The purpose of the current study was to explore the relationship between cognitive status and depression in a sample of geriatric patients. Participants included 282 geriatric patients ranging in age from 65 to 96 years who were classified according to diagnosis as: DAT, VaD, MCI, and Norm. All were referred for neurocognitive testing from the Geriatric Assessment Program (GAP) at the University of North Texas Health Science Center (UNTHSC) in Fort Worth, Texas. This study sought to identify factor structures for two versions of the GDS using a geriatric sample of cognitively impaired and intact patients. It then compared these factors to each other to determine whether the GDS-15 is truly a shorter version of the GDS-30. These were then compared to a previously determined factor structure. This study explored whether the four-factors of the GDS-30 are able to differentiate cognitive diagnostic groups. Further, this study sought to identify whether the severity of cognitive decline impacted GDS factor score for each of the cognitively impaired groups. Results revealed a two-factor model of the GDS - 15 and a four-factor model with the GDS - 30. The GDS-15 factors did not differ from the first two factors of the GDS-30. Comparison …

The current study utilized structural equation modeling (SEM) to examine the factor-to-factor relations and temporal associations between disturbances in negative affect (NA) and positive symptoms of psychosis (PP). Data were drawn from a large, public-domain data set (MacArthur Violence Risk Assessment Study). A dimensional approach was used to conceptualize and identify latent variables of NA (depression, anxiety, and guilt) and PP (hallucinations, delusions, and thought disorder) among individuals with a diagnosis of primary psychotic disorder. Results showed that anxiety, guilt, and depressed mood modeled an NA latent variable, and that hallucinations and unusual thought content modeled a PP latent variable. As predicted, results revealed strong, significant cross-sectional (synchronous) associations between NA and PP at each measured time-frame, suggesting that NA and PP occurred concurrently within the sample. Contrary to predictions, no significant cross-lagged effect between NA and PP was identified (10 weeks and 20 weeks respectively).

The number of adults in the United States who are age 65 or older is rapidly increasing. With longer lifespan comes an increase in chronic diseases such as dementia, diabetes, and depression. This study used archival data from a larger study conducted at the Memory Clinic at John Peter Smith County Hospital in Ft. Worth, Texas to examine several hypotheses and research questions related to the influence of type of dementia, presence of Type II diabetes, and presence of depression on neuropsychological test performance. First, this study attempted to identify specific patterns of performance on neuropsychological measures for those with Alzheimer's dementia (AD), vascular dementia (VaD), or mild cognitive impairment (MCI). The results indicated that those with MCI perform better than those with AD or VaD on all neuropsychological measures, and that those with VaD perform better than those with AD on a measure of verbal memory. Another purpose of the study was to determine how the presence of Type II diabetes affects this pattern of functioning; the overall finding in this study was that the presence or absence of diabetes did not affect performance on measures of cognitive functioning. Additionally, the study attempted to add to literature examining the …

The presence of cognitive deficits in obstructive sleep apnea (OSA) is well-documented. Specifically, short- and long-term memory, attention/vigilance, and executive function (e.g. processing speed, mental flexibility, and problem solving) are affected. Cognitive deficits in aging occur in similar areas (i.e., memory and processing speed). Given that a greater percentage of older adults experience sleep-disordered breathing as compared to middle-aged adults, it is possible that OSA may account for some of the deficits typically attributed to aging. This study investigated this hypothesis by comparing middle-aged and older adults with and without OSA on computer-based measures of cognitive performance. No effect of OSA or an interaction between OSA and age on cognitive function was found; an effect of age on processing speed, distinguishing stimuli rapidly, attention, spatial ability/mental flexibility, and both working memory and short-term visual memory was found. This study also explored whether or not cognitive function may be improved in persons with OSA by re-assessing those participants one month after treatment. An effect of treatment on improvements on processing speed, distinguishing stimuli rapidly, mental flexibility, and short term memory was found. Overall, findings reflect the ability of treatment to improve cognitive function among OSA patients, regardless of lack of deficits …

