Social and Behavioral Sciences Commons^™

Sexual Violence And Psychological Distress: The Roles Of Coping Self-Efficacy, Self-Blame, Shame, Activism, And Feminism, Charlotte Strauss Swanson

Doctoral Dissertations

In the current study, we investigated potential direct, indirect, and moderated relations in the links between exposure to sexual violence and PTSD symptom severity and depression among a sample of 440 United States women who had experienced sexual assault in adulthood. We found that sexual violence exposure was both directly and indirectly related to PTSD symptom severity via less trauma coping self-efficacy, greater behavioral and characterological self-blame, and more shame. Sexual violence exposure was also indirectly related to depression via the same explanatory variables, except for behavioral self-blame. Contrary to our hypotheses, results indicated that involvement in anti-sexual activism and …

Stigma And Social-Emotional Health In Youth With Learning Differences, Kelsey Maki

Doctoral Dissertations

Youth diagnosed with specific learning disorder (SLD) and/or attention deficit hyperactivity disorder (ADHD), defined collectively for the purposes of this study as youth with learning differences, experience poorer social-emotional health outcomes in comparison to their typically developing peers. These youth additionally experience stigma from their peers, teachers, and broader community, which may impact social-emotional health. As a secondary data analysis of a larger study, the present study investigated the role of stigma consciousness alongside demographic variables, self-esteem, and peer relationships in social-emotional health outcomes. Due to the possible differences between youth diagnosed with SLD, ADHD, and comorbid SLD/ADHD, group differences …

The Effectiveness Of A Transaffirmative Cognitive Behavioral Therapy Group-Based Intervention To Help Transgender Individuals Suffering From Depression, Joy Riach

Doctoral Dissertations

Transgender individuals report higher levels of elevated symptoms of depression and anxiety due to psychological distress caused by pervasive transphobic discrimination and prejudice that persist in pathologizing and stigmatizing their lived experiences. An important first step would be to develop, implement, and assess transaffirmative interventions that address the mental health issues that this population is particularly susceptible to, such as depression. This current study was designed to assess the effectiveness of one such culturally adapted intervention, which was a 5-week-long, group-based therapy developed for treating depression in transgender individuals using cognitive behavioral therapy (CBT). This was then followed with one …

It’S All The Rage: An Animated Approach To Screening For Postpartum Depression, Amanda Gorham

Doctoral Dissertations

Postpartum depression presents a complication for mothers which can, in some cases, be severe and even life-threatening. Instruments commonly used to screen for this psychological condition have been challenged by an extensive body of literature, with many mothers being unidentified and even untreated for their symptoms. The presented research introduces a newly developed screening instrument for detecting probable postpartum depression using text-free scenario-based animations, based on the lived experience of the condition as qualified by empirical research and the existing body of literature. Developed items were controlled for quality via Think Aloud Protocol and alignment studies with subject matter experts …

Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho

Doctoral Dissertations

This study is a program evaluation with a mixed methods design that evaluated the effectiveness of Peer Engagement and Knowledge (PEAK), a six-week community-based group intervention that incorporates mindfulness-based interventions (MBIs) to address multiple health behaviors for multiracial youth in Hilo, Hawai‘i. A total of 51 youth, ages 12-23 years old, participated in this study which included pre-/posttest analyses of health risk factors such as substance use and depression and health promoting factors such as resilience, self-esteem, and mindfulness. Responses from two subsets of participants, who engaged in a focus group (n = 11) and composed gratitude letters ( …

Maternal Postpartum Depression And Father Involvement Across The Transition To Parenthood, Katie Newkirk

Doctoral Dissertations

Maternal postpartum depression is a common complication of childbirth that affects the whole family. Fathers’ greater involvement in childcare can buffer children from the negative effects of mothers’ depression, and aid in mothers’ recovery, so it is important to understand under what conditions fathers become more or less involved when mothers are depressed. Prior research has supported both a compensation hypothesis, whereby fathers compensate for the effects of mothers’ depression on mothers’ parenting by being more involved in parenting, and a spillover hypothesis, whereby mothers’ negative emotionality causes fathers to pull back from family life and be less involved in …

