Digital Commons Network^™

Preliminary Efficacy Of A Digital Intervention For Adolescent Depression: Randomized Controlled Trial, Emily Peake, Ian Miller, Jessica Flannery, Lang Chen, Jessica Lake, Aarthi Padmanabhan

Psychology

Background:
Adolescent depression is a significant public health concern; however, access to effective mental health care is limited. Digital therapeutics (DTx) can improve access to evidence-based interventions; however, their efficacy in adolescents is sparsely documented.

Objective:
This study aims to examine the efficacy of a mobile app DTx versus an active control as an adjunct treatment for adolescent depression symptoms.

Methods:
An internet-based open-label randomized control trial was conducted nationwide with a partial crossover design, and 168 adolescents aged 13 to 21 years with symptoms of depression were recruited between November 2020 and September 2021. Participants were randomized (1:1) to …

A Phenomenological Examination Of The Experiences Of College Theater Majors In Regard To The Covid-19 Pandemic And Lockdowns In The United States, Ronda Celeste Jones

Doctoral Dissertations and Projects

The COVID-19 pandemic and resulting lockdowns were phenomena experienced by the majority of the modern world, but not everyone experienced it in the same way. Each person brings their own past, their own interests, and their own needs to the lived experience. Pre-pandemic research on art therapy suggests that creative expression could be helpful to adolescents experiencing such trauma. Theater majors are a particular set of people for whom creative expression through theater is a huge part of their life. Theater majors are also participating in a creative activity that requires social contact, and that social contact was limited or …

Pornography: Social, Emotional And Mental Implications Among Adolescents, William K. Canady

National Youth Advocacy and Resilience Conference

This presentation will explain the historical development of pornography. It will highlight three segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention.

Parental Experiences Of Supporting The Mental Health Of Their Lgbtqa+ Child, Jessica M. Gilbert, Penelope Strauss, Deirdre Drake, Helen Stain, Yael Perry, Angus Cook, Ashleigh Lin, Helen Morgan

Research outputs 2022 to 2026

Young people who are lesbian, gay, bisexual, trans, queer or questioning, asexual and other diverse genders and sexualities (LGBTQA+) are at greater risk of adverse mental health outcomes and suicide, with additional barriers to accessing safe and affirming physical and mental health services in comparison to the general population. Parents of LGBTQA+ young people who are supportive and accepting can take on additional responsibilities and an active role in supporting young people, and more information is needed to understand how parents support LGBTQA+ young people in times of acute mental health difficulties (including suicide risk) and what parents experience while …

Assessment Of Simultaneous Alcohol And Cannabis Use And Its Related Consequences And Cognitions In College Students: A Narrative Review, Jennifer L. Shipley, Abby L. Braitman

Psychology Faculty Publications

As rates of students using cannabis continue to rise, simultaneous use of alcohol and cannabis (such that their effects overlap; commonly referred to as simultaneous alcohol and marijuana [SAM] use) is prevalent among college students who use both substances. Although research focusing on SAM use and related cognitions and consequences continues to grow, there are no common established measures, as approaches vary across studies. This narrative review identifies current methods for assessing SAM use and measures of SAM-related consequences and cognitions (motives and expectancies) among college students, evaluates how they were developed, identifies gaps in the literature, and provides recommendations …

Examining Correlations Between Graphic Indicators In Projective Tests And Clinical Criteria Of Ptsd In Children And Adolescents, Melissa Brennan

PCOM Psychology Dissertations

The use of art and drawing has been known to be a well-suited assessment and treatment modality with children, especially children who have been traumatized, due to their hesitancy or inability to verbalize complex emotional thoughts and experiences. The use of projective arts-based assessments can be an effective approach for facilitating engagement, reducing resistance, and offering an alternative for self-expression that can provide insight into a child’s experience that words alone cannot. This study aimed to examine whether specific graphic indicators of the House-Tree-Person (H-T-P) assessment correlated with particular clinical or psychometric criterion according to the Clinician Administered PTSD Scale …

A Systematic Review Of The Effectiveness Of Family-Based Treatment With And Without Adjunctive Treatment For Children And Adolescents With Eating Disorders, Carly Poynter

