Dissertations / Theses on the topic 'Anxiety – Psychological aspects'
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1
Sherr, Lorraine. "Psychological aspects of communication, anxiety and satisfaction in obstetrics." Thesis, University of Warwick, 1989. http://wrap.warwick.ac.uk/73323/.
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Communication, anxiety and satisfaction during pregnancy was examined. Ley (1977) presents a cognitive model to explain satisfaction and its links with understanding. Janis (1958, 1971) notes a curvilinear relationship between anxiety and post-operative coping and postulates that information, anxiety and cognitive preparation are the variables accounting for this. Kumar and Robson note that obstetric anxiety is related to concerns for maternal and infant well being rather than irrational anxiety. This study examined the experience of women, stressors, communication satisfaction, knowledge and information and looked at the extent to which these three theories could interrelate to provide a fuller explanation of the psychological experience of women. Five studies were undertaken. Initially a pilot study revealed many negative statements about communication when transcripts were analysed. Communication factors and anxiety laden instances were correlated. The next study was set up to examine knowledge levels as Ley predicts that these, together with misunderstandings could contribute to dissatisfaction. Desire for knowledge was high. Knowledge varied according to social class but not parity. Doctors felt parity would be a factor. Women had difficulty approaching their doctor for information yet still desired doctors as their primary information source. Doctors delegated much information imparting to classes. Study three examined anxiety, communications and satisfaction in labour with pain management (a noted stressor in study 1). Patients receiving Pethidine were dissatisfied. Their pain experience did not differ markedly,but their psychological preparation did. In study 4 anxiety and outcome was monitored, together with information gathering strategies. Linear, rather than curvilinear relationships were found (unlike those predicted by Janis). The course of anxiety was a useful measure and the impact of anxiety on caregivers in the cycle of communications and recovery were explored. The final study looked at the impact of intervention on anxiety and satisfaction in ante-natal care. Women were randomly allocated to groups receiving no intervention, information and information plus feedback. The latter group had significantly lower post-consultation anxiety and higher satisfaction than the other two. The role of knowledge and accuracy in relation to satisfaction was explored. Kumar and Robsons propositions about anxiety were supported in these studies. Ley's cognitive model contributed much to the understanding but limitations in this model are explored, especially in relation to process and interaction factors and the routes to understanding. Janis' curvilinear relationship was not upheld, but his theoretical explanations involving the use of information and worry needs further testing.
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Power, Kevin George. "Pharmacological and psychological aspects of anxiety management in primary care." Thesis, University of Stirling, 1989. http://hdl.handle.net/1893/21527.
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Pilot Study: a) 21 Generalised Anxiety Disorder (GAD) patients were treated double-blind with either diazepam or placebo for 6 weeks. This active treatment period was preceded by one-week single-blind placebo 'wash-in', and followed by two-week single-blind 'washout'. Results showed that diazepam used in moderate doses for 6 weeks produced anxiety recurrence and withdrawal symptoms. b) 10 GAD patients were randomly allocated to Cognitive-Behaviour Therapy (CBT) and compared with the above diazepam and placebo groups. All treatments were balanced for degree of Psychologist/patient contact. At cessation of active treatment CBT superiority was indicated. Post-Study psychotropic prescription and psychological treatment were assessed at 12 months follow-up. The CBT group had the lowest incidence of subsequent treatment interventions. Main Study : 101 GAD patients were randomly allocated to diazepam, placebo, CBT, CBT + diazepam, and CBT + placebo, and treated over 10 weeks. Outcome measures at end of treatment and at 6 months follow-up revealed the superiority of all CBT treatments; especially CBT alone, and CBT + diazepam. Diazepam was more effective than placebo. CBT + diazepam, and diazepam groups showed no anxiety recurrence during graded withdrawal. Secondary Study : 205 long-term benzodiazepine users were matched for age and sex with controls. Inspection of medical case notes showed that benzodiazepine users had higher rates of previous physical illness, GP attendance, and non-psychotropic drug prescription. Differences emerged between anxiolytic, hypnotic, and anxiolytic + hypnotic benzodiazepine users in age, history of physical illness, and previously prescribed medication. Tertiary Study : 44 long-term benzodiazepine users were interviewed. The incidence of psychological ill-health and social problems was lower than expected. Patients were dependent on medication, and reported concern if their medication were to be stopped. Nevertheless 40% considered stopping benzodiazepines. Results from the above studies are discussed in relation to clinical management of GAD, and current concerns about benzodiazepine dependence and withdrawal.
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Nodine, Janet Lynn. "THE EFFECT OF THERAPEUTIC TOUCH ON ANXIETY AND WELL-BEING IN THIRD TRIMESTER PREGNANT WOMEN." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276506.
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This study was conducted to determine whether or not a significant difference exists in pregnant women among those receiving therapeutic touch, mock therapeutic touch, or no touch on measurements of anxiety and well-being. Thirty third trimester primigravida subjects were tested pre- and postintervention using the State-Anxiety Inventory and a Well-Being Visual Analog; heart and respiratory rates were monitored before, during, and after the treatment. No significant differences were found using analysis of covariance with the pre-test scores as the covariate. The findings indicate that therapeutic touch may not be useful in reducing state anxiety or enhancing subjective well-being in pregnancy. Study limitations include a small sample size, use of an instrument without established reliability and validity, and a study environment that may have increased anxiety.
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Scallen, Stephen. "An empirical examination of the zone of optimal functioning theory." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834513.
