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Feigning Cognitive Deficits on Neuropsychological Evaluations: Multiple Detection Strategies (open access)

Feigning Cognitive Deficits on Neuropsychological Evaluations: Multiple Detection Strategies

Individuals undergoing forensic neuropsychological evaluation frequently stand to gain in some manner if neurocognitive dysfunction is diagnosed. As a result, neuropsychologists are customarily asked to test for neurocognitive feigning during the assessment. The current study employed an analogue design with a clinical comparison group to examine the utility of the TOCA (Rogers, 1996) as a measure of feigned neurocognitive impairment. Two groups of simulators (one cautioned about the presence of detection strategies and one not cautioned) were compared to clinical and normal control groups. Fourteen scales were developed based on five detection strategies: symptom validity testing, performance curve, magnitude of error, response time, and floor effect. Each was employed during both verbal and nonverbal tasks. Significant differences were revealed among groups when subjected to ANOVA. Classification rates from subsequent utility estimates and discriminant function analyses on the scales ranged from 58.8% to 100%. Combining strategies yielded a classification rate of 95.7%. The effect of cautioning simulators was modest; however, a trend was noted on some scales for cautioned simulators to appear less obviously impaired than noncautioned. Although the results require crossvalidation, preliminary data suggest that the TOCA is a sensitive and specific measure of feigned neurocognitive performance. Strengths and weaknesses …
Date: December 2000
Creator: Bender, Scott D.
System: The UNT Digital Library
Parenting Stress: A Comparison of Mothers and Fathers of Disabled and Non-Disabled Children (open access)

Parenting Stress: A Comparison of Mothers and Fathers of Disabled and Non-Disabled Children

This study compared perceived levels of parenting stress between mothers and fathers of children with Attention-Deficit Hyperactivity Disorder (ADHD), children with developmental disabilities, and normally developing children. The relationship of certain demographic variables, such as Socio-economic Status (SES), number of children, years married, parent age, and child age, as well as social support with parenting stress was also examined for mothers and fathers of these three groups. Identification of factors related to parenting stress in fathers was of particular importance for this study, as fathers are often an underrepresented group within parenting research. Identifying effective methods for predicting high levels of parenting stress is important, as stress has been linked to psychological well-being, potential for abuse, and a greater likelihood of poor adjustment for both parent and child. Results from the present study comparing reported stress levels between groups of parents were supportive of previous studies indicating that parents of children with ADHD and developmentally disabilities experience significantly greater parenting stress, specifically with respect to child characteristics. Significant gender differences were also found between mothers and fathers in terms of parent characteristics related to stress. Fathers reported greater stress in the areas of attachment, while mothers reported more parent role …
Date: December 2000
Creator: Walker, Alexis Philbin
System: The UNT Digital Library
Family Rituals and Resilience: Relationship Among Measures of Religiosity, Openness to Experience, and Trait Anxiety (open access)

Family Rituals and Resilience: Relationship Among Measures of Religiosity, Openness to Experience, and Trait Anxiety

Rituals are an integral part of society. The focus of research on rituals has been shifting to highlight the effect rituals may produce on individual resilience and ability to function. This study examined the relationships between participation in family rituals and several conceptually related facets of the human experience, including religiosity, openness to experience, and anxiety. Participants responded to questions on an assessment instrument (Family Ritual Questionnaire) designed to measure participation in a broad variety of identified family rituals; they were grouped according to responses on that questionnaire, and the resulting groups were compared on their responses to questionnaires addressing religiosity (Religious Background and Behavior Questionnaire), openness to experience (Revised NEO Personality Inventory Openness to Experiences scale), and anxiety (State-Trait Anxiety Inventory). The four-group classification system did not produce significant differences on measures of religiosity, openness to experience, or trait anxiety. Nor were there any significant differences noted when the groups were examined on the basis of the demographic characteristics of age, gender, separation time from family of origin, or academic status. The demographic descriptive which was associated with specific group differences related to adult composition of family of origin: participants described the adults present in their families of origin, …
Date: August 2000
Creator: Emmett, Gloria J.
System: The UNT Digital Library
The Relationship Between Racial Identity, Ethnic Identity, and African-American Acculturation and their Contribution to Psychological Well-Being (open access)

The Relationship Between Racial Identity, Ethnic Identity, and African-American Acculturation and their Contribution to Psychological Well-Being

