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  Partner: UNT Libraries
 Decade: 2000-2009
 Degree Discipline: Clinical Psychology
The Detection of Neuropsychological Malingering

The Detection of Neuropsychological Malingering

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

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

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

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

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

The Effects of Assessment Context on State Anxiety and a Neuropsychological Model of Attention

Date: August 2003
Creator: Greher, Michael R.
Description: This study investigated the effects of assessment context on state anxiety and attention according to the Mirsky (1996) model of attention. Context varied in the physical testing environment, demeanor of the assessor, and explanation of the purpose of testing. A relaxed condition (RC) and structured medical condition (SMC) distinction was made prior to data collection and the two contexts were designed to reflect contrasting practices of neuropsychologists. Elements of attention evaluated included Encoding (Digit Span), Focusing/Executing (Visual Search and Attention Test), Shifting (Wisconsin Card Sorting Test: Computerized Version 2), Sustaining, and Stabilizing (Continuous Performance Test-Identical Pairs). Eighty healthy adult females participated in the study. The findings suggest that the SMC caused higher levels of anxiety and lower valence than the RC, which in turn caused poorer sustained attention and superior shifting attention for this condition. Such interpretations are consistent with several theories on the effects of anxiety on attention. It should be noted, however, that differences observed in attention were limited to select measures. Factor analysis also indicates that the encode, shift, and sustain elements of attention were largely consistent with the factor solution proposed by Mirsky, while findings on the focus/execute and stabilize elements bring into question the construct ...
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Effects of Cautioning and Education in the Detection of Malingered Mild Traumatic Brain Injury

Effects of Cautioning and Education in the Detection of Malingered Mild Traumatic Brain Injury

Date: May 2006
Creator: Scholtz, Brendon P.
Description: This study examined the effectiveness of cautioning and education on simulating a mild traumatic brain injury on several neuropsychological measures. The measures used included the Word Memory Test (WMT), Wechsler Adult Intelligence Scales® - Third Edition (WAIS®-III), Wechsler Memory Scales®-3rd Edition instrument (WMS®-III), 16-item version of the Rey Memory Test, and a self-report symptom checklist. Five experimental groups were used including clinical and non-clinical controls, as well as three simulation groups. The design and implementation of this study also attempted to correct several methodological short comings of prior research by increasing the incentives for participants, expanding the generalizability of findings and examining research compliance and participant self-perception through debriefing. Discriminant analysis was utilized to determine if specific functions existed that would correctly classify and distinguish each experimental group. Several discriminant functions had at least moderate canonical correlations and good classification accuracy. Results also include utility estimates given projected varying base rates of malingering.
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An exercise in story repair: A guided written disclosure protocol for fostering narrative completeness of traumatic memories.

An exercise in story repair: A guided written disclosure protocol for fostering narrative completeness of traumatic memories.

Date: May 2008
Creator: Tomczyk, Daniel A.
Description: Flutists have reported musculoskeletal pain from practicing and performing their instrument. This study was a statistical approach to investigate potential causal risk factors for flute related pain among high school and college students. The study focused on the relationship between flute related pain and musical background or anthropometric measurements including size, strength and flexibility. Subjects included thirty high school and college-aged flutists who were assessed using a questionnaire, bi-lateral anthropometric measurements of the upper-extremities, upper-extremity performance tests for range of motion, isometric strength and rotation speed, and instrument specific questions. Four questions regarding pain associated with flute playing were treated as dependent variables and used for correlation and regression analyses with other independent variables. A six-factor regression model was created and each model was statistically significant. Results of this study show that strength, flexibility, pain spots, and exposure are risk factors for flute related pain. Both left and right pinch strength and right isometric pronation strength were significantly correlated to flutists experiencing pain while playing. Knowledge of these factors in relationship to pain is needed in flute pedagogy to help teachers and performers understand why flutists report pain during and after playing. Additional studies are warranted for replication of this ...
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Family Rituals and Resilience: Relationship Among Measures of Religiosity, Openness to Experience, and Trait Anxiety

Family Rituals and Resilience: Relationship Among Measures of Religiosity, Openness to Experience, and Trait Anxiety