Theses and Dissertations

Family-based treatment (FBT) has been widely accepted as the first-line treatment for children and adolescents with restrictive eating disorders. While this treatment has been widely studied and accepted as best practice, most studies confirming its effectiveness focus on the treatment of anorexia nervosa (AN) and bulimia nervosa (BN). There have been many studies aimed at providing adjunctive treatment to enhance the effectiveness of this treatment, but these benefits have yet to be cumulatively studied. The primary objectives of this study were to 1) summarize the effectiveness of FBT for the wide range of eating disorders, 2) summarize the effectiveness of …

Adolescent Bereavement And Resilient Outcomes: A Comprehensive Analysis, Jenna Holmes

CMC Senior Theses

This thesis explores the complexities of adolescent bereavement and factors that improve resilience. Bereavement in adolescence is particularly difficult and complicated because it occurs during a crucial developmental period, and maladaptive coping during this time has been linked to many negative outcomes. This review covers three different theoretical models (i.e., Model of Adolescent Grieving, Multidimensional Grief Theory, and the Contextual Resilience Model for Bereaved Adolescents) of adolescent bereavement and compares their strengths and weaknesses. The importance of promoting resilience and healthy bereavement is underscored, followed by a discussion of how the type of loss (e.g., parent, sibling, and friend), different …

An Examination Of An Online Program For Parents With Anxious Adolescents, Tracy Sciulli

PCOM Psychology Dissertations

The researcher conducted a mixed-methods study to investigate the effectiveness of an online parent coaching program in influencing parental beliefs about anxiety and enhancing parenting self-efficacy for managing adolescent anxiety. The researchers developed the piloted parenting program to determine whether a brief online intervention for parents could alter parental self-efficacy and beliefs about adolescent anxiety to bring about positive outcomes for adolescents undergoing treatment for anxiety. The team recruited parents of adolescents diagnosed with or receiving treatment for anxiety symptoms from Philadelphia Integrative Psychiatry for a pre-intervention and post-intervention study. The proposed parenting program aims to address the shortcomings in …

School Refusal, Anxiety, And Executive Functioning In Adolescents, Marissa Kimmel

PCOM Psychology Dissertations

School refusal behaviors impact students nationwide, negatively affecting their academic performance and social-emotional well-being. The current study was a two-part study looking at the factors influencing student attitudes toward attendance and then building and reviewing a program based on these findings. During the first part of the two-part study, a secondary data analysis was conducted to analyze the factors influencing student attitudes toward attendance. The secondary data analysis included correlational, regression, and hierarchical regression studies, utilizing responses from 1,056 teenagers attending a suburban high school. Based on the findings, a second study reviewed a program created to address the factors …

The Associations Of Physical Activity And Sedentary Behavior With Self-Rated Health In Chinese Children And Adolescents, Yahan Liang, Youzhi Ke, Yang Liu

Human Movement Studies & Special Education Faculty Publications

Objective

The study aimed to analyze the independent and joint associations of physical activity (PA) and sedentary behavior (SB) with self-rated health (SRH) among Chinese children and adolescents.

Methods

Cross-sectional data on moderate-to-vigorous physical activity (MVPA), school-based PA, extracurricular physical activity (EPA), screen time (ST), homework time, and SRH were assessed through a self-report questionnaire in the sample of 4227 Chinese children and adolescents aged 13.04 ± 2.62 years. Binary logistic regression was used to compare gender differences in PA, SB, and SRH among children and adolescents, and analyses were adjusted for age and ethnicity.

