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Interrater Reliability Between Parents And Teachers Based On The Child’S Grade Level In A Rural Community: Behavior Assessment System For Children, Third Edition, Samantha B. Godoy Jan 2024

Interrater Reliability Between Parents And Teachers Based On The Child’S Grade Level In A Rural Community: Behavior Assessment System For Children, Third Edition, Samantha B. Godoy

Doctor of Psychology (PsyD)

The process of conducting child and adolescent psychoeducational assessments has changed over the past 2 decades (Shapiro & Heick, 2004). In the past, the school psychologists commonly concentrated on behavioral, achievement, and projective assessments and usually did not include systematic multi-rater observation rating scales of behavior. There is now consensus within the professional community that an assessment should meet three criteria including data from multiple methods, data from multiple sources, and data in multiple settings (Alfonso et al., 2020). Multimodal assessment provides a more in-depth perspective and creates less administrator biases, as multiple views of the child’s functioning across contexts …


Nature’S Relationship To Psychological Flexibility, Jake K. Sanders Jan 2024

Nature’S Relationship To Psychological Flexibility, Jake K. Sanders

Doctor of Psychology (PsyD)

Acceptance and commitment therapy has defined and successfully discovered methods of increasing psychological flexibility. Various methods of increasing psychological flexibility could be used as interventions. Contact with nature, in various forms, has been shown to increase and be related to many physical and mental health benefits. These benefits include things like mindfulness and other aspects of psychological flexibility. The question arises whether or not contact with nature is related to increases in overall psychological flexibility. The current study involved administering a questionnaire comprised of multiple existing measures, to primarily a college sample of 349 students. The answers were statistically analyzed …


God Attachment, Health Locus Of Control, Anxiety, And Health Behaviors During Covid-19 Among College Undergraduates At A Religious University, Jessica K. Wilbur Jan 2024

God Attachment, Health Locus Of Control, Anxiety, And Health Behaviors During Covid-19 Among College Undergraduates At A Religious University, Jessica K. Wilbur

Doctor of Psychology (PsyD)

This study investigated the relationship between attachment to God, health locus of control (HLOC), perceived stress, and COVID-19-related attitudes and health behaviors among undergraduate students. Undergraduates from George Fox University were sampled, and data were collected from December 2021 to May 2022. Participants ranged from ages 18 to 36 years old (M = 19.1, SD = 2.1). The majority identified as female (68.3%) and European-American (70.2%). A K-cluster analysis revealed two groups utilizing attachment to God and HLOC scores: 81 healthy (43%) and 109 distressed (57%) individuals. The healthy group reported lower scores on anxious and avoidant attachment to God …


Spilling The T: Transmasculine Experiences With Testosterone Therapy, Kathryn Reinhart Jan 2024

Spilling The T: Transmasculine Experiences With Testosterone Therapy, Kathryn Reinhart

Doctor of Psychology (PsyD)

This dissertation utilizes a critical health psychology lens to document the experiences of transmasculine individuals with testosterone and gender-affirming healthcare. Semi-structured interviews were conducted with seven transmasculine participants who had participated in hormone replacement therapy for at least 6 months. Interview transcripts were analyzed using a recursive qualitative approach, resulting in nine themes: gaps in information about hormone replacement therapy; individual variability in hormone replacement therapy effects; complexity of nonbinary identity; barriers in the transition process; necessity and burden of self-advocacy; importance of community support; significance of sociopolitical context; impact of provider attitudes and education; and the need for holistic, …


Antisocial Personality Disorder And Trauma In Females, Marissa Lange Jan 2024

Antisocial Personality Disorder And Trauma In Females, Marissa Lange

Doctor of Psychology (PsyD)

Antisocial personality disorder (ASPD) is a diagnosis reserved for individuals who feature deceitfulness, impulsivity, aggressiveness, recklessness, and irresponsibility. Evidence suggests that experiencing trauma is an etiological factor in developing antisocial traits in males. The prevalence of ASPD in the U.S. is three to one, male to female. However, research indicates females are substantially underdiagnosed due to exclusionary diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.-Text Revised; DSM-5-TR; American Psychiatric Association, 2013). The Personality Assessment Inventory (PAI) is a personality measure that features a conceptualization of ASPD that differs from the DSM-5-TR and includes more personality-specific …


