Digital Commons Network^™

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 …

A Systematic Review Of Movement-Oriented Mind-Body Interventions And Psychoneuroimmunological Outcomes For Psychological Stress And Trauma, Emma Wookey

Theses and Dissertations

Objective. The mind and body are inseparable and share bidirectional influences. Psychological stress and distress related to traumatic events are significant contributors to morbidity, mortality, and healthcare costs worldwide. Mind-body movement-oriented interventions have been found to benefit one's physical and mental health via down-regulation of the hypothalamic-pituitary-adrenal (HPA) axis and the sympathetic nervous system. This systematic review aimed to identify and synthesize the research on movement-oriented mind-body interventions for trauma and stress as informed by psychoneuroimmunology. The review focused on exercise, yoga, tai chi, qi gong, and dance movement therapy that target the physiological systems impacted by psychological stress/trauma. Methods. …

Development & Evaluation Of An Introductory Webinar Training For Mental Health Professionals Working With Perpetrators Of Child Sexual Abuse: A Strengths-Based Sociocultural Perspective, Angie Yvette Reyes

Theses and Dissertations

The purpose of this dissertation project was to develop an introductory webinar resource to provide training of mental health professionals (MHPs) to work with perpetrators of child sexual abuse (PCSA). The training utilizes a strengths-based approach with a focus on sociocultural considerations for working with this population. A literature review revealed a gap in resources, treatment, and clinical training pertaining to PCSA. The results of an initial training needs survey among MHPs indicated that MHPs do not receive education or training on PCSA and could benefit from training. Through this webinar training, MHPs acquire a basic understanding of PCSA and …

A Systematic Review On The Relationship Between Attachment Styles And Chronic Pain, Samantha M. Cohen

Theses and Dissertations

Chronic pain (CP), a leading cause of disability, is associated with addiction, physical and psychosocial impairment and tremendous financial burden. Childhood experiences contribute to the genesis of different attachment styles. Attachment theory offers a useful framework for the conceptualization of CP, with different attachment styles impacting the experience and clinical manifestations of CP. This systematic review aims to evaluate the relationship between attachment styles and CP, to investigate which attachment styles pose the greatest risk for CP, to examine how CP is expressed in the context of different attachment styles, and to gain insight regarding the treatment approach to CP. …

The Impact Of Covid-19 On Community Based-Organizations: A Case Study Of Jewish Organizations, Orit Zigmanlador

Theses and Dissertations

When COVID-19 started to spread in March 2020, no one could anticipate the impact it would have on the world. Social behavior is one key aspect that has changed dramatically as a result of the pandemic. Through restrictions that imposed social distancing, masks, and quarantines, feelings of loneliness, depression, and isolation increased. At the same time, there was also evidence of prosocial behavior, with the emergence of people helping those in need. As the pandemic turns endemic with restrictions lifting, the longstanding impact of the pandemic on people’s behavior is still unclear. One way to explore this phenomenon is through …

A Systematic Review Of Training Programs For Mental Health Professionals Who Are Treating Eating Disorders, Shir Zion

Theses and Dissertations

Eating disorders are among the most dangerous mental health disorders, and the prevalence rates for them are on the rise. However, the literature is lacking when it comes to quantitative training recommendations for mental health professionals who wish to learn how to screen for, prevent, and treat individuals with eating disorders. This systematic review identified, reviewed, and synthesized the findings from studies (n = 14) concerning the impact of various training modalities on professionals and students who specialize in eating disorder prevention, screening, and treatment, on their knowledge, attitudes/beliefs, and skills. The aim was to identify training recommendations, across various …

Dating Violence In Latine Lgbtq+ Adolescent Relationships: Treatment Considerations, Tatiana Pinkley

