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Associations Between Neuromotor and Neurocognitive Functioning in Adults with Schizotypal Personality Disorder (open access)

Associations Between Neuromotor and Neurocognitive Functioning in Adults with Schizotypal Personality Disorder

Individuals diagnosed with schizotypal personality disorder (SPD) exhibit patterns of cognitive deficits in (1) attention (Lees-Roitman, Cornblatt, Bergman, Obuchowski, Mitropoulou, Keefe, Silverman, & Siever, 1997), (2) memory (Bergman, Harvey, Lees-Roitman, Mohs, Margerm, Silverman, & Siever, 1998), (3) executive functioning (Cadenhead, Perry, Shafer, & Braff, 1999), and recently (4) neuromotor functioning (Neumann & Walker, 1999), similar to individuals with a diagnosis of schizophrenia. Furthermore, recent research suggests a link between neuromotor and cognitive functioning in schizophrenia spectrum disorders (SSDs) (Neumann & Walker, 2003). The current study is an extension of research on non-drug-induced neuromotor disturbances in individuals with SPD and examines how such disturbances covary with neurocognitive measures. Approximately thirty-three adults (18-65) were rated for SPD symptoms. Motor assessments included a computerized motor task and finger tapping test. Cognitive assessments included measures of attention, verbal and visual memory, and executive functioning. Consistent with previous research, the SPD group displayed significant right hand (left hemisphere) motor disturbances (i.e., increased force and force variability) compared to healthy controls after excluding all cases reporting a history of head injury. In addition, results indicate significant associations between motor, cognitive, and symptom variables. Consistent with previous research, neuromotor functioning and the relationships between motor and cognitive …
Date: May 2004
Creator: Reynolds, Felicia D.
System: The UNT Digital Library
Needs of familial caregivers of cancer patients across the advanced cancer disease trajectory. (open access)

Needs of familial caregivers of cancer patients across the advanced cancer disease trajectory.

Familial caregivers are providing increasing amounts of care to advanced cancer patients. Increased understanding of caregivers' needs is vital in providing necessary support to lessen caregiver burden and comorbidity. This study examines particular information needs across a variety of specific events in the advanced cancer disease trajectory. A cross-sectional sample of 107 familial caregivers (24 current and 83 bereaved) of people with advanced cancer completed a needs assessment survey along with a measure of health information-seeking behavior. Analyses extend current research by including more specific disease-related events along the advanced cancer trajectory through bereavement. In all information categories, endorsement of wanted information differed across broad stages of Cancer Progression, Treatment, End of Life, and Post-Patient Death. For all information categories, except Dying and Spirituality, greatest information was wanted at the Cancer Progression stage. Information need also differed across specific events within broad stages. The categories of Disease/Medical and Relating to the Patient were the most endorsed at events involving patient care. Spirituality was least endorsed. At patient death, Caregiver Well-being has the highest endorsement. For events thereafter, information on Caregiver Well-being, Spirituality, Future Outlook, and Family and Close Others was most endorsed. Information needs did not differ based on age …
Date: August 2004
Creator: Bernard, Lori Lynn
System: The UNT Digital Library
Maladaptive appraisals and intrusive thoughts associated with obsessive compulsive disorder: A semiidiographic approach. (open access)

Maladaptive appraisals and intrusive thoughts associated with obsessive compulsive disorder: A semiidiographic approach.

This project investigated the metacognitive strategies used to appraise obsessive thoughts employed by individuals with different anxiety symptoms. Two hundred eighty-seven undergraduate students completed two repertory grids and three anxiety scales. The repertory grids respectively examined the appraisal process of intrusive thoughts both from the perspective of the rater and the rater's imagined average person. Variables quantified from the rep grid related to the construal process of raters' own intrusions, failed to demonstrate robust differences between OCD, non-OCD anxious, and non-anxious individuals. However, it appears that anxious individuals, not just those with OCD, use metacognitive strategies to suppress rigid constructions under perceived social evaluation. Future studies may wish to use related grid variables to explore the relation between obsessions and social anxiety.
Date: August 2004
Creator: Hutchinson, Geoffrey
System: The UNT Digital Library
Internet Use Among African American College Students: Psychosocial Correlates of the Digital Divide (open access)

