Digital Commons Network^™

Behavioral Inhibition And Activation As A Modifier Process In Autism Spectrum Disorder: Examination Of Self‐Reported Bis/Bas And Alpha Eeg Asymmetry, Hillary K. Schiltz, Alana J. Mcvey, Alexander Barrington, Angela D. Haendel, Bridget Dolan, Kirsten S. Willar, Sheryl Pleiss, Jeffrey S. Karst, Elisabeth M. Vogt, Christina C. Murphy, Kelsey Gonring, Amy V. Van Hecke

Psychology Faculty Research and Publications

The Modifier Model of autism spectrum disorder (ASD) suggests that phenotypic variability within ASD is rooted in modifier processes, such as the behavioral inhibition system (BIS) and behavioral activation system (BAS). Among a sample of 53 adolescents with ASD, this study examined associations between (a) self-reported BIS/BAS and frontal and parietal alpha electroencephalogram asymmetry and whether these indices related to (b) ASD severity (via the Autism Quotient), and/or (c) co-occurring anxiety and attention-deficit hyperactivity disorder (via Youth Self Report and Child Behavior Checklist). Findings showed that alpha asymmetry was associated with self-reported BAS scores, such that greater BAS was related …

Differentiating Tic-Related From Non-Tic-Related Impairment In Children With Persistent Tic Disorders, Jordan T. Stiede, Jennifer R, Alexander, Brianna Wellen, Christopher C. Bauer, Michael B. Himle, Suzanne Mouton-Odum, Douglas W. Woods

Psychology Faculty Research and Publications

Children with persistent (chronic) tic disorders (PTDs) experience impairment across multiple domains of functioning, but given high rates of other non-tic-related conditions, it is often difficult to differentiate the extent to which such impairment is related to tics or to other problems. The current study used the Child Tourette's Syndrome Impairment Scale - Parent Report (CTIM-P) to examine parents' attributions of their child's impairment in home, school, and social domains in a sample of 58 children with PTD. Each domain was rated on the extent to which the parents perceived that impairment was related to tics versus non-tic-related concerns. In …

A Latent Profile Analysis Of Age Of Onset In Pathological Skin Picking, Emily J. Ricketts, Ivar Snorrason, Katharina Kircanski, Jennifer R. Alexander, Hardian Thamrin, Christopher A. Flessner, Martin E. Franklin, John Piacentini, Douglas W. Woods

Psychology Faculty Research and Publications

Background

Pathological Skin Picking (PSP) may begin at any age, but the most common age of onset is during adolescence. Age of onset is a potentially useful clinical marker to delineate subtypes of psychiatric disorders. The present study sought to examine empirically defined age of onset groups in adults with PSP and assess whether groups differed on clinical characteristics.

Method

Participants were 701 adult respondents to an internet survey, who endorsed recurrent skin picking with tissue damage and impairment. Latent profile analysis (LPA) was conducted to identify subtypes of PSP based on age of onset. Then subgroups were compared on …

A Zero-Inflated Box-Cox Normal Unipolar Item Response Model For Measuring Constructs Of Psychopathology, Brooke E. Magnus, Yang Liu

Psychology Faculty Research and Publications

This research introduces a latent class item response theory (IRT) approach for modeling item response data from zero-inflated, positively skewed, and arguably unipolar constructs of psychopathology. As motivating data, the authors use 4,925 responses to the Patient Health Questionnaire (PHQ-9), a nine Likert-type item depression screener that inquires about a variety of depressive symptoms. First, Lucke’s log-logistic unipolar item response model is extended to accommodate polytomous responses. Then, a nontrivial proportion of individuals who do not endorse any of the symptoms are accounted for by including a nonpathological class that represents those who may be absent on or at some …

Comparing Procedures On The Acquisition And Generalization Of Tacts For Children With Autism Spectrum Disorder, Norma R. Schnell, Jason C. Vladescu, Tiffany Kodak, Casey L. Nottingham

