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Development Of A Measure Of Craving Suppression, Brian T. Upton

Theses and Dissertations--Psychology

While there is evidence to support the efficacy of mindfulness-based treatment for substance use, the mechanisms through which they lead to therapeutic outcomes have received less attention. A growing body of literature suggests that the ways in which people respond to cravings may be an important mediator of change. Individuals with substance use problems may use them to cope with or avoid negative experiences, which could include the experience of craving itself. Thought suppression in particular has been investigated as a specific form of experiential avoidance, and findings suggest that thought suppression strategies may interfere with attempts to quit using …

Exploring Bisexual-Identified Persons Experiences Of Belonging, David Pascale-Hague

Theses and Dissertations--Educational, School, and Counseling Psychology

Belonging is a basic and fundamental human need (Baumeister, & Leary, 1995) that is associated with psychosocial health (Cohen, 2004). Unfortunately, community belonging is a challenge for those with a bisexual identity. Binegativity, minority stress, and the invisibility of bisexual-identities may interfere with attempts to develop a sense of community belonging (Bradford, 2004). Little systematic research has examined bisexual-identified people’s perceptions and experiences of belonging to a community. This project addressed the question, “What are bisexual individuals’ experiences of community belonging/social exclusion?” Semi-structured interviews were conducted with a sample of 12 bisexual-identified persons. Interview transcripts were analyzed using a constructivist …

An Examination Of The Psychometric Properties Of The Working Model Of The Child Interview Coding Scheme With Biological Mothers Who Have Maltreated, Brian D. Gustman

Theses and Dissertations--Educational, School, and Counseling Psychology

There are hundreds of thousands of children living in foster care in the United States on any given day. Mental health professionals may be called upon to assist with evaluating the parental capacity of these children’s parents in order to inform reunification decisions. One of the key parental capacity domains to be evaluated is the relationship between parent and child (Schmidt et al., 2007). The Working Model of the Child Interview coding scheme (WMCI; Zeanah et al., 1996) is one tool for evaluating this relationship. There is a significant practice-to-research gap with this measure. To date, no peer-reviewed studies have …

Transgender Individuals' Social Support Experiences In Central Appalachia, Angela J. Aaron

Theses and Dissertations--Educational, School, and Counseling Psychology

The majority of empirical studies in transgender psychology have focused on the negative experiences of urban transgender individuals (Grossman & D’Augelli, 2007; Koken, Bimbi, & Parsons, 2009; Melendez & Pinto, 2007; Singh & McKleroy, 2011; Strain & Shuff, 2010; Xavier, Bobbin, Singer, & Budd, 2005). Less is known about the experiences of rural transgender individuals (Fassinger & Arseneau, 2007; Grossman, 2008) especially in Central Appalachia (Gray, 2009). The purpose of this study was to examine transgender individuals’ perceptions of social support in Central Appalachia. Bronfenbrenner’s (1977) ecological model framed the analysis of social support experiences within the culture of Central …

The Longitudinal Effects Of Participation In Structured Extracurricular Activities On Educational Achievement, Future Earnings, And Symptoms Of Depression With School Belongingness As A Mediating Variable In A Low-Income Sample, Christina L. Stacy

Theses and Dissertations--Educational, School, and Counseling Psychology

The purpose of this study was to examine the potential outcomes of participating in structured extracurricular activities (SEA) as an adolescent. Research has previously demonstrated that beneficial outcomes commonly associated with SEA participation include academic achievement and educational/career ambitions, positive social outcomes, and psychological well-being. It is thought that the benefits of SEA participation may be mediated by adolescents’ feelings of school belongingness and positive relationships. By extension, school belongingness is a key contributor to engagement, academic achievement, positive social relationships, and mental well-being. Although the research is typically positive, one must be careful in overgeneralizing that increasing student participation …

Saving Our Sisters: Effects Of A Computer-Based Version Of Sista On The Hiv-Related Behaviors Of African American Women, Krystal Frieson

Theses and Dissertations--Educational, School, and Counseling Psychology

Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) are infectious diseases wreaking irreparable havoc on the lives of millions all around the world. Of those infected and affected by HIV in the United States, African Americans disproportionately bear the burden of this disease, which has resulted in a major crisis within the African American community. In 2010, African Americans accounted for approximately 44% of all new HIV infections among adolescents, 13 years of age and older, and adults [Centers for Disease Control and Prevention [CDC], 2012). These statistics become even more dismal when both race and gender enter the …

Effectiveness Of Psychotherapy For Youth In Poverty: A Benchmarking Study Of A Public Behavioral Health Agency Using A Client Feedback System, Jonathan Kodet

Theses and Dissertations--Educational, School, and Counseling Psychology

Objective: The purpose of this study was to evaluate the effectiveness of a public behavioral health (PBH) agency that had implemented continuous outcome feedback as a quality improvement strategy.