Theses and Dissertations

According to the Centers for Disease Control and Prevention (CDC), violence-sexual and physical-within adolescent dating relationships has become a significant public health concern. This is especially true for sexual minority youth of color. As such, it is a prevalent and necessary topic in many therapeutic settings. However, many of the treatment protocols in place do not address or take into consideration various cultural identities of the clients in question. This study reviewed the scholarly literature regarding the prevalence of dating violence within the LGBTQ+ Latine community, the risk factors of intimate partner violence within this community, interventions that are available …

The Out-Of-Sport Transition Experience Of Ncaa Athletes: A Systematic Review, Stephanie Tuncel

Theses and Dissertations

During the 2018-2019 academic year, the National Collegiate Athletic Association (NCAA) reported 1,004,450 student-athletes across Division I, II, and III universities. Of these athletes, only a small percentage will go on to play at a professional level. The majority of these student-athletes will go through an out-of-sport transition that, without proper preparation, can result in a variety of psychosocial difficulties. However, there are opportunities for student-athletes, athletic departments, academic departments, and psychological counseling centers to target different factors that could increase the likelihood of experiencing a positive out-of-sport transition. The focus of this systematic review was to address two primary …

Effective Approaches To Establishing And Maintaining A Strong Therapeutic Alliance With Men: A Qualitative Systematic Review, Ferdinand Aliga

Theses and Dissertations

Consequences of mental health issues in men that are left untreated can affect a man’s partner, friends, family, and co-workers. While much research has described the efficacy of psychotherapy with this population, adult male clients may be hesitant to even start treatment. This is due to several reasons including stigma, toxic masculinity, and accessibility. To combat this, the American Psychological Association published Guidelines for Psychological Practice with Boys and Men in 2018. Research from 2005--the year the guidelines were conceived--to 2021 suggests that three therapeutic approaches are among the most effective in establishing or maintaining a therapeutic alliance. The approaches …

Reducing Hiv Transmission For African American And Latino Gay And Bisexual Men: An Integrative Systematic Review, Brian Andrew Griffith

Theses and Dissertations

Black and Latinx men who have sex with men are disproportionately affected by HIV and have been for several years. It continues to be pervasive in both communities. Therefore, this review aims to examine the existing literature and succinctly discuss what has occurred in the fight to reduce HIV transmission rates for Black and Latino men. This review posed the following questions: (a) What are the unique challenges for Black and Latino gay and bisexual men in adherence and usage of PrEP medication? (b) What behaviors increase HIV transmission risk specific to Black and Latino gay and bisexual men? (c) …

Psychological Safety In Startup Organizations, Jessica Barhydt

Theses and Dissertations

Psychological safety is an individually held belief that a group is safe for interpersonal risk-taking. Scholars have studied the concept primarily as a team-level construct. However, recent studies suggest that climates of psychological safety exist at the organizational level. An examination of the dynamism of the construct at the organizational level is needed: how it grows, changes, and declines. Startups, which grow and change quickly, are an excellent context to study organizational psychological safety. Through interviews, this study explored psychological safety as an organizational-level construct in startup organizations. Specifically, it examined potential commonalities between high and low psychological safety as …

A Systematic Review Of Canine Assisted Psychotherapy For Youth At Risk Or With Mental Health Disorders, Hedieh Hakakian

Theses and Dissertations

Mental health disorders among youth are often underrepresented in research, resulting in a delay and under-treatment of their needs (Catania et al., 2011). While their needs are frequently under-treated, research suggests that youth often experience mental health problems that subsequently lead to difficulties in adulthood (Carballo et al., 2011) necessitating a need to identify efficacious treatments to these problems. This systematic review used a mixed-methods design to analyze current literature on the use of Canine-Assisted Psychotherapy (CAP) with youth ages 0-20. The aims of the study were to (a) understand the impact of CAP on mental health (i.e., clinical diagnosis …

Experiences And Perceptions Of Bilingual Spanish-English Latinx Clients And Bilingual Spanish-English Latinx Therapists In Psychotherapy: A Systematic Review, Irvin I. Navarrete

