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Cultural Humility, Religion, and Health in Lesbian, Gay, and Bisexual (LGB) Populations

Description: The purpose of this study was to explore the religion – health link in a sample of adults and undergraduate students (N = 555) that identified as lesbian, gay, or bisexual (LGB), and to explore how perceptions of cultural humility of religious individuals and groups toward LGB individuals affect the relationship between religion and health. First, I found religious commitment among LGB individuals was positively correlated with satisfaction in life, but it was negatively correlated with physical health. Second, I found that cultural humility moderated the relationship between religious commitment and satisfaction in life for LGB individuals involved in a religious community. The lowest levels of satisfaction with life were found for individuals with low religious commitment and perceived the cultural humility of their religious community to be low. However, cultural humility did not moderate the relationship between religious commitment and mental and physical health outcomes. Third, I found cultural humility did not moderate the relationship between religious commitment and minority stress (i.e., internalized homophobia). Fourth, I found that cultural humility was a significant positive predictor of motivations to forgive a hurt caused by a religious individual. I conclude by discussing limitations, areas for future research, and implications for counseling.
Date: August 2017
Creator: Mosher, David Keith

Development of a Self-Report Measure of Post-Traumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD) According to the Eleventh Edition of the International Classification of Diseases (ICD-11): The Complex Trauma Inventory

Description: The work group editing trauma disorders for the upcoming edition of the International Classification of Diseases (ICD-11) made several changes. Specifically, they significantly simplified the guidelines for post-traumatic stress disorder (PTSD) and added a new trauma disorder called complex PTSD (CPTSD). The new domains for PTSD and the addition of CPTSD require new instruments to assess these novel constructs. We developed a measure of PTSD and CPTSD (Complex Trauma Inventory; CTI) according to the proposed ICD-11 domains, creating several items to assess each domain. We examined the factor structure of the CTI (using both exploratory and confirmatory factor analyses) in two separate samples of diverse college students (n1 = 501; n2 = 500), reducing the original 53 trauma items in the item pool to 21 items. Confirmatory factor analyses supported two highly-correlated second-order factors (PTSD and complex factors), with PTSD (i.e., re-experiencing, avoidance, hyper-arousal) and complex factors (i.e., affect dysregulation, alterations in self-perception and alterations in relationships with others) each loading on three of the six ICD-11-consistent first-order factors (RMSEA = .08, CFI = .92, GFI = .87, SRMR = .06). Internal consistency for PTSD (α = .92) and complex factors (α = .93) are excellent.
Date: August 2016
Creator: Litvin, Justin M

The Moderating Effect of Religiosity on the Relationship between Attachment and Psychological Wellbeing in a Muslim-American Sample

Description: Although research on attachment theory has grown exponentially in the field of psychology, few studies exist that examine this theory among young Muslim-American adults, despite the fact that Muslim-Americans represent a significant and growing segment of the U.S. population. The first goal of the current study was to replicate the results of previous studies demonstrating a strong relationship between attachment and the selected wellbeing indicators of psychological symptoms and life satisfaction. The second goal of the proposed study was to examine the relationships among maternal attachment, Islamic religiosity, and psychological wellbeing. Findings provided partial support to the direct effects of attachment and religiosity variables on particular outcome variables but did not support the moderating effect of religiosity. High maternal Control was found to be predictive of less psychological distress, whereas both maternal control and care were found to be negatively associated with an interpersonal behaviors aspect of religiosity. In addition, those who endorsed practicing Islamic rituals were found to report less life satisfaction, and individuals who viewed the world through an Islamic lens reported higher psychological distress. Discussion on the findings, limitations of the study, future research directions, and counseling implications are addressed.
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Date: August 2016
Creator: Khan, Arubah

Community Gardening: a Novel Intervention for Bhutanese Refugees Living in the USA

