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  Partner: UNT Libraries
 Degree Discipline: Clinical Psychology
 Degree Level: Doctoral
 Collection: UNT Theses and Dissertations
Correlates and Predictors of Medication Noncompliance in Patients with Schizophrenia

Correlates and Predictors of Medication Noncompliance in Patients with Schizophrenia

Date: August 1995
Creator: Duncan, Julianne Christine
Description: The treatment of schizophrenia today consists of a multi-component system of services. Mental health professionals generally agree that anti-psychotic medications are an essential treatment for schizophrenia. However, adherence to medication regimens by patients with schizophrenia is notoriously poor. To identify correlates and predictors of medication compliance, the Schedule for Affective Disorders and Schizophrenia (SADS), a semi-structured diagnostic interview, was administered to 90 outpatients with schizophrenia. The results suggest that there are specific variables (i.e., mood symptoms, psychotic symptoms, and socio-demographic variables) that predict medication compliance. In addition, the confirmation of these variables was effective (90.0%) at identifying non-compliant patients. The results suggest that schizophrenia is a complex disorder composed of heterogeneous symptoms. However, a specific group of symptoms is proposed which may provide a screening measure for predicting patients who are likely to be non-compliant with their medications.
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Correlates Between Adult Romantic Attachment Patterns and Dimensional Personality Pathology

Correlates Between Adult Romantic Attachment Patterns and Dimensional Personality Pathology

Date: August 2013
Creator: Ernest, Kimberly Dawn
Description: Previous research has suggested that adult attachment disturbance is related to maladaptic interaction patterns and personality disorder constructs. Specifically, research indicates that those with attachment disturbance are significantly more likely to meet criteria for a number of personality disorders, including borderline personality disorder, narcissistic personality disorder, and antisocial personality disorder. The purpose of this study was to investigate the associations between adult attachment and the new dimensional model of personality disorders scheduled to be released in the Diagnostic and Statistical Manual for Mental Health Diosrders (5th ed.) in spring 2013. Participants completed the Schedule for Adaptive and Nonadaptive Personality (SNAP) to measure dimensional personality functioning and the Experiences in Close Relationships (ECR-R) and the Attachment Prototypes to measure adult attachment patterns. Additionally, select scales from the Personality Assessment Inventory (PAI) and the Five Factor Model (FFM) will be utilized as secondary measures of personality patterns. The results suggest strong associations between adult attachment orientations and specific maladaptive personality characteristics.
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A Criterion Validity Study of the MMPI-2 and PAI Spanish Versions with DIS Diagnosis: Implications for Clinical Practice

A Criterion Validity Study of the MMPI-2 and PAI Spanish Versions with DIS Diagnosis: Implications for Clinical Practice

Date: May 1995
Creator: Fantoni, Patricia (Patricia Maria Angelica)
Description: New Spanish versions of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Personality Assessment Inventory (PAI) were assessed with the Spanish translation of the Diagnostic Interview Schedule (DIS) as the gold standard. Findings from categorical and dimensional analyses suggest that, although the degree of diagnostic concordance of both measures with the DIS was found to be moderately high, the MMPI-2 clinical scales yielded greater specificity but lower sensitivity than the PAI scales on two of four diagnostic categories (i.e., Major Depression, and Schizophrenia). Both measures failed to correctly diagnose Anxiety Disorders, while the MMPI-2 also showed poor diagnostic accuracy with Alcohol Dependence.
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A Cross-sectional and Longitudinal Study of Adolescents and Religion: Views of Risk and Resiliency

A Cross-sectional and Longitudinal Study of Adolescents and Religion: Views of Risk and Resiliency

Date: August 2009
Creator: Miesse, Colette Ann
Description: The research literature within the past decade has documented the importance of religiosity and spirituality in helping many adults around the world cope with major life stressors and events. Still, the role of religiosity and spirituality in adolescence is not well-known as research during this developmental period has been limited by sample size, homogeneity of samples, ethnic restrictions, and use of scales with few items. The goal of the current study is to identify and understand adolescent levels of religiousness and spirituality, as well as their roles on later social, emotional, and behavioral outcomes. The current study relied upon data from the National Longitudinal Study of Adolescent Health and utilized confirmatory factor analysis and structural equation modeling in order to generate models of the relationships between the various latent variables. The religiosity and spirituality factors in the current study adequately measure religious perceptions and practices of adolescents over time. These constructs also play a role in later emotional well-being and self-esteem. Analyses also found adequate predictive abilities in the other model factors of delinquency, psychological well-being, self-esteem, and the social support. It is concluded from this study that religiosity and spirituality are not interchangeable constructs, and that more robust measures ...
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A Cross-Sectional Study of Custodial Grandparenting: Stresses, Coping Skills, and Relationships with Grandchildren

A Cross-Sectional Study of Custodial Grandparenting: Stresses, Coping Skills, and Relationships with Grandchildren

