Digital Commons Network^™

Hospital Provider Knowledge Of Behavioral Function And Management Of Severe Behavior For Patients With Autism, Giovanna Salvatore Devito

Theses and Dissertations

Hospital patients with autism spectrum disorder (ASD) may engage in various topographies of severe behavior, with higher rates of restraint implemented than for their neurotypical counterparts. Qualitative research suggests that physician knowledge of function-based intervention is limited. Multidisciplinary behavior management teams were developed to decrease restraint across general hospital patients. In Study 1, the research team developed the Knowledge of Behavioral Function (KoBF) survey measure, using an iterative user-centered development process and administered the measure to multidisciplinary physicians and trainees. Results indicated low knowledge of behavioral function, with a mean percent correct of 66.60% on close-ended survey items and 14% …

Trajectories Of Depression Severity In The First Semester Of College, Nicole A. Kelso

Theses and Dissertations

Depression is a major public health concern among students in higher education. Prior work suggests that depressive symptoms increase during the transition to college. Transfer students face unique challenges during the transition to a new academic institution that may make them particularly vulnerable. There is a critical need to expand prevention efforts. Research that improves identification of students at greatest risk for developing impairing depressive symptoms, and etiological processes contributing to depressive symptoms could aid in the provision of limited prevention resources. Furthermore, longitudinal research tracking symptom trajectories during the transition to college could help inform the timing of preventive …

The Evaluation Of Non-Specific Risk Indicators In Improving Detection Of Psychosis-Spectrum Liability, Thomas W. O'Kane

Theses and Dissertations

Psychosis-spectrum disorders remain a leading cause of disability for both individuals and society, with early identification and prevention efforts representing a promising avenue of research for addressing these concerns. One potential impediment to improving early risk identification is the historical focus on indicators thought to be exclusive to the psychosis-spectrum. This focus often comes at the expense of non-specific risk factors (e.g., disrupted sleep, adverse childhood experiences) which contribute to the risk of developing psychosis as well as other mental illnesses. Research suggests the inclusion of these non-specific factors may improve our ability to identify those at risk. The present …

Reforming Egypt’S Alternative Child Care System Through Deinstitutionalization: An Assessment Of The Current Status And Readiness To Change In The Residential Care Sector, Dina Elbawab

Theses and Dissertations

The main objective of this study was to assess the current status and readiness of the sector of residential care institutions for children to take part in the deinstitutionalization of children in alternative care in Egypt. The assessment was carried out using an adapted version of the Community Readiness Model (CRM), a tool developed by the Tri-Ethnic Center at Colorado State University. Accordingly, the assessment comprised semi-structured interviews with fourteen key informants to assess the following six readiness dimensions: efforts, knowledge of the efforts, leadership, community climate, knowledge of the issue, and resources related to the issue. The study briefly …

University Students' Wellbeing: A Case Study Of An International Private University In Egypt, Alia Attia

Theses and Dissertations

Wellbeing is a crucial topic that is gaining increasing attention in higher education and should be taken into careful consideration. This is a qualitative case study, using a phenomenological approach, which explores the phenomenon of student wellbeing in an international private university in Egypt. Data was collected through semi-structured individual interviews with a total of fourteen participants: eight purposefully selected students who have taken part in wellbeing programs, initiatives, or events at the American University in Cairo (AUC), as well as six faculty/staff members, leaders, mentors, or coaches in the field were interviewed. In addition to the interviews, conversations were …

Resisting Internalized Stigma (Ris): Acceptability And Feasibility Of A Cognitive Behavioral Stigma Intervention For Early Psychosis, Francesca Maria Crump

Theses and Dissertations

The clinical high-risk state for psychosis (CHR-P) was created to help identify individuals experiencing early signs of psychosis to help forestall worsening symptoms. CHR-P individuals may experience stigma that may stem from internal or external processes, including from receiving specialized care. Research has demonstrated associations between internalized stigma and psychosocial and functional outcomes, which underscores the need for interventions to help mitigate the impact of stigma while balancing the need for treatment. To date, there is only one stigma intervention specifically designed for individuals designated as CHR-P, which is psychoeducational in nature. Based on the recent call to action that …