Examining A Virtual Neuropsychological Battery For Older Adults, Robert W. Kessler Jan 2024

Examining A Virtual Neuropsychological Battery For Older Adults, Robert W. Kessler

Doctor of Psychology (PsyD)

The restructuring of clinical service provision during the COVID-19 pandemic prompted neuropsychologists to reconsider telehealth options for patient care. Subsequent advances in teleneuropsychology (Tele-NP) research and practice have demonstrated that virtual assessment is not only practical, but also increases accessibility to neuropsychological services for the elderly, medically at-risk, and rural patients. In order to ensure services are in-line with professional standards of evidence-based practice, it is incumbent on research to demonstrate the validity of virtual assessment, as well as patient acceptability of Tele-NP findings. The objectives of this research project were three-fold. First, I aimed to determine the reliability of …


The Impact Of Nature Exposure On The Perceived Relationship Satisfaction Of Adults With Adhd Symptomology, Chloe Sohl Jan 2024

The Impact Of Nature Exposure On The Perceived Relationship Satisfaction Of Adults With Adhd Symptomology, Chloe Sohl

Doctor of Psychology (PsyD)

The present study investigated the impact of nature exposure on the perceived relationship satisfaction of adults with attention deficit hyperactive disorder (ADHD) symptoms. In addition, researchers were interested in looking at how emotion regulation was influenced as well as what factors a participant's age, gender, ethnicity, education level, relationship type, relationship orientation, frequency in nature, nature setting, and formal diagnosis of ADHD, played into this. Upon completing a questionnaire, participants (N = 101) were asked to complete 120 min a week of a nature activity for 4 weeks. At the end of the experiment, participants completed the same questionnaire to …


Intimate Partner Violence And Parent Perceptions Of Their Emotional Bond To Their Children, Lia T. Mclanahan Jan 2024

Intimate Partner Violence And Parent Perceptions Of Their Emotional Bond To Their Children, Lia T. Mclanahan

Doctor of Psychology (PsyD)

As research on intimate partner violence (IPV) continues to grow and there are more ways of defining IPV and identifying its differing forms, a related topic of interest has become the impact IPV has on families (Fong et al., 2019). Similarly, research on IPV as a form of trauma and its implications is well-researched for both children and adults, as is the research on trauma and attachment (Cook et al., 2017). However, there seems to be a lack of research on how parent–child attachment is predicted by IPV. The present study aimed to assess how parent perceptions of their level …


Vicarious Trauma And Doctoral Graduate Trainees: The Physiological Impact Of High-Acuity Patient Care, Alicia M. Mann Jan 2024

Vicarious Trauma And Doctoral Graduate Trainees: The Physiological Impact Of High-Acuity Patient Care, Alicia M. Mann

Doctor of Psychology (PsyD)

There is comprehensive literature regarding vicarious traumatization in mental health providers. Previous research identifies underlying mental health conditions and limited clinical exposure as increased risk factors for vicarious traumatization. Graduate student mental health has recently been described as a significant public health problem. Although some research exists on the impact of high-acuity clinical work on psychology graduate students, there has been limited attention on the physical impact of vicarious traumatization. The current study assessed the relationship between graduate trainees’ subjective anxiety levels and heart rate variability in response to high-acuity client work. Results indicated that doctoral trainees with high levels …


The Effects Of Resilience On Bipoc Graduate Students' Mental And Physical Health, Shelby N. Wilson Jan 2024

The Effects Of Resilience On Bipoc Graduate Students' Mental And Physical Health, Shelby N. Wilson

Doctor of Psychology (PsyD)

Graduate school can be a challenging and demanding experience, with many students facing considerable stress and adversity throughout their academic journey. For BIPOC (Black, Indigenous, and people of color) graduate students, the challenges may be amplified due to systemic and social factors, which can increase stress levels, potentially affecting their mental and physical health. This study explored the role of resilience as a protective factor for BIPOC graduate students, examining the correlation between resilience, mental health, and physical health, and the importance of religion. The sample consisted of 132 BIPOC participants and 242 White participants. Regarding their academic status, 63.6% …


