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Associations Between Diabetes-Specific Psychological Flexibility, Family Conflict, Parental Distress And Adherence In Adolescents With Type 1 Diabetes, Rebecca I. Laquaglia

Graduate Theses, Dissertations, and Problem Reports

Background: Type 1 diabetes (T1D) is a chronic disease that impacts the lives of millions of children and adolescents in the United States. Adherence to diabetes medical regimens is often challenging, particularly among adolescents. Based on previous research, diabetes-specific psychological flexibility, or the ability of an individual with T1D to psychologically adjust to, accept, and commit action to manage their diagnosis, may improve adherence in youth with T1D. Factors such as diabetes-specific family conflict (i.e., conflict within parent-child dyads that is specifically related to T1D management) and diabetes-specific parental distress (i.e., emotional distress experienced by a parent or caregiver as …

Subjective Cognitive Decline: Examining The Contributions Of Adverse Childhood Experiences And Social Determinants Of Health, Amber Victoria Rusch

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Subjective cognitive decline is one’s awareness of their own consistent memory loss or confusion that interrupts their day-to-day activities (CDC, 2022; Roehr et al., 2017). Several risk factors for subjective cognitive decline, such as demographic social determinants of health (SDOH) and adverse childhood experiences (ACEs) have been identified through previous research (Alzheimer’s Association, 2016; Dening & Sandilyan, 2015); however, less is known about the interaction between demographic SDOH and ACEs on subjective cognitive decline. The current study sought to examine how demographic SDOH (i.e., age, sex, race, and education) (research question 1) and ACEs (i.e., physical abuse, sexual abuse, and …

Self-Efficacy And Parental Miscarried Helping In Adherence And Transition Readiness Among Adolescents And Young Adults With Epilepsy, Kirby-Estar G. Laguerre

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Background: Given the complex regimen associated with epilepsy, ensuring that adolescents and young adults (AYAs) adhere to their medications, and are ready to transition from pediatric to adult care, is crucial to optimizing their health outcomes. Several social and ecological factors such as self-efficacy and parental miscarried helping can strengthen or weaken an adolescent’s medication adherence and readiness to shift from pediatric to adult care. Intending to contribute to informing and improving clinical care, this study sought to understand the relationships between self-efficacy, parental miscarried helping, medication adherence, and transition readiness. Methods: Using a cross-sectional observational design, 46 AYAs with …

Factors That Influence Plans To Have Children: An Application Of The Theory Of Planned Behavior To Fertility Decision-Making Across The Reproductive Years, Amanda Chappell

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Fertility intentions include plans to have one or more children; intentions can be used to predict fertility behavior. The focus of the current study was to examine the influence of age and gender on factors involved in estimating fertility intentions (measured with 5 items), including attitudes (i.e., how one feels about becoming a parent; 13 items), norms (i.e., pressure from important others to have children; 5 items), and perceived control (beliefs about capability of becoming a parent; 4 items) in a U.S. sample. The study included a sample of N = 289 (51% men) participants (75.6% White) between the ages …

Seeing Red: Hostile Attribution Bias, Aggression, And Antisocial Personality Disorder Traits, Kaley Potter

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Antisocial personality disorder (ASPD) is a destructive and severe mental illness that costs the U.S. trillions of dollars annually. Although ASPD is significantly correlated with acts of aggression, violence, and imprisonment, not all individuals with ASPD are aggressive. In samples without ASPD, increased aggression has been linked to an error in social information processing, which is referred to as hostile attribution bias (HAB).

The current study tested the extent to which HABs, or the tendency to attribute hostility to neutral or ambiguous stimuli, predicted aggression above and beyond ASPD traits in participants with a history of incarceration. Participants (N = …

The Relationship Between Moral Thought-Action Fusion And Scrupulosity Across Judaism, Christianity, And Islam, Kelsey Evey

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Scrupulosity is a subtype of obsessive-compulsive disorder (OCD) where individuals are upset by intrusive thoughts related to religious or moral issues. Current research suggests that scrupulosity occurs across the major world religions—including the Abrahamic religions (i.e., Judaism, Christianity, and Islam). Some research suggests that moral thought-action fusion (moral TAF), a dysfunctional belief that thinking something is equal to doing it, may only be pathological under certain circumstances (e.g., if it is not culturally normative). If this is true, the current cognitive model of scrupulosity may need to be amended to reflect how cultural differences impact the role of moral TAF …