Results

In independent associations, boys …

Examining The Role Of Pretrial Detention On The Juvenile Plea Process, Isabelle May Clough

Open Access Theses & Dissertations

Plea bargains are a necessary part of the criminal justice system as a whole, and the juvenile justice system more specifically. However, juveniles may be at a particular disadvantage when entering into a plea bargain as a result of their developmental capacities. Pretrial detention in particular might influence the quality of the final plea agreement that a juvenile accepts, as adolescents would be motivated towards the short-term goal of being released from detention. The current study aimed to examine the relationship between juvenile pretrial detention and plea discounts through mediating relationships with number of attorneys and time to plea. Data …

Parental Perspectives On The Social Communication Between Adolescent Females Diagnosed With High Functioning Autism Spectrum Disorder And Their Typically Developing Older Siblings: A Case Study, Victoria Suzette Paxton

Doctoral Dissertations and Projects

Verbal social communication and nonverbal social communication have been documented as a source of deficiency in adolescents with high-functioning (H-F) autism. Likewise, adolescent females with autism reported an increase in social communication difficulties as they aged into adolescence. While the positive impact on social communication in children with autism by older siblings has been documented, there is no such research that has investigated the nonverbal and verbal social communication characteristics among adolescent females with high-functioning autism and their typically developing older siblings (Ben-Itzchak et al., 2016). In the following research study, parental perspectives on the social communication between female adolescents …

Parent-Child Relationship And Smartphone Addiction In Adolescents: Are There Gender Differences?, Maria Helena Suprapto, Setiasih -, Ide Bagus Siaputra

Psychological Research on Urban Society

This study aims to reveal whether there are differences in father-child relationships and mother-child relationships based on gender and to determine whether the father-child and mother-child relationship affects smartphone addiction in adolescents. This research used quantitative methods. The research participants were 159 male and 229 female adolescents aged 10-15 years in Surabaya and Sidoarjo. Research data was obtained using a questionnaire distributed online (google forms). The data were processed by using a t-test and multiple regression analysis. This research concludes that the quality of the father-child and mother-child relationship does not differ across gender. Father-child relationships and mother-child relationships both …

Parents’ Perceptions Of Children’S Psychosocial Adaptation During The Covid-19 Pandemic In Québec: Comparison With Gifted And Non-Gifted Children, Claire Baudry, Jeanne Leblanc-Lagacé, Line Massé, Jessica Pearson, Amélie Courtinat, Eileen Slater, Geneviève Ouellet

SENG Journal: Exploring the Psychology of Giftedness

Studies conducted in French Canadian schools following the COVID-19 lockdown report that children in a pandemic might have difficulties adapting. Gifted and twice-exceptional children—who might present special needs in this situation—could have different levels of psychosocial adaptation and mental-health needs than other children. This study assessed the psychosocial adaptation of gifted and twice-exceptional children and compared the adaptation levels of these individuals to those of non-identified gifted children. The results show that 62.5% of the gifted children had generally coped well with pandemic conditions, as did the non-identified gifted children (73.9%). Conversely, 59.5% of twice-exceptional children presented difficulties in adapting …

Dual Enrollment, Peer Relationships, And Internalized Variables: A Comparative Analysis Among Adolescents, Mary Bess W. Pannel, Christine D. Lewis Pugh, Valarie Morgan

Journal of Counseling Research and Practice

While the importance of dual enrollment programs has been demonstrated, the potential impact of completing college level courses during high school has on the emotional and mental well-being of adolescents has not been explored. This study used a nonexperimental, comparative, research design to explore the impact of completing college level courses during high school and the relationship to emotional and behavioral well-being of adolescents. Findings indicated self-esteem levels were statistically significant, specifically, dual enrolled students reported lower levels of self-esteem. School counselors are in a unique position to foster a successful, academic environment that also enhances emotional and mental wellness.

Experiences Of Covid-19-Related Racism And Impact On Depression Trajectories Among Racially/Ethnically Minoritized Adolescents, Sabrina R. Liu, Elysia Poggi Davis, Anton M. Palma, Hal S. Stern, Curt A. Sandman, Laura M. Glynn

Psychology Faculty Articles and Research

Purpose

In 2020, racially/ethnically minoritized (REMD) youth faced the “dual pandemics” of COVID-19 and racism, both significant stressors with potential for adverse mental health effects. The current study tested whether short- and long-term trajectories of depressive symptoms from before to during the COVID-19 pandemic differed between REMD adolescents who did and did not endorse exposure to COVID-19-era-related racism (i.e., racism stemming from conditions created or exacerbated by the COVID-19 pandemic).