Determining The More Effective Behavior Analytic Intervention For Children With Autism Who Exhibit Pica Behaviors, Jennifer J. Lanham

Theses and Dissertations

Abstract

Determining the More Effective Behavior Analytic Intervention for Children With Autism Who Exhibit Pica Behaviors. Jennifer J. Lanham, 2024: Applied Dissertation, Nova Southeastern University, Abraham S. Fischler College of Education and School of Criminal Justice. Keywords: autism, pica, eating disorders, intervention, applied behavior analysis

This dissertation was designed to determine which behavior analytic intervention was more effective in the treatment and reduction of mouthing non-nutritive substances in children diagnosed with autism. This study included four participants in an A-B-A reversal design with a component analysis across four intervention phases. The study participants were enrolled in a center-based treatment environment …

A Year As A Monk Parakeet, Eric Thompson

Theses and Dissertations

Monk parakeets are a species of parrot native to subtropical and temperate regions of Argentina, Brazil, Uruguay, Paraguay, and Bolivia that have been introduced to many parts of the world. Monk Parakeets have lived in Brooklyn, New York since the 1970s and many myths and legends surround how these birds came to live here. This thesis is a description of the behavior of monk parakeets in Brooklyn, New York’s Greenwood Cemetery based on observations I conducted twice a week from January through October of 2023. Because of the unusual nature of this population of parakeets as well as their unique …

Learning From One’S Own Errors Vs From Observing Other People's Errors: Ego Engagement Vs Ego Threat, Viktoriya Andreevskaya

Theses and Dissertations

Do people learn better from their own errors or from observing other people’s errors? A sense of ego-threat may impede learning from negative corrective feedback directed to self. A series of two experiments manipulated the degree of ego-threat between subjects. In the neutral ego-threat condition, results showed better learning from self-generated errors.

Individual Concepts And Personal Identity Judgement, Molly M. Ye

Theses and Dissertations

Previous research into personal identity judgments has yielded conflicting outcomes. This paper introduces an alternative argument, proposing that the concept PERSON and HUMAN BEING provide different ways of thinking about the identity of people. Two experiments in this study provide evidence for this claim.

A Comparison Of Low-Intensity Cbt Programs: Evaluating The Effects Of Design On Rebt Interventions, Alexey Dantes Breuss

Theses and Dissertations

Low-Intensity CBT interventions have become more popular over the years due to the expanding use of the internet and technology. A particular subset of Low-Intensity CBT, phone-based apps, have become more available on app-stores. The research literature on phone-based apps has not kept up in pace in comparison to the development of new applications. This leaves the quality and efficacy of such apps to be left untested. Furthermore, most applications are dominated by a Beck’s Cognitive Therapy (CT) approach, with more Dialectical Behavior Therapy (DBT) apps on the horizon. Rational Emotive Behavior Therapy (REBT) has been largely neglected within the …

A Systematic Review And Meta-Analysis Of Psychosocial Interventions For Early Childhood Problems, Ages 0-5, Hara Stephanou

Theses and Dissertations

Early childhood consists of important developmental milestones, including the acquisition of daily living skills, including toileting, feeding, and sleep. While previous reviews have focused on interventions for some childhood problems, no single study has broadly assessed interventions across common presenting problems in children ages 0-5. This study systematically reviewed 41 studies on interventions for externalizing (23 studies), internalizing (3), sleep (11), feeding (3), and toileting (1) using meta-analytic methods where applicable. Overall, externalizing interventions were effective (TX1 Hedges' g = -.60; TX2 g = -.51) and largely homogeneous. Individual interventions reduced externalizing behaviors more than group or self-guided interventions (TX1 …

From The Deceptive Delinquent To The Illusive Illicit Alien: A Qualitative Study Of 21st Century United States Border Security Law Enforcement’S Capabilities, Competencies, And Capacities Designed To Counter Transient Criminality Recruitment, Christopher C. Palme

Theses and Dissertations

The transient criminal enterprise progressively evolved through expansion of illicit trafficking pathways throughout the 21st century. Scholars and practitioners share roles and responsibilities in missed opportunities to combat transient criminality. The Intelligence Community’s intelligence process is deficient in timely production and dissemination of their products. Starting with the transient criminality recruitment process, a correlated lack of psychosocial training programs dedicated to countering the transient crime threat exists. This study is rooted in sociological theory. It addresses Homeland Security dilemmas through the theoretical lens of sociology of security (Bajc, 2013) and is enhanced by concepts from Social Identity (Tajfel, 1979), Social …

