Social and Behavioral Sciences Commons^™

A Longitudinal Study Of Pain In Youth And Young Adults With Spina Bifida: Three Studies Based On The Bio-Neuropsychosocial Model, Diana Margaret Ohanian

Dissertations

Family Functioning, Neuropsychology, Pain, Pain Coping, Psychological Adjustment, Spina Bifida

Consistency Of Sleep Across Development And Relations To Executive Functions; Applications To Emerging Adults Transitioning To College And Adolescents With Spina Bifida, Laura Nicholson

Dissertations

College Students, Development, Executive Functioning, Inhibition, Sleep consistency, Spina Bifida

Pupils Of The Pipeline: Exploring The Role Of School Discipline And Disciplinary Actors On Adolescent Psychosocial Functioning, Ogechi Onyeka

Dissertations

No abstract provided.

Individual Differences And Neural Correlates Of Emotion Reactivity And Regulation: Potential Intervention Targets In Depression, Ian James Kahrilas

Dissertations

Depression, Electroencephalography, Emotion reactivity, Emotion regulation

The Impact Of Peer Supportive Accountability On Use Of A Mindfulness App In Depressed College Students: A Mixed Methods Study, Carol Hundert Gonzales

Dissertations

Depression, Mental Health App, Mindfulness, Supportive Accountability

Adherence To A Mindfulness App For College Students With Depression: Patterns, Predictors, And Outcomes, Brynn Marie Huguenel

Dissertations

National trends indicate that mental health concerns, particularly rates of depression, continue to rise on college campuses; however, treatment utilization remains low. Technology-based mental health interventions, such as mental health apps (MHapps), are a promising means of overcoming treatment barriers. MHapps are effective in improving psychological outcomes, but low rates of adherence are a noted limitation. The current study explored patterns of adherence to a MHapp, investigated the bidirectional relation between adherence and depression, and identified motivational predictors of adherence rates. Undergraduate students (N= 66) reporting clinically-elevated depressive symptoms completed a three-month trial using Headspace, a mindfulness MHapp. Patterns of …

Longitudinal Associations Among Individual Factors, Parenting Behaviors, And Medical Responsibility In Youth With Spina Bifida: Mediation, Moderation, And Growth Analyses, Alexa R. Stern

Dissertations

The objective of this research was to examine how youth individual factors (neuropsychological functioning and depressive symptoms) and maternal and paternal acceptance, behavioral control, and psychological control were associated with child medical responsibility among youth with spina bifida (SB). These longitudinal studies examined multimethod, multi-informant data from families of youth with SB, their parents, and teachers. The first study used bootstrapping methods to examine two competing, mediational pathways through which depressive symptoms, executive functioning, and attention were associated with medical responsibility over time. The second study used moderation analyses to examine how parenting behaviors moderated the relationship between these cognitive …

Impact Of Violence Exposure On Children's Mental Health And Family Functioning: An Ecological-Transactional Approach, Rice Mary Dusing

Dissertations

N/A

Community Violence Exposure Among Ethnic Minority Youth: Understanding The Predictive Roles Of Depressive Symptoms And Risky Behavior In A Community Sample, Amanda Nicole Burnside

Dissertations

Ethnic-minority youth residing in urban communities are disproportionately impacted by community violence exposure (ECV), and despite decades of research, rates of ECV in youth continue to increase. Further, person-based analyses have demonstrated variability in rates of ECV, even among youth who share similar risky demographic factors and it is important to examine the utility of psychological factors as predictors of ECV. Drawing from public health frameworks and the reciprocal-stress model, the current study seeks to better understand the longitudinal relationship between various components of depressive symptoms (depressed affect, somatic symptoms, depressive cognitions, suicidal thoughts and behaviors) in the prediction of …

Dietary Intake And Executive Function In Youth And Emerging Adulthood: Environmental Correlates And Developmental Considerations, Amy Michelle Egbert

Dissertations

Obesity is a major public health concern impacting one in five young people in the U.S., and research suggests that consumption of high calorie, low nutrient foods may play a role in weight gain. Executive function (EF) has emerged as a factor that may play a role in dietary intake across youth development. Although biopsychosocial models of obesity emphasize the importance of identifying individual and environmental influences that may be associated with poor dietary intake, empirical research in this area is lacking. Therefore, the current set of studies seeks to 1) systematically review the literature on the association between EF …

An Ecological Model Of Transmission Of Depression: Risk And Protective Factors For Mexican Immigrant Mothers And Children Living In Poverty, Anna Maria Ros

