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Essays In Aging, Marital Stability, And Mental Health, Avigyan Sengupta

Theses and Dissertations

This dissertation presents three chapters about understudied characteristics of the older population. As the United States and other developed countries' populations age, more dedicated research is needed to understand and implement policies to improve the welfare of this demographic group. Though there is a vast literature on various life-cycle outcomes of the elderly, gaps remain. Two such aspects have been examined here: marital stability and mental health.

Chapter 1 investigates how changes in household wealth affect the likelihood of divorce among older adults aged 50 and above in the United States. Using panel data from the Health and Retirement Study …

The Association Between Symptoms Of Adhd And Alcohol Use And Related Consequences In College Students: Social And Environmental Protective And Risk Factors As Moderators Of This Relation, Cameron Shepard Massey

Theses and Dissertations

Alcohol use, while common in college student populations, can bring about significant mental health and educational problems that have negative consequences (Harris et al., 2017; White & Hingson, 2013). Attention-deficit/hyperactivity disorder (ADHD) can also result in significant impairment in academic settings (Kuriyan et al., 2012; Blase et al., 2009, Barbaresi et al., 2007), and those with ADHD often show increased rates of alcohol consumption and related problems, which can greatly increase the risk for students to struggle in college (Barbaresi et al., 2013; Baker et al., 2012). Examining the impact that specific risk and protective factors play in this relation …

Comorbid Adhd And Pediatric Sickle Cell Disease: Prevalence And Risk Factors, Sarah Bills

Theses and Dissertations

Objective: Sickle cell disease (SCD) is a genetic blood condition that places youth at increased risk for deficits in attention and executive functioning suggestive of increased rates of Attention Deficit/Hyperactivity Disorder (ADHD). There is pronounced inconsistency in reported prevalence rates for attention deficits and ADHD diagnoses among youth with SCD, which is due in part to variability in methodology of previous studies. The primary aim of the present study is to use systematic screening to identify the prevalence of inattentive ADHD symptoms and ADHD diagnoses in a pediatric SCD population seen at a large hematology clinic. A secondary aim is …

Preferences Of Adults With Turner Syndrome Regarding Disclosure Of Potential Neurodevelopmental And Psychiatric Features, Elizabeth Pancake

Theses and Dissertations

This study aimed to assess preferences of adults with Turner Syndrome (TS) regarding provider disclosure and discussion of potential neurodevelopmental or psychiatric features.

Fifty-six individuals with TS completed an online survey. Questions were asked about their TS diagnosis and provider involvement, neurodevelopmental and psychiatric diagnoses, and preferences concerning providers’ disclosure regarding these possible non-physical features.

Sixteen individuals reported a formal neurodevelopmental diagnosis. Furthermore, 46 respondents reported personal suspicion of ADHD, math difficulties, weaker non-verbal or visual-spatial skills, intellectual disability, or autism spectrum disorder. Thirty-five individuals had a formal diagnosis of at least one psychiatric condition. The preferred providers to initiate …

The Relation Between Adhd Symptoms And Life Satisfaction/Self-Esteem Among Youth: Family Structure And Parenting Practices As Moderators, Yvette Rother

Theses and Dissertations

Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) may be particularly vulnerable to lower life satisfaction and self-esteem, given negative perceptions about their abilities and self, as well as related impairments in academic, social, and interpersonal functioning. Family factors, such as family structure and parenting behaviors, can impact youth development and behaviors. However, it is unclear what role family factors play in the relation between ADHD symptoms and life satisfaction and self-esteem among youth. This study therefore examined whether ADHD symptoms have an impact on the life satisfaction and self-esteem of children and adolescents in grades 4-12. Moreover, it explored whether …

Attention Deficit Hyperactivity Disorder: Lived Experiences Of Adults Diagnosed With Adhd, Carole Larson Yokell

Theses and Dissertations

The problem addressed in the research was that many individuals were not diagnosed with attention deficit hyperactivity disorder (ADHD) until they were adults. The purpose of the study was to examine the experiences and beliefs of participants regarding the management of ADHD and the impact that experiences may or may not have regarding the quality of life during adulthood. This study utilized a phenomenological qualitative approach to collect data from adults diagnosed with ADHD about their life experiences. Data were gathered with virtual conference interviews and phone calls using an interview protocol that the researcher developed. Qualitative methods were utilized …