Method: I investigated the pre-post treatment outcomes of 4,389 ethnically diverse youths (6 to 17 years old) at or under the poverty line participating in treatment (from January 2008 to March 2014) for a broad range of primary diagnoses including depression and anxiety disorders (23%); adjustment disorders (27%); Attention Deficit/Hyperactivity Disorder (13%), various V-codes (18%); bipolar disorders (3%); and substance use disorders (2%). I also investigated the treatment outcomes …

Explore The Relationship Among Lung Cancer Stigma, Social Support, And Psychosocial Distress, Lisa Maggio

Theses and Dissertations--Nursing

There is longstanding causal relationship between cigarette smoking and lung cancer. Smoke-free policies and anti-smoking campaigns have been linked to the decline in smoking acceptance and contribute to the unintended consequence of stigmatizing smokers. Lung cancer is viewed as a self-inflicted disease and patients’ feel judged in a manner different from other cancers affecting social interactions between family, friends, and healthcare professionals. Lung cancer stigma contributes to depression, anxiety, poor self-esteem, guilt, shame, blame, threatens a person’s social identity, and limits social support that deeply affects patients and their support persons.

This dissertation contains a review of the literature related …

Delirium Screening Instrument Knowledge And Perception Among Cardiovascular Intensive Care Nurses, Brittany Lynn Dahl

DNP Projects

Background: Delirium is a serious condition that affects critically ill adult patients in the intensive care unit. Bedside nursing delirium measurements are considered a dependable source of information that can be used for clinical decision-making. Nurse education and assessment of perceptions is important when building a framework for successful delirium assessment. However, few data exist about nursing perceptions and practices associated with delirium screening instruments. The overall purpose of this project is to examine nurse perceptions and knowledge about delirium and delirium screening instruments at the University of Kentucky (UK) Hospital’s Cardiovascular Intensive Care Unit (CVICU).

Objectives: The aims of …

The Inclusive Human Trafficking Checklist: A Dialectical Methodology Of Measurement, Maria C. Almario

Theses and Dissertations--Educational, School, and Counseling Psychology

The identification of victims of human trafficking and consequential service provision is characterized by a significant disconnection between the estimated prevalence of this issue and the number of cases identified. The current dissertation introduces the Inclusive Human Trafficking Checklist (IHTC) as a screening measure, evaluates the appropriateness of the instrument, evaluates whether there are differences in assessment based on the participant’s profession, level of knowledge, and training, and assesses if users of the instrument perceive it as useful. A total of 201 participants were asked to rate three vignettes predetermined by experts to qualify as a either human trafficking case …

The Implementation Of Solution-Focused Brief Therapy (Sfbt) With At-Risk Youth In An Alternative School Environment, Martha C. Hinchey

Theses and Dissertations--Educational, School, and Counseling Psychology

Research indicates the potential utility of schools as sites for service delivery of mental health interventions. The application of solution-focused brief therapy (SFBT) within the school domain is reflected in the child psychotherapy literature. Findings on the use of SFBT in school settings suggest that it may be well suited to school contexts given its time-efficient, goal-directed, and strengths-based behavioral approach.

