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Perceived Barriers And Facilitators To Mental And Behavioral Health Screening And Treatment In Primary Care For Women In Northeast Tennessee, Sarah K. Hill
Electronic Theses and Dissertations
Between one quarter and one third of all primary care patients meet criteria for at least one mental disorder. However, many women are not screened for mental disorders as recommended by the literature. Some studies suggest even lower rates of screening and treatment in rural areas. This researcher sought to identify barriers and facilitators to mental and behavioral health screening and treatment for women in primary care and solicit feedback on how to ameliorate perceived barriers. Given the limited extant data describing rural Appalachian women’s perceptions of barriers and facilitators to receiving mental health services an exploratory qualitative analysis was …
Actively Caring About The Actively Caring Survey: Evaluating The Reliability And Validity Of A Measure Of Dispositional Altruism, Philip Randall
Actively Caring About The Actively Caring Survey: Evaluating The Reliability And Validity Of A Measure Of Dispositional Altruism, Philip Randall
Electronic Theses and Dissertations
Geller’s Actively Caring Survey (ACS) was theorized to measure person states deemed necessary to “Actively Care” or act altruistically toward others. Empirical research of the ACS has been limited, and this researcher sought to evaluate its reliability, validity, and factorial consistency. Undergraduate students (n = 1,095) completed the measure online. Hypotheses were partially supported. Unrotated primary component analysis found the ACS to be a unitary measure with 73.3% of the items loading onto the first factor. The ACS showed excellent internal consistency. Convergent and divergent validity with existing measures (i.e., the Big 5 Personality, Marlowe-Crowne Social Desirability, Cognitive Failures …
Who Done It? Rurality Vs. Ses As Critical Factors In Evaluating The Prevalence Of Child Psychosocial Concerns In Primary Care, Robert M. Tolliver
Who Done It? Rurality Vs. Ses As Critical Factors In Evaluating The Prevalence Of Child Psychosocial Concerns In Primary Care, Robert M. Tolliver
Electronic Theses and Dissertations
The purpose of this study was to evaluate the prevalence of child psychosocial concerns in rural primary care, hypothesized to be greater than national averages due to lacking mental health services in rural areas. This study was an examination of the role of SES, various definitions of “rural,” and the interaction of SES and rurality, in predicting parent-reported child psychosocial concerns in Appalachian primary care clinics. Caregivers presenting with their child at one of 8 pediatric primary care sites (n=2,672) were recruited to complete a measure assessing demographics and the Pediatric Symptom Checklist (PSC). Results showed that while rural status …
Barriers To Membership In The American Dental Hygienists’ Association In The State Of Georgia, Brandy Henderson
Barriers To Membership In The American Dental Hygienists’ Association In The State Of Georgia, Brandy Henderson
Electronic Theses and Dissertations
Professional associations must have a significant level of membership to be effective. Georgia membership is increasingly low; therefore, ADHA cannot represent dental hygienists’ interests. This study determined factors that caused dental hygienists to continue to forgo membership in the ADHA. Several theoretical views of professional membership were considered. The sample was acquired from an unbiased systematic sampling of 50% (3,270) of registered dental hygienists and a convenience sampling of ADHA nonmembers at 2 continuing education seminars in Georgia. Data collection procedures included an electronic cover letter, consent form, and survey via Survey Monkey or hard copies for seminars. Three hundred …
Technology Use In Rural Appalachia: A Pilot Study Of The Implications For Pediatric Behavioral Health, Courtney E. Lilly
Technology Use In Rural Appalachia: A Pilot Study Of The Implications For Pediatric Behavioral Health, Courtney E. Lilly
Electronic Theses and Dissertations
Technology is a promising means for increasing rural individuals’ access to behavioral healthcare. However, the range of technology use in rural areas is currently unknown. The aims of this study were to examine the use of technology in rural areas, the relationship between technology use and willingness to access pediatric mental health services via videoconferencing, and this relationship within the context of other critical variables linked to service uptake. Data were collected at 2 pediatric primary care clinics. While no significant relationship was found between technology use and willingness to use videoconferencing, a significant relationship emerged between previous service seeking …
Methylphenidate Conditioned Place Preference In Juvenile And Adolescent Male And Female Rats, Elizabeth D. Freeman
Methylphenidate Conditioned Place Preference In Juvenile And Adolescent Male And Female Rats, Elizabeth D. Freeman
Electronic Theses and Dissertations
