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, …

The present study is an exploratory analysis of associations among sexual orientation, childhood abuse, and characteristics of both early and current family environment in a sample of 80 inpatient trauma survivors. Participants were administered a background information questionnaire, Dissociative Disorders Interview Schedule, the Family Environment Scale and other instruments not analyzed in the current study. Multi-type abuse was significantly associated with low expressiveness and independence and high control in the early family, but no associations emerged with current family characteristics. Results suggest that the intergenerational transmission of family organization and moral-religious orientation occurred in the entire sample, and the transmission of family conflict patterns occurred only in the L/G/B group. Overall, participants perceived improvements in their current family environments compared to their early family environments. Findings yield support for the sexual minority stress model and mixed support for the intergenerational transmission of family characteristics.

Religion and spirituality are thought to be of great importance for the meaning and quality of life for many individuals, and research suggests that there may be important health benefits associated with religion and spirituality. Religion and spirituality should be related to health behaviors for a number of reasons. Health behaviors are important contributors to an individual's overall health, illness and mortality. Major negative health behaviors related to health outcomes are smoking, excessive alcohol consumption, obesity, risky driving, and high risk sexual behaviors. Health behaviors may also be linked to personality traits. The key trait examined for this study was extraversion. It includes adjectives such as being active, assertive, energetic, outgoing, and talkative. In this thesis, I take several hypotheses and explore the influence of extraversion, religiosity, and spirituality on health behaviors.

The current work assesses the relationship between reinforcement sensitivity theory (RST) and Personality Traits for the DSM-5 (PID-5), to explore the degree to which they are associated with mood disorder symptoms. Participants (N = 138) from a large public university in the South were administered a semi-structured interview to assess for current mood disorder and anxiety symptoms. They were also administered self-report inventories, including the Behavioral Inhibition System (BIS) and Behavioral Approach System (BAS) scales and the Personality Inventory for DSM-5 (PID-5). Results indicate that both the BIS/BAS scales and the PID-5 scales were strongly associated with current mood symptoms. However, the maladaptive personality traits demonstrated significantly greater associations with symptoms compared to the BIS/BAS scales. Results also indicated support for using a 2-factor model of BIS as opposed to a single factor model. Personality models (such as the five factor model) are strongly associated with mood symptoms. Results from this study add to the literature by demonstrating credibility of an alternative five-factor model of personality focused on maladaptive traits. Knowledge of individual maladaptive personality profiles can be easily obtained and used to influence case conceptualizations and create treatment plans in clinical settings.

Relationship satisfaction often declines after marriage or cohabitation and between 40-50% of marriages end in divorce. Furthermore, many couples who stay together report feeling unsatisfied in their relationships. Thus, it is important to examine factors that contribute to enduring and satisfying relationships. One factor that has been closely linked to relationship satisfaction is the sexual relationship of the couple. One aspect of the sexual relationship that has received little attention is masturbation. Although most psychologists hold positive views about masturbation, and recommend masturbation in many instances, the empirical data examining the association between masturbation and relationship satisfaction has mixed findings, with the majority of studies reporting a small negative relationship between these variables. The purpose of the present study was to further explore the association between masturbation and relationship satisfaction, focusing on possible moderators and mediators of this relationship including: masturbation guilt, openness with an individual's partner about masturbation, gender, object of arousal during masturbation, and reason for masturbating. Overall, masturbation frequency did not have a significant association with relationship satisfaction. However, the object of arousal during masturbation and openness about masturbation moderated the association between masturbation frequency and relationship satisfaction. Specifically, individuals who (a) used objects of arousal other …