The primary purpose of this study was to determine the effectiveness of SFBT with at-risk youth in an alternative school setting. The researcher utilized a multiple case study design to examine the impact of a 6-session SFBT intervention on …

Leadership Training For A Diverse World: A Study Of The Effectiveness Of Three Interventions With Fraternity And Sorority Leaders, Kirsten A. Gonzalez

Theses and Dissertations--Educational, School, and Counseling Psychology

Lesbian and gay college students face heterosexist and homophobic attitudes and behaviors from their heterosexual peers (Burn, 2000; Fine, 2011; Franklin, 2000; Rankin, 2003; Silverschanz, Cortina, Konik, & Magley, 2008; Woodford, Howell, Silverschanz, & Yu, 2012; & Yost & Gilmore, 2011). Greek fraternity and sorority organizations can contribute to and influence the heterosexist and homophobic climate on college campuses. Greek organizations offer leadership opportunities, community engagement, and a sense of belonging, but these organizations can also perpetuate a climate of hostility and rejection of lesbian and gay peers (Case, 1996; Case, Hesp, & Eberly, 2005; DeSantis, 2007; Rankin et al., …

Husband's Response To Infidelity, Toby Q. Jenkins

Theses and Dissertations--Family Sciences

Infidelity is the most often cited reason for divorce in the United States and much of the world. Providing therapy for a couple trying to recover from infidelity is one of the most difficult and complex presenting problems for therapists. Much of the existing research that predicts responses to infidelity subscribes to an evolutionary psychology perspective, predicting response by gender differently based on motives concerning procreation. Males would find sexual infidelity more threatening because paternity would be uncertain, females would find emotional infidelity more threatening because of the risk of resources and protection being diverted to another female’s offspring. Much …

Adhd Children And Mental Health Service Use: Maternal Determinants, Katarina Krizova

Theses and Dissertations--Family Sciences

The current study investigated maternal determinants of mental health service use, namely, individual child therapy, among preadolescent children diagnosed with ADHD. The Behavioral Model of Health Care Utilization (Andersen, 2008) was used as a theoretical framework for the study. Data from the last three rounds of ECLS-K dataset were employed to test a longitudinal model using Bayesian analysis. Socio-demographic variables and maternal mental health were tested as exogenous variables and mother-child relationship variables, discipline variables, and perceived maternal concern about child’s overall behavior and child’s emotional symptoms were tested as intervening variables. Results showed that only maternal mental health remained …

The Five-Factor Obsessive-Compulsive Inventory: An Item Response Theory Analysis, Jennifer R. Presnall-Shvorin

Theses and Dissertations--Psychology

Arguments have been made for dimensional models over categorical for the classification of personality disorder, and for the five-factor model (FFM) in particular. A criticism of the FFM of personality disorder is the absence of measures designed to assess pathological personality. Several measures have been developed based on the FFM to assess the maladaptive personality traits included within existing personality disorders.

One such example is the Five-Factor Obsessive-Compulsive Inventory (FFOCI). The current study applied item response theory analyses (IRT) to test whether scales of the FFOCI are extreme variants of respective FFM facet scales. It was predicted that both the …

Examining The Neuroprotective Properties Of 3-Dimethoxybenzylidene-Anabasine (Dmxb-A) In A Third Trimester Chronic Ethanol Exposure Model In Rats, Logan J. Fields

Theses and Dissertations--Psychology

Excitotoxicity caused by ethanol (ETOH) withdrawal (EWD) is highly detrimental to the developing brain. Targeting this excitotoxicity has been shown to be a promising approach for improving outcome following developmental ETOH exposure. Activation of nicotinic acetylcholine receptors (nAChR), in the central nervous system can be protective against EWD. We examined the ability of DMXB-A, a α₇ nAChR agonist, to reduce neurotoxicity caused by EWD in the hippocampus. To test this, an organotypic hippocampal slice culture was used. Slices were exposed to ETOH (100mM) or control medium. After 10 days, the slices were treated with DMXB-A (1, 3, or 10uM) …

Foster Parents' Perceptions And Beliefs About Social Emotional Development In Infants And Toddlers, Susan R. Noel

DNP Projects

Infants and toddlers placed in foster care are at increased risk for social-emotional (SE) development dysregulation. Foster parents, as surrogate parents, play a critical role in a young child having the potential for healthy SE development. The transactional model supports the complex and intricate interplays and transactions of the child, the foster parent, and the environment that influences a healthy SE development. This qualitative descriptive study explored foster parent knowledge, behavioral cue recognitions, and role perception regarding a young child's SE development. Although the sample size was small, the study provides relevant information, from the on-going experiences of foster parents, …

Factors Influencing The Association Between Religiosity And Drinking Behavior In Underage College Students, Hayley Cole