This investigation was an analysis of the effects of methylphenidate (MPH; trade name: Ritalin) on drug reward using the conditioned place preference (CPP) behavioral paradigm in a rodent model and underlying mechanisms of this effect. Animals were conditioned in adolescence from postnatal day (P)33-39) or P44-49 with saline, 1 or 5 mg/kg MPH. Rats administered 5 mg/kg but not 1 mg/kg MPH, resulted in a significant preference that was more robust in younger male adolescent rats. The 5 mg/kg dose of MPH also resulted in a significant decrease of the dopamine transporter in both the nucleus accumbens and striatum, revealing …
Comparison Of Temperamental Rating Bilingually In Ukraine Using Child Behavioral Questionnaire (Cbq): Short Form, Nelly Ostrovsky
Comparison Of Temperamental Rating Bilingually In Ukraine Using Child Behavioral Questionnaire (Cbq): Short Form, Nelly Ostrovsky
Electronic Theses and Dissertations
The 2 goals of the present investigation were to 1) examine the reliability of the Children’s Behavior Questionnaire: Short Form (CBQ) in a sample of 4-7 year-old children from the Ukraine and 2) compare those children’s temperament profiles to a) one another when the form was administered in 2 different languages and b) their American counterparts from the CBQ standardization sample. Three waves of data were collected from the parents of 167 children residing in Kiev, Ukraine. Internal reliability analyses showed good internal consistency of the instrument. Comparative analyses conducted both within and between cultures showed similarities and differences across …
Can Self-Compassion Be Induced To Reduce Sexual Minority Stigma And Protect Psychological Functioning?, Sheri Chandler
Can Self-Compassion Be Induced To Reduce Sexual Minority Stigma And Protect Psychological Functioning?, Sheri Chandler
Electronic Theses and Dissertations
Sexual minorities must deal daily with their stigmatized identities. Specifically, depression and anxiety as well as psychological distress and self-stigma are common among people with stigmatized identities. Self-compassion has been linked to enhanced psychological well-being and less negative feelings toward the self. The aim of this study was to investigate selfcompassion as a potential buffer of the effects of sexual minority related rejection experiences on self-perceptions of stigma and psychological symptoms. Participants were randomly assigned to a self-compassion induction group versus 1 of 3 control groups (self-esteem only induction; expressive writing condition; true control) to examine whether self-compassion can be …
Empathy And Threatened Egotism In Men’S Use Of Violence In Intimate Relationships, Jessica H. Turner
Empathy And Threatened Egotism In Men’S Use Of Violence In Intimate Relationships, Jessica H. Turner
Electronic Theses and Dissertations
The current study was undertaken to explore the relationship between self-esteem, narcissism, and empathy with intimate partner violence perpetration among men in 2 samples: college students and inmates. The sample was analyzed both as an aggregate and separately. A negative relationship was hypothesized between intimate violence perpetration and both self-esteem and empathy. A positive relationship was expected between intimate violence perpetration and narcissism. A 2-way interaction was examined between self-esteem and narcissism as a test of threatened egotism, defined as high self-esteem coupled with high narcissism, which was not expected in the current study. Empathy was hypothesized to moderate the …
Therapists' Attitudes Toward Forgiveness: The Relationship Between Forgiveness Conceptualizations And Predicted Likelihood To Assist Clients To Forgive During Treatment, Cameron F. Cannon
Therapists' Attitudes Toward Forgiveness: The Relationship Between Forgiveness Conceptualizations And Predicted Likelihood To Assist Clients To Forgive During Treatment, Cameron F. Cannon
Electronic Theses and Dissertations
Research supports the use of forgiveness in psychotherapy; however, little is known about how this process is integrated into treatment. Views on the utility of forgiveness appear to be mixed. Differences in conceptualization appear to exist between interventionists who promote its use and those who argue against it. This study explored the potential relationship between therapists' conceptualization of forgiveness, categorized as either agreeing with popular interventionists or not, and their predicted assistance of client forgiveness, as well as relationships between attitudes toward forgiveness and other potentially related variables Two hundred sixty nine participants recruited from practice-focused graduate training institutions completed …
Acculturation, Marianismo Gender Role, And Ambivalent Sexism In Predicting Depression In Latinas, Andreana T. Jezzini
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. …
Clinicians' Perceptions Of The Mental Health Of Gay Clients And The Effects Of Diversity Competency And Modern Homophobia, Joseph M. Longo
Clinicians' Perceptions Of The Mental Health Of Gay Clients And The Effects Of Diversity Competency And Modern Homophobia, Joseph M. Longo
Electronic Theses and Dissertations
