Educational Psychology Commons^™

Development And Validation Of The Identity Negotiation Experiences And Strategies Scale, Renee V. Galliher, Joshua G. Parmenter, Lee Pradell, Theo Klimstra

Psychology Faculty Publications

A rich theoretical and empirical literature captures experiences of identity conflict and tension at the nexus of identity domains that feel incompatible. The Identity Negotiation Experiences and Strategies (INES) scale was developed to provide a quantitative tool for capturing experiences of identity strain or conflict, and strategies for responding to or managing strain. Focus groups with college students from the United States, the Netherlands, and Finland were used to develop a pool of items capturing students' identity negotiation experiences. Subsequently, two college student samples from the United States and the Netherlands were used to refine the scale and assess psychometric …

One Size Does Not Fit All: A Multifaceted Approach To Educate Families About Newborn Screening, Marianna H. Raia, Molly M. Lynch, Alyson C. Ward, Jill A. Brown, Natasha F. Bonhomme, Vicki L. Hunting

Psychology Faculty Publications

All families deserve access to readily available, accurate, and relevant information to help them navigate the newborn screening system. Current practices, limited resources, and a siloed newborn screening system create numerous challenges for both providers and families to implement educational opportunities to engage families in ways that meet their needs with relevant and meaningful approaches. Engaging families in newborn screening, especially those from historically underserved communities, is necessary to increase knowledge and confidence which leads to overall improved outcomes for families. This article describes three strategies that the Navigate Newborn Screening Program developed, tested, and implemented in the United States, …

An Overview Of Research On Acceptance And Commitment Therapy, Michael E. Levin, Jennifer Krafft, Michael P. Twohig

Psychology Faculty Publications

This review summarized recent systematic reviews and meta-analyses on randomized controlled trials evaluating ACT. Although the strength of evidence varies, overall there is plausible evidence for the efficacy of ACT for a wide range of areas including depression, anxiety disorders, obsessive-compulsive and related disorders, psychosis, substance use disorders, chronic pain, coping with chronic health conditions, obesity, stigma, and stress and burnout. ACT is also efficacious when delivered in digital self-help formats. Emerging evidence indicates the potential efficacy of ACT for children and adolescents and when applied across diverse populations. Reviews of mediation research indicate ACT works through increasing psychological flexibility.

A Consideration Of Racial/Ethnic Diversity Conceptualization And Measurement: Clarifying Ambiguities And Advancing Scholarship, Mei-Ki Chan, Aprile D. Benner

Psychology Faculty Publications

There has been little discussion of racial/ethnic diversity conceptualization and measurement in educational and psychological research. With the surge of research on school diversity and its significant social meaning, the lack of clarity on how diversity is conceptualized and operationalized warrants a systematic review. This article 1) reviews diversity concepts in the literature, 2) describes potential conceptual and methodological concerns, 3) proposes an alternative method to measure two specific types of diversity, and 4) highlights considerations for future research and methodology when studying diversity. More specifically, we conducted a systematic review to summarize the available measures that quantify diversity, mapped …

Examining Processes Of Change For Acceptance And Commitment Therapy And Cognitive Behavioral Therapy Self-Help Books With Depressed College Students, Carter H. Davis, Michael P. Twohig, Michael E. Levin

Psychology Faculty Publications

Given the prevalence of depression, it is worthwhile to consider a variety of treatment approaches to reach as many sufferers as possible, including highly accessible formats such as self-help books. Books based in acceptance and commitment therapy (ACT) and cognitive behavioral therapy (CBT) propose to treat depression through distinct processes of change, though the degree to which these treatments are distinguishable in this format is unclear. Furthermore, it is possible that some individuals may respond better to therapeutic processes from one approach over the other based on personal preferences. We tested the effects of ACT and CBT self-help books on …

The Influence Of Religious Affiliation On The Political Views Of Lgbt Americans, G. Tyler Lefevor, Sydney A. Sorrell, Kelsy Burke, Andrew R. Flores

