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Event Centrality: Debunking the “Bad Science” Myth That Self-reported Posttraumatic Growth Does Not Reflect Positive Change (open access)

Event Centrality: Debunking the “Bad Science” Myth That Self-reported Posttraumatic Growth Does Not Reflect Positive Change

Despite strong evidence supporting the existence of posttraumatic growth (PTG), some investigators question whether the construct measured by the Posttraumatic Growth Inventory (PTGI) is that of perceived growth or “actual” growth. In a replication of a recent investigation, the present study sought to refine the methodology used by employing the construct of event centrality. Due to its limited sample size, the results of this analysis did not provide strong evidence in support of the hypothesis that limiting analyses to individuals rating their trauma as high in event centrality improves the ability of the PTGI to reflect “actual” growth. However, results did support the idea that investigations of PTG conducted immediately following a trauma may be more reflective of a coping process, rather than growth. Further research is warranted to investigate the role of event centrality in posttraumatic growth, and the effect of time on the progression of growth following trauma.
Date: August 2012
Creator: Johnson, Stephanie Feil
System: The UNT Digital Library
Response to Sexual Trauma in Relation to Event Centrality and Objectified View of Self (open access)

Response to Sexual Trauma in Relation to Event Centrality and Objectified View of Self

This study examined the potentially differing emotional consequences of sexual versus non-sexual traumas in both a student and a community residing treatment seeking sample of women. The extent to which a trauma survivor considers the traumatic event central to her identity (CES) was examined as a potential mediator between traumatic events and PTSD. Additionally, the extent to which a women views herself and her body as a sexual object, to be valued based on her appearance and sexual usefulness to others (sexual self-objectification: OBCS), was examined as a potential mediator between traumatic event and event centrality. Study results showed survivors of sexual assault reported greater CES and PTSD symptoms (PCL-S) than non-sexual trauma survivors in the student population. Mediation results showed sexual self-objectification (OBCS-Shame) significantly mediated the relationship between trauma type and CES, and CES significantly mediated the relationship between type of trauma and PTSD symptoms in the student population only. Data from the community sample did not support these conclusions as women from this sample reported higher PCL-S, CES, and OBCS-Shame scores across categories of trauma.
Date: August 2012
Creator: Knowles, Laura R.
System: The UNT Digital Library
The Role of Expectations on Attention Performance (open access)

The Role of Expectations on Attention Performance

AD/HD medications are shown to be significantly more successful at enhancing attention/concentration performance in individuals with AD/HD than placebo treatments. Few studies, however, have investigated the possibility of a placebo reaction in both medication and placebo groups by comparing placebo treatments to no treatment at all. Using an undergraduate population, I evaluated the effect of expectations about a treatment's efficacy on performance in an attention/concentration task. In addition to cognitive performance outcome measures, I included several physiological measures, such as heart rate variability (HRV) through respiratory sinus arrhythmia (RSA). Contrary to expectations, no differences were observed in performance on attention tasks or physiological measurements as a result of the believed efficacy of an orally administered placebo treatment.
Date: August 2012
Creator: Kauffman, Erin, E.
System: The UNT Digital Library
Predictors of Hiv-related Neurocognitive Impairment in an Hiv/aids Population (open access)

Predictors of Hiv-related Neurocognitive Impairment in an Hiv/aids Population

Although, in the United States HIV infectivity has increased, survival rates have also improved due to highly active antiretroviral therapies (HAART). Adherence to HAART successfully prevents the progression of AIDS and AIDS-related morbidity for many living with HIV. Unfortunately, HAART’s permeability into the central nervous system (CNS) is limited; thus, the prevalence of HIV-associated neurocognitive disorders (HAND) still persists. The health belief model (HBM) is the theory often used to explain and predict behavior in relation to chronic illness. This model incorporates perceptions of susceptibility, vulnerability, and severity towards a particular illness, and beliefs regarding perceived efficacy and benefits of treatment. This study expands the existing model. Many who live with HIV have a long history of negative experiences, such as stigmatization, traumatic events, and discrimination. I examined supplementary psychosocial and physiological predictor variables, such as stigma, trauma, ethnicity, general medical conditions, HIV-opportunistic infections, and falls; all relevant to disease progression in HIV. Previous researchers found links between stigma and immune function, trauma and memory, ethnicity and neuropsychological impairment, and symptom load and CNS-related alterations. Therefore, this study examined how these different psychosocial predictor variables are associated with HIV-related neurocognitive impairment. My model explained 38.6% of the variance in the …
Date: August 2012
Creator: Steinberg, Tara, C.
System: The UNT Digital Library
Testing a Comprehensive Model of Muscle Dysmorphia Symptomatology in a Nonclinical Sample of Men (open access)