Methods

A community sample of 100 REMD adolescents enrolled in an ongoing longitudinal study of mental health was assessed before and during the COVID-19 pandemic. Participants were 51% girls, mean …

An Artificial Therapist (Manage Your Life Online) To Support The Mental Health Of Youth: Co-Design And Case Series, Aimee-Rose Wrightson-Hester, Georgia Anderson, Joel Dunstan, Peter M. Mcevoy, Christopher J. Sutton, Bronwyn Myers, Sarah Egan, Sara Tai, Melanie Johnston-Hollitt, Wai Chen, Tom Gedeon, Warren Mansell

Research outputs 2022 to 2026

Background: The prevalence of child and adolescent mental health issues is increasing faster than the number of services available, leading to a shortfall. Mental health chatbots are a highly scalable method to address this gap. Manage Your Life Online (MYLO) is an artificially intelligent chatbot that emulates the method of levels therapy. Method of levels is a therapy that uses curious questioning to support the sustained awareness and exploration of current problems. Objective: This study aimed to assess the feasibility and acceptability of a co-designed interface for MYLO in young people aged 16 to 24 years with mental health problems. …

Characterizing And Predicting Canadian Adolescents’ Internalizing Symptoms In The First Year Of The Covid-19 Pandemic, Haley E. Green, Andrew R. Daoust, Matthew R. J. Vandermeer, Pan Liu, Kasey Stanton, Kate L. Harkness, Elizabeth P. Hayden

Psychology Publications

To date, most longitudinal studies of adolescents’ internalizing symptoms during the COVID-19 pandemic include few time points, limiting knowledge about the long-term course of adolescents’ mental health during the pandemic. Moreover, examining intraindividual variability in symptoms, which may have important implications for adolescents’ adjustment beyond mean or “typical” symptoms, requires multiple time points. We examined the course of internalizing symptoms in 271 Ontario adolescents (mean n = 193 across time points) during the first year of the pandemic (March 2020–April 2021) via mixed-effect location scale models, drawing upon established internalizing symptom risk factors as predictors of mean trends and intraindividual …

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

Graduate Theses, Dissertations, and Problem Reports

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 …

Critical Literacy: Meeting Twenty-First Century Literacy Demands For Adolescent Learners, Molly Blew

PCOM Psychology Dissertations

Adolescents’ critical text interpretation skills are important to college, career, and citizenship demands. At present, the literature reflects concerns with adolescents’ ability to interpret academic and internet-based texts critically. The pedagogical framework of critical literacy is presented as an instructional approach that may support the development of adolescents’ critical text interpretation skills. The objective of this study was to understand the perceptions of secondary teachers concerning student proficiency in critical text interpretation, teachers’ current level of implementation of instructional practices consistent with the critical literacy framework, and perceived barriers to implementation. Three hundred thirty four (334) high school teachers were …

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 …

Psychologist Perspectives On The Treatment And Assessment Of Problematic Sexual Behavior In Neurodivergent Youth, Emily R. Marhan

Antioch University Dissertations & Theses

The following dissertation explored the subjective experience of mental health clinicians regarding their perceptions of providing treatment and assessment to neurodivergent youth (ND) who exhibited problematic sexual behavior (PSB). Prior to this study, scant research has been conducted pertaining to the treatment and assessment of youth who exhibit PSB, and less still on those with comorbid neurodivergence (Jones & Chaplin, 2017; Malovic et al., 2016; Pratt, 2013). This study utilized Interpretative Phenomenological Analysis to inform interpretations of participant responses collected through semi-structured interviews. Participants consisted of five licensed psychologists with experience providing assessment and/or treatment to both neurotypical and ND …

The Relationship Between Youth Adult Sexual Communication And Risky Sexual Behavior In Adolescence, Erin Geary

College of Science and Health Theses and Dissertations

Adolescents are engaging in risky sexual behavior at high rates which is impacting the rise of sexually transmitted infections in the United States. Risky sexual behavior in adolescence is related to both negative health and psychological outcomes. Sexual health communication between adolescents and adults might serve as a protective factor to prevent adolescents in participating in risky sexual behavior, however the specific factors that could contribute to this impact are less known. This thesis has two aims: 1) to determine how sexual health communication between adolescents and adults impacts risky sexual behavior and 2) to explore how sex, race/ ethnicity, …