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This study examined Hanin's (1980) zone of optimal functioning (ZOF) theory. The purpose of this investigation was to determine whether being in or out of a ZOF could be used to predict performance of 19 female and 16 male varsity college swimmers. Determining ZOFs required a two part strategy. In part one, subjects retrospectively revealed optimal anxiety using the SAI and CSAI-2 anxiety inventories. Standard deviations from this portion of the study were used to determine the size of individual ZOFs. Each swimmer was assigned SAI, cognitive, somatic, and selfconfidence ZOFs. In part two, swimmers rated level of anxiety prior to competition. Pre-competition anxiety scores were compared to individual ZOFs to determine if swimmers were within or outside their ZOFs prior to performance. A performance score of 1 was assigned to swimmers whose competition time was better than their mean time for previous competition, while a score of 0 was assigned to those swimmers whose performance time was worsethan their mean time for previous competition. Tetrachoric correlations were computed to determine the magnitude of relationship between location about ZOF and subsequent performance score. Results indicated that being within SAI and somatic ZOFs were related to above average performance for male swimmers. A somatic-cognitive interaction was also significant for male swimmers. No significant relationships were identified for female swimmers possibly due to questionable reliability and validity of anxiety responses for females. It was concluded that data for male swimmers supported ZOF theory.School of Physical Education
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Bindarwish, Jamal. "Social physique anxiety and exercise setting preferences among college students in a required PEFWL course." Virtual Press, 2000. http://liblink.bsu.edu/uhtbin/catkey/1164844.
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The purpose of this study was to examine the effect Social Physique Anxiety (SPA) levels have on college students' preferences for different exercise settings. Those exercise settings included exercising with people of same gender, exercising with people who were physically fit, and exercising with people of similar body shapes. In addition, the study investigated the role of gender concerning these exercise setting preferences. Furthermore, this study examined the relationship between SPA levels and students' preferences for different type of physical fitness activities and their perceived physical fitness (PPF). A sample of 375 undergraduate male and female students at Ball State University were selected using a purposeful sampling procedure. The participants were enrolled in the coeducational Physical Education Fitness/Wellness course (PEFWL) during spring 2000 semester. During a scheduled class, the participants completed a 35item questionnaire which assessed SPA levels, PPF, and other items related to exercise setting.In this study, male participants were significantly higher in PPF than female participants, whereas female participants were significantly higher in SPA than male participants. To address the five research hypotheses, logistic and multiple regression analyses were used (p<.05). Both SPA and gender were significant predictors of participants' preference for exercising with people of same gender, participants' preference for exercising with people physically fit, and participants' preference for exercising with people of same body shape. Gender significantly predicated the preference of participating in the physical activity groups of physical conditioning and swimnastics/fitness swimming. Finally, SPA was the only significant predicator (p<.001) of participants' PPF. Based on the results of this study, SPA played a critical role in college-age students' exercise setting preferences. Students' self-presentational concerns about their physiques being negatively evaluated by others may indeed influence their exercise setting preferences.School of Physical Education
6
Leung, Sum-po May. "The effect of psychosocial factors on the anxiety level of infertile women." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B29759018.
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Yeung, Ka-man Carmen, and 楊嘉雯. "The use of written information to relieve anxiety in patients undergoing endoscopy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46583439.
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Leader, Leslie. "Psychological aspects of tinnitus : the effects of attentional focus, anxiety and fatigue." Thesis, University of British Columbia, 1986. http://hdl.handle.net/2429/27126.
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This study examined the effects of attentional focus, anxiety, and fatigue on tinnitus distress, intensity and pitch in a group of 60 adults with tinnitus. Subjects were randomly allocated to one of three experimental groups or to a group performing a control task. In order to provide a naturalistic parallel to the laboratory manipulation, subjects kept a diary of similar variables for one week.
The experimental manipulations showed that an increase in attentional focus on tinnitus led to a significant increase in perceived tinnitus intensity. There was an indication that increased anxiety had a similar effect on tinnitus intensity. Interestingly, tinnitus pitch was relatively unaffected by manipulations compared to tinnitus intensity.
Naturalistic diary analyses indicated significant positive correlations between the mood variables, bored, anxious, and fatigue on the one hand and tinnitus distress, intensity and pitch on the other. The strongest correlation appeared to be between tinnitus distress and anxiety. A multiple regression procedure found that tinnitus distress was positively correlated with tinnitus intensity, age, and complexity of the tinnitus sound; and negatively correlated with duration since onset. There was a high degree of variability among subjects in range of tinnitus distress and its temporal patterning.
Implications for tinnitus treatment, measurement and a proposed model of tinnitus distress are discussed.Arts, Faculty of
Psychology, Department of
Graduate
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Chiu, Wing-sze Ivy, and 趙詠詩. "Effect of music on anxiety management during dental procedures." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45171695.
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Biggs, Edward Eugene. "Social anxiety and memory deficit for information about others." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/26039.
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Cognitive factors have been identified as critical variables in the origin and maintenance of interpersonal dysfunction associated with high social anxiety. Although evidence of a memory deficit accompanying general anxiety states is abundant, studies of memory accompanying social anxiety have failed to demonstrate a deficit. Previous studies of memory deficit in social anxiety have measured only retention of evaluative feedback, the present study investigated memory more typical of interpersonal encounters, the recall of information about others.
Forty-eight high socially anxious males and forty-eight low anxious males were asked to listen to a tape recording of self-disclosures either during an interaction with the self-discloser or in private. Following an interim task, each subject was then asked to recall the information from the tape either in the presence of the female self-discloser or in private. This design allowed for social anxiety provoking manipulation at encoding to be completely crossed with social anxiety manipulation at retrieval. Multiple measures of memory were taken and analyzed with a multivariate procedure.
It was hypothesized that a situational deficit would occur for the high socially anxious subjects when they were encoding the other-referent information in a social context. Additionally, it was hypothesized that high socially anxious subjects would recall more affective as opposed to neutral information, and more negative items than positive or neutral.
The results confirmed that memory is disturbed for high socially anxious subjects when in a social context, and specifically the disturbance occurs at the encoding phase. Results regarding the recall of affective material were contrary to prediction and suggest that high socially anxious subjects selectively process less affective material than do low socially anxious subjects.
The results are supportive of a cognitive perspective arguing that dysfunctional interpersonal experiences may stem from impoverished, incomplete, and barren schema that guide the social behavior. The presence of a recall deficit along with intact recognition memory suggests that information about others is attended to but not processed 'deeply' or elaborately enough to be available on a free recall basis.
