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The Influence of Self-Efficacy Expectations on Rehabilitation Outcome in Spinal Cord Injured Individuals

Description: This study examined the relationship between Bandura' s theory of self-efficacy and the rehabilitation outcome of spinal cord injured persons. The study elicited selfefficacy expectations from fifteen subjects on three occasions: admission and two and four weeks later. Patients rated how they expected to perform six weeks after admission on fifteen rehabilitation behaviors. Patients' ratings were compared to actual performance ratings made by the medical staff on the Barthel Index. Results reveal that subjects' predictions two weeks and four weeks after admission were accurate (r = .74, < .01; r = .89, p < .001, respectively). Findings support the limited applicability of Bandura's theory of spinal cord injury rehabilitation. Recommendations for future research include examining variables which enhance self-efficacy and using a larger, more homogeneous sample.
Date: August 1984
Creator: Belanus, Anne
Partner: UNT Libraries

Rheumatoid Arthritis: A Follow-Up Assessment of Physical Functioning Abilities After Treatment in a Comprehensive Environmental Control Unit

Description: Two instruments were developed and administered to fifteen female and three male rheumatoid arthritics (mean age 44) previously hospitalized for allergy treatment by ecological methods. The Physical Functioning Ability Scale assessed functional capacity according to common daily activities, and the Rehabilitation Questionnaire surveyed adjustment problems subjects encountered after hospital discharge. ANOVA was performed on the functionality scale comparing dimensions of dependence, pain, and difficulty with categorical activities of mobility, work, and personal care, Significant F values (p(.05) were obtained for interaction and dimensions, but not for categories. Functional independence from human/mechanical assistance was particularly noted. Recommendation for future research concerns replicating this study using a control group of rheumatoid arthritics treated by traditional medical approaches.
Date: March 1981
Creator: Cockburn, Orbie
Partner: UNT Libraries

Cognitive and Perceptual-Motor Indicators of Lateralized vs. Diffuse Brain Damage in Adults.

Description: Among the goals of the neuropsychological assessment are to detect the presence of brain damage, localize which areas of the brain may be dysfunctional and describe subsequent functional impairments. The sensitivity of neuropsychological instruments in carrying out these functions is a question of some debate. The purpose of this study is to determine the utility of lateralizing indicators from the WAIS-III, McCarron Assessment of Neuromuscular Development (MAND) and Haptic Visual Discrimination Test (HVDT), from the McCarron-Dial System Neuropsychological Assessment Battery (MDS), in ascertaining the presence or absence of brain damage as well as location of lesion. The classification accuracies of using performance level indicators from these tests and lateralizing indicators, alone and together, were compared.
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Date: December 2002
Creator: Gregory, Erin Kathleen Taylor
Partner: UNT Libraries

Evaluation of the Preparation for Adult Living Training Program for Severely Emotionally Disturbed Adolescents in a Residential Treatment Center

Description: The purpose of this study was to determine the effectiveness of the Preparation for Adult Living skills training program by measuring the learning gains and learning outcomes of students participating in the training. The quasi-experimental posttest control group design was used. A treatment sample of twelve students received the Preparation for Adult Living training. A nontreatment sample was selected by matching the characteristics of educational and reading level and the gender of twelve students with no previous independent living skills training with those of the treatment sample. Students in the treatment sample were tested for learning gains using the Preparation for Adult Living Test. Both the treatment and nontreatment sample were tested using the post-training Preparation for Adult Living Scale to determine the level of their learning outcomes. The Preparation for Adult Living Test results were analyzed using the t-test for correlated samples of pretests and posttests. The t-test for independent samples was used to analyze the Preparation for Adult Living Scale results to determine the students' learning outcomes. A Pearson r correlation coefficient was calculated for Preparation for Adult Living Scale scores to determine if a relationship existed between employment and the life coping skills of the treatment sample. The findings indicated that no learning gains were made during the training, but that the training had an impact on the students' post-training life-coping skills. A strong relationship was found between the specific life-coping and employment skills of the treatment sample. Investigation of the reliability and validity of the Preparation for Adult Living Test and Scale instruments was recommended.
Date: May 1993
Creator: Hunter, Robert A. (Robert Allan)
Partner: UNT Libraries

