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Full-Text Articles in Social and Behavioral Sciences

On The Rebound: Resilience And Subjective Cognitive Symptoms In Cancer, Giuliana V. Zarrella Jan 2024

On The Rebound: Resilience And Subjective Cognitive Symptoms In Cancer, Giuliana V. Zarrella

Theses and Dissertations

Recent studies have shown a strong connection between resilience and subjective cognitive symptoms in clinical populations. However, there is limited understanding of this relationship in cancer survivors, and no studies examine whether resilience training could alleviate subjective cognitive symptoms in these patients. This study examined the relationship between subjective cognitive function and resilience in non-CNS cancer survivors who participated in a resiliency training intervention, at baseline and from pre- to post-intervention, as well as investigated potential influences of change in subjective cognition. Adult cancer survivors (N=275) participated in the Stress Management and Resilience Training-Relaxation Response Resilience Program (SMART-3RP) …


Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau Jan 2024

Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau

Theses and Dissertations

Complementary Health Approaches (CHAs) encompass a diverse range of practices which are often used both independently and alongside conventional medical treatments. Understanding how graduate students training in different fields perceive CHAs is important because these professional trainees will go on to occupy roles as healthcare practitioners, researchers, policy makers, and consumers. This study used sequential rank agreement methods (Ekstrøm, Gerds, & Jensen, 2019) to investigate variations in perceptions of CHAs in a sample of graduate students (N = 416) from 140 possible training programs. Ratings of CHA familiarity, perceptions of CHA legitimacy, and willingness to recommend CHAs were compared …


Fitbit Engagement In An Health Physical Activity Intervention For Young Adult Cancer Survivors: A Secondary Analysis Of The Impact Randomized Controlled Trial, Jessica Gomez Smith Jan 2024

Fitbit Engagement In An Health Physical Activity Intervention For Young Adult Cancer Survivors: A Secondary Analysis Of The Impact Randomized Controlled Trial, Jessica Gomez Smith

Theses and Dissertations

Wearable devices allow for objective remote and real-time data collection and have been increasingly popular among the general public and in mHealth activity (PA) interventions. Despite this, our knowledge of feasibility and efficacy for using wearable devices to increase PA among a particularly vulnerable population—young adult cancer survivors age 18-39 (YACS)—is limited. Engaging in physical activity while undergoing cancer treatment contributes to reduced risk for recurrence and secondary cancers, and can also help to manage treatment side effects. However, there are a multitude of barriers to PA engagement among cancer survivors, with YACS in particular demonstrating low rates of PA. …


African American Adolescents' Exposure To Community Firearm Violence And Associated Factors, Colleen S. Walsh Jan 2024

African American Adolescents' Exposure To Community Firearm Violence And Associated Factors, Colleen S. Walsh

Theses and Dissertations

Firearm violence is a public health crisis in the United States that disproportionately impacts African American adolescents and families living in economically marginalized communities. The current firearm violence exposure literature includes a limited focus on the (a) the identification of risk and promotive factors that influence the likelihood of exposure to community firearm violence, (b) is cross-sectional, (c) focuses on outcomes of firearm violence exposure, and (d) does not examine bi-directional relations to determine if risk and promotive factors are causes and/or consequences of firearm violence exposure. This gap in research is further exacerbated by the limited focus on African …


Evaluating The Role Of Interoceptive Awareness In Insomnia And Across The Sleep Health Spectrum, Lara Lobrutto Jan 2024

Evaluating The Role Of Interoceptive Awareness In Insomnia And Across The Sleep Health Spectrum, Lara Lobrutto

Theses and Dissertations

Interoceptive awareness, characterized by a non-judgmental and trusting attitude towards body sensations, is an understudied construct that is implicated in sleep and health outcomes. Interoceptive awareness is cultivated via contemplative and mindfulness-based practices. Given that it may be utilized to reduce pre-sleep arousal, which is a key mechanism in insomnia, interoceptive awareness is posited to be a protective factor for sleep health. A cross-sectional study was conducted among undergraduate university students (N = 420) in the Mid-Atlantic region of the United States to assess the association between interoceptive awareness and sleep outcomes. Participants received a survey link and completed …


Effects Of Mindfulness Training On Prosocial Responses In Intergroup Relations: A Pilot Randomized Controlled Trial, Denise Yiran Zheng Jan 2024

Effects Of Mindfulness Training On Prosocial Responses In Intergroup Relations: A Pilot Randomized Controlled Trial, Denise Yiran Zheng

