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
Assessment of the Effects of Interpersonal Openness and Coping Resources on the Psychological Sequelae of Traumatic Victimization (open access)

Assessment of the Effects of Interpersonal Openness and Coping Resources on the Psychological Sequelae of Traumatic Victimization

The present study tested a model addressing whether interpersonal Openness and interpersonal and intrapersonal Coping Resources mediated the relationship between interpersonal Victimization and the Psychological Symptoms women experience as a result of these traumas. Victimization indicators (physical violence, sexual assault, psychological abuse, and revictimization), Coping indicators (optimism, self-esteem, private self-consciousness, social network and therapy), Openness indicators (self-silencing, communal orientation, trust, self-monitoring, and network orientation), and Psychological Symptoms indicators (global distress, dissociation, and suicidal ideation) were examined separately for African American (n = 245), Euro-American (n = 185), and Mexican American (n = 202) women. Structural Equation Modeling revealed that for African American and Euro-American women, Openness partially mediated the victimization-distress relationship. The model for Mexican Americans was the most complex with Openness and intrapersonal Coping fully mediating the psychological effects of victimization. Approximately 50% of the variance in psychological symptoms resulting from victimization was predicted by this model for African American and Euro-American women; over 80% of the variance was predicted for Mexican Americans. Thus, the importance of Openness to relationships in alleviating the psychological sequelae following interpersonal victimization was underscored by the results. Similarities and differences between these models are discussed. Implications of the results for future research and …
Date: December 2000
Creator: Sedillo, Diane Marie
System: The UNT Digital Library
Effects of Self-Monitoring and Monetary Reward on Fluid Adherence among Adult Hemodialysis Patients (open access)

Effects of Self-Monitoring and Monetary Reward on Fluid Adherence among Adult Hemodialysis Patients

The effects of a monetary reward and self-monitoring on reducing interdialytic weight gain (IWG) were compared for 6 hemodialysis patients in an outpatient setting. A single-subject experimental design (A-B-BC-B-BC) was used to examine each variable individually and in combination, with alternating phases to control for possible sequencing effects. Monetary reward (50 cents - $3) was administered in a titrated manner according to standardized criteria, ranging from 3 % and 4% of patients' dry weight on weekdays and weekends, respectively, to 3.5% and 4.5% for weekdays and weekends. Self-monitoring involved recording daily fluid and diet intake. Results indicated that by the end of the treatment program, the 6 participants averaged a 14% reduction in weekday IWG and a 15.45% reduction in weekend IWG; however, due to significant variability, it cannot be concluded that the reductions are treatment effects. Four out of 6 participants reduced their average IWG for both weekends and weekdays by .75 kg (1.65 lb.). The average weekend reduction for these 4 participants was .85 kg (1.87 lbs.) while the average weekday reduction was .65 kg (1.43 lb.). All 6 participants showed reductions in weekday IWG that averaged .53 kg (1.17 lb.). However, only 2 participants demonstrated IWG reductions …
Date: December 2000
Creator: Sonnier, Bridget L.
System: The UNT Digital Library
A Confirmatory Factor Analysis of WRAML Scores in a Group of Academically Talented Students (open access)

A Confirmatory Factor Analysis of WRAML Scores in a Group of Academically Talented Students

The purpose of this study was to confirm the original factor structure of the Wide Range Assessment of Memory and Learning (WRAML) utilizing a non-clinical adolescent population. Additional analysis examined the relationship between SAT-M scores and spatial relations ability. Exploratory analyses were conducted to determine ethnic and gender differences on the WRAML and subtests from the DAT. Sixty-four academically talented adolescents completed the WRAML and the mechanical reasoning and spatial relations subtests from the Differential Aptitude Test (DAT). The confirmatory factor analysis found the data obtained to not be a good fit for the factor structure of the WRAML (Sheslow & Adams, 1990). Additional confirmatory analyses were conducted which examined data fit of a three factor model found by reanalyzing the standardization data (Burton et al., 1996; Wasserman & Cambias, 1991) as well as two null models. The data failed to fit any of these three models. No support was found for the second hypothesis that predicted a positive relationship between SAT-M scores and spatial relations ability. Ethnic and gender differences on the WRAML and two DAT subtests were examined and discussed. Limitations of this study were reviewed which may have accounted for the overall lack of results.
Date: December 2000
Creator: Johnson, Patricia R.
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
The mediating and moderating effects of women's attachment style on interrelationships among emotional abuse, physical aggression and relational stability. (open access)

The mediating and moderating effects of women's attachment style on interrelationships among emotional abuse, physical aggression and relational stability.

