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Mothers Know Best: Guidance For Healthcare Providers On Early Identification Of Perinatal Mental Health Disorders, Klarissa I. Garcia Orellana

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Introduction: The perinatal period has been associated with an increased risk of developing psychiatric disorders among women. Perinatal mental health disorders (PMHD) are highly prevalent, yet highly underrecognized and untreated. The involvement of medical providers, especially obstetrics/gynecology and pediatric providers, in the early identification of PMHD is critical to ensure women with PMHD receive appropriate supports. However, providers lack the education, training, and ability to identify and screen for PMHD as well as the knowledge of appropriate referrals. Objective: This study explores the existing issues with healthcare providers’ early identification practices of PMHD from the perspective of ten mothers and …

How 6-12th Grade Staff Support Students With Depression: A Pilot Study To Develop Measures Of Implicit Associations, Explicit Attitudes And Helping Behavior, Paul M. Thompson

Electronic Theses and Dissertations

Students with emotional disabilities are disproportionately suspended and expelled in K-12 schools. Attribution theory suggests individuals are less likely to provide assistance to others if they believe the individuals are responsible for their own difficulties. To test attribution theory, this study created new measures of explicit attitudes and implicit associations of licensed 6-12th grade staff regarding students with depression as well as a helping behavior measure of staff toward students with depression. The survey was distributed within a single school district in the western United States. A majority of the sample (N = 52) held a mental health license (60%), …

Social Support Satisfaction As A Protective Factor For Postpartum Maternal Distress, Amy-Lynn Elisabeth Anderson

Electronic Theses and Dissertations

Social support has been identified as a protective factor for postpartum maternal distress, a prevalent women's health issue, and most research focuses on the amount of support women receive. However, research in this area has failed to explore whether increasing satisfaction with social support may be a worthwhile approach to alleviating postpartum maternal distress, beyond increasing amounts. There is also little known regarding specific aspects of support, like satisfaction with emotional and instrumental support, that might lead to differences in postpartum distress outcomes. In this prospective, longitudinal study, we hypothesized that greater social support satisfaction will be associated with less …

An Exploratory Study Of Session Limited Models Of Therapy Outcomes In An Employee Assistance Program, Ivy C. Donaldson

Electronic Theses and Dissertations

Employee Assistance Programs (EAPs) have grown increasingly popular over recent years. The prevalence of organizations utilizing and investing in EAP services for their employees has grown; however, companies that purchase EAPs are not well-informed as to which session-models are most effective for various diagnoses. The current study is the first to explore treatment outcomes of session-limited models (measured by Therapist Perception of Change, TPC) for diagnoses (anxiety and depression) in an EAP delivery system. Outcomes were measured by TPC ratings including: a) Regressed, b) remained at Baseline, c) Improved, and d) issue was Resolved. Analyses (Chi-Square and =t-test) were used …

Recommendations For Developing Video Games To Address Depression Among College Students, John Bodycombe

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Depression is a significant problem on college campuses, and the data shows that prevalence is on the rise (The National Survey on Drug Use and Health [NSDUH], 2014; Stewart, Ricci, Chee, Hahn, & Morgenstein, 2003). Depression impacts the well-being of students and puts them at risk for a variety of issues (Leach, 2009; Adams, Wharton, Quilter, & Hirsch, 2008; Serras, Saules, Cranford, & Eisenberg, 2010; Cranford, Eisenberg, & Serras, 2009; Weitzman, 2004). Many students with depression do not receive care (Blanco, Okuda, Wright, Hasin, Grant, Liu, & Olfson, 20008; Eisenburg and Chung, 2012), or receive care that is not minimally …

Biased Attentional Processing For Negative Emotion And Youth Internalizing Psychopathology: The Role Of Attentional Control Deficits, Lauren Darlene Gulley

Electronic Theses and Dissertations

Biased attention for salient negative emotional stimuli is a proposed cognitive mechanism of internalizing disorders, namely depression and anxiety. Previous studies have demonstrated biases in bottom-up, stimulus-driven attentional systems, as well as top-down, goal-oriented attentional systems, in the context of negative emotion. However, the underlying cognitive mechanisms that drive these biases, such as attentional control deficits, are not well understood. Furthermore, given the high degree of conceptual and empirical overlap between depression and anxiety, it is unclear how biased attention might relate to constructs common across both disorders, such as general distress, versus what is specific to each disorder. The …

Meta-Analyses Of The Relationship Between Depression And Nine Dimensions Of Perfectionism, Gabriel Lynn Hottinger

