Little empirical research has been done to examine the effects that working with traumatized individuals has had on their therapists. It is known that mental health professionals often do suffer ill effects, especially symptoms of secondary traumatic stress disorder. The present investigation tested predictors of secondary traumatic stress disorder in the therapists who provided services for the Oklahoma City bombing. Predictors were therapist social network involvement, years of counseling experience, and amount of self-reported empathy experienced from others. Indicators of secondary traumatic stress were the Frederick Reaction Index-A, the Compassion Fatigue Self-test for Helpers, and the SCL-90R. Hypotheses were tested using a series of hierarchical multiple regressions. Results demonstrated no significance for years of experience or social network, but perceived empathy accounted for 11% of the variance on the SCL-90 and the Compassion Fatigue Self-test for Psychotherapists with social network and years of experience controlled.

This follows an earlier study of the same data set, which, through its findings, presented new questions that are investigated in this study. Both studies used a prospective controlled design, wherein women receiving genetic counseling for breast cancer risk were randomized into two groups. Subjects receiving an audiotaped recording of their genetic consultation (tape group) were compared to subjects who also had a genetic consultation but did not receive an audiotaped recording of it (no-tape group). Participants were drawn from attendees at the genetic clinics of two London hospitals and included 115 women with a family history of breast cancer. Cancer worry and psychological distress were assessed before genetic consultation (baseline), and at one- and six-month follow-ups by post. Objective risk was estimated by the geneticist during the consultation, and subjective risk was assessed at one month follow-up. The goals of the current study were to investigate relationships between cancer worry, psychological distress, and recall of genetic risk for breast cancer in a sample of women receiving genetic counseling for breast cancer risk, and to investigate the role sociodemographic variables on cancer worry, psychological distress, or risk recall for these women. Results for this sample of women with a family …

Abstract This study proposes a model for meeting increasingly mandated outcome research objectives in a university counseling center setting. It is proposed that counseling centers utilize their existing intake forms, along with an annual satisfaction survey to determine the effectiveness of counseling services. Effectiveness is defined as improvement and measured by the reduction of the symptoms or presenting concerns with which the client initially presented. It also introduces the Relative-Change Index (R-Chi) as an objective way to quantify intra-individual change occurring as a result of therapy. This new mathematical procedure allows for a more meaningful assessment of the client's degree of improvement, relative to their potential for improvement. By re-administering the problem checklist, routinely included as part of the initial paperwork for each client at intake, again post-therapy, it is possible to quantify improvement by measuring the difference in distressing concerns. Additionally, including a subjective, retrospective survey question asking the client to indicate their perceived rate if improvement at follow-up provides construct validity and allows for correlational comparisons with R-Chi. Results suggest that student/client ratings of the degree to which the services they received satisfactorily addressed their presenting concerns were significantly rated to their R-Chi score. This model suggests that …

Workplace stress has been found to be a causal agent of psychological distress consequences in employees. Chronic stressors have been well researched, in particular, role conflict, role ambiguity, and work overload have been extensively studied. A meta-analysis was conducted in order to aggregate past research to gain a better understanding of the impact these stressors have on the psychological distress consequences of depression, tension/anxiety, somatic complaints, and generalized feelings of stress. Only role ambiguity was found to be a significant contributor to psychological distress, in particular to feelings of depression and stress. In general, however, effect sizes for all three stressors were moderate to large. While chronic stressors have been well researched, acute stressors have been widely overlooked. Since research in this area is limited, the Daily Work Hassles Survey was developed and validated in order to analyze the role daily hassles play in the workplace. The survey yielded two factors, Interpersonal Hassles and Task Hassles. The former of which was found to be significantly related to the distress consequences of depression, tension/anxiety, somatic complaints, and general feelings of stress. The ultimate goal of this project was to compare chronic and acute stressors. Results from the daily hassles study were …

