Social and Behavioral Sciences Commons^™

Interdisciplinary Treatment Approach To Youth With Intellectual Or Developmental Disabilities And Co-Occurring Mental Health Conditions, Ashley Greenwald, Erika Ryst, Diane D. Thorkildson, Lauren Brown

Developmental Disabilities Network Journal

Many individuals with Intellectual and/or Developmental Disabilities (IDD) have co-occurring mental health needs, yet service delivery options often do not allow for the integrated delivery of mental health treatment and social behavioral support services. Siloed treatment approaches often result in lack of collaboration between providers, increasing the difficulty in accessing comprehensive and coordinated treatments and reducing treatment potential and effective outcomes. Additionally, many service providers in behavioral support services are not trained to address significant mental health needs; similarly, providers of mental health services lack experience in modifying practices for differing cognitive needs. The lack of cross-training and cross-collaboration makes …

Project Attain: Advancing Trauma-Informed Care For Youth With Intellectual And Developmental Disabilities And/Or Gender Diverse Youth, Kady F. Sternberg, Charlotte E. Bausha, Charlotte Jones, Erin Knight, Crystal N. Steltenpohl, Rebecca R. Parton, Jennifer L. Mclaren, Erin R. Barnett

Developmental Disabilities Network Journal

Children with Intellectual and Developmental Disabilities (IDD) and/or gender diversity are at higher risk of experiencing trauma. Provider knowledge is lacking; trauma, disability, and LGBTQ+ resources are often siloed; and few providers screen for trauma in this population. This paper describes the design, delivery, and initial evaluation of Project ATTAIN (Access to Trauma-informed Treatment and Assessment for Neurodivergent and/or Gender-expansive Youth).

ATTAIN is an ongoing 5-year state-wide initiative aiming to assess readiness to engage in new roles and practices over time; provide state-wide training and consultation in trauma, disability, and LGBTQ+-informed practices; install screening and assessment of trauma exposure and …

Exploring Parent/Caregiver Perspectives Of Self-Determination And Its Impact On Mental Health In Adolescents With And Without Disabilities, Jessica Schuttler, Sydney Walls, Tyler Hicks, Karrie Shogren, Hannah Adams, Richard A Chapman

Developmental Disabilities Network Journal

Introduction. Parents and caregivers play key roles in supporting the development of self-determination and mental health needs in adolescents with and without disabilities. This study explored parent/caregiver perceptions of the relationships among mental health and self-determination constructs for youth with disabilities, across gender and disability status. Method. Parents/caregivers of adolescents with and without disabilities completed rating scales regarding adolescents’ self-determination status (Self Determination Inventory) and mental health symptoms (Behavior Assessment System for Children, 3^rd Edition). Bayesian analyses examined the relationships among self-determination and mental health status. Results. Results are mixed, indicating moderate to robust relationships for self-determination as a …

Building Neuro-Inclusive Community, Strengthening Mental Health: The Autism After 21 Utah Project, Sumiko T. Martinez, Anna Smyth, Ann C. Carrick

Developmental Disabilities Network Journal

Over two decades of research shows strong positive relationships are a consistently powerful indicator of wellbeing and resilience. However, the U.S. Surgeon General notes that loneliness and isolation is an epidemic in the U.S., and that it is exacerbated for individuals with physical and mental disabilities as well as those with isolating economic or environmental situations. A recent review shows that many autistic adults in particular face challenges in finding the connections they want and need. They also often have compounding mental health conditions, such as depression and mental illness, lower incomes, isolating home environments due to a lack of …

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 …

Acknowledgments, Matt Wappett

Developmental Disabilities Network Journal

No abstract provided.

Advancing Strength-Based Inclusive Mental Health Research In Intellectual And Developmental Disabilities, Luther Kalb, Joan B. Beasley

Developmental Disabilities Network Journal

No abstract provided.