Internet Use Among African American College Students: Psychosocial Correlates of the Digital Divide

An exploratory study was conducted examining Internet usage among African-American college students. The study examined both psychosocial correlates, including technological anxiety and racial identity as well as socioeconomic measures, as they impacted Internet usage. Additionally, three distinct measures of Internet usage, thin access, thick access and the Internet Connectedness Index (ICI), were used as criterion variables in three separate multiple regression analysis (MRA) models. The results of the study found differences in predictive validity based on the criterion variable used, with the ICI accounting for the greatest amount of variance (54%). Racial identity, in terms of internal beliefs and feelings about being African American and internalization of Afrocentric values in a political context were found to be predictive of Internet usage as measured by the ICI.
Date: August 2004
Creator: Harvey, Pejcharat Jane
System: The UNT Digital Library
Development and Psychometric Validation of the State-Trait Spirituality Inventory (open access)

Development and Psychometric Validation of the State-Trait Spirituality Inventory

The present study contributes to the widening body of spirituality research by conceptualizing it as a state-trait construct. A new measure of spirituality, the State-Trait Spirituality Inventory (STSI), was created and validated according to psychometric methods of test construction. In its current form, the STSI contains seven state spirituality items and six trait spirituality items. A thorough review of the literature identified common themes in spirituality definitions and assisted in developing definitions of trait and state spirituality. Internal consistency for the trait scale was .88 and for the state scale, .68. Good test-retest reliability was found with coefficients of .84 for trait spirituality and .81 for state spirituality. Results from a preliminary undergraduate sample as well as from the validation sample yielded a two-factor solution. In general, items determined by expert panels as trait items loaded on one factor and items deemed to be state items loaded on the second factor. Multitrait multimethod analysis yielded mixed findings for convergent, divergent, and concurrent validity for the spirituality and religiosity traits. Methods consisted of paper-and-pencil cognitive and behavioral measures. Cognitive measures were more likely to support convergent/divergent validity than were behavioral measures. A major emphasis in the study was to determine whether …
Date: August 2004
Creator: Harvey, Michelle B.
System: The UNT Digital Library
Social Support, Depression, and Cardiovascular Disease in Married, Middle-Aged/Older Adults (open access)

Social Support, Depression, and Cardiovascular Disease in Married, Middle-Aged/Older Adults

This study examined the relationship between physical health, social support, and depression in a married, middle-aged/older adult sample in which at least one partner has heart disease. The data was obtained from a national longitudinal study the Health and Retirement Survey (HRS) and is composed of selected respondents and their spouses. The HRS Wave 1 data that was used for these analyses was collected in 1992 and 1993. This study tested a stress buffer model predicting the relationship between physical health, social support, and depression. For study inclusion, participants must have been diagnosed with cardiovascular disease and received treatment in the last year. A heart disease construct was developed by calculating the level of disease by the number of conditions and medical treatments received within the last year. A second health category for other chronic health conditions included diabetes, arthritis, cancer, and chronic pain. These constructs were combined into a total disease construct, which provided a broad measure of health problems typical of an older adult population. Social support was determined by respondents' satisfaction with friends, neighbors, family, their marriage, and enjoyable time spent with their spouse. Social support was subdivided into two constructs separating spousal support from social support …
Date: August 2004
Creator: Hargett Thompson, Candace L.
System: The UNT Digital Library
Perceptions and attributions of child, spousal, and elder abuse. (open access)

Perceptions and attributions of child, spousal, and elder abuse.