Psychology Faculty Publications

With a nationally representative, repeated cross-sectional sample of over 250,000 Americans from 2016-2019, we investigate the role that religious and LGBT identities play in influencing Americans’ political attitudes, centering the narratives of religious LGBT Americans. We find that nearly half of LGBT Americans affiliate religiously. Logistic regressions show that identifying as religious is related to more conservative views on LGBT rights and abortion while identifying as LGBT is related to more liberal views on both of these issues. We failed to observe interaction effects, suggesting that religious affiliation influences LGBT individuals’ political views in a manner similar to the way …

Predictors Of Adherence To A Publicly Available Self-Guided Digital Mental Health Intervention, Mercedes G. Woolley, Korena S. Klimczak, Carter H. Davis, Michael E. Levin

Psychology Faculty Publications

Low adherence to self-guided digital mental health interventions (DMHIs) have raised concerns about their real-world effectiveness. Naturalistic data from self-guided DMHIs are often not available, hindering our ability to assess adherence among real-world users. This study aimed to analyze 3 years of user data from the public launch of an empirically supported 12-session self-guided DMHI, to assess overall program adherence rates and explore predictors of adherence. Data from 984 registered users were analyzed. Results showed that only 14.8% of users completed all 12 modules and 68.6% completed less than half of the modules. Users who were younger, had milder depression, …

Efficacy Of Patient Education And Duloxetine, Alone And In Combination, For Patients With Multisystem Functional Somatic Disorder: Study Protocol For The Edulox Trial, Cecilia Pihl Jespersen, Heidi Frølund Pedersen, Maria Kleinstäuber, Per Fink, Kaare Bro Wellnitz, Eva Ørnbøl, Andreas Schröder, Johanne Liv Agger, Lene Vase, Nanna Brix Finnerup, Lise Kirstine Gormsen

Psychology Faculty Publications

Background

Multisystem functional somatic disorder is characterized by specific patterns of persistent physical symptoms with a complex biopsychosocial etiology. The disorder can lead to disability and personal suffering. Current treatment options require specialized settings, therefore patients often wait a long time to receive specific treatment.

Patient education is considered important in most treatment programs, but has only been investigated sparsely as a stand-alone treatment. Pharmacological treatment is limited to tricyclic antidepressants in low doses with not antidepressant properties. Duloxetine has been found effective in single organ functional disorders. As a treatment for multisystem functional somatic disorder, duloxetine could reduce symptoms …

Discussing Patient Emotions In Audiology: Provider Experiences With The Implementation Process Of Hearing Loss Psychological Inflexibility Screenings, Sydnee Grigsby, Karen Muñoz, Guadalupe G. San Miguel, Michael P. Twohig

Psychology Faculty Publications

Purpose: This study aimed to investigate barriers and facilitators experienced by clinical educators and graduate students when talking with patients about difficult emotions and thoughts related to their hearing.

Method: A longitudinal observational design was used, and an Implementation Research Logic Model guided the process. Five clinical educators and five graduate students participated in the study. Participants completed pre- and post-measures and attended individual debriefing sessions during the eight-month study period.

Results: Four themes emerged from the debriefing sessions: (1) learning process, (2) confidence (3) barriers, and (4) supervision. Participants described that the Acceptance and Action Questionnaire-Managing Child Hearing Loss …

Establishing The Temporal Relationship Between Religious Commitment, Sexual Identity Struggles, And Religious Struggles Among Sexual Minorities, G. Tyler Lefevor, Samuel J. Skidmore

Psychology Faculty Publications

Objective: Conclusions about the temporal relationship between religiousness and both religious and sexual identity struggles are frequently made in the absence of longitudinal data. The present study examines the temporal relationship between religious identification, sexual identity struggles, and religious struggles.

Methods: Participants were 132 Latter-day Saint sexual minorities who provided data at two timepoints, two years apart. We employed two cross-lagged panel models, one focusing on religious struggles and religious commitment and the other focusing on sexual identity struggles and religious commitment, to understand the temporal relationships between these variables.

