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An Investigation of the Influence of Attributional Complexity, Intolerance, Optimism, and Experiential Avoidance on Personal Psychological Distress
The purpose of this study was to investigate the impact of low attributional complexity, intolerance, optimism, and experiential avoidance (EA) on psychological distress (stress, anxiety, and depression); specifically, the mediating role of EA in these relationships was examined. Structural equation modeling (SEM) was utilized to test the hypothesized model. The overall model accounted for 62% of the variance in psychological distress. The direct negative effect of intolerance on psychological distress and the mediator effect of EA on the relationship between optimism and psychological distress were found. These results and their implications, along with study limitations and future directions 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.
Correlates Between Adult Romantic Attachment Patterns and Dimensional Personality Pathology
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.
Intergenerational Differences in Barriers that Impede Mental Health Service Use among Latinos
Research has extensively documented the mental health disparities that exist for ethnic and racial minorities living in the United States. With respect to Latinos, such disparities are marked by less access to care and poorer quality of mental health treatment. Studies on Latino mental health have found differences in mental health service utilization among ethnic subgroups and among different generations of Latinos. However, empirical data examining specific attitudes and barriers to mental health treatment among different generations of Latinos are limited. This study explored the relationships between Latino generational status, mental health service utilization, psychological distress, and barriers to mental health treatment. An online survey (N = 218) included samples of first-generation (n = 67), second-generation (n = 86), and third-generation or beyond Latinos (n = 65). Results indicated first-generation Latinos had the lowest rate of mental health service utilization and reported greater linguistic and structural knowledge barriers, however, they had lower perceived social stigma of mental health services when age at migration was considered. Implications of these findings for research, mental health service providers and mental health policy are discussed.
Validating the Rorschach Defense Scale by Examining Defensive Functioning in College Students
This study attempted to provide validation for Lerner and Lerner's Rorschach Defense Scale by investigating the relationship between primitive defenses as measured by the Rorschach Defense Scale, level of object relations as measured by the Developmental Analysis of the Concept of the Object Scale, and characteristic defensive operations as assessed by the Minnesota Multiphasic Personality Inventory. One hundred and twenty undergraduates completed the Rorschach and MMPI, and the RDS and DACOS were applied to their Rorschach responses. The results show a significant positive correlation between use of primitive defenses and level of object relations development -and a significant negative correlation between the defense Projective Identification and MMPI scale 6 (Paranoia) elevation. Overall, these results did not support the validity of the RDS.
Attainment of Low Levels of Muscle Tension: Biofeedback-Assisted/Cue-Controlled Relaxation and Biofeedback Training Compared
Cue-controlled relaxation appeas to have several advantages over prominent anxiety-reduction treatments. It does not require the formulation of conditioned stimulus hierarchies nor the use of mental imagery as does systematic desensitization nor the application of noxious stimularion (farradic shock) utilized in anxiety relief. However, its efficacy, in quantitative terms, has not been determined. The present study compared the effectiveness in attainment of relaxation of instructional set, biofeedback training, and biofeedback-assisted/cue-controlled relaxation training procedures. Results indicate that cue-controlled relaxation training was more effective in terms of mean level of frontal is EMG and degree of maintenance of low EMG levels than either biofeedback training or instructions.
An Analysis of the Performance of a Clinical Sample of African American, Caucasian, and Hispanic Children on the WISC-III
The goals of revision for the Wechsler Intelligence Scale for Children-Third Edition included enhancement of the factor structure, improvement of subtests, and revision of norms. The researchers reported that the very few items that were found to be biased were replaced. The WISC-III performance of a clinical sample of African American, Caucasian, and Hispanic children was analyzed to determine if the test bias was eliminated as claimed in the goals of the revision.
Self-Concept and Verbal Behavior in a Small-Group Social Situation
The problem addressed in this exploratory research study was whether any correlational relationship existed between a selection of personality and demographic variables (considered as aspects of the self-concept construct) and selected subjective and objective measurements of verbal behavior. The purpose of the study was to achieve a better understanding of the dynamic monitoring process of the self-concept and the possible relationship that may exist between it and certain quantifiable verbal behaviors. The conclusion of this study is that the self-concept construct does appear to be an influencing factor upon verbal behavior. It is considered that individuals are consistently interacting with their social environment to obtain feedback in order to test the self's perceptions of the social environment and its relationship to its environment.