Academics And Athletics: A Phenomenological Study Of Self-Advocacy And Student Involvement In Black Student-Athletes With Disabilities, Trené L. Turner

Theses and Dissertations

Studies on Black male athletes and their educational experiences have been conducted for quite some time, whereas research on Black female athletes, despite its emergence, remains limited. Recent research on student-athletes focuses on the rise in socioeconomic status in relation to their name, image, and likeness (NIL). Hence, the focus on education while it continues to exist, NIL deals and its impact on the NCAA have become a topic of interest. The tenets of critical race theory will be examined to comprehend the relationship between these principles and the impact of NCAA and college policies on Black student athletes, and …

The Relation Between Adhd Symptoms And Alcohol And Marijuana Use Outcomes Among College Students: The Mediating Role Of Experiential Avoidance, William Joshua Bradley

Theses and Dissertations

Individuals with attention-deficit/hyperactivity disorder (ADHD) are at significantly greater risk for alcohol and marijuana misuse and abuse compared to their peers. College students with ADHD may be particularly vulnerable to problematic alcohol and marijuana use, given the widespread use and abuse of these substances by college students generally and liability associated with ADHD specifically. Experiential avoidance, or avoidance of unwanted thoughts, feelings, and other internal experiences, is positively associated with ADHD symptoms and substance use problems. However, it is unclear what role experiential avoidance plays in the relation between ADHD and alcohol and marijuana use. This study examined whether experiential …

The Influence Of Adhd On Concussion In Ncaa College Athletes, Brett Steven Gunn

Theses and Dissertations

Evidence suggests attention deficit/hyperactivity disorder (ADHD) may be associated with an increased incidence of concussion; however, no study has cross-sectionally (Aim 1) and longitudinally (Aim 2) assessed the associations of ADHD with concussion. Additionally, there is reason to expect cognitive alterations following concussion in athletes with ADHD. Further, there is currently no study that has evaluated the influence of common medications often taken to mitigate some symptoms of ADHD, such as methylphenidate and amphetamines. Therefore, we sought to longitudinally assess cognitive profiles (Aim 3) of athletes with ADHD taking medication (ADHD+Rx) and not taking medication (ADHD_uRx) at baseline, 24-48 hours …

The Development And Validation Of An Automated Screener Of Attention, Rachel Bridges

Theses and Dissertations

Previous research has demonstrated a strong relationship between symptoms of ADHD and academic underachievement. Interventions specific to academic deficits in children with ADHD are available, which are most effective if implemented before secondary concerns arise. Performance based screening is one method for determining the need for early intervention, yet extant measures of attention have limitations for the purposes of large-scale screening. The current study evaluated the psychometric properties and guiding conceptual model of a novel instrument of executive functioning—the GNG Screen— which measures response inhibition via a go/no-go paradigm. Results from Rasch modeling and exploratory factor analysis provide preliminary psychometric …

Improving Neurodiverse Relationships: Comparing Relational Quality And Maintenance Channels In Individuals With And Without Adhd, Jessica A. Kahlow

Theses and Dissertations

Individuals with Attention-Deficit Hyperactivity Disorder (ADHD) process information differently than neurotypical individuals and, consequently, experience behavioral, cognitive, and mood-related problems that are associated with low relational quality and insecure attachment orientations. This dissertation draws on minority stress theory (MST) and channel expansion theory (CET) to understand whether adults with ADHD use specific maintenance strategies and communication technologies to improve their relationships. Specifically, this dissertation advances theories surrounding relational maintenance and relational development by comparing how individuals with and without ADHD use different channels to maintain their relationships and how this influences relational quality over time. Individuals with (n = 59) …

Frequency Of Illicit Use Of Prescription Stimulants Is Associated With Perceived Adhd Symptoms, Justin Mendonca

Theses and Dissertations

The frequency of illicit use of prescription stimulants (IUPS) was examined in relation to known risk factors. A hierarchical linear regression (N = 903) was used to evaluate self-reported past-year IUPS and demographic variables. Gender (p < .05), race (p < .05), and GPA (p < .01) were significantly associated with the frequency of past-year illicit use. However, Greek organization membership status, perceived ADHD symptoms and access to prescription stimulant medication were not significant individual correlates of past-year IUPS. Additional analyses were conducted on the user subgroup (n = 101) to determine whether these relationships were similar compared to the general sample. Among users, ASRS Inattention and Hyperactivity-Impulsivity Subscale scores were significantly associated with the frequency of past-year IUPS (p < .05), even after accounting for gender, race, and GPA. Interpretations of these findings and implications for future research are discussed.

