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Adverse Childhood Experiences And Sexual Functioning: A Mediation Analysis Of Difficulties In Emotional Regulation, Haven Travis

Undergraduate Honors Theses

Sexual dysfunction can lead to a negative impact upon a person’s mental and relational health, including relational and overall distress, poor relationship and sexual satisfaction, and clinical mood disorders such as depression. Moving upstream to identify factors that may predict sexual dysfunction would therefore be beneficial for early intervention in at-risk populations. History of childhood trauma is one such factor that may influence sexual functioning later in life. While adverse childhood experiences (ACEs) have been less studied in association with sexual dysfunction, there is some evidence to indicate that they may be related. ACEs have been shown to increase the …

Nonmedical Stimulant Use In An Undergraduate College Student Sample: Demographics, Academics, Stress, And Other Substance Use, Ashley Skye Vanover, Meredith K. Ginley, Shelby Whalan

Undergraduate Honors Theses

Nonmedical use of prescription stimuluants (NMUS) can cause adverse outcomes for college students including academic impediments, such as a lowered GPA, and polyuse of illicit substances (Garcia et al., 2021; Holt & McCarthy, 2019; Norman & Ford, 2018). The current study investigated the demographics, academics, stress, and polysubstance use between students who endorsed NMUS and those who did not in an undergraduate college population sample at a large public university in the Southeast. The sample consisted of 429 undergraduate students who completed online measures of demographics, perceived stress, stressful life events, and substance use. Overall, 3.4% of the sample reported …

Knowledge, Attitudes, And Readiness For Integrated Behavioral Health Services Among Primary Care Providers In East Tennessee, Baylee Rose

Undergraduate Honors Theses

Introduction: Individuals in rural areas tend to face unique barriers to accessing mental health care. One possible solution to make mental health services more accessible could be to integrate behavioral healthcare providers into primary care practices. However, the successful integration of behavioral health services into rural primary care is likely reliant on the knowledge, attitudes, and readiness of the primary care practice to initiate the process of integration. The current study aims to describe knowledge, attitudes, and readiness to adopt integrated behavioral health services among primary care providers in rural South-Central Appalachia and to examine how providers’ knowledge and attitudes …

The Mediation Of Mental Health Between Adverse Childhood Experiences And Risky Sexual Behavior, Kayla Marie Mandrigues, Julia Claire Dodd, Stacey Lynne Williams

Undergraduate Honors Theses

Risky sexual behaviors (RSB) have the potential to negatively impact individuals by increasing the risk of mental health issues, sexually transmitted infections (STIs), and unwanted pregnancies. Adverse childhood experiences (ACEs) and mental health disorders, such as anxiety, PTSD, and depression, have been known to increase RSB. The purpose of this study was to see if these mental health disorders mediate the relationship between ACEs and RSB. Participants (n = 342, mean age = 32) were recruited through social media to complete an online questionnaire. While history of ACEs significantly predicted engagement in RSB as well as all three of the …

College-Related Stress And Substance Use: Experiences Of Honors And Non-Honors Students, Melanie Fischer

Undergraduate Honors Theses

Although there is a wealth of research knowledge related to risk behavior engagement of the general student population, there is less specifically reported about honors students. To address this gap in research, non-honors and honors students were surveyed to determine possible differences in risk behavior engagement. Students were recruited through the East Tennessee State University psychology subject pool and via direct email messages to an honors student-specific listserv. We hypothesized that honors students would have differences in terms of GPA and number of credit hours, endorse more substance use and have more perceived stress compared to non-honors students. The survey …

Parents’ Adverse Childhood Experiences In Relation To Parent-Child Emotion Socialization, Emily Thompson

Undergraduate Honors Theses

Parents’ adverse childhood experiences in relation to parent-child emotion socialization

Objective: Parents have an integral role in a child’s development of important emotional and psychosocial processes through emotion socialization. The goal of this paper is to examine the presence of adverse childhood experiences during the parents’ childhood and adolescence alongside the parents’ responses to their child’s emotional expression. The impact of adverse childhood experiences on a parent’s ability to socialize their child’s emotions is a key factor in the continued objective of cultivating positive parent-child interaction and improving adolescent mental health.