Although researchers have studied perceptions regarding sexually abused children, little was known about how other types of abusive events were perceived. This study examined 480 college students' abuse history and perceptions of child, spousal, and elder abuse by varying the respondent, victim, and perpetrator genders. Physical abuse, psychological abuse, and neglect were investigated. Perceptions of abusiveness, seriousness, harm, and responsibility were examined, along with the extent of identification with the victims/perpetrators. Participants viewed spousal abuse as less serious and harmful than other abuse types, especially when perpetrated against a male or by a female. Although able to recognize psychological abuse, students did not fully understand what other abuse types entailed. Individuals also showed a considerable amount of blame toward victims. Results further demonstrated important findings about how ethnic identity/orientation, religious affiliation, and history of abuse related to perceptions of abusive events.
Date: August 2004
Creator: Altman, Adrianne
System: The UNT Digital Library
The utility of the McCarron-Dial System in determining location of brain lesion. (open access)

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

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
System: The UNT Digital Library
Reasons for attrition from a smoking cessation program. (open access)

Reasons for attrition from a smoking cessation program.

The present study examined various psychosocial variables that may influence success in a stop smoking program (QuitSmart) used by the North Texas Veterans Health Care Service (NTVHCS). The QuitSmart program utilizes the Stages of Change Model, with its focus on the last three stages (preparation, action, and maintenance). It was proposed that factors including shame-proneness, guilt, anger/hostility, depression, self-efficacy - both global and smoking situational, neuroticism, and level of nicotine dependence might individually or in combination predict attrition from the NTVHCS smoking cessation program. Results indicate that shame-proneness, guilt, anger/hostility, and depression did not individually predict attrition. Persons with high levels of smoking situational self-efficacy tend to utilize self-change strategies leading to greater success in smoking cessation. Participants with a psychological diagnosis, when combined with neuroticism and shame-proneness, appear to have more difficulty with cessation than those with only a medical diagnosis. Clinical implications and suggestions for change to the NTVHCS smoking cessation program are discussed.
Date: August 2004
Creator: Taber, Iris
System: The UNT Digital Library
Gender Differences in Child, Parent, and Teacher Perception of Social Functioning Among Children With ADHD (open access)

Gender Differences in Child, Parent, and Teacher Perception of Social Functioning Among Children With ADHD

Children with Attention Deficit Hyperactivity Disorder (ADHD) tend to experience social functioning problems, with girls more likely to encounter peer rejection than boys. The present study investigated gender differences in child, parent, and teacher perceptions of social functioning among ADHD and control children. Participants included 119 children (ages 6-11) and their parents. Sixty-one children were previously diagnosed with ADHD. Parents, teachers, and children completed measures assessing the child's social functioning. The results indicate that the relationship between ADHD status and social functioning differs as a function of rater. Teachers and parents reported that ADHD children had lower social functioning than controls, while ADHD and control children reported similar levels of social functioning. Gender differences were found on the child self-report, with girls reporting lower social functioning than boys. In ADHD children the relationship between social functioning and comorbid depression differed as a function of rater. Specifically, among ADHD children with depression, parents rated children as having lower social functioning than did children or teachers. In ADHD children without comorbid depression, however, there were no rater differences. Additionally, no rater differences in social functioning were found between ADHD children with and without a comorbid psychiatric condition. Overall, the results of the …
Date: August 2004
Creator: Tureau, Corinne C. S.
System: The UNT Digital Library
Combat Posttraumatic Stress Disorder: Effect of Intelligence on Symptomatology (open access)

Combat Posttraumatic Stress Disorder: Effect of Intelligence on Symptomatology

The objective of this study was to examine the relations between Posttraumatic Stress Disorder symptomatology and intelligence. Thirty American combat veterans of the Vietnam War, diagnosed with chronic PTSD, were given a psychodiagnostic structured interview. Participants were assessed for Intelligence Quotient as well as the veracity of their self report. The study found that there were significant differences in how participants experienced their PTSD symptoms that were correlated with intelligence. The higher IQ participants reported more frequent and intense guilt related symptoms as well as more intense intrusive recollections. The lower IQ participants experienced more frequent startle responses, more intense problems related to falling or remaining asleep and more frequent affective symptoms related to emotional numbing. Psychologists could use these differences in how PTSD is experienced in treatment planning. It may be useful for therapy to address sleep disturbances and affective numbing in lower IQ individuals. Therapy for higher IQ individuals may be more useful if it addresses feelings of guilt and intrusive recollections.
Date: May 2004
Creator: Crisp, William A.
System: The UNT Digital Library
Acculturation Level, Generational Status and Gender: Their Role in Acculturative Stress in Young Adolescent Mexican Americans (open access)