Impairment In Adult Adhd: Effects Of Adhd Symptoms, Executive Function, And Sleep, Morgan M. Dorr

Theses and Dissertations

While Attention-deficit/hyperactivity disorder (ADHD) remains one of the most common psychological disorders diagnosed, current understanding of the disorders expression and factors contributing to impairment in early adulthood remains limited. In an effort to better understand current issues with ADHD assessment and treatment in emerging adults, this study aimed to examine relationships between symptoms, executive function (EF), sleep, and impairment. Overall results of this study indicate that together, ADHD symptoms, EF, and sleep account for a significant proportion of variance in impairment. Additionally, results indicate that EF moderates the relationship between ADHD symptoms and impairment, and that sleep may be a …

Adhd Symptoms And Alcohol Expectancies: The Moderating Roles Of Parenting And School Climate, Melanie Morse

Theses and Dissertations

Attention-deficit/hyperactivity disorder (ADHD) is a common childhood behavioral disorder that often extends into adulthood and is associated with negative health outcomes, including alcohol use. Alcohol expectancies are a widely studied predictor of alcohol use, and have been shown to predict alcohol use among individuals with ADHD. Positive alcohol expectancies appear to be particularly related to alcohol use as well as ADHD. However, a number of broad social factors including parent, peer, and school/environmental influence likely impact the relation between ADHD and alcohol expectancies. The current study examined positive parenting, parental monitoring, parental involvement, and school climate as moderators of the …

Cognitions, Emotions, And Discipline Style In Parents Of Adolescents With Attention Deficit Hyperactivity Disorder, Nicole Crispinelli

Theses and Dissertations

This study examined the associations between parent cognitions, parent emotions and parent distress tolerance and overreactive or lax discipline strategies. Parent behavior was hypothesized to be predicted by parent cognitions, emotions, and distress tolerance. Parent behavior was evaluated to be a predictor of adolescent behavior among parents of adolescents diagnosed with ADHD and an undiagnosed group. Participants included 174 parents of adolescents aged 10-17, who completed several self-report measures. Both clinical and non-clinical groups were identified by the presence or lack of a diagnosis of ADHD. Parents of adolescents with ADHD had significantly less distress tolerance compared to the non-clinical …

Assessing Effects Of Flexible Seating Options On On-Task Behavior And Stereotypy In Elementary-Aged Students, Sarah E. Heller

Theses and Dissertations

Flexible seating has become increasingly popular in the United States. The flexible seating movement has led to a change in teaching styles of educators and an increase in the purchase of new furniture for the classroom. This movement is lacking empirical support of its use within elementary settings, particularly for students with special learning and behavioral needs. This study assessed the impact of the use of specific forms of flexible seating options on stereotypy and on-task behavior for six, male elementary-aged students in either a general education classroom, a co-teaching classroom, and/or a special education setting. These students all participated …

Caffeine Use And Associations With Sleep In Adolescents With And Without Attention-Deficit/Hyperactivity Disorder (Adhd), Caroline N. Cusick

Theses and Dissertations

The objective of this study was to compare caffeine consumption in the morning, afternoon, and evening in adolescents with and without Attention Deficit/Hyperactivity Disorder (ADHD) and examine associations with sleep functioning. Participants were 302 adolescents (ages 12-14) with (n=140) and without (n=162) ADHD. Adolescents wore actigraph watches to assess total sleep time and wake after sleep onset and reported on their sleep-wake problems and the number of caffeinated beverages consumed per day in the morning, afternoon, and evening. Parents reported on adolescents’ difficulties initiating and maintaining sleep. Chi-square analyses, odds ratios, and path analyses were conducted. Analyses controlled for sex, …

Motivation Is Deficient In The Spontaneously Hypertensive Rat (Shr), A Rodent Model Of Adhd: Evidence From An Operant Breakpoint Paradigm, Amanda S. Nazario

Theses and Dissertations

Attention Deficit Hyperactivity Disorder (ADHD) is one of the most commonly diagnosed childhood neurobehavioral disorders. ADHD is characterized by three core behavioral deficits (hyperactivity, inattention, and impulsivity) that significantly hinder the daily functioning of those diagnosed. Furthermore, children with ADHD have problems with motivation and often require larger, more frequent rewards in order to complete a task. In this study, we used the Spontaneously Hypertensive Rat (SHR), a rodent model of ADHD that exhibits all the core deficits of the disorder. The goal of the current study was to further validate the SHR as a model of ADHD by training …