Burnout among Nursing Faculty in Texas

Description: The study analyzed burnout of nursing faculty to determine the frequency, intensity, and predictors of burnout. Christian Maslach's burnout questionnaire, Maslach Burnout Inventory (MBI), and a demographic data survey were used to measure burnout. A random selection of 250 nursing faculty was mailed both a burnout questionnaire and a demographic data survey. There were 192 useable responses that were used in the study. Each questionnaire and demographic data survey were reviewed for completeness and rechecked for accurate data entry. The results were presented in summary tables. Data analysis included frequency, means, Pearson r, and downward, stepwise regression analyses. There was a high frequency and intensity of burnout in all nursing faculty, as measured in the three MBI subscales (depersonalization, emotional exhaustion, and personal accomplishment). There was a significant relationship between the number of hours nursing faculty spend with academic advising and the intensity of emotional exhaustion. None of the demographic data, except hours spent in academic advising, were a predictor of burnout.
Date: August 1992
Creator: Thomas, Nanci Terese
Partner: UNT Libraries

The Cross-Validation of AD/HD Instruments and the Relationship to Neurocognitive and Behavioral Measures

Description: The purpose of this study was twofold: to determine the construct validities of comparable AD/HD instruments that were developed according to our current, DSM-IV classification system for AD/HD; and to identify potential +neurocognitive and socioemotional markers for AD/HD. The sample consisted of 145 children ages 8 to 11 years of age who were diagnosed with Attention Deficit Hyperactivity Disorder (AD/HD), or Central Auditory Processing Disorder (CAPD). Children were administered a battery of neurocognitive tests and completed a self-report measure of personality. Parents completed several, AD/HD instruments pertaining to their children. The AD/HD instruments used in this study were the Attention Deficit Disorder Evaluation Scale-Home Version (ADDES), Attention Deficit Hyperactivity Disorder Test (ADHDT), and the Attention Problems and Hyperactivity scales from the BASC-Monitor (BASC-M). Of interest was how each AD/HD instrument compared to the DSM-IV, particularly in terms of the cross-consistency of AD/HD subtype classifications. The findings showed that the AD/HD instruments classified participants differently from the initial, DSM-IV entry diagnosis. Rates of agreement were better for some of the AD/HD instruments than for others yet there was little overall consistency. The neurocognitive measures used in the study were the Cognitive Assessment System-Basic Battery scales. The socioemotional measures used in the study were two parent-report scales from the BASC-M (Internalizing Problems and Adaptive Skills), and the child report scales from the BASC-Self Report of Personality. Results showed that the neurocognitive measures were relatively insensitive to AD/HD symptomatology while a nearly opposite trend was observed on the socioemotional measures. For the most part, participants classified as the ADHD-Combined Type (ADHD-CT), (regardless of which AD/HD instrument was used) had the most significant impairment in areas of social functioning and emotional symptoms across parent and self-reports.
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Date: August 2002
Creator: Hudson, Christine V.
Partner: UNT Libraries

Effects of Heart Rate Variability Biofeedback-assisted Stress Management Training on Pregnant Women and Fetal Heart Rate Measures.

