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The Relationship Between Parental Trauma History And Perceptions Regarding Their Child’S Healthcare And Utilization Of Healthcare Services, Krishna Patel

Theses and Dissertations

Abstract

TITLE: The Relationship Between Parental Trauma History and Perceptions Regarding Their Child’s Healthcare and Utilization of Healthcare Services

Adverse child events (ACEs) have been associated with a number of physical and mental health problems and have also been linked to increased health care utilization. While parents who have an ACE history may tend to seek healthcare services for themselves, limited studies have examined the impact of their trauma history on seeking healthcare services for their child. Healthcare utilization may also depend on the parents’ level of health anxiety, as well as their anxiety about their child’s health status. This …

Further Evaluation Of The Effects Of Music And Rird On Vocal Stereotypy, Keith Happel

Theses and Dissertations

Vocal stereotypy (VS), or vocalizations that are noncontexual or nonfunctional, is commonly exhibited in individuals on the autism spectrum. The nature of vocal stereotypy may pose an issue for some individuals, ranging from social ostracization to the inability to perform daily tasks. Previous research has shown that access to matched stimulation (e.g., music) and response interruption and redirection (RIRD), a form of punishment, are effective at decreasing vocal stereotypy (Gibbs et al., 2018). However, in the aforementioned study, researchers did not evaluate a less intrusive treatment in isolation prior to implementing punishment. The purpose of the current investigation is to …

The Effects Of Poly-Strengths On Psychological Wellbeing Amongst Young Adults With Childhood Poly-Victimization, Nakisa Asefnia

Theses and Dissertations

The field of trauma and victimization has undergone many evolutions in its efforts to conceptualize the impacts of victimization and more recently poly-victimization. Poly-victimization refers to the experiencing of multiple types of victimization over the lifespan. This has led to an ever-growing base of literature highlighting the many deleterious effects of these experiences on individuals’ wellbeing, and the factors which may make a person more vulnerable to victimization. However, a growing movement in the field aims to take a more strengths-based perspective that highlights the resilience of individuals, rather than risk factors, in the hopes of better understanding the factors …

Parental Psychological Maltreatment In Egypt: Exploring Intergenerational Parenting Behavior And Identifying Protective Factors, Sylvia Said

Theses and Dissertations

Psychological maltreatment is an under-recognized problem, even though it is a widespread form of child maltreatment and has detrimental consequences, whether in the short or long term. This study aims to explore the intergenerational patterns of parenting behaviors, measure the difference in emotionally abusive behaviors between mothers and fathers, investigate the relationship between childhood emotional abuse and adopting different parenting styles, and identify the protective factors against parental psychological maltreatment. A mixed-methods approach was used to answer these research questions thoroughly. Online versions of the survey, in English and Arabic, were shared on social media platforms, and online interviews were …

The Association Between Covid-19 Exposure, Secondary Adversities, And Trauma Symptoms In Children, Maddi Gervasio

Theses and Dissertations

Natural disasters include direct exposure and secondary adversities (Chrisman & Dougherty, 2014). For youth, severity of disaster exposure and number of secondary adversities have been found to be positively associated with the severity of trauma-related psychopathology, including posttraumatic stress disorder (PTSD) and depression (Giannopoulou et al., 2006). Preliminary studies suggest an interaction between trauma exposure severity and number of secondary adversities in the prediction of psychopathology. Notably, youth who experienced secondary adversities without directly experiencing the trauma exhibited heightened psychopathology (Kar, 2019), yet these children tend to be excluded from studies and missed when identifying children in need of services. …

Predicting Therapists’ Intentions To Use An Innovation: The Role Of Innovation-Specific, Individual, And Organizational Factors, Jonathan KuʻUhoaepilipono Ahuna

Theses and Dissertations

Understanding factors that contribute to an individual’s decision to use an innovation can increase the public health impact of innovations in children’s mental health services. Objective. This study examined whether and to what extent therapists’ innovation-specific judgements (e.g., innovation is easy to use, socially desirable) were associated with intentions to use an innovation using constructs from one of the most robust theories of innovation use–the Unified Theory of Acceptance and Use of Technology (UTAUT). Method. Two aims were addressed using data collected from 95 therapists and 28 supervisors who participated in a multi-site cluster randomized trial. Therapists used either a …