Effects Of Commission Errors On Behavior Intervention Plan Outcomes, Olivia Brianne Harvey

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When implemented well (with fidelity), behavior intervention plans (BIP) improve student outcomes. Teachers tend to implement BIPs with poor overall fidelity, but little is known about the specific errors occurring during BIP implementation or the subsequent impacts these errors have on student outcomes. One possibility is that teachers learn what strategies suppress challenging behavior and implement those strategies regardless of what is written in the formal BIP. These added intervention components, termed commission errors, have not yet been evaluated in the context of BIP implementation. The proposed studies will begin to address these gaps. During Study 1, we …

Adverse Childhood Experiences Predict Mortality Risk: The Role Of Social Support & Social Strain, Meredith A. Willard

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Childhood adversity has long-lasting negative effects across the lifespan including increased mortality risk. The love and support individuals receive from others, also known as social support, has shown to be a protective factor against ACEs. However, little research has investigated the amplifying effects of social conflict and strain that often accompanies social relationships. Utilizing data from the Midlife Development in the U.S. (MIDUS) study, I tested whether higher levels of social support would buffer the negative effects of adverse childhood experiences on mortality risk, and whether higher levels of social strain would amplify these associations. The sample included 6,150 participants …

Associations Among Psychosocial Factors, Health-Related Quality Of Life, And Adherence In Pediatric Inflammatory Bowel Disease, Cecelia I. Nelson

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Inflammatory Bowel Disease (IBD) is a prevalent disorder among youth in the United States. IBD is one of the leading causes of chronic pain in adolescence and symptoms can lead to reduced quality of life, social embarrassment, and lower self-esteem. Adherence to medical regimens for IBD is incredibly important to prevent morbidity, mortality, and impaired health-related quality of life (HRQOL). However, adolescents struggle generally with adherence and the regimen for IBD can be complicated and include aversive side effects. Psychological factors, such as depressive symptoms, are key factors associated with non-adherence. Nevertheless, gut-specific anxiety (GSA) is a psychological factor that …

Examining Invalid Brief Child Abuse Potential Inventory Profiles Within A Randomized Controlled Trial For Toddler-Aged Children And Their Parents, Lindsay Rebecca Druskin

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Child abuse is a significant public health concern that impacts children worldwide. Efforts to connect at-risk parents with prevention and intervention programs require the use of high-quality measures that evaluate child abuse potential. Researchers frequently use the Child Abuse Potential Inventory (Milner, 1986) and the Brief Child Abuse Potential Inventory (BCAP; Ondersma et al., 2005) which contain Validity indices that evaluate response patterns such as social desirability responding. The measure developers recommended that abuse risk scores from invalid profiles be disregarded in clinical and research settings; however, little is known about factors that may relate to invalid responses and whether …

Parental Socialization Of General And Domain-Specific Self-Control In Adolescents, Matty Johnston

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Adolescent self-control appears to be an important competency to develop. It has pervasive links with various outcomes (e.g., educational, financial, and interpersonal) both during adolescence and into adulthood (Allemand et al., 2019, Moffitt et al., 2011). Adolescents often report lower self-control compared to adults, although individual levels of self-control vary widely between adolescents (Allemand et al., 2019, Romer et al., 2010). Despite its importance, very little is known about how self-control develops. Thus, the current study aims to examine the relationship between parents’ self-control and that of their teen children. To further understand how adolescents' self-control may be socialized by …

Abuse Liability Of Electronic Cigarettes In Non-Smoking Electronic Cigarette Users, Andrea Renee Milstred

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Electronic cigarettes (ECIGs) are devices designed to aerosolize nicotine and are increasing in popularity among both former cigarette smokers and naïve tobacco users. Extant research has shown the dependence potential of ECIGs, though there is not a consensus on the severity of nicotine dependence caused by ECIG use. As a result of becoming dependent on nicotine, individuals may experience withdrawal symptoms (i.e., irritable, craving, depressed mood) when abstaining from nicotine. The majority of previous research on ECIG use has included samples of ECIG users who are former or current smokers. The present study evaluated ECIG withdrawal suppression among a population …