Methods: Participants were 165 adolescents and their parents. Adolescent …

Associations Between Perfectionism, Parental Expectations, Self-Esteem, And Academic Achievement In Gifted Students, Hannah Scarbrough

Undergraduate Honors Theses

Intellectual giftedness can affect students in a variety of ways. Research often examines some of these potential effects, such as how giftedness impacts performance in school or attitude regarding academics. However, little research has been done on whether gifted students are more driven by internal pressures to succeed that they place on themselves or by external pressures to succeed that are placed on them by others. The present study examined how perfectionism (an internal pressure) and parental expectations (an external pressure) might affect a student’s self-esteem and achievement. Participants were 250 undergraduate students (M age = 20.35 years old, …

The Relationship Between Adverse Childhood Experiences And Academic Performance And Student Self-Perception, Emily Brown, Julia Dodd

Undergraduate Honors Theses

Researchers have explored the effects of Adverse Childhood Experiences (ACEs) on academic performance from elementary years to young adulthood. In this study, we explored the relationship between ACEs and academic performance in high school and academic student self-perception, and the further role that community or high school extra-curricular involvement may play in this relationship. In this study, we hypothesize that participants with higher ACEs will have poorer academic performance than those with lower ACEs. Secondly, we hypothesize that students with higher ACEs will have a lower academic self-concept than students with lower ACEs. Thirdly, we hypothesize that community or extra-curricular …

The Effects Of The Transition From Pre-Nursing To Nursing On Mental Health, Andrew J. Davis, Paige R. Mullins, Kimberly A. Sell

Undergraduate Honors Theses

Mental health is an ever-growing crisis among adolescents and young adults, with suicide as second leading cause of death and the number of those negatively affected continually on the rise. Transitions are one of the major stressors prevalent among these age groups, placing individuals at risk for mental health deficits. This quantitative voluntary response comparative study assesses the transitional mental health of pre-nursing students and students in the nursing program at East Tennessee State University. Emailed to all with a declared major of pre-nursing or nursing, this study measured mental health using evidenced based assessment tools. The PHQ-9 for depression …

Client Predictors Of Therapeutic Alliance In Court-Mandated Substance Use Treatment, Yasmine Punceles

Undergraduate Honors Theses

The purpose of the current study was to investigate predictors of therapeutic alliance among a sample of 46 adults with substance misuse who were convicted of felony offenses and court-mandated to attend substance use treatment as part of their probation requirements. For this study, I purposed four hypotheses: (1) older participants will report a stronger therapeutic alliance with their therapist. (2) women will form a stronger therapeutic alliance with their therapist than men, (3) higher levels of distress will be associated with lower therapeutic alliance, and (4) people with more extensive criminal and substance use histories to have poorer therapeutic …

Reported Motivations For Non-Medical Use Of Prescription Stimulants In A Sample Of Community College Students, Taylor Wexler

Undergraduate Honors Theses

Introduction. Prior research has found high rates of behavioral health concerns, including several forms of substance use, among community college students. However, the prevalence of non-medical use of prescription stimulants (NMUS) as well as the motivations driving NMUS among community college students is unknown. Methods. Survey results from 13 community colleges within the Tennessee Board of Regents school system were evaluated to explore 1) rates of NMUS, 2) reported motivations for NMUS, and 3) how demographic characteristics including race, age, and income differ based on self-reported reasons for NMUS. Results. NMUS was reported by approximately 9% of the overall sample. …

The Moderating Role Of Social Support In Stigma And Symptoms Of Anxiety And Depression, Taylor Phillips

Undergraduate Honors Theses

In this study, we examine the relationship between having a support system and the stigma individuals face with depression and anxiety symptoms. The aim of this study was to examine if having a support system acts as a buffer between perceived stigma and mental health symptoms. For this study, I conducted an online survey to measure symptoms of depression and anxiety, experiences with both perceived and internalized stigma, and social support. While 93 total participants engaged in the survey, only 52 fully completed the survey and passed two attention-check questions to ensure no invalid participation (e.g., BOTS) were present. In …