Description: Since 2008, the United States (USA) has resettled thousands of Bhutanese refugees, providing brief financial support and pathways to citizenship. Despite the efforts of governing bodies and voluntary agencies which facilitate resettlement, many refugees struggle with adapting to the vastly different lifestyle, economy, language and social structures. In particular, effectively addressing psychological needs of this population is a challenge for service providers operating within an expensive health care system based on Western constructs of mental health. In response to this challenge, refugee resettlement agencies throughout the country use community gardens to promote psychological healing, self-sufficiency, community engagement, and a return of human dignity. Though success of these programs is being shared in the media, there has yet to be empirical data examining their impact. The current study tested whether Bhutanese refugee engagement in a community garden impacts symptoms of depression, anxiety, PTSD and somatic complaints. The study also investigated whether community gardening is associated with perceptions of social support and adjustment to life in the United States. Quantitative and qualitative data was collected from 50 adult Bhutanese refugees in Fort Worth, Texas. Gardening was significantly related to increased social support overall, a key factor in overall functionality within communal cultures; and specifically perceived tangible support was increased. A significant effect of gardening was also found for adjustment. Although a significant effect was not found for psychological and somatic symptoms, there is still evidence of effects on somatic complaints. Varying results from quantitative and qualitative data warrant further investigation into the nuanced work of clinical research and advocacy with refugee populations.
Date: August 2015
Creator: Gerber, Monica M.

Effects of Immaturity on Juveniles’ Miranda Comprehension and Reasoning

Description: Over the last several decades, researchers have documented how impaired reasoning by adult offenders impeded the intelligent waiver of Miranda rights. Logically, it stands to reason that juveniles – who are developmentally less mature and have less life experience than their adult counterparts – would possess even greater impairment, thereby heightening their risk for invalid Miranda waivers. Juvenile Miranda research supports this notion; with some researchers finding that psychosocial maturity, among other factors, affect a juvenile’s understanding of their rights. Yet, relatively few studies have examined its relation to Miranda reasoning and decision-making. Thus, the current study investigated the specific role of maturity in juveniles’ Miranda comprehension and reasoning. Participants included 236 legally-involved juveniles recruited from either a juvenile detention center or a juvenile justice alternative education program. The effects of psychosocial maturity were examined on a variety of Miranda-related measures and assessed a broad range of Miranda abilities. It was found that, in general, immature juveniles performed more poorly on all Miranda measures as compared to their mature counterparts. However, the impact of maturity varied considerably depending on the ability. Specifically, maturity was most important in the context of Miranda reasoning. As a novel addition to the literature, the current study also investigated the effects of developmental timing on maturity (i.e., immaturity-delayed versus immaturity-expected) on Miranda abilities.
Date: August 2015
Creator: Sharf, Allyson J.

Interpersonal Decentering in Relationship Breakups: Social Cognitive Maturity and Distress Recovery in Young Adults

Description: The termination of a romantic relationship, be it by breakup or divorce, is a fairly ubiquitous experience. Most individuals will recover from a traumatic experience of this nature; some however, experience substantial difficulties in recuperating that persist over time. For these individuals, relationship termination can invoke a variety of negative physical and psychological health outcomes. This project examines the role of social cognitive maturity, operationalized as Interpersonal Decentering, in recovery following a relational loss. Participants in this study were assigned to a pre/post control or measurement intensive (four visits) condition over the course of nine weeks. Individuals in the latter condition completed a Stream of Consciousness (SOC) task in which they discussed their breakup experience out loud for four minutes. These narratives were then transcribed and scored using the Interpersonal Decentering manual as adapted for Expressive Writing. Results indicate that – for women only – mature social cognition is inversely related to depressive mood at the initial visit. However, it is not related to initial PSTD symptomatology for men or women, nor does it predict decreases in depression and trauma symptomatology from the initial visit to the nine-week follow-up. Implications, limitations, and future directions for research of this nature are discussed.
Date: August 2015
Creator: Tucker, Molly S.

