Digital Commons Network^™

Predicting And Promoting Health-Related Quality Of Life For Parents Of Children With Autism: A Mixed-Methods Approach, Laura Delustro

Electronic Theses and Dissertations

The present study used a mixed methodology approach to understand factors that predict and promote health related quality of life (HRQOL) for parents of youth with Autism Spectrum Disorders (ASD). The first component of the study used quantitative analyses to determine the extent to which study variables predict HRQOL for parents of youth with ASD (N = 365). Findings show that HRQOL is positively impacted by increased total annual household income, increased age of the child with ASD, male gender, and tangible support. HRQOL was negatively impacted by increased age of the parent, increased parental perceptions of burden, and …

Emotion Socialization And Families Of Children With And Without Adhd., Danielle M. Walerius

Electronic Theses and Dissertations

Emotional competence (EC) represents several distinct emotional skills found to be strongly associated with children’s socioemotional outcomes. EC is thought to develop through a process known as emotion socialization (ES), whereby children’s emotions and emotion-based behaviors are socialized through interactions with parents and/or other primary figures. The present study examined ES across families of children with and without ADHD in order to clarify the role ES plays in the development of EC in typically developing (TD) children versus children more prone to EC impairments due to intrapersonal characteristics (e.g., inattention, disinhibition, etc.). Forty-eight children 5 to 8-years-old (23 with ADHD, …

Examining Variables Associated With Age Of First Concern And Diagnosis In Children With Autism Spectrum Disorder, Amy Mathews Creel

Electronic Theses and Dissertations

Abstract

Autism Spectrum Disorder is a disorder that is present during a child’s early developmental ages; affects that child’s ability to communicate and socially interact with others; and involves the presentation of restrictive interests and/or repetitive behaviors. Autism Spectrum Disorder (ASD) symptoms/behaviors are recognized by parents and can be reliably diagnosed at age two but often are not diagnosed until after age four. Delay in diagnosis results in loss of important intervention services that can improve the well-being of children with ASD. This study examined ethnicity, severity of symptoms, and type of symptoms and their effect on the age at …

Examining The Effects Of Trait Rumination On Hostile Attribution Bias, Kyle A. Suhr

Electronic Theses and Dissertations

Previous research supports the idea that individuals high in trait anger tend to experience more hostile attribution bias. According to the Integrative Cognitive Model, cognitive factors, such as rumination, may increase the risk of hostile attribution bias and any subsequent aggressive behaviors. Sex differences are apparent in rumination and anger expression. The present research explored the potential role trait rumination plays in hostile attribution bias as well as potential conditional effects of sex on this relationship. Participants were asked to complete a number of self-report measures and vignettes of ambiguously hostile situations adapted to improve reliability. Hypotheses were largely supported …

Preparing For Racial Discrimination : The Role Of Cognition And Emotion In The Proactive Coping Process Of African American College Students., Ryan Christopher Tyler Delapp

Electronic Theses and Dissertations

Traditionally, conceptual models of racial discrimination have characterized the reactive experiences of African Americans, particularly identifying how African Americans cognitively, emotionally, and behaviorally respond to racial stress. The current study extends beyond the reactive coping experience and identifies nuances in the anticipatory and preparatory coping processes associated with racial discrimination. Methods: 62 African American college students participated in a stress induction experiment that prompted anticipatory judgments of discrimination. The full sample completed quantitative self-report questionnaires about their anticipatory thoughts (SAM; Peacock & Wong, 1990; Roesch & Rowley, 2005), state-based affect (PANAS-X; Watson & Clark, 1994), and proactive coping behaviors (PPCB; …

Emotion Regulation And Eating: An Evaluation Of The Relationship Between Difficulties In Emotion Regulation And Eating Patterns In Obese Patients Seeking Bariatric Surgery, Brittany V. Williams

Electronic Theses and Dissertations

Obesity is a major health epidemic, impacting many people worldwide. Bariatric surgery is a common treatment for severe obesity and generally leads to improved overall health, remission of comorbid disease, and improved quality of life. Despite positive postsurgical results, many patients regain some to most of their weight following the procedure. Guidelines for presurgical psychological assessments have been developed to assist healthcare professionals in predicting outcomes for patients. Previous studies have focused on the impact of psychological illness on surgical outcomes, with mixed results. The current study aimed to assess the influence that difficulties in emotion regulation has on eating …

Evaluating A Stepped Care Protocol For Postpartum Depression In A Pediatric Primary Care Clinic, Sarah C. Smith