Psychological Distress And Susceptibility To Disease In The Infant And Early Childhood Mental Health (Iecmh) Workforce In The Time Of The Covid-19 Pandemic, Ashley Sexton

Undergraduate Honors Theses

Chronic stress, anxiety, and depression can have many adverse effects on physical health, including immunosuppression and increased susceptibility to disease. For the last year, the world has endured sustained stress caused by the COVID-19 pandemic which has had its own impact on mental health. Stress from COVID-19 will likely have an even greater impact on the Infant and Early Childhood Mental Health (IECMH) workforce due to the stressful nature of their work. Self-care has been shown to improve overall wellbeing and act as a buffer for stress. Therefore, the current study aims to investigate if IECMH workers with clinically significant …

Investigating The Misrepresentation Of Statistical Significance In Empirical Articles, Blythe Lybrand, Ginette Blackhart, Amanda Parish, Hannah Lowe

Undergraduate Honors Theses

In an attempt to preserve research integrity, the aim of this study is to examine how often statistical results are being misrepresented in empirical studies by using terms such as “marginally significant,” “approached significance,” or “trend toward significance” when interpreting findings. The use of these terms gives ambiguous significance to results that are in fact nonsignificant, which threatens future research by contributing to issues such as the replication crisis. For this study, data were coded from 437 empirical articles published online in The Journal of Personality and Social Psychology (JPSP) over a 4-year period between 2017 and 2020. …

Trauma Informed Care Training Initiative: Implementation Study In Appalachia, Mattie V. Raza

Undergraduate Honors Theses

This study aims to evaluate the implementation of Trauma-Informed Care (TIC) trainings in Johnson City, Tennessee, and the surrounding Appalachian area. Previous TIC trainees were sent an email survey asking them if they had followed through with their plan to implement the training at their place of work or in other areas of their lives. The response rate for this study was 2%, possibly due to extraneous variables such as the Coronavirus Pandemic and the lag time between the initial training and survey follow-up. The responses that were analyzed indicated promise for the practical implementation of TIC concepts at the …

Can Spiritual Experiences Promote Empathy In The Context Of Past Adverse Childhood Experiences?, Alison Ickes

Undergraduate Honors Theses

Previous research suggests that adverse childhood experiences (ACEs) can greatly impact a child’s physical, mental, and emotional wellbeing later in life. ACE exposure has been associated with lower levels of empathy in the literature. Spirituality is often associated with a number of positive outcomes, including those associated with empathy, like prosocial behaviors. The present study examines spirituality as a buffer against reduced empathy in those with exposure to adverse events in childhood. Participants for this study were recruited through the SONA research platform at East Tennessee State University as part of a larger research project, the REACH (Religions, Emotions, and …

Is There A Relationship Between Experiences Of Workplace Discrimination And Self-Stigmatization Among Mental Health Peer Support Workers?, Nicole King

Undergraduate Honors Theses

This thesis aimed to explore whether a statistically significant relationship existed between experiences of workplace discrimination and self-stigmatization among mental health peer support workers. This relationship has not previously been explored in this group. The Internalized Stigma of Mental Illness Scale (ISMI) was used to measure self-stigmatization, and a 3-measure scale adapted by Stromwall, Holley and Bashor (2011), alongside a newly created measure, were used to assess perceived workplace discrimination. The sample was a convenience sample of 20 participants. The researcher expected a positive correlation between workplace discrimination and self-stigmatization. Ultimately, no statistically significant relationship was found between the two …

How Resilience-Building Interventions Impact Parenting Stress And Cortisol Reactivity In Mothers With Adverse Childhood Experiences, Victoria Jones

Undergraduate Honors Theses

Research has found that adverse childhood experiences (ACEs) are associated with changes in both parenting stress and cortisol. Resilience-building interventions may be able to help diminish the effects of ACEs, thus impacting parenting stress and cortisol reactivity. This study aims to examine how two resilience-building interventions (emotion-based and behavior-based) will impact parenting stress and cortisol reactivity in mothers with ACEs. This project is in the preliminary stages of data collection; as such, this honors thesis will review the relevant literature, describe current methodology and proposed analyses, and discuss possible implications and future directions. Participants (goal N=100) undergo a pre-assessment where …