The Role Of Meaning-Making In Posttraumatic Growth Among Eritrean Refugees With Posttraumatic Stress Disorder, Yacob Tewolde Tekie

Doctoral Dissertations

The study examined the moderating role of meaning made, meaning making and social support on the relationship between negative life events and posttraumatic stress disorder (PTSD), anxiety and depression as well as the facilitating role of these moderating variables for posttraumatic growth(PTG). Eritrean refugees (N = 135) who were residing in Europe were recruited. The results showed that post-migration living difficulties significantly related with negative outcomes. In addition, the results showed that social support moderated the relationship between the number of traumatic life events and anxiety symptoms. However, meaning made and social support were not significant moderators on the …

The Impact Of Depressive Symptoms On Cognitive Decline And Risk For Dementia, Katheryn Conde

Doctoral Dissertations

As of 2011, the life expectancy for Latinos in the U.S. was 81.6 years, which is higher compared to non-Hispanic Blacks (75.3 years), non-Hispanic Whites (79 years), and Hispanic Black populations (74.9 years; Arias, 2011; Arias, 2015). Latinos have higher age specific prevalence of dementia, which is higher than African Americans and non-Hispanic Whites (Gurland et al.,1999). Latinos experience Alzheimers disease symptoms 6.8 years earlier, with the average onset of 67.6 years which is younger than non-Hispanic Whites (73.1 years; Clark et al., 2005). Furthermore, older Latinos tend to experience depression at a rate of 13% and 35% with the …

A Program Evaluation Of A Drug And Alcohol Family Treatment Program, Katrina Ramirez

Doctoral Dissertations

The current study is a program evaluation at John Muir Behavioral Health, Center for Recovery. The research determined the effectiveness of the program at Center for Recovery that is offered to patients that struggle with substance use disorder and their families. The purpose of this study is to assess patients’ behavioral, cognitive and social/environmental factors as it relates to their commitment to sobriety and examine how the involvement of family members influences the patient’s recovery process. I utilized a mixed methodology of quantitative and qualitative interviews of patients and family members. The findings suggest depressive symptoms were negatively correlated with …

Treatment Preferences And Outcome In A Randomized Controlled Trial For Depression Comparing Supportive-Expressive Therapy To Medication And Pill Placebo, Sophia Elsie Winter

Doctoral Dissertations

Previous research regarding the relationship between patient treatment preferences on outcome has been equivocal, with some studies finding a significant relationship between preference match and outcome, and others finding no such evidence. This study examines the effect of patient treatment preference match on outcome using data from a previously published randomized controlled trial comparing supportive-expressive therapy (SET), to antidepressant medication plus clinical management, and to pill-placebo plus clinical management. The original study included 156 participants receiving treatment at the Center for Psychotherapy research at the University of Pennsylvania in Philadelphia, PA. This study is the first to examine the relationship …

Correspondence Between Change In Adult Attachment Patterns And Change In Depression Symptoms In Early Marriage, Cassandra C. Devito

Doctoral Dissertations

Countless studies have demonstrated the association between attachment styles and depressive symptoms; however, thus far, none have examined concurrent change. That is, does change in attachment style predict change in depressive symptoms over time? This question was examined in a sample of 229 heterosexual newlywed couples from Western Massachusetts. It was found that changes in attachment avoidance in particular predicted changes in depressive and anxious symptoms over time. Being a parent also played a role in participants' overall attachment styles, depressive symptoms and anxious symptoms on average, with differences observed by gender. Implications and suggestions for future research are discussed.