Description: This study examined effectiveness of heart rate variability (HRV) biofeedback-assisted stress management training in reducing anxiety and stress in pregnant women and the effect of maternal stress management skills practice on fetal heart rate measures in real time. Participants were seven working pregnant women who volunteered in response to recruitment announcements and invitations from cooperating midwives. Reported state and trait anxiety and pregnancy specific stress were measured during five 45- to 50-minute training sessions. Training included bibliotherapy, instruction in the use of emotion-focused stress management techniques, and HRV biofeedback. Subjects used portable biofeedback units for home practice and were encouraged to practice the skills for 20 minutes a day and for short periods of time during stressful life events. At the end of training, fetal heart rate was monitored and concurrent maternal HRV measures were recorded. Repeated measures ANOVA and paired samples t-test analysis of study data revealed no statistically significant reductions in state or trait anxiety measures or in pregnancy specific stress measures. Partial eta squared (n²) and Cohen's d calculations found small to medium effect sizes on the various test scales. Friedman's analysis of variance of biofeedback measures showed a statistically significant decrease in low HRV coherence scores (X2 = 10.53, p = .03) and medium HRV coherence scores (X2 = 11.58, p = .02) and a statistically significant increase in high HRV coherence scores (X2 = 18.16, p = .001). This change is an indication of improved autonomic function. Results of concurrent maternal and fetal HRV recordings were generally inconclusive. A qualitative discussion of individual subject results is included. During follow-up interviews five subjects reported that they felt they were better able to cope with stress at the end of the study than at the beginning, that they used the stress management skills during labor, and that ...
Date: August 2008
Creator: Keeney, Janice E.
Partner: UNT Libraries

Personality Variables Relating to Facet Denervation Response

Description: The disabling conditions of chronic low-back pain continue to cost patient, family, and society. The intricate mechanisms which perpetuate this medical condition often consist of both organic and functional factors. This study evaluated personality and psychosocial variables which may control individual responses to facet denervation, a treatment for chronic lumbar distress. The subjects were 47 chronic pain patients whose symptoms conformed to the facet syndrome. Patient responses to the Minnesota Multiphasic Personality Inventory (MMPI) and the Sixteen Personality Factor Questionnaire were reviewed in an effort to predict statistically symptomatic relief. Also, the patients' involvement in litigation and their accuracy in determining their pain level were studied as possible influencing variables. Results show the litigation factor and two scalesof the MMPI to be most useful in predicting patient response from facet denervation treatment.
Date: May 1980
Creator: Spruance, Gilbert Owen
Partner: UNT Libraries

The Impact of Unresolved Loss on Adolescent Anger and Defiant Behavior

Description: This study examines the impact of issues of loss on adolescents. It was hypothesized that adolescents who experienced incidents of loss which were not adequately supported or processed to the point of resolution are much more likely to exhibit more angry and defiant behaviors than those who did not have such life experiences. Three instruments were used to identify loss and related impact. The first is the Interview Process, designed to identify issues of loss and screen for problematic behavior. This tool is used to qualify the participant for the study, and to designate which study group the participant will be assigned. The Family Constellation Exercise is an experiential assessment tool that exemplifies how emotionally close or distant the participant feels in relation to his or her nuclear family members. The Minnesota Multiphasic Personality Assessment - Adolescent version (MMPI-A) is used to identify behaviors and thought patterns associated with anger and defiance.The study was able to conclude that there is a strong potential for unresolved loss to negatively impact an adolescent. The study also discovered that many teenagers who do not exhibit angry or defiant behaviors have also experienced loss, yet do not act out anger. Suggestions are made as to why this is so, and implications for future research are made.
Date: August 2000
Creator: Myers, Janell
Partner: UNT Libraries

Effects of Childhood Sexual Abuse on Brain Function as Measured by Quantitative EEG, Neuropsychological, and Psychological Tests

Description: Childhood sexual abuse (CSA) has been the subject of much recent controversy as a result of Rind, Tromovitch and Bauserman's (1998) meta-analytic examination of CSA, which found a weak relationship between CSA and self-reported psychopathology in college samples. There have been few studies of CSA which look beyond self-report. The present study is an exploration of the relationships between CSA, quantitative electroencephalographic (QEEG), neuropsychological, and psychological measurements in 24 high-functioning, unmedicated CSA adults who were matched for age, gender, and handedness with a group of adults without CSA (NCSA). The objectives of this study were to: 1) examine EEG abnormalities associated with CSA, 2) investigate QEEG cortical coherence in the groups using neuroelectric Eigen image (NEI) connectivity indices (Hudspeth, 1999), 3) integrate personality differences associated with CSA with EEG differences, and 4) better understand left versus right hemisphere functioning in CSA using intelligence testing. An examination of QEEG cortical coherence revealed moderate to large effect sizes indicating patterns of decreased connectivity between brain regions on the right frontally in the delta band, and frontally and centro-temporally on the right in the alpha band, and posteriorly in the alpha and beta bands, as well as in the cross-correlation; increased connectivity between brain regions was evidenced centrally across the motor strip and on the left temporally in the delta band, which differentiated the groups. Large effect sizes obtained on measures of personality were related to poorer adjustment for CSA adults in comparison to NCSA adults. In contrast to prior findings with clinical groups (Black, Hudspeth, Townsend, & Bodenhamer-Davis, 2002; Ito et al., 1993), hypotheses related to QEEG cortical coherence (left hemisphere alpha hypercoherence and right hemisphere theta hypocoherence), EEG abnormalities, and IQ (Verbal less than Performance) were not supported. Walker's (2003) theoretical modular coherence model was utilized to integrate coherence and personality ...
Date: August 2005
Creator: Black, Lisa Myers
Partner: UNT Libraries