The Virtual Classroom As a Tool for the Assessment of Automatic and Controlled Processing in Autism Spectrum Disorders

Description: Assessment of executive functioning in neurodevelopmental disorders (e.g., autism) is a crucial aspect of neuropsychological evaluations. The executive functions are accomplished by the supervisory attentional system (SAS) and include such processes as inhibition, switching, and planning. Autism spectrum disorder (ASD) tends to present similarly to other neurodevelopmental disorders (e.g., ADHD). For example, ASD and ADHD may share similar etiological underpinnings in the frontostriatal system of the frontal lobe. Research on executive functioning in ASD has been mixed, thus the precise nature of executive functioning deficits in ASD remains equivocal. In recent years, simulation technologies have emerged as an avenue to assess neurocognitive functioning in individuals with neurodevelopmental disorders impacting frontostriatal function. Simulation technology enables neuropsychologists to assess neurocognitive functioning within a testing environment that replicates environments in which the subject is likely to be in everyday life, as well as present controlled, real-world distractions, which may be better able to tap “hot” executive functions. A Virtual Classroom Continuous Performance Test (CPT) has been used successfully to assess attention in individuals with neurodevelopmental disorders impacting frontostriatal function. The current study aimed to investigate executive functioning in individuals with high functioning ASD using a new construct driven Stroop assessment embedded into the Virtual Classroom. Group differences were found in the Virtual Classroom with distractions condition, indicating individuals with ASD may be more vulnerable to external interference control than neurotypical individuals.
Date: August 2015
Creator: Carlew, Anne R.

Apology and Forgiveness in Couples

Description: Following a transgression, interpersonal forgiveness is one strategy used to restore harmony between the victim and offender. Research also suggests that forgiveness can promote psychological and physical health. Research has shown that an apology from the offender may facilitate the forgiveness process. The majority of studies suggest that when a victim receives an apology, they experience higher levels of forgiveness toward their offender. The purpose of this thesis was to explore the association between apology and forgiveness in a sample of adults and undergraduate students (N = 803). The results are organized in three sections. First, I found a positive relationship between apology and forgiveness, replicating prior research. Second, I created a new measure of transgression severity, and provided evidence of internal consistency, construct validity, and criterion-related validity for this measure. Third, I tested two variables hypothesized to moderate the association between apology and forgiveness. First, there was some evidence that perceived offender humility moderated the association between simple apology and forgiveness. Offenders who were perceived as being more humble when providing a simple apology were granted more forgiveness than their less humble counterparts. Second, there was some evidence that transgression severity moderated the association between a complete apology and forgiveness, but the effect was in the opposite direction as hypothesized. For individuals who reported a transgression of high severity, there was a stronger association between the completeness of an apology and forgiveness than for individuals who reported a transgression of low severity. I conclude by discussing limitations, areas for future research, and implications for counseling.
Date: August 2014
Creator: Reyna, Samuel H.

Discrimination and Perceived Stress in Sexual and Gender Minorities: Self-esteem As a Moderating Factor

Description: Sexual and gender minorities are subjected to discrimination and stigmatization which increase vulnerability to psychological co-morbidities (Mays & Cochran, 2001). The mechanisms through which discrimination contributes to distress in lesbian, gay, bisexual and transgender (lgbt) communities can be partially elucidated through the minority stress model. The minority stress model argues that minorities are subjected to negative societal attitudes and discrimination that results in excessive psychosocial stress related to their minority position, which is distinct from daily stress. Meyer’s minority stress model is supported by social stress theoriesand data linking discrimination to stress in lgb samples. Researchers suggest that self-esteem buffers the negative effects of adverse experiences but tests of the moderating effect of self-esteem on the discrimination-distress relationship in ethnic and gender minorities yielded mixed results. Szymanski found that self-esteem moderates the relationship between discrimination and psychological distress in a male sexual minority sample, but this has never been tested in a gender-balanced sexual minority sample. We hypothesized that higher levels of self-esteem are associated with lower overall perceived stress in lgbt adults, and that self-esteem acts differentially in lgbt populations to moderate perceived discrimination. We found that discrimination, self-esteem and the interaction effect between discrimination and self-esteem accounted for 53 percent of the total variance in perceived stress scores, ∆R2 = .38; adj. R2 = .53, F(12, 133) = 14.47, p < .001.When we tested whether self-esteem moderated the relationship between discrimination and stress, discrimination was positively related to stress, β = .13, t(144) = 2.14, p < .05, and self-esteem was negatively related to stress, β = -.63, t(144) = -10.26, p < .001. The interaction between self-esteem and discrimination positively correlated with stress, β = .14, t(144) = 2.29, p < .05. Our findings suggest that self-esteem may alleviate the impact of discrimination on perceived stress, which ...
Date: August 2014
Creator: Wike, Alexandra Elizabeth