An Analysis Of Substance Use In College: Identifying Possible Risk And Protective Factors, Stephanie Penpek

Undergraduate Honors Theses

In the United States, an estimated 20% of college students have an Alcohol Use Disorder (AUD). AUD is conceptualized as compulsive use of alcohol even when presented with adverse effects. Historically, student activities and organization-involvement (e.g., Greek life) was a hypothesized risk factor for student substance use. However, other studies suggest that joining clubs and developing a support system during college can protect against substance use disorders. Undergraduate students were recruited from a South Eastern University using a university-sponsored, online recruitment website. The sample was predominantly White (n = 150; 86.70%) and female (n = 127; 73.40%). We …

Views Of Addiction Etiology Predict Religious Individuals’ Willingness To Help., Emily Brady, Joseph Barnet, Valerie Hoots, Andrea Clements

Undergraduate Honors Theses

Abstract

Views of addiction etiology predict religious individuals’ willingness to help.

Emily Brady, Valerie Hoots, Joseph Barnet, and Andrea Clements, Department of Psychology, East Tennessee State University.

Addiction to drugs and alcohol is an accrescent societal problem. Individuals with substance addiction face stigma in their daily lives, specifically from religious individuals as explored in this study. The stigma these religious individuals might portray could be related to their ideas on addiction etiology. The purpose of this project is to evaluate if different views of addiction etiology predict religious individuals’ willingness to help individuals with substance addition. Our hypothesis for this …

Aces, Onset Of Aggression, And Initiation Of Out-Of-Home Placements In A Sample Of Youth In Residential Treatment For Sexually Abusive Behavior, Teliyah Cobb

Undergraduate Honors Theses

Adverse Childhood Experiences (ACEs) exhibit a strong influence on later functioning in adolescence and adulthood, including impacts on physical and mental health, as well as behavioral and risk-related outcomes. Youth who have engaged in sexually abusive behaviors experience ACEs and negative outcomes at significantly elevated rates. The current study evaluates the relationship between ACEs and the youth’s own behavior and onset and length out-of-home placements, including family- or home-based, residential, and correctional placements. Data for this study consisted of archival records that were collected from a nonprofit inpatient treatment facility for adolescents who had engaged in sexually abusive behavior. The …

Maternal Stress And Child Internalizing Symptoms: Parent-Child Co-Regulation As A Proposed Mediator, Tatum Harvey

Undergraduate Honors Theses

The effects of maternal stress on child behavior, especially externalizing problems such as aggression, defiance, and lack of self-control, are well-established within psychological literature. Few studies, however, have examined the effects of maternal stress on child internalizing problems, such as loneliness, withdrawal, and symptoms of anxiety and depression. Moreover, there is much research within developmental psychology to support the notion that parent-child co-regulation, sometimes called dyadic synchrony, can predict child behavioral outcomes. Currently, researchers lack an understanding of how this process can interact with maternal stress to predict child internalizing symptoms. The following thesis details a multi-method assessment which is …

Adverse Childhood Experiences (Aces) And Temperament In Children Aged 14 To 36-Months, Elysabeth Sexton

Undergraduate Honors Theses

Researchers have explored the effects of early adverse life experiences (ACEs) on children’s developmental outcomes for decades. In this study, I explored whether ACEs in toddlerhood were associated with temperament. I tested the hypotheses that: 1) children who were determined to have a difficult temperamental profile would have higher parent-reported ACE scores than children with an easy temperamental profile, and 2) children’s temperament types would have stronger associations with abuse and neglect ACE scores than with household dysfunction ACE scores. Parents of 94 toddlers, who were between 14 and 36 months of age, completed online surveys on behalf of their …

Employer Perceptions About Addiction Recovery And Hiring Decisions, Haley Henderson, Joseph Barnet, Valerie Hoots, Andrea Clements

Undergraduate Honors Theses

Drug and alcohol addiction is a nationwide epidemic with an increasing number of Americans being affected. Individuals who seek treatment for their addiction often face barriers, such as costs, waiting time, and available support, and those who are able to receive treatment are likely to experience or anticipate stigma from others. Existing literature has found that many employers have negative perceptions of individuals in addiction recovery. However, there is limited research that has analyzed whether these negative perceptions affect hiring decisions. We predicted that employers would have negative perceptions of those in recovery, would be less likely to hire individuals …