Testing a Comprehensive Model of Muscle Dysmorphia Symptomatology in a Nonclinical Sample of Men

As increasing emphases are placed on the importance of a muscular male physique in Westernized culture, more men are experiencing eating, exercise, and body image (EEBI) disturbances. Clinician-researchers have identified a syndrome, termed muscle dysmorphia (MD), in which individuals, usually men, are pathologically preoccupied with their perceived lack of muscularity. The current study tested a modified version of an extant theoretical model of MD symptomatology as well as an alternative model of MD symptomatology. Over 700 adult men completed a demographic questionnaire, a symptom inventory, a self-esteem questionnaire, a measure of perfectionism, a measure of the media’s influence on EEBI disturbances, and measures of body dissatisfaction and MD symptoms. Structural equation modeling (SEM) was used to examine the goodness of fit of the proposed models. Overall, the first model demonstrated poor fit with the data. Conversely, the alternative model fit the data adequately. The alternative model was cross validated with a second sample, and also fit this data adequately.
Date: August 2012
Creator: Woodruff, Elissa J.
System: The UNT Digital Library
Value Development in Emerging Adulthood: the Influence of Family (open access)

Value Development in Emerging Adulthood: the Influence of Family

The purpose of this study was to better understand value development in an emerging adult, college student population, and to further define, identify and clarify family characteristics that influence values. Theories have sought to examine the developmental influences in emerging adulthood, but little research exists examining the role of the family, particularly in regards to value development. The current study reviewed the literature on emerging adulthood, values, and self-determination theory with attention to family influence. Questions addressed in this study included: 1) are perceived parent values predictors of emerging adult values, 2) will the quality of communication between parents and emerging adults and the presence of an emotionally supportive relationship with both mother and father moderate the relationship between the perception of parent values and emerging adult values, and 3) does the family environment influence the types of values emerging adults perceive to be important to their parents? For this purpose, 200 college students completed 5 different self-report questionnaires measuring the constructs of values, perceived parent values, family environment variables, family communication variables, and quality of relationship with both father and mother. Parents of college students completed a self-report questionnaire measuring their socialization values for their children and a questionnaire …
Date: August 2012
Creator: Wright, Amber N.
System: The UNT Digital Library
Sleep Loss and Risk-taking Behavior (open access)

Sleep Loss and Risk-taking Behavior

While sleep loss has been shown to have detrimental effects on cognitive, physiological, and psychological processes, it has only recently been investigated as a possible causal factor of risk-taking behavior (i.e., a conscious choice to engage in dangerous behavior despite knowledge of possible loss or harm). Among the few studies that have been conducted in this field, the majority found that as individuals become sleepier, their propensity to engage in risk-taking behavior increased. The results of the current study indicated a positive relationship between increased sleep loss and two measures of specific risk-taking behavior (i.e., substance use, sexual compulsivity), but no significant relationship between sleep loss and measures of general risk-taking behavior. There was some evidence for temporal stability of the Iowa Gambling Task (IGT), though scores on the IGT were not related to scores on other measures of risk-taking, nor to measures of sleep loss. Negative mood was found to partially mediate the relationship between sleep loss and substance use, as well as the relationship between sleep loss and sexual compulsivity.
Date: August 2012
Creator: Womack, Stephanie D.
System: The UNT Digital Library
Relationships Among Self-esteem, Psychological and Cognitive Flexibility, and Psychological Symptomatology (open access)

Relationships Among Self-esteem, Psychological and Cognitive Flexibility, and Psychological Symptomatology

Previous findings on the relationship between self-esteem and psychological outcomes are inconsistent. Therefore it appears that self-esteem, while related to crucial variables, does not provide a clear, direct, and comprehensive prediction of psychological symptoms. Thus, it was hypothesized that the relationship between self-esteem and symptomatology would be moderated by broader measures of how one interacts with emotional and cognitive stimuli.The purpose of this study was to examine the influence of self-esteem, psychological flexibility, and cognitive flexibility on psychological symptomatology. A sample of 82 undergraduate students at the University of North Texas completed self-report questionnaires measuring low self-esteem, psychological flexibility, measured inversely as inflexibility, cognitive flexibility, and psychological symptoms. Results of the study suggest that self-esteem (?= -0.59, p < 0.001) and flexibility (both psychological (?= 0.36, p = 0.001) and cognitive (?= 0.21, p < 0.05) are significant predictors of psychological symptoms. In other words, self-esteem is positively correlated with psychological symptoms, while psychological and cognitive flexibility are negatively correlated with psychological symptoms. Neither form of flexibility moderated the relationship between self-esteem and psychological symptoms in this sample. The findings of the current study are discussed as well as suggestions for further research related to self-esteem, psychological and cognitive flexibility, …
Date: December 2012
Creator: Al-Jabari, Rawya M.
System: The UNT Digital Library
Sibling Relationship Quality: Associations with Marital and Coparenting Subsystems (open access)