Psychology Faculty Research and Publications

Generalization is a critical outcome for individuals with autism spectrum disorder (ASD) who display new skills in a limited range of contexts. In the absence of proper planning, generalization may not be observed. The purpose of the current study was to directly compare serial to concurrent multiple exemplar training using total training time per exemplar, mean total training time, and exposures to mastery across three children diagnosed with ASD. Additionally, we assessed the efficiency of presenting secondary targets in the antecedent and consequence portions of learning trials and evaluated generalization to tacts not associated with direct teaching. Results suggested that …

Investigation Of Performance And Symptom Validity Testing In Children Utilizing Control, Simulation, And Clinical Groups, Elisabeth Vogt

Dissertations (1934 -)

Integral to neuropsychology, assessment relies on valid self-report and credible performance on neuropsychological tests. Symptom exaggeration and misrepresentation of abilities confound interpretation of neuropsychological test data, subsequent diagnosis, and treatment. Measures evaluating performance and symptom validity have been extensively studied in adult populations; however, similar research in child and adolescent populations is limited. In accordance with recommended research methodology, this study utilized a simulation design with community recruited and medical center clinical criterion groups which included 191 children and adolescents (7 to 16 years old). Sensitivity, specificity, and proposed cut-off scores are described for the Victoria Symptom Validity Test, Digit …

Item Response Theory Analyses Of Barkley’S Adult Adhd Rating Scales, Morgan Nitta

Master's Theses (2009 -)

There are many challenges associated with assessment and diagnosis of ADHD in adulthood. A significant percentage of adult patients may fabricate or exaggerate ADHD symptoms when completing self-report measures in hopes of securing a diagnosis. Further, there are conflicting findings surrounding the similarity between ADHD presentation in adults and children, reflected in rating-scales and symptoms outlined in the diagnostic criteria. This research provides novel information regarding relationships between common adult ADHD self-report form items and corresponding theoretical constructs of inattention (IA) and hyperactivity/impulsivity (H/I). Utilizing the graded response model (GRM) from item response theory (IRT), a comprehensive item-level analysis of …

Differential 5-Year Brain Atrophy Rates In Cognitively Declining And Stable Apoe-Ε4 Elders, Dana A. Kelly, Michael Seidenberg, Katherine Reiter, Kristy A. Nielson, John L. Woodard, J. Carson Smith, Sally Durgerian, Stephen M. Rao

Psychology Faculty Research and Publications

Objective: The apolipoprotein E (APOE) ε4 allele is the most important genetic risk factor for late-onset Alzheimer’s disease. Many ε4 carriers, however, never develop Alzheimer’s disease. The purpose of this study is to characterize the variability in phenotypic expression of the ε4 allele, as measured by the longitudinal trajectory of cognitive test scores and MRI brain volumes, in cognitively intact elders. Method: Healthy older adults, ages 65–85, participated in a 5-year longitudinal study that included structural MRI and cognitive testing administered at baseline and at 1.5 and 5 years postenrollment. Participants included 22 ε4 noncarriers, 15 ε4 carriers who experienced …

Caregiver Behaviors Associated With Emotion Regulation In High-Risk Preschoolers, Christina Caiozzo, Kristen Yule, John H. Grych

Psychology Faculty Research and Publications

Children who witness violence are at risk for developing a range of developmental problems, including deficits in understanding and regulating. The ability to adaptively manage emotions is associated with children’s mental health and their social and academic competence; however, little is known about how parents of at-risk youth can foster the healthy development of emotion regulation. The current study aimed to identify specific parenting practices associated with adaptive emotion regulation in at-risk preschoolers. Multimethod, multi-informant data were collected from 124 caregiver-child dyads from Head Start programs. Results indicated that interparental aggression was negatively associated with caregivers’ and children’s emotion regulation, …

Interpersonal Behavior In Couple Therapy: Concurrent And Prospective Associations With Depressive Symptoms And Relationship Distress, Lynne M. Knobloch-Fedders, Stephanie J. Wilson