Theses and Dissertations

As the bilingual Spanish-English Latinx population in the United States increases, so will the need for culturally and linguistically competent mental health therapists. While past research has focused on providing culturally competent care, the role of language in the process of psychotherapy has received limited attention. This study aimed to comprehensively analyze the existing literature on bilingual Spanish-English Latinx clients’ and bilingual Spanish-English Latinx therapists’ experiences and perceptions within a bilingual psychotherapy setting and identify recommendations to enhance language proficiency. A systematic review was conducted and identified nine studies for inclusion. Results highlight seven themes focusing on bilingual Spanish-English Latinx …

Effectiveness Of Writing Interventions For The Treatment Of Trauma: A Systematic Review, Melissa Maccarini

Theses and Dissertations

The effectiveness for writing interventions in the treatment of trauma has been a long-researched topic with research continuing to be conducted. This systematic review with narrative synthesis aimed to examine the effectiveness of writing interventions over the past two decades in reducing trauma or related symptoms in adults diagnosed with PTSD or having experienced a criterion-A event. Researchers searched the following databases: PsycINFO, Scopus, EBSCO, ProQuest (PTSDPubs), and PubMed. The last search yielded 100 manually full-text screened studies, with 18 articles included in the systematic review. The results point to some evidence for statistically significant decreases in trauma or related …

Trust And Psychological Empowerment In Global Virtual Teams: Quantitative Ethnography Research, Yujung Seol

Theses and Dissertations

Although global virtual teams are becoming more commonplace because of their many benefits, they are also challenged by a lack of interpersonal and emotional trust between team members. Based on this problem, this study adopted a quantitative ethnographic methodology to explore team members' perceptions of the relationship between trust and psychological empowerment components, such as the meaning of work, competence, self-determination, and impact, in global virtual teams. In addition, this study examined how the team members' perceptions of trust and psychological empowerment differ based on their attributes. To achieve this research purpose, the researcher collected data via semi-structured interviews with …

Physical Intimate Partner Violence Of African American Women: Promising Practices And Pitfalls In Treatment, Melissa Erinn Duncan

Theses and Dissertations

Intimate partner violence is a serious health concern among African American women. It is estimated about 41% of African American women experience physical violence from an intimate partner. A number of risk factors, as well as cultural and contextual dynamics (e.g., gendered racism, low socioeconomic status, cultural norms, exposure to family violence, as well as cultural mistrust of the healthcare and legal systems), are associated with the high prevalence rate of African American women experiencing physical abuse. Due to the unique challenges that African American women survivors of partner violence often experience, there is a gap in the current literature …

Schizophrenia, Expressed Emotion, And Relapse: A Systematic Review Across Cultures, Colin Meng

Theses and Dissertations

The objective of this review was to systematically identify and evaluate quantitative research on familial expressed emotion (EE) in schizophrenia patients from different cultural backgrounds. This adds to the findings of previous reviews of EE by including data from cultural individualism vs. collectivism perspectives using Hofstede’s cultural dimensions theory. Using specific search criteria, 10 research papers were identified and evaluated. Findings indicated that the lowest percentage of high EE relatives were found in samples from countries associated with moderate individualism scores. A similar pattern was also found in high-critical comment (CC) relatives. Results of hostility and Emotional Over-involvement (EOI) are …

Exploring Disc Attitudes Toward Organizational Change, Christie Cooper

Theses and Dissertations

This quantitative study explored how different personality styles, using the dominance, influence, steadiness, and compliance (DISC) personality assessment to address the concept of change. Specifically, the attitudes the four main DISC personality styles have toward change. The study aimed to contribute to the body of knowledge. There is a significant gap in the empirical research investigating DISC and change.

