Digital Commons Network^™

Perceptions Of Disabilities Among Native Americans Within The State Of Utah, Erica Ficklin, Melissa Tehee, Sherry Marx, Eduardo Ortiz, Megan E. Golson, Tyus Roanhorse

Psychology Student Research

Currently, little research exists on disabilities among Native American communities and no research exists on how Native Americans perceive disabilities, services currently available, and unmet needs. Understanding these key areas is essential to providing efficacious and culturally relevant care. To address this gap in the literature, we used Indigenous research methodology through sharing circles throughout the state of Utah to listen and amplify the voices of the Native communities. Participants shared how they conceptualize "disability," what they thought of current services, and how they thought the needs of Native persons with disabilities should be addressed. Four major themes emerged in …

A Systematic Review And Meta-Analysis Of Self-Guided Online Acceptance And Commitment Therapy As A Transdiagnostic Self-Help Intervention, Korena S. Klimczak, Guadalupe G. San Miguel, Miriam N. Mukasa, Michael P. Twohig, Michael E. Levin

Psychology Student Research

Online Acceptance and Commitment Therapy (ACT) interventions use websites and smartphone apps to deliver ACT exercises and skills. The present meta-analysis provides a comprehensive review of online ACT self-help interventions, characterizing the programs that have been studied (e.g. platform, length, content) and analyzing their efficacy. A transdiagnostic approach was taken, including studies that addressed a range of targeted problems and populations. Multi-level meta-analyses were used to nest multiple measures of a single construct within their respective studies. A total of 53 randomized controlled trials were included (n = 10,730). Online ACT produced significantly greater outcomes than waitlist controls at …

Emotional Support Animal Partnerships: Behavior, Welfare, And Clinical Involvement, Jillian Ferrell, Susan L. Crowley

Psychology Student Research

The present study gathered information about the characteristics of individuals and dogs in Emotional Support Animal (ESA) partnerships, instances of service-animal misrepresentation, animal welfare and behavior, dimensions of bond quality, and health professional involvement. Seventy-seven adults (53 female, 24 male) with a canine ESA were surveyed via Qualtrics panel services. Data were analyzed for descriptive data, as well as correlational analyses among variables. Participants reported high frequencies of misrepresentation of emotional support animals, access law violations, and problematic instances including ESAs with a history of aggression and times when participants were unable to care for their dog. The majority of …

School-Based Acceptance And Commitment Therapy For Adolescents With Anxiety: A Pilot Trial, Julie M. Petersen, Carter H. Davis, Tyler L. Renshaw, Michael E. Levin, Michael P. Twohig

Psychology Student Research

Anxiety disorders are one of the most prevalent diagnoses in youth, often resulting in impaired social and school functioning. Research on treatments for youth anxiety is primarily based in traditional clinical settings. However, integrating youth psychotherapies into the school environment improves access to evidence-based care. The present study is a pilot, randomized waitlist-controlled trial of a school-based, group acceptance and commitment therapy-based (ACT) intervention for adolescents with anxiety. Students at two separate schools (N = 26) with elevated anxiety were randomized to a 12-week waitlist or to immediate treatment. Participants in the immediate treatment condition reported statistically significant decreases …

Moderators And Predictors In A Parent Hearing Aid Management Ehealth Program, Guadalupe G. San Miguel, Karen F. Muñoz, Tyson Barrett, Michael P. Twohig

Psychology Student Research

Objective: Consistent hearing-aid use is essential for spoken language development of children who are hard of hearing. A recent randomized controlled trial of an eHealth hearing aid management education program found the intervention increased knowledge, perceptions, confidence, and device monitoring among parents of young children. Yet, it is not known which variables can be a point of emphasis to improve treatment outcomes. The purpose of this study was to investigate potential moderators and predictors in the eHealth program.