Each year, an estimated 318,000 defendants who do not comprehend the Miranda warnings waive their rights and provide incriminating evidence without the protection of counsel (Rogers, 2008), which make Miranda-related competencies one of the most pervasive pretrial issues. A wide range of issues could potentially affect an individual's capacity to provide a knowing and intelligent waiver. Previous Miranda research has focused narrowly on the effects of cognitive and developmental factors. The current study added to the Miranda literature by examining the impact of two highly prevalent conditions found in correctional populations, attention deficits and substance abuse. Adult defendants in custody (N = 118) were evaluated within 36 hours of arrest in order to assess both chronic psychological disorders and situational variables. Results indicate that attention deficits have a significant impact on defendants' ability to provide a knowing Miranda waiver, whereas substance use profoundly affected their reasoning about Miranda waiver decisions. This study represents the first systematic investigation of the effect of transient mental states on Miranda-related abilities with criminal defendants. Important implications for forensic practice are addressed.

Longitudinal data (N = 263) was used to investigate the bidirectional relationship between engagement (engaged lifestyle activities) and cognition (crystallized & fluid intelligence). Extroversion and openness to experience were also tested as moderators of the relationship between engagement and cognition. Results showed that the relationship between engagement at Wave 1 and cognition at Wave 2 did not differ from the relationship between cognition at Wave 1 and engagement at Wave 2. Testing for moderation with regression indicated that neither extroversion nor openness was moderating the relationship between engagement and cognition in either direction. Structural equation models provided further summary evidence that the relationships among engagement at Wave 1, extroversion, openness, and cognition at Wave 2 were not strong. However, a strong limitation to these results was the measurement error associated with a new measure of engagement.

The present study related generational status, family dynamics, and perceptions of racial discrimination (PRD) to acute psychiatric outcomes among a nationally representative Asian American sample (N = 2095), using data from the National Latino and Asian American Study (NLAAS). High self-reports of PRD were correlated with endorsement of clinical depression and suicidality as predicted. Regression analyses suggested that high PRD, low family cohesion, and high family conflict served as significant predictors of poor mental health independently, but moderator hypotheses predicting the interaction of these factors were not supported. Clinical and research implications are provided.

Certain sport environments may contribute to the development of disordered eating and those that heavily emphasize weight and/or body shape can be particularly damaging to an athlete's body image, self-concept, and eating behaviors. In particular, female athletes in collegiate sports are at a greater risk for engaging in unhealthy behaviors because they face both societal pressures from Western culture to be thin, in addition to sport pressures that focus on performance and appearance. According to the American Medical Association almost half of American women are trying to lose weight, illustrating that societal pressures alone to be thin and attractive can influence the development of disordered eating. Athletes are exposed to the same sociocultural pressures as their nonathlete counterparts, and would be expected to have similar feelings about their bodies as women in general. Add subsequent pressures like team "weigh-ins," coaches' body comp preferences, judges' critiques, revealing attire, and endurance/strength demands, and the stage is set for the development of disordered eating. In the current study, participants were 414 Division-I female gymnasts, swimmers/divers, and they completed self-report measures assessing sport pressures, body satisfaction and disordered eating behavior to test Petrie & Greenleaf's etiological model. Results indicate that sport pressures do lead …

The proposed study examined the relationship between parental anxiety, measured both subjectively (via self-report questionnaires) and objectively (via salivary cortisol) and the child's feeding progress. Children diagnosed with a feeding disorder were recruited with their parents at Our Children's House at Baylor (n=19; 11 females, 8 males). The patients and their parents were housed in the clinic for an eight-week intensive multidisciplinary pediatric feeding disorder treatment program. Calorie intake was recorded daily as outcome measures of treatment progression. Parental anxiety was measured by the Pediatric Inventory for Parents (PIP), state anxiety on the State Trait Anxiety Inventory (STAI), and by salivary cortisol at three different time points. The present study attempted to examine whether parental feeding (phase three of treatment program) would continue to cause a decrease in the child's caloric intake. In averaging ten meals prior to parental feeding in comparison to the average of ten meals following parental feeding, there was no significant difference as measured by a t-test. Paired t-tests examined parental anxiety from time one to time two and found that salivary cortisol increased significantly t(15) = -6.07, p = .000 from Time 1 (M = 2.30, SD = 1.64) to Time 2 (M = 5.24, …