Although research has shown that the complex constructs of intelligence and personality are necessarily intertwined, studies exploring this issue in elderly individuals are rare. The importance attached to this interface in older adults becomes particularly clear in light of the debate over the cause and extent of age-related decrements in cognitive performance as well as whether such losses can be ameliorated or not, especially given societal shifts toward increased life expectancies. The present study explored the basis for shifts in personality-ability relationships in adulthood by comparing two samples of older adults, one of which was assessed in 1975 (N = 102, M age = 68.4), and the second of which was assessed in 1995 (N = 100, M age = 72.0), and a sample of younger adults (N = 100, M age = 21.8), also assessed in 1995. Each participant was administered the Holtzman Inkblot Technique and the Gf-Gc Sampler, a measure of crystallized (Gc) and fluid (Gf) abilities. LISREL analyses of both age-related and historical shifts in personality-ability relationships suggested that not only were such shifts associated with cohort differences as reflected in factor loading (lambda) differences between the older samples and the younger sample, as well as between …

This study examined the prevalence of undiagnosed dissociative disorders in a sample of 201 adult patients admitted to a private psychiatric hospital in a major metropolitan city in the south-central United States, over an eight-month period. A screening measure, two blind structured interviews, and a blind clinical interview were employed. The lifetime prevalence of dissociate disorders among the interviewed subjects was 40.8%. More specifically, 7.5% were diagnosed with dissociative identity disorder, 15.4% with dissociative disorder not otherwise specified, 13.4% with dissociative amnesia, and 4.5% with depersonalization disorder. Dissociative fugue was not found in this sample. Cohen's kappa reliability coefficients were computed between the three interview measures, resulting in significant findings for the presence of dissociative identity disorder and dissociative disorder not otherwise specified versus no dissociative disorder. The Cohen's kappa reliability coefficients were as follows: DDIS-DES-T = 0.81; SCID-D-DES-T = 0.76; Clinician-DES-T = 0.74, DDIS-SCID-D = 0.74; DDIS-Clinician = 0.71, and SCID-D-Clinician = 0.56. A meeting was conducted at the end of all subject interviews to discuss discrepant findings between measures. Four additional sub-analyses were performed between dissociative and non-dissociative subjects on DSM-IV variables. Patients diagnosed with a dissociative disorder had higher rates of comorbid major depressive disorder, borderline personality …

Mutations in BRCA1 and BRCA2, the first two breast cancer susceptibility genes identified, carry as much as an 85% lifetime risk of developing breast, ovarian or other cancers. Genetic testing for mutations in these two genes has recently become commercially available. There have been varying amounts of psychological distress noted among women with a family history of breast cancer. Distress has been observed to impact psychological functioning, activities of daily living, and the practice of breast cancer surveillance behaviors. Within the genetic screening process, psychological distress has been shown to impact the decision to undergo genetic screening, the comprehension and retention of risk assessment information, as well as affecting the subject following the receipt of the genetic test results. Little work has been done to examine predictors of distress within at risk subjects. This study examines psychological distress among 52 community women presenting for BRCA1 and BRCA2 genetic mutation testing. Predictors of distress included family cancer history, education, age, Ashkenazi ethnicity, and Internality and Powerful Others Health Locus of Control. Vulnerable sub-groups of patients include younger women, women with higher levels of education and women of Ashkenazi ethnicity.

This research explores the relationship of self-monitoring with team leader behavior and work environment preference. Those who are high on self-monitoring demonstrate flexibility in their actions with others and are socially perceptive. They perform well in a variety of leadership positions and are viewed as leaders by group members. High self-monitoring types choose "socially" based careers, including teacher and psychologist, in which they adapt their interaction styles to effectively meet the demands of clients. The demands placed on a team leader appear to require similar characteristics to those that high self-monitoring individuals possess. As a team matures through different stages of development, the role of the leader ranges from director to facilitator to consultant. In order to effectively meet team needs, a leader must be socially sensitive to interpersonal cues and have the ability to assume various roles. In addition, given the fact that the position of team leader is a highly social type of career that requires behaviors similar to careers chosen by high self-monitoring individuals, it is likely that high self-monitors would prefer working in a team work environment over a traditional one. A survey methodology was used to assess the characteristics of 100 team members. No relationship …