The Perceived Role of the Post-Secondary Transition Team Leader in Special Education in Texas

Description: The role for the transition team leader (TTL) has not been formalized at the state level in Texas. The purpose of this study was to determine the current perceptions of the public school superintendents in Texas for the roles, responsibilities, and functions of the TTL. The framework of the survey questionnaire was based on eight categories of expertise for the TTL derived from a review of the literature and from professional experience in preparing handicapped individuals for the world of work. The findings are listed as desirable and undesirable characteristics for the role or job description of the TTL. The desirable characteristics for the role of TTL were viewed as: (a) having experience with handicapped populations, (b) having skills to supervise others, (c) being a liaison between agencies, (d) making program adjustments as needed, (e) providing training, (f) knowing how to explain the transition program to staff, (g) being a liaison with parents, (h) being a liaison with community employers, (i) knowing pertinent regulations, (j) knowing the characteristics for each of the handicapping conditions, and (k) knowing the options and barriers to transportation for handicapped individuals in the community. The least desirable characteristics identified with the role of the TTL were: (a) The need for certification of the TTL, (b) making curricular changes at the elementary level, (c) the TTL as the Educational Diagnostician, (d) the TTL as a parent of a handicapped individual participating in the transition program, and (e) the TTL encouraging severely handicapped individuals to remain in the public schools until the maximum age of 21. These categorical data were grouped by ESC area with urban, suburban, and rural demographics. These data were analyzed by a three-way ANOVA design and significant differences were found by category, by ESC area, and by population designation. The public school superintendents ...
Date: May 1990
Creator: Davenport, Billy Gene
Partner: UNT Libraries

QEEG and MMPI-2 patterns of adults reporting childhood sexual abuse: Determining differences and predictor models.

Description: Childhood sexual abuse (CSA) has been linked to a number of adult psychological maladies. The MMPI-2 has shown specific patterns such as an inverted V in the validity scales, a floating profile, and a 4-5-6 configuration to be present more often in adults who have experienced childhood trauma. Both children and adults who have experienced trauma have shown a number of neurophysiological differences when compared to non-traumatized individuals. However, little research has looked at differences in quantitative electroencephalography (QEEG) patterns in these individuals. The purpose of this study is to determine differences seen in the MMPI-2 and the QEEG when comparing adults who report CSA to adults who deny any history of childhood abuse. Differences between the two groups in MMPI-2 basic scales and supplementary scales PK and PS were determined. This study also examined the ability to correctly classify individuals into the two groups using three patterns seen in the MMPI-2 basic scale profiles (inverted V, floating profile, and 4-5-6 configuration). In addition, this research included exploratory analyses to develop predictor models for CSA group membership. Predictors in the models were derived from MMPI-2 scales, alpha relative power at each of the 19 sites in the International 10/20 electrode placement system, as well as alpha/delta, alpha/theta, and alpha/beta ratios at each of the 19 sites. A total of 46 participants were included in this study, 24 from archived files and 22 newly recruited individuals. Each participant received a MMPI-2 and a QEEG. Significant differences were found between the MMPI-2 scores of the two groups, but MMPI-2 patterns were unable to correctly classify individuals. Models were found which were clinically relevant and statistically significant. The models were based on depression and social maladjustment. The depression models included scales F and 2 of the MMPI-2 and alpha relative power at left ...
Date: December 2003
Creator: Townsend, Alicia
Partner: UNT Libraries

Spirituality, health locus of control, and wellness in organizational health promotion and wellness programs

Description: 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.
Date: August 2001
Creator: Gauthier, Janine E.
Partner: UNT Libraries

Neuropsychologic correlates of a normal EEG variant: The mu rhythm.