Design: Randomized controlled trial

Study Sample: Parents (N=78) of children (42 months or younger) were randomized to the intervention or treatment-as-usual (TAU) …

Event-Related Correlates Of Evolving Trust Evaluations, Ariel W. Snowden, Allison S. Hancock, Catalin V. Buhusi, Christopher M. Warren

Psychology Student Research

Accurate decisions about whether to trust someone are critical for adaptive social behavior. Previous research into trustworthiness decisions about face stimuli have focused on individuals. Here, decisions about groups of people are made cumulatively on the basis of sequences of faces. Participants chose to either increase or withdraw an initial investment in mock companies based on how trustworthy the company representatives (face stimuli) appeared. Companies were formed using participant trust ratings from the previous week, to create strong trustworthy, weak trustworthy, weak untrustworthy, and strong untrustworthy companies. Participants made faster, more accurate decisions for companies carrying stronger evidence (e.g., faces …

Examining A Mediation Model Of Body Image-Related Cognitive Fusion, Intuitive Eating, And Eating Disorder Symptom Severity In A Clinical Sample, Jennifer L. Barney, Tyson S. Barrett, Tera Lensegrav-Benson, Benita Quakenbush, Michael P. Twohig

Psychology Student Research

Purpose: This study sought to explore the associations between Intuitive Eating (IE), eating disorder (ED) symptom severity, and body image-related cognitive fusion within a clinical sample. IE was also examined as a possible mediator in the relationship between body image-related fusion and ED symptoms.

Methods: This study includes cross-sectional analyses with data from 100 adult females and 75 adolescent females seeking residential treatment for an ED. Self-reported demographic information, ED symptoms, IE behaviors, and body image-related cognitive fusion were collected from participants within the first week of treatment following admission to the same residential ED treatment facility.

Results: …

Everyday Positive Identity Experiences Of Spiritual And Religious Lgbtq+ Bipoc, Elizabeth Grace Wong, Renee V. Galliher, Hay Pradell, Tyus Roanhorse, Hanna Huenemann

Psychology Student Research

This study examines the everyday positive identity of spiritual/religious lesbian, gay, bisexual, transgender, queer (LGBTQ+), Black, Indigenous, People of Color (BIPOC). By enriching our knowledge about the positive developmental processes (e.g., strengths, resilience, protective factors) that multiply marginalized and underrepresented populations employ to navigate their identity, we can better understand the impact and dynamics of systemic oppression on an individual’s expression and development of self. Ten individuals from Canada and the US provided diarized voice entries to a daily prompt in an experience sampling method (ESM). We analyzed voice clip entries collected over a period of two to four weeks …

Effects Of Cognitive Restructuring And Defusion For Coping With Difficult Thoughts In A Predominantly White Female College Student Sample, Jennifer Krafft, Korena S. Klimczak, Michael E. Levin

Psychology Student Research

Background: Understanding how cognitive processes are naturally used by untrained individuals in the moment to cope with difficult thoughts may help inform effective and efficient interventions.

Methods: This study investigated self-reported naturalistic use of two evidence-based processes, cognitive restructuring and cognitive defusion, in an untrained, predominantly White female college student sample (n = 194) through ecological momentary assessments over seven days.

Results: Cognitive restructuring and defusion had a large positive relationship. Both processes were also positively associated with increased momentary use of suppression and distraction. Only momentary defusion was associated with decreased rumination and negative affect at the same timepoint, …

The Role Of Psychological Inflexibility And Perspective Taking In Anti-Racism And Anti-Sexism, Carter Davis, Jennifer Krafft, Elizabeth Tish Hicks, Michael E. Levin

Psychology Student Research

Racism and sexism are pervasive forms of discrimination that cause significant individual and societal burden.Understanding manipulable psychological processes that contribute to these modes of discrimination would aid in developing anti-prejudice interventions that target them. Psychological flexibility has been proposed as a potential tool in combating prejudice by modifying one’s relationship with unwanted or automatic prejudicial thoughts, in addition to the ability to take the perspective of marginalized groups. A survey assessing psychological inflexibility and perspective taking along with anti-racist/anti-sexist attitudes and behaviors was administered to a sample of 395 undergraduate students. Perspective taking predicted anti-racist/anti-sexist behaviors above and beyond their …

Preliminary Findings On Processes Of Change And Moderators For Cognitive Defusion And Restructuring Delivered Through Mobile Apps, Michael E. Levin, Jennifer Krafft, Woolee An, Clarissa W. Ong, Michael P. Twohig

Psychology Student Research

A process-based therapy approach emphasizes examining how and for whom specific therapeutic components linked to specific processes of change function. This preliminary study explored the processes of change for cognitive defusion and restructuring with daily ratings of self-criticism from a larger component trial as well as self-compassion as a moderator of these daily effects. A sample of 51 adults high in self-criticism (M age = 22.69, 78% female, 88% non-Hispanic White) were randomized to a cognitive defusion or restructuring mobile app for two weeks and completed daily assessments. Both conditions improved over time on daily frequency, defused noticing, challenging, …