Impact Of Head Injuries On Executive Functioning And Emotional Regulation, Kaitlin Allison Jan 2024

Impact Of Head Injuries On Executive Functioning And Emotional Regulation, Kaitlin Allison

Doctor of Psychology (PsyD)

Growing interest in diagnosed and undiagnosed head injuries has led to a growth in research focused on mild traumatic brain injuries (mTBIs). However, limited research has focused on the impact of undiagnosed head injuries on executive functioning and self-report measures of executive functioning and self-regulation in individuals' everyday environments. This study aimed to determine the impact of the number of head injuries sustained on executive functioning, emotional regulation, and psychological functioning in current and former athletes. Current and former student-athletes were recruited at a private university. Intake interview, psychological distress measures and measures of executive functioning were completed while undergoing …


Virtual Reality Exposure Therapy For The Houseless Population, Michelle Franke Jan 2024

Virtual Reality Exposure Therapy For The Houseless Population, Michelle Franke

Doctor of Psychology (PsyD)

Virtual reality exposure therapy (VRET) is currently a practical, empirically based treatment used by researchers and clinicians to treat a variety of mental health concerns. However, its ability to meet the needs of financially vulnerable and underserved populations, such as the houseless community, is still unknown. This study addresses the knowledge and treatment gap by offering VRET to the houseless adult population in the Pacific Northwest area, hypothesizing that exposure to VRET would decrease participant symptomology while increasing overall well-being and affinity for the method. Furthermore, it is hypothesized that attrition rates will be the same or lower while retention …


Characteristics Of Sex Trafficking Survivors Success In An Aftercare Program, Taylor Mcmillen Jan 2024

Characteristics Of Sex Trafficking Survivors Success In An Aftercare Program, Taylor Mcmillen

Doctor of Psychology (PsyD)

In recent years, there has been greater awareness of the impact of human sex trafficking within the United States. Dozens of initiatives and programs have formed to combat the trafficking pandemic, leading to new understandings of the complexity involved with fighting against sex trafficking and the care involved with rehabilitating and empowering survivors of this injustice. Several studies have focused specifically on which pieces of aftercare tend to support greater healing in survivors over time. This care incorporates multiple discipline areas, including mental health, life skills, and healthcare services. Even so, there is a gap in literature highlighting connections between …


An Exploration Of The Experience Of Bipoc Students In Predominantly White Institutions, Lisanda Mojica Jan 2024

An Exploration Of The Experience Of Bipoc Students In Predominantly White Institutions, Lisanda Mojica

Doctor of Psychology (PsyD)

This dissertation explores the experiences of BIPOC students studying at predominantly White institutions (PWIs). Through in-depth interviews with a diverse group of participants, the study identifies seven categories that encompass the students' experiences: perception of the school, chosen community and friendships, academics and scholarships, exclusion and difference, relationships with professors, tokenization, and mental health. The findings suggest that BIPOC students at PWIs face numerous challenges, including feelings of isolation and exclusion, and being tokenized. Additionally, the study identifies protective factors such as professors. The study highlights the importance of creating inclusive and supportive environments for BIPOC students in higher education. …


Sense Of Purpose And Sustaining Attention, Jiayi Yu Jan 2024

Sense Of Purpose And Sustaining Attention, Jiayi Yu

Doctor of Psychology (PsyD)

The dissertation investigated the interplay between an elevated sense of purpose moderated by heightened altruistic motivation and sustained attention in a college undergraduate population. Drawing on existing literature highlighting the positive effects of purpose on well-being and cognitive abilities, the study introduced an experimental design to explore the causal relationship between purpose and attention. Participants were recruited from the undergraduate population of a Christian liberal arts university in the Pacific Northwest. A continuous performance test (CPT) —the AX-CPT paradigm—was utilized to assess sustained attention. The experimental group was prompted with the opportunity to earn a monetary donation for a humanitarian …


Impacts Of Stigma On Female Service Members, Alisha Weatherly-Kershaw Jan 2024

Impacts Of Stigma On Female Service Members, Alisha Weatherly-Kershaw

Doctor of Psychology (PsyD)

There are a variety of factors that prevent people from seeking mental health treatment. The stigma associated with mental health disorders or seeking treatment is a primary deterrent. This stigma is particularly impactful within the armed forces when they are assessed for fitness for duty. Because most research examines stigma’s impact on male military members, this study aims to identify the type of stigma that creates the most significant barrier to female service members seeking mental health treatment. Results indicate that stigmatizing perceptions of service members significantly impact female service members holding negative views towards seeking treatment.