Since there are few studies which address the relationships between racial/ethnic identity and acculturation in the African-American community, the purpose of this study was threefold: 1) explore the relationship between racial identity and African-American acculturation; 2) examine racial and ethnic identity associations; and 3) observe the connections between these cultural constructs and psychological well-being. One hundred ninety-four African-American undergraduates from a predominantly White institution and two historically Black colleges completed measures of these constructs, self-esteem, and depression. The findings indicate a relationship between racial identity and acculturation for three of the four Cross (1971) stages (encounter, immersion-emersion, and internalization). Relinquishing the White frame of reference and achieving inner security with their Blackness coincides with immersion in the eight facets comprising African-American culture. Individuals who do not identify with their race (pre-encounter) less often affiliated with their ethnic group. Conversely, achieving racial identity (internalization) was associated with ethnic identity attachment. Finally, the study's findings suggest that identity development may affect how individuals perceive themselves and feel emotionally, which may depend on identity achievement. Pre-encounter stage scores were associated with reports of higher depression and lower self-esteem; whereas, higher internalization individuals reported higher self-esteem. As for ethnic identity, those who have explored …
Date: August 2000
Creator: Wilcots, Kylynnedra D.
System: The UNT Digital Library
Violence and depression among ethnically diverse, low income women: Mediating and moderating factors (open access)

Violence and depression among ethnically diverse, low income women: Mediating and moderating factors

This longitudinal study examined factors influencing the relationship between sustained partner violence and depression/suicidality among ethnically diverse, low income, community women. The sample at Wave 1 consisted of 303 African American, 273 Euro-American, and 260 Mexican American women in long term relationships with a household income less that twice the poverty threshold. There were no ethnic differences on frequency of partner violence, depression, or suicidality. The moderate relationship between partner violence and women's depression, confirmed previous findings. Frequency, but not recency, of violence predicted depression and suicidal ideation for African Americans and Mexican Americans, even after controlling for earlier depression or ideation. Recent violence did not predict Euro-American's depression or suicidality after controlling for initial scores. Causal and responsibility attributions for partners' violence did not mediate the relationship between violence and depression or suicidality in any ethnic group. However, African American women's attributions of global effects for violence mediated the relationship of violence on depression and suicidal ideation. Poverty level and marital status moderated the relationship between violence and the number of times women seriously considered and actually attempted suicide. Frequent violence was most lethal among the poorest women and marriage provided the least protection for women in the most …
Date: August 2000
Creator: VanHorn, Barbara
System: The UNT Digital Library
Comparative Models of the Impact of Social Support on Psychological Distress in Cancer Patients (open access)

Comparative Models of the Impact of Social Support on Psychological Distress in Cancer Patients

This study tested the relationship between Social Support, Psychological Distress, and Illness Stress in individuals who report cancer as a health condition. This study was based on archival data obtained from the Wave 1 of the Health and Retirement Study (HRS). The HRS provides a nationally representative sample of individuals aged 51 to 61 in 1992 and their spouses. The study sample was limited to cancer patients with a spouse or partner (n = 503). A structural equation modeling analysis procedure was used to test the theoretical models. Measures of social support were limited to variables assessing the participant's satisfaction with social support. Evidence was found for the Stress Prevention and the Support Deterioration models. This is congruent with previous research using measures of social support perception. Both the Stress Prevention and the Support Deterioration models predict a negative relationship between Illness Stress and Social Support. In addition, a univariate analysis of variance was used to test the stress buffering model. Similarly to other studies measuring the individual's degree of integration, or its perception, in the social network, the present research supported the only the Main Effect model and not the Stress Buffering model.
Date: May 2000
Creator: Forjaz, Maria João Bettencourt Pereira
System: The UNT Digital Library
The Relationship Between Neuropsychological Performance and Daily Functioning in Individuals with Alzheimer's Disease (open access)

The Relationship Between Neuropsychological Performance and Daily Functioning in Individuals with Alzheimer's Disease

The results of neuropsychological tests are often used by clinicians to make important decisions regarding a demented patient's ability to competently and/or independently perform activities of daily living. However, the ecological validity of most neuropsychological instruments has yet to be adequately established. The current study examined the relationship between neuropsychological test performance and functional status in 42 individuals diagnosed with Alzheimer's Disease. A comprehensive battery of cognitive tests was employed in order to assess a wide range of neuropsychological abilities. Functional status was measured through the use of both a performance-based scale of activities of daily living (The Direct Assessment of Functional Status; Loewenstein et al., 1989) as well as by a caregiver/informant-based rating scale (Instrumental Activities of Daily Living; Lawton & Brody, 1969). Findings suggest that neuropsychological functioning is moderately predictive of functional status. Memory performance was the best predictor of functional status in most ADL domains, followed by executive functioning and visuospatial abilities.
Date: May 2000
Creator: Tomaszewski, Sarah
System: The UNT Digital Library