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Measuring Change in University Counseling Center Students: Using Symptom Reduction and Satisfaction with Services to Propose a Model for Effective Outcome Research

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Abstract This study proposes a model for meeting increasingly mandated outcome research objectives in a university counseling center setting. It is proposed that counseling centers utilize their existing intake forms, along with an annual satisfaction survey to determine the effectiveness of counseling services. Effectiveness is defined as improvement and measured by the reduction of the symptoms or presenting concerns with which the client initially presented. It also introduces the Relative-Change Index (R-Chi) as an objective way to quantify intra-individual change occurring as a result of therapy. This new mathematical procedure allows for a more meaningful assessment of the client's degree of improvement, relative to their potential for improvement. By re-administering the problem checklist, routinely included as part of the initial paperwork for each client at intake, again post-therapy, it is possible to quantify improvement by measuring the difference in distressing concerns. Additionally, including a subjective, retrospective survey question asking the client to indicate their perceived rate if improvement at follow-up provides construct validity and allows for correlational comparisons with R-Chi. Results suggest that student/client ratings of the degree to which the services they received satisfactorily addressed their presenting concerns were significantly rated to their R-Chi score. This model suggests that …
Date: December 1999
Creator: Quick, Cynthia L.
System: The UNT Digital Library
Profile of the Youth Self-Report Among South Texas Adolescents and the Potential Relationship to Pesticide Exposure (open access)

Profile of the Youth Self-Report Among South Texas Adolescents and the Potential Relationship to Pesticide Exposure

The potential for human exposure to pesticides exists particularly for agricultural workers (i.e. migrant workers) and individuals within close proximity to pesticide-sprayed crops (i.e. those living on or near agricultural farms). Children, through biology and behavior, may be more susceptible and vulnerable to exposure to pesticides than adults. The purpose of this study was to examine young populations particularly at-risk for occupational or accidental exposure to pesticides and determine associated behavioral, emotional, and physical symptoms. A total of 444 students from two South Texas school districts completed questionnaires assessing level of risk of exposure to pesticides and were categorized into at-risk and low risk categories. Physical, emotional, and behavioral symptoms were obtained using the Youth Self-Report. Children who were at-risk demonstrated significantly higher scores on the Youth Self-Report (YSR) in the areas of anxious/depressed, attention problems, social problems, somatic complaints, thought problems, withdrawal, internalizing behaviors, and total problem behaviors than children who were at lower risk of pesticide exposure. Odds ratios were obtained and suggested that children in the at-risk category were more five times more likely to score in the clinically significant range on the Attention Problems subscale, and three times more likely to score in the clinically significant …
Date: August 1999
Creator: Hagar, Kristy S.
System: The UNT Digital Library
Attribution to Deviant and Nondeviant Social Roles (open access)

Attribution to Deviant and Nondeviant Social Roles

A questionnaire was used to study causal attribution to social roles as influenced by perceived deviance of the role, instructions to identify with the role, and participant gender. The perceived deviance or nondeviance of the roles was determined by a pilot study. The roles were varied randomly through 12 hypothetical events, and identification or nonidentification instructions randomly assigned. The participants were 194 male and female university students. Participants gave the cause of each event and rated the cause on five dimensions: internality, externality, stability, globality, and controllability. Causal attribution to deviant social roles was found to result in a significantly higher across-scales score and to be more internal, less external, and more global than attribution to nondeviant roles. Participant gender showed an interaction with deviance overall and on the dimensions of stability and globality due to significantly higher ratings by women participants than those by men. Identification instructions did not produce a significant effect.
Date: May 1999
Creator: Rohlman, James E.
System: The UNT Digital Library
The Relation of Attachment, Adjustment and Narcissism to Masculine Gender Role Conflict (open access)

The Relation of Attachment, Adjustment and Narcissism to Masculine Gender Role Conflict

