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
The Angoff Method and Rater Analysis: Enhancing Cutoff Score Reliability and Accuracy (open access)

The Angoff Method and Rater Analysis: Enhancing Cutoff Score Reliability and Accuracy

At times called a philosophy and other times called a process, cutting score methodology is an issue routinely encountered by Industrial/Organizational (I/0) psychologists. Published literature on cutting score methodology appears much more frequently in academic settings than it does in personnel settings where the potential for lawsuits typically occurs more often. With the passage of the 1991 Civil Rights Act, it is no longer legal to use within-group scoring. It has now become necessary for personnel psychologists to develop more acceptable selection methods that fall within established guidelines. Designating cutoff scores with the Angoff method appears to suit many requirements of personnel departments. Several procedures have evolved that suggest enhancing the accuracy and reliability of the Angoff method is possible. The current experiment investigated several such procedures, and found that rater accuracy methods significantly enhance cutoff score reliability and accuracy.
Date: December 1993
Creator: Baker, Charles E., 1957-
System: The UNT Digital Library
Preparedness to Counsel HIV-Positive Clients: a Survey of Practitioners (open access)

Preparedness to Counsel HIV-Positive Clients: a Survey of Practitioners

This purpose of this study was to investigate and examine the attitudes of therapists who treat HIV-positive (HIV+) clients. Specifically, therapists' perceptions of their own preparedness in dealing with specific issues and emotions of HIV+ clients were examined. Also, therapists' evaluation of their own efficacy of specific therapeutic approaches with HIV+ clients was examined. These therapists' perceptions and evaluations of all their clients in general were compared to their HIV+ clients. Comparisons were also made within the two groups.
Date: December 1994
Creator: Rowe, Christina J. (Christina Jo)
System: The UNT Digital Library
Identity Status and Adjustment to Loss Among Adolescents (open access)

Identity Status and Adjustment to Loss Among Adolescents

The purpose of the present investigation was to explore the relationship of the adolescent experience of parental death to the variables of identity formation, adjustment, and coping. The inclusion of adolescents who had experienced parental divorce and those who had not experienced either loss condition allowed for group comparisons.
Date: August 1997
Creator: Servaty, Heather L.
System: The UNT Digital Library
HIV-Associated Dementia: Cofactors as Predictors of Severity of Neurocoenitive Deficits (open access)

HIV-Associated Dementia: Cofactors as Predictors of Severity of Neurocoenitive Deficits

The objective of the present study was to evaluate the relationship between a set of cofactors and severity of cognitive impairment, to determine if there were any factors which significantly predicted more severe neurocognitive deficits in persons with AIDS. Twenty-four male volunteers recruited from community groups and physician referrals participated. Subjects completed several self-report questionnaires eliciting information regarding demographics and risk factor variables, in addition to a comprehensive battery of neuropsychological tests. A severity of cognitive impairment summary score was computed for each subject, reflecting both the number of impaired tests and their distance in the impaired direction from normative data. Neither CD4 count, number of months since diagnosis of AIDS, number of AIDS-related illnesses, number of recent stressors, history of head injury/LOC, history of substance use, current or past psychiatric disorder, history of learning disability nor history of other medical illness were found to be significantly related to severity of cognitive impairment in this sample, after controlling for the effects of age, level of education, estimated premorbid IQ and mood status. However, no reliable conclusions could be drawn from this study because the small sample size resulted in an unacceptably low level of statistical power for the desired regression …
Date: December 1996
Creator: Anderson, Deborah E. (Deborah Elaine), 1967-
System: The UNT Digital Library
Impact of Stress Inoculation on Performance Efficacy Linked to Instrumental Activities of Daily Living (open access)

Impact of Stress Inoculation on Performance Efficacy Linked to Instrumental Activities of Daily Living

Utilizing a sample of community-residing older adults, this pretest-posttest design evaluated the short term (approximately 1 week) impact on everyday functioning of Stress Inoculation (SI) training, a cognitive-behavioral intervention that is essentially a coping skills enhancement program. The targets of training were anxiety and concern about being able to successfully perform everyday living tasks. The training program was contrasted with a no contact (waiting list) control. In an effort to maximize the practical aspects of this study, the assessment battery included the use of two ecologically valid measures of everyday problem solving skills (one self-rated and one interviewer-rated). Also included were a measure of everyday intelligence widely used in gerontological research, two measures of self-efficacy, a geriatric depression scale, a state-trait anxiety scale, and a self-report measure of failures in perception, memory, and motor function. The results suggest that Stress Inoculation training is an effective intervention for improving everyday competence but that personal perceptions of self-efficacy and the emotional states of anxiety and depression mediate treatment effects. In general, only persons with lower levels of self-efficacy and higher levels of anxiety and/or depression saw improvement in their cognitive performance following SI training.
Date: August 1999
Creator: Galt, Cynthia P.
System: The UNT Digital Library
The Effects of Cultural Bias: a Comparison of the WISC-R and the WISC-III (open access)

The Effects of Cultural Bias: a Comparison of the WISC-R and the WISC-III

It has been suggested that the use of standardized intelligence tests is biased against minorities. This study investigates the newly revised Wechsler Intelligence Scale for Children-III in which Wechsler states that the new scale has eliminated biased items. Comparisons of the scores on the WISC-R and the WISC-III of a clinical population of sixteen African American and eighteen Caucasian males, ages ten to sixteen, revealed significant differences between the two groups on the WISC-III. The minority scores decreased predictably from the WISC-R to the WISC-III, but the Caucasian scores increased rather than decreasing. The findings of this study do not support the predictions and goals of revision as stated in the manual of the WISC-III.
Date: December 1994
Creator: Ewing, Melissa Cox
System: The UNT Digital Library
Patterns of Relationship Violence among Low Income Women and Severely Psychologically Abused Women (open access)

Patterns of Relationship Violence among Low Income Women and Severely Psychologically Abused Women

Little research has addressed the degree to which domestic violence is mutual and whether patterns are stable across women's relationships. Studies that exist have conflicting results. This study addressed these issues and the effects of sustaining past violence on women's expressions of violence in their current relationship. Archival data from a sample of severely psychologically abused community women (N = 92) and a sample of low-income community women (N = 836) were analyzed. Results showed the presence of mutual violence in women's current relationships which was not related to past partners' violence. Results regarding the stability of violence are weak, but indicate that the frequency and severity of violence across relationships sustained by women does not decrease across relationships. Overall, results supported the hypothesis that violence is mutual in the relationships of community women, although specific patterns may differ by ethnicity.
Date: August 1998
Creator: Weston, Rebecca
System: The UNT Digital Library