexual minority stress. We hypothesize that aggression and being single are positively associated with depression. Resilience is negatively associated with depression. Aggression, being single and resilience account for a significant proportion of variance in depression. Resilience moderates the relationship between aggression and depression. Significant differences between older gay men and older lesbians' aggression, resilience and depression scores exist. For our older gay men and lesbian combined group, a moderation analysis indicated that in addition to aggression and resilience, being single significantly predicted depression accounting for approximately 57% of the variance in depression. Furthermore, resilience significantly moderated the relationship between aggression and depression in our model of older gay men and lesbians. For our older gay men-only group a moderation analysis (indicated that and resilience significantly predicted depression accounting for approximately 57% of the variance in depression. Furthermore, resilience significantly moderated the relationship between aggression and depression in our model, in our sample of older gay men. Four our lesbian-only group a moderation analysis indicated that being single and resilience significantly predicted depression accounting for approximately 54% of the variance in depression.
Brain Dysfunction Indication on the Bender-Gestalt Test: a Validation of the Embree/Butler Scoring System: The Embree/Butler scoring system served as criterion for ascertaining brain dysfunction on the protocols of 100 subjects--50 had been diagnosed by health professionals as having brain dysfunction, and 50 had been diagnosed as having no brain dysfunction. In comparing the hospital's diagnoses with those of the Embree/Butler method, the data strongly supported the hypothesis that the Embree/Butler scoring system did effectively discriminate (chi square of 77.99 < .01) between those with organic brain syndrome (or cerebral dysfunction) and those with psychiatric classification. A point-biserial correlation was used to distinguish the relationship between diagnosis and the score. A cutoff score of above 14 produced the least false-negative or false-positive evaluations.
Breast Cancer Screening Behaviors of Women of Mexican Descent: A Grounded Theory Approach: A culturally-based theoretical model about how cultural beliefs about cancer and breast cancer screening techniques influence the screening behaviors of women of Mexican descent was developed using grounded theory. Across levels of acculturation and socioeconomic status, 34 women (49 to 81 years old) were interviewed through focus groups. Women who hold more traditional health beliefs about causes, nature, and responsibility with regard to breast cancer are more likely to "feel healthy" and not engage in breast cancer screening. Women who hold more traditional beliefs about propriety of female and health care provider behavior are more likely to "feel indecent" and also not engage in screening. The cultural health belief model is integrated within a sociocultural and a socioeconomic context.
Breast Cancer Screening Health Behaviors in Older Women: Health beliefs of 221 postmenopausal women were assessed to predict the Breast Cancer Screening Behaviors of breast self-examination (BSE) and utilization of mammography. Champion's (1991) revised Health Belief Model (HBM) instrument for BSE, which assesses the HBM constructs of Seriousness, Susceptibility, Benefits, Barriers, Confidence and Health Motivation, was utilized along with her Barriers and Benefits instrument for mammography usage. Ronis' and Harel's (1989) constructs of Severity-Late and Severity-Early were evaluated along with Cuing and demographic variables. These exogenous latent constructs were utilized in a LISREL path model to predict Breast Cancer Screening Behavior.
Brief Imagery Training : Effects on Psychological, Physiological and Neuroendocrinological Measures of Stress and Pain: The present study investigated the influence of a brief, intensive biofeedback-assisted imagery training regimen on psychological, physiological and neuroendocrinological measures of pain and stress in injury related chronic pain patients. The subjects were 36 patients (myelography examcandidates) who were assigned to the imagery or wait-list control group by order of referral presentation and to formulate equivalent groups.
Brief Symptom Inventory: Music and Non-Music Students: The present study is a comparison of music and non-music students with respect to their response patterns on the Brief Symptom Inventory as well as several demographic questions. The sample consisted of 148 non-music students and 141 music students at three levels: (1) freshmen/sophomore; (2) juniors/seniors; and (3) graduate students. Music students consisted of volunteers from several different music classes and non-music students were volunteers from non-music classes. There were no significant differences found among or between groups for the BSI subscales. However, music students were significantly less likely to have gone to counseling in the past and to seek professional counseling for future problems. Recommendations for psycho-educational interventions with musicians are discussed as well as suggestions for future research.