Date: December 1995
Creator: Emick, Michelle Adrianna
Description: This cross-sectional study compared three groups of grandparents, two custodial and one noncustodial, to identify and delineate the unique challenges and expectations faced by custodial grandparents due to their nontraditional roles while attempting to disentangle grandparental role demands from child-specific problems as sources of distress. Those grandparents raising grandchildren demonstrating neurological, physical, emotional, or behavioral problems exhibited the most distress, the most disruption of roles, and the most deteriorated grandparent-grandchild relationships. Although the custodial grandparents raising apparently normal grandchildren demonstrated less distress, less disruption of roles, and less deterioration of the grandparent-grandchild relationship than those grandparents raising grandchildren displaying problems, they still demonstrated higher levels than did traditional grandparents. Those grandparents who reported fewer resources, demonstrated poor attitudes regarding seeking mental health services, and reported raising grandchildren displaying problems had the lowest levels of adjustment.
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Decentering and the Theory of Social Development

Decentering and the Theory of Social Development

Date: August 2012
Creator: Fincher, Jennie
Description: The concept of decentering originated with Piaget, who defined decentering as a feature of operational thought, the ability to conceptualize multiple perspectives simultaneously. Feffer applied Piaget’s concept of decentering to the cognitive maturity of social content. This study used Feffer’s Interpersonal Decentering scoring system for stories told about TAT pictures to investigate the developmental hierarchy of decentering for children and adolescents. The participants originated from the Berkeley Guidance Study, a longitudinal sample of more than 200 individuals followed for more than 60 years by the Institute of Human Development at the University of California, Berkeley. The hypotheses tested were: (1) chronological age will be positively related to Decentering as reflected in Feffer’s Interpersonal Decentering scores obtained annually between ages 10 and 13 and at 18; (2) children born into higher class homes would have higher Age 12 Decentering scores; (3) children born later in birth order will have higher Age 12 Decentering scores; (4) children whose parents were observed to have closer bonds with their children at age 21 months will have higher Age 12 Decentering scores; (5) adolescents with higher scores from the Decentering Q-sort Scale (derived from adolescent Q-sorts) will have higher Age 12 Decentering scores; and (6) ...
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Deficits in Miranda comprehension and reasoning: The effects of substance use and attention deficits.

Deficits in Miranda comprehension and reasoning: The effects of substance use and attention deficits.

Date: August 2009
Creator: Hazelwood, Lisa L.
Description: Each year, an estimated 318,000 defendants who do not comprehend the Miranda warnings waive their rights and provide incriminating evidence without the protection of counsel (Rogers, 2008), which make Miranda-related competencies one of the most pervasive pretrial issues. A wide range of issues could potentially affect an individual's capacity to provide a knowing and intelligent waiver. Previous Miranda research has focused narrowly on the effects of cognitive and developmental factors. The current study added to the Miranda literature by examining the impact of two highly prevalent conditions found in correctional populations, attention deficits and substance abuse. Adult defendants in custody (N = 118) were evaluated within 36 hours of arrest in order to assess both chronic psychological disorders and situational variables. Results indicate that attention deficits have a significant impact on defendants' ability to provide a knowing Miranda waiver, whereas substance use profoundly affected their reasoning about Miranda waiver decisions. This study represents the first systematic investigation of the effect of transient mental states on Miranda-related abilities with criminal defendants. Important implications for forensic practice are addressed.
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Dementia, Diabetes, and Depression: Relationship to Cognitive Functioning

Dementia, Diabetes, and Depression: Relationship to Cognitive Functioning

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

Denial of Risk: the Effects of Intentional Minimization on Risk Assessments for Psychopathic and Nonpsychopathic Offenders

Date: August 2013
Creator: Gillard, Nathan D.
Description: Risk assessments for offenders often combine past records with current clinical findings from observations, interviews, and test data. Conclusions based on these risk assessments are highly consequential, sometimes resulting in increased criminal sentences or prolonged hospitalization. Offenders are therefore motivated to intentionally minimize their risk scores. Intentional minimization is especially likely to occur in offenders with high psychopathic traits because goal-directed deception is reflected in many of the core traits of the disorder, such as manipulativeness, glibness, and superficial charm. However, this connection appears to be based on the conceptual understanding of psychopathy, and it has rarely been examined empirically for either frequency or success. The current study examined the connection between psychopathic traits and the intentional minimization of risk factors using a sentenced jail sample. In general, offenders were able to effectively minimize risk on the HCR-20 and SAQ, while the PICTS, as a measure of cognitive styles, was more resistant to such minimization. Psychopathic traits, especially high interpersonal facet scores, led to greater minimization using a repeated measure, simulation design. Important differences in the willingness and ability to use deception were found based on (a) the content of subscales, and (b) the mode of administration (i.e., interview vs. ...
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Depression and Heart Rate Variability in Patients with Coronary Artery Disease

Depression and Heart Rate Variability in Patients with Coronary Artery Disease

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