Sibling Relationship Quality: Associations with Marital and Coparenting Subsystems

Marital relationships play an important role in family functioning and in the development of sibling relationships. From a family systems perspective, other subsystems within the family, such as coparenting interactions, could explain the effects of the marital relationship on sibling bonds. Specifically, the quality of the coparenting relationship may mediate the association between marital functioning and sibling relationship quality. The current study examined relationships between these three subsystems (marital, coparenting, and sibling) as self-reported by mothers, fathers, and children with siblings. As part of a larger project, families with a child aged 8 to 11 and at least one sibling (N = 75) completed the Dyadic Adjustment Scale and the Coparenting Scale (both completed by mother and father), as well as the Sibling Relationship Questionnaire (completed by target child). Results suggested that marital functioning is a significant predictor of functioning within the coparenting relationship. Predicted associations did not emerge between sibling relationship quality and marital or coparenting relationships, with minor exceptions, and the coparenting relationship did not mediate the association between marital and sibling relationship quality. Implications of the current findings and suggestions for future research are discussed.
Date: December 2012
Creator: Guinn, Megan D.
System: The UNT Digital Library
Body Dissatisfaction, Disordered Eating Behaviors and Body Image Quality of Life in African American Women with Hiv (open access)

Body Dissatisfaction, Disordered Eating Behaviors and Body Image Quality of Life in African American Women with Hiv

The purpose of the current study was to further our understanding of the subjective experience of middle-age African American women who are HIV+ and on highly active antiretroviral therapy, particularly how self-reported lipodystrophy (LD), levels of body dissatisfaction, body image quality of life, and engagement in disordered eating behaviors are related. Multiple regression, MANOVA, MANCOVA, ANOVA, and chi-square were utilized to test hypotheses. Results revealed that HIV+ and HIV- women did not differ significantly on their levels of body dissatisfaction or drive for thinness. When HIV+ women were examined in more detail a pattern emerged: women who self-reported fat hypertrophy had significantly higher levels of body dissatisfaction, bingeing, but not purging, and dietary restriction and fear of weight gain compared to women who did not self-report LD. About 75% of the sample was overweight or obese, and when BMI was controlled for, these differences persisted for body dissatisfaction and disordered eating behaviors for fat hypertrophy, but not fat atrophy. Overall, the findings indicate that the type of LD, specifically hypertrophy, is more related to body dissatisfaction and disordered eating behaviors, than LD in general. Clinical implications and limitations of these findings are discussed.
Date: December 2012
Creator: Hammon, Sarah A.
System: The UNT Digital Library
A Comparison of the Pittsburgh Sleep Quality Index, a New Sleep Questionnaire, and Sleep Diaries (open access)

A Comparison of the Pittsburgh Sleep Quality Index, a New Sleep Questionnaire, and Sleep Diaries

Self-report retrospective estimates of sleep behaviors are not as accurate as prospective estimates from sleep diaries, but are more practical for epidemiological studies. Therefore, it is important to evaluate the validity of retrospective measures and improve upon them. The current study compared sleep diaries to two self-report retrospective measures of sleep, the commonly used Pittsburgh Sleep Quality Index (PSQI) and a newly developed sleep questionnaire (SQ), which assessed weekday and weekend sleep separately. It was hypothesized that the new measure would be more accurate than the PSQI because it accounts for variability in sleep throughout the week. The relative accuracy of the PSQI and SQ in obtaining estimates of total sleep time (TST), sleep efficiency (SE), and sleep onset latency (SOL) was examined by comparing their mean differences from, and correlations with, estimates obtained by the sleep diaries. Correlations of the PSQI and SQ with the sleep diaries were moderate, with the SQ having significantly stronger correlations on the parameters of TST, SE, and sleep quality ratings. The SQ also had significantly smaller mean differences from sleep diaries on SOL and SE. The overall pattern of results indicated that the SQ performs better than the PSQI when compared to sleep …
Date: August 2012
Creator: Sethi, Kevin J.
System: The UNT Digital Library
Similarities and Differences in Borderline and Other Symptomology Among Women Survivors of Interpersonal Trauma with and Without Complex Ptsd (open access)