This purpose of this study was to combine two bodies of literature on relationships, attachment and violence. Given the impact of men's physical aggression and emotional abuse on women, it is likely that these behaviors would also affect attachment. A model proposing that women's attachment style mediated and moderated the relationship between partners' physical and emotional abuse and the stability of women's relationships was tested. Archival data were used from two waves of interviews with a sample of lowincome, ethnically diverse community women. Most (89%) of the initial 835 participants of Project HOW: Health Outcomes of Women completed at least one additional interview providing information on the status of their initial relationships. Of these women, 39% were African American, 30% were Euro-American, and 31% were Mexican American. The effects of men's psychological abuse and physical violence on women's attachment style were tested with regression analyses. The interrelationships between partners' abuse, attachment and relational stability were tested with SEM. Attachment style was expected to moderate the associations among variables and mediate the impact of partners' negative behavior on relational stability. In regression analyses, partners' psychological abuse predicted avoidant and anxious, but not secure attachment ratings. Violence, although significant, explained less variance …
Date: December 2001
Creator: Weston, Rebecca
System: The UNT Digital Library
Death and Ethnicity: A Psychocultural Study-Twenty-Five Years Later. (open access)

Death and Ethnicity: A Psychocultural Study-Twenty-Five Years Later.

his study compares ethnic, age, and gender differences concerning attitudes and behaviors toward death, dying, and bereavement among Caucasian, African, Hispanic, and Asian American adult participants in north Texas with the results of a 1976 study by Kalish and Reynolds on death attitudes and behaviors of Caucasian, African, Mexican, and Japanese American adult participants in Los Angeles, California. A modified version of Kalish and Reynolds' study questionnaire was administered to 526 respondents (164 Caucasian, 100 African, 205 Hispanic, and 57 Asian Americans) recruited from community and church groups. Findings of this study were compared with those of Kalish and Reynolds in specific areas, including experience with death, attitudes toward one's own death, dying, and afterlife, and attitudes toward the dying, death, or grief of someone else. Data was analyzed employing the same statistical tools as those used by Kalish and Reynolds, i.e., chi square calculations, frequencies, percentages, averages, and analyses of variance. As compared with the earlier study, results indicated that this study's participants were less likely to have known as many persons who had died recently or to state they would try very hard to control grief emotions in public. Present study participants were more likely to have visited …
Date: December 2001
Creator: Peveto, Cynthia A.
System: The UNT Digital Library
Differences in Perceptual-motor Functioning Between Blind and Sighted Adults: a Neuropsychological Perspective. (open access)

Differences in Perceptual-motor Functioning Between Blind and Sighted Adults: a Neuropsychological Perspective.

The purpose of the study was to explore perceptual-motor differences between blind and sighted adults from a neuropsychological perspective, and to analyze differences within the blind group. Perceptual-motor abilities were examined using the Comprehensive Vocational Evaluation System (CVES), a vocational rehabilitation and neuropsychological battery designed for use with blind populations. The data were processed using Analysis of Covariance. Results showed that sighted persons had better motor abilities, while persons with blindness were more skilled at haptic identification of shape and texture. Analysis within the blind group showed that texture identification skills are better when blindness occurs earlier in life and to the extent that the blindness is total. Later onset blindness and the retention of some functional vision may not lead to a refocusing of attentional states necessary to develop haptic images. New neural connections may develop in persons with congenital/total blindness, a hypothesis in line with recent neuroradiological findings that occipital lobe activation occurs when congenitally blind individuals engage in tactile processing tasks. One implication of the findings is that teaching individuals who retain some functional vision to read Braille is probably counterproductive. These individuals would be better served by learning to use a CCTV and large print books. …
Date: December 2002
Creator: Joyce, Arthur
System: The UNT Digital Library
Examining an eating disorder model with African American women. (open access)

Examining an eating disorder model with African American women.