Description: Although the mu rhythm is traditionally defined as a normal EEG variant, recent evidence suggests that mu may have functional significance in a variety of disorders such as autism, Parkinson's disease, and multiple sclerosis. While an increasing number of articles have focused on the blocking mechanism of mu in relation to various cognitive processes and disorders, few have examined the significance of a prominent mu rhythm in the background EEG. A few studies have examined the relationship between the mu rhythm and psychological disturbance, such as attentional and affective disorders. Increasing evidence suggests that EEG and qEEG variables may be useful in classifying psychiatric disorders, presenting a neurophysiological alternative to traditional symptom-based diagnosis and classification. Thus, the intention of the present study was to examine the relationship between neuropsychological variables, gathered from multiple assessment sources, and the presence of a prominent mu rhythm in the EEG. Results did not show a statistically significant difference between individuals with and without a prominent mu rhythm on the Test of Variables of Attention (TOVA); although individuals in the mu group showed a pattern of increased impulsivity and performance decrement over time. For adults, no significant differences were observed between groups on psychological variables measured by the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). However, for children, the mu and control groups differed on several behavioral and emotional variables on the Child Behavior Checklist (CBCL). Results are examined in the context of other research and clinical implications are discussed.
Date: August 2008
Creator: Simms, Lori A.
Partner: UNT Libraries

Psychological characteristics contributing to performance on neuropsychological tests and effort testing.

Description: The issue of effortful patient performance has been an area of clinical interest in individuals with minor traumatic brain injury (mTBI). Clinical attention to this area has increased largely because of an increase in the number of worker's compensation claims, injury-related lawsuits and/or insanity defense pleas. As patients are presented with the opportunity for secondary gain, the issue of optimum performance on neuropsychological measures becomes salient. In addition to neurocognitive deficits, there are psychological characteristics associated with mTBI including depression, emotional disturbance, personality changes, and other psychopathology. This study utilized the MSVT, a set of standard neuropsychological instruments, and the Minnesota Multiphasic Inventory-2 (MMPI-2) to investigate the relationships between effort, psychological characteristics, and neuropsychological functioning in individuals with minor traumatic brain injuries. The first objective of this study was to determine which psychological factors were related to effort in mTBI. The second objective was to determine if there were differences between groups that performed poorly on effort testing and groups that performed adequately on effort testing, based on relevant psychological characteristics. The results of the analyses supported the first hypothesis. Hysteria was inversely related to effort, and Mania was positively related to effort on one of five measures of effort. The second hypothesis was not supported.
Date: August 2008
Creator: Hilborn, Robert Scott
Partner: UNT Libraries

Heart rhythm variability in persons with chronic pain.

Description: The present study evaluated the utility of heart rhythm coherence (HRC) feedback to reduce the reported pain intensity of patients enrolled in a multimodal pain management program. Participants were recruited and assigned to a usual treatment group (UT) or a heart rhythm coherence feedback group (UT+HRC). It was hypothesized that UT+HRC participants who achieved heart rhythm coherence would report a reduction of pain intensity, as measured by the McGill Pain Inventory. For those whose pain intensity decreased, it was also expected that their self reported levels of depression as measured by the Beck Depression Inventory-Second Edition and state anger as measured by the State Trait Anger Inventory would decrease. It is also hypothesized that with a reduction in pain levels, anger, and depression, blood pressure would also decrease among those who had high blood pressure prior to the intervention. Multivariate analyses of variance (MANOVA) were used to investigate the relationship between treatment condition, coherence status and pain levels. A series of independent t-tests were utilized to investigate the change in pain, depression, and state anger from baseline to posttest, followed by Pearson product moment correlation coefficients on difference scores to understand the relationship between the outcome variables for Hypothesis 2. Standard multiple regression analyses were computed using difference scores to determine if the outcome measures were significant predictors of systolic blood pressure and diastolic blood pressure. Results indicated a failure to reject the null with regard to hypothesis one. No relationship between treatment assignment, coherence status or pain levels were found. Hypothesis 2 was partially supported. Although there was a positive significant relationship between depression and anger when utilizing difference scores, these affective measures were not related to difference scores on either pain measure. In regard to Hypothesis 3, there was also a failure to reject the null. None of ...
Date: August 2008
Creator: Saxon, LaDonna Christine
Partner: UNT Libraries