The research literature within the past decade has documented the importance of religiosity and spirituality in helping many adults around the world cope with major life stressors and events. Still, the role of religiosity and spirituality in adolescence is not well-known as research during this developmental period has been limited by sample size, homogeneity of samples, ethnic restrictions, and use of scales with few items. The goal of the current study is to identify and understand adolescent levels of religiousness and spirituality, as well as their roles on later social, emotional, and behavioral outcomes. The current study relied upon data from the National Longitudinal Study of Adolescent Health and utilized confirmatory factor analysis and structural equation modeling in order to generate models of the relationships between the various latent variables. The religiosity and spirituality factors in the current study adequately measure religious perceptions and practices of adolescents over time. These constructs also play a role in later emotional well-being and self-esteem. Analyses also found adequate predictive abilities in the other model factors of delinquency, psychological well-being, self-esteem, and the social support. It is concluded from this study that religiosity and spirituality are not interchangeable constructs, and that more robust measures …

This study explored whether a relationship exists between smoking behaviors and racial discrimination induced anger among Black adolescents. Participants consisted of 134 Black adolescents from 14 to 18 years of age who frequently visited a recreation center in the Northeast. Forty-four participants were males and 90 were females. All participants were administered a modified version of the CAGE questionnaire, a background information questionnaire, and a measure designed to assess the extent to which they feel angry because they had been discriminated against. Only age was found to be predictive of scores on the CAGE. Only gender was found to be predictive of smoking frequency. The Black Anger Measure (BAM) was significantly correlated with smoking behaviors. Some implications for theory, research and practice are suggested.

The purpose of this study was to explore the following relationships: (a) how moderating factors (gender, age, ethnicity, social support, marital status, reason for role assumption and number of grandchildren in the home) can influence the mediating role of resiliency, and (b) how resiliency may mediate the negative effects of raising grandchildren (role demands, life disruptions, and difficulties with grandchildren) on grandparent adjustment over time. Resiliency was hypothesized to have the greatest effect on custodial grandparents who experienced the most stress (i.e., older, single, Caucasian males lacking social support and raising more than one grandchild). Mediation was assessed using structural equation modeling. Results indicated resilience mediated the relationship between role assumptions (i.e., role demands and life disruptions) and grandparent adjustment; however, resilience did not mediate the relationship between grandchild characteristics and grandparent adjustment. Due to the small number of custodial grandfathers (n = 14), non-married grandparents (n = 29), non-Caucasian grandparents (n = 10), the small number of grandparents who assumed the custodial role for less ambiguous reasons (n = 24), and the number of custodial grandparents with more than one grandchild residing in the home (n = 29) participating within the study, hierarchical multiple regressions were only conducted to …

The sociocultural model of eating pathology is an empirically-supported model explaining eating disorder etiology. The model poses that body dissatisfaction and subsequent eating pathology stems from the unrealistic standards formulated by Westernized society. Although the model has strong empirical support, variables within the model do not account for 100% of the variance in disordered eating. Thus, the current researcher attempted to explore potential moderating factors in the sociocultural model of eating disorders that may help to explain variance currently unaccounted for. In particular, the researcher focused on the relationship between sociocultural internalization and body dissatisfaction, given that this relationship has not been previously explored within the literature. Based on theoretical support, the researcher chose several potential variables to test, including perfectionism, neuroticism, body surveillance, and shame. Primary analyses tested each variable for moderating effects using hierarchical moderated regression, but no significant findings were shown. Results of post hoc analyses showed all variables had significant mediating effects, with the exception of self-oriented perfectionism. The discussion section addresses consistency with previous research, limitations of the present study, treatment implications and guidelines for future research.