A Randomized Controlled Trial Of Group Telehealth Workshops Based On Parent-Child Interaction Therapy For Caregivers Of Children With Autism Spectrum Disorder, Erinn J. Victory

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Autism spectrum disorder (ASD) is a neurodevelopmental disorder associated with various symptoms that interfere with functioning requiring intensive early intervention; however, many families experience barriers to accessing behavioral services due to provider shortages, cost of treatment, and lack of transportation. Parent-Child Interaction Therapy (PCIT) has demonstrated effectiveness as a supplemental treatment for disruptive behaviors in children on the autism spectrum. The current study aims to determine the efficacy of a 2-day group telehealth parent-only workshop based on PCIT for improving caregivers’ use of positive parenting skills, child disruptive behavior, compliance to caregiver commands, and child psychosocial functioning. Thirty-three caregivers and …

Anxiety And Depression In Older Adults Post Deepwater Horizon Oil Spill, Mickaela R. Reed

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Research has investigated challenges that are created when one experiences a disaster within populations such as older adults and other vulnerable groups of people. However, there is little to no consideration given to how age in combination with trauma history are related to well-being after a disaster. Using two theories, socioemotional selectivity theory (SST, Carstensen, 2006) and the strength and vulnerability integration model (SAVI, Charles, 2010). I compared older adults post disaster vulnerabilty to depression and anxiety to that of younger adults with trauma history as a moderator. The 2,508 participants in the current study were from the Survey of …

Eating Concerns And Self-Injury Among Collegiate Populations: A Comparison Of Sexual Orientation Groups, Matthew Kasopsky

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This study examined the prevalence of eating concerns and nonsuicidal self-injurious behaviors (NSSIB) in college students seeking services at college and university counseling centers (UCCs), focusing on whether sexual minority students experience these issues at higher rates than their heterosexual peers. Eating concerns and NSSIB are understudied among sexual minority individuals. Previous research has demonstrated that through prejudice, stigma, and social stress, sexual minority individuals may be at a higher risk of developing mental health concerns and conditions than their heterosexual counterparts. The present study used a cross-sectional design to examine data from a sample of collegiate clients nationwide. Data …

Exploring The Conceptualizations And Utilizations Of Learning Theories In Sport Settings, Kevin R. Lou

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The purpose of this study was to identify how integrating learning theories into the design of a formal university course helps facilitate students’ resources, goals, and orientations (Schoenfeld, 2011) of learning theories for their future career work in coaching, sport psychology consulting, or other sport-related professions. Sixteen students signed up for a fifteen-week fall semester course at a Mid-Atlantic university in America and were asked to annotate, create, and reflect upon examples of future work in their desired fields for their three major written assignments in the course. Students reflected on their learning experience through pre-and-post semi-structured interviews and most …

Evaluation Of Commission And Omission Errors During Differential Reinforcement Of Other Behavior, Lindsey M. Hronek

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Differential reinforcement of other behavior (DRO) is a reinforcement schedule that commonly includes the delivery of a reinforcer following an interval during which a target behavior did not occur and extinction (i.e., the reinforcer is withheld following any instances of the target behavior). Although interventions using DRO schedules can decrease target behavior when implemented as designed, little is known about the efficacy of DRO interventions when they include fidelity errors. A growing field of literature has demonstrated different ways fidelity errors can affect the outcomes of other interventions (e.g., DRA, response cost, and skill acquisition). One study by Foreman et …

Personality And Academic Performance In College, Jacob E. Alderson

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Despite mounting evidence for the role of personality in predicting college level academic performance, there are aspects of this association that are still unexplained. With a sample of U.S. undergraduates at a large Appalachian university, this study sought to further establish what is already known about the association between personality and grade point average, credits earned, and retention rates by testing for both linear and quadratic effects. Results showed linear positive effects of conscientiousness, negative linear effects of openness and nonlinear effects of neuroticism for GPA. However, personality traits were not associated with either retention or credits earned. These findings …