This study’s significance was to fill a gap in the literature in an area that has limited empirical research conducted. European and Asian countries do far more work on the front-side of change to ensure people are prepared for the change …

Couple-Based Therapeutic Interventions Aimed At Treating The Individual And Relational Impact Of Childhood Abuse, Megan A. Maguire

Theses and Dissertations

Childhood abuse can have a significant and lasting impact on an individual's mental health and relationships, including their ability to trust, communicate, and form healthy attachments. While the greater literature focuses on individual interventions to address childhood trauma, there is limited research on the potential positive impact of a couple-based therapeutic approach on outcomes of individual mental health and relationship distress. This dissertation sought to summarize empirically researched couples-based psychotherapies designed to address the effects of childhood abuse and review evidence regarding therapeutic outcomes. The dissertation implemented the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to ensure a …

A Systematic Review On Anxious Attachment And Relationship Satisfaction, Laura Mendez

Theses and Dissertations

Romantic relationships can serve as a source of intimacy, security, support, and comfort for many individuals. Many studies have identified adult attachment as an important predictor of romantic relationship/marital satisfaction. However, many studies have found anxious attachment to be a predictor of poor relationship satisfaction. Moreover, individuals high in attachment anxiety have been found to constantly worry and ruminate about their relationships, specifically, about the fear of being abandoned or rejected by their romantic partner. As such, it is important to further understand which factors strengthen or weaken relationship/marital satisfaction in anxiously attached adults. This systematic review aimed to answer …

The State Of Psychological Services For People With Physical And Cognitive Disabilities: An Integrative Systematic Review, Megan K. Benton

Theses and Dissertations

The present study investigated the state of psychotherapy for people with physical and cognitive disabilities in a systematic review. Specifically, this study analyzed qualitative and quantitative studies which examined therapists’ abilities to conceptualize disability as a dimension of cultural competence, the models and conceptualizations of disability and psychotherapy being used with people with disabilities (PWD) in psychotherapy, and the experiences of PWD in psychotherapy. This study analyzed 18 empirical studies and integrated both qualitative and quantitative methods. Source eligibility criteria for this systematic review was the same for both qualitative and quantitative studies. Eligibility criteria included being: peer-reviewed journal articles, …

Sexual Abuse Of Children In China: Consequences And Han Culturally Appropriate Treatment, Na Du

Theses and Dissertations

Child sexual abuse in China has a lower prevalence than in Western countries. Due to its conservative culture, child sexual abuse has been a hidden topic, resulting in children suffering from mental health problems since there was no proper treatment or intervention. The objective of the current study was to explore the estimated prevalence of child sexual abuse in China, its long-and short-term psychological effects, and culturally appropriate treatment for those who experienced sexual abuse. The aim of this study is to inform the professionals with knowledge, skills, and techniques to treat those with mental health problems caused by sexual …

Work Life Balance: Organizational Leadership And Best Practices To Overcome Burnout For Female Realtors, Carmen Sarkis

Theses and Dissertations

Women Realtors in residential real estate have a difficult time avoiding burnout and are commonly ineffective in achieving work life balance (WLB). This qualitative, phenomenological research study focused on understanding the issues of WLB and burnout which female Realtors faced, and best strategies in overcoming these issues. There were four main research questions and a total of 12 interview questions which were used as a method to collect data for research purposes. Fifteen participants who met the criteria of inclusion as discussed in Chapter 3 participated in this study, and were located using LinkedIn, and the National Association of Realtors. …

The Heads-Ed: A Psychosocial Screening For Pediatric Patients In Emergency Departments: A Systematic Review, Jessica Burns

Theses and Dissertations

The rates of mental health (MH) conditions among the pediatric population are rising steadily (Abramson, 2022; Clark et al., 2019). Given that MH symptoms and concerns frequently present in the emergency department (ED)-particularly since the onset of the COVID-19 pandemic-the ED setting may be a practical and effective setting to implement screening measures to identify youth at risk for mental illness and suicide (Leeb et al., 2020; Leff et al., 2021). This integrative systematic review examined the extent to which the HEADS-ED, one specific psychosocial screening measure, has been administered in the ED setting with youth and which healthcare professionals …

Non-Binary Experiences In The Context Of Gender Dichotomization: A Qualitative Systematic Review, Chyna (C.J.) Parker