Theses and Dissertations

Based on social identity theory and intergroup emotions theory, individuals feel for and act toward others based on their group-based social identities. Recent research shows that mindfulness can enhance prosocial responses toward others across group divides. The current research examined the effects of mindfulness training on prosocial behavior in intergroup relations where such behavior is difficult (e.g., with marginalized or devalued social groups). The study also examined potential mechanisms, namely state empathic concern and appraisal, that may explain how mindfulness increases prosocial behavior toward outgroups. This study compared the effects of a 2-week mindfulness training to a matched coping training …


The Influence Of Flavor On The Abuse Liability Of A Heated Tobacco Product And Its Feasibility As A Menthol Cigarette Substitute, Augustus White Jan 2024

The Influence Of Flavor On The Abuse Liability Of A Heated Tobacco Product And Its Feasibility As A Menthol Cigarette Substitute, Augustus White

Theses and Dissertations

Heated Tobacco Products (HTPs) purport to expose people that use cigarettes to fewer of the harmful or potentially harmful constituents of tobacco while still delivering reinforcing amounts of nicotine (Auer, Concha-Lozano et al., 2017). An exemplar of the HTP class, IQOS, and its three varieties of “HeatSticks” have been authorized by the Food and Drug Administration (FDA) as “Modified Risk Tobacco Products” (MRTP). However, as the FDA is planning to ban menthol as a characterizing flavor in cigarettes, questions remain regarding whether characterizing flavors should be permitted in HTPs (FDA, 2022e). New evidence regarding HTP abuse liability (i.e., the likelihood …


Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose Jan 2024

Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose

Theses and Dissertations

This study utilized a mixed methods emergent, phenomenological approach to (1) understanding the lived experience of freezing of gait for individuals diagnosed with Parkinson’s Disease and (2) determining the role of anxiety and sleep in freezing of gait outcomes. Participants included 13 adults diagnosed with Parkinson’s Disease (N=14 for qualitative data, N=13 for quantitative data; 23.1% female-identifying, 76.9% male-identifying) who were predominantly white (92.3%) with an average age of 69 years (SD = 6.73 years). Data collection consisted of semi-structured interviews, self-report measures, actigraphic sleep data, and salivary alpha amylase biomarker collection. Results are organized into …


Relations Between Adverse Childhood Experiences And Substance Use In Adolescents And Emerging Adults: The Moderating Role Of Exposure To Community Violence And Community Support And Community Recognition, Kiara Brown Jan 2024

Relations Between Adverse Childhood Experiences And Substance Use In Adolescents And Emerging Adults: The Moderating Role Of Exposure To Community Violence And Community Support And Community Recognition, Kiara Brown

Theses and Dissertations

Due to historical and current systemic racial inequities, African American adolescents and emerging adults living in low-income urban communities bear the burden of higher rates of adverse childhood experiences (ACEs) and exposure to community violence. Both exposure to ACEs and community violence are linked to higher levels of substance use. However, limited research exists on how exposure to community violence exacerbates the association between ACEs and higher frequencies of substance use in adolescence and emerging adulthood. There is also a need to understand how community-level protective factors may weaken the relations between ACEs and higher rates of substance use. The …


Using Natural Language Processing To Understand The Lived Experiences Of People Identifying With Adhd: What Themes Emerge In Social Media Posts?, Gabby C. Scalzo Jan 2024

Using Natural Language Processing To Understand The Lived Experiences Of People Identifying With Adhd: What Themes Emerge In Social Media Posts?, Gabby C. Scalzo

Theses and Dissertations

Compared to the amount of research conducted on how to identify and understand children with Attention-Deficit Hyperactivity Disorder (ADHD), there has been relatively little work done to understand the lived experiences of adults with ADHD. Increased understanding of how adults with ADHD conceptualize themselves in the context of their diagnosis would help clinical experts tailor research and treatments to better serve these communities. However, there are several barriers towards conducting high-quality qualitative research, including time- and labor-intensity. This study, informed by qualitative research traditions, used innovative data sources (i.e., social media) and analytic techniques (i.e., machine learning) to reduce these …


Disparities Between Native Americans And White Individuals In Trajectories Of Community Participation Over The 5 Years After Traumatic Brain Injury, Jack Watson Jan 2024

Disparities Between Native Americans And White Individuals In Trajectories Of Community Participation Over The 5 Years After Traumatic Brain Injury, Jack Watson