Results: Cross-lagged panel models suggested that interpersonal religious struggles and …

Investigating An Acceptance And Commitment Therapy-Based Exposure Therapy Intervention In Treatment-Refractory Ocd And Related Disorders: Changes In Psychological Flexibility, Treatment Engagement, And Treatment Perceptions, Nate G. Gruner, Jenifer M. Cullen, Jesse M. Crosby, Stephanie N. Decross, Brittany Mathes, Lauryn Garner, Christina Gironda, Yuanjun Hu, Jason W. Krompinger, Jason A. Elias, Michael P. Twohig

Psychology Faculty Publications

While exposure therapy is the most effective psychological treatment for obsessive-compulsive, anxiety, and traumatic stress-related disorders, it is not universally effective, indicating a need for further treatment optimization. This study investigated a shift in approach to exposure therapy with 29 treatment-refractory adults in an OCD clinic not responding to standard treatment, comprising habituation-based exposure therapy. Participants completed a standard exposure as continuation of standard clinic treatment, followed by an Acceptance and Commitment Therapy (ACT) consultation session to assess psychological inflexibility processes interfering with treatment progress, and then an ACT-based exposure targeting behavior change through increasing psychological flexibility. After each exposure, …

Diminished Adolescent Social Well-Being During The Covid-19 Pandemic, Michael J. Furlong, Mei-Ki Chan, Erin Dowdy, Karen Nylund-Gibson

Psychology Faculty Publications

Managing the COVID-19 pandemic involved implementing public health policies that disrupted students' lives, creating conditions that substantially influenced their mental health and well-being. Subsequently, research focused don the mental health sequelae of increased depression and anxiety, but the possible impacts on adolescents' social well-being have been largely unexamined. Social well-being is essential to youth's overall mental health and can be diminished even without symptoms of depression and anxiety. This report explored heterogeneities in changes in adolescents' social well-being from pre-COVID-19 to post-restrictions using longitudinal data from adolescents attending middle and high schools in California (N = 1,299; 49.9% female). …

An Examination Of Psychological Flexibility As A Mediator Between Mental Health Concerns And Satisfaction With Life Among Autistic Adults, Ty B. Aller, Heather H. Kelley, Tyson S. Barrett, Benjamin Covington, Michael E. Levin, Maryellen Brunson Mcclain

Psychology Faculty Publications

Background: Experiencing mental health concerns (e.g., depression, anxiety, stress) can have negative effects on satisfaction with life (SWL) for autistic adults. Current mental health supports that may promote SWL do not effectively meet the needs of autistic adults, often due to deficits-based approaches. Methods: To begin addressing the gap in research surrounding mental health supports among autistic adults, we designed a preregistered longitudinal study that used structural equation modeling to assess 289 autistic adults from the Simons Powering Autism Research (SPARK) program to determine if progress toward ones values, a strengths-based component of psychological flexibility, is a potential …

Response To Commentary: The Framework For Systematic Reviews On Psychological Risk Factors For Persistent Somatic Symptoms And Related Syndromes And Disorders (Psy-Pss), Paul Hüsing, Abigail Smakowski, Bernd Löwe, Maria Kleinstäuber, Anne Toussaint, Meike C. Shedden-Mora

Psychology Faculty Publications

Persistent somatic symptoms (PSS) are common in all fields of medicine. Current classification systems for mental disorders in this field, i.e. Somatic Symptom Disorder (SSD; DSM-5) or Bodily Distress Disorder (BDD; ICD-11), now stress the relevance of psychological features associated with the physical complaints. It is well known that psychological criteria are among the relevant risk factors for the development and/or worsening of persistent physical symptoms, however, the selected diagnostic criteria remain subject to debate. Numerous psychological concepts have been studied and discussed in the scientific field. However, empirical evidence remains scattered, individual factors have not been reviewed systematically, and …

Increasing Transcultural Competence In Clinical Psychologists Through A Web-Based Training: Study Protocol For A Randomized Controlled Trial, Selina Studer, Maria Kleinstäuber, Ulrike Von Lersner, Cornelia Weise

Psychology Faculty Publications

Background In mental health care, the number of patients with diverse cultural backgrounds is growing. Nevertheless, evaluated training programs for transcultural competence are missing. Barriers for engaging in transcultural therapy can be identified in patients as well as in therapists. Besides language barriers, clinical psychologists report insecurities, for example, fear of additional expenses when involving a language mediator, ethical concerns such as power imbalances, or fear of lack of knowledge or incorrect handling when working with patients from other cultures. Divergent values and concepts of disease, prejudices, and stereotyping are also among the issues discussed as barriers to optimal psychotherapy …