Electronic Theses and Dissertations

Perfectionism has been shown to be related to depression, but perfectionism is multidimensional. Some dimensions are related to positive psychological characteristics and outcomes and other dimensions are related to negative psychological characteristics and outcomes. This study reports results of nine meta-analyses performed to investigate the association between each of nine subscales of perfectionism and depression to determine which dimensions of perfectionism are most strongly associated with depression. The two subscales that were used from the Hewitt and Flett (1991b) Multidimensional Perfectionism scale were Self-Oriented Perfectionism (SOP) and Socially-Prescribed Perfectionism (SPP). The five subscales that were used from the Frost et …

Development Of Cognitive Vulnerability For Depression In Youth: Sex, Emotional Maltreatment, And Depression Predict Negative Cognitive Style, Jessica R. Technow

Electronic Theses and Dissertations

Hopelessness theory is a prominent cognitive theory of depression that has been shown to predict depression in youth. However, research has yet to elucidate normative mean-level development of the cognitive risk factor in hopelessness theory from childhood through adolescence. The current study utilized a multi-wave design and hierarchical linear modeling (HLM) analyses to examine mean-level negative cognitive style growth and stability in late childhood, early adolescence, and mid-late adolescence. Participant sex, emotional maltreatment, and major depression were also tested as predictors of negative cognitive style. For three years, youth (N = 681, ages 7-18 at baseline) were assessed every 1.5 …

“She Can Be A Superhero, But She Needs Her Day Off”: Exploring Discursive Constructions Of Motherhood And Depression In Emerging Adult Talk Surrounding Maternal Depression, Leah Seurer

Electronic Theses and Dissertations

Despite studies demonstrating the impact of health on the family and the family on members’ health, research exploring this intersection remains scant in both family communication and health communication. This study explores the nexus of health and family by examining constructions of motherhood and depression in emerging adult talk surrounding maternal depression. Using relational dialectics theory as the theoretical lens, the study examined talk collected in 36 one-on-one interviews with emerging adults asked to describe their experiences of having a mother with depression. Participant talk surrounding motherhood voiced two primary discourses of motherhood: (1) the discourse of real mother …

Examining The Relationship Among Genes, Attention Bias To Emotion, Depression In Youth, Jessica L. Jenness

Electronic Theses and Dissertations

The investigation of biologically initiated pathways to psychological disorder is critical to advance our understanding of mental illness. Research has suggested that attention bias to emotion may be an intermediate trait for depression associated with biologically plausible candidate genes, such as the serotonin transporter (5-HTTLPR) and catechol-o-methyl-transferase (COMT) genes, yet there have been mixed findings in regards to the precise direction of effects. The experience of recent stressful life events (SLEs) may be an important, yet currently unstudied, moderator of the relationship between genes and attention bias as SLEs have been associated with both gene expression and attention to emotion. …

The Impact Of Prefrontal Cortex "Warm Up" On Immediate Cognitive Reappraisal Ability In Older Adolescents With Elevated Symptoms Of Depression, Emma L. Peterson

Electronic Theses and Dissertations

Cognitive Reappraisal (CR) is a central component of Cognitive Behavioral Therapy for adolescent depression. Yet, previous research indicates that a brain region highly associated with successful CR in adults, the Prefrontal Cortex (PFC), is not fully developed until early adulthood. Thus, there is growing concern that CBT interventions directed at building CR abilities in depressed teens might be constrained by PFC immaturity. However, CR is an effective strategy for regulating affect. The current study evaluated an intervention aimed at enhancing CR performance through PFC “warm up” with a working memory task. Additionally, the study examined moderators of intervention response, as …

Development Of A Brief Screening Measure For Depression And Problem Drinking, Chris Wera

Electronic Theses and Dissertations

This study examined the psychometric characteristics of a brief assessment measure for screening for depression and alcohol use on a college campus prior to primary care medical office visits. The measure was adapted from two widely used measures: the Patient Health Questionnaire (PHQ-4) and the Alcohol Use Disorder Identification Test (AUDIT-C). Impulsivity, which has been associated with both depression and problematic alcohol use, was also examined through additional questions. The research study investigated the psychometric properties of the PHQ-4 and the AUDIT-C, and explored if eight impulsivity items from the UPPS-P measure could enhance screening for depression and problematic alcohol …

Parenting Influences On Depression: A Moderated Mediated Model, Caroline W. Oppenheimer

Electronic Theses and Dissertations

Little is known about the developmental processes through which parenting factors may influence clinical depression among youth. This study investigated whether parenting influences the onset of clinical depression through the mediating mechanism of negative attributional style, particularly under conditions of high stress, in a community sample of children and adolescents (N = 289). Results supported a moderated mediation model in which low levels of observed parent positive regard and sensitivity to distress during a youth stressor task were indirectly associated with an increased likelihood of experiencing an episode of depression over an 18 month period, through the mediating influence …

Acculturation, Marianismo Gender Role, And Ambivalent Sexism In Predicting Depression In Latinas, Andreana T. Jezzini