Bipolar disorder is associated with significant social and occupational impairments, as well as increased risk for substance abuse and suicide. More research is needed to identify potential mechanisms associated with vulnerability to the disorder. Previous research has identified altered processing of emotional information in bipolar and bipolar-prone individuals, including attentional biases which appear to differ based on the current affective state of the individual. The current study applied a sensitive measure of attention (i.e., eye-tracking) to assess whether vulnerability to bipolar disorder, as indexed by hypomanic personality traits, would be correlated with biases in attention to emotional facial stimuli, independent of mood state. Hypomanic personality traits were hypothesized to be associated with greater attention to happy and angry faces, as indexed by faster initial orientation, more frequent gazes, and longer gaze duration for these stimuli. Participants completed self-report measures assessing current mood symptoms, positive and negative affect, and hypomanic personality traits. They then completed two tasks assessing attention for emotional faces. The first was an eye-tracking task, which measured latency to first fixation, total gaze duration and total number of gazes for each emotional face category. The second was a spatial cueing task which assessed both attentional engagement with emotional …

Given the high rates of premature termination in training clinics, research aimed at understanding client attrition is urgently needed. Recent investigations in this area have implicated expectations of psychotherapy as a strong predictor of premature termination; however, this phenomenon has only been studied from the perspective of client expectations to date. There is reason to believe clinician expectations for the duration and effectiveness of psychotherapy may further impact the likelihood of their clients terminating prematurely. This study sought to address this gap in the literature by examining the association of clinicians' expectations to clients' psychotherapy outcomes and termination status in a training clinic setting. Clinicians were found to hold significantly higher expectations for client improvement than would be expected, and these high expectations were found to be positively correlated with clinically significant change in clients. Implications for improving client retention and treatment outcome in training clinics are discussed.

Deciding to exercise requires trade-offs between immediate and delayed benefits. These momentary decisions may be moderated by personality such that patterns of individual behavior emerge. The aim of the current study was to determine if higher levels of optimism and lower levels of delay discounting were related to exercise frequency. A sample of 360 undergraduate students completed a survey study related to understanding the choices made by undergraduates and how other factors relate to their decision-making. The survey included measures of optimism, delayed discounting, and self-reported exercise frequency in four domains: cardiovascular, resistance, sports, active lifestyle. Hierarchical linear regression was used to examine optimism and delay discounting as predictors of exercise frequency. Optimism and delay discounting were negatively correlated, but neither was related to exercise frequency. Furthermore, optimism and delay discounting were not significantly related to frequency spent in cardiovascular, resistance, or active lifestyle exercise. However, women scoring higher in delay discounting were more likely to participate in physical sports. The present study helps inform future research by showing potentially important psychosocial variables related to optimism, delay discounting, and exercise.

Performance on the Spatial Span subtest of the Wechsler Memory Scale has been viewed as an indicator of working memory and visuospatial processing. A number of factors including age and gender have been posited to effect performance on Spatial Span by older adults. The current study examined the impact of various forms of cognitive impairment and severity of impairment on Spatial Span performance. Five hundred thirty-eight individuals between the ages of 65 and 89 were evaluated in a university memory disorders clinic using a battery of neuropsychological tests that included Spatial Span. Participants were grouped by consensus diagnosis into type of cognitive impairment (Alzheimer's disease, vascular disease, amnestic mild cognitive impairment or non-amnestic mild cognitive impairment) or cognitively normal. As expected, an increase in severity of impairment results in a decrease in Spatial Span Total Score. Other findings included a weak relationship between age and Spatial Span Total Score. Gender, as well as age, did not fully account for the decline in Spatial Span Total Score. Spatial Span Forward score was not as good a predictor of severity in that reduction in score for Spatial Span Forward remains relatively stable regardless of level of impairment. Spatial Span Backward performance was …

Malingering is the deliberate production of feigned symptoms by a person seeking external gain such as: financial compensation, exemption from duty, or leniency from the criminal justice system. The Test Translation and Adaptation Guidelines developed by the International Test Commission (ITC) specify that only tests which have been formally translated into another language and validated should be available for use in clinical practice. Thus, the current study evaluated the psychometric properties of a Spanish translation of the Structured Interview of Reported Symptoms (SIRS). Using a simulation design with 80 Spanish-speaking Hispanic American outpatients, the Spanish SIRS was produced reliable results with small standard errors of measurement (SEM). Regarding discriminant validity, very large effect sizes (mean Cohen's d = 2.00) were observed between feigners and honest responders for the SIRS primary scales. Research limitations and directions for future research are also discussed.