Is Perfectionism Always Unhealthy? Examining The Moderating Effects Of Psychological Flexibility And Self-Compassion, Clarissa W. Ong, Eric B. Lee, Julie M. Petersen, Michael E. Levin, Michael P. Twohig

Psychology Student Research

Objectives: Perfectionism is generally associated with worse mental health outcomes, though evidence suggests elements of it might be helpful. In light of these findings, we examined whether psychological skills like psychological flexibility and self-compassion moderated the relationship between perfectionism and wellbeing (i.e., quality of life, symptom impairment, and psychological distress).

Methods: Undergraduate students (N= 677) completed self-report measures.

Results: A latent profile analysis identified three perfectionism groups (low, average, high) based on four perfectionism subscales: concern over mistakes, need for approval, rumination, and striving for excellence. Generally, we found that psychological flexibility and/or self-compassion buffered the impact of average and …

An Open Trial Of Group Acceptance And Commitment Therapy (Act) With An Adjunctive Mobile App For Generalized Anxiety Disorder (Gad), Jennifer Krafft, Clarissa W. Ong, Carter H. Davis, Julie M. Petersen, Michael E. Levin, Michael P. Twohig

Psychology Student Research

Generalized anxiety disorder (GAD) is a common and debilitating condition. Effective treatments exist, but they are time-and resource-intensive. This study tested the initial efficacy and acceptability of a novel treatment protocol designed to increase efficiency: acceptance and commitment therapy (ACT) taught in groups and through an adjunctive mobile app. Participants were 21 individuals with GAD who received six weeks of 2-hour group ACT sessions as well as access to an adjunctive ACT mobile app. Significant improvements occurred in worry, anxiety, social functioning, and depression as well as relevant processes (psychological inflexibility, anxiety-related cognitive fusion). In-the-moment improvements were also observed in …

Examining The Feasibility And Effectiveness Of Online Acceptance And Commitment Therapy Self-Help In A Quasi-Stepped Care Model: A Pilot Study, Clarissa W. Ong, Carina L. Terry, Michael Levin, Michael P. Twohig

Psychology Student Research

The global burden of mental illness and limited resources make increasing the efficiency of available mental healthcare resources especially crucial. One way this can be done is a stepped care approach to treatment. To test the viability of using internet-based self-help in a stepped care model, we examined the feasibility, acceptability, and effectiveness of an online self-help acceptance and commitment (ACT) program prior to starting in-person therapy at a university community clinic (N = 51). Online program acceptability was at least moderate. There was clinically significant change in 75.9 to 79.3% and reliable change in 31.0 to 100% of …

Neural Efficiency And Spatial Task Difficulty: A Road Forward To Mapping Students' Neural Engagement In Spatial Cognition, Ariel W. Snowden, Christopher M. Warren, Wade H. Goodridge, Ning Fang

Psychology Student Research

The current study examined the neural correlates of spatial rotation in eight engineering undergraduates. Mastering engineering graphics requires students to mentally visualize in 3D and mentally rotate parts when developing 2D drawings. Students’ spatial rotation skills play a significant role in learning and mastering engineering graphics. Traditionally, the assessment of students’ spatial skills involves no measurements of neural activity during student performance of spatial rotation tasks. We used electroencephalography (EEG) to record neural activity while students performed the Revised Purdue Spatial Visualization Test: Visualization of Rotations (Revised PSVT:R). The two main objectives were to 1) determine whether high versus low …

Ehealth Parent Education For Hearing Aid Management: A Pilot Randomized Controlled Trial, Karen F. Muñoz, Guadalupe G. San Miguel, Tyson S. Barrett, Courtney Kasin, Kelsey Baughman, Bailey Reynolds, Caitlyn Ritter, Makynzie Larsen, John J. Whicker, Michael P. Twohig

Psychology Student Research

Objective: Parents frequently experience challenges implementing daily routines important for consistent hearing aid management. Education that supports parents in learning new information and gaining confidence is essential for intervention success. We conducted a pilot study to test an eHealth program to determine if we could implement the program with adherence and affect important behavioral outcomes compared to treatment as usual.