Skills To Support Mental Health In Uncertain Times, Part 2: Cultivating Awareness, Heather H. Kelley, Rachel Byers, Ty Aller, Timothy Keady

All Current Publications

Uncertainty and worry can be a common struggle for many people, whether they are uncertain about their jobs, health, or relationships. Events such as COVID-19 and the recent wars in Israel and Ukraine increase the stress and uncertainty many people face. This fact sheet discusses awareness, a fundamental part of psychological flexibility, which can help individuals maintain a high quality of life—even when experiencing uncertainty and mental health concerns.

Adapting Interteaching To A Hybrid Format: A Framework For Implementation, Carmen Farrell

Journal on Empowering Teaching Excellence

Access the online Pressbooks version of this article here.

In the world of higher education, expectations of college-level instructors have shifted significantly in the last few years due to the COVID-19 global pandemic. Instructors were required to be more flexible than ever before, oftentimes across different modalities. This essay models an evidence-based teaching method, interteaching (IT), that was originally created for use in a traditional face-to-face classroom and suggests an adaptation of that method for a hybrid classroom. The theoretical framework of IT is explained and an adaptation of IT for hybrid classrooms is provided with a specific college-level course …

Integrated Behavioral-Health Supports: Combining Pbis And Sel At Tier 2, Thomas K. Franzmann

All Graduate Theses and Dissertations, Fall 2023 to Present

Childhood behavior problems present many challenges for youth, families, and schools. To assist in preventing and reducing such problems, schools have adopted various strategies to assist with such concerns. Two widely used strategies for addressing problem behavior in schools are Positive Behavioral Interventions and Supports (PBIS) and Social-Emotional Learning (SEL). While both have a plethora of evidence of their effectiveness independently, less is known as to whether than can compliment one another for even better outcomes. The current study examined the effectiveness of an integrated approach (PBIS + SEL) to classroom intervention for elementary school students exhibiting behavior problems. This …

A Systematic Review On Functional Analysis Of Noncompliance, Alyssa Hurd

All Graduate Theses and Dissertations, Fall 2023 to Present

Lack of following instructions is a common caregiver concern that can have adverse effects on the learner. Although certain behavioral assessments (i.e., functional analysis) are often employed for other forms of challenging behavior (e.g., aggression, property destruction) to determine why these behaviors are occurring (e.g., to gain attention, toys, or escape from instructions), these assessments are infrequently conducted to determine why a learner is not following instructions. Lack of following instructions is often hypothesized to be motivated by desire to escape from instructions. However, to date, no study has examined the prevalence of variables that motivate lack of following instructions …

Using Pavlovian Sign-Tracking To Increase Self-Control In Rats, Saba Mahmoudi

All Graduate Theses and Dissertations, Fall 2023 to Present

Impulsivity is correlated with various maladaptive behaviors (e.g., gambling and substance-used disorders), therefore many studies have been designed to find methods to reduce impulsive choice. Although these procedures (e.g., delay fading and delay-exposure training) are effective, they involve extended training durations. One method that has not yet been explored in promoting self-control is Pavlovian conditioning. During Pavlovian conditioning, a localized conditioned stimulus (CS) that signals an imminent food delivery can (a) evoke sign-tracking behavior (i.e., attraction to, and physically interacting with the CS) and (b) function as a conditioned reinforcer (i.e., the subject will work to access the CS). This …

The Intersectional Experiences Of Young And Educated Latine Men's Masculinity: An Exploration Of Gender, Race, Ethnicity, Skin Tone, Sexual Orientation, And Region Of Origin, Juan Estrada

All Graduate Theses and Dissertations, Fall 2023 to Present

Latine masculinity is often looked at through simplistic concepts like machismo or caballerismo, which fail to fully consider the different aspects of Latine men’s identities. For example, how might a cisgender, gay, dark skinned, Latine man understand his masculinity as he moves between Latine and United Statesian cultures. In this study, we wanted to do two things: first, we wanted to understand how the cultural and intersectional aspects of their lives shape how Latine men see their masculinity. Second, we wanted to celebrate the diverse ways in which they express their masculinity, considering things like their skin color, region …

Act And Veterans: A Multiple Baseline Study Using Act To Treat Anxiety Disorders In U.S. Military Veterans, Jeremiah E. Fruge

