Date of Submission


Degree Type


Degree Name

Doctor of Psychology (PsyD)



Department Chair

Robert A DiTomasso, PhD, ABPP

First Advisor

Barbara Golden, PsyD, ABPP

Second Advisor

Robert A DiTomasso, PhD, ABPP

Third Advisor

Kevin O'Hayer, MD, PhD


This study examined the relationship between cognitive distortions and health behaviors among women at risk for breast cancer. Sixty-eight participants completed an online survey consisting of demographic information, the Inventory of Cognitive Distortions (ICD), and the Health Adherence Behavior Inventory (HABIT). Results of the study indicate that health behaviors decrease as thinking becomes more distorted. The data also suggest that various cognitive distortions predict worse adherence, including fortune telling, minimization, and magnification. These findings have implications for the role of clinical psychologists in healthcare settings, and for the utility and implementation of cognitive behavioral interventions to increase early detection and promote prevention strategies among women at risk for breast cancer.

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