The identification of memory deficit as a component of social anxiety provides a variety of new intervention possibilities including social memory enhancement programs, interventions aimed at unearthing poorly encoded memories, and strategies focused on attention to affective messages.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
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Ng, Kwai-sang Sam. "The use of prior information for the reduction of operation anxiety." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B29726499.
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Vavrik, John. "State anxiety responses as a function of specific computer interaction events." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26935.
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The purpose of this study was to develop a model of investigating anxiety in human-computer interactions. The model was constructed from three components. Firstly, precursor conditions of anxiety were identified by assimilating several of the accepted theoretical viewpoints of the anxiety concept. Secondly, the computer-human interaction process was examined and typical events in this process were identified. Finally, a connection between the computer-human interaction process and anxiety was proposed by identifying a subset of specific interaction events that were representative of the anxiety inducing conditions. These were termed Computer-Interaction Anxiety (CIA) events. To test the validity of the model an experiment was carried out in which state anxiety data was collected while 31 subjects were engaged in an interactive computer programming session. There was a significant increase in the subjects' state-anxiety level immediately after experiencing typical CIA events.Education, Faculty of
Curriculum and Pedagogy (EDCP), Department of
Graduate
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Rampersad, Roger. "Mathematics anxiety and achievement in mathematics 436." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=19394.
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Mathematics 436 is the advanced mathematics course offered to students in secondary IV in the province of Quebec. Although the course is designed to challenge students in the advanced stream, it has produced a high number of failures. This study examines the relationship between mathematics anxiety and achievement in Mathematics 436. Fifty-six students from an English high school on the island of Montreal took part in the study. The Mathematics Anxiety Rating Scale for Adolescents was used to measure the level of mathematics anxiety experienced by the students. In addition, grades from the previous year in mathematics were obtained, as well as grades from the present year, and the final examination. The results of the study suggest that students enrolled in Mathematics 436 experience a high level of mathematics anxiety. As well, higher levels of mathematics anxiety experienced by the students are associated with poor performance in mathematics.
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BROOKS, RICHARD JOSEPH. "CHARACTERISTICS, EXPERIENCES AND ATTITUDES OF THANATOLOGY STUDENTS (DEATH, ANXIETY)." Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/183908.
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The principal purpose of this study was to compare similarities and differences in selected personal variables and death attitudes between university students enrolled in a death education course and students not enrolled in a death education course. Secondary attention was directed towards an analysis of the relationship of personal characteristics and death-related experiences with attitudes towards death. Three groups of university students, a death education-enrolled or completed group (n = 90), a death education-enrolled only subgroup (n = 47), and a non-enrolled control group (n = 46) were compared using the Health and Illness Survey. The HIS measures a wide range of variables including personal characteristics, death-related experiences and attitudes towards death. A correlational, ex post facto research design was utilized in order to compare the relationship of each of these variables with group membership. Additional correlational analyses were computed to reveal the degree of relationship between the personal variables and attitudes towards death. Findings revealed that the death education students reported experiencing their first significant personal involvement with death at a younger age, and desire more open discussion of death during childhood than the non enrolled comparison group. Death education students rated themselves significantly higher than the non death education students on present physical health and also on self esteem following completion of the HIS. With regard to the death attitudes findings, the death education-enrolled group reported higher levels of fear of personal death than those not enrolled. Additional results indicated that significant relationships did exist between death attitudes and several personal characteristics and death-related experiences. Particularly noteworthy were relationships indicating that a more favorable childhood environment regarding death-related experiences correlated with increased levels of coping with death and dying and decreased levels of fear of death and dying. Implications of these findings directed toward parents, counselors and educators were discussed, and recommendations were made to assist future research efforts in this area.
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Monteleone, Brian R. "Cognitive-affective stress management training to reduce competitive anxiety in athletes." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1203653.
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This study examined the effects of Cognitive-Affective Stress Management Training in reducing cognitive and somatic anxiety, while increasing self-confidence and athletic performance in a sample of male (n=10) and female (n=23) high school and college athletes. Only participants scoring moderate to high for trait anxiety on the Sport Competition Anxiety Test (Martens, 1977) were involved in the program. Cognitive-Affective Stress Management Training (CASMT) was a three week, six session program conducted during the preseason. Participants were randomly assigned to three groups (i.e., no treatment control group, treatment group, and one treatment group that met for one hour at mid-season to review the program, answer any questions, and refine any deficient skills). The athletes were administered the Competitive Sport Anxiety Inventory-2 (CSAI-2) (Martens, Vealey, Burton, 1990) at preseason, at mid-season, and at the end of the season and their athletic performance times were recorded similarly. A multivariate approach to repeated measures was used to analyze the Competitive Sport Anxiety Inventory -2 and athletic performance data. Participants receiving CASMT did not significantly reduce their cognitive and somatic anxiety nor increase self-confidence. A significant main effect was found for athletic performance between the two treatment groups. More specifically, the treatment group receiving a "tune-up" session at midseason had significantly lower (i.e., faster times) than the treatment group that did not have a "tune-up". However, this difference represents a randomization problem since this difference existed prior to any treatment. No statistical differences were found between the treatment groups and the control group. Limitations of the present study include sample size, under-representation of males in the sample, time of CSAI-2 administration, and the variable length of seasons among the four teams. It is recommended that future research in this area extend the use of "tune-ups" during the season, assess the direction of perceived competitive anxiety, compare multiple performance variables, and utilize psychological interventions that can be extended beyond the athletic environment.Department of Educational Studies
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Gallup, Julie Rondestvedt. "THE RELATIONSHIP OF DEATH ANXIETY TO DEVELOPMENTAL RESOURCES AND PERCEIVED DISTANCE TO PERSONAL DEATH IN LATER ADULTHOOD." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275449.