Theses and Dissertations--Psychology

Research has consistently demonstrated a negative association between religiosity and college students’ alcohol consumption. However, few studies have explored the unique roles religious beliefs and behaviors might play in this relationship. Using 283 underage college students, we investigated the influence of internal and external factors on drinking behaviors for students with differing combinations of religious beliefs and religious behaviors. Tests of mediation and mediated-moderation were used to help explain the unique influences beliefs and behaviors have on alcohol consumption. Results indicated that religious beliefs only functioned as a protective-factor against underage drinking when accompanied by religious behaviors; students with high …

Effects Of Headings On Processing Of Audio Texts, Hung-Tao Chen

Theses and Dissertations--Psychology

Text-to-speech devices often do a poor job of translating signals such as headings from visual into audio mode. Previous research studies have attempted to address this problem but these studies have mainly used heading detection tasks. The current study seeks to investigate 1) whether listeners find the presence of audio headings useful in natural learning tasks, and 2) the type of heading rendering that is most useful in natural learning tasks. The three learning tasks in this study include note-taking, cued recall, and knowledge transfer. Results from this study reveal that listeners find audio headings useful in the note-taking task. …

Development Of An Avian Model For Identifying Individual Differences In Drug Vulnerability, Beth A. Rice

Theses and Dissertations--Psychology

The attribution of incentive salience to cues that become associated with drugs of abuse is a critical characteristic of individuals who may be vulnerable to drug addiction. Rodents with the propensity to sign track are thought to be vulnerable to drug abuse. The goal of the current work was to investigate whether sign trackers (STs) would acquire cocaine conditioned place preference (CPP) to a discrete cue using an avian species. In Experiment 1, sign and goal trackers (GTs) were first identified using a one third rank order split. Following identification, cocaine-CPP was conducted with a discrete cue in each end …

Distinguishing Among Within-Person Variability: Affective Intra-Individual Variability, Affective Psychological Flexibility, And Health In A National Us Sample, Jaime Hardy

Theses and Dissertations--Psychology

Affective intra-individual variability (IIV) and affective psychological flexibility (PF) are both types of within-person variability. Affective IIV is defined as the range of emotions experienced by an individual assessed at multiple time points. PF is defined as the ability to vary one’s responses in a contextually dependent manner in order to appropriately meet situational demands. Currently, there are no comparisons between affective IIV and PF demonstrating how these constructs might be uniquely different from each other. The current study proposed to examine affective IIV and PF in order to establish discriminant and convergent validity, and stability data for each construct. …

Moderated Mediation Of Attention-Deficit/Hyperactivity Disorder (Adhd) Symptoms And Peer Relations, Christine A. Lee

Theses and Dissertations--Psychology

Children with attention-deficit/hyperactivity disorder (ADHD) experience frequent and persisting peer rejection, yet current social skills training is ineffective. The current study focused on emotion dysregulation as a possible mediator between ADHD symptoms and poor peer outcomes with oppositional defiant disorder (ODD) symptoms as a moderator. Participants included 145 elementary-age children ranging from 8-10 years old. Parents and teachers rated children’s ADHD and ODD symptoms as well as their social skills. Parents also rated children on their emotion regulation abilities. Children then participated in a three-hour playgroup with unfamiliar peers in six structured and unstructured tasks. Research assistants provided global ratings …

Bidirectional Relations Of Impulsive Personality And Alcohol Use Over Two Years, Alison J. Kaiser

Theses and Dissertations--Psychology

Impulsive personality traits have been found to be robust predictors of substance use and problems in both cross-sectional and longitudinal research. Studies examining the relations of substance use and impulsive personality over time indicate bidirectional effects, where substance use is also predictive of increases in later impulsive personality. The mechanism(s) accounting for the impact of substance use on later personality remain unknown. The present study sought to explore the bidirectional relations of alcohol use with the impulsive personality traits over three time points, and to examine two potential mechanisms that could account for the impact of alcohol use on personality: …

The Behavioral Effects Of First-Generation Electronic Cigarettes After 24-Hour Tobacco Deprivation, Arit M. Harvanko