Change In Rape Myth Acceptance As A Function Of Sexual Assault Experiences: A Prospective Analysis, Danielle Suzanne Citera

Theses and Dissertations

In the United States, one in five women reports experiencing sexual assault while in college. Rape myths, or stereotypical beliefs that serve to blame survivors (i.e., “She Asked For It” and “She Lied”) and exonerate sexual assault perpetrators (“He Didn’t Mean To”), may influence how women conceptualize their own sexual assault experiences and relatedly, their post-assault functioning. Several demographic characteristics, including race and ethnicity, generational status, education level, sexual orientation, and religiosity, have been found to be associated with rape myth acceptance (RMA). Researchers have reported mixed findings, however, regarding the association between sexual assault history and RMA. This study …

A Longitudinal Examination Of The Relations Between Racial Discrimination And Executive Function, Aldona Chorzepa

Theses and Dissertations

Discrimination has been linked to changes in executive function. This relationship may explain links between discrimination and adverse health and mental health outcomes, including depression, substance use, and health behavior. To date, the research examining this question has been limited, as the majority of studies reviewed employed experimental manipulations for discrimination exposure and tested acute same-day effects in the lab. Clarifying the extent to which exposure to discrimination impacts executive function over time in young adults is crucial to identifying opportunities for intervention. The current study evaluates the relations of both recent and lifetime exposure to racial discrimination to three …

Exploring The Relationship Between Adverse Childhood Experiences And Suicidality In College And University Students: A Systematic Review, Tatyana Aposhian

Theses and Dissertations

Adverse childhood experiences (ACEs) and suicidality are highly prevalent and increasing social problems among the college and university student population, thereby underscoring a need to better understand the relationship between ACEs and suicidal risk, ideation, and attempts during college. There is also a need to examine current suicide prevention and intervention programs for the extent to which they are ACE- and/or trauma-informed. The purpose of this quantitative systematic review with narrative synthesis is to elucidate findings regarding the relationship between ACEs and suicidality in undergraduate and graduate students across the globe and provide recommendations for future ACE-informed suicide prevention and …

Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau

Theses and Dissertations

Complementary Health Approaches (CHAs) encompass a diverse range of practices which are often used both independently and alongside conventional medical treatments. Understanding how graduate students training in different fields perceive CHAs is important because these professional trainees will go on to occupy roles as healthcare practitioners, researchers, policy makers, and consumers. This study used sequential rank agreement methods (Ekstrøm, Gerds, & Jensen, 2019) to investigate variations in perceptions of CHAs in a sample of graduate students (N = 416) from 140 possible training programs. Ratings of CHA familiarity, perceptions of CHA legitimacy, and willingness to recommend CHAs were compared …

Using Natural Language Processing To Understand The Lived Experiences Of People Identifying With Adhd: What Themes Emerge In Social Media Posts?, Gabby C. Scalzo

Theses and Dissertations

Compared to the amount of research conducted on how to identify and understand children with Attention-Deficit Hyperactivity Disorder (ADHD), there has been relatively little work done to understand the lived experiences of adults with ADHD. Increased understanding of how adults with ADHD conceptualize themselves in the context of their diagnosis would help clinical experts tailor research and treatments to better serve these communities. However, there are several barriers towards conducting high-quality qualitative research, including time- and labor-intensity. This study, informed by qualitative research traditions, used innovative data sources (i.e., social media) and analytic techniques (i.e., machine learning) to reduce these …

On The Rebound: Resilience And Subjective Cognitive Symptoms In Cancer, Giuliana V. Zarrella

Theses and Dissertations

Recent studies have shown a strong connection between resilience and subjective cognitive symptoms in clinical populations. However, there is limited understanding of this relationship in cancer survivors, and no studies examine whether resilience training could alleviate subjective cognitive symptoms in these patients. This study examined the relationship between subjective cognitive function and resilience in non-CNS cancer survivors who participated in a resiliency training intervention, at baseline and from pre- to post-intervention, as well as investigated potential influences of change in subjective cognition. Adult cancer survivors (N=275) participated in the Stress Management and Resilience Training-Relaxation Response Resilience Program (SMART-3RP) …