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Ruderman, Cimi Perryl. "The relationship between weight loss and locus of control, possible selves, self-esteem, anxiety and optimism/pessimism." CSUSB ScholarWorks, 1990. https://scholarworks.lib.csusb.edu/etd-project/779.
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Blackford, M. Lezlie. "Death anxiety and coping in the elderly." Virtual Press, 1990. http://liblink.bsu.edu/uhtbin/catkey/720169.
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Mounicot, Marc. "Superstition and pre-game anxiety among male and female soccer players at various levels of play." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0004/MQ43920.pdf.
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Mills, Brett D. "Catastrophe model of anxiety and performance : application to field hockey." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834613.
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The purpose of-this investigation was to determine the effects of cognitive anxiety and physiological arousal on performance on a pre-determined motor task, and the application of the catastrophe model of anxiety and performance to women's field hockey. There were six subjects (three in group 1 and three in group 2). Cognitive and somatic anxiety values were measured before and after a one day competition using the Competitive State Anxiety Inventory2. Performance was evaluated before and after the one day competition using the motor task: shooting on goal. The data were analyzed using the ANOVA-Repeated Measures and thedifference among treatment conditions. It was apparent that physiological arousal, and the associated somatic anxiety, were not detrimental to performance on the pre-determined motor task when cognitive anxiety was low. However, when cognitive anxiety was high, performance on the pre-determined motor task was associated with catastrophic effects.School of Physical Education
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Boucher, Hélène. "[The] occurrence of music performance anxiety in early childhood." Thesis, McGill University, 2009. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=109913.
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Note:Performance anxiety is a common experience for many musicians, firmly engrained in them by the age of eight. While it has been suggested throughout the literature that this is a learned condition developed during childhood, its appearances in younger children have not yet been studied. The purpose of this study was to document the performance experiences of very young children with respect to performance anxiety.[...]
L'anxiété de performance est vécue par plusieurs musiciens et serait déjà enracinée chez certains apprentis musiciens des l' âge de huit ans. Bien que plusieurs chercheurs considèrent qu'il s'agit la d'un phénomène acquis, se développant pendant l'enfance, ses premières manifestations n'ont jamais été étudiées. L'objectif de cette recherche est donc de documenter l'existence du stress lie a la performance musicale chez les très jeunes enfants.[...]
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Yu, Tin-men, and 余天敏. "An evidence-based patient education intervention to reduce pre-procedural anxiety." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44627105.
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Franz, Erika Katharina Elizabeth. "Knowing about not knowing : a cognitive view of mathematics anxiety." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=100365.
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In order to close the gap that exists between the research areas of mathematics anxiety and mathematics learning, this study examined cognitive, metacognitive, and affective aspects of mathematics anxiety as well as students' mathematics performance and competence. One hundred and five grade 9 students, 51 males and 54 females, from two high schools in the same school board provided data on current and past final grades and anxiety measures, both general and specific to mathematics anxiety. A subset of 40 students was selected based on either high or low mathematics anxiety, and verbal protocols were collected while they solved six mathematical problems. Students ranked themselves and teachers ranked their students on how confident they felt about solving each problem. Two sets of marks were assigned to students' performance, one based on their written work only and the other one also taking into account knowledge evidenced from their verbalizations. As predicted, the more mathematics-anxious students showed greater awareness of their mathematical knowledge or the lack thereof, making significantly more coded statements for four out of the six variables that implied greater awareness. High-anxious students were less likely to consider continuing their mathematical education. Teachers overestimated their students' performance, while students underestimated their knowledge level, but more closely estimated the mark they would receive on a test regardless of anxiety level. Given that mathematics-anxious students seem aware of their lack of knowledge, any treatment of mathematics anxiety needs to include teaching not only mathematical knowledge, but also skills such as monitoring and reflecting about application of such knowledge to the solution process.
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Radu, Diana. "Aspects on the psychopharmacology of cholecystokinin /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-368-X/.
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Chow, Yuen-yi, and 周婉儀. "Pre-operative music intervention to reduce patients' pre-operative anxiety in acute care setting." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44623021.
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Lee, Heesu. "Effects of Levels of Physical Activity on Physical Self-Concept and Social Physique Anxiety Among College Students." CSUSB ScholarWorks, 2012. https://scholarworks.lib.csusb.edu/etd-project/2760.
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Physical activity plays a crucial role in contributing to psychological stability regarding physical concept. However, the evidence for showing the association between levels of physical activity and the psychological state has not been closed to focus on college students. This study was to examine the importance of physical activity by investigating the effects of different levels of physical activity on physical self-concept and social physique anxiety among college students. This study used a secondary data set approved by Institutional Review Board, and obtained a written permission and approval for data use. The data set used for this study was not previously analyzed and published. A total of 238 participants (99 males and 139 females) were 4-year comprehensive university students in Southern California. Godin Leisure-Time Exercise Scale (GLTES), Physical Self-Description Questionnaire (PSDQ), and Social Physique Anxiety Scale- 7(SPA-7) were used to analyze levels of physical activity, physical self-concept, and social physique anxiety, respectively. The SPSS version 19 was used to analyze the data for the purpose of this study. Results showed that there were statistically significant differences in physical self-concept and social physique anxiety among the levels of physical activity. There were statistically negative correlations between social physique anxiety and physical self-concept.
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Solomon, Brahm Kevin. "Psychological Aspects of Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34292.
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As a leading cause of disability that often leads to death, chronic obstructive pulmonary disease (COPD) can be characterized as both a chronic illness and a life-threatening one. As a result, the experience of individuals with COPD can include psychological concerns that are associated with both rehabilitation and palliative care. At the same time, the often-uncertain trajectory of COPD obscures a clear transition from rehabilitation to palliative care. It is not surprising, therefore, that treatments aimed at addressing patients’ rehabilitative and palliative needs largely proceed independently of each other.
