The Effect of a Computerized Cognitive-Behavioral Stress Management Intervention On Psychological Factors and Diabetes Management

DEDICATION This doctoral dissertation is dedicated in memory of my father, Richard A. Rosowski. For my entire life he demonstrated the importance of continued education and striving to attain my goals and dreams. He taught me that I would encounter obstacles and hardships but that perseverance and hard work would allow me to achieve more than I ever imagined. His character and unending support inspired me to pursue my doctorate. His diagnosis of diabetes provided me with personal knowledge of the ways in which it affects both physical and psychological health and a drive to improve our understanding of that relationship and the quality of life for those affected. This work is a small reflection of the profound impact that he has had on my life and a promise to continue to evolve in a way that would make him proud. ACKNOWLEDGMENTS The feat of completing this doctoral dissertation could not have been accomplished on my own. First and foremost, I want to acknowledge the contributions of Dr. William Sacco. He served as my co-major professor since my acceptance into the clinical psychology graduate program. He shared his knowledge of clinical psychology and diabetes in a way that both taught and challenged me. His guidance shaped me as a clinician and researcher and for that I am very grateful. I am also indebted to Dr. Kristen Salomon, also a co-major professor since the day she informed me of my acceptance in to the graduate program at USF. Her background as a social psychologist provided me with a unique perspective in my clinical research. She emphasized critical thinking and research and taught me what it means to be a psychophysiologist. She also supported my divergence from psychophysiology and encouraged my pursuit of topics that inspired and challenged me. I must also thank my dissertation committee, especially Dr. Paul Jacobsen who stepped in as co-major professor upon Dr. Sacco's retirement. Their ideas and questions motivated me to be my best and allowed me to overcome obstacles to the completion of the research study. Also, the entire clinical psychology faculty at the University of South Florida, who provided me with the skills and knowledge to become a clinical scientist. Finally, I must acknowledge the contributions of my family. Their love and encouragement enabled me to focus on my education and provided the resources necessary to complete this research study. My children motivated me …