Design: Randomized controlled trial

Study sample: Parents of children birth to 42 months who use hearing aids. Eighty-two parents were randomly assigned to the intervention or treatment-as-usual group. Four parents assigned to the intervention group did not continue after baseline …

Weight-Related Psychological Inflexibility As A Mediator Between Weight Self-Stigma And Health-Related Outcomes, Julie M. Petersen, Carrie Durward, Michael Levin

Psychology Student Research

Weight self-stigma, the internalization of negative societal stereotypes, is a problem amongst populations with high weight. Weight self-stigma is associated with psychological inflexibility and maladaptive health-related behaviors. In this study, we explore how weight-related psychological inflexibility may influence weight self-stigma and health-related outcomes in 79 adults with high weight. Participants were primarily white (92.4%) and female (82.3%), with an average age of 39.56 and average body mass index of 33.78. The present study uses baseline, self-report data from a larger trial. Results indicate that weight self-stigma was negatively correlated with maladaptive eating behaviors, weight, and mental health. Weight-related psychological inflexibility …

Integrating Storytelling Into The Theory And Practice Of Contextual Behavioral Science, Carter H. Davis, Brandon A. Gaudiano, Louise Mchugh, Michael E. Levin

Psychology Student Research

The practice of generating and interpreting stories can be examined through a behavioral lens and has many potential implications for clinical practice. However, storytelling has for the most part yet to be integrated into the field of contextual behavioral science (CBS). A bedrock of human culture, storytelling has influenced both individual behavior and intergroup cooperation for millennia. Basic principles of relational frame theory, such as those pertaining to coherence, perspective-taking, and the transformation of stimulus function, may help to reveal how stories derive their psychological impact. In turn, understanding storytelling from a CBS perspective can facilitate the broader integration of …

A Systematic Review And Psychometric Evaluation Of Self-Report Measures For Hoarding Disorder, Clarissa W. Ong, Jennifer Krafft, Michael E. Levin, Michael P. Twohig

Psychology Student Research

Background: Hoarding disorder (HD) affects approximately 2.5% of the general population, leads to significant distress and impairment, and is notoriously difficult to treat. The crux of developing effective treatments for HD is our ability to reliably and validly measure relevant constructs in HD to better understand its presentation and, subsequently, formulate appropriate interventions.

Methods: We identified measures specific to HD and evaluated their psychometric properties using rating criteria formulated by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) group.

Results: The 17 included measures were developed to assess adult and pediatric hoarding severity, functional impairment, and maladaptive …

Confirmatory Factor Analysis And Measurement Invariance Of The Cognitive Fusion Questionnaire-Body Image In A Clinical Eating Disorder Sample, Jennifer L. Barney, Tyson S. Barrett, Tera Lensegrav-Benson, Benita Quakenbush, Michael P. Twohig

Psychology Student Research

Individuals with eating disorders (EDs) may be particularly susceptible to body image related cognitive fusion(i.e., excessive entanglement with one’s body image related thoughts such that they unduly influence on behavior). The Cognitive Fusion Questionnaire-Body Image (CFQ-BI) is the only existing measure of this construct, yet its psychometric properties have not been examined within a clinically diagnosed ED sample. The current study used confirmatory factor analysis and explored measurement invariance, construct validity, and incremental validity of the CFQ-BI when used with adolescent (n = 75) and adult (n= 100) females admitting to residential ED treatment. A modified version of the single-factor …

Does The Cognitive Fusion Questionnaire Measure More Than Frequency Of Negative Thoughts?, Jennifer Krafft, Michael E. Levin

Psychology Student Research

Cognitive fusion is a psychopathological process that appears to be relevant to a wide range of disorders. This process is frequently measured with the Cognitive Fusion Questionnaire (CFQ). However, the construct validity of similar measures has been criticized for substantial overlap with distress. It is possible the CFQ may excessively measure the presence of unwanted thoughts, rather than fusion per se. Therefore, this study examined the discriminant validity of the CFQ relative to a measure of automatic negative thoughts (the Automatic Thoughts Questionnaire) in a college student sample (n = 389). While the two measures were highly correlated (ρ …

