Lisa Curtin

Parental perceptions, early maladaptive schemas, and depressive symptoms in young adults

Cognitive models of depression propose that negative schemas contribute to depressive symptoms. Early experiences, particularly parenting, have been proposed to influence cognitive schemas and have also been shown to correlate with depression. This study explores the concurrent relationship between retrospective reports of parenting, Early Maladaptive Schemas (EMSs) described by J. E. Young (1994), and symptoms of depression in a sample of undergraduate students (N = 194). The EMSs of defectiveness/shame, insufficient self-control, vulnerability, and incompetence/inferiority were associated with perceptions of parenting and depressive symptomatology. There was evidence that these four EMSs partially mediate the relationship between parental perceptions and depressive symptomatology. Results are discussed in relation to previous findings, theory, and the measurement of EMSs.

Determinants of Attrition From Cessation Treatment in Smokers With a History of Major Depressive Disorder

Attrition from smoking cessation treatment by individuals with a history of major depression was investigated. An investigation of preinclusion attrition examined differences between eligible smokers who did (n = 258) and did not (n = 100) attend an initial assessment session. Postinclusion attrition was investigated by comparing early dropouts (n = 33), late dropouts (n = 27), and treatment completers (n = 117). Those who failed to attend the assessment session were more likely to be female, to smoke cigarettes with higher nicotine content, and to have a history of psychotropic medication use. Early-treatment dropouts reported a higher smoking rate than late-treatment dropouts and endorsed more symptoms of depression than late dropouts and treatment completers. Results are compared with previous investigations of smoking cessation attrition, and implications for treatment and attrition prevention are discussed.

Evaluation of a cognitive–behavioral therapy intervention to improve body image and decrease dieting in college women

This two-group experimental study evaluated the effectiveness of a cognitive-behavioral body image intervention, adapted from an effective clinical intervention, with normal college females. Participants included nonclinical, freshman college women who were assigned randomly to either the experimental intervention or the control group (brief educational session). Participants were assessed prior to the intervention and again 1 month later on dieting behavior, body image, fear of fat, and anxiety concerning physical appearance. Although it was hypothesized that each of these variables would be lower in the experimental group, none of these results, except for a trend for decreased dieting, were found. Overall these results of slightly reduced dieting behavior are consistent with other research targeting primary and secondary prevention. This interventions failure to impact body image and eating behaviors of college students illustrates the continuing challenge of eating disorders prevention.

Group-Based Motivational Interviewing for Alcohol Use Among College Students: An Exploratory Study

How can practicing psychologists help reduce excessive alcohol consumption among college students? Over 80% of college students consume alcohol, and a significant percentage drinks excessively with myriad problems. Brief interventions based on motivational interviewing (MI) have been identified for use with college populations. The authors randomly assigned 91 freshman students to a brief, classroom-based MI intervention or an assessment control condition. At the end of the semester, MI group participants reported fewer drinks per occasion and fewer episodes of intoxication compared to controls. A classroom-based, MI-style intervention might be an efficient, sustainable, and effective means of reducing heavy drinking among college students.

A Writing Intervention for Negative Body Image: Pennebaker Fails to Surpass the Placebo

Abstract Pennebakers therapeutic writing paradigm was assessed as a brief intervention for negative body image. Females were randomly assigned to write about their body image (experimental; n = 23) or their bedroom (controls; n = 25) for four days. Body image, eating-disordered behavior, and mood were assessed at baseline, after the 4th day of writing, and at 1-month follow-up. Despite hypotheses that experimental participants would show more improvement over time, participation in the study, regardless of condition, was related to significant improvements in body image and mood, and decreased eating-disordered behavior over time. Placebo, sensitization effects, and regression to the mean are discussed as potential explanations for this unexpected finding. Suggestions for future research are made.

Goal Setting and Feedback in the Reduction of Heavy Drinking in Female College Students

Abstract The present study examines self-regulation variables (goals, feedback, goal commitment, efficacy, discrepancy) within the context of a brief intervention designed to decrease heavy drinking amongst college females. Participants (N= 76) were randomly assigned to one of six between subjects conditions created by crossing goal conditions (no goal, proximal goal, distal goal) with feedback conditions (feedback, no feedback), and were assessed across time on drinking behavior and self-regulation variables. Neither goal setting, feedback, nor the combination of goal setting and feedback were superior to assessment and information in the reduction of heavy drinking. The interaction of efficacy, commitment and discrepancy failed to add to the prediction of future drinking beyond that accounted for by current drinking behavior and the main effects of self-regulation variables in hierarchical regression analyses. Correlational analyses revealed a negative relationship between efficacy and commitment and future drinking behavior. Results are discussed in relation to theory, the college student environment, and the potential limited efficacy of individual level interventions within this environment.

Empowerment, feminism, and self-efficacy: Relationships to body image and disordered eating

Sociocultural norms pertaining to an ideal of thinness for women likely play a role in the development and maintenance of disturbance in body image, and by extension, disordered eating. However, competing norms associated with feminism may buffer women from pressures associated with achieving the thin ideal. The present study explored the relationship between feminist ideology, empowerment, and self-efficacy relative to body image and eating behavior with a sample of U.S. undergraduate women (N=318) attending a southeastern U.S. mid-sized university. In planned hierarchical multiple regression analyses, endorsement of feminist ideology predicted perceptions of positive body image, but did not appear to predict disordered eating. Self-efficacy emerged as a robust predictor of positive body image and lower disordered eating even after controlling for perceptions of personal empowerment and feminism. Results, although limited by correlational data, suggest that self-efficacy may protect college-aged women from disordered eating and negative body image.

Opportunities and Challenges of Rural Practice: Managing Self amid Ambiguity

Living and practicing psychology in a small, rural community has opportunities and challenges. We describe the context of rural communities and identify several of those challenges and opportunities. A case study demonstrates the influence of multigenerational involvement, complex professional and social situations, and the potential difficulties facing the responsible clinician. We suggest both a theoretical perspective and specific procedures for treating prototypical cases in a rural practice.

Nonsuicidal Self-Injury and Suicidal Self-Injury: A Taxometric Investigation

The present research examined the latent structure of self-injurious behavior (SIB) to determine whether suicidal self-injury (SSI) and nonsuicidal self-injury (NSSI) reflect categorically distinct types of SIB or dimensional variations of the same construct. Participants consisted of 1,525 female undergraduates across several universities in the United States who completed the Survey of College Mental Health and Well Being and endorsed a history of SIB. Empirically derived indicators representing intent to die, suicidal history, frequency of SIB, severity of SIB, and number of methods of SIB were submitted to three mathematically independent taxometric procedures. Results of multiple consistency tests converged to indicate that the latent structure of SIB is continuous, with individuals who engage in SSI and NSSI differing in degree rather than kind. The implications of these dimensional findings for the theoretical conceptualization, assessment, and treatment of SIB are discussed.

Motivational Interviewing for Smoking Cessation Among College Students

Motivational interviewing has shown some success as an intervention for college student cigarette smokers. We tested the efficacy and process of a two session motivational-interviewing-based smoking intervention compared to an assessment/information session. College student participants assigned to the motivational interviewing condition did not differ significantly from participants in the assessment/information condition on smoking outcome variables one month later. However, both groups reported significant decreases in self-reported smoking over time, suggesting that brief interventions for college student smoking can be efficacious. Consistent with theory, the motivational interviewing group reported a significant increase in self-efficacy over time and reported stronger perceptions of the therapeutic alliance after the first session compared to assessment/information participants.