The Adult Moral Injury Scale: An Initial Validation Study, Robert Wingerter Apr 2023

The Adult Moral Injury Scale: An Initial Validation Study, Robert Wingerter

Doctor of Psychology (PsyD)

Moral injury (MI) is a construct that has gained significant traction over the past decade and holds great implications for the etiology, nosology, and treatment of trauma. MI literature is currently limited by established measures of MI which share various strengths and weaknesses, and there has been a call in the literature to address measurement of MI (Griffin et al., 2019). In this study we propose a new measure of MI, the Adult Moral Injury Scale (AMIS), and will conduct initial validation of this measure. The AMIS is designed to be a content valid measure of MI symptoms in the …


Impacts Of Stigma On Female Service Members, Alisha Weatherly-Kershaw Apr 2023

Impacts Of Stigma On Female Service Members, Alisha Weatherly-Kershaw

Doctor of Psychology (PsyD)

There are a variety of factors that prevent people from seeking mental health treatment. The stigma associated with mental health disorders or seeking treatment is a primary deterrent. This stigma is particularly impactful within the armed forces when they are assessed for fitness for duty. Because most research examines stigma’s impact on male military members, this study aims to identify the type of stigma that creates the most significant barrier to female service members seeking mental health treatment. Results indicate that stigmatizing perceptions of service members significantly impact female service members holding negative views towards seeking treatment.


The Relationship Of Religious Coping To Adverse Childhood Experiences And Expression Of Traditional Masculinity, Jake D. Bigon Mar 2023

The Relationship Of Religious Coping To Adverse Childhood Experiences And Expression Of Traditional Masculinity, Jake D. Bigon

Doctor of Psychology (PsyD)

Men are subject to a variety of physical, mental, and social challenges (Garside & Klimes-Dougan, 2002; Lawson et al., 2015; O’Neil, 1981; Pleck, 1995, Centers for Disease Control and Prevention, 2018). Adverse childhood experiences (ACEs) have also been a major predictor of negative health outcomes (Felitti et al., 1998, p. 251). While many studies have observed the correlation of masculinity and these negative health outcomes, few have sought to understand the relationship between masculine presentation and ACEs. Religious coping has been seen to reduce distress and contribute to posttraumatic response (Pargament et al., 2000; Prati & Pietrantoni, 2009; Fallot & …


Relative Impact Of Human & Natural Trauma On Psychological Functioning, Javeen Lynette Beard Mar 2023

Relative Impact Of Human & Natural Trauma On Psychological Functioning, Javeen Lynette Beard

Doctor of Psychology (PsyD)

Trauma, both natural and human induced, affects numerous people daily, often significantly impairing their quality of life. Human trauma and the subsequent quality of life has been extensively examined, but natural trauma remains largely overlooked. This study compares the quality of life following human and natural trauma. Because no suitable measure could be located, a 12-item Natural Disaster Assessment (NDA) was developed. Reponses were rated on a 7-point continuum from strongly agree to strongly disagree. Participants were recruited using Mechanical Turk. Among 136 participants, 56 were male (41.2%), 79 were female (58.1%), and one identified as other (0.7%). Participants completed …


Relationships Between Burnout, Isolation, Secondary Trauma, And Self-Compassion In Mental Health Providers, Michael Underriner Mar 2023

Relationships Between Burnout, Isolation, Secondary Trauma, And Self-Compassion In Mental Health Providers, Michael Underriner

Doctor of Psychology (PsyD)