Efficacy of neurofeedback for children with histories of abuse and neglect: Pilot study and meta-analytic comparison to other treatments.

Description: This two-part study investigates the effectiveness of neurofeedback training for reducing behavioral problems commonly observed in abused/neglected children, and compares its efficacy to other treatment interventions with this population. Neuro-developmental sequelae of early relationship trauma are explored as an etiological framework for understanding disturbed affect-regulation, which appears central to the behavioral and emotional difficulties commonly experienced by this pediatric population. It is suggested that neurofeedback teaches children to self-regulate brain rhythmicity mechanisms, which in turn affects global improvements in behavior and mood. The pilot study utilizes records of 20 children removed from their biological homes by Child Protective Services. Children were assessed prior to treatment using the Child Behavior Checklist (CBCL) and the Test of Variables of Attention (TOVA), and again after 30 sessions of individualized, qEEG-guided neurofeedback training. A t-test analysis of pre- and post-scores was computed, and indicated significant improvements following treatment. A meta-analysis of existing literature on treatment interventions with abused/neglected children provides individual and aggregate effect sizes for 33 outcome studies with this clinical population, and contextualizes the results of the present pilot study within other empirically validated treatment modalities. Establishment of an overall effect size for treatment for this pediatric population provides a needed method of comparing research results across studies when control groups may not be ethical or feasible.
Date: August 2008
Creator: Huang-Storms, Lark
Partner: UNT Libraries

Improving the Definition of Exercise Maintenance: Evaluation of Concepts Related to Adherence

Description: Physical activity has been demonstrated in the literature as an effective way to reduce the risk for development of chronic disease. The Transtheoretical Model (TTM) of behavior change has been developed as a means to predict and facilitate movement into healthier lifestyle behaviors. The model is centered on "stages of change", which describe a continuum of readiness to engage in a health behavior change. Stages contain temporal, qualitative, and quantitative characteristics. This was a six-month study that evaluated the effectiveness of stage-matched (theorized to be pertaining only to the maintenance stage of change) vs. generic (theorized to be pertaining to anyone, regardless of stage) newsletters in assisting subjects to attain the Maintenance stage of change. It also sought to identify further qualitative characteristics that can differentiate between the Action and Maintenance stages of change. Results indicated that monthly stage-matched newsletters were no more effective in helping subjects reaching Maintenance than were the generic newsletters. Exerciser self-schema was related to stages of change, but those relationships differed from baseline to six-month follow-up, indicating development of exerciser self-schema during the study period. Implications of this are discussed. Other concepts discussed included "structure" of change process, in that three new scores were developed and correlated with self-efficacy as well as intercorrelated. Motivation was also evaluated and compared across levels of success at adhering to exercise during a three-month period. Limitations of the study and implications are discussed.
Date: August 2002
Creator: Wilcox, Susan E.
Partner: UNT Libraries