Psychology Faculty Research and Publications

Objective: This study investigated associations between couples’ interpersonal behavior, depressive symptoms, and relationship distress over the course of couple psychotherapy. Method: After every other session of Integrative Systemic Therapy (M = 13 sessions), N = 100 individuals within 50 couples rated their in-session affiliation and autonomy behavior using the circumplex-based Structural Analysis of Social Behavior Intrex. Concurrent and prospective associations of interpersonal behavior with depressive symptoms and relationship distress were evaluated via multivariate multilevel modeling using the Actor-Partner Interdependence Model. Results: An individual’s hostility, as well as the partner’s hostility, positively predicted an individual’s concurrent depressive symptoms and …

Relations Of Discriminatory Experiences And Marianismo Beleifs With Ptsd Symptoms In Latinx Women, Claire Maria Bird

Master's Theses (2009 -)

Research examining the discriminatory experiences of Latinx women in minimal. The present study examined if various forms of discrimination predicted mental health symptoms in a sample of Latinx women, with the conceptualization of chronic discrimination as a possible form of trauma. There is evidence showing that Latinx individuals are at risk to develop posttraumatic stress disorder at higher rates than their non-Hispanic White counterparts, with many studies pointing to the experiences of racial/ethnic discrimination as a significant contributor (Kaczkurkin, Asnaani, Hall-Clark, Peterson, Yarvis, & Foa, 2016). Given the multiple forms of discrimination that women of color experience, ethnic discrimination, sexism, …

Validation Of The Registered Nurse Assessment Of Readiness For Hospital Discharge Scale, Kathleen L. Bobay, Marianne E. Weiss, Debra L. Oswald, Olga Yakusheva

Psychology Faculty Research and Publications

Background

Statistical models for predicting readmissions have been published for high-risk patient populations but typically focus on patient characteristics; nurse judgment is rarely considered in a formalized way to supplement prediction models.

Objectives

The purpose of this study was to determine psychometric properties of long and short forms of the Registered Nurse Readiness for Hospital Discharge Scale (RN-RHDS), including reliability, factor structure, and predictive validity.

Methods

Data were aggregated from two studies conducted at four hospitals in the Midwestern United States. The RN-RHDS was completed within 4 hours before hospital discharge by the discharging nurse. Data on readmissions and emergency …

Self-Esteem In Adults With Tourette Syndrome And Chronic Tic Disorders: The Roles Of Tic Severity, Treatment, And Comorbidity, Hilary Weingarden, Lawrence Scahill, Susanne Hoeppner, Alan L. Peterson, Douglas W. Woods, John T. Walkup, John Piacentini, Sabine Wilhelm

Psychology Faculty Research and Publications

Background

Tourette syndrome (TS) and chronic tic disorders (CTD) are stigmatizing disorders that may significantly impact self-esteem. Alternatively, comorbid psychiatric illnesses may affect self-esteem more than tics themselves. Extant research on self-esteem in TS/CTD is limited, has inconsistently examined the effect of comorbidities on self-esteem, and yields mixed findings.

Method

This study aimed to clarify the roles of tics versus comorbid diagnoses on self-esteem in a large, carefully diagnosed sample of adults with TS/CTD (N = 122) receiving 10 weeks of Comprehensive Behavioral Intervention for Tics (CBIT) or Psychoeducation and Supportive Therapy (PST).

Results

Baseline self-esteem did not differ …

Anticipated Therapist Absences: The Therapist’S Lens, Graham Gardner Knowlton

Dissertations (1934 -)

Over the course of a therapist’s career, absences from work are inevitable. Although therapist absences undoubtedly impact the therapy process, the topic has not received sufficient attention to produce helpful guidelines. Instead, clinicians looking to the literature for recommendations find less in peer-reviewed journals regarding therapist absences than they would if they were to turn to popular media geared toward a client audience (Barchat, 1988). This study sought to begin to remedy this research gap using a Consensual Qualitative Research (CQR) research design focusing on anticipated therapist absences. Ten therapists with at least two years of experience post-licensure were asked …

Psychometric Properties Of The Satisfaction With Life Scale Among Arab Americans, Afnan Musaitif

Dissertations (1934 -)

The body of literature on the Arab American population is growing both in breadth and depth. A biopsychosocial perspective has been applied in a review of the research on this population revealing gaps in the area of well-being among Arab Americans. Particularly, few studies have investigated well-being as defined by positive constructs, positive psychology, subjective well-being, or psychological wellbeing. More specifically, measures of these conceptualizations of well-being beyond the deficit model have not been validated among Arab Americans. This study aims to investigate the psychometric properties of one of the most commonly used subjective well-being instruments, the Satisfaction With Life …