Electronic Theses and Dissertations

Postpartum depression (PPD) is a prevalent, complex illness impacting 10% to 20% of mothers and their families. Treatments for PPD, such as medication and psychotherapy, are effective at reducing the severity of symptoms and generally improving quality of life for new mothers and their families. Unfortunately, many mothers with PPD go unrecognized due to a lack of standardized screening methods. Further, mothers regularly encounter barriers to accessible, evidence-based follow-up care to treatment even when symptoms of PPD are detected. The use of a stepped care protocol, set in a pediatric primary care clinic, is one proposed strategy to address the …

The Roles Of Anxious Rearing, Negative Affect, And Effortful Control In A Model Of Risk For Child Perfectionism., Nicholas William Affrunti

Electronic Theses and Dissertations

Our understanding of perfectionism and its developmental trajectory and impact on children has experienced a recent growth. Research has shown that child perfectionism is associated with a number of negative outcomes including anxiety and depressive disorders, hopelessness, poor psychosocial treatment outcomes, and researchers have not found it to be associated with actual achievement. As such, research has begun to examine the developmental risk factors that predict for its development. The current study proposes utilizing a developmental psychopathology approach, one that purports a complex interaction among internal, external, risk and protective processes in the developmental of perfectionism. Specifically, the study examined …

Exploring A Multifactorial, Clinical Model Of Thought Disorder : Application Of A Dimensional, Transdiagnostic Approach., Mara Ann Hart

Electronic Theses and Dissertations

Background: Bleuler saw thought disorder as the core defining feature of psychotic phenomena, reflective of the “splitting of the psychic functions” that occurred when, in the process of thinking, one’s ideas and feelings disconnect, becoming fragmented and competing functions. Unfortunately, interest in thought disorder as the conceptual core of psychosis was lost with rise of the modern DSM system, paralleling the shift towards a more simplistic, categorical way of defining psychiatric disorders. Aims: This study examined thought disorder from a dimensional perspective, with the aim of disentangling qualitative heterogeneity and diverse sources of influence. Analyses were based on …

The Relationship Between Trauma And Health-Related Quality Of Life In Lung Cancer Patients : The Potential Protective Role Of Mindfulness., Rene Bayley-Veloso

Electronic Theses and Dissertations

Lung cancer is the most common malignant disease worldwide, and the rapid decline in functioning due to the often-later stage diagnosis can strongly impact a patient’s health-related quality of life (HRQOL). Palliative care, with the aim of improving later-stage HRQOL, is often a main goal of treatment. Compared to other cancer types, patients with lung cancer experience the greatest amount of psychological distress during and after treatment. Prior trauma exposure, and the potentially traumatic nature of the cancer experience, can further complicate HRQOL. Mindfulness, an innate or acquired capacity for sustaining attention in the present moment with qualities of self-warmth …

Cumulative Trauma, Emotion Reactivity And Salivary Cytokine Response Following Acute Stress Among Healthy Women., Yvette Z. Szabo

Electronic Theses and Dissertations

This study furthers understanding of how trauma exposure may be connected to the development and maintenance of poor health by focusing on cytokines, tightly regulated proteins of the immune system. Cytokine responses to acute stress have been associated with the onset of poorer mental health in physically healthy women. The present study examined how two factors recently associated with cytokine reactivity –cumulative trauma and emotion reactivity– are associated with salivary cytokine reactivity among healthy women. Seventy-one women, screened to be physically and mentally healthy, completed a laboratory acute stress paradigm and self-report measures of state emotion and trauma exposure. Participants …

Early Childhood Adversity And Chronic Illness: An Examination Of A High Risk- Forensic Inpatient Population, Courtney L. Cook

Electronic Theses and Dissertations

Individuals exposed adverse childhood experiences (ACEs) are at increased risk of developing chronic illnesses in adulthood including heart disease, cancer, diabetes, and chronic pain. A relationship between ACEs and health risk factors contributing to chronic disease such as smoking, obesity, and sedentary lifestyle has also been established in prior literature. There is evidence that higher that individuals in forensic inpatient mental health samples are disproportionally exposed to ACEs, which may increase odds of chronic disease development. Despite this evidence, little research has examined the prevalence of ACEs and relationships between ACEs and chronic health conditions and risky health behaviors in …