Acculturation Level, Generational Status and Gender: Their Role in Acculturative Stress in Young Adolescent Mexican Americans

The purpose of this study was to determine relationships between acculturation level, generational status, and gender with acculturative stress. Acculturation level was determined by the Acculturation Rating Scale for Mexican Americans-II (ARSMA-II) and acculturative stress was determined by the Societal, Attitudinal, Familial and Environmental Acculturative Stress Scale-Children's Version (SAFE-C). Subjects included 1268 Hispanic children ages 11-15. In order to validate the usefulness of the ARSMA-II with this sample, analyses were conducted between acculturation level and generational status. The Pearson product moment correlation (r=.44) and the ANOVA between the mean acculturation score and generational status were significant. However, the mean acculturation score from this study was considerably lower than the ARSMA-II score; therefore, new acculturation levels were developed to establish local adolescent norms for the ARSMA-II. All analyses involving acculturation levels were conducted using both the ARSMA-II and new acculturation levels because 300 subjects were reclassified with the new norms. Significant results were similar using both acculturation levels; however, there were more between group differences using the new acculturation levels. It was hypothesized that as acculturation level increased toward the Anglo culture, acculturative stress would decrease. The one-way ANOVA confirmed this relationship. It was also hypothesized that as generational status increased, …
Date: August 2004
Creator: Manning, Suzanne C.
System: The UNT Digital Library
An Exploration of Object Relations and the Early Working Alliance in a University Clinic Sample (open access)

An Exploration of Object Relations and the Early Working Alliance in a University Clinic Sample

The current study investigated the relationship between clients' object relations functioning and the working alliance. The Social Cognition and Object Relations Scale (SCORS; Westen, 1991), an object relations scoring system for the TAT, was used to assess object relations functioning. Forty-eight therapy clients at a university-based training clinic were administered the TAT, Adult Attachment Scale (AAS), Symptom Checklist 90-Revised (SCL-90-R; Derogatis, 1977), and the short form of the Marlowe-Crowne Social Desirability Scale (MCSD; Crowne & Marlowe, 1960). Following the initial assessment of client characteristics shortly after intake, clients and their therapists rated the working alliance 3 sessions later. Results indicated that the SCORS was significantly correlated with client and therapist ratings of the working alliance. The current study also assessed the predictive validity of the SCORS by examining how its various scales are related to aspects of the working alliance and the other measures used in this study. The findings suggest that the relationship between object relations functioning, the working alliance, symptom severity, and attachment disturbance depends on the aspect of object relations that is being assessed.
Date: August 2004
Creator: Niemeyer, Kristin M.
System: The UNT Digital Library
The Impact of Downsizing on Survivors' Career Development: A Test of Super's Theory (open access)

The Impact of Downsizing on Survivors' Career Development: A Test of Super's Theory

The present study compared the career development concerns and other vocationally relevant variables of employees of organizations who have and have not engaged in downsizing within a one year timeframe. The sample consisted of 162 participants, 72 layoff survivors (those who remained in an organization after its downsizing) and 92 non-survivors (employees in organizations who have not downsized within 12 months). Significant results were found that differentiated the career related experiences of participants in the survivors group, survivors from non-survivors, and participants in general regardless of survivorship status. In general, results indicated that non-survivors reported greater job satisfaction and job security than layoff survivors, that being married with children may increase job satisfaction, and social support may buffer the grief reactions that survivors have to the loss of their co-worker friends. Furthermore, Super's age-associated stages within the Life-Span, Life-Space Theory were moderately upheld in the sample, especially for the Exploration stage. However, younger workers demonstrated more Maintenance concerns that would be predicted by the theory. A discussion of the relevant literature is included as well as possible explanations of the results, small sample size, and implications for future research.
Date: August 2004
Creator: Lahner, Jessica M.
System: The UNT Digital Library
Examining parenting outcomes of childhood sexual abuse survivors utilizing observation and self-report methods. (open access)

Examining parenting outcomes of childhood sexual abuse survivors utilizing observation and self-report methods.

