Social and Behavioral Sciences Commons^™

Memory For Emotional Expressions In Adults With Acquired Brain Injuries, Lauren Jeanne Radigan

Wayne State University Dissertations

Introduction: Memory for emotions expressed by others forms the continuity that characterizes unique and intimate relationships. Successful memory for facial expressions requires the ability to remember the identity of the face (who showed the emotion) as well as the emotion (which emotion they showed). People with acquired brain injuries (ABI) frequently have problems with social cognition, which involves understanding cues that communicate emotional and interpersonal information. ABI is commonly associated with trouble perceiving emotional expressions and recognizing the identity of faces; however, research on memory for emotions after ABI is sparse. This study examined cognitive and emotional characteristics that contribute …

Childhood Adversity And Alexithymia: Implications For Health Status In An Urban Police Sample, Christopher P. Urbanik

Wayne State University Dissertations

American law enforcement is regarded as one of the most stressful occupations in the United States, involving repeated exposure to threatening or challenging encounters and the risk of severe injury and death. A voluminous literature has documented various psychophysiological implications of police stress, including morbidity and premature mortality. Adverse childhood experiences (ACEs) are potentially traumatic stressors during one’s formative years, such as abuse, neglect, and household violence and dysfunction. ACEs have been linked to increased mental and physical health risks, yet ACEs have not been studied in police officers. Given the increase in the level of stress experienced by today’s …

The Efficacy Of A Novel Facebook-Based Psychosocial Intervention For Adults With Chronic Pain: A Randomized Clinical Trial, Bethany Danielle Pester

Wayne State University Dissertations

Social networking-based groups such as Facebook groups have become increasingly popular among people with chronic conditions, and the affordances of such groups make them a promising platform for chronic disease intervention. Yet, there have been few controlled tests of the effects of social networking-based groups. Our team developed a Facebook-based intervention that focuses on enhancing social support by connecting adults with peers who also have chronic pain. Using a randomized controlled clinical trial, we aimed to understand the efficacy of this intervention and to explore whether a professional-led support group leads to greater effects than a support group alone. The …

Psychosocial Outcomes Among College Students With Learning Disorders, Bobbi Isaac

Wayne State University Dissertations

Specific learning disorders, also known as learning disabilities, are defined as neurodevelopmental disorders in which long-term difficulties with learning and using academic skills occur within the context of one or multiple academic areas (i.e., reading, mathematics, writing). As our understanding of learning disorders (LD) has evolved beyond a focus on childhood diagnosis, a limited body of research has emerged examining adult outcomes for individuals with learning disorders in regards to higher education, employment, psychosocial, and health outcomes. Much of the results of this research seems to indicate that individuals with LDs may have poorer outcomes in adulthood across these domains. …

Perspective-Taking And Relationship Quality In Traumatic Brain Injury And Support Person Dyads, Monica Lynn De Iorio

Wayne State University Dissertations

Introduction: People with moderate-to-severe traumatic brain injury (TBI) often have problems with social communication, reduced contact with friends, and less satisfying social relationships than adults without history of TBI. Impaired abilities in perspective-taking may underlie problems in social integration and relationships following injury. This study sought to examine the perspective-taking ability of adults with moderate-to-severe TBI and support people, and examined the relationship between perspective-taking accuracy and relationship quality.

Methods: 48 dyads of adults with moderate-to-severe TBI and support people were included in the study. Both members of each dyad completed scales of distress, personality, and psychological flexibility. Measures were …

Mental Health Service Utilization Among Urban Adolescents: The Roles Of Perceived Mental Health Problems, Attitudes Towards Professional Help, And Stigma, Yi Tak Tsang

Wayne State University Dissertations

Mental health among adolescents is widely acknowledged as a significant concern in the United States. Based on a national survey, Merikangas et al. (2010) found that among 13-17 year olds, 42% to 48% reported experiencing mental health concerns. It is estimated that only half of adolescents with mental health problems utilize mental health services (Costello et al., 2014). An initial study found that caregivers of disadvantaged youth appeared to function as the “gatekeepers” to mental health services (Tsang et al., 2020). Also, the results suggested that positive attitude towards professional psychological help, but not stigma, predicted service enrollment. The current …