Burnout and Psychological Wellbeing among Taiwanese and American Graduate Students in Mental Health Services: Role of Adult Attachment, Emotion Regulation, and Self-Compassion: Graduate students in mental health service training programs are at risk of experiencing burnout. Using adult attachment theory as the guiding framework, this study examined a conceptual model which depicted the direct and indirect effect of attachment insecurity on burnout and the subsequent psychological distress via low self-compassion and emotion regulation difficulty with two cultural samples recruited from the U.S. and Taiwan, respectively. The final sample included 216 U.S. mental health graduate trainees and 201 Taiwanese trainees. Structural equation modeling was used to analyze the data. Findings from the final models best supported by the data revealed that in both cultural groups, attachment anxiety contributed to lower self-compassion which subsequently resulted in greater burnout and that emotion regulation did not play a mediational role in the models. Results also demonstrated cultural differences in several paths of the research model. For the U.S. sample, only higher attachment anxiety indirectly contributed to more psychological distress through low self-compassion and burnout was best positioned as an outcome variable similar to psychological distress, instead of being a mediator. For the Taiwanese sample, on the other hand, both attachment anxiety and attachment avoidance demonstrated significant indirect effects on higher psychological distress through lower self-compassion and burnout was a 2nd tired mediator through which attachment anxiety indirectly contributed to higher psychological distress. These findings advanced our understanding of the role of adult attachment insecurity in the development of burnout and psychological distress for graduate trainees in mental health fields, as well as the possible cultural differences in the observed variables and their relations. Counseling implications, limitations, and future research directions were discussed.
Cardiovascular Problems as a Predictor of Later Cognitive Decline: Moderating Effect of General and Spousal Social Support.: Individuals are living longer now than they have in the past. As a result, there is an increased incidence in illnesses that are more prevalent in later life. One group of illnesses that is more prevalent is age related dementia. Alzheimer's disease (AD) and vascular dementia (VaD) are two common types of dementia found in the older adult population. Recent research suggests that these two types of dementia may both have a vascular component that is instrumental in their development. Not only may this vascular component be present in both these illnesses, but also it may be related to a more severe cognitive decline in the aging process. Results indicate that both cardiovascular disease and general and spousal social support in middle age are all three independent significant predictors of mild cognitive impairment and other non-normative cognitive impairment in later life. However, results do not indicate that social support moderates the relationship between cardiovascular disease and cognition.
Cardiovascular Response to a Behavioral Restraint Challenge: Urge Magnitude Influence in Men and Women: Agtarap, Wright, Mlynski, Hammad, and Blackledge took an initial step in providing support for the predictive validity of a new conceptual analysis concerned with behavioral restraint, defined as active resistance against a behavioral impulse or urge. The current study was designed to partially replicate and extend findings from their study, employing a common film protocol and a procedure for inducing low- and high levels of fatigue. Analyses on key data indicated that the fatigue manipulation was ineffective. On the other hand, they supported the suggestion that behavioral restraint should be proportional to the strength of an urge being resisted so long as success is perceived as possible and worthwhile. Analyses also provided evidence of gender differences for this behavioral restraint task. Women showed relatively enhanced CV responses to my manipulation of urge magnitude, performed less well, rated the behavioral restraint challenge as harder, and rated success on the more difficult behavioral restraint task as more important. A broad indication is that men and women can differ in the strength of impulses they experience in response to stimulus presentations as well as in the importance they place on resisting the impulses.
Career Counseling with Academically Talented Students: Academically talented college students have unique development needs that often go unmet. One area that is currently attracting more attention in the academically talented literature is career counseling. The purpose of the present study was to compare the effectiveness of individual and group career counseling interventions. Subjects included 54 students from a special Texas program that provides the opportunity for gifted students to attend college during their final two years of high school. One instrument used assessed identity, confidence, career goals, and professional identity. The second instrument evaluated whether the subjects had recently discussed career concerns, were seeing a vocational counselor, or seeking career information. A pre-test was followed by group or individual intervention, and a post-test was conducted two months later. Results indicated an overall decrease on the instrument assessing professional identity and career goals. This study revealed no difference in effectiveness between group or individual interventions. Further research in this area is necessary to develop and refine the most effective career counseling interventions for the academically talented student.
Caregiver Personality as a Contributing Factor in Caregiver Burden: Personality characteristics of spousal and adult children and active potential caregivers of persons with Alzheimer's Disease were studied in order to better predict caregiver burden and aspects of well-being. Contrary to prediction, no differences were found between spouse and adult children active caregivers on measures of well-being. Additionally, adult children potential caregivers indicated feeling less control over their lives than spouse potential caregivers. When social desirability was controlled, active caregivers reported greater fluctuations in affect than did potential caregivers. As predicted, personality characteristics of individuals were found to have the biggest role in determining which individuals experience stress or burden.
Caregivers' Appraisal of Alzheimer's Disease Symptoms and the Relationship to Decisions About Care: The purpose of the present study was to compare 42 community-dwelling spouse and child Alzheimer's Disease caregivers with 38 community-dwelling potential caregivers on salience of illness symptoms, and accuracy of judging symptoms of illnesses.