This dissertation contains two studies conducted with patients participating in a pulmonary rehabilitation program for COPD (N = 242). Separately, each study stems from a research tradition grounded in either the rehabilitative or palliative approach to treatment. Together, the studies highlight an opportunity for a model of more integrated care. Study 1 is derived from the rehabilitation literature and focuses on the issue of “catastrophizing” about breathlessness. Catastrophizing is characterized by a magnification of a symptom’s threat value, rumination about its perceived negative impact, and a sense of helplessness in addressing it. In some medical conditions with a primary symptom, such as chronic pain, catastrophizing demonstrates a strong relationship with the development of disability. Study 1 examines whether this relationship is found in the context of breathlessness. The study also reports the initial validation of the Breathlessness Catastrophizing Scale (BCS) as a means of assessing this phenomenon.
Study 2 has its conceptual basis in the palliative care literature and highlights patients’ existential concerns around loss of dignity. Loss of dignity is a central construct in recent health care debates, because it is a primary reason underlying the requests of terminally ill individuals to seek medically hastened deaths (i.e., euthanasia or assisted suicide). Until now, however, loss of dignity has only been examined among patients with cancer. Study 2 examines whether loss of dignity is as prevalent among those with advanced COPD, and whether it improves with treatment.
In Study 1 the BCS was found to be a reliable measure of breathlessness catastrophizing, with good convergent validity and sensitivity to change. Interestingly, it appears that breathlessness catastrophizing need not be a barrier to functional improvement in COPD. In Study 2, a “fractured” sense of dignity was found among 13% of patients with advanced COPD, suggesting that it is at least as prevalent as among those receiving palliative cancer care. It was also evident that loss of dignity is amenable to change with appropriate rehabilitation. This finding is important for societal debates regarding the provision of medically hastened deaths, which are often described as offering “death with dignity”. Together these studies demonstrate that in an interdisciplinary environment, such as the pulmonary rehabilitation program, not only is collaboration possible, but the distinct rehabilitative and palliative needs of patients can be met.
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韓政龍 and Ching-lung Hon. "Biorhythms, state anxiety and mood states as predictors of racquet games performance." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31257203.
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Griffin, Jeffrey Michael. "The effectiveness of mindfulness meditation on reducing test-taking anxiety." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/488.
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Burling, John William. "The function of culturally-created symbolic systems in the reduction of death anxiety." Diss., The University of Arizona, 1988. http://hdl.handle.net/10150/184349.
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Several studies have attempted to assess the effects of death anxiety upon personality and behavior. However, only recently has research on this topic begun to develop a larger theoretical context within which many behaviors and intrapsychic mechanisms can be explained. The present study was conducted to test the hypothesis that people's symbolic investments, such as religious beliefs and status, are inflated when an individual is faced with events which make their personal mortality salient. Theoretically this inflation would help them buffer their anxieties about death. Subjects were selected for participation on the basis of scores on measures of status concern and religiosity, and were assigned to a mortality salience treatment or control condition. Results suggest limited support for the hypothesis. Though all predictions were not confirmed, some intriguing findings are noted. Implications of these findings are discussed.
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Diehl, Nancy S. (Nancy Sue). "A Longitudinal Investigation of Different Exercise Modalities on Social Physique Anxiety." Thesis, University of North Texas, 1995. https://digital.library.unt.edu/ark:/67531/metadc278207/.
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The current study examined if students' levels of social physique anxiety vary depending on the type of exercise setting they select. The study determined the degree to which social physique anxiety changed over the course of semester-long involvements in different exercise settings.
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Liddell, Emmons Blaine 1955. "CHANGES IN PERCEIVED LOCUS OF CONTROL AND SELF-REPORTED ANXIETY IN ALCOHOLICS DURING TREATMENT (ALCOHOLISM, REHABILITATION, OUTPATIENT)." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275312.
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Azar, Gila A. "Effect of work experience on graduate students' anxiety for future work." CSUSB ScholarWorks, 1991. https://scholarworks.lib.csusb.edu/etd-project/453.
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Ruegg, Richard L. "Reported anxiety on work shifts for coronary care nurses." Virtual Press, 1987. http://liblink.bsu.edu/uhtbin/catkey/536289.
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The purpose of the study was to investigate the perceived anxiety experienced by coronary care nurses working eight- and 12-hour work shifts. It was hypothesized that length of shift work affects the before- and after-shift anxiety for nurses working eight- or 12-hour work shifts. Anxiety differences between the eight- and 12-hour work shifts were examined as well as differences between the before- and after-shift anxiety for each length of shift.Thirty-two (32) coronary care nurses from a general medical and surgical hospital in the Midwest volunteered to participate in the research. The sample consisted of all females (18 Registered Nurses, nine Licensed Practical Nurses, three charge nurses, a supervisory nurse, and a rehabilitation nurse). The nurses had voluntarily selected the eight- or 12-hour length of shift work and understood that they would be committed towork that shift for one year. Twelve nurses worked the eight-hour shift; 20 nurses chose the new 12-hour shift.The State Anxiety Inventory (SAI) was used to measure the nurses' before- and after-shift anxiety. Baseline data were collected from the nurses prior to the initiation of the 12-hour shift. The Box-Jenkins Time Series Analysis was used to analyze the daily before- and after-shift anxiety scores and to establish a forecasted trend for both the eight- and 12-hour shifts.The first finding was that the before-shift anxiety scores for the eight-hour workers declined, while the anxiety scores for the 12-hour workers increased, following the implementation of the 12-hour shift. The same trend was forecast for the after-shift anxiety scores. The eight-hour nurses' after-shift anxiety scores declined while the 12-hour nurses' anxiety scores increased. A transfer function was conducted for both the eight-hour and 12-hour before- and after-shift anxiety scores. No predictive trend could be established for the eight-hour anxiety scores; however, the 12-hour after-shift anxiety scores were found to be consistently higher than before-shift anxiety scores.Department of Counseling Psychology and Guidance Services
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Au, Man-yee, and 區敏儀. "Appropriateness and feasibility of music intervention in reducing anxiety for patients undergoing minor operative procedures in Accidentand Emergency Department." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44622740.