Attitudes within the psychological community regarding sexual minorities have evolved over time with a significant history of assigning pathology to lesbian, gay, and bisexual (LGB) clients. Though attitudes have shifted, prejudice has not disappeared. Modern forms of homophobia are less overt and subtler expressions of contempt, disapproval, or discrimination and are rooted in internal conflict. In mental health training programs, LGB clients have historically received little attention, failing to prepare professionals to competently work with this population; encouragingly, this trend is changing. The present study investigated how mental health clinicians assess the level of mental health of gay male clients …
Exploring The Potential Relationship Between Mindfulness And Ratings Of Perceived Exertion., Scott Michael Hanneman
Exploring The Potential Relationship Between Mindfulness And Ratings Of Perceived Exertion., Scott Michael Hanneman
Electronic Theses and Dissertations
This study focuses on an evolving, interdisciplinary area of research involving Exercise Science and Clinical Psychology. It investigated the relationship between the perception of present-moment exertion or effort during exercise and a concept called mindfulness. Exertion is commonly measured more objectively using physiological measures (e.g., heart rate) or more subjectively using self-rated Ratings of Perceived Exertion (RPE). Mindfulness is characterized as “present-moment, non-judgmental awareness,” or “living in the present.” Despite the acknowledged benefits of physical activity, many people find it burdensome, stressful, and emotionally taxing, especially when first starting an exercise program. Based upon previous research, it was hypothesized that …
Social Media And Relationship Development, Gretchen Kelmer
Social Media And Relationship Development, Gretchen Kelmer
Electronic Theses and Dissertations
The present study examined the use of social media to represent romantic relationships among a diverse, national sample (N=831) of Facebook users aged 20-37. Taken together, results from this study indicate that relationship representation via Facebook is associated with various aspects of commitment, including couple identity, prioritization of one’s relationship, and commitment to the future, and was also associated with stability of the relationship over time. Social media relationship representation was also found to be associated with lower levels of sexual infidelity, alternative partner monitoring, and partner’s jealousy, as well as higher levels of perceived social pressure from friends and …
Emotion Processes In Cognitive Behavioral Therapy For Adolescent Depression, Patrice Siapno Crisostomo
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 …
Unpacking The Temperament Weight Relationship: The Mediating Role Of Food Preferences, Sarah A. Berry
Unpacking The Temperament Weight Relationship: The Mediating Role Of Food Preferences, Sarah A. Berry
Electronic Theses and Dissertations
The current study examined the mediating role of possible food preferences on the temperamentweight relationship among 18-month-old toddlers. Parents of 37 typically developing toddlers completed the Early Childhood Behavior Questionnaire (ECBQ). During a lab visit toddlers’ weight and recumbent length were measured and recorded. Toddlers also completed a sequential touching task to examine their ability to categorize a healthy group of foods and an unhealthy group of foods. The only temperament measure found to associate with both child weight status and food categorization was inhibitory control. Toddlers’ food categorization was not found to mediate the relationship between inhibitory control and …
An Economic Evaluation Of Primary Care Behavioral Health In Pediatrics: A Case Study, Natasha B. Gouge
An Economic Evaluation Of Primary Care Behavioral Health In Pediatrics: A Case Study, Natasha B. Gouge
Electronic Theses and Dissertations
A barrier cited by primary care administrators in integrating behavioral health is financial risk. Fee-for-service billing mechanisms remain complex and there is little empirical guidance on cost-effective models. This study was an economic evaluation of an integrated care model in a pediatric private practice clinic. The study evaluated cost benefits by examining specific delivery indices such as concerns presented, time spent, billing codes used, and reimbursement received in regards to pediatric primary care visits by comparing days when an on-site Behavioral Health Consultant (BHC) was available versus Non-BHC Days. All 3 hypotheses were supported: 1) more patients were seen in …
The Eiios Task: Executive Function And Word Learning At 18-Months, Leslie A. Patton
The Eiios Task: Executive Function And Word Learning At 18-Months, Leslie A. Patton
Electronic Theses and Dissertations
This study was an investigation of the association between executive functioning (EF) ability and language development in the latter half of the second year. Fifty-five typically developing 18- month-olds were brought into the lab. The elicited imitation with inappropriate object substitution (EIIOS) task was used as a developmentally sensitive measure of EF. Language acquisition was assessed using a real-time word learning task as well as a parent report measure of vocabulary size (MacArthur-Bates Communicative Development Inventory: Words and Sentences Version). Contrary to expectations, very few statistically significant associations were found between the EF measure and either language measure. Despite these …
Relations Among Type 2 Diabetes, Arterial Stiffness And Cognitive Functioning, Gregory A. Dore