Experiencing burnout as a mental health provider is a growing concern with a number of personal and professional issues related to it; organizational and self-directed interventions are often used to combat the issue (Morse et al., 2012). With the onset of coronavirus (COVID-19), mental health providers face more isolation at work due to social distancing measures and more instances of hearing trauma reports from their patients. Self-compassion might be a solution to address the concerns stated above (McCade et al., 2021; Richardson et al, 2018). Participants in this study were members of a state psychological association, many of whom are …


Increasing Conceptual Clarity Of Act Interventions For Burnout: A Novel Workshop For Women In Ministry, Lydia Hogan Mar 2023

Increasing Conceptual Clarity Of Act Interventions For Burnout: A Novel Workshop For Women In Ministry, Lydia Hogan

Doctor of Psychology (PsyD)

The purpose of this study is threefold; to address a gap in the literature concerning mechanism of change of acceptance and commitment therapy (ACT) interventions for burnout, to create an evidence-based burnout intervention for women in ministry, and to propose a theory of burnout etiology and recovery. Participants in this novel 6-week online ACT-based workshop showed significant improvement in burnout, particularly those who endorsed higher pre-intervention burnout. Change in burnout scores was inconsistently mediated by changes in psychological flexibility across dimensions of personal burnout, work burnout, and client burnout as measured on the Copenhagen Burnout Inventory. Findings of this study …


Trauma-Informed Care In Native American Education: Compassion Satisfaction, Secondary Traumatic Stress, Burnout, And Resilience As Mediating Factors To Implementation, Peter Tissell Feb 2023

Trauma-Informed Care In Native American Education: Compassion Satisfaction, Secondary Traumatic Stress, Burnout, And Resilience As Mediating Factors To Implementation, Peter Tissell

Doctor of Psychology (PsyD)

With increased awareness and discussion of trauma-informed care, both within the educational setting and the Native-American community, this study went about developing a training series on trauma and resilience for educational and residential staff at a Native-American boarding school. This study sought to identify the effectiveness of this training series on improving participant’s attitudes towards trauma-informed care, while also assessing individual characteristics including Resilience, Burnout, Secondary Traumatic Stress, and Compassion Satisfaction as possible predictors of trainees’ attitudes. Results determined the training series did not significantly change trainees’ attitudes on trauma-informed care. Additionally, while resilience and secondary traumatic stress proved to …


Videoconference Administration Of The Delis-Kaplan Executive Function System, Zachary T. Stine Feb 2023

Videoconference Administration Of The Delis-Kaplan Executive Function System, Zachary T. Stine

Doctor of Psychology (PsyD)

Neuropsychological assessments rely on standardization, reliability, validity, and normative data to increase the accuracy of clinicians’ interpretations (Lezak et al., 2012). One particular assessment that focuses on examining comprehensive executive functioning is the Delis-Kaplan Executive Function System (D-KEFS; Delis et al., 2001). Videoconference is gaining in use to provide services within multiple healthcare domains to increase access to care and convenience, potentially reduce costs, and sustain patient satisfaction (Brearly et al., 2017). The literature has shown support for the growing field of telehealth neuropsychology (Brearly et al., 2017); however, many neuropsychological assessments, such as the D-KEFS, have not been normed …


Virtuous Dialogues: A Study On Wisdom And Quiet Ego In Church Settings, Jeffrey A. Dunkerley Ii Feb 2023

Virtuous Dialogues: A Study On Wisdom And Quiet Ego In Church Settings, Jeffrey A. Dunkerley Ii

Doctor of Psychology (PsyD)

An individual’s ability to balance the identity of self with the identity of the other, Quiet Ego, consider situations from various perspectives (Reflective Wisdom) and reflect on emotional reactivity (Affective Wisdom) are influential components to engaging in dialogue. The context for dialogue within the United States is increasingly impacted by the backdrop of polarization and defensiveness, impacting one’s ability to develop and maintain the characteristics above. The Christian Church in the United States is not immune to the shifts in dialogue and are experiencing similar difficulties with dialogue seen in the broader society. Virtuous Dialogues is a training curriculum that …


Covid-19 And Fall Rates In Older Adults: Longitudinal Study On The Impact Of Covid-19 On Geriatric Fall Rates In A Care Facility, Britton Holman Feb 2023