Childhood sexual abuse (CSA) is associated with negative outcomes in adulthood, including difficulty in relationships. Research has posited CSA may lead to insecure attachment in survivors, which may be the vehicle by which dysfunctional parent-child relationships develop. The purpose of the proposed study was to examine differences in parenting outcomes between CSA and non-CSA mothers utilizing both observational and self-report methods and to examine the unique impact of CSA on parenting attitudes. Abuse status was determined by scores on the Sexual Abuse subscale of the Childhood Trauma Questionnaire (CTQ), with the CSA group comprised of mothers scoring in the moderate to severe range. Mothers self-reported parenting attitudes on the Parent-Parental Acceptance Rejection Questionnaire/Control (P-PARQ/Control) and the Adult Adolescent Parenting Inventory-2 (AAPI-2), while parental depression was assessed with the revised Beck Depression Inventory (BDI-2). Parenting behaviors were observed by coding the Parent-Child Interaction Assessment (PCIA). Hypotheses were not supported until child gender was considered as a third variable. Results of MANCOVA analyses indicated CSA mothers, but not comparison mothers, exhibited significantly poorer limit-setting skills (h² = .21) with male children compared to female children, but did not self-report these differences. Although not statistically significant, small but potentially meaningful effect sizes were …
Date: August 2004
Creator: Kallstrom-Fuqua, Amanda C.
System: The UNT Digital Library
Contextualized Risk Assessment in Clinical Practice: Utility of Actuarial, Clinical, and Structured Clinical Approaches to Predictions of Violence. (open access)

Contextualized Risk Assessment in Clinical Practice: Utility of Actuarial, Clinical, and Structured Clinical Approaches to Predictions of Violence.

Assessing offenders' risk of future violent behavior continues to be an important yet controversial role of forensic psychologists. A key debate is the relative effectiveness of assessment methods. Specifically, actuarial methods (see Quinsey et al., 1998 for a review) have been compared and contrasted to clinical and structured clinical methods (see e.g. Hart, 1998; Webster et al., 1997). Proponents of each approach argue for its superiority, yet validity studies have made few formal comparisons. In advancing the available research, the present study examines systematically the type of forensic case (i.e., sexual violence versus nonsexual violence) and type of assessment method (i.e., actuarial, structured clinical, and unstructured clinical). As observed by Borum, Otto, and Golding (1993), forensic decision making can also be influenced by the presence of certain extraneous clinical data. To address these issues, psychologists and doctoral students attending the American Psychology Law Society conference were asked to make several ratings regarding the likelihood of future sexual and nonsexual violence based on data derived from actual defendants with known outcomes. Using a mixed factorial design, each of these assessment methods were investigated for its influence on decision-makers regarding likelihood of future violence and sexually violent predator commitments. Finally, the potentially …
Date: August 2004
Creator: Jackson, Rebecca L.
System: The UNT Digital Library
The Effects of Multicultural College Courses on Intercultural Experiences and Attitudes. (open access)

The Effects of Multicultural College Courses on Intercultural Experiences and Attitudes.

This study examined college undergraduates' intercultural experiences and attitudes at the beginning and the end of a semester-long course on multicultural issues. Participants were 290 undergraduate college students at the University of North Texas , 202 of whom were enrolled in one of the university's core global studies, cross-cultural, or diversity courses for the fall 2001 semester, and 88 of whom were enrolled in courses outside the core. It was hypothesized that the multicultural group's Positive Inventory of the Consequences of Multicultural Experiences scores would increase and Social Dominance Orientation Scale scores would decrease more than they would for the control group. Findings did not support these hypotheses.
Date: December 2004
Creator: Soule, Amy
System: The UNT Digital Library
The Influence of Perceived Career Barriers on College Women's Career Planning (open access)