Effects of Religious Attendance on Suicidal Ideation: Examining Potential Mediators of Social Support, Locus of Control, and Substance Abuse

Description: Religion has a well-documented relationship with mental health benefits and has consistently demonstrated an impact on several specific mental health concerns, including suicide, generally finding various religious facets to be inversely associated with suicidal thoughts and behaviors. More specifically, religion has been found to be associated with suicide in a number of ways, including decreased acceptance of suicide, decreased likelihood of suicidal thoughts, decreased likelihood of suicidal attempts, fewer suicide attempts, lower relative risk of suicide, lower suicide rate, and increased reasons for living. Several studies have proposed potential mediators (e.g., social support, locus of control, and substance abuse) of the relationship between religion and mental health, usually in non-clinical samples. The current study sought to examine the association between religious attendance and suicidal ideation using archival data of a clinical sample collected from the University of North Texas Psychology Clinic. Results from this sample revealed no evidence of mediation, instead suggesting a direct effect of religious attendance on suicidal ideation. Two mediation models demonstrated the effects of external locus of control and social support on suicidal ideation. These models are discussed in terms of their directionality, considering the extant research on these associations. Findings of the current study have implications for welcoming the incorporation of salient religious topics throughout treatment in mental health settings, including discussion of religious attendance among those clients who have identified religion as a personal value.
Date: August 2014
Creator: Price, Samantha Danielle

An Exploration of the Criterion and Construct Validity of the Self-Compassion Scale

Description: Past research indicates that self-compassion has positive implications for psychological health and functioning. However, as a newly specified construct, the literature regarding self-compassion could benefit from a more thorough validation of the primary scale used in this area of research, the Self-Compassion Scale. In the present study, structural path analysis (using Amos) was used to explore the criterion validity of the SCS with four variables which have been theorized to be relevant to self-compassion (caregiver emotional responsiveness, fear of emotion, internalized spirituality, and achievement goal orientation). Initial hypothesis testing indicated support for the path model, with the exception of achievement goals which were not significantly associated with self-compassion. Trimming these paths in a subsequent analysis improved model fit. Interestingly, further analyses of the model indicated that the pairing of participant and parent gender produced substantial differences in path coefficients. Next, correlational and factor analytic methods were used to test the construct validity of the SCS. Correlational analyses found adequate convergent construct validity but some lack of divergent validity between SCS dimensions and conceptually similar constructs (i.e., fear of emotion, social connectedness and self-criticism). Confirmatory factor analysis indicated that a two-factor model fit the data better than the one-factor model proposed by the author of the SCS. The incremental validity of the two-factor model was supported by incorporating a two-factor SCS in the path analysis. In sum, these findings generally support the criterion validity of the SCS through meaningful associations with theoretically relevant variables but cautions that these associations are strongly influenced by gender. It is also strongly recommended that a two-factor model of the SCS be explored in further research to ascertain its incremental utility for understanding self-compassion’s positive effects on psychological health.
Date: August 2014
Creator: Farnsworth, Jacob K.

Factors That Influence Athletic Trainers’ Ability to Recognize, Diagnose, and Intervene: Depression in Athletes