Dissertations

Family poverty has been found to predict a number of negative outcomes across a multitude of domains of child development, including health, education, language and cognitive development (Reiss, 2013; Yoshikawa, Aber & Beardslee, 2012). Furthermore, studies examining differing prevalence rates of mental illness depending on socioeconomic status have found that children liv-ing in poverty in the United States are between two and three times as likely to meet criteria for a psychiatric disorder when compared to their higher SES counterparts (McLaughlin et al, 2011; Reiss, 2013). Family poverty has been found to predict internalizing psychopathology risk across childhood and adolescence, …

Self-Management In Youth With Spina Bifida: Associations With Parent Factors In The Context Of A Summer Camp Intervention, Colleen F. Bechtel Driscoll

Dissertations

Achieving condition-related independence is an important developmental milestone for youth with spina bifida (SB) that can be impacted by a variety of parent factors. This study aimed to investigate (1) the cross-sectional associations between parent factors (adjustment, perceptions, attitudes, behaviors) and youth self-management (e.g., youth's condition-related responsibility and mastery), (2) relations between these same parent factors and changes in youth self-management following participation in a summer camp intervention for one summer, and (3) associations between parent factors and growth in self-management variables over two summers. Participants were 89 camper-parent dyads recruited at a summer camp for youth with SB (Myouth …

Neuropsychological Correlates Of Chronic Pain: The Influence Of Anxious Arousal On Cognitive Control, Kelly L. Polnaszek

Dissertations

The present set of studies assessed the relation between neural, psychological, and cognitive mechanisms that have been shown to influence the experience of chronic pain. Specifically, Studies One and Two advanced our understanding of chronic pain by illustrating its unique relationship with anxious arousal and frontal neural activity on inhibitory control difficulties. Study Three focuses on targeting how anxious arousal is distinctly associated with neural correlates of inhibitory control in order to provide a framework that can be applied to individuals experiencing chronic pain. Together, these studies aim to inform the development of evidenced-based interventions that target anxious arousal in …

Cultural Assets And Racial Discrimination: A Person-Based Exploration Of Culturally Relevant Coping With African American Male Adolescents, Emma-Lorraine Baaba Bart-Plange

Dissertations

African-American youth from economically-disadvantaged, urban families and communities are disproportionately exposed to stressful life conditions, including racial discrimination, placing them at increased risk for mental health problems (Gonzales & Kim, 1997; Grant et al., 2000). Though exposure to racial discrimination can span a lifetime, examining youths’ encounters with discrimination during adolescence allows us to better understand how they affect development during a critical period in which they are developing racial/ethnic identity and increasing their use of reasoning. Coping research with African American youth has found evidence for racial discrimination predicting use of culturally-relevant coping strategies (Gaylord-Harden & Cunningham, 2009) and …

The Roles Of Hpa Axis Activity And Attentional Bias In The Development Of Anxiety Symptoms In Low-Income Mexican-Origin Children, Stephanie Brewer

Dissertations

The overarching goal of this research is to increase understanding of the development of anxiety in children of low-income Mexican-origin immigrants. Mexican-origin children display disproportionately high rates of mental disorders such as anxiety, as they face many chronic stressors related to poverty and immigration. A likely mediator of this process is HPA axis activity, causing a buildup of cortisol in the body in response to chronic stress. There is a large amount of evidence indicating that HPA axis activity is a mechanism through which accumulated poverty-related stress causes mental illness, but this mediator has not been examined in relation to …

Child Maltreatment And Psychosocial Functioning In The Context Of Foster Care: Self-Concept As A Mediator And A Moderator, Grace Jhe Bai

Dissertations

Youth in foster care experience high prevalence rates of emotional and behavioral problems (Burns et al., 2004; Clausen et al., 1998; Fernandez, 2009; Orton et al., 2009; see McWey et al., 2010; see Pilowsky, 1995) due to a range of risk factors they encounter. Exposure to maltreatment can generally lead to increased internalizing problems (e.g., Avery et al., 2000; Carlson et al., 1997; see McWey et al., 2010), externalizing behaviors (e.g., Prino & Peyrot, 1994; McWey et al., 2010), social problems (e.g., Bolger & Patterson, 2001; Bolger et al., 1998), and poor self-perceptions or self-worth (see Arata et al., 2005; …

The Experience Of Mentors In A Cross-Age Peer Mentoring Program: Exploring The Helper Therapy Principle, Dakari Quimby

Dissertations

Mentoring programs are increasingly popular interventions for promoting positive development in Black youth from high risk environments. Cross-age peer mentoring refers to an older youth serving as a mentor for a younger mentee. Although not as widely studied as adult mentoring, this relationship has been found to have a beneficial effect for both the mentor and mentee. The current study seeks to better illuminate this bidirectional benefit by focusing on one half of the relationship—the experience of cross age peer mentoring by Black American mentors from low income communities. This is an important untapped area of study as peer mentoring …