Theses and Dissertations

Traumatic brain injury (TBI) disproportionately affects minoritized populations within the U.S., especially Native Americans who are more likely to experience a more severe or fatal TBI than White individuals. The current study used a subsample of 63 Native Americans with TBI from the TBI Model Systems (TBIMS) database matched by age, sex, and injury severity to 63 White individuals to examine disparities in community participation, as measured by the Participation Assessment with Recombined Tools—Objective (PART-O), over the five years following TBI. Analysis of variance (ANOVA) and chi-square tests revealed Native Americans were less likely to be employed prior to injury, …


Identifying Mechanistic Pathways To Rigidity Associated With Obsessive-Compulsive Personality Disorder Traits Using A Novel Decision-Making Paradigm, Hannah L. Heintz Jan 2024

Identifying Mechanistic Pathways To Rigidity Associated With Obsessive-Compulsive Personality Disorder Traits Using A Novel Decision-Making Paradigm, Hannah L. Heintz

Theses and Dissertations

Cognitive and behavioral rigidity is observed across several mental disorders and is a defining characteristic of Obsessive-Compulsive Personality Disorder (OCPD), a highly prevalent and debilitating, yet understudied, disorder. In particular, treatments for OCPD are underdeveloped due to our poor understanding of the mechanisms leading to the disorder’s key feature of rigidity. Two related disorders, anorexia nervosa (AN) and obsessive-compulsive disorder (OCD), have shown distinct mechanistic pathways leading to symptoms of rigidity, indicating that this trait can arise as a result of a number of differentially impaired cognitive processes, each requiring unique interventions. To examine the relationship between symptoms of OCPD …


Associations Between Childhood Trauma And Tobacco Dependence Among Latine Adults: Testing The Protective Effects Of Compassion For Self And Others, Camila Tirado Jan 2024

Associations Between Childhood Trauma And Tobacco Dependence Among Latine Adults: Testing The Protective Effects Of Compassion For Self And Others, Camila Tirado

Theses and Dissertations

Tobacco dependence has posed a significant public health challenge in the United States and disproportionately affects Latine adults' risk of developing a variety of adverse health conditions. Childhood trauma is a recognized risk factor for dependence, overall health, and mental health concerns. Still, the influence of compassion for self or compassion for others in this context remains unclear. This cross-sectional study investigated the moderating effects of self-compassion and compassion for others on the relationship between childhood trauma and cigarette dependence among Latine adults. Data was collected through questionnaires assessing childhood trauma, self-compassion, cultural values and factors, compassion for others, and …


“Black Wom(B)Anhood”: An Explorative Analysis Of Black Women's Narratives Of Healthcare Encounters During And After Pregnancy, Janae A. Baker Jan 2024

“Black Wom(B)Anhood”: An Explorative Analysis Of Black Women's Narratives Of Healthcare Encounters During And After Pregnancy, Janae A. Baker

Theses and Dissertations

This qualitative study explores the intricate dynamics of patient-provider relationships within the context of prenatal care among Black women and how these experiences may affect their perinatal mental health. The study was conducted using a methodology consisting of structured interviews with 12 participants, snowball sampling facilitated recruitment. Thematic analysis revealed six prominent themes encapsulating the multifaceted interactions between Black women and their healthcare providers during the perinatal period. The findings illuminate nuanced aspects of the patient-provider relationship, shedding light on issues such as: (a) Anticipation of Low Quality Care, (b) Lack of Communication, (c) Listening, (d) Stereotype Threat, (e) Colorism, …


Development Of A Validity Scale For The Icd-11 Personality Disorder Measure (Psi-11), Rae Lutz Jan 2024

Development Of A Validity Scale For The Icd-11 Personality Disorder Measure (Psi-11), Rae Lutz

Theses and Dissertations

Invalid responding is a significant issue in the utilization of self-report information. Invalid responding can be assessed by stand-alone validity measures or embedded validity scales. The International Classification of Diseases (ICD) is one of two major diagnostic systems which provide guidance on diagnosing personality disorder, with the most recent version (ICD-11) providing a fully dimensional model for personality disorders. No existing measures aimed at assessing dimensional personality pathology have addressed the combination of PD severity and trait qualifiers that were based upon ICD-11 guidelines. To address this gap, Clark et al. (2021) developed the ICD-11 Personality Disorder Measure (PSI-11). However, …