Relations Among Type 2 Diabetes, Arterial Stiffness And Cognitive Functioning, Gregory A. Dore
Electronic Theses and Dissertations
Although the associations among diabetes mellitus, cognitive functioning and arterial stiffness have been explored previously, the degree to which arterial stiffness is responsible for the association between diabetes and cognitive function has not been examined. The primary aim of the current investigations is to examine the extent to which arterial stiffness mediates the association between diabetes and cognitive function, as well as the extent to which this indirect effect is modified by age and APOE genotype. The sample included 590 participants (age 23-94, 62% women, 12% African- American) from the seventh wave of the Maine-Syracuse Longitudinal Study. Individuals with history …
To Conform Or Not To Conform: An Examination Of The Effects Of Mock Jury Deliberation On Individual Jurors, Ashley S. Bowser
To Conform Or Not To Conform: An Examination Of The Effects Of Mock Jury Deliberation On Individual Jurors, Ashley S. Bowser
Electronic Theses and Dissertations
The jury method is a unique social setting in the Criminal Justice system that provides opportunity for social influence to occur. Questions about the formation of jurors’ individual and collective decisions have stimulated a great deal of interest and research. This study is a review of the juror decision-making process and the various sources of influence that can affect it. Mock jurors were asked to review a mock criminal trial as well as the testimony of 2 witnesses. Upon reviewing the case, a predeliberation verdict (guilty or not guilty) and the degree of certainty of that decision was made. Once …
How Psychology’S Empirical Results Can Benefit The Criminal Justice System: Expert Testimony, Ford C. Mccurry
How Psychology’S Empirical Results Can Benefit The Criminal Justice System: Expert Testimony, Ford C. Mccurry
Electronic Theses and Dissertations
Brigham and Bothwell (1983) claimed that jurors have a scientifically incorrect view of eyewitness testimony. The purpose of this study was to examine the most beneficial way to assist the jury in dealing with eyewitness testimony. Duckworth, Kreiner, Stark-Wroblewski, and Marsh (2011) applied interactive participation in an eyewitness activity and expert testimony to a mock-jury dealing with eyewitness testimony and found that those who participated in the activity had significantly fewer convictions. The methodological framework of the Duckworth et al. study was applied to East Tennessee State University criminal justice undergraduates. Although this study did not find any significant effects …
A Study Of Suicide: A Latent Class-Evidence Based Model For Screening Of Suicidal Behaviors Among Adolescents Living In The United States From 1991-2011, Ryan Christopher Butterfield
A Study Of Suicide: A Latent Class-Evidence Based Model For Screening Of Suicidal Behaviors Among Adolescents Living In The United States From 1991-2011, Ryan Christopher Butterfield
Electronic Theses and Dissertations
The purpose of this study is to use self-reported data from adolescents as the foundation for a statistical screening process of suicidal behavior. Latent Class Analysis (LCA) is used to study patterns of suicidal behavior among adolescents and by extension, the development of evidence-based behavioral profiles of those adolescents identified as having suicidal-related behaviors. Suicidal behavior variables in the Youth Risk Behavior Survey (YRBS) ask about specific actions related to suicide ideation, planning, attempts and injury, but it is the underlying construct of "suicidal behavior" that is the ultimate question of interest. LCA allows for the development of evidence-based behavioral …
Functional Processing Aspects Of Working Memory: Capacity Limitations And Mechanisms Of Forgetting, Christopher L. Blume
Functional Processing Aspects Of Working Memory: Capacity Limitations And Mechanisms Of Forgetting, Christopher L. Blume
Electronic Theses and Dissertations
Previous working memory literature has considered the occurrence of an increase in reaction time following an object-switch as evidence supporting a single-item focus of attention. Much literature has also identified interference from other information as the principle cause of forgetting. These hypotheses are here challenged by (1) postulating reaction time differences are indicative of a multiple-item focus of attention that preferentially orders items based upon task-relevance, rather than a single preferred item and (2) presenting evidence of a decay process concurrently causing forgetting alongside interference. In Experiment 1 participants completed a task in which multiple repetitions of a single item …
Recognizing The Other: Training's Ability To Improve Other Race Individuation, W. Grady Rose
Recognizing The Other: Training's Ability To Improve Other Race Individuation, W. Grady Rose
Electronic Theses and Dissertations
Members of one race or ethnicity are less able to individuate members of another race compared to their own race peers. This phenomenon is known as the other race effect (ORE) or the cross race effect (CRE). Not only are individuals less able to identify members of the other race but they are also more likely to pick those individuals out of a crowd. The categorizationindividuation model predicts that this deficit arises from a lack of motivated individuation; in which members of the other race are remembered at the category level as a prototype while own race members are remembered …