Polysubstance Exposure And Its Relationship To Pharmacological Treatment Characteristics, Parker Miller

Undergraduate Honors Theses

Neonatal Abstinence Syndrome (NAS) remains an ever-growing public health issue and a continued avenue for future research. The research question for this retrospective study was whether polysubstance exposure is related to the dose of medication the infant received or to the number of opioid-medications required to treat the infants’ withdrawal symptoms? The hypothesis for the retrospective study was there will be a significant relationship between polysubstance exposure and the dose of medication the infant received as well as the number of opioid-medications required to treat the infants’ withdrawal symptoms. A bivariate correlational indicated that there was not a significant association …

Creative Gender Expression Performativity As A Coping Mechanism For Minority Stress, Emerson A. Todd

Undergraduate Honors Theses

Creative Gender Expression Performativity may be a coping mechanism for dealing with minority stress in sexual and gender minority populations. The current study suggests the creation of a new scale that measures effortful presentation rather than directional presentation. Rather than examining whether someone identifies as masculine or feminine – the proposed model would instead look at how much effort an individual is putting into their gender expression. In this mixed methods study, participants (N = 187) completed a survey based on gender expression, minority stress, and mental health, while 10 participants completed a qualitative post-survey interview via email. Multiple regressions …

Investigating The Eeg Error-Related Negativity In College Students With Adhd, Anxiety, And Depression, Mariacristina Canini

Undergraduate Honors Theses

Error-related negativity (ERN) is an event-related potential elicited by the commission of errors. It appears as a negative deflection peaking between 50ms and 100ms after an erroneous response. Previous literature demonstrated that individuals who suffer from either anxiety or depression display a higher ERN amplitude compared to a control group. It has also been shown that people with ADHD display a lower ERN amplitude. Based on these findings, we investigated the relationships between these three disorders and their effects on the amplitude of the ERN. We recruited thirty-one students at East Tennessee State University and gathered data on their level …

The Design Of Tiny Homes And Their Significance To Simplistic Living, Monica Garcia-Guzman

Undergraduate Honors Theses

This research examines the design of tiny homes and the importance they play in the lives of those that would usually have not been able to afford a house. The research will also focus on designing a tiny home with the use of design software to fully understand the extent of the characteristics of a tiny home. The design of these small dwellings, usually about 400-500 square feet, allows for a minimalist lifestyle that can be very low cost. The same materials that are used in traditional constructed homes are used for tiny homes because it makes them more durable …

Pyschosocial Well-Being And Efforts To Quit Smoking In Pregnant Women Of South-Central Appalachia, Brittney Stubbs

Undergraduate Honors Theses

A sample of 1,031 pregnant women from five prenatal practices participated in Tennessee Intervention for Pregnant Smokers (TIPS), an expanded 5A’s (Ask, Advise, Assess, Assist, Arrange) program. Stress, self-esteem, depressive symptoms, and disordered eating were hypothesized to differ among three groups: pregnant women who never smoked, pregnant women who smoked but quit prior to birth, and pregnant women who smoked and did not quit prior to birth. Smokers who quit were lower in stress and higher in self-esteem than those who did not quit. Non-smokers were lowest in stress and depression, and highest in self-esteem. These findings may lead to …

Trauma-Informed Care: Implementation Efforts In Northeast Tennessee, Kaelyn E. Bishop, Andrea D. Clements, Valerie Hoots

Undergraduate Honors Theses

Trauma has been found to be highly prevalent and associated with many negative health and social outcomes (i.e., heart disease, higher suicide risk, high-risk behaviors) in the general population. Despite these associations, trauma detection is relatively rare in service-providing organizations. Trauma-informed care (TIC) is a proposed solution that encourages trauma detection, understanding the symptoms associated with trauma, and treating trauma while actively avoiding re-traumatization to the service user. Although research about TIC efficacy has been fairly limited, there are some promising potential benefits of the practice to the client, provider, and the population as a whole. For this study, we …