Identifying Mechanistic Pathways To Rigidity Associated With Obsessive-Compulsive Personality Disorder Traits Using A Novel Decision-Making Paradigm, Hannah L. Heintz

Theses and Dissertations

Cognitive and behavioral rigidity is observed across several mental disorders and is a defining characteristic of Obsessive-Compulsive Personality Disorder (OCPD), a highly prevalent and debilitating, yet understudied, disorder. In particular, treatments for OCPD are underdeveloped due to our poor understanding of the mechanisms leading to the disorder’s key feature of rigidity. Two related disorders, anorexia nervosa (AN) and obsessive-compulsive disorder (OCD), have shown distinct mechanistic pathways leading to symptoms of rigidity, indicating that this trait can arise as a result of a number of differentially impaired cognitive processes, each requiring unique interventions. To examine the relationship between symptoms of OCPD …

Psychosocial Factors Impacting Identity Development In Biracial-Biethnic Youth: A Socioecological Analysis, Melanie S. David

Theses and Dissertations

A mixed methods systematic review with socioecological analysis was conducted to identify specific psychosocial factors impacting identity development and well-being and biracial-biethnic youth. Findings from this review aimed to summarize and synthesize the most recent research literature on biracial-biethnic youth, with particular attention to factors contributing to negative identity development, psychosocial stressors (e.g., substance use) that impact both identity and well-being, and protective factors that promote well-being. This systematic review also aimed to utilize a socioecological framework to better understand on what level these psychosocial factors occur and the interaction between the individual and the larger environment. Methods. Data was …

The Benefits Of Voluntary Disorienting Dilemmas For A Transformational Life: A Grounded Theory Study In Transformational Learning, Rebecca Bamberger

Theses and Dissertations

Being uncomfortable by choice as a means of personal growth has been touted for hundreds of years among scholars, philosophers, religious leaders, modern pop culture icons, and more. Yet, research pertaining to the benefits of being uncomfortable by choice is sparse. This qualitative, grounded theory study addressed the first step of transformational learning: the disorienting dilemma. Seventy participants located in America participated in extensive interviews to answer this study’s research question, “what if any, are the benefits of voluntary disorienting dilemmas?” Additional research questions, “what is the meaning(s) of voluntary disorienting dilemmas?” and “would subjects repeat their voluntary disorienting dilemmas …

Effects Of Mindfulness Training On Prosocial Responses In Intergroup Relations: A Pilot Randomized Controlled Trial, Denise Yiran Zheng

Theses and Dissertations

Based on social identity theory and intergroup emotions theory, individuals feel for and act toward others based on their group-based social identities. Recent research shows that mindfulness can enhance prosocial responses toward others across group divides. The current research examined the effects of mindfulness training on prosocial behavior in intergroup relations where such behavior is difficult (e.g., with marginalized or devalued social groups). The study also examined potential mechanisms, namely state empathic concern and appraisal, that may explain how mindfulness increases prosocial behavior toward outgroups. This study compared the effects of a 2-week mindfulness training to a matched coping training …

The Influence Of Flavor On The Abuse Liability Of A Heated Tobacco Product And Its Feasibility As A Menthol Cigarette Substitute, Augustus White

Theses and Dissertations

Heated Tobacco Products (HTPs) purport to expose people that use cigarettes to fewer of the harmful or potentially harmful constituents of tobacco while still delivering reinforcing amounts of nicotine (Auer, Concha-Lozano et al., 2017). An exemplar of the HTP class, IQOS, and its three varieties of “HeatSticks” have been authorized by the Food and Drug Administration (FDA) as “Modified Risk Tobacco Products” (MRTP). However, as the FDA is planning to ban menthol as a characterizing flavor in cigarettes, questions remain regarding whether characterizing flavors should be permitted in HTPs (FDA, 2022e). New evidence regarding HTP abuse liability (i.e., the likelihood …

Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose

Theses and Dissertations

This study utilized a mixed methods emergent, phenomenological approach to (1) understanding the lived experience of freezing of gait for individuals diagnosed with Parkinson’s Disease and (2) determining the role of anxiety and sleep in freezing of gait outcomes. Participants included 13 adults diagnosed with Parkinson’s Disease (N=14 for qualitative data, N=13 for quantitative data; 23.1% female-identifying, 76.9% male-identifying) who were predominantly white (92.3%) with an average age of 69 years (SD = 6.73 years). Data collection consisted of semi-structured interviews, self-report measures, actigraphic sleep data, and salivary alpha amylase biomarker collection. Results are organized into …

Relations Between Adverse Childhood Experiences And Substance Use In Adolescents And Emerging Adults: The Moderating Role Of Exposure To Community Violence And Community Support And Community Recognition, Kiara Brown

Theses and Dissertations

Due to historical and current systemic racial inequities, African American adolescents and emerging adults living in low-income urban communities bear the burden of higher rates of adverse childhood experiences (ACEs) and exposure to community violence. Both exposure to ACEs and community violence are linked to higher levels of substance use. However, limited research exists on how exposure to community violence exacerbates the association between ACEs and higher frequencies of substance use in adolescence and emerging adulthood. There is also a need to understand how community-level protective factors may weaken the relations between ACEs and higher rates of substance use. The …

Disparities Between Native Americans And White Individuals In Trajectories Of Community Participation Over The 5 Years After Traumatic Brain Injury, Jack Watson

Theses and Dissertations

Traumatic brain injury (TBI) disproportionately affects minoritized populations within the U.S., especially Native Americans who are more likely to experience a more severe or fatal TBI than White individuals. The current study used a subsample of 63 Native Americans with TBI from the TBI Model Systems (TBIMS) database matched by age, sex, and injury severity to 63 White individuals to examine disparities in community participation, as measured by the Participation Assessment with Recombined Tools—Objective (PART-O), over the five years following TBI. Analysis of variance (ANOVA) and chi-square tests revealed Native Americans were less likely to be employed prior to injury, …

Evaluating Teachers’ Perceptions Of The Social Validity Of Psychological Report Writing Styles, Adam Weseloh

Theses and Dissertations

Psychologists spend a significant portion of their time writing psychological reports. Oftentimes these reports are highly technical and written at a level which the literature has suggested is often difficult for teachers to utilize in their classrooms. Several previous research studies have examined psychological report writing practices and offered suggestions for improvement. One of these suggestions (theme or referral-based report writing) has not been as thoroughly examined in the literature. The purpose of this study was to examine this report writing style compared to more traditional report writing practices. This study utilized a novel approach to assessing teachers’ perceptions of …

A Systematic Review And Meta-Analysis Of Recent Randomized Controlled Trials Evaluating Effects Of Psychosocial Interventions On Perinatal Depression, Anisha Satish

Theses and Dissertations

Depression is among the most common and burdensome health problems affecting pregnancy and the first-year postpartum (collectively, the perinatal period). Prior quantitative reviews have established both the overall efficacy of psychosocial interventions for perinatal depression and benefits of specific approaches. However, there are important knowledge gaps. We conducted a systematic review and meta-analysis of peer-reviewed articles published from 2021 and 2022 describing randomized controlled trials evaluating psychosocial interventions for perinatal depression. We aimed to evaluate the durability of intervention benefits, whether effects differ when interventions are embedded within medical settings, and whether effects differ across trials using mental health professionals …

Examining Factors Among People With Opioid Use Disorder And Comorbid Mental Health Disorders, Tori Denae Livingston

Theses and Dissertations

Opioid use disorder (OUD) affects over two million Americans, and over 42,000 Americans perished of opioid overdoses in 2016 (Volkow et al., 2019). During the initial years of the opioid crisis, overdose deaths were primarily attributed to prescription analgesics, heroin, and synthetic opioids. However, it was illicit prescription opioid painkiller use that ranked highest in terms of fatalities (Volkow et al., 2019). The increasing prevalence of opioid use among individuals with mental health disorders is in stark contrast to the ongoing opioid crisis (Prince, 2019). Additionally, there is evidence that individuals undergoing substance use treatment and concurrently suffering from a …