The purpose of this study was to assess the relationship between masculine gender role conflict, attachment variables, narcissism, and adjustment. It was expected that men who reported higher masculine gender role conflict would also report unhealthy attachment, have a greater degree of narcissism and poorer adjustment. This study employed a sample of undergraduate males who completed self-report questionnaires measuring masculine gender role conflict, narcissism, adjustment, and attachment. Hypotheses were tested using canonical correlation techniques. Results indicated that healthy attachment was related to low masculine gender role conflict; however, unhealthy attachment was not related to high masculine gender role conflict. In terms of narcissism, higher amounts of narcissism were related to high amounts of gender role conflict, but in a subset of results individuals who reported low masculine gender role conflict also reported higher narcissism in areas that are assumed to relate to positive self regard. Results related to adjustment indicated that high masculine gender role conflict was related to less psychological well-being replicating past studies. Theoretical and methodological issues were discussed in light of these findings.
Date: August 1999
Creator: Selby, Brian W.
System: The UNT Digital Library
A Meta-Analysis of Burnout and Occupational Stress (open access)

A Meta-Analysis of Burnout and Occupational Stress

The relationship between occupational stress and burnout was investigated through a meta-analysis of 81 studies and 364 correlations. Occupational stress was measured by role conflict, role ambiguity, workload, cumulative role stress, job specific stress/stressors, and work setting characteristics. Burnout was measured by the Maslach Burnout Inventory, 1981 and 1986 versions, emotional exhaustion, depersonalization, and reduced personal accomplishment components of burnout, measures of tedium, and the Staff Burnout Scale for Health Professionals. Thirty occupations in human and non-human service organizations throughout four publication periods were examined. Results indicated occupational stress strongly predicts burnout in non-human service organizations like industry and manufacturing as well as the human services. Job specific stressors most strongly predict burnout across organization types and occupation. Occupational stress predicts emotional exhaustion and depersonalization more than perceptions of reduced personal accomplishment. The findings support the use of transactional models of stress which consider occupational context as a precipitator of burnout, especially emotional exhaustion.
Date: August 1999
Creator: Collins, Vivian A.
System: The UNT Digital Library
Breast Cancer Screening Behaviors of Women of Mexican Descent: A Grounded Theory Approach (open access)

Breast Cancer Screening Behaviors of Women of Mexican Descent: A Grounded Theory Approach

A culturally-based theoretical model about how cultural beliefs about cancer and breast cancer screening techniques influence the screening behaviors of women of Mexican descent was developed using grounded theory. Across levels of acculturation and socioeconomic status, 34 women (49 to 81 years old) were interviewed through focus groups. Women who hold more traditional health beliefs about causes, nature, and responsibility with regard to breast cancer are more likely to "feel healthy" and not engage in breast cancer screening. Women who hold more traditional beliefs about propriety of female and health care provider behavior are more likely to "feel indecent" and also not engage in screening. The cultural health belief model is integrated within a sociocultural and a socioeconomic context.
Date: August 1999
Creator: Borrayo, Evelinn A. (Evelinn Arbeth)
System: The UNT Digital Library
Conceptualizations of Young, Middle-aged, and Older Adults and the Ingroup-outgroup Complexity Effect (open access)

Conceptualizations of Young, Middle-aged, and Older Adults and the Ingroup-outgroup Complexity Effect

The purpose of the present study was to investigate Linville's (1982) ingroup-outgroup complexity hypothesis through descriptive card sorts created by young, middle-aged, and older adults regarding their own and other age groups.
Date: August 1999
Creator: Curtiss, Karin (Karin Elizabeth)
System: The UNT Digital Library
Development and Validation of the Checklist for Differential Diagnosis of Attentional Problems (open access)

Development and Validation of the Checklist for Differential Diagnosis of Attentional Problems

The current study discussed the development and validation of the Checklist for Differential Diagnosis of Attentional Problems (CDDAP), a tool for use with adults seeking diagnosis and treatment of an Attention Deficit Hyperactivity Disorder. Normative data are provided on three subject groups (ADHD adults, controls, and adults with other psychiatric disorders). Convergent validity was established with the SCL-90, and criterion validity established through comparing scaled scores with final diagnoses. Overall, this measure was accurate at differentiating adults with ADHD from controls and adults with other psychiatric disorders. Results indicated that the CDDAP was also able to identify other psychiatric disorders with 71 to 92% accuracy, depending on the disorder.
Date: May 1999
Creator: Taylor, Cindy J.
System: The UNT Digital Library