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

There are 18 million Americans, roughly 7% of the population, who are Veterans. In contrast with the general population, Veterans have a high likelihood of exposure to psychological harm during their military service. For example, studies indicate Veterans are diagnosed with anxiety disorders in some cases four times higher than in the general population, though few studies examine treatment. Military culture is an additional factor which is important to account for when treating Veterans. For example, within the military an emphasis is placed on values and committed action which may mean this population will benefit more from certain therapies than …

Temporally Weighted Averaging: The Effects Of Test Delay On Spontaneous Recovery Of Choice, Jack Van Allsburg

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Foraging animals in natural environments must track the value of different behavioral options in order to make decisions that maximize their food intake. The process by which they track this value is poorly understood, but holds relevance for our understanding of how animals make choices in general. In a series of experiments conducted in operant chambers, we put rat subjects in a choice scenario where they could press two levers, one of which would intermittently produce the delivery of food pellets on a rich (more frequent) schedule, while the other would do the same on a lean (less frequent) schedule. …

Evaluating The Effects Of A Teacher-Implemented Mindfulness-Based Intervention On Teacher Stress And Student Prosocial Behavior, Mary L. Phan

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

High levels of teacher stress have a negative impact on teacher performance, maintenance, and student outcomes. Given the escalation in teacher stress levels, it is important to decrease teacher stress to improve their wellbeing. One intervention that has received growing attention in reducing teacher stress is mindfulness training. However, few studies have focused on teachers implementing mindfulness-based interventions (MBIs) both with themselves and with school-age children within their classrooms. Additionally, few studies have examined the fidelity, feasibility, and social validity of teacher-implemented MBIs in a classroom setting. Through a single-case multiple baseline design across four teachers, the current study evaluated …

Exploring Body Image Related Cognitive Fusion As A Maintenance Mechanism Of Eating Disorder Pathology, Jennifer L. Barney

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Eating disorders are serious mental health conditions that can have serious negative effects on a person’s physical and mental well-being. These disorders are typically complex, and individuals are often struggling with one or more comorbid mental health problems, making them difficult to treat. To address this complexity and hopefully improve treatment outcomes for those with eating disorders, psychology research examining individual differences that appear to be related to differential treatment responses is needed. Better understanding how these factors relate to each other can help treatment providers identify the treatment methods most likely to work best for a specific individual based …

Telehealth Acceptance And Commitment Therapy For Adolescents With Transdiagnostic Health-Related Anxiety: A Randomized Controlled Trial, Julie M. Petersen

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Health-related anxiety is a growing issue to understand how to treat, particularly following the COVID-19 pandemic. Some studies show that a specific type of therapy, acceptance and commitment therapy (ACT), may be beneficial for health anxiety in adults, but this has not yet been tested with adolescents. The present study is a randomized, waitlist-controlled trial of ACT delivered via Zoom for adolescents struggling with health-related anxiety. A total of 30 adolescents (ages 12-17), plus one caretaker each (N = 60), living in Utah and currently struggling with health-related anxiety were enrolled. The majority of caretakers and adolescents were White, non- …

Executive Functioning In Children With Autism And Co-Occurring Neurodevelopmental Disorders: A Systematic Review And Quantitative Analysis, Kandice Benallie

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Children with autism and other NDDs experience some level of executive dysfunction including challenges with problem-solving, judgement, working memory, and flexibility. Considering autism and other NDDs including ADHD and ID have overlapping symptoms, it can be difficult to differentially diagnose the disorders. This dissertation sought to explore how co-occurring ADHD and ID impact the EF of autistic children. The first study systematically reviewed the current research examining EF of autistic children with co-occurring ADHD and ID. Findings suggest that co-occurring ADHD and ID result in increased executive dysfunction as compared to children with autism only. The systematic review also revealed …

The Mental Health Correlates Of Microaggressions Towards Transgender And Gender Diverse People Of Color: Moderating Effects Of Identity Affirmation And Lgbtq+ Community Connectedness, Kevin Chi

