States

Relaxation and Cognitive Therapy: Effects upon Patients' Abilities to Cope with a Stressful Medical Procedure (open access)

Relaxation and Cognitive Therapy: Effects upon Patients' Abilities to Cope with a Stressful Medical Procedure

This investigation evaluated the efficacy of relaxation training and cognitive therapy separately and in combination in enhancing the coping skills of patients during epidural steroid injections. Subjects consisted of 80 back pain patients. They were randomly assigned to four groups to receive either relaxation training, cognitive therapy, relaxation and cognitive therapy, or attention control treatment. All subjects were provided preparatory information describing the procedure for the epidural injection and typical physical sensations experienced by patients undergoing the procedure. Relaxation training consisted of Jacobsonian progressive relaxation instructions which were modelled by the trainer. Cognitive therapy consisted of instructions and a work sheet designed to assist subjects in designing positive (rational) self statements concerning the injection procedure. Attention control procedures involved instructions and written exercises of equal duration to the relaxation and cognitive treatments but containing no instructions for the control of anxiety and pain. The three experimental groups exhibited significantly fewer "ae1f-distress" verbalizations during the injection. On other dependent measures, namely, the remaining catagories of pain verbalizations, gross body movements, heart rate, and independent ratings of anxiety there were no significant differences among experimental and control groups. Results are discussed in terms of spontaneous use of coping skills, habituation, individual differences …
Date: August 1990
Creator: Catalanello, Michael S.
System: The UNT Digital Library
Borrowing or Stealing: The Language and Moral Development of Criminals and Noncriminals (open access)

Borrowing or Stealing: The Language and Moral Development of Criminals and Noncriminals

The present study was undertaken (1) to compare the connotative meanings criminals attach to a sampling of concepts with those meanings attached by noncriminals, and (2) to examine the possible relationship between moral development and criminal behavior. One hundred thirty four male subjects completed the Wide Range Achievement Test- Revised (Reading Section); a personal data sheet; the Ammons Quick Test-Form I; the Criminal Semantic Inventory; the Test for Criminal Cognitions; and the Sociomoral Reflection Questionnaire. Subjects were divided into four groups (Noncriminals, Against Person Group, Against Property Group, and Against Statute Group) on the basis of history of criminal conviction. A one-way MANOVA was conducted on each of the 16 concepts under investigation. Significant differences were found for five concepts. In addition, criminals were found to differ significantly from noncriminals on level of moral development.
Date: August 1990
Creator: Haynes, Linda Carol
System: The UNT Digital Library
Cognitive Decline in Chronic Pain Patients: A Neuropsychological Evaluation (open access)

Cognitive Decline in Chronic Pain Patients: A Neuropsychological Evaluation

The purpose of the present study was to investigate cognitive functioning in a group of 30 chronic pain patients (CPG) as compared to a group of 39 acute pain patients (APG). In order to assess cognitive performance, certain subtests were selected from the McCarron-Dial System (MDS) of Neuropsychological Evaluation. Specifically, a measure of haptic discrimination was used along with the Bender Visual Motor Gestalt Test. As such, completion of these subtests required a cortically mediated, central nervous system processing of sensory information. This particular method of assessment was chosen because it provided a nonverbal measure of higher-order cognitive performance. Additionally, the haptic measure provided separate scores for right and left hemispheric functioning. Data analysis revealed significantly poorer Bender performance among CPG members (t(69) = -5.09, E - •0004, two tailed). Further data analysis revealed that the CPG performed significantly poorer on certain of the haptic discrimination subtests. Specifically, both texture and configuration scores for the right hemisphere were significantly lower among CPG members (texture, p = -042 and configuration, p = .002). Subsequent analyses were conducted to determine predictive relationships between important variables. These data are discussed in terms of their clinical significance and importance for future research.
Date: August 1990
Creator: Nite, Leesa C. (Leesa Celeste)
System: The UNT Digital Library
Differential Effects of Biofeedback Input on Lowering Frontalis Electromyographic Levels in Right and Left Handers (open access)

Differential Effects of Biofeedback Input on Lowering Frontalis Electromyographic Levels in Right and Left Handers

This investigation was an attempt to replicate and expand previous research which suggested that laterality of electromyographic biofeedback input had a significant effect in lowering frontalis muscle activity. In 1984 Ginn and Harrell conducted a study in which they reported that subjects receiving left ear only audio biofeedback had significantly greater reductions in frontalis muscle activity than those receiving right ear only or both ear feedback. This study was limited to one biofeedback session and subjects were selected based on demonstration of right hand/ear dominance. The purpose of the present study was to determine whether the left ear effect reported by Ginn and Harrell could be replicated. Furthermore, the current investigation sought to extend the previous finding to left handed subjects and explore the stability of the effect, if found, by adding a second biofeedback session. Subjects were 96 students recruited from undergraduate psychology classes. They were screened for handedness by the Edinburgh Handedness Inventory which resulted in identification of 48 right handers and 48 left handers. Subjects were randomly assigned to one of four groups consisting of left ear feedback, right ear feedback, both ears feedback, and controls. This resulted in eight conditions. Analysis of variance of microvolt changes …
Date: August 1990
Creator: Walker, Kenneth N. (Kenneth Neal)
System: The UNT Digital Library
Ethnicity and Cognitive Complexity of Chronic Pain Patients (open access)

Ethnicity and Cognitive Complexity of Chronic Pain Patients

Sixty subjects divided equally among Anglo-Americans, Black Americans, and Hispanic Americans participated in the study. They were classified as chronic pain patients by medical diagnosis and duration of pain. They were drawing Workers' Compensation and were all blue-collar workers from the Dallas-Fort Worth area. Cognitive complexity is a measure of individuals' ability to construe their feelings, events of their lives, and their world in a meaningful manner. Cognitive complexity appeared to differ among the cultural groups as indicated by significantly different functionally independent construct scores. Anglo-Americans appeared to have a greater internal complexity than did Black Americans and Hispanic Americans.
Date: December 1990
Creator: Murry, Joe Mitchell
System: The UNT Digital Library
Symptom Based Classification of Environmentally Ill Patients: an Exploratory Study (open access)

Symptom Based Classification of Environmentally Ill Patients: an Exploratory Study

The purpose of the present study was to discern a symptom pattern for environmentally ill patients and provide evidence of the uniqueness of the resultant pattern to this population. Patients' environmental exposure was confirmed by the presence of toxins in the blood serum. All patients were administered psychological and physical symptom checklists, the Clinical Analysis Questionnaire, and a standardized intermediate neuropsychological examination. Results indicate a response pattern of symptoms including fatigue, low energy, weakness, poor concentration, poor memory, poor comprehension, headaches, aches and pains, clumsiness, sinus discomfort, mucus, eye problems, restlessness, and present performance inferior to prior level of functioning. Presence of these symptoms, as well as the uniqueness of this symptom pattern was supported by comparisons of the patient and standardization groups on the two standardized tests.
Date: December 1990
Creator: Flanagan, William Joseph, 1963-
System: The UNT Digital Library