The Relationship between Executive and Psychosocial Functioning in Children Treated for a Brain Tumor
This study examined the relationship between executive and psychosocial functioning in 45 children and adolescents age 6 to 17 years who had been treated for a brain tumor. Executive functioning deficits can profoundly impact an adult's ability to function successfully in life. The purpose of the study was to evaluate the potential impact of executive functioning deficits on the day-to-day functioning in a pediatric population. The domains of executive functioning assessed included cognitive flexibility, conceptual thinking, sustained attention, and response inhibition. Psychosocial functioning was assessed using both parent and child report. Several significant relationships were found for adolescents ages 15 and older, with effect sizes ranging from medium to large. In particular, cognitive flexibility and conceptual thinking were significantly related to parent report of depression and adaptive functioning. Fewer significant relationships with smaller effect sizes were found for younger children. The results may reflect the developmental emergence of executive functioning abilities and late effects of executive functioning deficits upon psychosocial functioning. The correlational design of this study precludes definitive statements regarding the temporal nature of the relationship. Additional research, including longitudinal research and replicatory studies, will be needed to further investigate the developmental consequences of executive functioning impairment.
Autostereotypes and Acculturative Stress in Hispanic College Students: Implications on Self-Esteem and Achievement Motivation
This study evaluated the impact of acculturative stress and negative autostereotypes on the level of self-esteem and achievement motivation among subgroups of Hispanic college students. Subjects were classified by generational level as Second-generation (i.e., foreign-born parents), or Other (i.e., first-generation, foreign-born individuals, and third-generation, foreign-born grandparents;). By country/region of origin, subjects were divided into Central-Americans, Puerto-Ricans, Mexican, Mexican-Americans, and South Americans. Results showed that acculturative stress may facilitate loss of self-esteem particularly in Second-generation individuals, while negative autostereotypic attitudes may actually increase the student's level of motivation for achievement, particularly in Mexican-American individuals. Also, country/region of origin overall influenced negative autostereotypic attitudes.
A Criterion Validity Study of the MMPI-2 and PAI Spanish Versions with DIS Diagnosis: Implications for Clinical Practice
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.
Mexican Americans: Systematic Desensitization of Racial Emotional Responses
To determine whether or not systematic desensitization treatment would produce a significant reduction in negative affect evoked by racial discrimination, 60 Mexican-American college students who scored above average on the Terrell Racial Discrimination Index were selected and assigned randomly to one of three treatment conditions: systematic desensitization (DS), therapist contact (TC), and no-treatment control (NTC). Before undergoing treatment, subjects completed the Background Information Questionnaire (BIQ), and three measures of negative affect: the Multiple Affect Adjective Check List (MAACL); the Profile of Mood States (POMS); and the Treatment Rating Scales (TRS). After concluding treatment, subjects completed the three measures of negative affect only. Results were nonsignificant with respect to two of the affect measures—the POMS and the MAACL. However, significant differentia1 treatment effects were observed for the TRS measure. Relative to the TC and NTC conditions, subjects in the DS condition evidenced significantly less anger, depression, and anxiety. No other group differences attained the level of statistical significance (p < .05). Several explanations are offered for the negative findings of the MAACL and POMS. These explanations include the possibility that the measures themselves are insensitive to treatment effects. Nevertheless, due to the significant findings of the TRS, it is concluded that systematic desensitization proves effective in alleviating the negative emotional responses of Mexican Americans to racial discrimination. The implications of these findings are discussed.
Modification of Transsexualism: A Behavior Modification Program for Conditioning Masculine Behaviors in an Effeminate Boy
Operant conditioning techniques were used to condition male-typical behaviors in an eight-year-old effeminate boy who had been described as transsexual. A probe of toys and activities was administered, which showed a trend toward his choosing feminine toys and activities. The two phases consisted of positive reinforcement of behavior associated with masculinity.
Refining the Definition and Detection of Response Styles: An Initial Examination of Defensiveness and Feigning on the Personality Inventory for DSM-5
The fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM 5) presents an alternate model for personality disorders, blending categorical and dimensional assessment into a hybrid diagnostic procedure. Released concurrently, the Personality Inventory for DSM 5 (PID 5) measures the five domains and 25 facets that comprise the trait components of this hybrid model. However, the PID 5 currently lacks validity indicators to capture intentionally distorted responding. The current study investigated the susceptibility of the PID 5 to defensiveness and feigning among a large sample of undergraduate students. First, a detailed desirability analysis (N = 465) was conducted of the PID 5 items and response options. Responses from the study were used to create three desirability based validity scales. Next, in a between-subjects simulation design (N = 128), the effects of faking were explored at domain and facet levels. As a result, two symptom based validity scales were created. In a separate validation sample (N = 134), the five newly created validity scales were compared with the Paulhus Deception Scales for capturing both defensiveness and feigning. All five scales were evaluated for ruling out faking (i.e., identifying likely genuine respondents) and ruling in either defensiveness or feigning. In most areas, the symptom based scales were more successful than the desirability based scales, though all scales had difficulty identifying defensiveness. These initial results offer fertile ground for additional testing and development of PID 5 validity scales.