The influences of family relationship variables on motivations for adolescent sexual risk-taking were investigated. Previous research has linked these variables to adolescent sexual behavior, however, the nature of these links has not been specifically examined. Family variables were operationalized as child attachment to mother, parental support of each other, parental conflict strategies, and parental monitoring. Emotional motivations were operationalized as attachment and affiliation needs. The sample consisted of 40 single females ages 18 to22 recruited from a local pregnancy care center. Predictions that parent-child relationship and parental influence would predict emotional motivations for sexual risk-taking were not supported. The variable most highly related to sexual risk-taking, though not included in the model tested, was father's destructive conflict strategies. Theoretical and methodological issues are discussed.

This study examined the relationship between executive and psychosocial functioning in 45 children and adolescents age 6 to 17 years who had been treated for a brain tumor. Executive functioning deficits can profoundly impact an adult's ability to function successfully in life. The purpose of the study was to evaluate the potential impact of executive functioning deficits on the day-to-day functioning in a pediatric population. The domains of executive functioning assessed included cognitive flexibility, conceptual thinking, sustained attention, and response inhibition. Psychosocial functioning was assessed using both parent and child report. Several significant relationships were found for adolescents ages 15 and older, with effect sizes ranging from medium to large. In particular, cognitive flexibility and conceptual thinking were significantly related to parent report of depression and adaptive functioning. Fewer significant relationships with smaller effect sizes were found for younger children. The results may reflect the developmental emergence of executive functioning abilities and late effects of executive functioning deficits upon psychosocial functioning. The correlational design of this study precludes definitive statements regarding the temporal nature of the relationship. Additional research, including longitudinal research and replicatory studies, will be needed to further investigate the developmental consequences of executive functioning impairment.

To explore the influence that variations in projective stimuli might have on the respondent's ability to identify with pictorial representations of hands derived from the Hand Test (Wagner, 1961, 1983), 61 young adults (M age = 23) and 60 older adults (M age = 73) were presented with four alternate versions of hand stimuli (young male, young female, old male, and old female) in addition to the original Hand Test. Results indicated main effects for age and gender of respondent, which were primarily consistent with previous Hand Test research. Main effects for gender and age of hand stimuli (p < .05) were also found. Significant interaction effects were revealed for age of respondent by age of hand stimuli and for age of respondent by gender of hand stimuli (p < .05). These interactions resulted in the elicitation of a variety of responses to a differentiated manner than a standard set of Hand Test stimuli. A gender of respondent by gender of hand stimuli interaction effect was also found (p &lt; .05), suggesting that gender alterations of the card may also be beneficial for increasing respondent identification for some individuals. Overall, the results of variations in Hand Test stimuli, as they …

The purpose of this study was twofold: to determine the construct validities of comparable AD/HD instruments that were developed according to our current, DSM-IV classification system for AD/HD; and to identify potential +neurocognitive and socioemotional markers for AD/HD. The sample consisted of 145 children ages 8 to 11 years of age who were diagnosed with Attention Deficit Hyperactivity Disorder (AD/HD), or Central Auditory Processing Disorder (CAPD). Children were administered a battery of neurocognitive tests and completed a self-report measure of personality. Parents completed several, AD/HD instruments pertaining to their children. The AD/HD instruments used in this study were the Attention Deficit Disorder Evaluation Scale-Home Version (ADDES), Attention Deficit Hyperactivity Disorder Test (ADHDT), and the Attention Problems and Hyperactivity scales from the BASC-Monitor (BASC-M). Of interest was how each AD/HD instrument compared to the DSM-IV, particularly in terms of the cross-consistency of AD/HD subtype classifications. The findings showed that the AD/HD instruments classified participants differently from the initial, DSM-IV entry diagnosis. Rates of agreement were better for some of the AD/HD instruments than for others yet there was little overall consistency. The neurocognitive measures used in the study were the Cognitive Assessment System-Basic Battery scales. The socioemotional measures used in the …

