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Dependent personality characteristics and clinical symptomatology in three clinical syndromes in inpatient vs outpatient settings

Description: The purpose of this exploratory study was to investigate the differences between dependent personality characteristics and clinical symptomology as measured by the MCMI-II, in three major psychiatric syndromes in inpatient and outpatient treatment settings.
Date: August 1992
Creator: Cross, Robert Michael
Partner: UNT Libraries

The Substance Abuse Subtle Screening Inventory: a Predictive Validity Study with Criminal Offenders Mandated to Rehabilitative Treatment

Description: The Substance Abuse Subtle Screening Inventory was constructed to screen for substance abuse patterns despite non-admittance of respondents. Predictive validity studies of the SASSI are limited, and are not available for probationers. Participants were 147 male and 54 female probationers mandated to treatment. Overall differences among SASSI scales were significant for treatment compliance and outcome. Higher SASSI scales were found among those probationers who were compliant/successful. Individual scales were not significantly different, however, a trend was revealed; those respondents who scored higher tended to comply/succeed in treatment. The SASSI alone accurately classified 59.7% of respondents. In summary, the SASSI's use in predicting treatment outcome is limited and should be employed with concomitant data.
Date: August 1996
Creator: Flores, Johnny Martin
Partner: UNT Libraries

The Analysis of Patient Status Following Substance Abuse Treatment and Utilization of Medical Care

Description: Subjects were 2,950 patients who had previously received inpatient treatment for substance abuse at 40 treatment centers in 13 states and were followed up by the Chemical Abuse/Addiction Treatment Outcome Registry (CATOR) via telephone during the 2 years immediately following their treatment. All subjects were contacted every 6 months and asked a series of questions regarding their relapse status, medical utilization, illnesses, injuries, and arrests. Patient status was based on 3 categories: (1) abstinence from any abuse of a chemical, (2) brief relapse of less than 3 months abuse of any chemical, or (3) total relapse of longer than 3 months of any chemical. Findings showed that abstainers had fewer days in the hospital for emotional problems and detoxification. Abstainers also had fewer visits to the hospital for emergency reasons. Males in the brief relapse category had a greater number of injuries than abstainers or total relapsers. Regarding arrests and automobile accidents, no difference was discovered. However, regarding Drunk While Driving (DWI) arrests, abstainers had fewer arrests.
Date: December 1988
Creator: Jones, French Allan
Partner: UNT Libraries

The Role of Experiential Avoidance in Trauma, Substance Abuse, and Other Experiences

Description: Experiential avoidance (EA) is a process in which a person attempts to avoid, dismiss, or change experiences such as emotions, behaviors, and thoughts. EA is associated with a number of psychological disorders and is generally harmful to psychological well-being. Various studies have explored the role of EA as a mediator, while others have studied EA as a moderator. The current study aimed to further understand and broaden the knowledge of the role of EA in regard to trauma, substance abuse, aggression, and impulsivity by examining relationships between these variables with EA as a mediator and as a moderator. Experientially avoidant behaviors (i.e., substance abuse, aggression, and impulsivity) were related to higher levels of EA. EA was found to partially mediate the relationship between the number of traumatic experiences and posttraumatic stress disorder (PTSD) symptoms, as well as the relationship between substance abuse and PTSD. EA was also found to moderate the relationship between PTSD symptoms and aggression. Findings from the present study as well as its limitations and future directions for research are discussed.
Date: August 2012
Creator: Pepper, Sarah E.
Partner: UNT Libraries

Early retention in substance abuse treatment: attachment, interpersonal functioning, and perceptions of treatment as predictors

Description: This study was designed to explore the cognitive-perceptual roots of attrition from substance abuse treatment. Previous research on interpersonal issues among substance abusers and attachment theory suggested areas for investigation: the perception of early parental care, current interpersonal functioning, and perception of the substance abuse treatment program.
Date: August 1992
Creator: Bryant, Kay
Partner: UNT Libraries

Explaining the Relationship Between Borderline Personality Features and Suicidal Ideation