Decentering and the Theory of Social Development
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) participants who have higher Age 12 Decentering scores will self-report higher CPI Empathy scale scores at Age 30. A repeated measures ANOVA tested Hypothesis 1. Pearson product-moment correlation coefficients tested Hypotheses 2-6. Age and Decentering scores were unrelated, as was birth order; social class findings were mixed. Parents’ bonds with child and Age 12 Decentering were negatively correlated (closer bonds predicted higher Decentering), as were Age 12 Decentering and Age 30 Empathy (higher early Decentering predicted lower adulthood Empathy). Girls (age 12) tended to decenter more consistently and had higher Decentering scores than boys.
Influence of Caffeine on EMG, Self-Rating, and Behavioral Observation Indices of Progressive Relaxation Training
This study was designed to investigate the inhibiting effect that caffeine may have in inducing deeper states of relaxation. The degree of relaxation was assessed by physiological measures, self-ratings, and behavioral observations of relaxation behavior.
Conditioned Reinforcement with an Equine Subject
Historically, horse trainers have relied primarily upon repetition, negative reinforcement, and punishment to teach new behaviors. Positive reinforcement has been eschewed, largely on the basis of the wides read belief that positive reinforcement is not effective with horses. Additional difficulties in the timely application of such reinforcement have further inhibited its use. After repeated pairing of an auditory stimulus with an established primary reinforcer, the auditory stimulus was predicted to be a reinforcer. An equine subject was then successfully trained to perform five different, novel tasks using only the auditory stimulus. Subsequently, extinction of behavior was noted in the absence of the conditioned reinforcer. Implications for many phases of horse training were discussed. Some weaknesses of the present study were noted along with suggested issues for future investigations.
The Application of Group Contingent Reinforcement to Hospitalized Adolescents
Fifteen hospitalized adolescents were used as subjects. An individually consequated token economy was in effect during baseline. Measures were taken of work output, attending behavior, and disruptive behavior. During the treatment phase, reinforcement was contingent upon the performance of a randomly selected subgroup. Following the treatment phase, the individual token system was reinstated for baseline-2 measures. The mean performance of the group during baseline was compared to performance under treatment conditions for work output and attending behaviors. In addition, performance of the contingent subgroup was compared to performance of the non-contingent group. No significant t values were obtained. With failure to obtain significant t values, the null hypothesis was not rejected, i.e., the two conditions were not proven significantly different.
Locus of Control of Reinforcement Applied to the Prediction of Use of Medical Services
Increases in the number of users of the medical delivery system, along with an ever-increasing variety of available services, makes it desirable to identify those individuals who will benefit most from its services. With the growing reliance on third party payment, economic limitations no longer effectively restrict the use of the system's resources to those individuals who are truly ill. A framework is needed whereby individuals who are medically ill can be separated from those whose needs might be more effectively addressed by other services. A variety of means, including locus of control, has been used in the attempt to make such discriminations. In conclusion, it was observed that the low magnitude of obtained relationships presents opportunities for future research, but disallows meaningful prediction at the present time.
Queer Resilience: A Mixed Methods Examination of LGBTQ+ Positive Identity, Community Connectedness, and Mental Health Outcomes in Sexual Minority Emerging Adults
Despite significant progress in the acceptance and celebration of LGBTQ+ individuals, there is overwhelming evidence that sexual minorities still face disproportionate levels of health inequity compared to their heterosexual peers. Relative to their heterosexual peers, LGBTQ+ emerging adults may encounter unique challenges with discrimination, stigma, and limited social support as they navigate changes in their educational and occupational environments. Additionally, within the broader public health and LGBTQ+ mental health literature, little is known about the mental health service utilization of sexual minority emerging adults. To address these empirical gaps, a sample of 98 LGBTQ+ emerging adults completed self-report measures of heterosexist discrimination experiences, mental health symptoms, LGBTQ+ positive identity, LGBTQ+ community connectedness, and mental health service utilization. The present study found that LGBTQ+ positive identity and LGBTQ+ community connectedness did not attenuate the significant positive relationship between discrimination and negative mental health outcomes. The present study also found that LGBTQ+ positive identity predicted greater likelihood of mental health service utilization, whereas LGBTQ+ community connectedness did not. Finally, exploratory qualitative analyses yielded deeper understanding of relationships between LGBTQ+ positive identity, LGBTQ+ community connectedness, mental health service utilization, and resilience among sexual minority emerging adults. Implications and future directions for empirical research and clinical practice with LGBTQ+ emerging adults are discussed.