Weight Stigma, Cognitions, And Disordered Eating, Sarah E. Pelfrey

Electronic Theses and Dissertations

Weight stigma experiences affect people of all weights and have many negative consequences; despite this, weight stigma is still an acceptable prejudice in our society. Research has established that weight stigma is predictive of disordered eating (DE) cognitions, which are, in turn, predictive of DE behaviors. The current study explored the unique contribution DE cognitions make to DE behaviors while controlling for other DE cognitions. The DE cognitions examined in the current study were drive for thinness, weight bias internalization, and perfectionism. The DE behaviors examined were emotional eating, restrained eating, inappropriate compensatory behaviors, and binge-eating. Weight bias internalization and …

Ruminative Exploration In Late Adolescence And Its Relationship To Depression, Self-Esteem, And Parental Autonomy Support, Kelsey A. Redmayne

Electronic Theses and Dissertations

Ruminative exploration is considered a maladaptive dimension of identity development that appears to be at its highest during emerging adulthood (Luyckx, Klimstra, Duriez, Petergem, & Beyers, 2013a). Previous studies have assessed the relationship between ruminative exploration and well-being in populations in Dutch speaking populations of university students in Belgium (Luyckx, Gossens, & Soenens, 2006a; Luyckx, Gossens, Soenens, & Beyers, 2006b; Luyckx et al., 2007a; Luyckx et al., 2008; Luyckx et al., 2013a). Following the Dutch research, it was predicted that ruminative exploration will be positively correlated with symptoms of depression and low self-esteem among US college students. Beyond replicating the …

Symptoms Of Anxiety And Depression And Suicidal Behavior In College Students: Conditional Indirect Effects Of Non-Suicidal Self-Injury And Self-Compassion, Andrea R. Kaniuka

Electronic Theses and Dissertations

Young adults of college age are at particular risk for psychopathology, non-suicidal self-injury (NSSI) and consequent suicidal behavior, perhaps in a continuum of increasing severity. However, not all persons who experience psychopathological symptoms, or who self-harm, go on to engage in suicidal behavior, perhaps due to protective factors such as self-compassion that buffer this progression. We examined the mediating effect of NSSI on the relation between anxiety/depressive symptoms and suicide risk, and the moderating role of self-compassion on these linkages. Our collegiate sample (N=338) completed: Beck Depression Inventory, Beck Anxiety Inventory, Self-Harm Inventory, Suicidal Behavior Questionnaire-Revised, and the Self-Compassion Scale. …

Spirituality And Suicidal Behavior: The Mediating Role Of Self-Forgiveness And Psychache, Benjamin B. Hall

Electronic Theses and Dissertations

Growing evidence for protective factors of spirituality against physical and mental health related outcomes has led to the consideration of spirituality as a protective factor for suicidal behaviors. Although initial support for this association is promising, spirituality has yet to be explored as it relates to psychache. Additionally, self-forgiveness has emerged as an important protective factor of suicidal behavior, but has not been explored in the context of psychache. Following a model developed by Webb, Hirsch, and Toussaint (2015), the current project explores the protective role of spirituality on suicidal behavior based on three dimensions of spirituality: ritualistic, theistic, and …

The Influence Of Stages Of Change On The Effectiveness Of A Sleep Hygiene Education-Based Intervention, Pablo Soto Jr

Electronic Theses and Dissertations

Sleep-related problems detrimental to sleep quality have been identified in millions of people across the United States. Studies have found that the subsection of the population labeled as college students, due to either the setting or other connected environmental factors, exhibit one the highest prevalence’s of these problems, roughly at 73% on college settings. Prior studies have utilized interventions focused around educational and behavior change components, the current study chose to also examine the role that motivation, specifically through motivational stages, may have on the outcomes of sleep hygiene and sleep quality variables following the conclusion of a sleep intervention …

Childhood Maltreatment And Mother-Child Attachment: Examining Interactions Among Attachment, Depression, Reflective Functioning, Parenting Behaviors, And Young Children's Outcomes In Mothers With Histories Of Childhood Maltreatment, Maria Khan

Electronic Theses and Dissertations

Although previous research identified mothers who experienced childhood maltreatment as exhibiting an especially heightened risk for attachment difficulties with their own young children, evidence regarding the mechanisms of action driving this relationship have been lacking. Thus, the current study introduced mothers' depressive symptoms and the novel construct of reflective functioning as potential mediators to help explain the relationship between mothers' childhood maltreatment experiences and patterns of insecure (i.e., anxious, avoidant, and disorganized) mother-young child attachment. The current study included a community sample of 146 mothers with children who ranged in age from 1 1/2-to 5-years. Mothers provided ratings of their …