Description: Athletic trainers (ATs) are professionals who are most directly responsible for athletes’ health care in a sport environment. ATs work with athletes on prevention, diagnosis, and treatment of athletic injury; it is through these interactions that put ATs in an ideal position to recognize the psychological and emotional distress that athletes may suffer. Consequently, the National Athletic Trainer’s Association (NATA) has called for ATs to be competent in implementing psychosocial strategies and techniques (e.g., goal-setting, imagery, positive self-talk), recognizing basic symptoms of mental disorders, and identifying and referring athletes in need of psychological help. I explored ATs’ ability to recognize, diagnose, and provide a referral for collegiate athletes who were presenting with symptoms of depression across three different scenarios. The study examined factors that may impact ATs’ abilities in these areas, including AT gender, athlete gender, and type of presenting problem (e.g., athletic injury, romantic relationship, or sport performance issue). Overall, female ATs were better at recognizing depressive symptoms than male ATs, though both were equally proficient at diagnosing depression. Regardless of gender of the AT, gender of the athlete, and presenting problem, ATs were most likely to refer the athletes to a counselor/psychologist, and to a lesser extent sport psychology consultant (SPC). ATs viewed referrals to an SPC as most appropriate for presenting problems related to sport (i.e., performance problem or injury). The results highlight a possible bias in referrals to an SPC, in that SPCs may not be considered an appropriate referral source for romantic relationship problems. Implications for ATs and recommendations for future research are discussed.
Date: August 2014
Creator: Nguyen, Thomas TN

The Influence of Perceived Stress on Insulin Resistance in Adults with Type 2 Diabetes

Description: Objective: To identify whether perceived stress is a risk-factor for higher cortisol levels and greater insulin resistance in Type 2 diabetic patients, using data from participants with and without diabetes in the National Survey of Midlife Development in the United States (MIDUS), specifically MIDUS II, Project 4. The following hypotheses were tested: (H1a) greater perceived stress would be associated with higher cortisol for Type 2 diabetic participants, (H1b) the perceived stress/cortisol relationship would be stronger for people with Type 2 diabetes than for those without it, (H2) greater perceived stress would be associated with higher Homeostatic Model Assessment-Insulin Resistance (HOMA-IR, insulin-resistance) for Type 2 diabetic participants, (H3a) subjective well-being would moderate the perceived stress/insulin resistance relationship for Type 2 diabetic participants, and (H3b) depression would moderate the perceived stress/insulin resistance relationship for Type 2 diabetic participants. Method: MIDUS, a longitudinal study of over 7,000 American adults, explores biopsychosocial factors that could contribute to variance in mental/physical health. Only complete data were utilized. Type 2 participants (n=115) consisted of 54 males and 62 females ranging in age from 36 to 81 years. Non-diabetic participants (n=1097) consisted of 470 males and 627 females ranging in age from 34 to 84 years. Results: None of the predicted relationships were statistically significant. Waist to hip ratio was significantly related to insulin resistance (r = .31, p = .001). Conclusions: Future studies should collect information about the type and duration of stressors in addition to perceptions about stress for those with Type 2 diabetes.
Date: August 2014
Creator: Phillips, Amanda S.

Personality and Mental Health Attitudes Among US Army ROTC Cadets

Description: With the current military mental health crisis, it is important to understand the role of the leader in military mental health. First, the impact of military leader behaviors on the well-being of military personnel is reviewed. Next, the role of leader attitudes as a precursor to leader behaviors is discussed. The relation of leader behaviors to leader personality using the NEO Five Factor Model (FFM) is reviewed, as well as the relation of prejudicial attitudes to the NEO FFM personality factors. A research project is described that attempted to draw these concepts together, assessing the NEO FFM personality dimensions and mental health attitudes of US Army ROTC cadets, the future leaders of the US Army. No significant relations were observed between NEO FFM personality traits and mental health attitudes, even after controlling for Impression Management. Also, the predicted positive correlation between positive mental health attitudes and Impression Management was not found. These results suggest that more research and more refined measures are needed in the area of leader attitudes toward soldier mental health problems, and how those attitudes might impact the soldiers.
Date: August 2014
Creator: Holtz, Pamela M.

Psychopathic Traits and Insecure Attachment Patterns in Community-based Subgroups