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Hoggatt, Celia. "Abuse Factors, Anxiety, and Somatic Complaint in Psychological Evaluation of Pain Patients." Honors in the Major Thesis, University of Central Florida, 2005. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/762.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucfBachelors
Arts and Sciences
Psychology
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Stewart, Sherry Heather. "Anxiety sensitivity and risk for alcohol abuse in young adult females." Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=41202.
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Much empirical evidence attests to a strong relationship between the panic-related disorders and alcoholism. Recent data suggest that anxiety sensitivity (fear of anxiety) may be one common underlying vailable contributing to the large degree of overlap between the panic-related disorders and alcoholism. In fact, some data indicate that the relationship between anxiety sensitivity and alcohol misuse may be particularly strong in women, a group which is generally underrepresented in the alcoholism etiology literature. Research described in this thesis was conducted with the aim of further elucidating the nature of the relationship between anxiety sensitivity and alcohol use/abuse in young adult women. The series of seven experiments included in this thesis demonstrated that: (1) high levels of anxiety sensitivity are characteristic of subjects meeting diagnostic criteria for panic disorder, an anxiety disorder frequently associated with alcohol abuse; (2) female university students demonstrate significantly higher average levels of anxiety sensitivity than male university students; (3) anxiety sensitivity is an important predictor of self-reported rates of alcohol consumption in university women; (4) high anxiety sensitive university students are both more likely to report drinking alcohol primarily to "cope" with negative emotional states, and less likely to report drinking alcohol primarily for social-affiliative motives, than are low anxiety sensitive university students; (5) high anxiety sensitive women display greater degrees of sober subjective-emotional arousal when anticipating aversive stimulation, greater degrees of sober electrodermal reactivity to the aversive stimulation, and greater sensitivity to the dampening effects of alcohol on these measures of reactivity, than low anxiety sensitive controls; (6) high anxiety sensitive women show a sober attentional bias favoring the processing of physically threatening information, which is dampened through th
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Schartel, Janell G. "The Effect of Anxiety Sensitivity and Menstrual Cycle Phase on Psychological and Psychophysiological Reactivity to a Carbon Dioxide Challenge Task." Fogler Library, University of Maine, 2009. http://www.library.umaine.edu/theses/pdf/SchartelJG2009.pdf.
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Ryan, Charlene Anne. "A study of the differential responses of male and female children to musical performance anxiety /." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=36788.
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The purpose of this study was to examine the responses of male and female children to musical performance anxiety. Twenty-six sixth-grade piano students (11 male, 15 female) performing in a piano recital served as subjects. Boys' and girls' heart rates, behaviour, performance quality, and anxiety levels were examined for possible differences between the genders. It was found that girls had substantially higher heart rates than boys immediately prior to performing, but that this difference was minimal while performing. Significantly more anxious behaviours were noted for both genders prior to performing than during performing, but boys had significantly more anxious behaviours than girls in both cases. Very little difference was noted in boys' anxiety scores (State-trait Anxiety Inventory for Children) between low, medium and high performance quality levels, however girls with moderate performance quality had much higher anxiety than did those with low and high quality performances. As well, girls were found to give significantly higher quality performances than boys. Correlation and regression analyses suggest that the genders respond differently to musical performance anxiety. These analyses were run on the data in three ways: All Children, Boys Only, and Girls Only. It was found that several relationships that emerged in the All Children analysis were driven by a strong relationship in a single gender, but were nearly absent, or in fact opposite, in the other.
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Potrafka, Kristopher. "Impact of passive relaxation training on the anxiety of patients in a physical rehabilitation setting." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1124727.
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There is a paucity of research on the effects of passive relaxation training on the anxiety of patients going through physical rehabilitation. The fourteen participants of this study were Caucasian and between the ages of 45 and 82 years of age. Participants reported levels of anxiety through the use of a self-report instrument called the State-Trait Anxiety Inventory. Measurements were made at four different time periods; on intake, prior to relaxation training, following relaxation training, and at discharge. A two-way Analysis of variance was implemented with time and gender being the independent variables. The results of the study revealed no statistically significant differences. Qualitative reports of the participants feedback and Post-hoc analysis of the data for Pearson's r and Pairwise Comparisons indicate further research is needed to fully determine the effects of passive relaxation training on participant's anxiety.Department of Counseling Psychology and Guidance Services
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Ferguson, Robert J. "Expectation discrepancy and attribution : mediational factors of sport competition anxiety." Virtual Press, 1989. http://liblink.bsu.edu/uhtbin/catkey/562773.
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The purpose of the present study is to extend past outcome-dependent models of Sport Competition Anxiety (SCA) to include attribution theory as an appraisal process of past performance outcome. It was hypothesized that unstable causal attributions for past unexpected performances would lead to uncertain expectations of future performance and subsequent SCA. Sixty-three male subjects were assessed for initial expectations of how they would perform in a cycling task, i.e., high and low, in which each subject received false feedback about his performance (success or failure). After completing the task, subjects completed questionnaires assessing the discrepancy between expected and actual outcome, attributions for past performance (Causal Dimension Scale), expectation for future performance, and the Competitive State Anxiety Inventory-2 which measures state cognitive and somatic anxiety and state self-confidence. Contrary to predictions, results indicated that attribution did not mediate SCA, but rather attributions were made systematically in response to success and failure and not unexpected outcome. However, path analysis carried out on a modified model of SCA that includes outcome and expectations of future performance, indicated that somatic anxiety and state self-confidence are mediated by expectation of future success. The findings are discussed in terms of attribution theory and other cognitive constructs (e.g., self-schemata and efficacy expectations) that might have an impact on attributional patterns that lead to performance expectations and SCA. It is noted that because only male subjects were used, generalizability to female competitors may not be appropriate due to differences in sport socialization.Department of Psychological Science
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Didriksen, Nancy A. (Nancy Andrews). "The Effect of Examination Stress on Phagocytic Immune Functioning." Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc500983/.