Comparing Quality of Life: American and Portuguese Cancer Patients with Hematological Malignancies
The purpose of this study is to investigate the differences and similarities of quality of life (QoL) in American and Portuguese cancer patients with hematological malignancies as well as the robustness of the measures cross-culturally. Portuguese participants were 98 patients and 49 accompanying persons and the American participants were 55 patients and 22 accompanying persons. Fifty (Portuguese sample) to 40% (American sample) of the patients came with an accompanying person who answered the questionnaire concerning the patient's QoL. The two cultural groups were characterized in terms of QoL (measured by the SF-36 and the FLIC), social support (Social Support Scale), socio-demographic and clinical variables. Portuguese patients reported a higher QoL. However, this result could be attributable to the fact that the two cultural samples differ in socio-economic status. The measures seem to be comparable for the Portuguese and American samples, at least in what concerns reliability and concurrent validity.
Comparative Models of the Impact of Social Support on Psychological Distress in Cancer Patients
This study tested the relationship between Social Support, Psychological Distress, and Illness Stress in individuals who report cancer as a health condition. This study was based on archival data obtained from the Wave 1 of the Health and Retirement Study (HRS). The HRS provides a nationally representative sample of individuals aged 51 to 61 in 1992 and their spouses. The study sample was limited to cancer patients with a spouse or partner (n = 503). A structural equation modeling analysis procedure was used to test the theoretical models. Measures of social support were limited to variables assessing the participant's satisfaction with social support. Evidence was found for the Stress Prevention and the Support Deterioration models. This is congruent with previous research using measures of social support perception. Both the Stress Prevention and the Support Deterioration models predict a negative relationship between Illness Stress and Social Support. In addition, a univariate analysis of variance was used to test the stress buffering model. Similarly to other studies measuring the individual's degree of integration, or its perception, in the social network, the present research supported the only the Main Effect model and not the Stress Buffering model.
Residual Cognitive Functioning of Elderly Males
The Aronson Cognitive Residual Evaluation Scale (ACRES), designed to assess residual cognitive functioning with potential loss due to age or CNS disorder, was examined with a male subject group. The five ACRES subtests were administered to 45 elderly males. Results were compared with a previously reported subject group of 48 elderly females. Measures of the subjects' levels of independent functioning and their performances on selected Wechsler Memory Scale Revised (WMS-R) subtests were related to ACRES scores. Intercorrelations among ACRES subtests suggest that more than one cognitive factor is assessed. WMS-R subtests showed moderately significant correlations with ACRES for verbal tasks and for nonverbal tasks. Findings were discussed within a framework of lateralization of CNS functions.
Physiological Responses to Affective Stimuli of Obese and Nonobese Females Differing in Dietary Restraint
The present study translated the major theories of obesity into physiological terms, then tested for the ways these theories might find physiological expression. Theoretical positions included the psychoanalytic perspective, emphasizing intrapsychic processes; psychosomatic perspective, emphasizing food as an anxiolytic agent; and Schachterian perspective, emphasizing heightened sensitivity to external stimuli. Additionally, two classificatory distinctions, age at onset of obesity and extent of dietary restraint, were examined. The later distinction suggested that Schachterian findings on obese behavior were due not to obesity, but to a dieting life style.
Assessing the Object Relations of Sexually Abused Females
The TAT stories of 38 sexually abused females between the ages of 5 and 18 years and a clinical group of 26 females with no recorded history of abuse were analyzed using the Object Relations and Social Cognitions TAT Scoring System (Westen et al., 1985). Subjects in the sexual abuse group showed significantly lower mean scores on a scale measuring affect-tone of relationship paradigms and on a scale measuring complexity of representations of people. In addition, pathological responses were given significantly more often by sexual abuse victims on the complexity of representations of people scale. Thus, sexually abused children showed more primitive and simple characterizations of people and more negative, punitive affect in their representations. Moreover, these results were independent of age, race, and intelligence. Group differences are discussed in terms of object relations development.
Child Physical Abuse: An Analysis of Social Cognition and Object Relations
This study compared the social cognition and object relations of 39 physically abused children to a clinical group of 39 children with no recorded history of abuse.
Accurate Empathy and Rorschach Interpretation
Although the Rorschach is one of the most widely used psychological assessment techniques, its empirical support has been equivocal. One possible explanation for this lack of empirical support is the tendency for researchers to study only the assessment tool with little regard for the clinician using it. The current study examined one clinician variable (empathy) and its relationship to accuracy of interpretation of the Rorschach. The literature regarding Rorschach theory and research and empathy theory and research was reviewed in an attempt to clarify the similarities between empathy as an important factor in psychotherapy and its importance in the assessment process. The present study measured empathy by using the Davis Empathy Questionnaire and a Taped Excerpt Response Measure.