Profiles Of Positive And Negative Risk-Taking Among Asian And Non-Asian American Emerging Adults, Yea Won Park

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Emerging adults can engage in both positive and negative risk-taking. Based on recent previous research that identified various risk-taking profiles (Duell et al., 2022), the current project extends the literature in several ways. The purpose of this study was to (1) identify profiles of risk-taking behavior among US college students, (2) examine how correlates of cognitive values and interpersonal factors relate to risk-taking groups, and (3) investigate the role of cultural values in risk-taking profiles among Asian and non-Asian American college students. The sample was 401 participants recruited from universities in the US. Latent Profile Analyses indicated that 4-profile solution …

Associations Among Executive Functioning, Family Functioning, Adolescent Responsibility, And Adherence In Pediatric Inflammatory Bowel Disease, Cecily Newel Conour

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Background: Inflammatory Bowel Disease (IBD) is a common cause of chronic pain for adolescents in the United States. Adherence to the treatment regimen is a significant concern, particularly for adolescents. Barriers to adherence are varied, but include cognitive factors, such as forgetting. Parent involvement is associated with increased adherence in this population, though adolescent involvement is less studied. Family functioning is associated with adherence to medication regimen across pediatric chronic illnesses, including IBD treatment regimen. To better inform clinical care, this study aims to understand the relations among adolescent’s responsibility, executive functioning, family functioning, and adherence. Methods: The current study …

Internalized Heterosexism, Shame Proneness, And Disclosure In Clinical Supervision Among Sexual Minority Supervisees, Christian Joseph Carey

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Sexual minority supervisees face unique struggles including prejudice, discrimination, and heterosexism, which may impact their psychological well-being and development within the supervisory experience through shame proneness and reduced disclosure. This study aims to explore the challenges facing sexual minority trainees and contribute to the empirical knowledge of multicultural supervision. Thus, this study proposes two mediation models for the hypothesized relationships among internalized heterosexism, shame-related withdrawal, shame-related negative self-evaluation, and disclosure in supervision. A total of 170 supervisees identifying as sexual minorities completed an online survey. The primary analysis included a three-step linear regression and confirmatory analysis for mediation. The results …

The Mental Health Outcomes Of First-Generation Collegiate Clients Compared To Their Non-First-Generation Peers, Cassandra Rose Homick

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Numerous research studies have investigated the mental health concerns and needs of college students. However, there is a need for additional research to understand the unique presenting mental health concerns of first-generation college students at university counseling centers in the US. The current study was a non-experimental exploratory research study that utilized secondary data analysis to examine and compare the sociodemographic profiles, mental health needs, and presenting problems of first-generation students compared to their non-first-generation peers at university counseling centers (UCCs) in the US. In Part One of the study, comparisons were drawn between first-generation and non-first-generation collegiate clients on …

Living Your Best Life: The Mindful Pursuit Of Student-Athlete Thriving, Andrew Augustus

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Thriving, or the concurrent experience of healthy well-being and high-level performance, may serve as a valuable construct when studying the optimal student-athlete experience and mindfulness-based interventions (MBIs) have been shown to positively impact well-being and performance. The purpose of the present study began to examine the impact of an MBI for improving student-athlete experiences of thriving via a quasi-experimental longitudinal design. NCAA Division II student-athletes (n = 55) from three sports were randomly assigned to either a control or a 7-session MBI. While comprehensive measures of thriving did not yield significant change for those in the MBI relative to …

How Do College Student-Athletes’ Understanding And Expectations Of Mindfulness And Self-Compassion Change Through An Intervention?, Blake Costalupes

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In the last two decades, mindfulness has permeated sport, exercise, and performance psychology (SEPP). Mindfulness research in SEPP primarily focuses on the efficacy of manualized protocols on various outcomes related to performance and wellbeing; how athletes understand this complex construct, though, is largely unexplored in the literature. Additionally, some researchers suggest that the potentially paradoxical adoption of mindfulness in Western psychology may be contributing to limited outcomes, low engagement in, and poor adherence to mindfulness-based interventions (MBIs). In addition, the exploration of self-compassion as a mechanism for change through mindfulness practice has increased in recent years, making it an important …