Electronic Theses and Dissertations

This study explores acculturation, the Latina gender role of marianismo, and ambivalent sexism in predicting depression in a community sample of Latinas. A review of existing literature regarding these variables reveals that all three constructs can be both risk factors as well as protective factors. Since marianismo and ambivalent sexism may share similar traits, both may be self-protective coping mechanisms by Latinas in the context of a patriarchal environment with structured gender roles and strong gender disparities. One hundred and thirteen adult Latina participants from various ancestries of origin were solicited from the community using an Internet survey tool. …

Emotion Processes In Cognitive Behavioral Therapy For Adolescent Depression, Patrice Siapno Crisostomo

Electronic Theses and Dissertations

Although cognitive behavioral therapy (CBT) is an efficacious treatment for adolescent depression, recent findings indicate that positive treatment effects are reduced among youth with a history of childhood interpersonal trauma (CIT). The processing of emotionally-difficult content has been previously emphasized in therapeutic models for the treatment of depression, as well as post-traumatic stress disorder. The present study evaluated the impact of emotion processes on treatment outcomes in two forms of psychotherapy (CBT and usual care treatment) for adolescent depression. This study observationally coded client emotional involvement, specifically during discussions of trauma-related content, as a potentially critical mechanism of change in …

Trauma-Focused Involvement In Psychotherapy: Relations With Therapeutic Alliance And Symptoms Of Post-Traumatic Stress Disorder, Tess Siler Simpson

Electronic Theses and Dissertations

Childhood trauma is a risk factor for a wide range of psychopathology and other damaging outcomes later in life (Cohen, Mannarino, Murray, & Igleman, 2006; Saunders, 2003). Among the many treatment models developed for maltreated youth and their families, both specific and non-specific therapeutic factors such as developing a trauma narrative (e.g., trauma self-disclosure) and forming a strong therapeutic alliance have been identified as ―active ingredients‖ that contribute to positive treatment outcome (Cohen & Mannarino, 1996a, 1998a; Friedrich, 1990). The current study used data from the Aurora-Adolescent Mood Project, a community based randomized controlled trial, which evaluated the effectiveness of …

Depression And Suicide Behavior Among College Students: Understanding The Moderator Effects Of Self-Esteem And Suicide Resilience, Canzi Wang

Electronic Theses and Dissertations

As suicide-related incidents on college campuses increase and receive intense media coverage and a growing percentage of college students experience suicide ideation and attempts, there is a desperate need for a more profound understanding of suicidality and its risk and protective factors among college populations. Recent years there has been a growing interest in the buffering effect of resilience on suicidality (Johnson, Wood, Gooding, Taylor, & Tarrier, 2011). This study adds to the suicide literature by exploring the relationship among depression, self-esteem, suicide resilience, and suicidality. Undergraduate students from a large university in the Western United States were asked to …

Ptsd, Depression, And Substance Abuse Symptoms In Women Exposed To Intimate Partner Abuse, Claire L. Hebenstreit

Electronic Theses and Dissertations

The present study explores relationships among several established correlates of trauma in women exposed to intimate partner abuse (IPA), including PTSD, depression, and dissociation symptoms as well as alcohol use as well as other trauma-related variables, such as social support and violence exposure. Two analysis methods were utilized: variable-oriented methods, which examine relationships between variables, and person-oriented analysis methods, which examine groupings of participants within a larger sample (N = 233). Results of the variable-oriented analyses indicated positive links among depression, PTSD, dissociation, and alcohol use in women exposed to IPA, as well as positive links between the aforementioned …

Attentional Processes Associated With Victimization History And Posttraumatic Symptomatology In Women Exposed To Intimate Partner Violence, Ryan B. Matlow

Electronic Theses and Dissertations

Exposure to intimate partner violence (IPV) puts women at risk for severe and chronic physical and mental health consequences, including elevations in IPV-related psychopathology and increased risk for future victimization. Previous research has examined attention as one of the key information processing mechanisms associated with elevated psychopathology and risk for victimization; however, the nature of attentional processing in response to IPV-related information in women exposed to IPV is poorly understood. Therefore, the current study aimed to further understanding of associations between attentional processing, IPV exposure, and related distress using measures of eye movement and subjective interpretations of IPV-related information. A …

The Influence Of Gender And Alcohol Use On Depressive Symptoms Among Men And Women, Elizabeth Anne Peters

Electronic Theses and Dissertations

This study investigated the extent to which gender influences self-reported prototypical and masculine-specific symptoms of depression in men and women and whether or not alcohol mediates this relationship. Secondly, this study evaluated the effectiveness of the Denver Comprehensive Depression Inventory (DCDI), in measuring prototypical and masculine-specific depressive symptoms in clinical and non-clinical samples of men and women.