The Influence of Perceived Career Barriers on College Women's Career Planning

Research has indicated that balancing work and family is on the minds of college-age women long before they are married. At the same time, women continue to choose occupations that do not fully utilize their abilities and often fail to follow their original career goals. The purpose of this study was to examine the influence of perceived career barriers and supports on young women's career planning. Utilizing Social Cognitive Career Theory (SCCT) and recent literature as a basis, this study conceptualized career goals using the two constructs career salience and career aspirations. Based on information garnered in this student's thesis and on studies examining pathways in the SCCT model, the current study used a hierarchical regression model and hypothesized that barriers related to work and family conflict and sex discrimination would have the most impact on the career aspirations and career salience of young women. Career supports were hypothesized to add significantly to the prediction of these variables, and coping self-efficacy for these types of barriers were hypothesized to depend on the level of these types of barriers perceived and the interaction effect was in turn expected to add significantly to the prediction of career aspirations and career salience. None …
Date: December 2004
Creator: Raiff, Gretchen Wade
System: The UNT Digital Library
The Perceptions of Psychotherapists-in-Training regarding People who Stutter versus Normally Fluent Speakers (open access)

The Perceptions of Psychotherapists-in-Training regarding People who Stutter versus Normally Fluent Speakers

It has been shown repeatedly that many people hold personality stereotypes of stutterers. The attitudes of psychotherapists regarding stutterers have never been investigated. The present investigation assessed the degree to which psychotherapists-in-training hold stereotypes of stutterers as compared to normally fluent speakers. Two groups viewed a videotaped vignette of a male. In one, the male interviewee displayed stuttering behaviors. In the other, the same male spoke fluently. Participants then rated the male interviewee on several personality dimensions. Contrary to previous findings, the group viewing the stuttering interviewee rated him no differently than did the group viewing the fluent interviewee. Greater knowledge of stuttering was associated with more positive ratings of the person who stuttered. The clinical and research implications of these findings are then discussed.
Date: December 2004
Creator: Tomczyk, Daniel A.
System: The UNT Digital Library
The Effects of Perceived Locus of Control and Dispositional Optimism on Chronic Pain Treatment Outcomes. (open access)

The Effects of Perceived Locus of Control and Dispositional Optimism on Chronic Pain Treatment Outcomes.

The financial cost for health care and lost productivity due to chronic pain has been estimated at over $70 billion per year. Researchers have attempted to discover the psychosocial and personality factors that discriminate between people who learn to cope well with chronic pain and those who have difficulty adjusting. The purpose of the present study was to examine the effects of perceived locus of control and dispositional optimism on chronic pain treatment outcomes. Subjects reported significantly lower post-treatment pain levels as compared with pre-treatment levels (M = 0.66, SD = 1.58), t(45) = 2.85, p = .007 (two-tailed), but decreased pain was not associated with scores on the internality dimension of the Pain Locus of Control Scale (PLOC) or on the Life Orientation Test-Revised (LOT-R) (a measure of dispositional optimism). Overall, participants' increased coping ability was associated with scores on the LOT-R, but not with scores on the internality dimension of the PLOC. Subjects with the lowest pre-treatment scores on the LOT-R demonstrated significantly greater increases in post-treatment coping ability than those with the highest scores (F(2,40) = 3.93, p < .03). Participants with the highest pre-treatment scores on both the PLOC internality dimension and the LOT-R demonstrated greater …
Date: December 2004
Creator: Worsham, Scott L.
System: The UNT Digital Library
Age and Responses to the Events of September 11, 2001 (open access)

Age and Responses to the Events of September 11, 2001

Following the terrorist attacks on the United States on September 11, 2001, many turned to the field of psychology for greater understanding of the impact of such events and guidance in supporting our citizens. This study sought to gain greater understanding of the differential impact of the September 11th attack on individuals by investigating the influence of age, psychological hardiness, and repression versus sensitization as forms of coping behavior on psychological health. Both an initial cross-sectional sample (172 young adults & 231older adults) and a short-term longitudinal follow-up (39 young adults & 58 older adults) were included in the study. Older age, psychological hardiness and the use of a repressing coping style were found to each individually relate to greater resilience/less dysfunction at both time one and two. For young adults, high hardy repressors faired best, followed by high hardy sensitizers. Low hardy young adults demonstrated similar levels of dysfunction regardless of coping style (repressions/sensitization). For older adults, coping style impacted both high and low hardy individuals equally, with high hardy repressors demonstrating greater functioning. This study attempted to gain greater insight into explanations for these and previous findings of greater resilience among older adults. In explaining the greater resilience …
Date: December 2004
Creator: Holmes, D. Nicole
System: The UNT Digital Library

Treatment efficacy in a chronic pain population: Pre- to post-treatment.

