Predicting Treatment Attitudes and Behaviors Longitudinally among - PowerPoint PPT Presentation

Predicting Treatment Attitudes and Behaviors Longitudinally among College Students with Depressive Symptoms on the MMPI-2-RF and MMPI-3 Nicole M. Morris, Paul B. Ingram, Brittney Golden, Sean Mitchell, & Sarah Victor Texas Tech University

Psychotherapy and Treatment Outcomes Psychotherapy is known to alleviate a wide array of mental health concerns. Barriers to treatment: • Initiation • Dropout • Poor engagement These treatment barriers can be combatted by identifying traits: • Intention to seek • Stigma • Help-seeker attitudes • Use of treatment

Lit Literatur ture Synthe thesis is Internalizing (EID, RCd, RC2, RC7, BRF) • Poor alliance and non-readiness to terminate Externalizing (RC4, JCP, SUB, AGG, AGGR-r, DISC-r) • Non-compliance, early termination, inactivity with homework, & lower functioning at termination Psychoticism (RC8) • Treatment noncompletion in drug court Interpersonal (RC3, IPP, DSF) • Noncompliance, inactivity with homework, & unsuccessful treatment Somatic (RC1, RC3, MLS, HPC, NUC, COG) • Poor alliance, non-compliance, & inactivity with homework Mattson et al., 2012; Patel & Suhr, 2019; Tylicki et al., 2019

Current Study • Aim: To investigate the MMPI-2-RF/MMPI-3 substantive scale score associations with treatment behaviors and attitudes • Investigated MMPI-2-RF/MMPI-3 scale score associations with: • Intention to seek treatment • Attitudes about mental health treatment • Other-related stigma • Self-stigma • Lifetime/recent use of treatment

Methods MMPI-2-RF Final Sample: N = 139 Qualified and Attended: Screened: N = 152 N = 327 MMPI-3 Final Sample: N = 134 MMPI-2-RF/MMPI-3 Samples Description: Lifetime suicide ideation: 59.7% • Gender: ~70% women • Lifetime suicide plan: 44 to 46% • Age: 18 to 26 ( M = ~20.1, SD = 1.8). • Lifetime attempts: ~20.1% • Race: 77.0% - 86.6% White • Past 12-month Ideation: 27.3 - 38.6% • PHQ-9 Scores: • Past 12-month plan: 19.4 - 28.4% • Baseline: M = ~15.5; SD = ~4.0 • Past 12-month attempt: 6.8 - 8.7% • Follow ups: M = ~21.3 SD = ~5.2 •

Instrumentation • Only at Baseline: • MMPI-2-RF-EX: Broadband measure of personality and psychopathology • Help Seeker Stereotypes Scale: Stereotypes about individuals who seek treatment ( 𝛽 = .93) • Baseline and all Followups: • Mental Health Seeking Intention Scale: Intention to seek mental health treatment ( 𝛽 = .89 to .94) • Mental Health Seeking Attitudes Scale: Beliefs about mental health treatment ( 𝛽 = .80 to .95) • Self-Stigma of Seeking Psychology Help Scale: Self-stigma of mental health treatment ( 𝛽 = .84 to .90)

Clinically Relevant Associations • Statistically significant correlations • At least small in effect (+/- .15) • The pattern was maintained for at least 50% of the time points (2+ time points) Tylicki, Martin-Fernandez, & Ben-Porath, 2019

Internalizing Scales – MMPI-2-RF Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100) Other Self Life Recent Self Recent Self Recent Self Recent Intent Attit. Stigma Stigma Tx Tx Intent Attit. Stigma Tx Intent Attit. Stigma Tx Intent Attit. Stigma Tx EID -.07 -.05 .12 .14 .20 -.29 .07 -.03 .06 -.33 .02 -.08 .06 -.10 -.11 -.07 .08 -.25 RC2 -.06 -.13 .02 .16 .17 -.24 .05 -.11 .14 -.35 .00 -.17 .15 -.09 -.17 -.17 .17 -.25 SUI -.01 -.02 .14 .18 .02 -.02 .06 -.24 .20 -.23 -.02 .03 .01 -.16 -.11 -.01 .12 -.17 BRF .16 .12 -.01 -.02 .13 -.15 .24 .10 -.12 -.05 .20 .04 -.09 .03 .13 .08 -.02 .03 INTR-r -.08 -.13 -.03 .12 .07 -.12 -.01 -.08 .15 -.33 -.02 -.09 .12 -.18 -.14 -.08 .16 -.25

Externalizing Scales – MMPI-2-RF Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100) Other Self Life Recent Self Recent Self Recent Self Recent Intent Attit. Stigma Stigma Tx Tx Intent Attit. Stigma Tx Intent Attit. Stigma Tx Intent Attit. Stigma Tx RC4 -.08 -.21 .23 .08 -.05 -.11 -.19 .09 -.20 -.08 -.20 .11 .07 -.21 -.19 .11 -.08 .01 JCP -.23 -.15 .20 .08 -.09 -.25 -.13 .13 -.22 -.17 -.10 .13 .04 -.20 -.06 .16 -.12 -.07 Interpersonal Scales – MMPI-2-RF Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100) Other Self Life Recent Self Recent Self Recent Self Recent Intent Attit. Stigma Stigma Tx Tx Intent Attit. Stigma Tx Intent Attit. Stigma Tx Intent Attit. Stigma Tx RC3 .02 -.17 .32 .19 -.09 -.09 -.28 .23 .00 .07 -.16 .21 .07 -.08 -.13 .14 .07 -.10 DSF -.01 -.18 .13 .20 .03 .02 -.26 .23 -.04 -.12 -.25 .23 -.01 -.22 -.24 .27 .01 -.05

Predicting Treatment Attitudes and Behaviors Longitudinally among - PowerPoint PPT Presentation

Predicting Treatment Attitudes and Behaviors Longitudinally among College Students with Depressive Symptoms on the MMPI-2-RF and MMPI-3 Nicole M. Morris, Paul B. Ingram, Brittney Golden, Sean Mitchell, & Sarah Victor Texas Tech University

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Predicting Treatment Attitudes and Behaviors Longitudinally among - PowerPoint PPT Presentation

Predicting Treatment Attitudes and Behaviors Longitudinally among College Students with Depressive Symptoms on the MMPI-2-RF and MMPI-3 Nicole M. Morris, Paul B. Ingram, Brittney Golden, Sean Mitchell, & Sarah Victor Texas Tech University

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British Social Attitudes 29 Public attitudes towards welfare December 2012 Contents Some

attitudes to immigration James Dennison MPC Summer School What do we mean by attitudes to

Predicting Regulatory Elements Predicting Regulatory Elements in P. falciparum in P. falciparum

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