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

LGBTQ+ (lesbian, gay, bisexual, transgender, queer, or other meaningful self-labeled sexual and gender identities) individuals experience daily stressors (e.g., discrimination, violence, hypervigilance, negative expectations) that contribute to poorer mental health outcomes (e.g., depression, anxiety, posttraumatic symptoms, substance). For LGBTQ+ people of color (POC), identifying with multiple intersecting marginalized identities creates unique experiences of inequality that expose them to additional stressors, contributing to poorer mental health outcomes. Perceiving microaggressions, daily brief, everyday assaults on marginalized individuals, about one’s identity has been found to have negative mental health effects. TGD (transgender and gender diverse) POC face exposure to multiple types of microaggressions …

The Longitudinal Effects Of Adverse Childhood Experiences On Internalizing And Externalizing Problems: In Search Of Demographic Disparities, Cynthia M. Navarro Flores

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Children experience high rates of emotional problems (e.g., anxiety, depression) and behavioral problems (e.g., defiance, aggression) that can have long-lasting detrimental effects. Emotional/behavioral problems have been found to relate to exposure to adversity during childhood (i.e., adverse childhood experiences [ACEs]). Studies have found that rates of exposure to ACEs and emotional/behavioral problems may vary depending on one’s race/ethnicity, sex, and income. Research has not yet looked at how emotional/behavioral problems develop throughout childhood in conjunction to exposure to ACEs. The current two-paper dissertation focused on examining the individual and conjointly developing trajectories of ACEs, and emotional (i.e., internalizing problems) and …

Adverse Childhood Experiences, Discrimination, & Adulthood Health Outcomes: Impacts Of Protective And Compensatory Experiences In Childhood, Sallie A. Mack

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Adversity encompasses a wide range of stress-inducing experiences that are often prolonged and/or recurring in nature. Adverse childhood experiences (ACEs) capture adversity experienced before the age of 18, including abuse, neglect, and general household dysfunction. ACEs are widely linked to physical and mental health outcomes across the lifespan. Racial/ethnic discrimination, a form of adversity that can occur across the lifespan, has also been linked to many negative health outcomes. Protective and compensatory experiences in childhood (PACEs) are a relatively newer conceptualization of early-life resiliency factors. Early life resiliency is linked to positive health outcomes later in life. Our studies investigated …

App-Based Academic Interventions For Children With Autism, Cassity R. Haverkamp

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Technology, such as tablet/phone apps, robots, video games, and virtual reality, can be used to teach skills to autistic children. Research on technology supports for autistic youth often focus on social skills, a main part of an autism diagnosis. However, autistic children may also have academic challenges, and fewer studies have looked at how technology can teach academic skills to children with autism. We created three studies to look at how academic apps may benefit autistic children. In the first study, we reviewed studies that looked at how academic apps can increase the academic skills of children with autism. We …

Similarities And Differences In Correlates And Trends In Prescription Stimulant And Prescription Opioid Misuse Among College Students, Julie Murray

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

When used as medically intended, prescription opioid and stimulant medications can have therapeutic benefits. Misuse of these medications, however, presents significant health risks, including increased risk of death and injury. Young adults, ages 18 to 25, have the highest rates of misuse of prescription opioids and stimulants nationally and within this age group, college students may be particularly at risk. This two-study dissertation explored factors related to prescription opioid and prescription stimulant misuse in college students in order to assess similarities and differences in correlates and trends.

Study #1 assessed for similarities and differences in correlates of prescription opioid misuse …

Parents’ Perceptions Of The Philly Goat Project’S All Abilities Ramble: A Qualitative Study Of Animal-Assisted Intervention For Intellectual And Developmental Disorders, Patricia Flaherty-Fischette, Jenée Lee, Yvonne D'Uva-Howard, Elizabeth P. Cramer, Karen Krivit, Sarah Meehan

Developmental Disabilities Network Journal

Individuals with intellectual and developmental disabilities (IDD) are a growing population. Considering the wide diversity in IDD and the financial burden of traditional treatment modalities, Animal-Assisted Interventions (AAI) has emerged as an innovative and non-traditional treatment for individuals with a range of disabilities, including individuals with IDD. To the authors’ knowledge, the present study was one of the first to explore a goat-assisted therapy experience for children with IDD. This study explored the experiences of 23 children with the All Abilities RAMble – a goat-assisted therapeutic activity offered by the Philly Goat Project (PGP). Key themes in our study included …