This quasi-experimental study investigates neuropsychological functioning differences between 63 active duty soldiers who were placed into three groups (MTBI, PTSD, control) to provide better information for differentiating PTSD and MTBI. The ANAM and MicroCog were utilized to measure psychomotor speed, memory, and attention. Participants with PTSD performed worse on most measures of psychomotor speed and attention, and endorsed more symptoms of depression and anxiety when compared to MTBI and control participants. Further, attention appears to be the best cognitive domain for differentiating PTSD from MTBI, whereas memory variables did not differentiate these groups. Clinical and research implications of these findings are discussed.

Video game addiction often leads to a tremendous burden on those afflicted with the condition, draining their time, resources, and life away until they have nothing left. To further elucidate the problem of video game addiction, the current research examines the level of video game addiction of 111 participants, along with their motivation for their addictive behaviors, the quality of life of addicted individuals, and possible relations between video game addiction and other forms of addiction. Results of the current research indicate a correlation between addictive video game use and depression, alcohol use, a desire for escapism, a need for social interaction, and lack of self-control. The results of a multiple regression indicate that, amongst the various research factors, depression is the factor with the most significant link to addictive video game use, implying a dangerous correlation between mental health and an addictive behavior that some erroneously disqualify as a true addiction.

About 8.3% of individuals diagnosed with diabetes mellitus (DM) are diagnosed with comorbid depression, a higher rate than the general adult population. This project examined the differences of depression symptoms experienced between diabetic and matched non-diabetic individuals and the relationship of daily activity and nutrition behaviors with depression between these groups. The 2005-2006 National Health and Nutrition Examination Survey (NHANES) was utilized to assess: depression symptoms, diabetic glycemic control as measured by glycoginated hemoglobin (HbA1c), amount of physical activity, percentage of macronutrients, daily frequencies of foods consumed, and the use of nutritional food labels to make food choices. A sample of diabetic (n = 451) and non-diabetic individuals (n = 451) were matched to on age, gender, ethnicity, and education. The diabetic individuals experienced greater depression on both continuous and ordinal diagnostic variables. Counter to expectation, there was no relationship observed between depression and HbA1c in diabetic individuals, r = .04, p > .05.

Despite high levels of exposure, firefighter posttraumatic stress disorder (PTSD) rates are unclear. Likewise, questions remain regarding how social interactions and beliefs about emotion might interact to influence PTSD in firefighters. In this study, U.S. urban firefighters (N = 225) completed measures of social support, negative social interactions, and fear of emotion which were then used via regression analyses to predict PTSD symptoms. Each independent variable predicted PTSD beyond variance accounted for by demographic variables. Additionally, fear of emotion emerged as the strongest individual predictor of PTSD and a moderator of the relation between social interactions and PTSD symptoms. These findings emphasize the importance of beliefs about emotion; both in how these beliefs might influence the expression of PTSD symptoms, and in how the social networks of trauma survivors might buffer distress.

Previous research suggests there are a number of variables that are associated with the expression of schizotypal personality disorder (SPD) symptoms. Such variables include childhood trauma, depression and anxiety, substance use, normal-range personality traits, ethnicity, and gender. However, research to date has not examined all of these variables in a single study to determine how they may be interrelated or differentially related to SPD symptom domains. Of particular interest is the association of these variables as explained by the diathesis-stress model. This study utilized a convenience sample of 298 undergraduate students to examine a continuous range of scores for symptoms of SPD and how the interrelation of biological factors such as gender and ethnicity and psychosocial factors and stressors such as childhood trauma and personality traits, specifically neuroticism and extroversion, influence the expression of SPD symptoms. It was predicted that anxiety, depression, stress, and childhood trauma would positively correlate to SPD symptoms. It was also hypothesized that neuroticism and substance use would positively correlate to schizotypal traits and extroversion would be negatively correlated to schizotypal traits as measured by the Schizotypal Personality Questionnaire-Brief. It was further hypothesized that psychosocial stressors would be moderated by the aforementioned biological factors.