Towards Predicting Risky Behavior Among Veterans With Ptsd By Analyzing Gesture Patterns, Tanvir Roushan

Master's Theses (2009 -)

Risky behavior including violence and aggression, self-injury, anger outburst, domestic violence along with self-injury, sexual abuse, rule breaking, use of drugs and alcohol, suicide etc. are alarming issues among US military veterans who return from combat zone deployment in Iraq and Afghanistan. Veterans are exposed to trauma in war zones which affect most of them with posttraumatic stress disorder (PTSD) or other metal health problems to some degree. Studies have shown that veterans have much higher rates of PTSD than civilians and are more likely to engage in risky behavior. One of the form of displaying and engaging in risky …

Family Functioning In Latino Families Of Children With Adhd: The Role Of Parental Gender And Acculturation, Anne Malkoff

Master's Theses (2009 -)

It has been well established that parents of children with ADHD report significantly higher levels of parenting stress (Heath, Curtis, Fan, & McPherson, 2015) and chaos in the home (Wirth et al., 2017) than parents of children without ADHD. Parents of children with ADHD also report feeling less efficacious in their parenting abilities compared to parents of children without ADHD (Primack et al., 2012). To date, a majority of the literature on ADHD has focused on European American children and families, resulting in a paucity of research and clinical practice with ethnic minority families of youth with ADHD, specifically among …

Inside And Out: Intrapersonal And Interpersonal Emotion Regulation In Young-Adult Friendships, Samantha Ann Chesney

Dissertations (1934 -)

To date, the field of emotion regulation has been held captive by inquiries into processes that unfold at an intrapersonal, or individual, level. As such, experts know a great deal about how individual choices to engage in a particular regulatory strategy are related to psychosocial outcomes. Recently the spotlight for theoretical and empirical attention has shifted to address an inarguable truth: humans are social beings. Research must break from the view of emotion regulation as intrapersonal or interpersonal, instead employing person-centered approaches that represent both levels as an interdependent system. The current study evaluated emotion regulation as a dynamic system …

The Impact Of Violence On The Emerging Development Of Emotion Regulation: The Role Of The Caregiver, Christina Caiozzo

Dissertations (1934 -)

Caregivers teach children how to navigate an emotional world (Thompson, 1994), and children’s ability to manage emotional reactions underlies their mental health as well as their social and academic performance (Zeman, Cassano, Perry-Parish, & Stegall, 2006). However, children who experience adverse life events are at risk for impaired development of emotion regulation (Maughan & Cicchetti, 2002). Little is known about how parents of at-risk youth can continue to foster healthy development of emotion regulation for their children. Therefore, the current study aims to identify specific parenting practices that promote adaptive emotion regulation in at-risk preschoolers. Multi-method, multi-informant data were collected …

Queer And Flourishing: Understanding The Psychosocial Well-Being Of Non-Heterosexual Men, Philip James Cooke

Dissertations (1934 -)

Non-heterosexual populations often face the additional stress of discrimination, harassment, and social rejection due to their sexual identity. These prejudicial experiences, along with other factors such as internalized homonegativity, negative appraisal of one’s sexual identity, and poor social support, contribute to an increased risk for negative mental health outcomes for sexual minority individuals (King et al., 2008; Meyer, 2003). While much is known about factors predicting psychosocial distress in LGB populations, less is known about the factors that predict psychosocial well-being in this group. The present study investigated the minority stress model’s (Meyer, 1995; 2003) hypothesis that minority stress processes …

The Benefits Of Adding A Brief Measure Of Simple Reaction Time To The Assessment Of Executive Function Skills In Early Childhood, Michael T. Willoughby, Clancy B. Blair, Laura J. Kuhn, Brooke E. Magnus