Health Behaviors In Military Veterans With And Without Posttraumatic Stress Disorder, Emily Kitsmiller

Electronic Theses and Dissertations

A link between posttraumatic stress disorder and health behaviors, such as exercise, alcohol, smoking, and caffeine has been suggested. However, it is unknown whether veterans with combat-related PTSD differ from combat veterans without PTSD and whether health behaviors change over the course of exposure therapy for PTSD or differ based on PTSD severity. This study examined the relationship between health behaviors and PTSD. More specifically, combat veterans with and without PTSD were compared across self-reported levels of alcohol use, smoking, exercise, and caffeine. Health behaviors of combat veterans with PTSD were compared before and after a 17-week treatment for PTSD. …

Predicting Child Maltreatment Potential In Mothers Who Are Substance-Involved: A Study Of Childhood Adversity, Stress, Affectivity, Emotion Dysregulation, And Emotion Regulation Strategies As Mechanisms Of Action, Amanda Lowell

Electronic Theses and Dissertations

Compared to the general population, parents who are substance-involved are both more likely to have experienced adversity during childhood and to exhibit elevated child maltreatment potential later in life. Within this population, mothers with young children are particularly at-risk. In order to enhance scientific understanding of this phenomenon, this study identified and examined several characteristics that were shown previously to be related to substance misuse and to the experience and perpetration of maltreatment. These characteristics included stress, affectivity, emotion dysregulation, and emotion regulation strategies. The current study examined these variables collectively in order to clarify the mechanisms at play in …

Using Exposure Therapy To Treat People Who Stutter: A Multiple Baseline Design, Jennifer Scheurich

Electronic Theses and Dissertations

Social anxiety disorder (SAD) is a debilitating condition, and it is estimated that approximately half of adults who stutter have SAD. Thus, there is a need for the assessment and treatment of SAD in this population. Cognitive-behavioral therapy (CBT) has shown promise in decreasing anxiety symptoms among adults who stutter and have SAD, but exposure, the key ingredient for successful CBT for SAD, has been understudied and underemphasized. The aims of this study were to develop an exposure therapy protocol specifically for people who stutter and have SAD and to evaluate its efficacy for reducing anxiety and stuttering severity. Utilizing …

How Does Brief Cognitive Behavioral Therapy Work? Potential Mechanisms Of Action For Veterans With Physical And Psychological Comorbidities, Frances Deavers

Electronic Theses and Dissertations

Depression and anxiety are commonly comorbid among patients with chronic medical conditions. These comorbidities are associated with negative outcomes including poorer quality of life and worse physical functioning. Evidence that traditional cognitive behavioral therapy (CBT) is less effective for these populations has led to the development of brief CBT protocols that incorporate physical health self-management skills and are delivered in primary care. To continue refining treatment packages, it is important to understand how brief CBT works. The present study used the transactional model of stress and coping as a framework for investigating potential mechanisms of action of brief CBT. Veterans …

Inattentive Behavior In Boys With Adhd During Classroom Instruction: The Mediating Role Of Working Memory Processes, Sarah Orban

Electronic Theses and Dissertations

Children with ADHD exhibit clinically impairing inattentive behavior during classroom instruction and other cognitively demanding contexts. However, there have been surprisingly few attempts to validate anecdotal parent/teacher reports of intact sustained attention during 'preferred' activities such as watching movies. The current investigation addresses this omission, and provides an initial test of how ADHD-related working memory deficits contribute to inattentive behavior during classroom instruction. Boys ages 8-12 (M=9.62, SD=1.22) with ADHD (n=32) and typically developing children (TD; n=30) completed a counterbalanced series of working memory tests and two videos on separate assessment days: an analogue math instructional video, and a non-instructional …

Applied Problem Solving In Children With Adhd: The Mediating Roles Of Working Memory And Mathematical Calculation, Lauren Friedman

Electronic Theses and Dissertations

The difficulties children with ADHD experience solving applied math problems (i.e., word problems) are well documented; however, the independent and/or interactive contribution of cognitive processes underlying these difficulties is not fully understood and warrant scrutiny. The current study examines two primary cognitive processes integral to children's ability to solve applied math problems: working memory (WM) and math calculation ability (i.e., the ability to utilize specific facts, skills, or processes related to basic math operations stored in long-term memory). Thirty-six boys with ADHD-combined presentation and 33 typically developing (TD) boys aged 8-12 years old were administered multiple counterbalanced tasks to assess …