The Relationship Between Youth Adult Sexual Communication And Risky Sexual Behaviors In Adolescence, Erin Geary

College of Science and Health Theses and Dissertations

Adolescents are engaging in risky sexual behavior at high rates which is impacting the rise of sexually transmitted infections in the United States. Risky sexual behavior in adolescence is related to both negative health and psychological outcomes. Sexual health communication between adolescents and adults might serve as a protective factor to prevent adolescents in participating in risky sexual behavior, however the specific factors that could contribute to this impact are less known. This thesis has two aims: 1) to determine how sexual health communication between adolescents and adults impacts risky sexual behavior and 2) to explore how sex, race/ ethnicity, …

Masculinity, Affirmations, Belongingness, And Resiliency In Male Adolescents: Effects On School Engagement, Kelsey Burt

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study focused on male adolescent students within 7^th and 8^th grade and how endorsement of masculine stereotypes impacts their school engagement and feelings of belonging. The study also examines how peers maintain masculine conformity and how individual resiliency change outcomes. This research is based on two main theories, inclusive masculinity and social learning theory. These theories describe how behaviors are largely learned from the social environment and maintained due to reinforcement or punishment. There were 127 adolescent males who participated in this study and were recruited through an online survey system. Results of the study show that …

Factors Associated With Racial And Ethnic Minority Youths' Mental Health Help-Seeking At School, Sam Allouche

LSU Doctoral Dissertations

Despite the high prevalence and associated consequences of mental health problems in youth, adolescents with these problems are often left untreated. This service gap is even greater in racial and ethnic minority youth who not only engage in treatment less frequently, but also experience far greater discrimination and systemic inequality than non-ethnic or racial minority students; factors further contributing to a need for service. Schools may provide an ideal location to treat mental health problems in youth, in part because schools eliminate structural barriers, but also because school staff have an opportunity to observe students across a range of functioning. …

Characterizing And Predicting Canadian Adolescents’ Internalizing Symptoms In The First Year Of The Covid-19 Pandemic, Haley Elizabeth Green

Electronic Thesis and Dissertation Repository

Most studies of adolescents’ internalizing symptoms during the COVID-19 pandemic have included few data waves, limiting long-term conclusions about adolescents’ mental health during the pandemic. Collecting only a few waves of data precludes examination of intraindividual symptom variability, which may have implications for adjustment beyond mean symptoms. We characterized mean n = 192 adolescents’ internalizing symptoms from March 2020-April 2021 and used mixed effect location scale models to examine established risk factors as predictors of mean trends and intraindividual variability in adolescents’ internalizing symptoms. Adolescents’ symptoms were relatively stable and low over the first year of the pandemic; severity peaked …

Evaluating The Moderating Effect Of Gender On Adolescents’ Internalizing Symptoms Throughout The First Wave Of Covid-19, Naomi C. Curran

Lawrence University Honors Projects

In 2020, the COVID-19 pandemic sent adolescents home to shelter-in-place in relative social isolation, potentially disrupting support networks, and compromising youth mental health. This may particularly impact already vulnerable groups, such as girls and transgender/gender diverse (TGD) adolescents, who experience a greater risk for depression and anxiety disorders than their peers. The present study investigated the moderating effect of gender on adolescents’ internalizing symptoms throughout the first wave of COVID-19. I hypothesized that the onset of the pandemic would increase TGD adolescents’ internalizing symptoms to a greater degree than their cisgender peers, and girls’ internalizing symptoms more than boys’. Data …

Minority Stress: A Model For Understanding Sexual Minority Adolescents’ Mental Health, Sean N. Weeks

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Taken together, the three papers included in this dissertation offer an investigation of sexual minority adolescents’ stress as a predictor of adverse mental health outcomes (Paper 1), as being influenced by school and home climates (Paper 2), and as a measurable model for stress across levels (Paper 3). Results from this series of studies generally support theory and findings from other studies in that minority stress was found to be a meaningful predictor of mental health in sexual minority youth and that school and home climates were found to be important for understanding sexual minority youth wellbeing. However, the current …