Ante- And Perinatal Risk Factors And Neuropsychological Outcome: Exploration Of The Role Of Multiple Birth And Acid-Base Status In Preterm Born Preschoolers, Jamie Piercy

Wayne State University Dissertations

Increased attention to medical risk factors that precede or accompany preterm birth is necessary in order to better understand functional deficits in this vulnerable population. Children who are born preterm are subject to increased risk of neurodevelopmental deficits in the preschool years and beyond. As such, the current study aimed to gain a better understanding of the influence of two disparate biological risk factors, one antenatal and the other perinatal, on neuropsychological development. More specifically, the influence of twin gestation and low arterial pH (reflecting hypoxic risk) on neuropsychological outcomes was examined in a sample of preterm-born (before 34-weeks gestation) …

Acceptability And Feasibility Of A Multicomponent Group Intervention To Initiate Health Behavior Change: The Kickstart Health Program, Shannon Marie Clark

Wayne State University Dissertations

There is a growing need to address the difficulties that people face trying to engage in a healthier lifestyle and the integration of behavioral health into primary care settings may offer an opportunity to address this need. Health behavior change groups may be an effective style of intervention in medical settings; however, the experiences patients have attending these groups as well as how health behavior change groups best fit into integrated care settings is largely unknown. The purpose of the current study was to offer a preliminary test of feasibility and acceptability for a group intervention, conducted in a primary …

The Eyes Never Lie: Detecting Simulated Traumatic Brain Injury With Eye-Tracking, Robert John Kanser

Wayne State University Dissertations

Performance validity test (PVT) inaccuracies can be explained by both test and extra-test (e.g., research design components) factors. Eye-tracking is a promising technology to enhance assessment of performance validity. Prior research has established that ocular behaviors are reliable biomarkers of (un)conscious cognitive processes. Experimental research on deception has shown that ocular behaviors reliably distinguish feigned concealment of information from honest responding. The primary objective of this study was to examine the incremental utility of incorporating eye-tracking into a clinical PVT to distinguish adults with verified TBI from adults coached to feign cognitive impairment. A secondary objective was to determine the …

Detroit People And Transitions In Housing-3 (Dpath-3): Changes In The Composition And Service Needs Of The Homeless Adult Population, Kiel Opperman

Wayne State University Dissertations

The current research study explores the composition and service need of the homeless community in Detroit, Michigan and its surrounding county, Wayne. The project aims to 1) examine differences in composition and social service characteristics across three decades and 2) access service utilization and unmet needs of the homeless population. The study’s central hypothesis is that demographic shifts in the homeless population indicate the need to make specific and substantive shifts in the distribution of the limited resources allocated to homelessness. Results demonstrated significant changes across the three time points, where the current sample of homeless people were older, spent …

The Protective Role Of Parenting Behaviors In The Development Of African American Adolescents, Kelsey Johanna Sala-Hamrick

Wayne State University Dissertations

This dissertation aimed to understand how African American parents protect their teens from developing psychopathology in the face of extreme adversity. To do this, I examined three dimensions of parenting behavior, stress exposure, and behavior problems in order to understand the direct and moderating relations between parenting behaviors, cumulative stress and youth internalizing, externalizing, and total psychological problems. 150 African American primary caregivers reported on their adolescent children’s internalizing, externalizing and total behavior problems, exposure to stressful events, and their own parenting behavior. 150 inner-city African American adolescents reported on their exposure to traumatic stressors and a subsample of 43 …

Arab American Women's Health Study: Correlational And Experimental Examination Of A Sexual Health Interview, Hannah Holmes

Wayne State University Dissertations

Arab Americans are a diverse group of Americans of Arab heritage or identity. Given the underrepresentation of Arab Americans in research and a taboo surrounding sexuality in Arab culture, it is not surprising that Arab American sexual health is understudied, even though sexuality is an important aspect of health. Arab American women face the challenging task of negotiating both their heritage and American culture, which may have implications for sexual health due to the two cultures’ disparate views on sexuality. Given the conflict and taboo likely to surround the topic of sexuality among Arab American women, confidential discussion of these …

The Influence Of Household Chaos And The Home Language Environment On Preschool-Age Children’S School Readiness, Laura Mary Northerner