This paper summarizes the literature on gender differences in depression and the assessment of depression and gender, and outlines the current research on masculine-specific depression. It is argued that current assessment instruments identify prototypical symptoms of depression, as outlined in the DSM-IV-TR, but …

Attrition In A Telephonic Intervention Program For Depressed, Low-Income Patients In A Primary Care Setting, Benjamin C. Salazar

Electronic Theses and Dissertations

Telemental health interventions are currently being implemented in primary care settings in order to reduce the cost of providing treatment and increase access to services of underserved groups. Studies of the efficacy of telemental health interventions have generally demonstrated high rates of attrition. Eysenbach (2005) suggested that the reality of high attrition rates in telemental health studies prompts further investigation into the factors related to attrition. Such research should focus on identifying the characteristics of clients who drop out of treatment and at what points such clients are likely to drop out. The purpose of this study was to identify …

Cognitive Reappraisal Ability As A Protective Factor: Resilience To Stress Across Time And Context, Allison S. Troy

Electronic Theses and Dissertations

Emotion regulation is crucially involved in individuals' psychological health. For example, the frequent use of cognitive reappraisal, or changing the way one thinks about an emotional event, is positively associated with psychological health. Recent cross-sectional findings have shown that the ability to use cognitive reappraisal (cognitive reappraisal ability; CRA) is associated with lower depression in the context of high stress. However, two important questions about CRA remain unexamined: 1) Does CRA predict long-term adjustment to stress? 2) Do the protective effects of CRA depend upon the type of stress encountered? To examine these questions, a community sample of men and …

Interpersonal Trauma, Posttraumatic Stress And Depression, Brennan J. Young

Electronic Theses and Dissertations

Dating aggression is common among emerging adults, and women who experience aggression from a dating partner are at risk for elevated depression and posttraumatic stress (Dutton et al., 2006). Although some women end their relationships as a result of aggression, other women remain committed to their partner, and aggression tends to escalate over time. The current study explored the role that depression and posttraumatic stress play in ending aggressive dating relationships as well as changes in these symptoms after ending such a relationship. The current study also sought to identify factors predictive of individual differences in emerging adults' commitment to …

Development Of A Men's Depression Inventory, Andrew Fields

Electronic Theses and Dissertations

This paper details the development of a scale to more accurately assess depression in men. It first summarizes the literature on depression, depression assessment, and current research on men and masculinity. It is argued that current conceptualizations of both depression and masculinity influence prevalence studies, which consistently find that men experience depression half as often as women. It is argued that an assessment measure that accounts for masculine variants of depression (substance use, anger, withdrawal, and emotional restriction) may identify more frequent depression in men than previously expected. Next, the paper details the development of a men's depression scale using …

The Impact Of Adherence To Traditional Masculine Gender Role Norms On Anger And Depression, Matthew Charles Genuchi

Electronic Theses and Dissertations

Large scale studies of the incidence and prevalence of psychological disorders have consistently shown that women meet full DSM-IV criteria for major depressive disorder at twice the rate of men (Kessler et al., 1994; Kessler et al., 2003; NCS-R, 2007; Robins & Reiger, 1991). Some have proposed (Cochran & Rabinowitz, 2000; Kilmartin, 2005; Pollack, 1998) that the current DSM-IV diagnostic criteria do not adequately reflect the depressive symptoms of some men. Men tend to use more externalizing defenses and distracting coping styles to manage negative affect, and anger is hypothesized as an externalizing symptom of a masculine variation of major …

Exploration Of The Meaning Of Depression Among Psychologists: A Quantitative And Qualitative Approach, Akira Murata

Electronic Theses and Dissertations

While depression is considered the most common mental illness regardless of age, gender, ethnicity, and socioeconomic status, compared to research on the general population, depression among psychologists has received little attention. However, as they are one of the major mental health care professionals, psychologists' mental health could greatly affect their clients' mental health, which raises competency and ethical concerns regarding their work as clinicians. In order to learn more about depression in this group, questionnaires were mailed to 800 randomly selected psychologists in the state of Colorado to examine the prevalence of depression among psychologists, how they dealt with their …

Role Of Perceived Partner Responsiveness On Mexican American Males' Pain Severity And Depressive Symptomatology, Carolyn M. Freedman

Electronic Theses and Dissertations

This study examined the role of cultural indicators in moderating the influence of perceived partner responses and relationship satisfaction on pain severity and depressive symptomatology among a sample of 62 married and cohabiting Mexican American men, the majority of whom were first generation Mexican Americans, with chronic back and/or neck pain. The cultural indicators were not found to act as moderators in the analyses that involved pain severity and depressive symptomatology as outcome variables. Nevertheless, this study's findings are an important initial step in understanding the relationship dynamics among an understudied population with chronic pain and raise many important questions …