A Randomized Controlled Trial Of Online Acceptance And Commitment Therapy To Improve Diet And Physical Activity Among Adults Who Are Overweight/Obese, Michael E. Levin, Julie M. Petersen, Carrie Durward, Brittany Bingeman, Elizabeth Davis, Cindy Nelson, Shannon Cromwell

Psychology Student Research

Background: Acceptance and commitment therapy (ACT) has shown benefit for improving diet, physical activity, and weight among adults who are overweight and obese. However, research to date in this area has primarily evaluated ACT delivered through in-person interventions, which has more limited access relative to online formats. Purpose: The present study evaluated an online guided self-help program that integrated ACT with nutrition education to improve healthy eating and physical activity. Methods: A sample of 79 adults who were overweight/obese were randomized to receive the 8-week ACT on Health program plus weekly phone coaching or to a waitlist. Results: Participants completed …

Evaluating The Effects Of Guided Coaching Calls On Engagement And Outcomes For Online Acceptance And Commitment Therapy, Michael E. Levin, Jennifer Krafft, Carter Davis, Michael P. Twohig

Psychology Student Research

Previous research indicates mixed results for guided support with interventions. The current secondary analysis evaluated the effects of phone coaching from a dismantling trial of online acceptance and commitment therapy (ACT) in a sample of 136 distressed college students randomized to one of three versions of an ACT website. Participants were randomized to receive email prompts alone (non-coaching condition) or email plus phone coaching (coaching condition). Results indicated no differences between the coaching and non-coaching conditions on program engagement, program satisfaction, mental health outcomes, and almost all psychological flexibility processes. However, participants in the coaching condition reported stronger pre- to …

A Pilot Randomized Controlled Trial Of Acceptance And Commitment Therapy Guided Self-Help For Overweight And Obese Adults High In Weight Self-Stigma, Sarah Ann Potts, Jennifer Krafft, Michael E. Levin

Psychology Student Research

Weight self-stigma, in which individuals internalize stigmatizing messages about weight, is a prevalent problem that contributes to poor quality of life and health. This pilot randomized controlled trial evaluated acceptance and commitment therapy (ACT) guided self-help using The Diet Trap (Lillis, Dahl, & Weineland, 2014) for 55 overweight/obese adults high in weight self-stigma. Participants were randomized to the ACT self-help book plus phone coaching (GSH-P; n=17), self-help book plus email prompts only (GSH-E; n=20), or a waitlist condition (n=18), with online self-report assessments at baseline and posttreatment (8 weeks later). Participants reported high satisfaction ratings and engagement with the ACT …

Advancing Civility In Middle Schools, Melanie Domenech Rodriguez, Lesther A. Papa, Alexander Reveles, Samantha M. Corralejo

Psychology Student Research

No abstract provided.

Advancing Civility In Elementary Schools, Melanie Domenech Rodriguez, Lesther A. Papa, Alexander Reveles, Samantha M. Corralejo

Psychology Student Research

No abstract provided.

An Investigation Of Factors That Influence Acceptability Of Parent Training, Trisha M. Chase, Gretchen Gimpel Peacock

Psychology Student Research

Parent training is an effective intervention for parents of children with a variety of childhood disorders, including conduct problems, and parents often view behavioral parent training as acceptable. Explanations and rationales for parent training are commonly provided at the beginning of treatment. The purpose of this study was to determine whether changing the description of a behavioral parenting intervention influenced parents’ acceptability ratings and whether mothers and fathers differed in their ratings. There were 78 participants (39 mother-father dyads) in this study. Participants viewed one of two descriptions of parent training that focused on either addressing deficits in parenting skills …

Pain Acceptance Potentially Mediates The Relationship Between Pain Catastrophizing And Post-Surgery Outcomes Among Compensated Lumbar Fusion Patients, Cassie Dance, M. Scott Deberard, Jessica Gundy Cuneo

Psychology Student Research

Purpose: Chronic low back pain is highly prevalent and often treatment recalcitrant condition, particularly among workers’ compensation patients. There is a need to identify psychological factors that may predispose such patients to pain chronicity. The primary aim of this study was to examine whether pain acceptance potentially mediated the relationship between pain catastrophizing and post-surgical outcomes in a sample of compensated lumbar fusion patients.
Patients and methods: Patients insured with the Workers Compensation Fund of Utah and who were at least 2 years post-lumbar fusion surgery completed an outcome survey. These data were obtained from a prior retrospective-cohort study that …