Teaching Children With Autism To Tact Private Events Based On Common Properties, Madisyn Quidort

Theses and Dissertations

Skinner (1957) proposed that people learn to talk about private events in several ways. This study sought to examine the plausibility of one of those mechanisms: common properties. Skinner asserted that children learn tacts for public stimuli through normal interaction with their caregivers. When a child experiences a private stimulus that shares some feature with a previously learned public stimulus, the child generalizes the tact to the private sensation because there is a common property between the two stimuli. Three children with autistic disorder were taught 6 to 9 sensation tacts (e.g., prickly, cozy, tight) depicted in videos (e.g., a …

Patterns Of Therapist Use Of Play And Humor And Child Behavioral Fear Response In An Exposure Therapy For Children With Williams Syndrome, Brianna Young

Theses and Dissertations

Children with Williams syndrome struggle with fears and phobias that significantly impact their daily lives. Yet there are few psychosocial and no empirically supported behavioral interventions to treat anxiety and phobias in this population of children. This study is part of a larger project examining the effectiveness of an exposure-based play- and humor-infused intervention aimed to provide developmentally appropriate behavioral therapy to reduce fear and anxiety in children aged 4 to 10 with Williams syndrome. This approach was piloted with 9 children (3 females; 6 males) in the context of developing a website to disseminate the approach to university-based and …

Associations Between Problem Recognition And Help-Seeking Behavior In Mothers Of Preschoolers, Samuel T. Jackson

Theses and Dissertations

Preschool children are often underserved in mental healthcare. One explanation for this is that caregivers do not recognize preschoolers’ mental health difficulties as problems. While previous research has identified an association between a caregiver’s skill at accurately applying diagnostic labels and help-seeking, factors such as behavior severity, functional impairment, and caregiver stress are important to the help-seeking process as well. The current study examined associations between all these variables. Participants were 82 adult mothers of preschoolers. The participants read a series of vignettes describing preschool-aged children with depression, anxiety, and ADHD, and then answered a series of questions to assess …

Measuring Irrational Beliefs Among Youth: Development Of The Children’S Irrational Response Checklist, Alexa K. Pata

Theses and Dissertations

Cognitive Behavioral Therapy (CBT) and Rational Emotive Behavior Therapy (REBT) are evidenced-based approaches that have been identified as effective for the treatment of psychological disorders among youth (Bernard & Terjesen, 2020). However, although beliefs and cognitions have been shown to be predictive of emotional and behavioral problems in children (Mogoaşe, Podină, et al., 2013), and modifications in cognitions have been shown to be vital for treatment (David et al., 2017), the research and psychometric properties surrounding measures designed to specifically assess irrational beliefs, self-statements, or automatic thoughts in youth are lacking due to theoretical and practical limitations (Terjesen et al., …

Trends And Outcomes Of A School-Based Campaign To Reduce Sugar-Sweetened Beverage Consumption Among Racially And Ethnically Diverse Students In Middle School, Roya Amirniroumand

Theses and Dissertations

Reducing sugar-sweetened beverage (SSB) consumption has been identified as a chronic disease prevention strategy in children and adolescents (Muth et al., 2019; USDA & HSS, 2015) and promoting healthier alternative beverage options has become an important focus for public health policy and educational efforts. Community-driven school-based health initiatives targeting SSB consumption have shown promising outcomes however, few studies have explored these strategies for middle school students and less is known about the potential benefits of these efforts with racial/ethnic minority youth.

