Counseling, Higher Education & Special Education
Permanent URI for this communityhttp://hdl.handle.net/1903/2226
The departments within the College of Education were reorganized and renamed as of July 1, 2011. This department incorporates the former departments of Counseling & Personnel Services; Education Leadership, Higher Education & International Education (excluding Organizational Leadership & Policy Studies); and Special Education.
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Item Attachment and Pain Catastrophizing From a Communal Coping Perspective in Women With Chronic Pain(2021) Reeves, Elizabeth; Hoffman, Mary Ann; Counseling and Personnel Services; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Chronic pain is a devastating public health problem particularly in women, who are at increased risk for chronic conditions and report more depression and disability secondary to pain relative to men. The impact of relationships, which are critical to the experience and management of pain as well as central to the female gender role, may help to explain gender disparities. The present study uses the Communal Coping Model of Pain Catastrophizing (CCM) and the Attachment-Diathesis Model of Chronic Pain (ADMoCP) to investigate how relationship patterns influence coping responses in women with chronic pain. It seeks to clarify the mechanisms by which unmet attachment needs contribute to pain catastrophizing and influence perceptions of others’ responses to pain and pain-related behaviors. Furthermore, it seeks to examine how insecure attachment might contribute to lower levels of adaptive, intrapersonal responses to pain such as self-compassion, and whether addressing these deficits might represent a viable target for intervention. A total of 355 women with generalized chronic pain conditions (Fibromyalgia, Rheumatoid Arthritis, and/or Myofascial Pain Syndrome) completed an online survey. Exploratory analyses examine relationships between attachment, pain appraisals, pain catastrophizing, self-compassion, depression, and disability. Additional analyses test the CCM and the ADMoCP by investigating: (1) two possible mechanisms by which attachment needs might influence pain catastrophizing, depression, and disability; and (2) the role of attachment and pain catastrophizing in shaping perceptions of others’ responses to pain and pain-related behaviors. Findings have implications for conceptualization and treatment from an attachment perspective.Item A session level analysis of the relationship between a group member’s fit with her group and PTSD symptom change in a sample of incarcerated women seeking trauma treatment(2010) Paquin, Jill Denise; Kivlighan, Dennis M; Counseling and Personnel Services; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The present study sought to apply the concept of person-group fit from the domain of organizational psychology to the domain of group psychotherapy. Specifically, using a time-series series design, the current study examined the relationship between an individual group member's fit with her group on two dimensions, perceptions of group climate and in-session intimate behaviors, and whether fit and standing on these dimensions were related to change in PTSD symptoms. An archival data set of 73 incarcerated women participating in six manualized (Trauma Recovery Empowerment Model [TREM], Harris, 1998) therapy groups for the treatment of co-morbid trauma and substance use disorders were analyzed. The relationship between the level of fit on these dimensions and change in PTSD symptoms as documented by participants' pre- and post-test scores on the PTSD Symptom Scale-Self Report (PSS-SR) was assessed. Using a session-level analysis (N = 1,606) and the Actor-Partner Interdependence Model (APIM) (Kenny, Kashy, Manetti, Piero, & Livi, 2002) both individual (Actor) and group (Partner) effects were modeled in order to test hypotheses about the individual, the group, and the fit between actor and partner and PTSD symptom change. Twenty-two of 73 women did not complete treatment. Analyses revealed significant partner effects for group members who completed both pre and posttest PTSD measures (n = 51) and those who did not (n=22). Specifically, members who completed both measures were in groups in which the other members perceived higher levels of engagement and lower levels of conflict. Results indicated that for both the individual and the other group members (partners), perceptions of the level of group engagement increased over time, perceptions of group conflict and avoidance decreased over time, and the average level of intimate behaviors in which group members engaged did not significantly change over time. PTSD symptoms decreased significantly between pre and posttest, however, no significant relationship was observed between fit of a group member and her group and PTSD symptom change. Results, limitations, and alternatives for data conceptualization and future analysis are discussed.