The Comparative Effectiveness of Behavior Rehearsal and Systematic Desensitization in the Treatment of Social Anxiety
The present study was concerned with comparing the relative effectiveness of behavior rehearsal and systematic desensitization in the treatment of social anxiety.
Narcissism: Reality Testing and the Effect of Negative Feedback
A number of clinicians have reported that narcissists show grandiosity in self-concept, and rage after receiving disconfirming feedback. This is the first empirical study to test these claims. Subjects with differing levels of narcissism and self-esteem were compared on distortion in self-perception and emotional reaction to negative feedback. Ninety-six college students predicted their levels of intelligence, attractiveness, and interpersonal understanding (empathy) as compared to their peers. Objective measures of these characteristics were obtained, and subjects' predictions, with their actual scores held constant, provided measures of reality distortion in selfperception. Subjects were given feedback comparing their predictions to objective measures at the end of the experiment, and reaction to feedback was assessed by comparing subjects' pre- and post-feedback scores on the Multiple Affect Adjective Checklist-Revised (Zuckerman & Lubin, 1985). Narcissists were expected to react to negative feedback with greater hostility than nonnarcissists. Narcissists evidenced significant distortion in perceptions of their own intelligence, attractiveness, and interpersonal understanding. This finding provided empirical evidence supporting the clinical phenomenon of grandiosity. Narcissists did not react with greater hostility after negative feedback, but as compared to nonnarcissists, they did react with less depression following negative feedback. This supported Kernberg's (1980) assertion that narcissists do not react to loss with depression. In contrast to the inflated self-image associated with narcissism, self-esteem was associated with a comparatively accurate view of self.
Acculturation and Sociocultural Influences as Predictors of Family Relationships and Body Image Dissatisfaction in African American, Hispanic American, and European American Women
Ethnic differences in etiological factors linked to body image dissatisfaction and eating disorders were examined. In addition, the interaction of acculturation and body image dissatisfaction in influencing minority women's relationships with their parents was investigated. Participants consisted of 302 undergraduates from three ethnic groups: Caucasian, Hispanic American, and African American women who were administered self-report measures. Differences were not found between the groups in body image dissatisfaction. Low self-esteem, internalization of the thin ideal, and family emphasis on weight and appearance were all related to more body image dissatisfaction for each of these groups; however, differences in degree of endorsement were also noted between the ethnic groups on these factors. Based on the interaction findings (body image x acculturation) separation from one's mother was found in the area of attitudes and emotions for the Hispanic sample but not for the African American sample on any of the parent scales. Areas for future research and implications for diagnosis and treatment of minority populations are also discussed.
The Preliminary Development of a Sentence Completion Inventory to Assess Psychologically Unhealthy Religious Beliefs
To assess psychologically unhealthy Protestant beliefs a Religious Sentence Completion Inventory (RSCI), and scoring Manual, were developed from a pilot study. In the main study 103 undergraduate students were subjects. Interscorer reliability for the RSCI was .83. Results revealed significant positive correlations between the RSCI, and maladjustment validity criteria: a Minnesota Multiphasic Personality Inventory (MMPI) total weighted score; and MPI clinical scales 1, 2, 3, 4, 6, 7, and 8; but not validity scale F; for females. Only MMPI scale 6 correlated with the RSCI for males. These data appear to partially support the proposition that whether Protestant beliefs hinder or do not hinder mental health depends upon the particular kind of beliefs a Protestant holds.
Spirituality, health locus of control, and wellness in organizational health promotion and wellness programs
The relationship between an individual's level of spirituality, health locus of control, and participating in wellness activity was investigated. The relationship between spirituality, health locus of control on physical health was also investigated. The research question was based on prior studies that reported people who are more spiritual are healthier. Does their spirituality lead to increased levels of health, or are individual's who are more spiritual more likely to proactively take control of their health and engage in health promoting behaviors? One hundred and fifteen male and female employees completed The Spiritual Involvement and Beliefs Scale (SIBS), a spirituality measure, The Multidimensional Health Locus of Control Scale, a measure of locus of control related to health and healthcare, and The Center for Disease Control's (CDC) Health Risk Appraisal, a self-report measure of participation in health behaviors. Physical measures of health were obtained by obtaining Body Mass Index, blood pressure readings, and a cholesterol screening. The current study looked at level of spirituality (internal, external), level of health locus of control (internal, powerful other, chance) and participation in wellness/health promoting behaviors and health. Correlational analyses were performed on the relationship between spirituality and health locus of control. Hierarchical multiple regressions were performed on the internal spirituality and internal health locus of control to examine the relationship between spirituality, health locus of control and positive health behaviors and level of physical health. Stepwise discriminant function analysis using spirituality and health locus of control as predictor variables for the health-behavior criterion variables were performed. Discussion of the results, limitations of the current study and recommendations for future research were presented.