In the current study, I examined the general sociocultural model of eating disorders that suggests that sociocultural pressures leads to internalization, which in turn leads to body dissatisfaction and ultimately disordered eating. Because I am testing this model with a sample of African American women, I also am including acculturation as a variable of interest. Specifically, I hypothesized that (a) the experience of more societal pressure to be thin will be related to greater internalization, (b) higher levels of acculturation will be related to greater internalization, (c) internalization of the thin ideal will be directly and positively related to body image concern, and (d) body image concern will be associated with higher levels of disordered eating. It was determined that there is a direct, negative relationship between Level of Identification with Culture of Origin and Internalization. Perceived Pressure was directly and positively related to both Internalization and Body Image Concerns. Body Concerns and Internalization were both directly and positively related to Disordered Eating. These findings suggest that although many of the same constructs related to disordered eating in other ethnic groups are also related to disordered eating among African American women, the relationships between the factors differs across racial/ethnic groups. …
Date: December 2008
Creator: Wood, Nikel Ayanna Rogers
System: The UNT Digital Library
Neurocognitive implications of diabetes on dementia as measured by an extensive neuropsychological battery. (open access)

Neurocognitive implications of diabetes on dementia as measured by an extensive neuropsychological battery.

Diabetes is a disease with a deleterious pathology that currently impacts 4.5 million individuals within the United States. This study examined the ability of a specific neuropsychological battery to identify and classify dementia type, investigated the impact of diabetes on cognition and analyzed the ability of the memory measures of the 7 Minute Screen (7MS) and the Rey-Osterrieth Recall to correctly categorize dementia type when not used in combination with a full battery. The battery in addition to exhaustive patient history, medical chart review and pertinent tests were used in initial diagnosis. Results indicated the battery was sufficient in the identification and classification of dementia type. Within the sample, diabetes did not appear to significantly impact overall battery results whereby only two measures were minimally affected by diabetes. Finally, the memory measures of the 7MS and the Rey-Osterrieth Recall were sufficient to predict membership into the Alzheimer's (AD) and vascular dementia (VD) groups with 86.4% accuracy. The classification percentage dropped to 68.3% with addition of the mild cognitive impairment category. The full battery correctly classified AD and VD dementia 87.5% and appeared to be the most robust.
Date: December 2008
Creator: Harris, Rebekah Lynn
System: The UNT Digital Library
An item response theory analysis of the Rey Osterrieth Complex Figure Task. (open access)

An item response theory analysis of the Rey Osterrieth Complex Figure Task.

The Rey-Osterrieth Complex Figure Task (ROCFT) has been a standard in neuropsychological assessment for six decades. Many researchers have contributed administration procedures, additional scoring systems and normative data to improve its utility. Despite the abundance of research, the original 36-point scoring system still reigns among clinicians despite documented problems with ceiling and floor effects and poor discrimination between levels of impairment. This study is an attempt to provide a new method based upon item response theory that will allow clinicians to better describe the impairment levels of their patients. Through estimation of item characteristic curves, underlying traits can be estimated while taking into account varying levels of difficulty and discrimination within the set of individual items. The ultimate goal of the current research is identification of a subset of ROCFT items that can be examined in addition to total scores to provide an extra level of information for clinicians, particularly when they are faced with a need to discriminate severely and mildly impaired patients.
Date: December 2008
Creator: Everitt, Alaina
System: The UNT Digital Library
How does personality relate to contextual performance, turnover, and customer service? (open access)

How does personality relate to contextual performance, turnover, and customer service?

Personality measures are often used by organizations to select and develop employees in a way that maximizes their performance. Studies examining the relationship between personality and job performance have found some evidence for their utility in a variety of situations. Data was collected from a large restaurant company (N=9,800) in which hourly employees took a personality test for selection. Supervisory performance ratings and turnover data were also included for some employees. A three factor model of contextual performance consisting of personal support, organizational support, and conscientiousness initiative was tested and supported. The personality scales with the strongest relationship to performance, included drive and energy, friendliness, and emotional consistency. Effect sizes were relatively similar to previous meta-analytic studies, with the exception of a facet of conscientiousness which revealed a lower correlation with performance than expected. A differential pattern of correlations between the personality scales and performance dimensions was observed that supported some of the theoretically aligned constructs. The correlations between the personality variables and performance were unexpectedly higher among customer facing employees than team-based employees. No hypothesized interaction effects were supported, but some nonlinear relationships were found among some of the personality scales and performance. Drive and energy was a statistically …
Date: December 2007
Creator: Impelman, Kevin
System: The UNT Digital Library
Succession Planning and Situational Engagement (open access)