The Impact Of Sociodemographic Factors On Health-Related, Neuropsychological, And Psychosocial Functioning In Youth With Spina Bifida, Jaclyn Lennon Papadakis

Dissertations

Objective: There is a lack of research on the impact of sociodemographic factors on youth with spina bifida (SB). This is concerning given the pervasive health disparities that exist in pediatric chronic illness groups. The aims of this study were to examine: (1) differences in health-related, neuropsychological, and psychosocial functioning among youth with SB based on sociodemographic risk; (2) cumulative risk as a predictor of youth outcomes, as moderated by age; (3) SB-related family stress as a mediator of the associations between sociodemographic/cumulative risk and youth outcomes, longitudinally. Methods: Participants (M age = 11.43, 53.6% female) were recruited as part …

Measuring Community Violence, Trauma, And Family Functioning Among Youth Living In Low-Income, Urban Environments, Kyle Deane

Dissertations

Exposure to community violence is a pressing public health concern that has profound effects on an adolescent’s development and psychological well-being, and is disproportionately experienced by ethnic minority youth living in economically disadvantaged urban environments. Efforts to measure violence exposure and its sequelae have centered primarily on the use of retrospective questionnaires and cross-sectional design and often fail to consider other contributory risk or resilience factors. Comprised of three related studies, the goal of this dissertation is to address the relations between of exposure to community violence, adjustment difficulties, such as posttraumatic stress, and family functioning among African American and …

Social Support And Well-Being Among Foster Care Youth: Self-Concept As A Mediator, Anne Kathleen Fuller

Dissertations

Youth in the child welfare system frequently undergo a variety of adverse experiences, including maltreatment, living in poverty, placement changes, school changes, and relationship disruptions. As a group, these youth exhibit poorer psychosocial functioning (e.g., elevated rates of mental health difficulties, poorer social and academic competence) than their peers, yet there is also evidence that a number of youth in foster care are functioning relatively well and can be perceived as demonstrating resilience. The present study examined self-concept as a mediator of hypothesized associations between social support and four domains of psychosocial functioning: internalizing problems, externalizing problems, social competence, and …

Disordered Eating Treatment Programs For Adolescents And Emerging Adults: A Meta-Analytic Review Of Treatment Effectiveness And Moderators Of Treatment Success, Alexandra Kirsch

Dissertations

This meta-analysis systematically reviewed interventions for disordered eating in the adolescent and young adult population. A systematic search identified 30 interventions that could be compared to controls and 88 specific interventions that could be compared to other specific interventions. An in-depth analysis of the current state of the literature is provided. Results indicated that eating disorder interventions were effective overall when compared to control for both eating disorder and non-eating disorder outcomes, with differential effects across diagnoses, outcome categories, and outcome source, as well as some maintenance of effects at follow-up. Additionally, multiple moderators of treatment effectiveness for eating disorder …

Sleep-Wake Disturbances In Adolescents With Spina Bifida: Prevalence And Associations With Bio-Neuropsychosocial Functioning, Caitlin Beth Murray

Dissertations

Sleep is a critical component of healthy development during adolescence, and when disrupted, has been linked to difficulties with physical status, psychological health, family functioning, neuropsychological symptoms, and academic performance. The overarching goal of this project was to examine sleep-wake disturbances in association with bio-neuropsychosocial functioning in a vulnerable pediatric population of adolescents with spina bifida (SB). Specifically, this study aimed to 1) examine sleep-wake patterns in adolescents with SB using a multimodal sleep assessment, 2) identify daily temporal associations between sleep and pain as well as sleep and mood, and 3) identify the relationship between sleep-wake disturbances and bio-neuropsychosocial …

Friendship Selection Patterns Among Low Income Minority Girls/Adolescents: Links To Obesity Risk, Kimberly Anne Rosania

Dissertations

Research suggests interventions for pediatric obesity fail because they do not consider the broader social context in which adolescents spend their time: the adolescent friendship network. A critical step to address friendship network barriers to reducing child obesity is understanding contexts that promote friendship network patterns that promote healthy weight (i.e., social inclusion of overweight youth, friendship clusters that are diverse in weight status). This study sought to understand whether community-based summertime programming could facilitate healthier selection patterns for a demographic disproportionately at risk for obesity: low-income girls of color. Participants were 42 African American and Latina adolescent females (M …

Social Skills In Youth With Spina Bifida: A Longitudinal Multimethod Investigation Of Bio-Neuropsychosocial Predictors, Christina Ehrman Holbein

Dissertations

Objective: Despite research documenting social dysfunction in youth with spina bifida (SB), little is known about the etiology of these social difficulties; most investigations identifying predictors of social deficits have concentrated exclusively on one domain. This longitudinal study examines the relative predictive power of neurocognitive (attention and executive function), family (cohesion and conflict), and health-related (body mass index, condition severity) variables on later social skills in youth with SB.

Methods: 112 youth with SB (T1 mean age = 11.19 years) and their families participated in study visits two years apart. Study variables were assessed by multiple methods (questionnaire, medical chart …

Cognitive And Neural Correlates Of Coping And Resilience In Depression, Catherine Lee

Dissertations

Depression is one of the most prevalent and devastating psychological disorders, often with a chronic or remitting/reoccurring course. The inability to effectively cope with stress and negative life events has been strongly linked to the development and maintenance of depression symptoms; yet, the cognitive and biological processes underlying the complex and multidimensional behavioral construct of coping are not well understood. Using a combination of self-report measures, computerized cognitive tasks, and scalp electroencephalography (EEG) methodologies, the present study investigated associations between specific executive function abilities (i.e., inhibition and set-shifting), underlying neural activity, coping strategy and flexibility, and depression symptoms. Results did …

Community Violence Exposure Among Urban African American Males: Understanding The “Buffering Effect” Of Adaptive Social Support Coping On Psychosocial Outcomes, Cynthia L. Pierre

Dissertations

The current study explored the moderating roles of support coping and support

quality in the predictive relationship between community violence exposure (ECV) and a

variety of psychosocial outcomes. Participants were 119 African American males (9 th –

12 th grade; mean age at baseline = 15.33). Participants completed measures of exposure to

violence, support-seeking coping, quality of support from friends and family, and a range

of psychosocial outcomes, and completed these same measures approximately one year

after baseline. Regression analyses were conducted to examine the relationships between

ECV and psychosocial outcomes, as well as the relationships between support coping and …

The Relation Of Exposure To Community Violence To Self- Efficacy Based On Neighborhood, Family, And School Effects In A Community Sample Of Latino-American Youth, Arie Zakaryan

Dissertations

Community violence is considered a “public health epidemic” in the US. Latino youth and families are a burgeoning population in the United States, and many of whom live in neighborhoods exposed to community violence. Multiple contexts should be assessed identifying developmental assets youth use to adjust positively when exposed to violence. This study examines how different environmental contexts, i.e., home, school, neighborhood and acculturation, influence the relationship between exposure to community violence and self-efficacy for Latino youth. The current study uses an archival dataset of a larger longitudinal study (Project on Human Development in Chicago Neighborhoods). A confirmatory factor analysis …

Profiles Of Protective Factors In Urban African American Youth Exposed To Community Violence: A Prospective Study Of Resilience, Devin Colleen Carey

Dissertations

The broad purpose of the study was to investigate the relationship between exposure to community violence and adjustment in an urban sample of African American youth living in Chicago. After years of research on community violence, there has been a call to understand the influences of all levels and systems on child adjustment, as well as to use research to promote positive outcomes and prevention of future violence (Aisenberg & Herrenkohl, 2008). With this in mind, this project used latent profile analysis to create profiles of protection based on individual, family, peer, and community factors, as well as evaluate the …

The Role Of Neighborhood And Parenting In The Development Of Effortful Control And Subsequent Social Competence During Early Childhood, Edna Y. Romero

Dissertations

The current study examined ecological predictors of the trajectory of effortful control (EC) across ages 4, 5, and 6 in a community sample of young children (N = 796). The specific goals of the study were to examine poor neighborhood quality as a predictor of EC development, to evaluate the moderating role of supportive and hostile parenting in relation to poor neighborhood quality and EC development, and to determine if the interaction between poor neighborhood quality and parenting predicted change in children’s social competence through the mediating role of EC. Data were analyzed using latent growth curve modeling (LGM). Results …

Predictors And Profiles Of Antiretroviral Therapy Adherence Among African-American Adolescents And Young Adult Males Behaviorally-Infected With Hiv: A Classification Tree Analysis Approach, Israel Moses Gross

Dissertations

Adherence to antiretroviral therapy is crucial for thwarting disease progression and reducing secondary transmission, yet HIV+ youth struggle with adherence. The highest rates of new HIV infections occur in young African American men (YAAM), thus understanding reasons for non-adherence in this group is critical. Reasons for non-adherence can be complex and multifactorial, and innovative methods of exploration are needed for advancing prevention and treatment efforts. A sample of 387 HIV+ YAAM who reported currently taking HIV medications were selected from a cross-sectional assessment of 2,226 HIV+ youth from sites within the Adolescent Trials Network for HIV/AIDS Interventions (ATN) from 2009-2012 …