Influence of Specific Training on Graduate School Aptitude Test Performance
The study was undertaken to investigate if a course of instruction, utilizing specific procedures, could be employed to enhance performance on an aptitude test. A punishment procedure involving the removal of a positive reinforcer was instituted within a classroom setting.
Cognitive Strategies for the Control of Experimentally Induced Pain: The Role of Pleasantness and Relevance of Content in Imagery
This study compared the relative efficacy of four imagery techniques in increasing tolerance to cold pressor pain. Relevant pleasant, relevant unpleasant, irrelevant pleasant, and irrelevant unpleasant imagery strategies were compared in a two-way factorial design. Prior research suggested that pleasantness and relevance both affect imagery potency. This study attempted to assess the relative contribution of these two variables to increases in pain tolerance. Also investigated were the roles of several hypothesized mediating variables; namely, contextual valence, self-efficacy, treatment credibility, and involvement in imagery. The subjects were 60 female undergraduates who were randomly assigned to the four imagery groups. Two-way analysis of covariance were performed on all dependent variables, using pain threshold as the covariate. Pearons r.'s were used to test correlational hypotheses.
Risk and Resilience Faced by Children of Deployed Service Members
The purpose of this study was to examine the impact of military deployment on children, and the roles that risk and protective factors and parenting stress play in emotional symptoms and behaviors exhibited by children while their parents are deployed. A sample of 143 parents (recruited from all branches of the military) who remained at home while their spouses were deployed completed online self-report questionnaires measuring demographic and background information, child internalizing and externalizing behavior, parenting stress, child adaptability, valuing behavior, family cohesion/environment, and parenting behaviors. The sample primarily consisted of mothers (n = 141) and Caucasian individuals (n = 126), which may limit the generalizability of the findings. Results of the study suggest risk factors including parenting stress, corporal punishment, length of time a parent is deployed, and type of deployment (combat vs. non-combat) were predictive of poorer child outcomes. Protective factors including values consistent behavior, child adaptability, and family cohesion were predictive of better childhood outcomes. Parenting stress served as a mediating variable between the relationship of total risk and child outcomes, while values consistent behavior served as a mediating variable between the relationship of protective factors experienced by children and child outcomes. Military deployments not only impact the service members, but also their families at home. Further study and identification of risk and protective factors faced by military children and families are imperative. Implications of findings are discussed as well as suggestions for future research concerning deployment and impact on military families (e.g. identification and empirical validation of programs to support military families.
Type A Behavior and Social Support in Coronary Heart Patients
There currently exists a large body of research associating the Type A behavior pattern with an increased risk of coronary heart disease. Further, studies in the area of social support and health suggest that an absence of supportive relationships may result in a decreased resistance to disease in general, both physical and psychological. The present study sought to integrate the Type A research and social support literature through a correlational investigation of the relationship between Type A behavior and perceived quality of social support in 46 male subjects undergoing out-patient treatment for symptomatic coronary disease. It was hypothesized that the Type A pattern would show a significant inverse relationship with perceived quality of social support.
Assertive Training with Retarded Women
Assertive training was investigated to determine its usefulness in teaching mildly retarded women to become more assertive. The 10 subjects (ages 18-35, WAIS VIQ 50-75) were randomly assigned to either the assertive training or the control group. Experimental subjects received 5 weeks of daily assertive training sessions which employed modeling, behavior rehearsal, and focused instructions in a group setting. Specific components of assertive behavior were taught in the following order: (a) assertive refusals, (b) assertive requests, (c) posture, (d) eye contact, and (e) loudness, Results of a behavioral role-playing task administered to both groups before and after treatment revealed that assertaive training subjects made significantly greater improvement than controls in their assertive content, Additionally, these subjects manifested significantly more improvement than control subjects on a global assertiveness measure.
The Influence of Popular Music on Self-Disclosure Among Adolescents
Seventy-five adolescent members of a local church youth organization completed Jourard's 40-item Self-Disclosure Questionnaire. The subjects were assigned to three groups, matched for degree of self-disclosure. A control group filled out Green's Sentence Completion Blank. A second group filled out the completion blank after listening to popular music while reading printed lyrics. The third group listened and also wrote a few sentences about the "meaning" of the music. Two judges scored the sentence completion blanks for self-disclosure. An analysis of variance of the sentence completion scores was significant at the .05 level. However, the Scheffe method revealed that only the latter two groups' means differed significantly, in that the second group increased in disclosure while the third group decreased in self-disclosure. Several factors are discussed which may account for the results.