Predicting Social Skills And Adaptability In Preschoolers With Behavior Problems, Nastassja Marshall

Doctoral Dissertations

Social skills and adaptability have been associated with a host of positive child outcomes. However, previous research has rarely examined the extent to which child symptomatology and family environment are associated with social skills and adaptability in children. Furthermore, no studies have looked at these associations longitudinally in preschool children with behavior problems, for whom social functioning may be especially important. The current study examined the relationship of five predictors (child oppositional defiant disorder (ODD), child attention-deficit hyperactivity disorder (ADHD), marital conflict strategies, parental depression, and parental warmth) with social skills and adaptability measured in preschoolers with behavior problems at …

Mindfulness-Based Therapy And Behavioral Activation: A Randomized Controlled Trial With Depressed College Students, Crystal Constance Mcindoo

Doctoral Dissertations

Major Depressive Disorder (MDD) is found in about 20% of university students, with increasing incidence in the past two decades (American College Health Association, 2010). Depressed college students report significant academic problems, including lower grade point average, inability to concentrate, absenteeism, lower academic productivity, and interpersonal problems. Mindfulness-Based Stress Reduction (MBSR) and Behavioral Activation (BA) are two interventions that have significant potential in meeting demands of college counseling clinics insofar as treating depressed college students. This study utilized a randomized controlled design (n = 50) to examine the efficacy of four-sessions of abbreviated MBSR and BA relative to a …

Relationships Among Depression, Posttraumatic Stress Disorder, Forgiveness, Meaning In Life, And Spirituality In Survivors Of Intimate Partner Violence, Shannon Marie Rogers

Doctoral Dissertations

One hundred twenty nine survivors of interpersonal violence completed a paper-and-pencil survey to evaluate depression, PTSD, forgiveness, meaning in life, and spirituality. Five self-report measures were completed including: the Center for Epidemiological Studies-Depression scale, the PTSD Checklist – Stressor Specific version, the Transgression-Related Interpersonal Motivations Inventory, and the Spiritual Involvement and Beliefs Scale. The majority of the participants were female and Caucasian. Significant correlations were found between PTSD and presence of meaning, as well as depression and both presence of and search for meaning. However, hierarchical multiple regressions results indicated that depression and the two meaning in life subscales contributed …

Relationship Quality, Individual Wellbeing, And Gender – A Series Of Longitudinal Studies, Patricia Nola Eugene Roberson

Doctoral Dissertations

Using multiple theories, three studies examined the association between relationship quality, individual wellbeing (e.g., psychological distress), and gender across multiple time points. In Study 1 applied life course theory concepts (e.g., roles, role configurations, role trajectories) and second order latent class analyses were then conducted. Using four relationship role trajectories were identified from these analyses. Relationship role trajectories differed on wellbeing, wherein individuals in stable marriages with higher satisfaction consistently reported greater wellbeing (i.e., lower depression and higher life satisfaction).

Study 2 sought to determine the direction of the association between individual wellbeing and relationship quality. This study specifically examined …

Behavioral Activation For Depressed Breast Cancer Patients: The Impact Of Therapeutic Compliance And Quantity Of Activities Completed On Symptom Reduction, Marlena Maria Ryba

Doctoral Dissertations

Behavioral activation (BA) is an empirically validated treatment that reduces depression by increasing overt behaviors and exposure to reinforcing environmental contingencies. Although research has identified an inverse correlation between pleasant or rewarding activities and depression, the causal relation between increased structured activities and reduced depression has not directly been studied. In the context of a recent randomized trial (Hopko et al., 2011), this study used longitudinal data and growth curve modeling to examine relationships among the quantity of activities completed, proportion of activities completed (i.e., therapeutic compliance), environmental reward, and depression in breast cancer patients treated with BATD (n …

Avoidance And Depression: Evidence For Reinforcement As A Mediating Factor, John Paul Carvalho

Doctoral Dissertations

Behavioral Activation theory (Martell, Addis, & Jacobson, 2001) posits that a pattern of excessive use of avoidant coping strategies removes an individual from environmental sources of reward and reinforcement and subsequently leads to the development (or maintenance) of depressive symptoms. This investigation examined this theory by establishing measures of environmental reward as mediators between avoidance and depression, while further demonstrating that there is a strong connection between avoidance and depression independent of anxiety. Reward was measured by both self-report questionnaire (Reward Probability Inventory; Carvalho et al., under review) and daily activity diary ratings (Hopko, Bell, Armento, Hunt, & Lejuez, 2003), …