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- All Subjects: Behavioral
- Creators: Hickman, Carolyn
- Creators: LePine, Marcie
Description
ABSTRACT Approximately 3.5% of adolescents in the United States have chronic daily headache (CDH). Chronic daily headaches in adolescents are often refractory to the adult pharmacological interventions. And as a result, adolescents typically experience increased levels of stress, which exacerbates their headaches. Chronic daily headaches negatively impact both the adolescent and their family. Adolescents with CDHs frequently exemplify comorbid psychiatric symptoms such as anxiety, depression, and increased risk for suicide. Risk factors for CDH in adolescents have been well studied; however, few studies have focused on psychologically based interventions to enhance effective coping, positive mental health, and pain relief in this group of teens. Given the paucity of psychologically focused interventions in this group, further research is necessary to test and develop the effectiveness of cognitive behavioral skills building (CBSB) interventions. This pilot study focused on the use of a CBSB intervention that emphasized problem solving, cue recognition, effective communication, behavior modeling, cognitive reappraisal, stress management, effective coping, and positive thinking. A randomized controlled trial pilot study was conducted. The intervention group received a seven-week intervention focused on CBSB techniques and headache education, while the comparison headache education group received a seven-week program focused on basic headache hygiene measures (e.g., adequate sleep, adequate hydration, dietary triggers, environmental triggers). The total sample included 32 adolescents inclusive of the ages 13 and 17 years. Paired t-tests resulted in significant preliminary positive effects for COPE-HEP on anxiety, depression, beliefs, headache disability, headache frequency, and headache duration. Comparison group education resulted in significant preliminary positive effects on anxiety, depression, headache disability, headache frequency, headache pain level, headache duration, and medication frequency. There were no significant changes over time in means of parent perception of pain interference for both groups. Independent t-tests revealed that COPE-HEP teens had significantly less anxiety and headache duration at post-intervention. The acceptability of the COPE-HEP intervention with adolescents with CDHs in a specialty care setting is supported by this study, while the feasibility of conducting this study in a specialty care setting is partially supported. These findings support a need to refine the intervention and test both its short and long-term effects in a full-scale randomized controlled trial with adolescents who have CDHs.
ContributorsHickman, Carolyn (Author) / Melnyk, Bernadette M (Thesis advisor) / Jacobson, Diana (Thesis advisor) / Gance-Cleveland, Bonnie (Committee member) / Szalacha, Laura (Committee member) / Arizona State University (Publisher)
Created2012
Description
Research on teamwork has shown that teams are more productive and produce better results than individuals working on their own. Yet, research on individuals' work preferences makes it clear that not everyone prefers working in teams. In order to improve teamwork and achieve better results in both the collegiate arena and in the professional world, this study was designed to research different factors that affect a group's performance and creativity: satisfaction, familiarity, and the behavioral styles of individual team members. Additionally, this study addresses if the group's composition of Keirsey types \u2014 temperament patterns \u2014 also play a role in the group's creativity and performance. In this study, students created teams of four to seven students and completed specific in-class activities called Applied Insights. Groups composed mostly of Guardians, one of the four Keirsey temperaments, are able to adapt to the task at hand, which is demonstrated here with creativity. Further, groups who perceive themselves as sharing similar traits with many members are more satisfied and achieve a higher overall performance. Lastly, groups comprised of individuals who were least familiar with their teammates they had not previously worked with, produced more creative results in the short run. Whereas groups comprised of individuals who were least familiar with their teammates they had previously worked with, produced better overall results in short run.
ContributorsPinto, Linda (Co-author) / Hulse, Christopher (Co-author) / Vaughn, Michael (Co-author) / LePine, Marcie (Thesis director) / Samper, Adriana (Committee member) / Barrett, The Honors College (Contributor) / WPC Graduate Programs (Contributor) / School of Accountancy (Contributor) / Department of Information Systems (Contributor) / Department of Marketing (Contributor) / School of Music (Contributor)
Created2014-12