Description: There is a growing body of research on psychopathic traits in non-clinical populations. This emerging research has documented the prevalence of psychopathic traits in the general population and demonstrated that psychopathy has a similar latent structure as well as similar correlates (e.g., violent behavior, alcohol abuse, and lower intelligence) to forensic/offender samples. Relatedly, there is strong evidence insecure attachment patterns in adulthood are associated with many personality disorders, including psychopathy, but only a few studies have examined the relationship between attachment and psychopathic traits in non-clinical samples (albeit, convenience samples of college students). Thus, two aims of the current study are to: 1) describe and explore the manifestation and expression of psychopathic traits in a large, community-based sample and 2) examine associations between adult attachment disturbances and psychopathic traits in diverse sociodemographic subgroups. Using a cross-sectional design, results showed mean-level psychopathy factor score differences existed only when considering single sociodemographic factors (e.g., age), not an interaction of those factors. Psychopathy factor profiles were also consistent across groups, with higher levels of lifestyle followed by interpersonal, affective, and antisocial traits reported. Regarding the second aim, findings indicated support for the positive association between disturbed attachment patterns in adult relationships and psychopathic traits, although these associations differed in males and females of different age groups. Finally, there was some support for attachment processes acting as a social development pathway toward psychopathy, as insecure attachments in adulthood partially mediated the relationships between age and interpersonal, affective, and lifestyle traits of psychopathy.
Date: August 2014
Creator: Carter, Rachel M.

Psychosocial Mediators of the Fitness-depression Relationship Within Adolescents

Description: Adolescence is a developmental period during which boys and girls are at high risk of developing major or minor depression. Increases in fitness have been associated with lower levels of depressive symptomatology and improvements in psychological well-being, yet the mechanisms that underlie this relationship have not been thoroughly examined. Three such psychosocial variables (i.e. body satisfaction, social physique anxiety, and physical activity self-efficacy) have been identified as possible mechanisms and although they have theoretical support, additional research is needed to demonstrate empirically the potential effects of these variables. Self-report measures were used to assess the psychosocial variables and the Progressive Aerobic Cardiovascular Endurance Run (PACER) in conjunction with age, Body Mass Index [BMI], and sex was used to determine an estimate of aerobic capacity (VO2max). Path analyses were used to test the proposed model using version 6.2 EQS Multivariate Software. Results of study revealed that the boys’ and girls’ depressive scores were determined based on the extent that their fitness levels improved their satisfaction with their bodies and lowered the anxiety they experience in relation to real or imagined judgments of their physique. Although all pathways in the model were significant, with the exception of physical activity self-efficacy to depression, differences emerged between the boys and girls in terms of the strength of some of the relations amongst the variables. Limitations include restricted generalizability, self-report measures, and cross-sectional design. Results have implications for individuals in a context intended to improve physical and psychosocial well-being of adolescents.
Date: August 2014
Creator: Sheinbein, Shelly T.

Ability of Offenders with Psychopathic Traits to Simulate Cognitive and Affective Empathy

Description: The accurate assessment of psychopathy constitutes a critical component of forensic assessments addressing offender populations. Among the core characteristics of psychopathy, the interpersonal component of deception and empathic deficits are prominently observed in offenders with psychopathic traits. Given the negative consequences of being classified as a psychopath, offenders may be likely to minimize their psychopathic traits. In particular, no research has investigated whether offenders with psychopathic traits are able to simulate empathy in an effort to mask their cognitive or affective empathy deficits (e.g., lack of remorse about offenses). The present study aims to contribute to the literature with regard to the simulation of empathy. Using a mixed between- and within-subjects design, 81 male detainees were placed into (a) a low psychopathy group, (b) a moderate psychopathy group, or (c) a high psychopathy group based on the Psychopathy Checklist – Revised. For the within-subjects component, all offenders answered empathy questionnaires under genuine and simulation conditions. Results indicate the sample possessed cognitive empathy, but did not display affective empathy under genuine instructions. Under simulation instructions, participants significantly increased their scores on several empathy measures. The implications of simulated empathy and comparisons between groups regarding simulation abilities are discussed.
Date: August 2013
Creator: Robinson, Emily V.