The present study examined whether racial/ethnic differences in SSB consumption existed in a sample of 419 students at one …

Implicit Attitudes Toward Children’S Gender Nonconforming Behavior: The Mediating Role Of Stigma By Association When Blaming Mothers, Emily A. Morrow

Theses and Dissertations

This study was designed to examine the possible connection between a child’s gender nonconformity and attitudes toward both the child and the mother of the gender nonconforming child. Specifically, this study explored the impact of gender nonconforming behavior on undergraduate student perceptions of the child and the parenting competence of the mother. Following social psychology theories examining stigma and stigma by association, this study represents an attempt to determine whether gender nonconforming behavior is a stigmatizing factor, and if that stigma is carried over to the mother. Findings from this study suggested that gender nonconforming behavior is indeed a stigma …

We All Feel Feelings, Ben Ohene

Theses and Dissertations

Consisting of three illustrated books, We All Feel Feelings is designed as a vehicle for the discussion of emotional and mental health with young boys. These books will help foster a mindset of openness and acceptance through different methods of displaying and understanding emotions.

Testing Reliability Of Biophilic Design Matrix Within Urban Residential Playrooms, Ellen Marte

Theses and Dissertations

Biophilic interior design in urban playrooms has been greatly understudied. We measured inter-rater reliability of the Biophilic Interior Design Matrix (BID-M) and matrix items by quantitatively coding images of 45 New York City residential playrooms. Findings suggest that the BID-M needs to be modified to better assess urban playrooms.

Parent Stress And Externalizing Behaviors Are Related: The Reason They Are Related Depends On Child Age, Maura Francis

Theses and Dissertations

Children with externalizing disorders are typically found to be more challenging to interact with and are met with less patience, empathy, and distress tolerance in managing their symptoms compared to children with internalizing disorders. Not only are the symptoms of these disorders challenging for children but also for parents, which can cause a considerable amount of stress. These symptoms are typically addressed by different interventions that primarily require parent involvement to manage disruptive behaviors and non-compliance. There is also common comorbidity that often overlaps between externalizing and internalizing symptoms, which can make differential diagnosis and treatment planning more difficult than …

The Relations Between Adherence To Behavioral Treatments And Parent Stress In Families Of Children With Asd, Aimee Rovane

Theses and Dissertations

Recent studies suggest that parent involvement with behavior treatment for associated challenging behaviors (ACBs) may reduce parent stress in families with autism spectrum disorder (ASD). However, it is not known whether high treatment adherence to protocols is associated with reduced parent stress, or which factors that may moderate this relation. The current study examined the relation between parents’ adherence to behavioral treatments and parent stress, and whether parents’ perceptions toward treatment moderate this association. Participants were 190 mothers, fathers, or caregivers of a child with ASD. A bivariate correlation matrix examined associations between each variable, and 3 separate linear regression …

A Foundation For Understanding The Neurocognitive Processes That Underlie Mathematics Performance In Children, Christopher Anzalone

Theses and Dissertations

The current study investigated the prognostic utility of resting state EEG coherence in the prediction of standardized mathematics scores. Quantitative EEG analyses were performed for 60 school-aged children (ages 7 to 12 years) with and without math learning disabilities (MLD). Analyses assessing intrahemispheric coherence at rest were performed across the entire sample and several coherence networks were extracted.

Specifically, networks that included Brodmann area 40 (BA 40) -- a region of the brain heavily involved in the cognitive processes responsible for mathematics performance (Anderson, Betts, Ferris, & Fincham, 2011; Cohen, Dehaene, Chochon, Lehericy, & Naccache, 2000; Kroger, Nystrom, Cohen, & …

Meta-Analysis Of Behavior Problems In Deaf And Hard Of Hearing Children, Marta Maria Tobenas

Theses and Dissertations

Recent data regarding social-emotional challenges indicate elevations in behavior problems (BPs) in deaf and hard of hearing (DHH) children (Austen, 2010; Stevenson et al., 2010; van Eldik et al., 2004). Factors affecting this include family and social contexts, language development (LD), and cochlear implantation (CIs). The purpose of this dissertation was to analyze findings across studies for trends in BPs in DHH children. Specifically, a model of the effect of deafness, CI use, and LD on the emergence of BPs in DHH children as compared to hearing children was examined. Studies were collected through systematic searches of psychology databases supplemented …

