Life Values as an Intrinsic Guide for Cardiopulmonary Rehabilitation Program Engagement: A QUALITATIVE ANALYSIS.

Purpose: Participation in cardiovascular and pulmonary rehabilitation (CVPR) programs can lead to improved functional abilities and improved quality of life, but attendance and adherence to these programs remain suboptimal. Behavioral therapies have emphasized the importance of life value identification as a guide for goal setting and behavior change for both psychological and physical health conditions. Individuals who choose to engage in behaviors that align with their life values are thought to be intrinsically reinforced.

Mountaintop Removal Coal Mining and Emergent Cases of Psychological Disorder in Kentucky.

Although mountaintop removal (MTR) coal extraction techniques have been employed in Appalachia for decades, relatively little research has examined its potential psychological impact on people living in close proximity to MTR activity. The current study taps the State Emergency Department Database (Healthcare Cost and Utilization Project, Kentucky State Emergency Department Database, 2008) to examine the relative risk for diagnoses of depressive, substance use, and anxiety disorders originating in areas with and without MTR activity. Logistical regression analyses, controlling for ethnicity, rurality, mean income, and gender, indicated that MTR independently predicts greater risk for depressive (OR 1.

Psychological health and academic success in rural Appalachian adolescents exposed to physical and sexual interpersonal violence.

Interpersonal violence (IPV) in adolescence is a serious public health concern and may have lasting behavioral effects and implications for adult relationships. Adolescents from 2 rural Appalachian high schools in 2011/2012 were surveyed using the Centers for Disease Control and Prevention Youth Risk Behavioral Surveillance (YRBS) survey, which assessed (a) physical IPV within a dating relationship, (b) sexual IPV (defined as forced sex/rape), and (c) those who experienced both. We present baseline rates of each form of IPV for these rural male and female adolescents and assessed the strength and statistical significance of these associations between physical and sexual IPV and other risk factors using χ2 tests and relative risk ratios.

The relationship between stigma and self-reported willingness to use mental health services among rural and urban older adults.

The large number of rural older adults suffering from untreated psychiatric illnesses suggests that stigma may be a significant barrier to the utilization of mental health services in this population. The current study examines self-stigma, public stigma, and attitudes toward specialty mental health care in a community sample of older adults living in a geographically isolated rural area, a rural area adjacent to a metropolitan area, and an urban area. One hundred and 29 older adults age 60 and above from the 3 geographic areas completed self-report measures of these constructs, and differences on the measures were assessed among the groups.

Establishing community partnerships to support late-life anxiety research: lessons learned from the Calmer Life project.

Objectives: This article outlines the development of the Calmer Life project, a partnership established between researchers and faith-based and social service organizations to examine the effectiveness of cognitive behavioral therapy (CBT) incorporating religious/spiritual components for older African Americans in low-income communities.

Method: The program was designed to bypass several barriers to delivery of CBT within the specified community; it allows multimodal delivery (in person or by telephone) that occurs outside traditional mental health settings through faith-based organizations and neighborhood community centers. It includes religion/spirituality as an element, dependent upon the preference of the participant, and is modular, so that people can select the skills they wish to learn.

VA community mental health service providers' utilization of and attitudes toward telemental health care: the gatekeeper's perspective.

Context: Mental health (MH) providers in community-based outpatient clinics (CBOCs) are important stakeholders in the development of the Veterans Health Administration (VA) telemental health (TMH) system, but their perceptions of these technologies have not been systematically examined.

Purpose: The purpose of this study was to investigate the attitudes of CBOC providers about TMH services, current utilization of these technologies in their clinics, and sources of knowledge regarding TMH.

Method: The study employed a mixed-methods design to examine aspects of TMH in CBOCs located in a VA network in the south-central United States.

Diagnosis and treatment of depression and anxiety in rural and nonrural primary care: national survey results.

Objective: Data from the 2006 National Ambulatory Medical Care Survey were examined for differences in the diagnosis and treatment of depressive and anxiety disorders in rural and nonrural primary care settings.

Methods: A sample of 11,658 patient visits to primary care providers was examined. ICD-9-CM codes were used to identify prevalence rates of depressive and anxiety disorder diagnoses.

Empirically supported treatments in rural community mental health centers: a preliminary report on current utilization and attitudes toward adoption.

Rural community mental health centers (CMHCs) face numerous problems that might be alleviated by the dissemination of empirically supported treatments (ESTs). The current study lays the groundwork for EST dissemination by examining current treatment practices in rural clinics as well as the attitudes of decision makers toward ESTs and perceived barriers to their adoption. Twenty-five rural and 38 non-rural clinical directors responded to a mailed survey.

Threat-related processing supports prospective memory retrieval for people with obsessive tendencies.

Obsessive-compulsive disorder can result in a variety of deficits to cognitive performance, including negative consequences for attention and memory performance. The question addressed in the current study concerned whether this disorder influenced performance in an event-based prospective memory task. The results from a subclinical population indicated that, relative to non-anxious controls and mildly depressed controls, people with obsessive-compulsive tendencies (washing compulsions) incur decrements in remembering to respond to cues related to a neutral intention (respond to animals).

If we build it, they might come: an empirical investigation of supply and demand in the recruitment of rural psychologists.

Past research has established that practicing doctoral level psychologists tend to cluster in metropolitan areas, leaving the rural population gravely underserved. Discussions of this problem have assumed that psychologists hold negative attitudes toward rural work for many reasons, leading to a supply shortage. The present study attempts to examine the accuracy of this hypothesis by examining attitudes of current doctoral students in clinical psychology.