Community Informant And Mental Health Provider Perspectives On Access To Mental Healthcare For Lgbtqia+ Communities In Virginia, Chariz Seijo Jan 2024

Community Informant And Mental Health Provider Perspectives On Access To Mental Healthcare For Lgbtqia+ Communities In Virginia, Chariz Seijo

Theses and Dissertations

The existing literature on mental health disparities for lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) populations suggests members of LGBTQIA+ populations are at greater risk of mental health disorders than cisgender and heterosexual individuals. The COVID-19 pandemic has also exacerbated mental health disparities for many, including LGBTQIA+ populations. Combined with mental health provider shortages and anti- LGBTQIA+ bills across the country, inequities in mental healthcare are a significant concern. This qualitative study was designed to gather unique perspectives of key community informants and mental health providers on their experiences with mental healthcare provision to LGBTQIA+ communities in Virginia. …


Effects And Mechanisms Of Smartphone-Based Mindfulness Training On Emotional Experience, Polina Beloborodova Jan 2024

Effects And Mechanisms Of Smartphone-Based Mindfulness Training On Emotional Experience, Polina Beloborodova

Theses and Dissertations

Emotional well-being is an important component of mental and physical health that includes both positive emotions and an absence of emotional symptoms (e.g., depressive- and anxiety-related). In this study, we examine psychological mechanisms that help to explain the effects of an digital mindfulness-based intervention (MBI) on emotional states. We conducted a randomized controlled trial wherein undergraduate student participants vulnerable to decreased positive and increased negative affect received a 2-week smartphone-based MBI or a structurally equivalent coping control intervention. Emotional experience, including depressive feelings, anxiety, and happiness, as well as subjective social well-being, including loneliness and felt connection to others, was …


Associations Among Acculturative Stress, Body Ideal Internalization, Body Dissatisfaction And Disordered Eating Behaviors Among Cisgender Heterosexual And Lgbt People Of Color, Taryn Henning Jan 2024

Associations Among Acculturative Stress, Body Ideal Internalization, Body Dissatisfaction And Disordered Eating Behaviors Among Cisgender Heterosexual And Lgbt People Of Color, Taryn Henning

Theses and Dissertations

Research supports the relation between acculturative stress and disordered eating behaviors (DEBs) across racially and ethnically diverse groups of men and women. However, there is minimal research examining factors that further explain the relation between acculturative stress and DEBs. Also, this relation has not been evaluated in racially and ethnically diverse LGBT individuals. The current study aimed to address these gaps by examining the role of thin-, muscular-, and hourglass-ideal internalization and body dissatisfaction as mediators of the relation between acculturative stress and disordered eating behaviors among cisgender heterosexual Black, Latine, Asian American, Multiracial men and women and LGBT men …


Anti-Immigration-Related Stressors And Latine Immigrant Well-Being: The Role Of Family & Community Resilience, Lisa S. Fuentes Jan 2023

Anti-Immigration-Related Stressors And Latine Immigrant Well-Being: The Role Of Family & Community Resilience, Lisa S. Fuentes

Theses and Dissertations

Anti-immigrant rhetoric and policies have continued to adversely impact Deferred Action for Childhood Arrivals (DACA) and Temporary Protection Status (TPS) beneficiaries (Arevalo et al., 2015; Cleary, 2017; Li, 2015; Sangalang et al., 2018). There have been numerous attempts to revoke DACA, TPS, and other policies that temporarily protect immigrant families. Although the number of resilience literature has grown, more strength-based approaches are still needed. Additionally, given that familismo (familism) and collectivism are key cultural values for Latine families (Campos et al., 2019; Corona et al., 2017), it is imperative to explore family and community resilience among Latine immigrants to gain …


Psychiatric Diagnostic Decision-Making: Investigating The Theory Of The Dual-Process Model, Christopher S. Kleva Jan 2023

Psychiatric Diagnostic Decision-Making: Investigating The Theory Of The Dual-Process Model, Christopher S. Kleva

Theses and Dissertations

Diagnostic decision-making is an important component of clinical practice; however, there is substantial diagnostic unreliability within mental health diagnoses. The lack of reliability emphasizes the importance of investigating diagnostic decision-making; however, the research to date is limited, primarily relying on a vague definition of decision-making based on the dual-process model. The present study is an exploratory attempt to apply the dual-process model to explain how mental health clinicians (n = 30, 73.3% cisgender female, 96.7% psychologists) arrive at making diagnostic decisions through the use of an interactive interview mechanism. For each participant, we are able to create a figure …