Description: Researchers have previously identified substance use and borderline personality disorder as factors that increase risk for suicidal thoughts and behaviors. This study explored the relationship between these factors in samples of students and individuals seeking outpatient treatment. Supplemental data collected via the internet (MTurk) also looked at experiential avoidance (EA) with the Avoidance and Fusion Questionnaire for Youth. The Structured Clinical Interview for the DSM-IV, Alcohol Use Disorders Identification Test, Scale for Suicide Ideation, and Personality Assessment Inventory- Borderline Features Scale elicited information regarding severity and/or frequency of substance use, suicidal thoughts, and borderline features respectively. Additionally, the Psychiatric Diagnostic Screening Questionnaire was administered to the UNT sample. The UNT sample analyses indicate substance use moderates, strengthening, the relationship between borderline features and current suicidal thoughts. However, severity of suicidal thoughts was lower for individuals high in both borderline features and substance use disorder symptoms compared to those low in borderline features and high in substance use symptoms. The MTurk sample analyses suggest substance use functions as a mediator. A robust relationship existed between substance use severity and EA, showing substance use as a behavioral marker for EA. In conclusion, concurrent treatment of substance use and borderline personality features would be beneficial in reducing risk for suicidal thoughts. Further investigation into the role and utility of addressing EA is warranted.
Date: August 2014
Creator: Nichols, Erica
Partner: UNT Libraries

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
Partner: UNT Libraries

A Theoretical Framework of Organizational Pluralism: an Analysis of the Organizational Dimensions of Substance Abuse Programs in Selected Private Sectarian Institutions of Higher Education in Texas

Description: The researcher examined a relatively unexplored and limited territory dealing with higher education organizational pluralism pertaining to particalized substance abuse programs in private sectarian institutions of higher learning with student populations of under five thousand. The conceptual framework, which was a recapitulation of Lee G. Bolman and Terrence E. Deal's (1984) "multifaceted lens," applied to the human resource framework, the structural framework, the symbolic/cultural framework and the political framework in the administration of these selected substance abuse programs. The frames under which the respective substance abuse programs operate were identified by utilizing a semi-structured interview protocol. The study found usage of management frames by substance abuse program administrators to be in agreement with Bolman and Deal's "four frames theory," with the preferred management style consistent across the frames. The administrators of the substance abuse programs prefer the human resource frame almost categorically. Each institution places a strong emphasis on recruitment of an ideal type of student, modeled after a very clear and concise institutional mission statement. The pervasive theme of the mission message seeks potential Christian leaders only. Almost exclusively, the institutions studied do not tolerate substances of any sort. The administrators interviewed were knowledgeable about the various organizational frames and expressed concerns regarding the symbolic/cultural framework. With the exception of one institution, administrators of programs believe that the Christian ethic practiced throughout their institutions is the most significant factor preventing their institutions from utilizing the political frame during times of dwindling economic resources, thus remaining congruent with the institutional mission. The institutions studied were not complex in management structure and provide relatively unambiguous environments. The students and personnel have free access to administrators of substance abuse programs, who utilize prayer and the Christian ethic as important tools in intervention. This qualitative approach captured the essence of the organizational dimensions ...
Date: May 1993
Creator: Davis, Beth, 1948-
Partner: UNT Libraries

An Exploration of Altruistic Behavior of Substance-Abuse Facilities According to Their Ownership Status

Description: Using the 2009 National Survey of Substance Abuse Treatment Services (N-SSATS), this paper uses logistic regressions to explore the effect of facility ownership on a facility’s show of altruism. Facility’s show of altruism is operationalized as a facility offering free treatment to all its clients, free treatment to some of its clients, or a facility offering a sliding fee scale to its client base in order to absorb some of the cost of treatment based on a potential client's income. Region, receipt of public funds, and religious affiliation are added as covariates in order to gauge whether the potential relationship between facility ownership and a facility’s show of altruism is genuine. Results indicate that private, for-profit ownership status of a facility is associated with a lower likelihood that a substance-abuse treatment facility would engage in altruistic behavior. However, receipt of public funds acts as a mediating variable, in that, its inclusion raises the likelihood that a private, for-profit facility would engage in shows of altruism. Furthermore, it appears that religious-affiliation increases the likelihood that a facility would display altruism by providing free treatment, to some of its clients, or to all, but less likely to display altruism by employing a sliding fee scale. Overall, inclusion of region, receipt of public funds, and religious affiliation all produce statistically significant results, along with facility ownership. This suggests that there are a variety of variables, apart from facility ownership alone, that might be influential over a facility's show of altruism.
Date: December 2011
Creator: Galanova, Yekaterina (Katherine) Yur'Yevna
Partner: UNT Libraries

The Effectiveness of the PAI in Identifying Minimized Substance Use and Predicting Poor Treatment Outcomes in an Offender Population