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The purpose of this study was to determine whether psychological stress, specifically examination stress, would decrease immune system functioning. Twenty-five first-year master's and doctoral students who volunteered to participate in the study were psychologically and immunologically assessed during two high- and two low-stress periods. Immunological assessments included a white blood cell differential count and nitroblue tetrazolium test (NBT) to measure neutrophil functioning. Psychological instruments administered at each assessment period included Clinical Analysis Questionnaire (CAQ), Bender Gestalt Test, State- Trait Anxiety Inventory (STAI) and a Brief Stress Questionnaire. Stepwise discriminant function analysis of data revealed five variables which contributed significantly to change under stress and yielded an average canonical correlation of .79 (p < .002) providing evidence of support for the hypothesis that increased psychological stress will alter immune functioning and heighten psychological responses.
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Mudau, Tshinanne. "Age, gender and religiosity as correlates of death anxiety in a rural African context." Thesis, University of Limpopo (Turfloop Campus), 2012. http://hdl.handle.net/10386/741.
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Thesis ( M.A. (Research psychology)) --University of Limpopo, 2012This study sought to investigate the relationship of death anxiety to age, gender and religiosity among Africans in a rural South African context. Two hundred participants completed a questionnaire based on demographic variables, death anxiety scales, and a measure of religiosity Results revealed that intrinsic religious motivation was inversely related to all types of death anxiety measured. Furthermore, age was correlated with death anxiety, such that the experience of death anxiety tended to decrease among older subjects. However, there were no gender effects on the experience of death anxiety.
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Barth, Elaine. "The effect of preoperative instruction time on anxiety levels in surgical patients." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1020144.
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Preoperative instruction has been documented to benefit patients. With recent health care changes, most patients are now admitted to the hospital on the day of surgery. The optimal time for preoperative instruction requires re-examination. This study evaluated differences in anxiety levels of patients who received structured preoperative instruction prior to hospital admission and patients who received unstructured preoperative instruction after admission on the day of surgery.Roy's Adaptation Model guided this study. The state scale of the State-Trait Anxiety Inventory (STAI) measured anxiety in a convenience sample (n=40) admitted for same-day surgery. Participants in one group received structured preoperative instruction 1-7 days prior to surgery. Participants in a second group received unstructured preoperative instruction on the day of surgery. All participants completed the STAI 1-7 days before surgeryand on the morning of surgery. Paired t-tests on difference scores showed no significant difference in anxiety between the groups.School of Nursing
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Li, Sau-sau Esther, and 李秀秀. "Can analogies be used as an attention focusing strategy to prevent skill failure under stress?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45013901.
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Chan, Chui-yi, and 陳翠兒. "A longitudinal study of maternal anxiety from the antenatal to the postpartum period: risk factors and adverseoutcomes on infant temperament and development." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B50162718.
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Anxiety is common among pregnant and postpartum women. The research attention in the area of reproductive mental health has mainly focused on postpartum depression in past decades. Given the health implications of maternal anxiety on the physical and psychological well being of both mothers and their offspring, there is an urgent need to fill the current research gaps. The objectives of the present study were to determine the prevalence of antenatal and postpartum anxiety symptoms; investigate the nature and development of antenatal and postpartum anxiety; clarify the constructs of antenatal anxiety; identify demographic and psychosocial risk factors; and examine the effects of antenatal anxiety on postpartum anxiety and infant development and temperament.
A prospective longitudinal design with quantitative approach was adopted in the present study. Pregnant women from two regional hospitals in Hong Kong were invited to participate in the study. They were assessed using standardized and validated psychological instruments on 5 time points including the first, second and third trimesters of pregnancy, 6-weeks and 6-months postpartum. A total sample of 1470 pregnant women was assessed on antenatal general anxiety and postpartum anxiety and hypothesized risk factors. A subset of 186 pregnant women was assessed on pregnancy-specific anxiety and infant temperament and development.
The results showed that an appreciable proportion of pregnant women manifested general anxiety symptoms and pregnancy-specific anxiety symptoms during pregnancy. A mixed-effects model analysis for repeated measures showed that both forms of anxiety followed a U-pattern across pregnancy (p<.05 for both), with both being less prevalent in the second trimester. Findings supported that pregnancy-specific anxiety symptoms and general anxiety symptoms are two distinct but inter-related forms of anxiety. Different demographic risk factors for anxiety symptoms vary across different trimesters. Self esteem and marital satisfaction were consistently associated with both general anxiety symptoms and pregnancy-specific anxiety symptoms over the course of pregnancy. Regarding the impact of antenatal anxiety, general anxiety symptoms in the third trimester had the strongest association with postpartum anxiety at 6-weeks postpartum (p<.05). In general, general anxiety symptoms were more strongly associated with postpartum anxiety than pregnancy-specific anxiety symptoms. After adjusting for the effects of postpartum anxiety and depression and other covariates, pregnancy-specific anxiety symptoms were independent predictors for fewer infant’s falling reactivity response (p<.05), greater infant’s fear response (p<.05) and greater distress to limitations (p<.05), whereas general anxiety symptoms were independent predictors for poorer social (p<.05) and speech (p<.05) development.
The present study points to the need for greater research and clinical attention to antenatal anxiety given that antenatal anxiety is a prevalent problem with changing course and has serious impacts on maternal well-being and infant development. General anxiety symptoms and pregnancy-specific anxiety symptoms reflect different pathologies with potentially different pathogeneses and different pathways to postpartum well-being and infant outcomes which deserved further investigation. The present findings contributed to the understanding of maternal anxiety and have implications for the design of effective identification, prevention and treatment of these significant clinical problems.published_or_final_version
Psychiatry
Doctoral
Doctor of Philosophy
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Krane, Victoria Ivy. "RELATIONSHIPS BETWEEN CSAI-2 SUBCOMPONENTS AND PERFORMANCE DURING COLLEGIATE GOLF COMPETITION (ANXIETY, SELF-CONFIDENCE)." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275360.