Effects of Experiential Focusing-Oriented Dream Interpretation

Description: This study was designed to examine the effects of Experiential Focusing-oriented dream interpretation. The process was twofold. The first part of this study involved a preliminary step of developing an instrument, the Dream Interpretation Effects Questionnaire (DIEQ). The DIEQ assessed specific effects of Experiential Focusing-oriented dream interpretation, e.g., a sense of easing, fresh air, or movement, increased positive energy or self-understanding, development of a new step, enhanced valuation of dreams, or enhanced understanding of the meaning of the dream. Fifty-two adult volunteers participated in the first part of this study. All participants completed Part One of the DIEQ after reporting a dream and freely associating its meaning to another participant. The results were computed to establish the reliability of the DIEQ. The researcher then used the DIEQ along with a structured interview in a pretest-posttest control group design to examine the effects of Experiential Focusing-oriented dream interpretation. Twenty adult volunteers experienced in Experiential Focusing participated in the second part of this study. They were randomly assigned to an experimental group and a waiting-list control group. The experimental participants completed the DIEQ before (pretest) and after (posttest) a 45-minute Experiential Focusing-oriented dream interpretation intervention. By contrast, the control participants completed the DIEQ before (pretest) and after (first posttest) a 45-minute no-intervention waiting period. Then, the control group participants received the same intervention as the experimental group and completed the DIEQ (second posttest). All participants participated in a structured interview to conclude the study.
Date: August 1998
Creator: Kan, Kuei-an
Partner: UNT Libraries

Relationship of Alpha-Theta Amplitude Crossover during Neurofeedback to Emergence of Spontaneous Imagery and Biographical Memory

Description: I obtained 182 session graphs from 10 client records from a university-based neurotherapy clinic and from a private practitioner. These graphs were used to examine the relationship of therapeutic crossover activity (defined as at least 3 minutes in duration and at least 1μv in amplitude) with and without predetermined amplitude thresholds of beta (15-20Hz) to client reports of imagery and to treatment outcomes. Crosstab analysis revealed that significantly more reports of imagery were observed in the therapeutic crossover with beta condition and that higher amplitudes of slower brainwave activity correlated with progression to deeper states of consciousness. Multi-level modeling revealed a significant interaction between therapeutic crossover activity, higher beta frequency amplitude, and reported salient imagery. Due to small sample size, significance testing was not deemed appropriate. However, observation in change of pre-post scores suggested that individuals who experienced more therapeutic crossover with sufficient beta amplitude conditions had greater improvements on post-test measures (BAI, BDI, BHS, PSQI and MMPI) than those with no or few crossovers. Higher amplitudes of slower brainwave activity correlated with progression to deeper states of consciousness, with delta amplitude positively correlating with transpersonal states. Reports of imagery and/or biographical memory are much more likely to occur during theta-alpha crossover activity characterized by 3 minutes or more in duration, one microvolt or more in amplitude, and 3.75μv amplitude or more of beta. This defined therapeutic crossover condition does appear to facilitate recall of imagery and memories during alpha-theta neurofeedback and was related to better treatment outcomes.
Date: August 2011
Creator: Johnson, Mark Lawrence
Partner: UNT Libraries

Predicting Weight Loss in Post Surgical Laparoscopic Banding Patients

Description: The present study was a retrospective chart review (N=128) that investigated the efficacy of profiles derived from the three factors of the Eating Inventory® test (EI) - cognitive restraint, disinhibition, and hunger - to predict successful weight loss in post surgical laparoscopic banding patients at 6 and 9 months post surgery. Although the EI is commonly used in bariatric presurgical assessment, few studies have found consistent relationships between presurgical factor scores and subsequent weight loss in this population. Based on restraint theory, 7 profiles (high CR, super high CR, high D, super high D, high H, super high H, and null) were derived from the raw scores on the subscales of the EI and tested for weight loss predictive ability using direct logistic regression. Results were mixed with high CR, super high CR, and null profiles accurately predicting successful weight loss. Raw scores on the three factors (cognitive restraint, disinhibition, and hunger) were tested individually for predictive ability using direct logistic regression. Overall results indicated that the profile model accurately predicted more cases than the general factor model. This study significantly contributes to both the bariatric presurgical assessment literature and the restraint theory literature. Suggestions for future research are offered.
Date: May 2007
Creator: Frensley, Susan J.
Partner: UNT Libraries

The utility of the McCarron-Dial System in determining location of brain lesion.

Description: Among the goals of neuropsychological assessment are to detect the presence of brain damage, localize which areas of the brain may be dysfunctional, and describe subsequent functional impairments. The sensitivity of neuropsychological instruments in carrying out these functions has long been a question of debate. The purpose of the present study was to determine the utility of various performance level indictors and lateralizing indicators from the McCarron-Dial System Neuropsychological Assessment Battery (MDS) in ascertaining the presence or absence of brain damage as well as location of lesion. Models used in the present study appear to provide increased classification accuracy compared to other studies utilizing the MDS. The MDS was also shown to be comparable to other well-known neuropsychological batteries, including the Halstead-Reitan Neuropsychological Test Battery (HRB) and the Luria-Nebraska Neuropsychological Battery (LNNB) with regard to distinguishing between those with brain damage and normal controls, and also localizing brain lesion. The results of this study offer clinicians parsimonious models to evaluate for presence of lesion and its location so this information may be used to make accurate, thorough diagnoses and appropriate treatment and rehabilitation recommendations.
Date: August 2004
Creator: Taylor, Erin Kathleen
Partner: UNT Libraries

Identifying AD/HD subtypes using the cognitive assessment system and the NEPSY

Description: The purpose of this study was to examine the ability of the Cognitive Assessment System (CAS) and the NEPSY, A Developmental Neuropsychological Assessment, to differentiate between the subtypes of Attention Deficit/ Hyperactivity Disorder (AD/HD). The CAS and NEPSY are neuropsychological instruments which provide norms for AD/HD children in general. This study examined the performance of the two subtypes of AD/HD on the CAS and NEPSY. In addition, this study examined the performance of the two AD/HD groups on the Screening Test for Auditory Processing Disorders (SCAN). Since AD/HD children tend to have difficulty with language, the SCAN was used to determine if any of the AD/HD subjects had auditory processing difficulties that might impact their performance on the CAS and/or NEPSY subtests. The sample consisted of 118 children between the ages of 8 and 12 years of age. Using the DSM-IV criteria, the children were diagnosed as having three types of AD/HD: A Predominantly Hyperactive-Impulsive Type (AD/HD-HI), a Predominantly Inattentive Type (AD/HD-I) and a Combined Type The subtypes were also identified by the Attention Deficit Disorders Evaluation Scale-Home Version (ADDES-H). Only two subtypes, AD/HD-I and AD/HD-C, were identified by the ADDES-H. There were not enough AD/HD-HI subjects to include in the study. Therefore, this study focused on the AD/HD-I and AD/HD-C subtypes. A binomial logistic regression analysis was conducted on the AD/HD-I and AD/HD-C subtypes with selected subtests of the NEPSY and the four PASS Scales of the CAS. Results indicated a significant difference between the AD/HD-I and AD/HD-C groups on the Tower subtest of the NEPSY and the Planning Scale of the CAS. The Tower and the Planning Scale are both purported measures of executive functioning; however, results of the Planning Scale were in an unexpected direction. No significant difference was found between the two AD/HD groups on the ...
Date: August 2001
Creator: Pottinger, Lindy Sylvan
Partner: UNT Libraries

Parental Influence on Pediatric Feeding Disorders

Description: The purpose of this study was to investigate parental influence on treatment progression in children with feeding disorders. Children diagnosed with a feeding disorder were recruited with their parents at the Children's House at Baylor (N=22; 11 boys, 11 girls). Caloric intake was recorded daily as outcome measures of treatment progression. It was hypothesized that the initial parental participation would delay the child's progress as measured by caloric intake. Patient's average caloric intake (measured in grams) for 3 days prior to parents entering the room was compared to the average caloric intake measured for 3 days after the parents entered the room. A paired t-test was performed on the averaged caloric intake three days pre and post-parental presence, yielding significant results: t(21) = 3.17, p = .005. Caloric intake was greater prior to parent involvement (M = 811.17) as compared to after the parent entered the room (M = 704.88).
Date: December 2006
Creator: Didehbani, Nyaz
Partner: UNT Libraries