Date: August 2000
Creator: Emmett, Gloria J.
Description: Rituals are an integral part of society. The focus of research on rituals has been shifting to highlight the effect rituals may produce on individual resilience and ability to function. This study examined the relationships between participation in family rituals and several conceptually related facets of the human experience, including religiosity, openness to experience, and anxiety. Participants responded to questions on an assessment instrument (Family Ritual Questionnaire) designed to measure participation in a broad variety of identified family rituals; they were grouped according to responses on that questionnaire, and the resulting groups were compared on their responses to questionnaires addressing religiosity (Religious Background and Behavior Questionnaire), openness to experience (Revised NEO Personality Inventory Openness to Experiences scale), and anxiety (State-Trait Anxiety Inventory). The four-group classification system did not produce significant differences on measures of religiosity, openness to experience, or trait anxiety. Nor were there any significant differences noted when the groups were examined on the basis of the demographic characteristics of age, gender, separation time from family of origin, or academic status. The demographic descriptive which was associated with specific group differences related to adult composition of family of origin: participants described the adults present in their families of origin, ...
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Feigning cognitive deficits on neuropsychological evaluations: Multiple detection strategies

Feigning cognitive deficits on neuropsychological evaluations: Multiple detection strategies

Date: December 2000
Creator: Bender, Scott D.
Description: Individuals undergoing forensic neuropsychological evaluation frequently stand to gain in some manner if neurocognitive dysfunction is diagnosed. As a result, neuropsychologists are customarily asked to test for neurocognitive feigning during the assessment. The current study employed an analogue design with a clinical comparison group to examine the utility of the TOCA (Rogers, 1996) as a measure of feigned neurocognitive impairment. Two groups of simulators (one cautioned about the presence of detection strategies and one not cautioned) were compared to clinical and normal control groups. Fourteen scales were developed based on five detection strategies: symptom validity testing, performance curve, magnitude of error, response time, and floor effect. Each was employed during both verbal and nonverbal tasks. Significant differences were revealed among groups when subjected to ANOVA. Classification rates from subsequent utility estimates and discriminant function analyses on the scales ranged from 58.8% to 100%. Combining strategies yielded a classification rate of 95.7%. The effect of cautioning simulators was modest; however, a trend was noted on some scales for cautioned simulators to appear less obviously impaired than noncautioned. Although the results require crossvalidation, preliminary data suggest that the TOCA is a sensitive and specific measure of feigned neurocognitive performance. Strengths and weaknesses ...
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Functions of self-injurious thoughts and behaviors within adolescent inpatients.

Functions of self-injurious thoughts and behaviors within adolescent inpatients.

Date: December 2008
Creator: Thomas, Peter F.
Description: The primary interest of this investigation concerned the self-injurious thoughts and behaviors (SITBs) of inpatient adolescents. Previous researchers have provided descriptive information regarding either automatic (or intrinsic) and social components using the Self-Injurious Thoughts and Behaviors Interview (SITBI). However, the presence and trends of these components have not firmly been established, suggesting the need to explore this area further. Eighty-two adolescent inpatients were selected and interviewed using the SITBI to evaluate the predictive ability of self-reported self-injurious behavior with regard to social and automatic, negative and positive functions. Results showed that depending on the type of thought or behavior displayed one could discern the motivation behind their actions. Automatic-Negative was seen to have the strongest relationship across all SITB behaviors while Automatic-Negative was not found to be relatively low compared to other SITB behaviors. Both Social-Positive and Social-Negative were found to be present in moderate relationships compared to Automatic in general.
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Investigating patterns among demographics, identification practices, interventions, and educational outcomes for students with serious emotional disturbance.

Investigating patterns among demographics, identification practices, interventions, and educational outcomes for students with serious emotional disturbance.

Date: August 2003
Creator: Gonzalez, Christine
Description: This study explored potential patterns of association among the demographic characteristics, identification practices, educational interventions, and educational outcomes for students with serious emotional disturbance (SED) as well as specifically investigated the impact of age at identification with SED and the presence of co-occurring disabilities. Data was gathered from the educational records of students with SED in seven rural to semi-rural districts in Texas. Demographic information included gender, ethnicity, age at identification with SED, and identification with co-occurring disabilities. Identification variables that were investigated include the five federal qualifying criteria for SED, IQ score, and BASC and/or CBCL scores. Intervention variables that were explored included placement setting, restrictiveness of placement setting, type of related services provided, parental attendance at multidisciplinary team meetings, number of multidisciplinary team meetings, and total time spent in special education as a student with SED. Outcome variables that were examined included achievement levels in reading and math, attendance, special education status, and grade retention. Results suggested that earlier identification with SED is related to placement in less restrictive settings, achievement within two years of grade level in reading, and lower average number of absences. The presence of co-occurring disabilities in addition to SED is associated with placement ...
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