Wayne State University Dissertations

School readiness, including both cognitive and social-emotional development, is an important indicator of a child’s preparedness for school entry, and a meaningful predictor of future academic success (Duncan et al., 2007). The home environment plays a critical role in the development of children’s school readiness, especially for children facing social inequalities. Within the home environment, household chaos and home language have been found to impact school readiness. The current study expanded on previous research on household chaos by collecting multiple measures of household chaos, including a naturalistic observation across several days. The current study also naturalistically investigated the home language …

Parental Mindfulness And Stress As An Influence On Clinically Referred Children’S Emotional Competence, Ahmad Baiyasi

Honors College Theses

Children acquire the skills of emotional competence in a variety of contexts, and demonstrate through their behavior the skills evident of emotional competence. Such skills include a sense of well-being, adaptive resilience in the face of stressful circumstances, and the ability to manage their own emotions (Saarni, 2000). Mindfulness, a relatively new construct in the study of human development, is nonjudgmentally paying attention to relevant aspects of our experiences, including our own emotions and thoughts (Ludwig & Kabat-Zinn, 2008). Stress is emotional or mental strain resulting from adverse or very demanding life circumstances, such as our living environment (Lunney, 2006). …

Parental Ptsd, Emotion Regulation, And Behavior Problems In Toddlerhood: Unique Associations Among Families In Urban Poverty, Hasti Ashtiani Raveau

Wayne State University Dissertations

Parental posttraumatic stress disorder (PTSD) has been shown to negatively impact children’s socioemotional development (Schwerdtfeger et al., 2014) and increase children’s risk for later psychopathology (Scheeringa & Zeanah, 2008; Yehuda, Halligan, & Bierer, 2001). Less is known about this topic among minority and poor mothers and fathers of toddlers, and the critical role parents’ emotion regulation may play in mediating the associations between PTSD and toddlers’ socioemotional problems (Beck et al., 2009). Parental emotion dysregulation has been linked with children’s socioemotional problems (Coyne & Thompson, 2011), especially during toddlerhood when children are beginning to learn how to regulate their own …

Sexual Orientation Development, Acceptance, And Risk Behavior In Young Adult Gay Men, Erin Paige Smith

Wayne State University Dissertations

Research on sexual orientation development points to individual differences in developmental milestones (i.e., realization, identification, disclosure to friend, disclosure to parent, same-sex sexual behavior) that could be differentially related to adjustment. Additionally, differences in perceptions of acceptance from the self and important others, such as parents and friends, during adolescence and early adulthood may be related to both sexual orientation development and health risk behaviors (i.e., substance use, sexual risk). The goal of the current study was to advance our understanding of developmental processes among gay men by examining perceived acceptance of sexual orientation and its associations with individual differences …

Evaluating A Typology Of Homelessness Across A Midwest State, Devin Michael Hanson

Wayne State University Dissertations

ABSTRACT

EVALUATING A TYPOLOGY OF HOMELESSNESS ACROSS A MIDWEST STATE

by

DEVIN M. HANSON

August 2018

Advisor: Dr. Paul Toro

Major: Psychology (Clinical)

Degree: Doctor of Philosophy

Identifying a typology remains an effective method to summarize and distinguish the different ways that people experience homelessness in communities. More than twenty years ago researchers in the northeast United States developed an approach to create a typology of homelessness by using electronic records of shelter stays and two dimensions of homelessness; number of episodes, and length of time spent homeless. The three-part typology Randall Kuhn and Dennis Culhane identified has shaped the …

Mental Health Service Utilization Among At-Risk Urban Adolescents: The Relative Contributions Of Perceived Need, Attitude, And Spirituality/Religiosity, Yi Tak Tsang

Wayne State University Theses

Adolescence has been described as “a time of storm and stress” (Arnett, 1999; Hall, 1904). In fact, a national survey in the United States estimated that adolescents were twice as likely than adults to report at least one major depressive episode in the past 12 months (Center for Behavioral Health Statistics and Quality, 2016). In particular, adolescents who are poor, who belong to ethnic minority groups, and who live in urban neighborhoods are more vulnerable to mood and behavioral symptoms than their White/Caucasian counterparts who grow up in relatively affluent suburban and rural areas (Beyers, Bates, Pettit, & Dodge, 2003; …

Assessing Parent Invovlment In Applied Behavior Analysis Treatment For Children With Autism, Krista Marie Clancy