Description: The accurate evaluation of substance use is a critical component of forensic assessment due to the well-established link between drug use sentencing issues and risk of recidivism. Due to limited resources and chronic time constraints, practitioners typically rely only on self-report measures to assess substance use (SU) patterns. As these measures directly inquire about SU patterns, they remain vulnerable to response distortion. This can lead to ineffective treatment recommendations made to the Court and misuse of resources. The present study investigated the utility of the PAI and SASSI-3 in identifying SU patterns in offenders mandated to a long-term treatment facility. As a second major component, offenders were examined post-release to identify predictors for poor treatment outcomes. Results found the direct questioning approach best identified SU patterns in the present sample. In addition, while statistically significant differences in treatment outcomes were not observed between offenders who endorsed a more severe course of their SU problem versus those who endorsed a much less problematic pattern of use, they were trending in the expected direction. Specifically, offenders who used "hard" drugs regularly (e.g., cocaine, heroin), had more negative consequences directly related to their use (e.g., more arrests, prior treatment), and had a more complex clinical presentation (e.g., endorsing more personality pathology) did have worse outcomes by follow up. Methodological and statistical limitations are discussed in depth, and future directions to improve on this study and clarify these relationships are emphasized.
Date: August 2018
Creator: Henry, Sarah
Partner: UNT Libraries

Variations in Suicidal Ideation Among Substance Users

Description: Research suggests that substance use is a risk factor for increased suicidal ideation. This study explored the relationship between substance use, suicidal ideation, and impulsivity in a sample of college students and individuals seeking outpatient treatment. Participants were interviewed for information on severity of suicidal ideation and substance use. Participants completed the Psychiatric Diagnostic Screening Questionnaire, the substance use section of the Structured Clinical Interview for the DSM-IV, the Alcohol Use Disorders Identification Test, the Scale for Suicide Ideation, and the UPPS-P Impulsivity Behavior Scale. These measures were used to determine the amount of variance in suicidal ideation accounted for by substance use. Variables reflecting substance use classification, frequency, and severity were used to predict severity of suicidal ideation.
Date: December 2012
Creator: Nichols, Erica
Partner: UNT Libraries

The effectiveness of Say It Straight communications training with adults in outpatient chemical dependency treatment

Description: This study compared an experimental group who participated in weekly Say It Straight (SIS) sessions as an adjunct to existing treatment protocols for a period of 6-8 weeks, to a control group who matriculated in treatment without the addition of SIS training for a period of 6-8 weeks.
Date: May 1999
Creator: Hardy, Rebecca B. (Rebecca Biggerstaff)
Partner: UNT Libraries

Node-Link Mapping and Rational Recovery: Enhancing the Recovery Process

Description: Alcoholics Anonymous (AA) continues to be the most accepted approach for the treatment of addictions in the United States. However, due to recent evidence questioning the effectiveness of AA, the need for alternative approaches to the treatment of addictions has become clear. The following research addresses the efficacy of one such alternative, Rational Recovery (RR). Node-Link Mapping (NLM), a graphic communication technique which uses links and nodes as building blocs to facilitate and enhance communication of information as well as awareness in a counseling environment, was implemented to enhance the recovery process. Three groups of ten (10), chemically dependent, adjudicated subjects were exposed to three different treatment approaches at an outpatient counseling center. The Experimental group received RR with NLM, the Comparison group was exposed only to RR, and the Control group continued in treatment according to the protocol of the counseling agency. All subjects were given the Substance Abuse Subtle Screening Inventory-2 (SASSI-2) as a measurement of symptoms associated with chemical dependency. The subjects were also administered the Rotter Internal-External Locus of Control Scale (Rotter I-E Scale) to determine locus of control prior to treatment and any change after treatment.
Date: August 1997
Creator: Schmidt, Eric A. (Eric Alexander)
Partner: UNT Libraries

Technologies for Understanding and Preventing Substance Abuse and Addiction

Description: This report has four parts. The first part focuses on several factors that are necessary for substance abuse and addiction to occur, including an examination of the biological research regarding the phenomenon of addiction to a variety of substances. The second part describes individual risk and protective factors that contribute to the abuse of, and addiction to, alcohol and drugs. The third part, looks at how risk and protective factors play out in subcultures and in major activity settings (home, school, workplace, and recreation), and assesses the effectiveness of various substance abuse prevention initiatives. The fourth section, addresses a range of legislative issues and options for Congress arising from an understanding of the factors leading to substance abuse and addiction.
Date: September 1994
Creator: United States. Congress. Office of Technology Assessment.
Partner: UNT Libraries Government Documents Department

Getting sober while incarcerated: An exploratory analysis of correctional substance abuse treatment programs

Description: Substance abuse is an expensive problem facing the American public and the criminal justice field. Using secondary data analysis this study examined 1,921 participants across five substance abuse programs within California and New York jail systems. Specifically this study explored the impact of location, demographic characteristics, offense committed, and previous drug treatment on successful completion of the treatment program. Descriptive analyses were used to examine the demographic characteristics of the sample and the types of drugs used by participants in the thirty days prior to jail admission. Results from bivariate analyses indicated that location, demographic characteristics, and previous drug treatment were all significantly related to successful completion. Implications for current correctional treatment programs and future research on this topic are discussed
Date: December 2007
Creator: Kimball, Bree A.
Partner: UNT Libraries