An Exploratory Examination Of Delay Discounting In Women And Girls Diagnosed With An Eating Disorder, Marissa L. Donahue, Mariah E. Willis-Moore, Julie M. Petersen, Amy L. Odum, Michael E. Levin, Josephine N. Hannah, Tera Lensegrav-Benson, Benita Quakenbush, Michael Twohig

Psychology Faculty Publications

Those with eating disorders (ED) characterized by purging behaviors tend to show more impulsivity than those diagnosed with restrictive eating, who tend to show more compulsivity. Impulsive choice (i.e., a type of impulsivity) is a common factor among eating disorders that is less understood. Delay discounting is a measure of choice impulsivity, examining the decrease in value of delayed outcomes. In this exploratory study, we examined associations between eating disorder type, age and delay discounting among patients at a residential ED treatment center (N = 178). Our findings showed that those diagnosed with bulimia nervosa had higher delay discounting (i.e., …

Reach, Adoption, And Maintenance Of Online Acceptance And Commitment Therapy At A University: An Implementation Case Study, Carter H. Davis, Korena Klimczak, Ty B. Aller, Michael P. Twohig, Michael E. Levin

Psychology Faculty Publications

College students are undergoing a mental health crisis and existing clinical resources at universities may be inadequate to meet their needs. One solution to this problem could be the use of self-guided, online programs for mental health that can be easily distributed to students. A persistent issue, however, is the transition from program development to implementation of a self-guided program at campus-wide scale. We describe, in a self-narrative format, the steps taken to translate an online program we developed based in acceptance and commitment therapy (ACT), called ACT Guide, from a research context to a campus-wide service at our university. …

Act-Enhanced Behavior Therapy For A Hispanic Adult With Trichotillomania: A Case Report, Marissa L. Donahue, Michael P. Twohig

Psychology Faculty Publications

Trichotillomania, also known as Hair-Pulling Disorder, is characterized by recurrent pulling out of one’s hair over brief episodes or sustained periods of time and results in hair loss. ACT-enhanced behavior therapy (A-EBT) has been shown to be an effective approach in the treatment of trichotillomania by promoting psychological flexibility around hair pulling urges and teaching stimulus control and habit reversal training. However, there is limited support of A-EBT for clients with an ethnic minority identity. This case report focuses on an adult, Hispanic female client, Luna (pseudonym), who received eight sessions of A-EBT for the treatment of trichotillomania. At post-treatment, …

Merging Acceptance And Commitment Therapy With Exposure Exercises To Treat Social Anxiety In A Teen, Caleb D. Farley, Michael P. Twohig

Psychology Faculty Publications

Social anxiety disorder (SAD) often develops during teenager years, and it is important to conceptualize developmentally appropriate interventions. Exposure therapy framed from a perspective of acceptance and commitment therapy (ACT) shows promise for decreasing pathology and increasing wellbeing. This case illustrates the process through which exposure therapy was integrated with ACT to elicit meaningful outcomes in a case of SAD with a 16-year-old female. Treatment outcomes assessed included engagement in values-based activities as well as assessments of depression, social anxiety, separation anxiety, generalized anxiety, experiential avoidance, and contextually targeted school-based wellbeing. Intervention centered on learning ACT principles through relatable metaphors …

Pediatric Hearing Aid Management: Experiences And Perspectives Of Spanish-Speaking Parents, Karen Muñoz, Diego Guillen, Carlos Muñoz, Michael P. Twohig

Psychology Faculty Publications

Purpose: The purpose of the study was twofold: (a) to explore hearing aid management experiences of Spanish-speaking parents who have young children using hearing aids and (b) to explore parents' access to the Internet and perceptions about remote audiology services.

Method: The study used a mixed methods design. Data were collected through a phone interview.