Wayne State University Dissertations

The purpose of this study was to compare two groups of parents whose children participated in ABA on their levels of stress, self-efficacy, treatment acceptability, and parents’ level of involvement in their children’s treatment, and to assess variables that may explain variance in parent involvement. Parents in the treatment group participated in a voluntary parent training (n=18) and the comparison group were parents who elected not to participate in the voluntary training (n=22). This was a quasi-experimental design study where parents and their therapists completed a survey regarding parents’ involvement in their children’s treatment programs. Additional parent measures collected as …

Hearing Loss And Verbal Memory Assessment In Older Adults, Christina G. Wong

Wayne State University Dissertations

Prior research has found that adults with hearing loss perform worse on cognitive testing than adults without hearing loss, and some studies have suggested that hearing loss is associated with dementia. Heavy emphasis on tests involving auditory stimuli for memory assessment may result in overdiagnosis of cognitive impairment in individuals with hearing loss. The present study compared visual and auditory versions of a verbal memory test among older adults with and without hearing loss. Forty-one adults with moderate-to-severe, sensorineural hearing loss (HL) and 41 age-matched adults with normal hearing (NH) participated. Age ranged from 55 – 80 years. They completed …

The Effect Of Computer-Delivered Brief Intervention On Heavy Alcohol Use: A Pilot Study, Benjamin Varner Laliberte

Wayne State University Dissertations

Alcohol misuse remains a significant issue on college campuses. One potential remedy, especially for those unwilling or unable to seek face-to-face intervention, are computer-delivered brief interventions. Although the literature is mixed regarding the magnitude of their effect on alcohol use, findings are consistent that they at least produce small changes in alcohol use. The current study tested a computer-delivered brief intervention (CDBI) against an education-only control in order to examine its efficacy in reducing alcohol use. Additionally, it tested the interactive effects of secondary psychopathic personality, a trait associated with higher rates of alcohol use. 100 heavy drinking college students …

Episodic Memory, Hippocampal Volume, And Effects Of Premature Birth In Young Children, Dana Marie Anderson

Wayne State University Theses

The hippocampus is essential for episodic memory. Preterm birth is associated both with deficits in episodic memory and with alteration on hippocampal structure; however, the effect of term status on the relation between episodic memory and hippocampal volume (HCV) is unclear. We studied the potential of a latent construct of episodic memory as well as the relation between episodic memory and HCV in full-term and preterm born children (ages 5-6). The individual episodic memory measures separated into different components based on the level of association and decision that was required for the tasks. The composite scores were not significantly correlated …

Detection Of Malingering In Bona Fide Traumatic Brain Injury And Simulated Traumatic Brain Injury: Combining Response Time With Pvt Accuracy Results, Robert John Kanser

Wayne State University Theses

Threats to performance validity test (PVT) security and utility have increased efforts to develop covert measures of performance validity. Response time (RT) is a promising covert measure to distinguish between honest and feigned performance; however, research investigating RT patterns on PVTs is sparse and troubled by methodological problems. This study examined the incremental utility of RT variables on a computerized version of the Test of Memory Malingering (TOMM-C) in distinguishing adults with verified traumatic brain injury (TBI) and healthy adults coached to feign neurocognitive impairment. Participants were 45 adults with moderate to severe TBI, 45 healthy adults coached to feign …

Ambivalence Over Emotional Expression, Social Constraints, And Trauma As Moderators Of Emotional Awareness And Expression Training And Relaxation Training For Individuals With Irritable Bowel Syndrome, Hannah Holmes

Wayne State University Theses

Irritable bowel syndrome (IBS) is a central sensitization gastrointestinal disorder that affects 10-15% of the population. Psychosocial factors, including stress, social support, emotional processes, and trauma, have been shown to play a role in the development of IBS and the severity of symptoms. Effect sizes for psychological treatments are modest, indicating individual differences in effectiveness. A subset of patients with IBS may benefit from Emotional Awareness and Expression Training (EAET), a novel intervention that encourages the awareness and expression of emotions. In this study, 106 participants with IBS were randomized into one of two interventions—Relaxation Training or EAET—or a Waitlist …

Personality Trait Interactions With Narrator Empathy In A Brief Computerized Intervention, Jennifer Danielle Ellis