The Influence Of Adhd Symptoms And Social Functioning On Anxiety And Depression Symptoms In College Students, Danielle Willis

Theses and Dissertations

Previous research has shown that Attention-Deficit/Hyperactivity Disorder (ADHD) is associated with impaired social functioning in children and adolescents. ADHD and poor social functioning have been shown to be separately associated with increased anxiety and depression symptoms as well. However, little research has examined these associations among college students. College is a transitional period of increased stress and exposure to new social situations for all students, but may be even more challenging for those with ADHD, who are already at risk for increased internalizing problems and impairment in social functioning. The current study aimed to examine the influence of ADHD symptoms …

Racial And Gender Differences In Perceptions Of Illicit Use Of Prescription Stimulants, Kara Lynn Nayfa

Theses and Dissertations

Racial/ethnic differences underlying the illicit use of prescription stimulants (IUPS) were examined. A 2 X 2 (African American/Caucasian and male/female) design with n = 120 per group (mean age of 19.23, SD = 1.30) was used to evaluate survey responses regarding IUPS and their ADHD symptoms (using the Adult ADHD Self-Report Scale; ASRS). First, African Americans endorsed IUPS less frequently (p < .001) and reported lower levels of ADHD symptoms (p < .01). Second, participants rated three domains of risk for IUPS. African Americans perceived higher social risk (p < .001). No significant differences were found for legal or health risks. Third, African Americans perceived lower benefits for IUPS for concentration (p < .001), alertness (p < .001), and help with studying (p < .001). Minor gender differences are discussed and implications for targeting risk/benefit beliefs in IUPS prevention and treatment programs are discussed.

The Impact Of Social Determinants Of Health On The Efficacy Of School-Based Interventions For Adolescents With Adhd, Cathrin D. Green

Theses and Dissertations

Adolescents with Attention-deficit/hyperactivity disorder (ADHD) often experience impairment in academic functioning in the school and home environment. Because of this, many school- and clinic-based interventions have been developed to target these problems. Initially, clinic-based interventions were mainly used; however, these interventions were associated with many barriers to care, such as lack of transportation, financial resources, and time. Therefore, school-based interventions were developed to address these barriers. However, there has been minimal research evaluating the role of social determinants of health on the efficacy of school-based interventions. In a sample of 222 adolescents with ADHD randomly assigned to receive either a …

My Clothing Is Me: Embracing Adhd In Traditional Qatari Apparel, Rabab Abdulla

Theses and Dissertations

Children diagnosed with Attention Deficit Hyperactive Disorder (ADHD) are often secluded from society, as the condition is perceived to be a defect. These children constantly fidget, move, lose track of time, and forget to complete tasks, leading them to struggle within existing social environments. Additionally, in Qatar there is a need to educate society about ADHD. This research explores wearable solutions that alter behaviors through physical interactions and sensory engagements. In response to the challenges faced by ADHD, Qatari traditional attire has been customized to support children with time management, and communication between child, parent, and society. Additionally, these wearables …

Executive Functions As Moderators Of Response To Behavioral Interventions For Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor

Theses and Dissertations

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) experience significant academic impairment and multiple interventions have been developed to address common academic problems, such as difficulties with homework, organization, and planning skills. Given cost and resource constraints, research is needed on factors that mental health providers can use to select the most appropriate interventions. To date, there has been minimal research evaluating moderators of response to ADHD interventions. Further, many of the variables that have been studied do not have strong theoretical ties to the mechanisms of change invoked by the interventions. This study examined potential moderators of treatment response to two academic …

Does A Positive Illusory Bias Mediate The Moderating Effect Of Achievement Orientation On Response To Exclusion In Boys With Adhd?, Alexandria G. Fladhammer

Theses and Dissertations

Disturbed peer relationships have commonly been found to have long-lasting adverse impacts on children, including school dropout, substance abuse, criminal offenses, psychological maladjustment, and academic problems (Mrug et al., 2012). One subgroup of children well-known to struggle with their peer relationships are children with Attention-deficit/Hyperactivity Disorder (Hoza, 2007). These children often engage in high rate, intrusive behaviors and are excluded from peer interactions (Hoza et al., 2005). The frequent rejection that these children endure highlights the need for research focused on ostracism, the exclusion or ignoring of others by individuals or groups (Williams, 2007). Thus, the purpose of the current …