There is a lack of clarity in the current literature in how potential etiological factors interact and result in disordered eating. The purpose of this study was to examine an expanded model of Personality, Social Support, Appraisal/Coping Processes, Abuse History, Internalization of Sociocultural Standards, Psychological Disturbances, and Body Disparagement in the development of disordered eating. The current model was evaluated using 276 women in their transition to college, a time period highly associated with symptoms believed to increase a woman's risk for the development of disordered eating including perceived difficulty coping, weight gain, and negative affect. Structural equation modeling was used to allow simultaneous examination of the causal relationships between the factors. Structural analyses confirmed that college women with previous stressful experiences appraised the adjustment to college as more stressful and reported feeling less able to cope with the transition. Those women who identified the transition as overwhelming were also aware of increased negative mood and psychological states since beginning the school semester. Further, women with previous traumatic sexual experiences appeared to be at additional risk for increased negative affective symptoms. The resulting model confirmed that those women who experience negative mood states and those that endorse strong internalization of …

For the past quarter century, the public has been educated and warned about the dangers of smoking, and both smokers and health researchers have been in search of cost-effective, smoking cessation programs that will lead to long-term cessation. This study used a randomized experimental design to investigate the effectiveness of adding Web-based support materials to a nationally sponsored self-help smoking intervention. There was no significant increase in abstinence rates nor progression through the stages of change by those participants who had access to the Web site. However, there were some overall significant trends that suggested these self-help interventions were successful at decreasing daily rates of smoking and nicotine dependency, as well as tended to encourage repeated quit attempts. Although Web-based supports did not appear to increase the effectiveness of the nationally sponsored self-help intervention, this study demonstrated overall 12 week follow-up abstinence rates of 30-32%--greater than what might be expected, given average success rates of other self-help interventions. This study also supports the notion that women may face additional barriers to smoking cessation. Limitations and implications for future research are discussed.

Due to demographic shifts and efforts to recruit culturally diverse professionals, it is plausible that more Caucasians will encounter ethnic minority counselors in the future. Yet, the majority of multicultural literature has only emphasized Caucasian counselors' multicultural counseling competence. Research has rarely discussed how ethic minority counselors influence the perceptions of Caucasian clients. The research purpose was to explore how acculturation and gender of Asian and Caucasian counselors influence Caucasians' perceptions of the counselors and counseling services. With an analog research design, 562 Caucasian college students read 1 of 8 randomly assigned counselor descriptions, which were varied by counselor characteristics, and reported their perceptions on dependent measures: Counselor Rating Form - Short Version (CRF-S), Working Alliance Inventory - Short (WAI-S) and 4 Willingness items. With the Attitudes Toward Seeking Professional Psychological Help - Shortened Form as a covariate, 15 hypotheses were expected that Caucasians would prefer high-acculturated, same sex, and same ethnic counselors tested by simple contrast, while an exploratory question, investigating main and interaction effects among independent variables (counselor ethnicity, acculturation and gender, and participant gender) on dependent measures, was examined by MANCOVA and ANCOVA. Although only 2 of 15 hypotheses showed significance, the exploratory investigation revealed: Caucasian participants …