Effects Of Brief-Signal Number And Location On Responding Maintained By Delay Of Reinforcement, Firdavs Khaydarov

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The purpose of the present series of experiments was to examine the effects of the number, type, and location of brief signal(s) occurring during, but not throughout, a delay period, on responding maintained by the delay of reinforcement. In each experiment, a tandem variable time (VT) 60-s fixed interval (FI) 9-s schedule was used as a baseline condition of an immediate reinforcement against which delay conditions were examined. For the delay conditions, a chained variable interval (VI) 60-s fixed time (FT) 9-s (delay period) schedule was used, and the imposition of the brief signal (blackout) during the delay period was …

You've Got A Friend: Social Factors And Depressive Symptoms In Older Adults, Erika A. Fenstermacher

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Depression in late life has been associated with disability, lower quality of life, increased mortality, and increased risk of suicide (Fiske et al., 2009; Rodda et al., 2011). Research suggests that functional disability, which is often brought about by a medical condition, may precede depressive symptoms and may be a major factor for older adults developing depression (Ormel et al., 2002). Social support can be beneficial for both emotional and physical health (Fiori & Jager, 2021). Numerous studies found evidence that social networks, perceived and subjective social support, and satisfaction with support received moderated the relation between health problems and …

On The Role Of Task Preference And Work Removal For Identifying Escape Functions, Brian Patrick Long

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Abstract

On the Role of Task Preference and Work Removal for Identifying Escape Functions

Brian P. Long

Students within the public school system may exhibit severe challenging behavior to escape from academic demands. Procedures to identify the reinforcers that maintain challenging behavior, such as functional analysis, may improve the probability of treatment success. Functional analysis involves manipulating contingencies to determine if positive (e.g., attention following challenging behavior) or negative (e.g., escape from aversive events such as task demands) reinforcers may maintain challenging behavior (Iwata et al., 1982). The absence of evocative tasks could produce inaccurate results when testing for effects …

Effects Of Aripiprazole Alone And In Combination With D-Amphetamine On Probability Discounting In Sprague-Dawley Rats, Paige Currie

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Pharmaceuticals are helpful tools in aiding individuals with psychiatric diagnoses. Sometimes, the drug’s side effects can be more severe than the initial problem. Maladaptive behaviors, like pathological gambling, overeating, and substance abuse, are important to consider during the prescription of different pharmaceuticals, particularly those used to treat Attention-Deficit/Hyperactivity Disorder (ADHD) and autism spectrum disorder (ASD). Individuals with these diagnoses are often prescribed: stimulants, like d-amphetamine (d-AMP; for symptoms associated with ADHD), and antipsychotics, like aripiprazole (ARI; for symptoms associated with ASD). These drugs in combination could influence maladaptive behavior, including risky choice (probability discounting). The present study …

Evaluation Of Renewal During Differential Reinforcement With Asymmetrical Choices And A Context Fading Mitigation Technique, Kacey R. Finch

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Successful clinical behavior analytic treatment often results in decreases in challenging behavior and increases in appropriate behavior. These reductions in challenging behavior are often achieved by implementing differential reinforcement of alternative behavior (DRA; Petscher et al., 2009). One variation of DRA to decrease challenging behavior is differential reinforcement with asymmetrical choices, which are two or more concurrently available response options associated with differential outcomes (Fisher & Mazur, 1997; Kestner et al., 2023). However, responding that was previously reduced sometimes reemerges. Specifically, renewal is the reemergence of a previously reduced response following a context change. The first two experiments evaluated renewal …

Relationships Among Racism, Dental Care-Related Fear/Anxiety And Dental Care Utilization Among Black And African American Women In Appalachia, Kalo Sokoto

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This dissertation is a study of the implications of racism in oral health care settings for dental care-related fear/anxiety, and dental care utilization. One in five adults in the US have experienced discrimination while receiving health care. Even though racism is the most reported type of discrimination in health care, little is known about its impact on dental outcomes. There is a paucity of prior studies measuring experiences of racism in dental settings. The current study proposed the application of Krieger’s Ecosocial Theory of Health Equity to explore relationships among racism in oral health care settings, dental care-related fear/anxiety, and …