Differences in Mexican American ethnicity, family and friend social support, and importance of diabetes self-management as related to diabetes management in the older adult population were evaluated with the University of Michigan Health and Retirement Study (HRS) 2003 Diabetes Study. Comparisons were made between Mexican Americans with Type II diabetes and similar non-Hispanic Caucasian and African American individuals with Type II diabetes. Neither family/friend social support nor importance of diabetes self-management were significant predictors of HbA1c levels. Results did not support the idea that perception of receiving support from family/friends or placing importance on diabetes self-management covaried with lower HbAlc level (family/friend: beta = -.13, t = -1.47, p = .143; self management: beta = .08, t = .55, p = .584).

The accurate determination of malingering relies on the use of validated and clinically relevant assessment measures. Simulation design is the most often-used research design to accomplish this. However, its external validity is sometimes questioned. The goal of the thesis was to systematically evaluate these major elements: situation, incentives, and coaching. The situation in simulation studies can vary from relevant (academic failure in a college population) to irrelevant (capital murder) for the samples being studied. Incentives refer to the external motivation given to improve simulators' performance and can be positive (extra credit and monetary reward) or negative (extra time and effort). Finally, coaching refers to whether the participant receives any information on detection strategies that are designed to identify feigners. Using a large undergraduate sample in a factorial design, results indicate that a scenario familiar to the participants generally improved the believability of their responses. Coaching also improved the ability to feign convincingly, while incentive type was not associated with any change in scores. The implications of these findings for future research designs and the connection to practice are discussed.

Research has indicated that OEF/OIF veterans are experiencing mental health concerns following deployment. While there are increasing numbers of veterans returning to higher education institutions after discharging from the military, there is a scarcity of empirical research investigating student veterans’ experiences as they transition into college. The purpose of the current study was to examine whether social support moderates the effects of psychological distress on college adjustment among a sample of student veterans. Participants were administered a Background Information Questionnaire, measures of psychological distress (i.e., GAD-7, PHQ-9, IES-R), Multidimensional Scales of Perceived Social Support, and the Student Adjustment to College Questionnaire. Multiple regressions revealed significant main effects for the variables of interest, but analyses failed to support the hypothesis that perceived social support would moderate the effects of psychological distress on college adjustment.

The current study examined relationships among acculturation, parent-child relationship quality, and selected wellbeing indicators (health-related quality of life, life satisfaction, anxiety, depression, and stress) among a group of young adults from immigrant families of Asian and Hispanic descent. The first goal of the current study was to replicate previous research demonstrating a mixed relationship between acculturation and the wellbeing indicators. The second was to explain this relationship by testing for a moderation effect of parental care on the acculturation-wellbeing relationship. An examination of differences between members of the two ethnic groups on all measured variables served an exploratory purpose. Participants included 204 participants of Asian (N =80) and Hispanic (N = 124) descent who came from an immigrant family, or a family in which at least one parent was born outside of the U.S. Eligible respondents were also current students at the University of the North Texas who fell within the age range of 18-24, and the data for the current study was selected from a larger dataset (N = 1064). Results indicated that higher acculturation levels had a positive effect on each wellbeing indicator. Father Care and Mother Care were found to be significantly positively correlated with most outcome …

Shattered assumptions theory posits that each individual has a core set of assumptions about the world and the self, often termed the assumptive world which includes: the world is a benevolent place, the world is meaningful, and the self is worthy. Experiencing a traumatic event is believed to lead individuals to question these assumptions in light of the new contradictory information that causes the assumptive world to shatter, leaving the individual to rebuild a more negative perception of the world and themselves. This rebuilding of a fragile new set of core beliefs is believed to be a cause of posttraumatic stress disorder (PTSD) symptoms. Although shattered assumptions theory has been widely accepted in the field of trauma psychology, the shattering of the assumptive world has not been empirically supported due to measurement issues and poor research designs. The current study implemented a prospective design to assess a new measure of the individual’s assumptive world when there is an intervening trauma. In a college sample (N = 336), individuals who experienced a traumatic event over the course of the semester (n = 40) evidenced decreases in optimism in their assumptive worlds, in comparison to individuals who did not experience a traumatic …