Theses and Dissertations--Psychology

Little is currently known about the ability of electronic cigarettes to manage tobacco withdrawal symptoms and their abuse liability. In the current study eight conventional cigarette smokers completed nine within-subject study sessions. In the first session participants practiced using an electronic cigarette containing 16 mg/ml of nicotine over six 10-puff bouts. Remaining study sessions were comprised of four two-day blocks (one for each condition), which assessed measures of tobacco withdrawal symptoms and abuse liability following unrestricted cigarette smoking and 24-hour tobacco deprivation. Study conditions included an electronic cigarette with 0, 8, or 16 mg/ml nicotine concentrations, or preferred brand of …

Affective Instability Across Diagnostic Models, Whitney L. Gore

Theses and Dissertations--Psychology

The National Institute of Mental Health’s (NIMH) Research Domain Criteria (RDoC; Insel et al., 2010; Sanislow et al., 2010) were established in an effort to explore underlying dimensions that cut across many existing disorders as well as to provide an alternative to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5; APA, 2013). The present dissertation aimed to study one major component of the RDoC model, negative valence, as compared to other models hypothesized to be closely related, as well as its relationship to a key component of psychopathology, affective instability. Participants were adult community residents …

Adolescents' Gender Typicality, Psychological Well-Being, And Experiences With Teasing, Bullying, And Rejection, Jennifer A. Jewell

Theses and Dissertations--Psychology

The current study examined whether adolescents’ gender-based victimization experiences (i.e., teasing, bullying, and rejection) mediated the association between gender typicality and psychological well-being. The current study also investigated whether daily experiences with the three types of gender-based victimization negatively impacted adolescents’ immediate emotional reactions. Participants were 570 seventh and eighth grade students (49.5% boys, 50.5% girls). During four visits over the course of two weeks, participants completed surveys about their own gender typicality, their psychological well-being (i.e., depression, anxiety, self-esteem, and body image), their experiences with gender-based teasing, bullying, and rejection, and their emotional responses to experiencing this victimization. Results …

Developmental Trajectories Of Excessive Exercise And Fasting Across The Middle School Years, Heather A. Davis

Theses and Dissertations--Psychology

Repeated excessive exercise (EE) fasting behavior, in the absence of binge eating and purging, are important eating disorder behaviors that are not captured by the current diagnostic system. Though they appear to be harmful and distressing for adults, little is known about these behaviors in youth. To begin to understand their development, I studied the course of the behaviors across the three years of middle school (n = 1,195). Both behaviors were present in middle school girls and boys, and youth progressed along different developmental trajectories of engagement in the behaviors. Youth involved in either behavior experienced elevated levels of …

The Balloon Analogue Risk Task And Behavioral Correlates In Pigeons, Aaron P. Smith

Theses and Dissertations--Psychology

Individuals experience risk ubiquitously, but measuring risk taking is difficult. The balloon analogue risk task (BART) was developed in order to assess risk taking through having subjects press a key that accrues reward but also risk losing all reward with each press. In humans, greater responding in this task is associated with other maladaptive risk taking behaviors. The present research modeled this relationship in pigeons due to their previously shown propensity towards risk taking behavior. Experiment 1 used an unsignaled balloon task in which losing could only occur after 5 pecks. Results showed below optimal performance with greater pecks associated …

Using Commercially Available Picture Activity Schedules And System Of Least Prompts To Teach Lego Assembly, Lauren A. Sherrow

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

This study investigated effects of commercially available picture activity schedules (PAS) and system of least prompts (SLP) to teach recreation skills to four high school students with Autism Spectrum Disorders and intellectual disabilities using Lego sets. Results were evaluated through a multiple probe across participants design and indicate that a combination of PAS and SLP was effective for teaching the students to build Lego sets. All students improved their ability to build and were able to generalize the skill to novel sets after the completion of intervention. Limitations and implications for future practioners are discussed.

The Impact Of Video Chatting On Idealization And Disillusionment For Long Distance Dating Couples, Laura Kusisto

Theses and Dissertations--Family Sciences

Previous research indicates a high rate of long distance relationships, especially among young adults. Yet, research in this area is lacking, particularly regarding the role of video chatting. Through the lens of the media richness theory and the hyperpersonal model, this qualitative study explores how video chatting impacts idealization and disillusionment in young adults’ long distance dating relationships. Data was collected through semi-structured interviews with both partners of six heterosexual couples. Data was analyzed using the constant comparative approach and following the basic framework of open, axial, and selective coding used in grounded theory research. Results indicate that video chatting …