Given the paucity of research that has been conducted on aggression in girls (see Keenan, Loeber, & Green, 1999, for a review), it is important to examine different behavioral manifestations of aggression that may be more prevalent among girls than boys, such as relational aggression (see Crick et al., 1999, for a review). Relational aggression consists of behaviors that harm others through damage to their peer relationships or the threat of such damage (e.g., spreading rumors about a peer so that others will reject him/her, social exclusion; Crick & Grotpeter, 1995). Children with Attention-Deficit/Hyperactivity Disorder (ADHD) are a particular subset of youth who are at increased risk for exhibiting aggressive behavior (Henker & Whalen, 1999; Whalen & Henker, 1985). The purpose of the present study was to assess the prevalence of relational aggression among children with attention problems as compared to the general population. Gender differences in relational aggression were also examined. In the current study, participants included 91 3rd-5th grade public school students. Teacher ratings of aggressive behavior and attention problems were obtained. Parents also completed measures to assess attention problems and social-psychological adjustment. Contrary to prediction, results indicated children with attention problems were not more aggressive than children …

Intimate partner violence is endemic in the United States. According to the American Medical Association (1992), one-fifth to one-third of women will sustain violence from a partner or ex-partner in their lifetime. The relevant literature was organized by ICD-9-CM categories. This study examined the health consequences of partner abuse in a sample of community women using a sample consisting of 564 women in three ethnic groups. Because prior research has failed to account for variations by type of abuse on health consequences, this study assessed psychological abuse, violence and sexual aggression by women's partners. To determine whether or not different types of abuse had an effect on women's health, hierarchical regression analyses were conducted. The regression equations were calculated for women within each ethnic group to facilitate identification of similarities and differences and to control for ethnic differences in risk for specific diseases. The results were consistent with past research on health consequences of abuse and extended the prior literature by showing that psychological abuse had a pervasive effect on health conditions, distress and use of health care resources. Additionally, ethnic differences emerged. As expected, ethnicity appeared to function as a moderator. Clinical implications and recommendations are made for future …

Several risk factors have been identified for adolescent sex offenders and non-sex offenders. Such risk factors include physical and/or sexual abuse, and exposure to community and/or domestic violence. Additionally, the presence of disinhibitive factors, such as substance use and exposure to violent or pornographic media are also commonly reported in the backgrounds of both sex and non-sex offenders. Similarly, adolescent offenders have reported traumatic reactions to environmental factors such as abuse and violence. Similarities in exposure to the risk and disinhibitive factors described above between adolescent sex and non-sex offenders do not provide an explanation for why some adolescents commit sex offenses, whereas other adolescent offenders do not. This study investigated the discriminative ability of traumatic reactions as a risk factor between male adolescent sex and non-sex offenders. The inclusion of traumatic reactions increased the accuracy of risk factors distinguishing between sex and non-sex offenders. Thus, not only the presence of risk factors, but also the adolescent's reaction to the risk factors, are important predictors of whether he will commit a sexual offense.

The thrust of this paper was two-fold, 1) to confirm a 2-factor model of narcissism in women, and 2) to examine the relationship between narcissistic traits in mothers and several variables associated with parenting efficacy. Participants included 193 mother-child dyads. A 2-factor model of narcissism was confirmed in the present sample of mothers, suggesting that narcissistic traits in women may be manifested in distinct Overt and Covert forms. Contrary to expectations, Covert Narcissistic traits in mothers did not significantly correlate with observed parenting behaviors on the PCIA, including Positive Personal Comments (PPC) towards children, Negative Personal Comments (NPC), and Parental Nurturance. However, children's self-reported maternal rejection on the C-PARQ correlated positively with Covert Narcissistic traits in mothers, as did mother's self-reported dysfunctional parenting attitudes on the AAPI-2. Narcissistic traits in mothers correlated most strongly with risk of child physical abuse on the CAPI (r = .70). Results are also presented for the Overt Narcissism factor, which proved to be less stable as a factor. Overall, results emphasize the need for a more comprehensive understanding of narcissism for women, given its potential Implications for children's healthy development and parenting interventions.