Access: Use of this item is restricted to the UNT Community
The purpose of the current study was to investigate the effects of a multidisciplinary pain management program on five measures of subjective psychosocial factors. Ninety-five participants in the comprehensive multidisciplinary treatment group and the standard medical intervention control group were surveyed about various psychosocial factors using Axis II of the West Haven - Yale Multidimensional Pain Inventory (MPI), pre- to post-treatment. It was hypothesized that post-treatment levels would be significantly lower than pre-treatment levels for all five psychosocial variables. Additionally, gender and ethnicity variables were examined. Based on preliminary analyses indicating pre-treatment differences between the experimental and control group, five 2 x 2 x 3 analyses of covariances (ANCOVAs) were used to examine the above hypotheses. Results indicated significant differences between the treatment conditions on measures of control, with the comprehensive group feeling more in control than the standard group at post-treatment. No other significant main effects for treatment condition were found on the measures of pain severity, interference with daily activities, negative mood, or social support. However, a significant gender main effect was found for social support at post-treatment, with females reporting more social support than males. A significant gender x ethnicity interaction was also found for post-treatment control, …
Date: December 2004
Creator: Bernstein, Dana N.
System: The UNT Digital Library
Neuropsychological Predictors of Incompetency to Stand Trial (open access)

Neuropsychological Predictors of Incompetency to Stand Trial

This study investigated the effect of cognitive factors on competency to stand trial. Previous researchers have investigated how psychological variables --such as psychosis and intelligence--contribute to incompetency. Although several researchers have established that intelligence contributes to incompetency, very few have investigated the role of specific cognitive abilities within the realm of intelligence. This study investigated the performance of 55 defendants referred for competency restoration on neuropsychological measures. Specifically, competent defendants and incompetent defendants were compared on several measures assessing functioning in seven cognitive domains. Competent defendants performed significantly better than incompetent defendants on measures of verbal comprehension, social judgment, verbal memory, and executive functioning. Competent and incompetent defendants did not differ on attention, visual spatial skills, or nonverbal memory.
Date: December 2004
Creator: Grandjean, Nicole Rae
System: The UNT Digital Library
The structure of insight in patients with psychosis. (open access)

The structure of insight in patients with psychosis.

Failure to acknowledge their mental illness occurs in approximately half of all psychotic patients. Interest has been recently been refocused on insight (i.e., awareness of mental illness), and its associations with treatment compliance and better prognosis. Researchers have called into question the traditional factor structure of insight, instead viewing and defining it as a multidimensional and continuous construct. While factor analytic research has suggested that insight is an independent feature of psychotic disorders rather than a secondary manifestation of psychotic symptoms, several factor analytic studies have identified only one higher-order factor. Furthermore, a significant amount of the research literature has assessed insight or analyzed its relationships using only a single insight score. The current study evaluated the structural model of insight and assessed the associations between the different proposed dimensions of insight and psychotic symptoms. One hundred and six participants recruited from both inpatient and outpatient settings with a diagnosis of schizophrenia, schizoaffective disorder, psychotic disorder NOS, or bipolar disorder with psychotic features were rated on David's Schedule for Assessing Insight-Expanded Version (SAI-E), Birchwood's Insight Scale (IS), and the Brief Psychiatric Rating Scale (BPRS) or the Positive and Negative Syndrome Scale (PANSS). Structural equation modeling (SEM) was utilized to provide …
Date: December 2004
Creator: Gonterman, Andrea R.
System: The UNT Digital Library