Recovery Sleepers: A Pilot Study Of A Sleep Health Intervention For College Students In Recovery From Substance Use Disorder, Morgan P. Reid Jan 2023

Recovery Sleepers: A Pilot Study Of A Sleep Health Intervention For College Students In Recovery From Substance Use Disorder, Morgan P. Reid

Theses and Dissertations

There is an increasing number of students in recovery from substance use disorder (SUD) on college campuses, and collegiate recovery programs have been designed to support students’ recovery and global health needs. However, little research has focused on interventions that can promote health outcomes within this population. Chronic substance misuse can have lingering, negative effects on sleep even after sustained remission; thus, the present paper describes a pilot study of Recovery Sleepers, a sleep health promotion intervention rooted in self-determination theory for college students in recovery from SUD. Study aims were to examine the feasibility, acceptability, and fidelity of the …


Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr Jan 2023

Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr

Theses and Dissertations

Pediatric asthma disproportionately affects children living in urban areas and within families reporting an income below the poverty threshold. Home interventionist models of care, utilizing interventionists from the communities they serve, have been found to improve pediatric asthma symptoms and reduce Medicaid costs. Home interventionists, such as community health workers (CHWs) and Healthy Homes assessors (HHAs), focus on connecting care among schools, providers, and homes, and empowering families in accessing resources to overcome barriers to care. However, research is just beginning to understand how home interventionists create positive change among families within low-income, urban communities. This dissertation study used a …


Initial Psychometric Evaluation Of An Observer-Rated Measure Of Shared Decision Making Practices In Youth Psychotherapy, Jennifer Lc Herbst Jan 2023

Initial Psychometric Evaluation Of An Observer-Rated Measure Of Shared Decision Making Practices In Youth Psychotherapy, Jennifer Lc Herbst

Theses and Dissertations

SDM is a process by which clinicians and clients collaboratively make treatment decisions; this process may improve the alliance and clinical outcomes. SDM in youth psychotherapy is understudied, and a critical gap in the field is the paucity of established measures designed to assess SDM practices in youth psychotherapy. This project aimed to fill this gap by examining the score reliability and validity of a novel observer-rated measure of SDM designed for youth psychotherapy—the Shared Decision Making Practices in Youth Mental Health scale (SDM-YMH)—and using the measure to investigate linkages between SDM practices, the alliance, and clinical outcomes. Therapy tapes …


Youth And Caregivers' Perceptions Of Racial Socialization: Examining The Interactive Role Of Risk And Cultural Resilience Factors As Predictors And Mental Health As Outcomes, Arlenis Santana Jan 2023

Youth And Caregivers' Perceptions Of Racial Socialization: Examining The Interactive Role Of Risk And Cultural Resilience Factors As Predictors And Mental Health As Outcomes, Arlenis Santana

Theses and Dissertations

Black families' mental health, including that of the children and caretakers, is a persistent public health concern. Existing work documents that parental racial socialization messages are a protective process for the psychological well-being of Black children, youth, and emerging adults (Bannon et al., 2009). The majority of work to date has focused on youth, and we have limited information about the effects of racial socialization on caregivers’ mental health outcomes. It is also essential to examine the relation between racial socialization and outcomes among caregivers because, aside from their identity as parents, caregivers have other identities and experiences that deserve …


Examining Allostatic Load As A Biological Mechanism Linking Childhood Adversity And Pediatric Pain, Angela Pascale Jan 2023

Examining Allostatic Load As A Biological Mechanism Linking Childhood Adversity And Pediatric Pain, Angela Pascale

Theses and Dissertations

Despite a strong literature base relating childhood adversity to pain, the biological mechanisms underlying these associations remain unclear. Theoretical and preliminary empirical evidence supports allostatic load as a potential biological mechanism, though prior studies investigating associations between childhood adversity and elevated allostatic load and/or between elevated allostatic load and poorer pain outcomes have primarily focused on adult populations and individual allostatic load indicators rather than a comprehensive index. Thus, the current study built upon prior literature by testing longitudinal relationships between childhood adversity and multiple biological indicators spanning across physiological systems (i.e., comprehensive allostatic load index) and pediatric pain outcomes …


How Do Cultural Norms Shape Healthy Eating In African Americans? The Role Of Cultural Congruence And Mindsets Of Health In Healthy Eating Intentions Among African American College Students, Danyel Smith Jan 2023