Does The Presence Of A Non-Coincident Visual Spatial Pattern Facilitate Spatial Pattern Learning? Implications For A Dedicated Spatial Pattern Learning System, Scott Katz
Electronic Theses and Dissertations
Spatial pattern learning is defined as an ability to learn spatial relationships of objects in space without the use of discrete visual landmarks or environmental geometry (Brown & Terrinoni, 1996). Spatial pattern learning has been suggested to be a distinct form of learning because it is not affected by cue competition and has been shown to occur in the absence of discrete landmarks and environmental geometry (Brown, Yang, & DiGian, 2002; Sturz Brown, & Kelly, 2009). In the proposed study, the distinctness of spatial pattern learning was investigated. Specifically, human participants searched in an interactive 3-D computer generated virtual environment …
The Effects Of Computer Reliance And Relationships On Memory, Denise Beyer
The Effects Of Computer Reliance And Relationships On Memory, Denise Beyer
Electronic Theses and Dissertations
Research supports the notion that the internet may serve as a transactive memory source for many individuals. Because, for many, information from technology is so accessible, humans may be less likely to encode and store information in their memory, potentially resulting in a smaller knowledge base over time (Sparrow, Liu, & Wegner, 2011). The current study examined the effects of exposing participants to a computer, friend, or neutral prime. Procedure order was also varied among the groups to determine whether potential memory failure would occur due to an encoding failure or a retrieval failure. Participants were asked to write out …
Autobiographical Memory And Theory Of Mind In Schizotypy, Andrew Deptula
Autobiographical Memory And Theory Of Mind In Schizotypy, Andrew Deptula
Electronic Theses and Dissertations
Individuals with schizophrenia exhibit marked impairments on tasks assessing theory of mind (ToM) and autobiographical memory (AM) qualities, and preliminary research has indicated a positive link between these abilities. This study is the first to systematically explore this relationship in the related personality trait of schizotypy. In a study of 47 undergraduate students (23 males) reporting a wide continuous range of schizotypy, we found that females, but not males, exhibited a negative correlation between ToM and schizotypy, and an unexpected positive correlation between AM qualities and schizotypy. Factor score analysis within females indicated that disorganized schizotypy was the strongest correlate …
The Challenges Of Young-Typed Jobs And How Older Workers Adapt, Michael Reeves
The Challenges Of Young-Typed Jobs And How Older Workers Adapt, Michael Reeves
Electronic Theses and Dissertations
This study sought to explore the challenges faced by older workers who do not fit the age-type of their jobs and how older workers adapt to overcome those challenges. Specifically, I surveyed a national sample of 227 workers 50 years of age and older, in a wide variety of jobs, on measures of perceived age discrimination and adaptation behaviors. I found that fit, as determined by career timetables theory, but not prototype matching theory, successfully predicted perceived age discrimination. Specifically, more age discrimination was perceived when fewer older workers occupied a job. Additionally, multiple regression analysis showed that career timetables …
Is Experiential Avoidance A Factor In Maternal Overprotection?, Melissa Nieves
Is Experiential Avoidance A Factor In Maternal Overprotection?, Melissa Nieves
Electronic Theses and Dissertations
The current study examined experiential avoidance (EA) as an explanation for parental overprotectiveness, a behavior often found among parents of anxious children. EA parenting theory posits that parents engage in overprotective behaviors in order to reduce their own anxiety. In order to test the theory, mothers’ electrodermal activity (EDA) and blindly-coded overprotective behaviors were examined when a child with SAD was engaged in a reading performance task. In line with EA theory, it was hypothesized that EDA levels would increase before an overprotective behavior (OB) occurred and decrease afterwards as a result of decrease in anxiety. The sample consisted of …
Does Virtual Reality Elicit Physiological Arousal In Social Anxiety Disorder, Maryann Owens
Does Virtual Reality Elicit Physiological Arousal In Social Anxiety Disorder, Maryann Owens
Electronic Theses and Dissertations
The present study examined the ability of a Virtual Reality (VR) public speaking task to elicit physiological arousal in adults with SAD (n=25) and Controls (n=25). A behavioral assessment paradigm was employed to address three study objectives: (a) to determine whether the VR task can elicit significant increases in physiological response over baseline resting conditions (b) to determine if individuals with SAD have a greater increase from baseline levels of physiological and self-reported arousal during the in vivo speech task as opposed to the VR speech task and (c) to determine whether individuals with SAD experience greater changes in physiological …