Identification Of Areas Of Patient Need Using The Cancer Support Source Program, Emily Ross

Electronic Theses and Dissertations

Understanding, screening, and providing resources for quality of life factors and psychosocial distress have become an important area of focus in cancer care. Negative consequences of poor quality of life and psychosocial distress have been widely studied in oncological research. The National Comprehensive Cancer Network, or NCCN, defines "psychosocial distress" as extending on a continuum, "ranging from common normal feelings of vulnerability, sadness, and fears to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual crisis" ("National Comprehensive Cancer Network," n.d.). Findings have indicated the significant impact of poor quality of life and …

Ask Your Doctor About Exposure Therapy!: Direct-To-Consumer Marketing Of Empirically Supported Psychological Treatments For Anxiety, Joshua C. Fulwiler

Electronic Theses and Dissertations

Despite efforts to disseminate Evidence-Based Psychological Interventions (EBPIS) to mental health practitioners, most individuals with psychological disorders do not receive any form of treatment, and many others who do seek treatment do not receive EBPIS. The success of the pharmaceutical industry in effectively marketing prescription drugs directly to consumers is considered as a model for advancing dissemination of EBPIS. Utilizing undergraduate students as participants, the current study examined how potential consumers of mental health services respond to internet-based marketing information about EBPIS. Participants vieinformation about anxiety disorders and a specific type of treatment (i.e., cognitive-behavioral therapy) in both text and …

Meaning In Life As A Moderator Of Resilience And Traumatic Stress: A Study Of Protective Factors And Sex Differences In A Sample Of Mississippi Coastal Residents Seeking Mental Health Services After The Deepwater Horizon Oil Spill, Bethany Jane Aiena

Electronic Theses and Dissertations

In April of 2010, the Deepwater Horizon oil platform exploded, releasing millions of barrels of crude oil into the Gulf of Mexico, becoming the largest oil spill in U.S. history. Disasters often lead to a decrease in psychological well-being for those affected by the disaster. Positive psychological constructs such as resilience and perceived meaning in life have been shown to be significant protective factors against the negative psychological effects of a disaster. Utilizing a sample of 1119 adults seeking mental health services along the coast of Mississippi after the spill, the current study aimed to investigate the relationship between these …

“Forming Ranks”: The Impact Of Negative-Destructive Leadership In The Aftermath Of Military Sexual Assault And Reporting, Jessica Payton

Electronic Theses and Dissertations

Military leaders play central roles in responding to sexual assault in the military social ecology, yet their impacts on victims’ post-assault and reporting experiences remain understudied. Using standpoint epistemology and a military-specific social ecological approach, this two-stage project investigated how military leaders impacted survivors’ post-assault and reporting experiences, as well as their experiences with military peers, community resources, and justice and separation processes. Data were gathered through an initial focus group with eight subject matter experts in advocacy, legal work, and policy reform, followed by subsequent in-depth individual interviews with eight female survivors of military sexual assault, seven of whom …

Posttraumatic Stress Disorder Or Combat Experience? A Functional Near-Infrared Spectroscopy Study Of Trauma-Related Auditory And Olfactory Cues, Michael Gramlich

Electronic Theses and Dissertations

While the clinical communities are aware of the prevalence of posttraumatic stress disorder (PTSD) among OEF/OIF/OND veterans, further efforts are necessary to bolster comprehensive strategies for assessment and treatment. The purpose of this study was to investigate whether a combat-related PTSD symptom provocation paradigm would elicit unique neurological responses via functional near-infrared spectroscopy across three groups – combat veterans with PTSD, combat veterans without PTSD, and nonmilitary participants without PTSD. Results indicated that combat veterans with PTSD demonstrated significant activation during exposure to a trauma-related sound compared to nonmilitary personnel at channels 14 (d = 1.03) and 15 (d = …

Clients' Experiences Of Recovery-Oriented Care For Schizophrenia: A Qualitative Research Study, Sarah A. Hamilton

Electronic Theses and Dissertations

A recovery model of care has been widely accepted and instituted both in the U.S. and internationally, but research suggests that the model has not been employed uniformly. While existing research has focused on creating consensus regarding application of the model, the lived experience of those receiving the care has not yet been considered. In order to address this gap, the present study proposed a qualitative analysis of mental health consumers’ experiences of recovery-oriented care for schizophrenia. Potential participants were recruited through a Regional Mental Health Board and the author individually interviewed four participants in semi-structured interviews. A qualitative analysis …