Parent Reported Executive Functioning Does Not Predict Memory Dysfunction In Pediatric Epilepsy And Attention-Deficit/Hyperactivity Disorder, Nicole J. Norheim

Theses and Dissertations

Objective: Epilepsy and Attention-Deficit/Hyperactivity Disorder (ADHD) children are vulnerable to executive functioning and memory difficulties. The interaction between EF and memory is important to consider as EF impairments may put children at risk for experiencing memory difficulties which can impact their academic performance and quality of life. However, the evidence for the impact of EF on memory is very limited with only two studies to date focusing on this association (Rzezak et al., 2012; Sepeta et al., 2017). This was the first study to research the impact of executive dysfunction on memory in the pediatric epilepsy and ADHD population. Method: …

An Evaluation Of Static Versus Dynamic Instructional Stimuli On Generalization Of Action Tacts, Shana Renee Fentress

Theses and Dissertations

Researchers have noted that children with autism have difficulty generalizing responses to stimuli outside of those used in training. Some studies have analyzed ways to promote generalization such as using concurrent training or using stimuli that would be most similar to those found in the natural environment. Little research, however, has investigated strategies for promoting generalization of action tacts. The current study investigated two different types of stimulus delivery forms: static (i.e., pictures), which are typically used during instruction, and dynamic (i.e., videos), which may provide stimulation closer to that which a child would encounter in a natural setting. Findings …

Quantifying Errors Of Bias And Discriminability Emitted By Children During A Matching-To-Sample Task, Courtney Hannula

Theses and Dissertations

Children diagnosed with Autism Spectrum Disorders (ASD) make errors during discrimination training regardless of antecedent or consequent procedures implemented to decrease errors. Further, these interventions are not guided by the source of errors. Two equations from Davison and Tustin’s (1978) framework can quantify errors due to bias and discriminability, known as log𝑏 and log𝑑, respectively. This framework categorized errors emitted by children diagnosed with ASD during a matching-to-sample task. The task was displayed on a touchscreen device in which touching a sample stimulus at the beginning of each trial resulted in the appearance of two comparison stimuli. Researchers delivered reinforcement …

Cognition And Behavioral Outcome In Children And Adolescents With Previous Ecmo Treatment: A Case Series With Neuroimaging Correlates, Juliann Thompson

Theses and Dissertations

Extra-corporeal membrane oxygenation (ECMO) is a life-saving procedure for patients in respiratory or cardiac distress. Prior studies have demonstrated several known risks to the procedure, such as hypoxia, stroke, and other neurological complications (Cheng et al., 2014) that can lead to temporary or permanent deficits in motor abilities, developmental trajectory, academic abilities, and cognition (Glass et al., 1995). Although several studies have investigated morbidity and mortality rates of pediatric ECMO patients, few have looked at cognitive deficits, and even fewer at magnetic resonance imaging in relation to neuropsychological outcome and behavioral, emotional, or social functioning. The aims of this study …

A Mission At 311, Nan Li

Theses and Dissertations

My thesis intends to look at how the aftermath of Holocaust has a tremendous life-changing impact on the children of Holocaust survivors, and to explore how these people has carried these misfortunes and burden to be resilient and joyful in their everyday lives.

Cognitive Remediation Of Working Memory Deficits In Children With Chronic Health Conditions: Tailoring Cogmed Training To Address Barriers To Adherence, Kelsey Smith

Theses and Dissertations

Objective: Children with sickle cell disease (SCD) and cancer are at risk for working memory impairment due to the disease and treatment. However, inconsistency in adherence to cognitive training programs conducted with this population suggests that adaptations are necessary in order to improve the effectiveness of this intervention. In addition, it is unclear whether gains in working memory translate to improvement in classroom functioning.