Impact of Yoga on Mental Well-Being
The present study sought to more rigourously explore outcomes of psychological well-being immediately following a psychotherapeutic yoga class. Specifically, the study hypothesized improvements in state anxiety and subjective well-being as well as an observable relationship between state and trait mindfulness following a yoga intervention, all while controlling for differences between yoga instructors, prior yoga experience, and participant endorsements of psychological symptoms. Previous yoga experience was not found to be a significant factor in any of the tested hypotheses. Findings revealed that psychotherapeutic yoga decreased anxiety and increased subjective well-being, even after controlling for therapist variability, prior yoga experience, and client diagnosis. Results also indicate differential impacts on decreased anxiety and increased subjective well-being by class instructor. This is the first study to examine outcomes of an ongoing yoga based-practices in the naturalistic setting of an outpatient counseling center while rigorously controlling for confounding factors (e.g. therapist variability). Methodological and statistical limitations are discussed in depth, and future directions to improve on this study and clarify the present findings are emphasized.
A Comparison of Drug Treatment for Insomnia and the Effect of Causal Attribution
A double-blind comparison was conducted using typical doses of soporific agents from three drug classes and a placebo. Drugs which were used in the study included secobarbital, flurazepam hydrochloride, and thioridazine. Subjects were 40 outpatient volunteers whose primary complaint was difficulty in falling to sleep. Subjects were randomly assigned to one of the three drug groups or the placebo group. One of the drugs or the placebo was administered to each subject for 3 nights. Half of the subjects in each of the four groups were told the drug had caused any observed changes in their sleep behavior and were in this way led to attribute any changed sleep behavior externally to the drug. The other half were told the drugs were not typically used to treat insomnia and changes in their sleep were due to changes made in their own behavior, thus attributing any changes in sleep behavior internally. The implication for clinicians was that a short course of drug therapy using a placebo or one of several soporific drugs might be used equally effectively to treat primary latency insomnia. Additionally, the results demonstrated that clinicians might expect the effectiveness of treatment to be maintained following treatment. Recommendations included a suggestion for future research with soporific drugs in other classes.
Denial of Risk: the Effects of Intentional Minimization on Risk Assessments for Psychopathic and Nonpsychopathic Offenders
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. self-report). The important implications of this research are discussed for risk assessment procedures regarding likely areas of deception and its detection. It also informs the growing literature on the connection between psychopathic traits and deception.
The Decrement of Stuttering as a Result of the Application of the Experimental Analysis of Behavior
This investigation is an attempt to apply the principles of the experimental analysis of behavior to the stuttering behavior of two clinical subjects. The experimental manipulations were performed in order to bring about a decrement in the stuttering rate of the two subjects.
Imaginal Response Events in Systematic Desensitization
The present research was undertaken to investigate the effects of two independent variables considered potentially important to the reduction of fear through systematic desensitization. The first independent variable investigated was the importance of making covert motor responses when instructions were given to imagine motor behavior. Electromyographic measures were obtained on subjects' covert muscular activity as they imagined themselves raising their arms. The subjects were then classified, on the basis of their average electromyographic responsiveness, as high-responders (those showing relatively high levels when imaging movement) and low-responders. A 2 X 2 analysis of covariance showed a significant difference in the posttreatment scores of the high- and low responders on performance measures, the high-responders performing better. The difference between the two instruction groups was not statistically significant. Additional analyses indicate the importance of the instruction variable is mitigated by the extent to which subjects actually follow the particular instructions given. These data imply electromyography may be used in clinical practice as an assessment tool to determine which subjects are likely to respond to systematic desensitization. They also suggest the possibility of using response measures to train self-monitoring of imagery. Concerning the imagery construct, the present study offers an empirical alternative to the traditional conceptualization. The data obtained support the utility of the analysis of imagery advanced in this paper.
The Effectiveness of Skin Temperature Biofeedback with versus without Cue-Controlled Training
This study compared biofeedback assisted cue-controlled skin temperature training with skin temperature biofeedback training in subjects attempting to raise the digital skin temperature of their dominant hand. In addition to classification according to training, the subjects were also divided into two diagnostic groups. One group was composed of subjects with cold hands and Raynaud's disease while the other group consisted of nonRaynaud's disease cold handed subjects. The treatment and diagnostic groups were compared along the dimensions of amount of posttreatment digital skin temperature change and degree of generalization of digital skin temperature control to a cold room challenge task.