Applying The Self-Determined Learning Model Of Instruction To The Psychotherapeutic Context For People With Intellectual/Developmental Disabilities, Richard Chapman, Jessica Schuttler, Karrie Shogren, Sydney Walls, Hannah Adams, Aderonke O. Oyetunji

Developmental Disabilities Network Journal

The Self Determined Learning Model of Instruction is an evidence-based intervention for supporting self-directed goal setting and problem solving. Traditionally, the SDLMI has not been applied in the psychotherapeutic context, however we propose that the SDLMI is an approach that could be integrated into such a context to support self-determination, goal setting, and goal attainment. In this paper, we specifically focus on connections between the SDLMI and cognitive behavior therapy (CBT) and how the approaches can be used jointly, during psychotherapy to support teens and young people with intellectual and developmental disabilities to set, work towards, and reach goals. Implications …

Contributions Of Community Organizations To Personal Outcomes For People With Intellectual And Developmental Disabilities: A Study Of Special Olympics Program Participation, Seb M. Prohn, Parthenia Dinora, Kayla Diggs Brody

Developmental Disabilities Network Journal

Community organizations can enhance the intellectual and developmental disability (I/DD) service system’s ability to improve the health, wellness, and participation of people with I/DD. This study added an item about Special Olympics (SO) participation to the 2019-2020 National Core Indicators In-Person Survey to predict active SO participation and to determine whether personal outcomes differed for SO participants. Results of a multinomial logistic regression showed that people who were younger or who did not require mobility aids were more likely to participate in SO. Compared with people who never or formerly participated in SO, current SO athletes had better personal outcomes. …

Five-Year Fidelity Assessment Of An Evidence-Based Parenting Program (Generationpmto): Inter-Rater Reliability Following International Implementation, Margrét Sigmarsdóttir, Melanie M. Domenech Rodríguez, Abigail Gewirtz, Laura Rains, Jolle Tjaden, Marion S. Forgatch

Psychology Faculty Publications

Background Implementing evidence-based programs in community service settings introduces the challenge of ensuring sustained fidelity to the original program. We employ a fidelity measure based on direct observation of practitioners' competence and adherence to the evidence-based parenting program (EBPP) GenerationPMTO following installation in national and international sites. Fidelity monitoring is crucial, especially when the program purveyor transfers administration of the program to the community as was done in this case. In previous studies, the Fidelity of Implementation rating system (FIMP) was used to evaluate practitioners' fidelity to the GenerationPMTO intervention in six countries following implementation showing high levels of adherence …

Exploring The Process Of Mindful Breathing With Stressed Mothers, Caleb D. Farley

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Mindfulness exists in many parenting and family interventions and are intended to decrease stress, improve familial relationships, and indirectly improve child wellness, and these mindfulness-based interventions (MBI) are relatively effective at doing so. However, critical issues remain related to designing effective and useful interventions for school-based and other community practitioners. Specifically, research has not demonstrated clear relationships between parent mindfulness practice increasing generalized mindfulness behaviors (i.e., awareness and acceptance), experiencing subsequent parental stress reduction, and reporting decreased behavior problems in children. The current study examined these relationships between practicing mindfulness and experiencing changes in parents’ mindfulness process, wellbeing, and perceptions …

The Sexual Objectification Experiences Of Non-Binary People, Lee R. Pradell

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Transgender people are a historically marginalized and disenfranchised group, leading to discriminatory interpersonal treatment such as sexual objectification experiences (SOEs), a type of objectification. Women look at themselves the way men look at them, reducing themselves to objects for someone else’s viewing. This flattening of oneself to value your bodily presentation over functioning increases dissociative states and promotes disordered eating behaviors. Non-binary people experience additive stressors within objectification experiences as people with less social power than cisgender women. This thesis is composed of three separate studies aimed at understanding the SOEs of non-binary people.

The first of three studies recruited …