Acculturation and Feminist Endorsement on Control of Health and Health Behaviors in Hispanic Females

Description: Hispanic women are the fastest growing population in the United States. Thus, it is important to explore health disparities that affect this population and better understand potential causes. Several explanations have been proposed for disparities that exist including turning to cultural alternatives rather than conventional medicine, low numbers of health insurance enrollments among Hispanics, and acculturation. However, little attention has been given to explanations that take into account the unique experiences of Hispanic women. The present study explored these experiences through investigation of endorsement of feminist attitudes (e.g., gender role adherence and beliefs that men and women should be treated equally in society) and level of acculturation. Undergraduate Hispanic women (18-24 years of age, M = 20.25, SD = 1.51) at the University of North Texas completed measures including the Multidimensional Health Questionnaire, the Acculturation Rating Scale for Mexican Americans-II, and the Liberal Feminist Attitude and Ideology Scale. Although results indicate that acculturation was not significant in the sample, feminist endorsement was found to be positively correlated with health-esteem, health-efficacy, and internal-health locus of control. Limitations and recommended directions for future research are explored.
Date: August 2013
Creator: Garner, Ashley Nicole

Internalizing-externalizing Psychopathology and Personality Pathology As Predictors of Treatment Rejection in Substance Users

Description: Substance use disorders (SUDs) are often comorbid with other psychopathology such as mood disorders, anxiety disorders, and personality disorders. While some research suggests individuals with comorbid psychopathology are more likely to seek substance use treatment than those with independent disorders, other studies have also shown many individuals with dual diagnoses still never seek treatment. Moreover, few studies have tried to elucidate the underlying structure of SUD treatment rejection, and instead examined it in more simplistic terms. In addition, studies have tended to examine the impact of individual disorders on treatment rejection, but have not incorporated an empirically supported approach to conceptualizing psychopathology in terms of comorbidity between broad latent dimensions referred to as internalizing (e.g., depression, anxiety) and externalizing (e.g., antisocial personality disorder, polysubstance use) psychopathology. Modeling psychopathology in terms of internalizing and externalizing psychopathology is becoming a prominent approach to understanding mental disorders, yet little research to date has investigated the effects these broad dimensions have on SUD treatment rejection. The current study utilized latent variable modeling techniques to (1) determine the latent structure of SUD treatment rejection in a large U.S. sample, and investigate whether treatment rejection is a multidimensional construct; and (2), to explore the ability of internalizing psychopathology, externalizing psychopathology, and personality pathology to predict the SUD treatment rejection factor(s). The current study relied on use of a general population sample of 43,093 individuals from the first wave of National Institute on Alcohol Abuse and Alcoholism's National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) study. Support was found for the hypothesis that SUD treatment rejection would be a multidimensional construct. Exploratory structural equation modeling indicated a three-factor model best fit the data. Operational definitions and clinical implications of these three treatment rejection factors ("Objective barriers," "Psychological barriers," and "Self-focused barriers") are discussed. Among internalizing psychopathology, ...
Date: August 2013
Creator: Lewis, Jonathan James

Minority Stress, Spirituality and Psychological Quality of Life in a Lesbian, Gay and Bisexual Sample

Description: Unique factors associated with the experience of spirituality and religiosity for many in lesbian, gay and bisexual (LGB) communities include minority stress. Using structural equation modeling, we examined whether minority stress mediates the relationship between spirituality and psychological quality of life (QOL). Results indicate minority stress mediates the relationship between spirituality and psychological QOL for gay men and bisexuals. However, minority stress is not a significant mediator for lesbians. Therefore, lesbians may experience minority stress and its relationship to psychological QOL differently than gay men and bisexuals due to higher societal acceptance. This study provides support for examining lesbians, gay men and bisexuals separately rather than as one sexual minority group.
Date: August 2013
Creator: Purser, Megan M.

Acculturation and Depression in Older Mexican American Adults: the Role of Social Support

Description: Despite socioeconomic disadvantages, less acculturated Mexican Americans tend to exhibit better mental health than their more acculturated counterparts. However, in the case of older Mexican American adults, research has demonstrated the opposite to be true (Gonzalez, Haan, & Hinton, 2001). A variable of interest potentially responsible for this difference is social support. Thus, the current study proposed to investigate the mediation and moderation effects that social support has on the relationship between acculturation and depression in older Mexican American adults age 60 or older. Data from the Health and Retirement Study (HRS) was analyzed. Results showed that the mediating effect of contact with one’s children (-.109*) and the moderating effect of total social support and contact with one’s children (-.127*; -.103*) were statistically significant in the relationship between acculturation and depression. Although these effects are small they may still hold important implications for better understanding this population.
Date: August 2012
Creator: Caballero, Daniela