Methods: Children engaged in cognitive training exclusively over the summer in order to improve adherence to Cogmed Working Memory Training. A total of 17 children ages 7- 17 with a diagnosis of SCD (n = 14) …

Education’S Role In A System Of Care For Children And Youth With Emotional/Behavioral Challenges: A Mixed Methods Evaluation, Lauryn Young

Theses and Dissertations

Students with more severe emotional/behavioral (EB) challenges have many problems in the school environment and subsequently have significant difficulty making adjustments later in adulthood. Coordinated care systems, such as local system of care (SOC) initiatives, were established in response to a call for reform in youth mental health services as research began highlighting the need for improved access and quality of mental and behavioral services for youth. However, even in communities where SOC initiatives are operating well, school involvement is usually marginal. Therefore, the current study aimed to evaluate education’s role in one SOC for children and youth with EB …

Autism Spectrum Disorder Symptomatology In Children With Neurofibromatosis Type 1, Christina Casnar

Theses and Dissertations

Social problems are a common concern of parents of children with Neurofibromatosis type 1 (NF1). There has been a recent surge of research examining the prevalence of autism spectrum disorders (ASD) and ASD symptomatology in children with NF1. Findings from this relatively new body of research are mixed. The primary aim of this study was to examine ASD symptomatology in children with NF1 using a comprehensive assessment of ASD symptoms. A second aim was to examine possible variables that may contribute to socio-communicative difficulties. Participants included 25 children with NF1 between the ages of 9 and 13, along with their …

Effects Of Rich And Lean Treatment Contexts On Renewal, Sandhya Rajagopal

Theses and Dissertations

Relapse of problem behavior following behavioral intervention can occur for many reasons, including a change in setting after treatment. Reappearance of a previously extinguished behavior due to a context change is termed renewal. Laboratory models have demonstrated renewal by training a target behavior in one stimulus context, extinguishing the behavior in another context, and testing for relapse in the training context, where the behavior remains in extinction. Basic-research studies of relapse have also shown that conditions of the treatment environment, such as reinforcement schedules, can affect the amount of relapse observed. Assuming that quality of the treatment context could have …

Predictors Of Barriers To Psychosocial Treatment For African American Families Of Children With Adhd, Stephanie A. Wilson

Theses and Dissertations

African American families of youth with Attention-deficit/hyperactivity disorder (ADHD) traditionally have lower rates of ADHD treatment compared to nonminority groups. These treatment disparities underscore the importance of better understanding the barriers to treatment for these families. Therefore, in a sample of 67 African American caregivers of children with ADHD, the current study examined (1) factors that predict barriers to treatment for African American families of children with ADHD and (2) whether caregiver impairment mediates comorbid behavior problems and barriers to treatment for African American youth with ADHD. Analyses revealed that caregiver impairment predicted barriers to treatment and mediated the relationship …

Effects Of Cumulative Risk On Asthma Outcomes In Urban Children And Adolescents, Samantha A. Miadich

Theses and Dissertations

Pediatric asthma disproportionately affects racial/ethnic minority children and children living in low-income, urban areas. Many families living in low-income, urban areas experience a number of stressors that can place children/adolescents at risk for worse asthma outcomes. This study examined the impact of a cumulative risk model of stressors (e.g., ED visits, quick-relief medication use, lung function, asthma control, QOL) in urban children (7-12 years) with persistent asthma. This study further aimed to examine both the original cumulative risk model and an adolescent-specific cumulative risk model as predictors of asthma outcomes in a sample of 60 adolescents (13-17 years). Asthma-related caregiver …

Parent-Reported Deficits In Executive Function And Sleep-Disordered Breathing In Adolescent Behavioral Weight Loss Program Participants, Jonathan James Mietchen

Theses and Dissertations

Children and adolescents with obesity and overweight are at increased risk for developing sleep disordered breathing (SDB) and SDB has been associated with cognitive deficits and executive dysfunction. The aim of this study was to examine the relationship between executive functioning and SDB among adolescents participating in a behavioral weight loss intervention. Adolescents (n = 37) and their caregivers completed the Behavior Rating Inventory of Executive Function (BRIEF) and caregivers completed the Pediatric Sleep Questionnaire (PSQ). Using the Sleep Related Breathing Disorder scale on the PSQ adolescents were classified as at risk or not at risk for SDB. Correlations were …