A Multi-Element Psychological Management Program for Chronic Low Back Pain
This investigation utilized a novel, self-help, multi-element psychological program to manage chronic low back pain. A literature review indicated that this disorder was costly and prevalent, yet a large percentage of chronic low back pain patients did not respond to traditional treatment. Recent research has demonstrated that numerous psychological difficulties have been associated with this disorder, including depression and anxiety. It was hypothesized that these psychological concomitants of chronic low back pain maintain and promote further pain, as part of a vicious cycle. Self-help treatment attempted to break this tension-pain-anxiety cycle using various stress reduction, and cognitive and behavioral management strategies.
The structure of insight in patients with psychosis.
Failure to acknowledge their mental illness occurs in approximately half of all psychotic patients. Interest has been recently been refocused on insight (i.e., awareness of mental illness), and its associations with treatment compliance and better prognosis. Researchers have called into question the traditional factor structure of insight, instead viewing and defining it as a multidimensional and continuous construct. While factor analytic research has suggested that insight is an independent feature of psychotic disorders rather than a secondary manifestation of psychotic symptoms, several factor analytic studies have identified only one higher-order factor. Furthermore, a significant amount of the research literature has assessed insight or analyzed its relationships using only a single insight score. The current study evaluated the structural model of insight and assessed the associations between the different proposed dimensions of insight and psychotic symptoms. One hundred and six participants recruited from both inpatient and outpatient settings with a diagnosis of schizophrenia, schizoaffective disorder, psychotic disorder NOS, or bipolar disorder with psychotic features were rated on David's Schedule for Assessing Insight-Expanded Version (SAI-E), Birchwood's Insight Scale (IS), and the Brief Psychiatric Rating Scale (BPRS) or the Positive and Negative Syndrome Scale (PANSS). Structural equation modeling (SEM) was utilized to provide stringent, confirmatory statistical tests of the hypothetical factor models while accounting for measurement error. Principal findings from the current study were that the three factor model of insight was supported and that the insight factors were meaningfully correlated to the two symptom factors. Moreover, the three factor insight model provided significantly better fit than a single factor model of insight.
Effects of Note-Taking and Trust Level on Self-Disclosure of Prisoners
This study investigated the effects of trust level and note-taking upon the level of self-disclosure among prisoners. Sixty inmates at a federal prison were administered the Rotter Interpersonal Trust Scale. Next, using a median split, participants were divided into two groups of high and low mistrust. Subjects within each of these groups were then randomly assigned to a high, low, or no note-taking condition. Each prisoner then discussed an intimate topic for thirty minutes. Level of self-disclosure was measured by an abbreviated version of the Rotter Incomplete Sentences Blank. No significant differences were found as a function of trust level or note-taking condition. Some implications for further research are suggested.
Investigating patterns among demographics, identification practices, interventions, and educational outcomes for students with serious emotional disturbance.
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 in more restrictive settings and with achievement that is two or more years below grade level in reading and math. Additional findings and implications for future research as well as for current practice are discussed.
Evaluating Preventative Interventions for Depression and Related Outcomes: a Meta-analysis
The burden of depression requires modalities other than individual psychotherapy if we are to reduce it. Over the past two decades preventative programs for depression have been developed and refined for different populations. The six years since the last meta-analysis of preventative interventions—inclusive of all program types—have seen a number of new studies. The current study used the greater statistical power provided by these new studies to analyze moderators of, and sub-group differences in, the effect of these interventions on depression. Moreover, this meta-analysis synthesized effect sizes for outcomes other than, but often related to, depression (e.g., anxiety) and for within-group change scores with the goal of better informing program implementation and evaluation. Twenty-nine studies met inclusion criteria and indicated that small, robust effects exist for reductions in depression diagnoses and symptomatology. Significant effects were also observed for anxiety, general health, and social functioning.
Retrospective Evaluation of Malingering: A Validational Study of the R-SIRS and CT-SIRS
Empirically based methods of detecting retrospective malingering (i.e., the false assertion or exaggeration of physical or psychological symptoms reportedly experienced during a prior time period) are needed given that retrospective evaluations are commonplace in forensic assessments. This study's main objective was to develop and validate a focused, standardized measure of retrospective malingering. This objective was addressed by revising the Structured Interview of Reported Symptoms (SIRS), an established measure of current feigning. The SIRS' strategies were retained and its items modified to produce two new SIRS versions: The Retrospective Structured Interview of Reported Symptoms (R-SIRS) and The Concurrent-Time Structured Interview of Reported Symptoms (CT-SIRS). Forensic inpatients were used to test the R-SIRS (n = 25) and CT-SIRS (n = 26) which both showed good internal consistency and interrater reliability. The overall effectiveness of the R-SIRS and the CT-SIRS in the classification of malingerers and genuine patients was established in this initial validation study. Moreover, their classification rates were similar to those obtained by the SIRS. Pending additional validation, these measures are expected to increase the quality of forensic evaluations by providing the first standardized methods of assessing retrospective malingering.
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