Evidence continues to demonstrate that racial/ethnic minority groups experience a disproportionate burden of disease and mortality in cardiovascular-related diseases (CVDs). However, emerging evidence suggests a health advantage for Latinos despite a high risk profile. The current study explored the hospital utilization trends of Latino and non-Latino patients and examined the possibility of an advantage for Latinos within the context of CVD-related events with retrospective data collected over a 12-month period from a local safety-net hospital. Contrary to my hypotheses, there was no advantage for in-hospital mortality, length of stay or re-admission in Latinos compared to non-Latinos; rather, Latinos hospitalized for a CVD-related event had a significantly longer length of stay and had greater odds for re-admission when compared to non-Latinos. Despite data suggesting a general health advantage, Latinos may experience a relative disparity within the context of hospital utilization for CVD-related events. Findings have implications for understanding the hospital utilization trends of Latinos following a CVD-related event and suggest a call for action to advance understanding of Latino cardiovascular health.

Both sleep diaries and actigraphy have been recommended to assess sleep in research and clinical settings. Investigators have traditionally used sleep diaries that were completed daily by participants and collected weekly but have recently begun using sleep diaries that are both completed and collected daily. No research had previously assessed the agreement between daily-collected sleep diaries and actigraph data over one week. Undergraduate students were randomly assigned to use daily- or weekly-collected sleep diaries. Sleep parameters obtained from these measures were compared to each other via concordance with concurrent actigraph data. It was hypothesized that daily-collected sleep diaries would have greater concordance with actigraphy than weekly-collected sleep diaries. Results indicated that daily-collected sleep diaries provided more reliable data than weekly-collected sleep diaries, but the differences were not statistically significant. Additional aims examined self-reported sleep diary adherence, the participation day number, and day of the week. There were trends for the Daily group to have better adherence. Overall concordance did not change based on the day number or day of the week. Both sleep diaries yield comparable sleep parameter data, suggesting that clinicians and researchers can use either method to estimate sleep parameters.

Human immunodeficiency virus (HIV) seropositive men on highly active antiretroviral therapy treatment (HAART) who experience lipodystrophy syndrome (LD), a side effect of HAART, rate themselves as more depressed than those who did not experience LD(Crane et al., 2008). Furthermore, men who rated their LD symptoms as more severe also scored higher on depression measures than men who experienced less severe symptoms. It is unknown these findings can be generalized to other groups of HIV positive individuals. The current study seeks to fill this gap in the literature by exploring the associations between LD, body image, and depressive symptoms in an archival sample of HIV positive Black women. This study aims to describe the body changes associated with HAART in a Black female sample and explore the relationships between LD, body image, depression, and quality of life. Findings supported past research indicating a correlation between depression and poor body image but did not indicate that body image quality of life moderated the relationship between perceived body changes and depression. Results expanded on the literature by indicating that perceived body changes may be more distressing to Black women with HIV than objective changes. Lastly, findings suggested that Black women may have inaccurate …

Since 2008, the United States (USA) has resettled thousands of Bhutanese refugees, providing brief financial support and pathways to citizenship. Despite the efforts of governing bodies and voluntary agencies which facilitate resettlement, many refugees struggle with adapting to the vastly different lifestyle, economy, language and social structures. In particular, effectively addressing psychological needs of this population is a challenge for service providers operating within an expensive health care system based on Western constructs of mental health. In response to this challenge, refugee resettlement agencies throughout the country use community gardens to promote psychological healing, self-sufficiency, community engagement, and a return of human dignity. Though success of these programs is being shared in the media, there has yet to be empirical data examining their impact. The current study tested whether Bhutanese refugee engagement in a community garden impacts symptoms of depression, anxiety, PTSD and somatic complaints. The study also investigated whether community gardening is associated with perceptions of social support and adjustment to life in the United States. Quantitative and qualitative data was collected from 50 adult Bhutanese refugees in Fort Worth, Texas. Gardening was significantly related to increased social support overall, a key factor in overall functionality within communal cultures; …