Theses and Dissertations

Gender diverse persons have historically and presently faced unique challenges, marginalization, and discrimination. The lived experiences of the transgender nonconforming population are still widely unresearched, and most research treats transgender and transgender nonconforming (TGNC) people as a homogeneous group. This neglects the nuanced and diverse experience of the TGNC population. This integrative systematic review of the literature was conducted in order to identify and highlight the experiences of transgender nonconforming persons in the context of a binarily set world. The following questions guided this study: (a) What are the identity-related experiences of non-binary individuals in the context of gender dichotomization?, …

Effectiveness Of Cognitive Behavioral Therapy Versus Therapeutic Play For Hospitalized Children Diagnosed With Cancer: An Integrative Systematic Review, Dianne Kong

Theses and Dissertations

Psychotherapy provides essential coping mechanisms and strategies for children who are diagnosed with cancer, as they experience the extraordinary burden of physical, emotional, and mental strains. While many medical advancements have been made within the past few decades, progress related to psychotherapy for pediatric cancer patients has not been commensurate, evidenced by the limited current literature. Given the sparsity of relevant research, it is presently difficult to compare and evaluate the various psychotherapeutic interventions available for pediatric oncology patients. Additionally, there are significant challenges in providing psychotherapeutic care for patients and their families, including lack of consistency, disruption of care, …

The Use Of Dance And Movement For The Embodied Healing Of Interpersonal Trauma In Women And Girls: A Systematic Review, Catherine Xinyu Liang

Theses and Dissertations

Interpersonal trauma is a serious and devastating problem for women and girls from all walks of life. Research has shown that there are physiological consequences for experiencing trauma, and as such, treatment for trauma may need to target the body. Dance/Movement Therapy (DMT) has been emerging in the current literature as one body-oriented treatment approach that is effective in helping women and girls heal from interpersonal trauma. This review examines how practitioners are currently using DMT for this population, what treatment outcomes have been observed, and what the racial/ethnic identities and international contexts are for survivors who have benefited from …

A Review Of The Effects Of Mindfulness Meditation On Chronic Pain In Older Adults, Gregory H. Jacks

Theses and Dissertations

Pain is a biopsychosocial phenomenon, which draws from physiological responses as well as cultural and social context and mental states. Pain is most frequently treated through surgical and pharmacological interventions, which can be costly and time-consuming, especially when treating chronic pain. Older adults suffer from chronic pain at a higher rate than the rest of the population, and more accessible interventions are desperately needed to help manage the experience of chronic pain. Mindfulness meditation is increasingly being utilized for management of pain due to evidence of its effectiveness, cheaper cost, and ability to be practiced outside of medical facilities. Prior …

An Examination Of Grief Interventions With Black And Latinx Communities, Melissa Mares

Theses and Dissertations

Grief is a universal experience that is influenced by socio-cultural cultural norms. While past research has acknowledged that attention to diversity and culture are in integral part of treatment, research on grief interventions for Black and Latinx populations has been limited and even more so for interventions that incorporate cultural adaptations. Using peer reviewed articles published between 1985-2022, this systematic review set out to investigate three questions: What are the grief interventions used with grieving Latinx and Black communities? What is the effectiveness of the interventions in reducing grief symptomology? How has cultural adaption been implemented? This review revealed that …

A Global Perspective On Mindfulness-Based Interventions In Schools, Rebecca H. Laff

Theses and Dissertations

The practice of mindfulness, which originated in ancient Buddhist philosophy, has gained popularity in secular society through the work of Western researcher Jon Kabat-Zinn. Kabat-Zinn's focus on using mindfulness to help chronically ill patients cope with stress soon expanded into non-clinical areas, including education. Mindfulness-based interventions (MBIs) adapted from Kabat-Zinn’s work, have been utilized in schools since 2005, but there has been a lack of systematic research on the effectiveness of MBIs in classroom settings globally. To address this gap, this critical interpretive synthesis (CIS) study conducted a comprehensive literature review of quantitative and qualitative studies from around the world …