Back in My Hands: The Role of Self-Forgiveness and Stigma in HIV-Positive Adults

Description: While advancements in treatment have made HIV a more manageable disease, only recently have psychosocial variables associated with the health of persons living with HIV (PLH) began to receive increased scrutiny. HIV-related stigma, considered by some researchers to be a “second epidemic,” is one such psychosocial variable and is associated with negative physiological and psychological health outcomes. In an effort to alleviate the effects of stress, increased research attention has focused on forgiveness as a teachable coping strategy. Current forgiveness interventions demonstrate encouraging results in decreasing anger and neutralizing stress but have not been applied to HIV-positive populations. In this study, Lazarus and Folkman’s transactional model of stress and coping (1984) and Prochaska and Velicer’s transtheoretical model of health behavior (1997) were utilized as theoretical frameworks to inform a randomized clinical trial that examines coping skills, particularly forgiveness, in PLH and perceived HIV-related stigma. An ethnically diverse sample of HIV-positive adults (n = 57) was randomized into a treatment or control group. The treatment group participated in six weeks of cognitive-behavioral group therapy that focused on the teaching of forgiveness as an effective coping tool while the control group was psychoeducational in nature and did not involve mention of forgiveness. Data was obtained on a variety of medical and psychosocial variables, including types of forgiveness (dispositional forgiveness, forgiveness of self, forgiveness of others, and forgiveness of situations) and perceived HIV-related stigma. Data were collected at three time points: at baseline (Time 1) prior to randomization of participants to the treatment or control group, immediately post intervention (Time 2), and at six-month follow-up (Time 3). Importantly, forgiveness was shown to be a teachable skill that PLH can use to potentially improve mental health. Men in the treatment group reported significantly higher levels of dispositional forgiveness and self-forgiveness than men in the ...
Date: August 2012
Creator: Hua, William Q.

A Comparison of the Pittsburgh Sleep Quality Index, a New Sleep Questionnaire, and Sleep Diaries

Description: Self-report retrospective estimates of sleep behaviors are not as accurate as prospective estimates from sleep diaries, but are more practical for epidemiological studies. Therefore, it is important to evaluate the validity of retrospective measures and improve upon them. The current study compared sleep diaries to two self-report retrospective measures of sleep, the commonly used Pittsburgh Sleep Quality Index (PSQI) and a newly developed sleep questionnaire (SQ), which assessed weekday and weekend sleep separately. It was hypothesized that the new measure would be more accurate than the PSQI because it accounts for variability in sleep throughout the week. The relative accuracy of the PSQI and SQ in obtaining estimates of total sleep time (TST), sleep efficiency (SE), and sleep onset latency (SOL) was examined by comparing their mean differences from, and correlations with, estimates obtained by the sleep diaries. Correlations of the PSQI and SQ with the sleep diaries were moderate, with the SQ having significantly stronger correlations on the parameters of TST, SE, and sleep quality ratings. The SQ also had significantly smaller mean differences from sleep diaries on SOL and SE. The overall pattern of results indicated that the SQ performs better than the PSQI when compared to sleep diaries.
Date: August 2012
Creator: Sethi, Kevin J.

Cross-measure Equivalence and Communicability in the Assessment of Depression: a Fine-grained Focus on Factor-based Scales

Description: Depression is heterogeneous, however, depression measures conceptualize it as homogeneous. To help fulfill NIMH's strategic plan to focus on components of depression, this study analyzed the psychometrics of factor-based subscales in the BDI-II, CES-D, IDAS, and IDS. CCA was also used to explore redundancy across measures. Using a diverse sample of symptomatic undergraduates, this study found the IDAS to be the best measure, with complete DSM-IV symptom coverage and psychometrically sound subscales. The other measures did not have consistent subscales or coverage of symptoms. Furthermore, CCA revealed low levels of redundancy across measures. These results serve to disabuse the field of a perception that different measures of equivalently measure depression. Conversion tables were provided to empirically compare scores from different measures.
Date: August 2012
Creator: González, David Andrés