Similarities and Differences in Borderline and Other Symptomology Among Women Survivors of Interpersonal Trauma with and Without Complex Ptsd

Women interpersonal chronic trauma survivors are frequently misdiagnosed with borderline personality disorder (BPD) or post traumatic stress disorder (PTSD), which often results in mistreatment. Neither PTSD nor BPD adequately describes the unique character alterations observed among those exposed to prolonged early childhood trauma. Researchers suggest survivors of interpersonal and chronic trauma should be subsumed under complex PTSD (CPTSD)(MacLean & Gallop, 2003). The primary purpose of this study was to test the validity of complex PTSD as a construct. MANOVA, ANOVA, chi- Square, and independent samples t- Tests were utilized to test hypotheses. Results revealed that women who experienced higher frequencies of trauma met more CPTSD criteria and had higher mean base rate scores on the Major Depression, Depressive, Avoidant, Masochistic, Anxiety, PTSD, and Borderline scales of the MCMI- III than women who experienced fewer traumas. Additionally, findings suggest that the Major Depression, Depressive, Anxiety, PTSD, and Borderline scales may highlight differences among women interpersonal trauma survivors who meet five of six CPTSD criteria versus those who meet full CPTSD diagnostic criteria. Lastly, the mean Borderline scale score for women who met full CPTSD diagnostic criteria was below the cutoff for personality traits. Overall, these findings provide evidence and validation for …
Date: December 2012
Creator: Marchesani, Estee Simpkins
System: The UNT Digital Library
Variations in Suicidal Ideation Among Substance Users (open access)

Variations in Suicidal Ideation Among Substance Users

Research suggests that substance use is a risk factor for increased suicidal ideation. This study explored the relationship between substance use, suicidal ideation, and impulsivity in a sample of college students and individuals seeking outpatient treatment. Participants were interviewed for information on severity of suicidal ideation and substance use. Participants completed the Psychiatric Diagnostic Screening Questionnaire, the substance use section of the Structured Clinical Interview for the DSM-IV, the Alcohol Use Disorders Identification Test, the Scale for Suicide Ideation, and the UPPS-P Impulsivity Behavior Scale. These measures were used to determine the amount of variance in suicidal ideation accounted for by substance use. Variables reflecting substance use classification, frequency, and severity were used to predict severity of suicidal ideation.
Date: December 2012
Creator: Nichols, Erica
System: The UNT Digital Library
Prevalence of Eating Disorders and Pathogenic Weight Control Behaviors Among Male Collegiate Athletes (open access)

Prevalence of Eating Disorders and Pathogenic Weight Control Behaviors Among Male Collegiate Athletes

Training in sport environments that emphasize leanness and muscularity may damage athletes' body image and negatively influence male athletes' eating behaviors and attitudes. The Questionnaire for Eating Disorder Diagnosis and the Bulimia Test – Revised were completed anonymously online by 732 male intercollegiate athletes. Most male collegiate athletes were classified as asymptomatic (82.9%), followed by symptomatic (16%) and eating disordered (1.1%). The most common forms pathogenic behaviors were excessive exercise (51.6%), binge eating (21.4%), and dieting or fasting (20.5%). Results suggested that athletes who participate in weight class sports are at higher risk for developing these behaviors than endurance sport or ball game athletes. Counseling and other implications for professionals working with athletes are discussed.
Date: August 2012
Creator: Chatterton, Justine M.
System: The UNT Digital Library
Heterosexist Harassment and Rejection, Emotional Social Support and Perceived Stress in a Lesbian, Gay and Bisexual Sample (open access)

Heterosexist Harassment and Rejection, Emotional Social Support and Perceived Stress in a Lesbian, Gay and Bisexual Sample

The minority stress theory suggests LGBs experience greater stress levels due to their sexual minority identities; thus, they are more prone to psychological distress. Poor mental health is linked to internalized homophobia and heterosexism. However, affirmative social support may mitigate the stress response via the buffering hypothesis. My model posits that LGBs are more likely to report perceived stress; however, affirmative social support can mitigate stress. I investigated the relationship between perceived stress and sexual minority identity. I explored the relationship between heterosexism, emotional support and perceived stress and the moderating role of social support in my LGB sample. I conducted a hierarchical linear regression to test my model, which accounted for 29% of the variance in perceived stress. Heterosexism and emotional support were significantly associated with perceived stress. I failed to find a moderating role of emotional support. Limitations, strengths, future research and implications are discussed.
Date: December 2012
Creator: Fritz, Sarah-Mee Hesse
System: The UNT Digital Library