Succession Planning and Situational Engagement

Succession planning is the creation of a pool of high potential employees that receive specific training and developmental opportunities with the intention of promotion. There is a definite need to deepen our understanding of what implications there are from a psychological point of view for employees when a major process like succession planning is implemented. Employee engagement is the experienced commitment, which leads to discretionary effort. The purpose of this research is to explore an underlying factor structure for engagement drivers and understand how a major organizational initiative, succession planning, impacts employee engagement. This research was conducted at a petroleum organization in the Southwest United States (N = 2023) and compares engagement based on group membership in a succession planning process (Informed-High Status, Uninformed-High Status, and Uninformed-Low Status). The underlying factor structure of drivers was found to have one factor of engagement. There was a significant difference in the engagement levels based on membership within the succession plan (high status versus low status). However, communicating to an employee their involvement in the succession plan did not differentiate between engagement levels.
Date: December 2007
Creator: Hobson, Nicole DeJarnett
System: The UNT Digital Library
Antecedents of the Psychological Adjustment of Children and Grandparent Caregivers in Grandparent-Headed Families (open access)

Antecedents of the Psychological Adjustment of Children and Grandparent Caregivers in Grandparent-Headed Families

Grandparent-headed families are diverse in nature and represent a rapidly growing family type. While challenges facing grandparent caregivers are well documented, less is known about the well-being of their grandchildren, with many early studies relying on small samples of convenience. This study used an existing large national database, the National Survey of America's Families (NSAF), to compare differences in well-being of both children and grandparent caregivers across the independent variables of family type, ethnicity, gender, and age. Findings suggested better mental health and less parental aggravation for caregivers in traditional two parent intact families as compared to grandparents co-parenting in a multi-generation home, skipped generation grandparents (raising their grandchild with no parent present) or single parents. Skipped generation grandparents in particular reported most caregiver aggravation. Child physical health was reported to be worse by skipped generation grandparent caregivers. Behavior problems were reported to be worse for children in grandparent headed households than those in traditional families, particularly for teenagers raised in skipped generation households by their grandmothers. Specific results, limitations and future directions for research on grandparent-headed households were discussed.
Date: December 2007
Creator: Jooste, Jane Louise
System: The UNT Digital Library
The evaluation of Project SCORE: A life skills program for an inner city high school. (open access)

The evaluation of Project SCORE: A life skills program for an inner city high school.

Project SCORE: Life Skills for Future Success, is a structured, 20-lesson curriculum, designed to help students develop academic and life skills, as well as self-responsibility, commitment, optimism, respect, and excellence. The curriculum was presented during 36, 90-minute class periods over the fall semester of the students' freshmen year. The purpose of this study was to determine the effectiveness of Project SCORE at improving grades, learning strategies, self esteem and coping skills with freshmen students at an inner-city high school. In order to evaluate the program, students completed paper-pencil surveys at the beginning and end of the semester in which they were enrolled in the Project SCORE class. In addition, teachers completed evaluations on their perceptions of each student's peer relationships, classroom behavior, mood, and activity level. All teachers and students involved in the course were asked to complete an evaluation to determine their level of satisfaction with the course and areas in need of improvement. Lastly, information pertaining to grades, discipline and standardized test scores were used to determine the impact of SCORE. Participants were 333 9th grade students at a large 4A high school in Texas. Findings suggest that SCORE had a positive effect on coping resources, study skills …
Date: December 2007
Creator: Jones, Gretchen M.
System: The UNT Digital Library
The relationships between goal orientation, perfectionism, parental involvement, peer climate, enjoyment, and intention to continue in sport in children. (open access)

The relationships between goal orientation, perfectionism, parental involvement, peer climate, enjoyment, and intention to continue in sport in children.