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Miller, Geraldine. "The relationships between alcoholics' and nonalcoholics' attributions and their emotions of anxiety and depression." Virtual Press, 1990. http://liblink.bsu.edu/uhtbin/catkey/720281.
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This study is an examination of the relationships between alcoholics' and nonalcoholics' attributions and their emotions of anxiety and depression. The research design is an ex post facto/causal comparative analysis. Subjects were 150 white males. The treatment factor is separated into three levels: no treatment for alcoholism (50 nonalcoholics), two or three day treatment for alcoholism (50 alcoholics in detoxification units), and three to six months of treatment for alcoholism (50 alcoholics in a supportive living situation, halfway house, three-quarterway house). The Michigan Alcoholism Screening Test (MAST) was used to separate nonalcoholics from alcoholics. The variables measured for the three populations are: attributional style (as measured by the Attributional Style Questionnaire-revised for drinking practices) and emotional state (as measured by the Profile of Mood State).One-way MANOVA analysis was used to examine the data because there are three attributional areas measured by the ASQ (internality, stability, and globality) and two emotional areas measured by the POMS (tension-anxiety, depression-dejection). MANOVA analysis resulted in a significant F. The three groups were significantly different at the multivariate level in terms of attributional and emotional states.Discriminate analysis was used to determine if the groups were reliably different. Both synthetic variables analyzed resulted in significant results. The first synthetic variable was labeled "emotional stability," and the second was labeled "specific causal attribution."Univariate analysis showed: (1) no significant difference between groups on the internal/external dimension or the stable/unstable dimension, (2) significant difference at the .01 level on the global/specific dimension when comparing alcoholics in recovery and nonalcoholics, and (3) significant difference at the .01 level on anxiety and depression levels of each of the three group comparisons.Pearson Product Correlations were examined to understand the relationships between attributions and emotional states for alcoholics and nonalcoholics. The stable/unstable and global/specific dimensions are positively correlated with depression and the global/specific dimension is positively correlated with anxiety.All the hypotheses were supported:1. Alcoholics in detoxification make different attributions and have different mood states than alcoholics in recovery.2. Nonalcoholics make different attributions and have different mood states than alcoholics in treatment and in recovery.3. There are correlational relationships between the attributions and emotional states for alcoholics and nonalcoholics.Some alcoholic treatment recommendations were made.Department of Counseling Psychology and Guidance Services
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Emmett, Gloria J. "Family Rituals and Resilience: Relationship Among Measures of Religiosity, Openness to Experience, and Trait Anxiety." Thesis, University of North Texas, 2000. https://digital.library.unt.edu/ark:/67531/metadc2645/.
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Rituals are an integral part of society. The focus of research on rituals has been shifting to highlight the effect rituals may produce on individual resilience and ability to function. This study examined the relationships between participation in family rituals and several conceptually related facets of the human experience, including religiosity, openness to experience, and anxiety. Participants responded to questions on an assessment instrument (Family Ritual Questionnaire) designed to measure participation in a broad variety of identified family rituals; they were grouped according to responses on that questionnaire, and the resulting groups were compared on their responses to questionnaires addressing religiosity (Religious Background and Behavior Questionnaire), openness to experience (Revised NEO Personality Inventory Openness to Experiences scale), and anxiety (State-Trait Anxiety Inventory). The four-group classification system did not produce significant differences on measures of religiosity, openness to experience, or trait anxiety. Nor were there any significant differences noted when the groups were examined on the basis of the demographic characteristics of age, gender, separation time from family of origin, or academic status. The demographic descriptive which was associated with specific group differences related to adult composition of family of origin: participants described the adults present in their families of origin, and the family types were grouped into traditional, mixed, and nontraditional families. A difference was identified between the traditional and nontraditional families on level of ritualization. This finding may be indicative of a useful direction for subsequent research inquiry.
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Parisien, Lynne S. "Anxiety and coping of female counselling students : responses to sexual, physical abuse and role conflict." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28907.
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The focus of this study was an examination of the anxiety level and coping processes of female counselling students when confronted with a client who has either been sexually abused, physically abused, or who is experiencing role conflict. It was hypothesized that students who were exposed to a sexually abused client would demonstrate a significant increase in anxiety and poorer coping processes than the comparison groups. Coping processes were construed as coping thoughts (the relationship between negative and positive self-statements), and operationalized as the proportion of negative self-statements to total self-statements. It was further expected that there would be a moderate, positive correlation between anxiety and relative negative self-statement scores after viewing the client videos. Sixty female volunteer counselling psychology students (M age 35.8) at the University of British Columbia were randomly assigned to one of three experimental groups: exposure to a video presentation of a client who had either been sexually abused, physically abused, or was experiencing role conflict. Each student completed the State Form of the State-Trait Anxiety Inventory and the thought-listing procedure before and after viewing the client. Data were analyzed by two repeated measures, 2-way (group x time) ANOVAs, with anxiety and relative negative self-statement scores as the dependent variables. A Pearson product-moment correlation was also conducted between these two variables at post-test. The ANOVAs revealed no significant differences between the three groups from pre- to post-video, and, unexpectedly, the relative negative self-statement scores decreased for all groups. A positive correlation but of low magnitude was found between anxiety and relative negative self-statement scores (r=.21, p<.05). Because of the unexpected results, and based on findings from the literature, post-hoc analysis was carried out A repeated measures ANOVA with positive self-statements as the dependent variable revealed a group x time interaction that approached significance, F(2,60)=2.20, p.<.12. Post-hoc Scheffe's tests (p<.05) indicated that the sexual abuse group increased these positive self-statements more than the comparison groups. Data were also examined from the perspective of Schwartz and Garamoni's (1986) States of Mind model. These findings coupled with data from the ancillary questionnaires suggested that students were functioning from a position of grandiosity with respect to their counselling ability with adult survivors of sexual abuse. There was also some indication that at least some students who had been sexually abused themselves were in a state of denial in relation to the effects of their own abuse.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate