Social and Behavioral Sciences Commons^™

Antisocial Behavior From Adolescence To Early Adulthood: Heritability, Stability, And Correlates Using A Longitudinal Twin Sample, Ashley Dibble

Theses and Dissertations

The purpose of this study was to examine the heritability, stability, and outcomes of antisocial behavior from adolescence into adulthood in a longitudinal twin sample. Specifically, the genetic and environmental influences on conduct disorder, adult antisocial behavior, and alcohol dependence were examined. The influence of genes and environment on the relationship between these disorders was also examined. The study utilized a subset of FinnTwin12, a population-based twin study that consists of five consecutive birth cohorts. The subsample consisted of 1035 twin pairs (N = 2070) and of that 2070, 1854 completed the intensive interview at age 14. At age 22, …

The Ticking Of The “Biological Clock”: Worry About Future Fertility In Nulliparous Women, Karen E. Kersting

Theses and Dissertations

Abstract

Title: The Ticking of the “Biological Clock”: Worry about Future Fertility in Nulliparous Women

By: Karen Kersting, M.A., M.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.

Virginia Commonwealth University, 2013.

Major Director: Kathleen M. Ingram, J.D., Ph.D.

Associate Professor of Psychology

Department of Psychology

Modern women are waiting until later in their lives to have children than women of previous generations, a trend influenced by a number of factors including financial stability, dating norms, and career goals and responsibilities. As women age, their fertility may decline …

Bereavement In Emerging Adulthood: The Influence Of Religion And Type Of Loss, Elizabeth Collison

Theses and Dissertations

Bereavement is an important area of research as it may result in grief reactions that lead to serious psychological and health consequences (Stroebe, Schut, & Stroebe, 2007). Positive outcomes, such as personal growth or spiritual well-being, may also transpire post-loss (Hogan & Schmidt, 2002; Paloutzian & Ellison, 1982). Though research on bereavement has grown, few studies have focused on the at-risk group of emerging adults (Hardison, Neimeyer, & Lichstein, 2005; Arnett, 2000). The current study aims to add to the bereavement in emerging adulthood literature through analyzing descriptive data and assessing the impact of type of loss (i.e., nonviolent vs. …

Effects Of Imagery Training On Language In Expressive Writing, Therese Verkerke Cash

Theses and Dissertations

Research examining language in written and oral trauma narratives indicates that exposure and cognitive processing are important processes responsible for therapeutic change. Bio-informational theory, which defines emotions as the activation of response, stimulus, and meaning units in memory, provides a meaningful structure for evaluating language in traumatic and neutral essays. This study examined the effects of imagery training procedures designed to prime activation of response or stimulus units on word usage. The effect of writing instructions on activation of meaning units was also investigated. Unscreened undergraduates (n=246) were randomly assigned in a 2 writing condition (traumatic or neutral) x 3 …

Stakeholder Views On Children’S Mental Health Services, Adriana Rodriguez

Theses and Dissertations

Identification of evidence-based treatments (EBTs) has been an important development; however recently, some shortcomings of the approach have been highlighted. These complexities have led to a surge in transportability research in mental health services science with goals of identifying needed strategies to encourage the adoption of innovations. The mental health system ecological (MHSE) model is an approach necessary to assist with closing this gap effectively as it integrates mental health contexts: client-level, provider-level, intervention-specific, service delivery, organizational, and service system characteristics. The aim of this study is to use the MHSE model to examine perspectives of mental health stakeholders on …

Assessing Parental Involvement In Type 1 Diabetes Management During Adolescence, Elizabeth M. Robinson

Theses and Dissertations

Type 1 diabetes is one of the most common pediatric chronic illnesses. Adolescents are at risk for poorer glycemic control; however, youth whose parents remain involved in diabetes care are in better control. The current study examined parental involvement (PI) using a multi-method, multi-source approach in a sample of 255 youth (Age M = 12.83). The Diabetes Family Responsibility Questionnaire, Parental Monitoring of Diabetes Care Scale, and 24-Hour Diabetes Interview assessed two types of PI, parental responsibility and parental monitoring. Global and specific assessment served to cross-corroborate indicators of PI related to HbA1c. Higher levels of monitoring related to lower …

Disclosure And Health: Enhancing The Benefits Of Trauma Writing Through Response Training, Andrea Konig

Theses and Dissertations

Writing about a personal traumatic event has been found to have psychological and physical health benefits. Focusing on traumatic memories in writing may be a form of exposure. In imagery exposure and trauma writing, greater physiological reactivity was predictive of better outcomes. Given the importance of physiological output in emotional processing, response training was developed and found to be effective in increasing appropriate physiological reactivity in imagery exposure. If response training amplifies physiological reactivity and the benefits of writing, the hypothesis that writing is a form of exposure would be strengthened, and training may be a valuable tool to improve …

Efficacy Of A Cognitive-Behavioral Treatment For Insomnia Among Afghanistan And Iraq (Oef/Oif) Veterans With Ptsd, Margolies Skye Ochsner

Theses and Dissertations

Sleep disturbances are a core and salient feature of PTSD and can maintain or exacerbate associated symptoms. Recent research demonstrates that cognitive-behavioral sleep-focused interventions improve sleep disturbances as well as PTSD symptoms. The present study is a randomized controlled trial comparing Cognitive Behavioral Therapy for Insomnia (CBT-I) to a waitlist control group. Conducted at a Veterans Affairs Medical Center, the study: 1) compared subjective outcome measures of sleep amongst veterans assigned to either a treatment group (CBT-I) or a waitlist control group; (2) examined the influence of the intervention on measures of PTSD, general mood and daytime functioning, comparing veterans …

The Development Of The Common Factor Therapist Competence Scale For Youth Psychotherapy, Ruth Brown

Theses and Dissertations

In order to continue to improve the effectiveness of psychotherapy, researchers must identify key change processes. Unfortunately, there are disparate views in the field about the relative importance and potency of specific techniques versus relationship factors. Few measures have been developed to examine the relative contribution of these factors, particularly for child-focused treatment. The Common-Factor Therapist Competence Scale for Youth Psychotherapy (COMP-CF) was developed to address this deficit. For this study, 142 video-taped sessions of child CBT for anxiety were observed and rated by independent coders using the COMP-CF. The measure demonstrated good reliability and internal consistency. Significant between-therapist and …

The Interpersonal Process And Predictors Of Consent In Tissue Donation Requests, Lindsey Dorflinger

Theses and Dissertations

The present study examined the interpersonal process during tissue donation requests and evaluated demographic and interpersonal/behavioral predictors of consent or refusal to donate. One hundred and two audiorecordings of tissue donation requests were evaluated using several different observer measures of interpersonal behavior and decision making. Results showed that tissue requesters (TRs) and next-of-kin (NOKs) tended to match one another’s level of affiliation, and complemented one another on interpersonal dominance. TRs infrequently used negative or disapproving statements during the request, but when they did NOKs were less friendly, more disapproving, and more likely to express concern. Overall there were few differences …

Parent-Child Communication About Substance Use: Experiences Of Latino Emerging Adults, Kathryn Reid-Quiñones

Theses and Dissertations

The purpose of the current studies was to identify messages that Latino parents communicate to their offspring about the use of legal and illegal drugs and to determine associations between parental messages and substance use outcomes. Previous research has identified parent-child communication as protective against tobacco, alcohol, and other drug use. However, most of these studies have failed to examine the specific messages communicated and those that have focused almost exclusively on non-Hispanic Caucasians. Study 1 identified messages that Latino parents communicate to their offspring regarding legal and illegal drugs through two focus groups with Latino college students (N = …

The Impact Of Overt And Relational Victimization On Adolescents' Well Being: Moderating Effects Of Ethnicity At The Individual And School Level, Krista Mehari

Theses and Dissertations

The sociocultural influence of ethnicity on peer victimization among youth has received little attention in the research literature. Individual ethnicity within school ethnic composition may influence the frequency of victimization and the effect of victimization on adolescents’ well being. The current study investigated these issues using a data set of 5,581 sixth grade students attending 37 schools located in four sites. Multilevel models examined the extent to which individual ethnicity within school ethnic composition influenced the frequency and impact of overt and relational victimization on changes in life satisfaction. Ethnic differences were found in the frequency of victimization, but these …

The Influence Of Family Structure And Transitions On Parenting, Income, Residential Mobility, And Substance Initiation In Early Adolescence: A Comparison Of Caucasian And African American Youth, Sally Mays

Theses and Dissertations

The effect of family structure on youth adjustment has received increasing attention as historical trends in single parenting, divorce, remarriage, and cohabitation with partners and extended family members have produced a diverse constellation of structures. African American youth are less likely than Caucasian youth to live in an “intact” family. Links between family structure and a variety of indices of youth adjustment have been established, although a relatively understudied outcome is that of substance initiation, despite its association with dependence and other negative sequelae. The dynamic effect of transitions has additionally been less studied than the static effect of structure. …

Developmental Trajectories Of Physical And Relational Aggression And Their Relation To Delinquency And Substance Use In Adolescence, Denicia Titchner

Theses and Dissertations

Although researchers studying adolescent aggression have proposed a conceptual distinction between physical and relational aggression, there is contradictory evidence regarding the degree to which they differ in their trajectories and relations to other outcomes. This study explored the importance of differentiating between these two forms of aggression based on comparisons of their trajectories, relation with each other, impact on delinquency and substance use, and gender differences. Data were collected as part of the Multisite Violence Prevention Project, conducted at 19 middle schools from four sites with a predominantly low-income, minority sample of students (N = 2,822). Growth curves showed significant …

Adapting Evidence-Based Treatments For Youth In A Community Mental Health Setting: Single Case Design, Alexis Quinoy

Theses and Dissertations

This single-case design study examined the effectiveness of adapting evidence-based treatments (EBTs) for children in a community clinic through a university-community partnership. Community clinic therapists treated eight youths (five males), ages 10 to 14, of whom four were Caucasian, two were Latino, one was African-American, and one was Caucasian/African-American. Youths presented with a primary diagnosis of a DSM-IV (American Psychiatric Association, 1994) internalizing disorder (plus multiple comorbidities). An adapted treatment combining multiple elements based on two primary treatment manuals: Coping Cat (Kendall et al., 1990) and PASCET (Weisz et al., 1999) was used. Youths with comorbid externalizing symptoms were also …

Do Body Image And Gender Role Attitudes Mediate The Relationship Between Media Exposure And Sexual Risk Behavior In College Students?, Vivian Rodriguez

Theses and Dissertations

Despite growing awareness of the HIV/AIDS pandemic and educational efforts to provide accurate information about sexually transmitted diseases (STD), young adults continue to engage in risky sexual practices that increase their vulnerability of acquiring an STD, including inconsistent condom use. Research has gathered ample evidence to suggest that the media, in particular television consumption, is directly linked with sexual risk, yet less is known about the potential mechanisms that may be driving this link. The present study examines body image and gender role attitudes as two potential mediators of this relationship. Three-hundred and four undergraduate students (73% female; 64% White) …

The Discrepancy Between Subjective And Objective Measures Of Sleep In Older Adults Receiving Cbt For Comorbid Insomnia, Hannah Lund

Theses and Dissertations

Clinical research on insomnia has observed that many individuals with this sleep disorder exhibit a significant discrepancy between their subjective reports of symptom severity and objective measures of the same parameters. This study sought to more closely examine this discrepancy by comparing sleep diary estimates with polysomnography data in a population of 60 older adults with comorbid insomnia. Consistent with previous research, results show that participants significantly underestimated sleep efficiency and total sleep time and significantly overestimated sleep onset latency. Participants receiving CBT-I exhibited significantly reduced discrepancy at post-treatment, particularly with regard to sleep latency, compared to those in a …

The Alliance-Outcome Association In Cbt And Usual Care For Youth Depression Delivered In Community Settings, Shelley Avny

Theses and Dissertations

The child-therapist alliance is believed to be a critical ingredient of successful psychotherapy for youth depression. However, only a few studies have examined the association between the alliance and clinical outcomes in the treatment of youth depression. The present thesis examined the alliance-outcome association in two treatments for youth depression: cognitive-behavioral therapy (CBT) and usual clinical care (UC). Data were from an effectiveness trial conducted in six community clinics (see Weisz et al., 2009). Forty-one youth were randomly assigned to receive CBT or UC from community clinicians. The observed early alliance, alliance shifts, and self-reported alliance did not significantly predict …

Mediating And Moderating Factors In Associations Between Physical And Relational Victimization And Social And Academic Competence Among Urban Adolescents, Lisa Ulmer

Theses and Dissertations

Peer victimization is prevalent among school-aged youth and is associated with difficulties including decreased academic and social competence. Although relations between victimization and academic and social competence have been examined, fewer studies have considered how underlying processes linking these constructs are related or whether relations differ for adolescent subgroups. The current study’s purpose was to examine potential mediating and moderating effects in associations between physical and relational victimization and academic and social competence. Participants included a predominantly African American sample of 271 adolescents participating in a longitudinal violence prevention project. Path models showed significant negative associations between teacher-rated physical victimization …

Maternal Depressive Symptoms And Health Outcomes In Youths With Type 1 Diabetes: A Mediational Model, Struemph Kari Morgan

Theses and Dissertations

Objectives: The rate and impact of depressive symptoms were examined with two models based on known effects of depression on variables related to diabetes management, parental involvement and diabetes conflict. The proposed models will measure potential effects high maternal depressive symptoms may have on parental monitoring and involvement and diabetes specific conflict and how these variables may in turn relate to poor regimen adherence. Methods: Participants included 225 mothers and young adolescents (aged 11-14) with T1D. Diabetes self-care behaviors were measured with the 24 Hour Recall Interview, parental involvement and monitoring were measured with the Parent Management of Diabetes Scale, …

Urban Adolescents’ Cognitive Responses To Peer Victimization: Does Psychosocial Adjustment Play A Role?, Amie Bettencourt

Theses and Dissertations

Peer victimization is characterized by acts of physical, relational, and verbal aggression that can contribute to maladjustment. Youths’ responses to peer victimization are guided by social information-processing (SIP) skills that impact their adjustment. Maladjustment can contribute to biases in SIP. Biased processing occurs when youth rely on existing schemas without attending to cues from the immediate social context. These processing deficits contribute to the enactment of problematic responses that may lead to further maladjustment. However, not all youth exhibit SIP deficits. A recent study identified four adjustment clusters based on differences in aggression, anxiety, depression, social acceptance, and victimization within …

Sociometric Categorization Of Children: An Empirically Based Method, Robert S. Falk

Theses and Dissertations

The use of sociometric assessment as a method for investigating the social competence of children and the prediction of future adjustment difficulties was reviewed. Recent methods used to form up to five sociometric groups (Popular, Average, Rejected, Neglected, and Controversial) were surveyed.

Various combinations of raw scores, standard deviation units, standardized scores, and binomial probability scores have been used in classification procedures. lnclusion/exclusion criteria, or cutoff scores, have been based on arbitrary statistical decisions regarding the ”extremeness" of children’s statements (positive and negative nominations) regarding their peers. These aspects of sociometric categorization result in limitations on the validity and generalizability …

A Comparison Of The Effects Of Two Exercise Programs On Children's Self-Concept, Locus Of Control, And Mood, Lynne Blanken Einhaus

Theses and Dissertations

The effects of two physical fitness programs on children's self-concept, locus of control and mood were investigated in this study. It was expected that children who participated in a vigorous running program would demonstrate reduced depression and anxiety but a more internal locus of control and an increase in self-concept than children in a routine exercise group.

Participants in the Running Group were three fifth grade classes of a public elementary school in Richmond, Virginia (N = 60). Participants in the Routine Exercise Group were three fifth grade classes from a comparable public elementary school in the same district (N …

Use Of An External Inhibition Procedure In The Treatment Of Spider Phobic Subjects, Jerome D. Gilmore

Theses and Dissertations

This research represented an extension of previous work on the therapeutic application of the external inhibition phenomenon, and sought to examine the effects of such a procedure on the verbal- cognitive, motoric, and physiological components of the anxiety response. To accomplish this, subjects were selected and treatment effects evaluated on the basis of changes elicited in each of the three response modalities by a specific fear stimulus, The relative effectiveness of the external inhibition treatment in modifying the multiple components of the anxiety response was examined by a comparison with procedures controlling for expectancy effects and repeated exposure to the …

Effects Of Cognitive Set On The Physiological, Subjective, And Behavioral Responses To Fearful Stimuli, Jerome D. Gilmore

Theses and Dissertations

This research investigated the effects of cognitive set on the physiological, subjective, and motoric responses of fearful and non-fearful subjects exposed to specific fear stimuli. High, moderate, and low mutilation fear subjects were given instructions designed to persuade them that they were or were not afraid of mutilation stimuli. The extent to which instructions differentially affected subjects in the three fear groups and produced differential effects on responses in the three modalities was examined. The degree to which the physiological, self-report, and behavioral channels responded concordantly was also investigated.

A series of hypotheses were derived which generally indicated that high-fear …