Covid-19 And Fall Rates In Older Adults: Longitudinal Study On The Impact Of Covid-19 On Geriatric Fall Rates In A Care Facility, Britton Holman

Doctor of Psychology (PsyD)

Falls in the geriatric population are continuing to increase around the world. Along with this, COVID-19 caused significant distress and changes in many older adult populations living in care facilities. Our study used archival data to determine if an association existed between fall rates at a specific care facility before COVID-19, during COVID-19, and during an outbreak of COVID-19 at the facility. An analysis of variance and Bonferroni’s post-hoc analysis was conducted, which found falls tended to be lower during outbreaks at the facility compared to pre-COVID-19 times. Reasons for this finding may be due to restrictions on activities and …


Retention Rates In Medication For Opioid Treatment: The Effects Of Social Determinants Of Health, Melissa Flores Feb 2023

Retention Rates In Medication For Opioid Treatment: The Effects Of Social Determinants Of Health, Melissa Flores

Doctor of Psychology (PsyD)

Background. Medication for opioid use disorder (MOUD), the use of pharmacotherapy, behavior, and psychotherapy, has been implemented in the treatment of opioid use disorders. MOUD seeks to retain patients in treatment to stabilize medication management and implement coping skills, and many studies have described an association between retention and recovery. Social Determinants of Health (SDH) are important to consider in efforts toward retention in MOUD programs. Method. The purpose of this study is to analyze the effects of SDH on retention rates in MOUD, specifically evaluating a program that uses a Collaborative Community Approach Model (CCAM), which aims …


Trauma Clusters And Iorns Measure For Sex Offense Treatment Outcomes, Katherine Carlson Jan 2023

Trauma Clusters And Iorns Measure For Sex Offense Treatment Outcomes, Katherine Carlson

Doctor of Psychology (PsyD)

Adverse Childhood Experiences or ACEs are traumatic experiences that occur for children including abuse, neglect, and household dysfunction (Centers for Disease Control and Prevention, 2021). The pattern of ACEs grouping together, or what will be known as ACEs Clusters, has impact on outcomes for specific populations (Lacey et al., 2020). Individuals convicted of a sexual offense (ICSO) have often experienced childhood physical and verbal abuse (Levenson et al., 2014). It was hypothesized that ACEs clusters for the ICSO population will be: low ACEs, household dysfunction, and household violence. To evaluate whether an ICSO is at risk for engaging in violent …


Psychologists-In-Training Attitudes Towards Complicated Grief, Caroline A. Williams Jan 2023

Psychologists-In-Training Attitudes Towards Complicated Grief, Caroline A. Williams

Doctor of Psychology (PsyD)

Complicated grief as a diagnosis has been in development in the United States and United Kingdom since World War II through the utilization of diagnostic manuals, resulting in grief being commonly explored from an intervention standpoint. The inclusion of prolonged grief disorder in the International Classification of Disease (11th ed.; ICD-11; World Health Organization, 2020) and in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5 TR; American Psychiatric Association, 2022) has instigated a debate on whether these complicated grief disorders are culturally appropriate and sensitive with the consensus that generally providers advocate for a diagnosis, but not …


Relationship Of Resilience With Well-Being And Loneliness In Individuals With Severe And Persistent Mental Illness, Krysta Young Jan 2023

Relationship Of Resilience With Well-Being And Loneliness In Individuals With Severe And Persistent Mental Illness, Krysta Young

Doctor of Psychology (PsyD)

Resilience research has evolved from interest in understanding why some people thrive despite early adversities (Davino, 2013) to explain people’s adaptability when faced with challenge or adversity (Karaırmak & Figley, 2017). It has three components: adaptability, ability to succeed despite poor expectations, and persistent engagement instead of avoidance (Werner-Wilson et al., 2000), and is impacted by the severity of adversity, trait characteristics, and environmental characteristics (Chung, 2008). Resilience is a predictor of psychological well-being (Miranda & Cruz, 2022), is negatively correlated with loneliness (Tan et al., 2021), and while resilience is a protective factor against anxiety and depression (Cusack et …