Psychology Faculty Research and Publications

Early childhood represents a period of rapid cognitive developmental change in executive function (EF) skills along with a variety of related cognitive processes, including processing speed. This leads to interpretational challenges in that children’s performance on EF tasks reflects more than EF skills per se. We tested whether the inclusion of a brief measure of simple reaction time (SRT) during EF assessments could help to partially address this challenge. Data were drawn from a cross-sectional convenience sample of 830 preschool-aged children. Individual differences in SRT were significantly associated with performance on all tasks (R²s = .09–.26); slower …

Patterns And Predictors Of Tic Suppressibility In Youth With Tic Disorders, Christine A. Conelea, Brianna Wellen, Douglas W. Woods, Deanna J. Greene, Kevin J. Black, Matthew Specht, Michael B. Himle, Han-Joo Lee, Matthew R. Capriotti

Psychology Faculty Research and Publications

Tic suppression is the primary target of tic disorder treatment, but factors that influence voluntary tic inhibition are not well understood. Several studies using the Tic Suppression Task have demonstrated significant inter-individual variability in tic suppressibility but have individually been underpowered to address correlates of tic suppression. The present study explored patterns and clinical correlates of reward-enhanced tic suppression in youth with tic disorders using a large, pooled dataset. Individual-level data from nine studies using the Tic Suppression Task were pooled, yielding a sample of 99 youth with tic disorders. Analyses examined patterns of tic suppressibility and the relationship between …

Minority Stress And Leukocyte Gene Expression In Sexual Minority Men Living With Treated Hiv Infection, Annesa Flentje, Kord M. Kober, Adam W. Carrico, Torsten B. Neilands, Elana Flowers, Nicholas C. Heck, Bradley E. Aouizerat

Psychology Faculty Research and Publications

Sexual minority (i.e., non-heterosexual) individuals experience poorer mental and physical health, accounted for in part by the additional burden of sexual minority stress occurring from being situated in a culture favoring heteronormativity. Informed by previous research, the purpose of this study was to identify the relationship between sexual minority stress and leukocyte gene expression related to inflammation, cancer, immune function, and cardiovascular function. Sexual minority men living with HIV who were on anti-retroviral medication, had viral load < 200 copies/mL, and had biologically confirmed, recent methamphetamine use completed minority stress measures and submitted blood samples for RNA sequencing on leukocytes. Differential gene expression and pathway analyses were conducted comparing those with clinically elevated minority stress (n = 18) and those who did not meet the clinical cutoff (n = 20), covarying reactive urine toxicology results for very …

The Role Of Acculturation Differences And Acculturation Conflict In Latino Family Mental Health, Kathryn E. Lawton, Alyson C. Gerdes, Theresa Lauer Kapke

Psychology Faculty Research and Publications

In order to help address the mental health disparities that exist for Latino families in the U.S., the current study sought to examine the acculturation–mental health link within the context of Latino families and to identify potential mechanisms for intervention to alleviate mental health problems in this population. Specifically, our goal was to examine how parent–adolescent acculturation differences were related to mental health in Latino adolescents and their parents and to understand the role of acculturation conflict and family functioning within Latino families. Participants included 84 adolescent–parent dyads recruited through bilingual middle schools. We found partial support for our hypothesis …

Computerized Response Inhibition Training For Children With Trichotillomania, Han-Joo Lee, Flint M. Espil, Christopher C. Bauer, Stephan G. Siwiec, Douglas W. Woods

Psychology Faculty Research and Publications

Evidence suggests that trichotillomania is characterized by impairment in response inhibition, which is the ability to suppress pre-potent/dominant but inappropriate responses. This study sought to test the feasibility of computerized response inhibition training for children with trichotillomania. Twenty-two children were randomized to the 8-session response inhibition training (RIT; n = 12) or a waitlisted control (WLT; n = 10). Primary outcomes were assessed by an independent evaluator, using the Clinical Global Impression-Improvement (CGI-I), and the NIMH Trichotillomania Severity (NIMH-TSS) and Impairment scales (NIMH-TIS) at pre, post-training/waiting, and 1-month follow-up. Relative to the WLT group, the RIT group showed a higher …