Treatment Effects Related to EEG-Biofeedback for Crack Cocaine Dependency: Changes in Personality and Attentional Variables

Description: EEG biofeedback (neurotherapy) has been demonstrated as effective in the treatment of alcoholism, as evidenced by Peniston and Kulkosky's research efforts. These neurotherapy pioneers evaluated the efficacy of alpha-theta brain wave biofeedback as a treatment for chronic alcohol abuse, citing 80% abstinence rates as measured by improvements in psychopathology, serum beta endorphin levels, and long-term alcohol abstinence. Most research with alpha-theta EEG biofeedback has addressed alcohol addiction. Cocaine is now considered to be the most common drug problem of patients entering treatment for drug abuse. To date, only one controlled study has been published that researched alpha-theta neurofeedback in the treatment of "crack" cocaine addiction. The present study was an extension of a 4-year EEG-biofeedback treatment outcome project underway at a faith-based homeless mission in Houston, Texas, with male "crack" cocaine addicts. Changes in personality, attention, and impulsivity were measured following 30 sessions of a non-individualized EEG -biofeedback protocol. Experimental subjects received a variant of the Peniston-Kulkosky alpha-theta protocol for 30 sessions while controls received all elements of the experimental protocol except the EEG biofeedback. Assessment measures included the MMPI-2 and the IVA. Although experimental subjects showed greater mean improvement on most MMPI basic scales and all IVA Attention related measures, results indicated no significant differences between control and experimental groups. The present study did not result in significant differences between control and experimental groups on attentional or personality variables in crack cocaine addicts. Implications and limitations of the study are discussed.
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Date: August 2005
Creator: Burkett, Virginia Shannon
Partner: UNT Libraries

Alcoholism Treatment Follow-up Related to Staff Members' Effectiveness

Description: The relationship was investigated between named staff members and four measures of reported alocohol consumption by alcoholics followed up one year after hospitalizstion in state hospitals. The 559 representative subjects were located, interviewed, and matched with 65 staff members named as "most helpful" to determine social, economic, and drinking aspects. Named personnel were administered the A-B Scale by Campbell, Stevens, Uhlenhuth, and Johansson (1968). Subjects naming A-staff members reported significantly lower levels of alcohol consumption on two of four measures as compared to subjects naming A/B- or B-staff members. Additional followup variables tended to support this conclusion.
Date: May 1978
Creator: DuBois, Richard L.
Partner: UNT Libraries

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
Partner: UNT Libraries

A Low Carbon Fuel Standard: State and Federal Legislation and Regulations

Description: This report analyzes the draft California standards, and discusses how those standards might work. Next, the report analyzes federal Low Carbon Fuel Standard (LCFS) legislation proposed in the 110th Congress. Finally, the report analyzes what effects an LCFS might have on state and national fuel supplies.
Date: December 23, 2008
Creator: Yacobucci, Brent D.
Partner: UNT Libraries Government Documents Department

The Effect of a Physical Conditioning Program on Physical Fitness and Health Locus of Control Among Adolescent Substance Abusers

Description: The purpose of this investigation focused on determining the effects of a physical conditioning program on physical fitness and health attitudes on inpatient adolescent male substance abusers during and following participation in a six week fitness program. The fitness measures chosen for this study were the 1 1/2 mile run, skinfold, sit-and-reach, and grip strength. The first four of these measures make up the AAHPERD test battery (AAHPERD, 1980). The Health Attribution Test (Lawlis and Lawlis, 1980) was administered to determine health locus of control.
Date: May 1982
Creator: Owen, Guy Madison
Partner: UNT Libraries

The Developmental Characteristics of Young Children Prenatally Substance-exposed

Description: The purpose of this study was to explore the developmental characteristics of young children (ages 11-60 months) with prenatal substance-exposure. A developmental rating scale, the Developmental Checklist (DC) of the Developmental Observation Checklists (DOCs) was utilized. The DC measures the domains of language, motor, social/behavioral, and cognition, as well as overall developmental status.
Date: December 1992
Creator: Taylor, Diane L. (Diane Louise)
Partner: UNT Libraries

Performance of Psychiatric and Head Injury Patients on the General Neuropsychological Deficit Scales

Description: Reitan and Wolfson's General Neuropsychological Deficit Scale and Left and Right Neuropsychological Deficit Scales were applied to Halstead-Reitan test data of individuals with psychotic or substance abuse disorders with and without a head injury.
Date: August 1997
Creator: Collingwood, Lisa M. (Lisa Marie)
Partner: UNT Libraries