Results: Eleven mothers of children aged 14-60 months participated. Most of the children (9/11) had a bilateral hearing loss, and two had an additional disability. Three themes emerged for hearing aid management experiences: audiology services, routines, and emotional challenges/supports. Parents had variable levels of confidence …

Sexuality, Religiousness, And Mental Health Among Sexual Minority Latter-Day Saints In Other-Gender Relationships, G. Tyler Lefevor

Psychology Faculty Publications

To guide therapists working with sexual minority individuals considering entering in an other-gender relationship, we present data from 82 sexual minority, current Latter-day Saints in other-gender relationships, 155 sexual minority, former Latter-day Saints in same-gender relationships, and 123 cisgender/heterosexual, current Latter-day Saints in other-gender relationships. Results suggest that relative to cisgender/heterosexual individuals, sexual minority individuals (both in same- and other-gender relationships), report being less happy in their relationship, viewing porn and masturbating more often, and experiencing greater religious struggles. Sexual minority individuals in both same- and other-gender relationships reported happiness in their relationships and lives; however, the two groups differed …

Religion/Spirituality, Stress, And Resilience Among Sexual And Gender Minorities: The Religious/Spiritual Stress And Resilience Model, G. Tyler Lefevor, Chana Etengoff, Edward B. Davis, Samuel J. Skidmore, Eric M. Rodriguez, James S. Mcgraw, Sharon S. Rostosky

Psychology Faculty Publications

Although many sexual and gender minorities (SGMs) consider themselves religious or spiritual, the impact of this religiousness or spirituality (RS) on their health is poorly understood. We introduce the religious/spiritual stress and resilience model (RSSR) to provide a robust framework for understanding the variegated ways that RS influences the health of SGMs. The RSSR bridges existing theorizing on minority stress, structural stigma, and RS-health pathways to articulate the circumstances under which SGMs likely experience RS as health promoting or health damaging. The RSSR makes five key propositions: (a) Minority stress and resilience processes influence health; (b) RS influences general resilience …

The Impact Of Changes In Religion On Health Among Sexual Minority Mormons, G. Tyler Lefevor, Samuel J. Skidmore, Kiet D. Huynh, James S. Mcgraw

Psychology Faculty Publications

The current study presents data from the first longitudinal examination of sexual minority (SM) Mormons (n = 132). Over the course of 2 years, SM Mormons reported decreased psychological (e.g., orthodox beliefs), behavioral (e.g., service attendance), and social (interpersonal religious commitment) religiousness. Analyses revealed that, at baseline, service attendance was related to lower levels of meaning in life and higher levels of depression at time 2, while interpersonal religious commitment at baseline was related to higher levels of meaning in life and lower levels of depression. Latent change scores of religiousness suggested that decreases in interpersonal religious commitment over …

Choosing Act Or Cbt: A Preliminary Test Of Incorporating Client Preferences For Depression Treatment With College Students, Carter H. Davis, Michael P. Twohig, Michael Levin

Psychology Faculty Publications

Background

Depression is a significant concern among college students, who suffer at higher rates and with greater severity than the general population. Online self-help could reduce the burden currently placed on college counseling centers, and programs based in cognitive behavioral therapies (CBTs) have a strong evidence base. However, online CBTs for depression often suffer from low adherence rates. An understudied method for improving adherence in this population is offering students a choice between various CBTs.

Methods

We conducted a randomized trial with 142 students with high levels of depression, with a subset of participants randomly receiving either traditional cognitive behavioral …

Differential Effects Of Mindful Breathing And Loving Kindness Meditations: A Component Analysis Study, Sarah J. Bolognino, Tyler L. Renshaw, Mary L. Phan

Psychology Faculty Publications

Objective: Mindful breathing meditation (MBM) and loving-kindness meditation (LKM) are common components of effective mindfulness-based interventions (MBIs). This study examined the differential effects of MBM and LKM on purported therapeutic process variables and mental health outcomes via component analysis.

Method: The research design was a randomized controlled trial with four conditions: MBM, LKM, combined (MBM + LKM), and a relaxation control. All conditions consisted of 10-min. audio-recorded guided meditations that were self-implemented over the course of two weeks. Participants were college undergraduates (N = 52).