Examining The Links Between Challenging Behaviors In Youth With Asd And Parental Stress, Mental Health, And Involvement: Applying An Adaptation Of The Family Stress Model To Families Of Youth With Asd, Hillary Schiltz, Alana J. Mcvey, Brooke E. Magnus, Bridget Kathleen Dolan, Kirsten S. Willar, Sheryl Pleiss, Jeffrey S. Karst, Audrey Meyer Carson, Christina Caiozzo, Elisabeth M. Vogt, Amy V. Van Hecke

Psychology Faculty Research and Publications

Raising a child with autism spectrum disorder (ASD) poses unique challenges that may impact parents’ mental health and parenting experiences. The current study analyzed self-report data from 77 parents of youth with ASD. A serial multiple mediation model revealed that parenting stress (SIPA) and parental mental health (BAI and BDI-II) appears to be impacted by challenging adolescent behaviors (SSIS-PBs) and, in turn, affect parental involvement (PRQ), controlling for social skills (SSIS-SSs). Further, the study explored the malleability of parents’ mental health over the course of a social skills intervention, and provides modest evidence that parent depressive symptoms decline across intervention. …

Abnormal Perceptual Sensitivity In Body-Focused Repetitive Behaviors, David C. Houghton, Jennifer R. Alexander, Christopher C. Bauer, Douglas W. Woods

Psychology Faculty Research and Publications

Objective

Several compulsive grooming habits such as hair pulling, skin picking, and nail biting are collectively known as body-focused repetitive behaviors (BFRBs). Although subclinical BFRBs are common and benign, more severe and damaging manifestations exist that are difficult to manage. Researchers have suggested that BFRBs are maintained by various cognitive, affective, and sensory contingencies. Although the involvement of cognitive and affective processes in BFRBs has been studied, there is a paucity of research on sensory processes.

Methods

The current study tested whether adults with subclinical or clinical BFRBs would report abnormal patterns of sensory processing as compared to a healthy …

The Effects Of Acute Stress On Emotion Recognition Of Bodily Movements, Devi Jayan

Master's Theses (2009 -)

Lack of understanding of the mental state of others may govern poor social interactions and, the etiology and maintenance of several mental health conditions. In everyday situations, verbal and non-verbal affective stimuli are often processed under conditions of acute stress. Acute stress is associated with changes in cognition, affect, behavior and neural functioning; however, previous research has not sufficiently identified the role of acute stress on emotion recognition (ER) from body movements. The current study explored the effects of acute stress and related physiological responses on ER of dynamic body movements. Eighty-Four participants were exposed to an acute stress procedure …

The Famous Names Discrimination Task As A Biomarker Of Alzheimer's Disease Risk: An Erp Study, Elizabeth Rose Paitel

Master's Theses (2009 -)

Current ERP research emphasizes age- and pathology-related declines in neural processing in the form of attenuated amplitudes and prolonged latencies. Notably, there is a gap in the ERP literature regarding neural processing trajectories in the time between healthy young adulthood and clinical MCI/AD samples. fMRI research, however, has demonstrated periods of increased, compensatory activation in healthy, cognitively intact APOE ɛ4 carriers both during resting state and event-related tasks (Bondi, Houston, Eyler, & Brown, 2005; Evans et al., 2014; Filippini et al., 2009; Rao et al., 2015), consistent with compensatory theories of cognitive aging (Cabeza, 2002; Park & Reuter-Lorenz, 2009; Reuter-Lorenz …

Examining Latino Family Participation In Treatment For Childhood Adhd: The Role Of Cultural Factors And Perceptions, Theresa Lauer Kapke

Dissertations (1934 -)

Attention-Deficit/Hyperactivity Disorder (ADHD) is a common mental health disorder in childhood, and efficacious treatments have been identified. Unfortunately, ethnic minority individuals, including Latino youth and their families, are at increased risk of failing to receive proper treatment and often exhibit poor treatment outcomes. Various factors likely contribute to these existing disparities. Thus, the current study aimed to improve current understanding of the way in which child characteristics and parental cultural factors and perceptions regarding treatment impact Latino family participation in a psychosocial intervention for childhood ADHD, including attendance, retention, engagement, and treatment response outcomes. Sixty-one Latino families participated in the …