Master of Athletic Training, Marietta College, 0, Athletic Training

Objective/Context: Mental health is a condition of mental wellness that enables people to manage life's stressors, develop their potential, study and work effectively, and give back to their communities. One mental health condition is anxiety. Anxiety is the expectation of a threat in the future. There are multiple subtypes of anxiety disorders, including panic disorder with or without agoraphobia, generalized anxiety disorder (GAD), social anxiety disorder (SAD), specific phobias, separation anxiety, and panic disorder. This study investigates the relationship between ATs' knowledge and their perceived ability to identify and treat panic attacks. Design and Setting: Mixed methods, cross sectional survey consisting of 22 questions. Participants: The study used the NATA survey service, convenience, and snowball sampling for participant requirements. This study targeted athletic trainers who are currently certified and practicing clinically in a secondary school or collegiate setting. The study was completed by 86 participants, with 54 meeting inclusion criteria. Out of the participants, 59.3% worked in a collegiate setting, and 40.7% worked in a secondary school setting. Participants had a wide variety of years of practice, which 51.9% of participants having practiced for <5 years. Intervention: Participants completed an electronic survey consisting of demographic and Likert style questions to assess perceived ability level in recognizing, treating, and referring for panic attacks. The participants also answer a portion of the survey that assesses knowledge of panic attacks with research from the DSM-5. The survey was developed by the research team. The survey's validity was assessed through a pilot study. Main Outcome Measures: The primary research question was assessed by analyzing the score of the twelve questions at the survey's end. Participants were graded on these questions to give a score on knowledge of panic attacks. Descriptive statistics wer (open full item for complete abstract)

Committee: Chyrsten Gessel Ed.D, AT (Committee Chair); Jaclyn Tate Ed.D, AT (Committee Chair) Subjects: Sports Medicine

Doctor of Psychology (PsyD), Wright State University, 2014, School of Professional Psychology

This translational research piece involved collaborating with a local community mental health agency to examine knowledge, skills, attitudes, practices, and outcomes for panic disorder treatments. The project included designing and administering an online survey to client care personnel including psychologists, counselors, social workers, nurses, and psychiatrists. Additionally, a database review was utilized to obtain information about treatment modalities, duration, and outcomes. Survey results were analyzed using goodness of fit statistics to show differences between attitudes of participants by discipline regarding the safety and effectiveness of panic disorder treatments. The database analysis of pre and post GAF scores revealed comparable outcomes for therapy alone and therapy and medication treatment groups. Additionally, clients receiving therapy and medication for panic disorder were shown to have had significantly longer treatment duration on average than those in therapy only. These findings were discussed in terms of existing literature on panic disorder treatment and organizational change to make recommendations for the participating agency and others like it.

Committee: J. Scott Fraser Ph.D., ABPP (Committee Chair); Leon VandeCreek Ph.D., ABPP (Committee Member); Jeffery Allen Ph.D., ABPP (Committee Member) Subjects: Psychology; Psychotherapy; Public Health

Doctor of Philosophy, The Ohio State University, 2007, Psychology

While cognitive behavioral interventions have been effectively used to treat panic disorder for the last 20 years, this type of therapy still remains inaccessible to the majority of potential patients due to lack of availability and high cost. Alternative treatment modalities such as remotely delivered therapy, brief therapy and bibliotherapy have been explored as potential alternatives yet effective treatment is still out of reach for the average person with a panic disorder diagnosis. The present study is a pilot test of the first, multimodal, computer-based treatment for panic disorder. Participants with a primary diagnosis of panic disorder with or without agoraphobia (N=22) were matched on overall symptom severity and severity of agoraphobic symptoms. Matched participants were randomly assigned to receive immediate treatment or a delayed treatment control. Interview and self-report measures of symptoms were collected pre- and post-intervention. The findings suggest that CALM may provide a highly effective, inexpensive and accessible treatment for patients with panic disorder. Conclusions about the future applicability of this new intervention as well as a discussion of problems with external validity due to differential rates of attrition are presented.

Committee: Michael Vasey (Advisor) Subjects: Psychology, Clinical