Results: Findings indicated statistically significant and very large main effects of time, regardless of …

The Impact Of Covid-19 Pandemic Experiences On College Drinking Via Mental Distress: Cross-Sectional Mediation Moderated By Race, Abby L. Braitman, Rachel Ayala Guzman, Megan Strowger, Jennifer L. Shipley, Douglas J. Glenn, Emily Junkin, Alina Whiteside, Cathy Lau-Barraco

Psychology Faculty Publications

Background: The COVID-19 pandemic has been linked to stress, anxiety, and depression among college students, with heightened distress tied to greater drinking for some individuals. Emerging research suggests that these associations may differ across race, but few studies use adequate samples to examine this, particularly among college students, an at-risk population for both heavy drinking and mental distress. Specifically, pandemic-related stressors and mental distress may be higher among Black students than White students. The current study examined: (1) whether mental distress cross-sectionally mediates the association between pandemic-specific stressors and drinking and (2) whether race (Black or White) moderates these associations. …

Correlates Of Christian Religious Identification And Deidentification Among Sexual And Gender Minorities: A U.S. Probability Sample, G. Tyler Lefevor, Lauren J. A. Bouton, Edward B. Davis, Samuel J. Skidmore, Ilan H. Meyer

Psychology Faculty Publications

Using a U.S. nationally representative sample of 1,529 sexual and gender minorities (SGMs), we examined the demographic and developmental correlates of Christian religious deidentification. We found that SGMs who were older, Black, cisgender men, and/or lived in the American South were more likely to identify as Christian in adulthood, relative to other SGMs. Those who were never Christian reported being more out to family and friends at earlier ages than those who were raised Christian. SGMs who were raised Christian, but did not identify as Christian in adulthood reported, more adverse childhood experiences and bullying than other SGMs. Sexual minorities …

Girls Are Good At Stem: Opening Minds And Providing Evidence Reduce Boys' Stereotyping Of Girls' Stem Ability, Emily N. Cyr, Kathryn M. Kroeper, Hilary B. Bergsieker, Tara C. Dennehy, Christine Logel, Jennifer R. Steele, Rita A. Knasel, W. Tyler Hartwig, Priscilla Shum, Stephanie L. Reeves, Odilia Dys-Steenbergen, Amrit Litt, Christopher Lok, Taylor Ballinger, Haemi Nam, Crystal Tse, Amanda L. Forest, Mark Zanna, Sheryl Staub-French, Mary Wells, Toni Schmader, Stephen C. Wright, Steven J. Spencer

Psychology Faculty Publications

Girls and women face persistent negative stereotyping within STEM (science, technology, engineering, mathematics). This field intervention was designed to improve boys' perceptions of girls' STEM ability. Boys (N = 667; mostly White and East Asian) aged 9-15 years in Canadian STEM summer camps (2017-2019) had an intervention or control conversation with trained camp staff. The intervention was a multi-stage persuasive appeal: a values affirmation, an illustration of girls' ability in STEM, a personalized anecdote, and reflection. Control participants discussed general camp experiences. Boys who received the intervention (vs. control) had more positive perceptions of girls' STEM ability, d = 0.23, …

Temporal Expectations In Delay Of Gratification, Jeremy M. Haynes, Mariah E. Willis-Moore, D. Perez, Devanio J. Cousins, Amy L. Odum

Psychology Faculty Publications

We examined how temporal expectations influence preference reversals in a delay of gratification task for rats based on a hypothesis of Rachlin (2000), who suggested that preference for a larger-later reward may shift in favor of a smaller-immediate reward as a result of changes in when that larger reward is expected. To explore Rachlin’s hypothesis, we pre-exposed two groups of rats to the delays associated with a larger-later reinforcer from a delay of gratification task. One group experienced the delays as a function of their choices in an intertemporal choice task and the other group experienced delays yoked from the …

“I Just Wanted Support”: Examining How Lds Clergy May Effectively Minister To Sexual And Gender Minority Congregants, Samuel J. Skidmore, G. Tyler Lefevor, Adlyn M. Perez-Figueroa, Kristen A. Gonzalez

Psychology Faculty Publications

This study explored why members of the Church of Jesus Christ of Latter-day Saints (LDS) who identify as sexual or gender minorities (SGM) speak with clergy regarding their SGM identities, as well as what LDS SGMs find helpful and unhelpful in these conversations. A sample of 25 current or former LDS SGMs participated in semi-structured interviews, which were analyzed using thematic analysis. Participants reported six overarching reasons for talking with clergy, including church procedures, seeking guidance, seeking emotional comfort, seeking repentance, seeking openness, and other people’s initiation. Participants reported several ways clergy were helpful, including empathic listening, openness, and affirmative …