Wayne State University Theses

Computer-delivered, brief interventions (CDBIs) have been an increasingly popular way to treat substance use disorders; however, very few studies have examined which characteristics of CDBIs maximize intervention effectiveness. The literature has consistently demonstrated that therapist empathy is associated with reduced substance use; however, it is unclear whether this principal applies to CDBIs. Therefore, one aim of this study was to examine whether the presence of an empathic narrator increases motivation to reduce heavy drinking in a CDBI. A second aim was to examine whether an individual’s personality traits (empathy, psychopathy, and Big Five Traits) interact with treatment characteristics (specifically high …

Urban African American Youths' Academic Performance As Related To Fathers' Involvement During Development, Travis A. Goldwire

Wayne State University Dissertations

Father involvement in the context of urban African American youth was examined using a subsample (n = 556) of a large cohort of participants followed longitudinally through development. Data was collected at regular intervals (e.g., Age 7, 14, 19 and young adult). Young adults (n = 93) were surveyed for retrospective accounts of their fathers’ involvement in their lives before age 18. In the young adult data collection phase (the main subject of this project), most participants reported varying levels and frequency of involvement from their fathers while growing up, including helping at school, providing social support, and encouraging academic …

The Effects Of A Life-Stress Interview For Women With Chronic Urogenital Pain: A Randomized Trial, Jennifer Carty

Wayne State University Dissertations

Chronic urogenital pain, pressure, and dysfunction are common, affecting nearly one in seven women in the U.S., who are commonly diagnosed with pelvic floor dysfunction, painful bladder syndrome, or interstitial cystitis. Women with these symptoms tend to have co-morbid anxiety and depression, relatively high rates of lifetime trauma and abuse, and conflicts or stress from key relationships. There is theory and evidence indicating that unresolved abuse or emotional conflicts can trigger or exacerbate urogenital pain and other symptoms (Abbass, 2009), but assessment of the presence and role of psychological stress is rarely done in women’s health care settings. When mental …

Emotion Perception Correlates In Moderate And Severe Traumatic Brain Injury, Rachel Keelan

Wayne State University Dissertations

Introduction: Studies have demonstrated that individuals with TBI experience impairments in emotion perception accuracy in facial and auditory modalities but does not yet understand patterns of emotion perception and their relation to neurocognitive performance. The current study assessed why emotion perception deficits occur via psychological and cognitive relationships as well as patterns of emotion misattributions.

Methods: 50 adults with a bona-fide moderate or severe traumatic brain injury and 39 healthy comparison adults were included in the study. Eligible participants completed a battery of paper-and-pencil and computerized neuropsychological measures, including three tasks of emotion perception, and psychological questionnaires.

Results: The TBI …

The Moderating Effects Of Protective And Risk Factors On Outcomes For Behavioral Smoking Cessation Treatment, Holly Reid

Wayne State University Dissertations

The rate of cigarette smoking is three-fold higher among adults living with Human Immunodeficiency Virus (HIV)/Autoimmune Deficiency Syndrome (AIDS) than in the general population (Centers for Disease Control and Prevention, 2015). Relative to non-smoking HIV-positive adults, HIV-positive cigarette smokers have even higher mortality rates, more physical health problems, greater tobacco-related health disparities, lower quality of life, and more barriers to treatment. These barriers are often interrelated with the significantly higher rate of trauma and violence exposure reported in both cigarette smokers and persons living with HIV/AIDS (PLWHA; CDC). Violence exposure not only predicts emotional distress and substance use, but also …

The Semantic Memory Imaging In Late Life Pilot Study, Michael Adam Sugarman

Wayne State University Dissertations

Introduction: Several functional magnetic resonance imaging (fMRI) studies have analyzed the famous name discrimination task (FNDT), an uncontrolled semantic memory probe requiring discrimination between famous and unfamiliar individuals. Completion of this simple task recruits a semantic memory network that has shown utility in determining risk for Alzheimer's disease (AD). Specific semantic memory probes using biographical information associated with famous individuals may build on previous findings and yield superior information regarding risk for AD.

Method: Sixteen cognitively intact elders completed the FNDT and two novel tasks during fMRI: Categories (matching famous individuals to occupational categories) and Attributes (matching famous individuals to …