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, …

EEG biofeedback (neurotherapy) has been demonstrated as effective in the treatment of alcoholism, as evidenced by Peniston and Kulkosky's research efforts. These neurotherapy pioneers evaluated the efficacy of alpha-theta brain wave biofeedback as a treatment for chronic alcohol abuse, citing 80% abstinence rates as measured by improvements in psychopathology, serum beta endorphin levels, and long-term alcohol abstinence. Most research with alpha-theta EEG biofeedback has addressed alcohol addiction. Cocaine is now considered to be the most common drug problem of patients entering treatment for drug abuse. To date, only one controlled study has been published that researched alpha-theta neurofeedback in the treatment of "crack" cocaine addiction. The present study was an extension of a 4-year EEG-biofeedback treatment outcome project underway at a faith-based homeless mission in Houston, Texas, with male "crack" cocaine addicts. Changes in personality, attention, and impulsivity were measured following 30 sessions of a non-individualized EEG -biofeedback protocol. Experimental subjects received a variant of the Peniston-Kulkosky alpha-theta protocol for 30 sessions while controls received all elements of the experimental protocol except the EEG biofeedback. Assessment measures included the MMPI-2 and the IVA. Although experimental subjects showed greater mean improvement on most MMPI basic scales and all IVA Attention related …

In the increasingly competitive world of retail banking, organizations are focusing their attention on customer service as a means of increasing customer loyalty and retention. With this goal of increasing customer retention, the link between the attitudes of the service provider (employee satisfaction), the customer interaction behaviors that those attitudes lead to (customer service quality), and the attitudes that those behaviors generate in the customer (customer satisfaction) has become an increasingly important area of investigation. The goal of this research is to analyze the relationships that exist between these three variables: employee satisfaction, customer service quality, and customer satisfaction in a mid-sized retail bank. Data from three separate surveys collected during the same time period in 137 branches of a regional bank are analyzed using multiple regression analysis to determine whether relationships and interactions exist at a banking center level. While results of the analyses did not show a significant relationship between the variables, issues relevant to this determination are discussed and conclusions drawn regarding the nature of these constructs.

Medication non-compliance has become one of the most prevalent reasons for hospitalization and doctor's visits by the elderly. As the elderly population is more likely to have decreased cognitive abilities, it is suggested that neuropsychological factors, especially executive function, are more influential in medication non-compliance than once thought. This study looked at executive function performance on a traditional battery of neuropsychological tests, self-report of perceived ability to perform executive function tasks, and the newly developed Pillbox Test, a performance based IADL measure. The Pillbox Test is designed to replicate a type of medication-management specific IADL as a means to asses executive function. Standard executive function measures only tap a portion of executive function, but it is believed that the Pillbox Test incorporates all four theoretical domains of executive function. The multiple measures of executive function performance were compared in three prevalent subgroups of the elderly population (mixed neurological group, cardiac medical-control group, and healthy community-control group). Results found significant differences, where the community-control and cardiac groups outperformed the mixed neurological group on the large majority of executive function tasks. Smaller differences were also noted between the community-control and cardiac groups and between the cardiac and mixed neurological groups. Together, these …

Disparities exist in the U.S. between the health status of African American and Hispanic individuals and the health status of non-Hispanic Caucasian individuals across all age groups. Those minority individuals age 55 and over are more likely to suffer from specific health disparities in areas such as diabetes, heart disease, and cancer than their white majority counterparts. Among the most common chronic disorders experienced within this age group are obesity, type II diabetes and cardiovascular disease, all three of which collectively form what has recently become known as metabolic syndrome. As of 2004, metabolic syndrome is diagnosable once criteria are clinically significant for a variety of different risk factors designated by the World Health Organization. However, like many syndromes these criteria are not stable across individuals, and leaves variability between individuals being diagnosed. It has been seen that each of the above mentioned racial/ethnic groups experience the individual risk factors at disproportionate rates, making it plausible that metabolic syndrome could be experienced in distinctly different ways depending upon racial/ethnic background. Using two nationally representative data sets, it is first largely evident that African American and Hispanic individuals are reaching higher peak rates of diabetes and cardiovascular disease much earlier in …