Parent Reported Executive Functioning Does Not Predict Memory Dysfunction In Pediatric Epilepsy And Attention-Deficit/Hyperactivity Disorder, Nicole J. Norheim

Theses and Dissertations

Objective: Epilepsy and Attention-Deficit/Hyperactivity Disorder (ADHD) children are vulnerable to executive functioning and memory difficulties. The interaction between EF and memory is important to consider as EF impairments may put children at risk for experiencing memory difficulties which can impact their academic performance and quality of life. However, the evidence for the impact of EF on memory is very limited with only two studies to date focusing on this association (Rzezak et al., 2012; Sepeta et al., 2017). This was the first study to research the impact of executive dysfunction on memory in the pediatric epilepsy and ADHD population. Method: …

Impairment, Executive Function, And Symptoms: Understanding Adhd In Emerging Adulthood, Morgan M. Dorr

Theses and Dissertations

While Attention-deficit/hyperactivity disorder (ADHD) is one of the most common psychological disorders diagnosed during development, adult ADHD remains vastly under recognized and undertreated. In an effort to better understand current issues with adult ADHD assessment, this study examined the relationship between symptoms, impairment, and executive functioning. Results indicate that among individuals who screened negative for ADHD, those higher in executive function reported experiencing significantly less impairment than those lower in executive function. Executive function was shown to have a negative relationship with impairment and ADHD symptomology was shown to have a positive relationship with impairment. Additionally, impairment was significantly predicted …

Relationships Among Parenting Stress, Parenting Practices, And Conduct Problems In African American Mothers Of Children With And Without Adhd, Amanda Parks

Theses and Dissertations

Parents of children with attention-deficit/hyperactivity disorder (ADHD) endorse increased levels of parenting stress and subsequently employ ineffective parenting practices. For children with comorbid conduct problems, mothers report more parenting stress than mothers of children with ADHD alone. I investigated the relationships among child ADHD diagnostic status, parenting stress, parenting behaviors (i.e., involvement and positive parenting) and child conduct problems in 78 African American mothers of children with and without ADHD. Mothers completed a demographic questionnaire, a semi-structured clinical interview, the ADHD Rating scale (also completed by teachers), the Impairment Rating Scale, the Parenting Stress Index – Short Form, and the …

Adhd Symptoms And Adult Romantic Relationships: The Role Of Partner Attachment Style, Emotion Recognition, And Personality, Katherine Knies

Theses and Dissertations

The purpose of this project was to examine the impact of ADHD within the context of adult romantic relationships more thoroughly than has previously been examined. Whereas symptoms of ADHD do seem to contribute to the quality of a relationship (Canu, 2014; Orlov, 2010; Pera, 2008), no prior research has examined the interaction between individual characteristics and partner ADHD symptoms in predicting relationship quality. The present study addressed this gap in the literature by examining the characteristics of both partners, specifically, how certain characteristics of one partner interact with the other partner’s ADHD symptoms in predicting relationship quality. Participants were …

Longitudinal Relations Between Adhd Symptoms And Substance Use Across The Transition To College And Evaluation Of Promotive And Protective Factors, Melissa R. Dvorsky

Theses and Dissertations

The prevalence of substance use and related problems increases during adolescence and peaks in young adulthood with substantial increases during the transition from high school to college (Johnston et al., 2018). However, these increases are not universal for all students (White et al., 2006), and there is substantial variation in rates of substance use during the first year of college (Borasri et al., 2007; Frisher et al., 2007). It is important to identify the individual and environmental factors that serve as risk factors for substance use as well as factors that may promote or protect against use during the high …

Does Emotion Regulation Moderate The Association Between Impairment And Depression In Adolescents With Adhd?, Laura D. Eddy

Theses and Dissertations

In comparison with their peers, adolescents with ADHD are at increased risk for developing depression, with prevalence estimates for comorbid depression ranging from 14% to 20%. Youth with comorbid ADHD and depression are at greater risk for multiple negative outcomes compared to youth with ADHD alone, including suspension from school, failing a grade, or difficulties in peer relationships. Identifying risk factors for depression among adolescents with ADHD is important for facilitating early identification and treatment efforts. Research completed to date indicates that interpersonal impairment and emotion regulation may mediate the relationship between ADHD and depression. However, a comprehensive longitudinal model …