How Do Cultural Norms Shape Healthy Eating In African Americans? The Role Of Cultural Congruence And Mindsets Of Health In Healthy Eating Intentions Among African American College Students, Danyel Smith

Theses and Dissertations

Targeting dietary behaviors is a predominant strategy to reduce rates of obesity among African Americans, across the lifespan. Notably, dietary behaviors are shaped by social, cultural and environmental affordances. This study integrated Theory of planned behavior (TPB), identity-based motivation, and mindset theory to unearth cultural mechanisms that inform motivations to eat healthy among African American college students. This project employed a cross-sectional (Study 1) and experimental design (Study 2) to contextualize the antecedents of intentions to eat healthy among African American college students. Recruitment occurred via university-wide digital channels. Eligible participants: were 18+ years; Black/African American; were undergraduate students; and …


Home Disruption And Substance Use: The Moderated-Mediating Role Of Family Conflict And Stress Among Racial-Ethnic Minoritized College Students, Geovani Muñoz Jan 2023

Home Disruption And Substance Use: The Moderated-Mediating Role Of Family Conflict And Stress Among Racial-Ethnic Minoritized College Students, Geovani Muñoz

Theses and Dissertations

The COVID-19 pandemic has disproportionately impacted first-generation college students who identify as racial-ethnic minorities (REM). Aside from the academic and health repercussions caused by COVID-19, little is known if home disruptions have increased substance use for REM college students. Specifically, increased home disruptions may directly relate to substance use and indirect relationships through increased family conflict and stress. Therefore, this master's thesis examined the direct relationships between home disruption and substance use. I also examined the relationships between home disruption and family conflict, as well as home disruption and stress. Further, I also investigated the relationships between family conflict and …


Incorporating A Developmental Perspective Into Gene Identification Models For Alcohol Use Behaviors, Nathaniel S. Thomas Jan 2023

Incorporating A Developmental Perspective Into Gene Identification Models For Alcohol Use Behaviors, Nathaniel S. Thomas

Theses and Dissertations

Frequent alcohol use can lead to alcohol use disorder, which accounts for three million deaths and over 133 million life years lost to disability and death worldwide per year. Alcohol use behaviors unfold across development, beginning with initiation of drinking and progressing through various escalating stages of use. Alcohol use behaviors are also under genetic influence. Genome-wide association represents the state-of-the-science statistical methodology for identifying genes associated with alcohol use outcomes. However, contemporary genome-wide association study (GWAS) methods typically do not account for variability in genetic effects throughout development. In this project, I applied novel multivariate genomic methods to combine …


Using A Single Measure To Assess Adherence And Differentiation In Family Therapy For Adolescent Externalizing Problems, Stephanie Violante Jan 2023

Using A Single Measure To Assess Adherence And Differentiation In Family Therapy For Adolescent Externalizing Problems, Stephanie Violante

Theses and Dissertations

Family therapy is considered a well-established treatment approach for adolescent externalizing problems; however, research examining its effectiveness when delivered in routine practice settings has produced mixed results. The accurate interpretation of these inconsistent results requires an understanding of what therapeutic techniques were delivered, including those that were prescribed (i.e., adherence) and those that were non-prescribed (i.e., differentiation), suggesting the need for a measure that can concurrently assess treatment adherence and differentiation. The current study examined the extent to which an observational measure of an array of therapeutic techniques for youth emotional and behavioral problems (the Therapy Process Observational Coding System …


Black Racial Identity And Externalizing Symptoms: The Regulatory Role Of Dyadic Relationships, Sultan A. Hubbard Jan 2023

Black Racial Identity And Externalizing Symptoms: The Regulatory Role Of Dyadic Relationships, Sultan A. Hubbard

Theses and Dissertations

This study explored caregiver impact on Black racial identity (BRI) and externalizing through the integration of BRI, racial socialization (RS), and social support theoretical frameworks. The study used 85 Black undergraduates (Mean age =19.3, SD=3.43) who rated three caregivers, respectively. Restricted maximum likelihood estimation was conducted to estimate variance components. BRI, RS, internalizing, and externalizing variables reflected significant trait effects and dyadic effects. However, racial centrality and public regard did not reflect significant dyadic effects. Participant burden due to randomization of caregivers and items likely suppressed dyadic effects. Moreover, caregivers who evoked private regard were perceived as having high cultural …