This investigation examined the relationships between parental involvement, peer-initiated climates, and perfectionism to goal orientation as well as children's enjoyment and the intention to continue playing sport in youth sport. Participants were 188 athletes, 100 boys (M = 12.06, SD = 1.06) and 88 girls (M = 12.18, SD = .73). The athletes completed the TEOSQ, Sport MPS, PIAS, and the PeerMCYSQ. Parental support and peer task environment was related to girls' and boy's task orientation. For boys, personal standards, parental pressure, and fewer concerns over mistakes, also were related to task orientation. Ego orientation was related to peer-initiated ego and task climates, for the boys. For the girls, higher personal standard was the only variable related to ego orientation. For enjoyment, task orientation was the strongest predictor for the girls and the only predictor for the boys for enjoyment. The fewer concerns girls had over mistakes the more enjoyment they reported. For girls and boys, intention to continue playing next season was predicted only by enjoyment. However, results were varied when intention to play next year was examined. For boys, no predictors were discovered whereas for girls, higher levels of enjoyment and task orientation, and lower levels of parental …
Date: December 2007
Creator: Braddock, LaTisha Lynn
System: The UNT Digital Library
Sexual harassment: Do gender and organizational status of harasser really matter? (open access)

Sexual harassment: Do gender and organizational status of harasser really matter?

The research investigated the impact of sexual harassment on withdrawal behaviors and attitudes toward harassment by examining the gender composition of the harassment dyad and the organizational status of the perpetrator in relation to the victim. Archival data from the Inter-University Consortium for Political and Social Research at the University of Michigan was used to obtain surveys in which participants rated their attitudes and experiences related to sexual harassment. Only individuals who reported experiencing sexual harassment within the 24 months prior to data collection are included in the current research. A MANOVA was conducted to determine if withdrawal behaviors and attitudes of victims varied by the gender dyad and/or the organizational status of the perpetrator. Results indicated that individuals harassed by people with higher organizational status displayed more withdrawal behaviors in the form of decreased productivity and increased use of sick, annual, and unpaid leave. Individuals harassed by a member of the same gender also used more unpaid leave. Interestingly, individuals harassed by members of the opposite gender, tended to disagree more strongly with the attitude index measuring cautious awareness of sexual harassment.
Date: December 2007
Creator: Barnett, Michelle L.
System: The UNT Digital Library
The Effectiveness of a Learning Strategies Course on College Student-Athletes' and Non-Athletes' Adjustment, Academic Performance, and Retention after the First Two Years of College (open access)

The Effectiveness of a Learning Strategies Course on College Student-Athletes' and Non-Athletes' Adjustment, Academic Performance, and Retention after the First Two Years of College

This study replicated and extended previous research I had performed that suggested that a student success course is an effective intervention to assist student-athletes in the adjustment to college. Participants in the current study included 4 groups of students, including (1) non-athletes and (2) student-athletes who were mandated and enrolled in the student success course, and (3) non-athletes and (4) student-athletes who were not mandated and did not enroll in the student success course. Overall, results from the current study suggested that the student success course was effective in helping non-athletes and student-athletes learn key cognitive strategies that are necessary for college success. In addition, results indicated that after taking the student success course, academically at-risk students earned equivalent grades, percentage of hours passed, and retention rates compared to their peers who were not classified as being academically underprepared. Finally, adjustment patterns of all groups were examined, with particular emphasis on the decrease in adjustment over the course of the semester that was demonstrated by the student-athletes. Intervention implications and future research directions are discussed, specifically in terms of how to address the unique needs of college freshmen student-athletes.
Date: December 2007
Creator: Tebbe, Carmen M.
System: The UNT Digital Library
Stereotype threat in India: Gender and leadership choices (open access)

Stereotype threat in India: Gender and leadership choices

Stereotype threat is a psychosocial dilemma experienced by members of a negatively stereotyped group in situations where they fear they may confirm the stereotype. This study examined the phenomenon in India, thereby extending previous research to another culture. In addition, with participation by students preparing to be professionals, the results are applicable to organizational settings. Ninety graduate students from a professional training institute viewed common Indian advertisements under three conditions: gender stereotypic (women depicted as homemakers), counter stereotypic (women represented as professionally employed individuals) and neutral (no reference to any gender identity). It was hypothesized that females in the stereotypic condition would be susceptible to stereotype threat effect and thus opt for problem solver over leadership role on a subsequent task, while females in the counter stereotypic condition were expected to choose leadership roles. ANOVA was employed to test for differences across the three conditions. The study also hypothesized mediation of the stereotype threat performance deficits by self-efficacy, evaluation apprehension, anxiety, role conflict, stereotype activation, father's and mother's education levels. Hierarchical multiple regression procedures as recommended by Baron and Kenny (1986) were conducted for mediational analysis. Data analysis provided partial support for the two hypotheses. In support of the stereotype …
Date: December 2007
Creator: Prasad, Ambika
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 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