Caregiving Style in Diverse Samples of Caregivers.: With three homogenous caregiver groups (i.e., Alzheimer's caregivers, grandparents raising grandchildren, parents), caregiving styles were explored to determine their reliability and validity, their unique role in predicting caregiver outcomes, and their differences between groups of caregivers. A conceptual framework was adapted to determine the impact of contextual variables, caregiving styles, caregiver appraisal, and mediating variables on caregiving outcomes. A more concise version of the Caregiving Style Scale (CSS) was developed with 49 items yielding an internal consistency coefficient of .74. As expected, three caregiving styles emerged and were positively related to the parallel parenting styles. Across the caregiver samples, there were positive relationships among caregiving style dimensions within the same caregiving style, while those from opposing caregiving styles tended to have negative relationships indicating good convergent and discriminant validity. Authoritative caregiving style dimensions were generally associated with healthier functioning, while authoritarian and permissive caregiving style dimensions were correlated with less healthy functioning. Caregiving style dimensions were among the predictors of several outcome measures, highlighting the importance of their placement in the conceptual framework for caregiver stress and coping. Generally, an unexpected finding was that authoritative caregiving style dimensions tended to predict less adaptive caregiving outcomes, particularly for parents and grandparents, while the impact upon caregiver well-being by authoritarian caregiving style dimensions varied throughout the caregiver groups. Results further indicated that different groups of caregivers tend to take on different caregiving styles, with grandparents and parents tending to differ significantly from Alzheimer's caregivers in their approaches to caregiving.
Causal Attributions, Attributional Dimensions, and Academic Performance in a School Setting: The attribution model of achievement motivation has been applied to academic achievement as a way of understanding underachievement and as a basis for developing intervention programs. There has been little applied research in this area, however, that supports the use of the model in school settings. The purpose of the present study was to test the applicability of the model to an actual school setting. Subjects were 149 tenth grade students in a large urban school district. In accordance with the model, specific attributions for success or failure were assessed, as well as subjects' perceptions of the locus, stability, and controllability of attributions. Attribution patterns found in previous analog research were not found in a school setting. Immediate effort attributions were the most prevalent, regardless of performance level or outcome. Causal beliefs were found to relate to performance in ways predicted by the model but also in some ways not predicted. Relationships were generally stronger for high performers. Comparing subjects' perceptions of the dimensional properties of attributions across outcomes showed a strong outcome bias. Attributions were perceived as more internal and stable following successes, consistent with previous research. In addition, a performance level bias was found. Low performers rated attributions as less internal, stable, and controllable following successes and more so following failures than did high performers. This bias, termed the underachievement bias, was discussed in terms of its detrimental effects on school performance. The differences between high and low performers regarding perceptions of dimensionalities were consistent with the predictions of the attribution model. It was concluded that the attribution model is applicable to school settings. Suggestions were made that more applied research be conducted, that intervention programs based on this model should target subjects' perceptions of attributions rather than just the specific attributions themselves, and that because of the …
A Causal Model of Parenting Distress: Children with Attention-Deficit Hyperactivity Disorder: The purpose of this study was to functionally define and empirically test a model of psychological distress for mothers of children diagnosed with Attention-Deficit Hyperactivity Disorder (ADHD). This model delineates characteristics of the child, the parent, and the environment that may affect mothers' psychological symptomatology.
Change in Depression of Spousal Caregivers of Dementia Patients.: Caring for a family member or loved one with dementia places a heavy burden on those providing the care. Caregivers often develop chronic depression because of having to deal with this burden. A great deal of literature has been published discussing coping effectiveness, effects of social support, and other internal and external means of support for the caregiver. However, little has been written about the changes, if any, in depression that the caregiver experiences after the termination of care, either through institutionalization or death of the person with dementia. This study examined whether there is a change in depression of spousal caregivers after institutionalization of the dementia care recipient as well as any changes in depression that may have occurred as a result of the death of the dementia care recipient. Two theoretical models, the wear and tear model and the adaptation model were discussed in terms of caregiver depression after institutionalization of the dementia care recipient. Two other theoretical models, the relief model and the stress model, were discussed in terms of caregiver depression after the death of the dementia care recipient. Datasets from the National Institute on Aging sponsored Health and Retirement Study were analyzed. Results indicate that both male and female spousal caregivers report an increase in depression after the institutionalization or death of the dementia care recipient, but that as time passes, males report a decrease in depression while females continue to report an increase in depression.
Changes in Parent-Child Relationships as a Result of Family Therapy: The problem with which this study is concerned is whether pathogenic parental patterns which precipitate and maintain children's maladjustment can be ameliorated through family therapy. Specifically, this investigation focused on how parental attitudes and sons' perceptions of parental attitudes are altered by therapy.
Changes in Peabody Picture Vocabulary Scores as a Function of Differential Familiarity and Social Class Membership: The present study was designed to investigate the discrepancy in test performance between the upper-middle-class and lower-class kindergarten-age child as a function of differential familiarity with test content.

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