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Articles 1 - 30 of 80
Full-Text Articles in Psychology
Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel
Electronic Theses and Dissertations
Trauma is a substantial threat to public health. As such, significant effort has been exerted into developing interventions which mitigate the consequences of trauma. Trauma-informed practice (TIP) aims to alleviate the effects of trauma by building policies and practices focused on safety, trust, transparency, support, collaboration, and empowerment. This study investigated how individual-level factors, including readiness for organizational change, perceived benefit of TIP training, and personal trauma history affect one’s ability to apply a TIP lens in a sample (n =100) of members of a graduate-level college. Further, it explored if one’s perceptions of and response to trauma-informed practice training …
Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas
Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas
Electronic Theses and Dissertations
Unresolved adverse and traumatic experiences in parents can amplify the risk of perpetuating intergenerational transmission of trauma. Parents’ positive and adaptive practices such as self-care might act as a protective factor against this ripple effect. This study investigated whether self-care moderated the relationship between parental ACEs, post-traumatic stress symptoms, and parental reflective functioning in mothers who are experiencing high psychosocial stress (n = 59) residing in rural Appalachia. Within our sample, there was no statistically significant linear relationship between our predictors, ACE score and PTSD symptoms, and our outcome of interest, maternal pre-mentalizing. We did not find empirical support for …
Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger
Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger
Electronic Theses and Dissertations
Two risk factors for anxiety and depression in adolescence were examined: co-rumination, which occurs when friends excessively talk about problems; and psychological inflexibility, which occurs when one avoids negative feelings and fails to act on values. I hypothesized that psychological inflexibility would exacerbate the effect of co-rumination on adolescent anxiety and depression. Participants were 167 adolescents (Mage = 14.60 years, SD = 1.3; 65.7% cisgender males) who completed standard measures as part of an online survey. Results indicated no moderation effect, but there were main effects of co-rumination and psychological inflexibility on depression symptoms. Co-rumination may relate to …
Adverse Childhood Experiences And Sexual Functioning: A Mediation Analysis Of Difficulties In Emotional Regulation, Haven Travis
Adverse Childhood Experiences And Sexual Functioning: A Mediation Analysis Of Difficulties In Emotional Regulation, Haven Travis
Undergraduate Honors Theses
Sexual dysfunction can lead to a negative impact upon a person’s mental and relational health, including relational and overall distress, poor relationship and sexual satisfaction, and clinical mood disorders such as depression. Moving upstream to identify factors that may predict sexual dysfunction would therefore be beneficial for early intervention in at-risk populations. History of childhood trauma is one such factor that may influence sexual functioning later in life. While adverse childhood experiences (ACEs) have been less studied in association with sexual dysfunction, there is some evidence to indicate that they may be related. ACEs have been shown to increase the …
The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell
The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell
Electronic Theses and Dissertations
There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …
Nonmedical Stimulant Use In An Undergraduate College Student Sample: Demographics, Academics, Stress, And Other Substance Use, Ashley Skye Vanover, Meredith K. Ginley, Shelby Whalan
Nonmedical Stimulant Use In An Undergraduate College Student Sample: Demographics, Academics, Stress, And Other Substance Use, Ashley Skye Vanover, Meredith K. Ginley, Shelby Whalan
Undergraduate Honors Theses
Nonmedical use of prescription stimuluants (NMUS) can cause adverse outcomes for college students including academic impediments, such as a lowered GPA, and polyuse of illicit substances (Garcia et al., 2021; Holt & McCarthy, 2019; Norman & Ford, 2018). The current study investigated the demographics, academics, stress, and polysubstance use between students who endorsed NMUS and those who did not in an undergraduate college population sample at a large public university in the Southeast. The sample consisted of 429 undergraduate students who completed online measures of demographics, perceived stress, stressful life events, and substance use. Overall, 3.4% of the sample reported …
Knowledge, Attitudes, And Readiness For Integrated Behavioral Health Services Among Primary Care Providers In East Tennessee, Baylee Rose
Undergraduate Honors Theses
Introduction: Individuals in rural areas tend to face unique barriers to accessing mental health care. One possible solution to make mental health services more accessible could be to integrate behavioral healthcare providers into primary care practices. However, the successful integration of behavioral health services into rural primary care is likely reliant on the knowledge, attitudes, and readiness of the primary care practice to initiate the process of integration. The current study aims to describe knowledge, attitudes, and readiness to adopt integrated behavioral health services among primary care providers in rural South-Central Appalachia and to examine how providers’ knowledge and attitudes …
Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill
Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill
Electronic Theses and Dissertations
Obstetric violence includes acts of abuse, coercion, or disrespect that occur during the labor process. The present study explores how obstetric violence impacts a person’s postpartum psychosocial adjustment. This study used a subset of data (N = 339) from a larger online study, which attempted to explore multiple facets of a person’s postpartum health. The psychological constructs examined are postpartum depression and postpartum anxiety. Additional constructs assessed were protective and risk factors: self-compassion and medical mistrust. Self-compassion and medical mistrust were examined by using moderation models. Additional analyses were completed using simple regression models to explore whether obstetric violence predicts …
Behavioral Indicators Of Reflective Functioning In Mother-Child Dyadic Interactions, Rachel Clingensmith
Behavioral Indicators Of Reflective Functioning In Mother-Child Dyadic Interactions, Rachel Clingensmith
Electronic Theses and Dissertations
Positive parenting practices and secure attachments are consistently linked to healthy child outcomes (Ainsworth & Bowlby, 1991; Waters et al., 2000). Research on cognitive processes that scaffold parental behaviors which contribute to secure attachment is an essential contribution to the literature, particularly given the potential for early intervention with at-risk families. Parental Reflective Functioning (PRF) is a construct of increasing interest which has been linked to secure attachments and positive child outcomes, with one commonly used self-report measure of PRF being the Parental Reflective Functioning Questionnaire (PRFQ; Camoirano, 2017; Clingensmith, 2021; Luyten et al., 2017). As such, the purpose of …
A Pandemic’S Potential To Haunt: A Longitudinal Look At The Professional Wellbeing Of Tn’S Infant And Early Childhood Mental Health (Iecmh) Workforce, Robyn A. Dolson
A Pandemic’S Potential To Haunt: A Longitudinal Look At The Professional Wellbeing Of Tn’S Infant And Early Childhood Mental Health (Iecmh) Workforce, Robyn A. Dolson
Electronic Theses and Dissertations
Infant and Early Childhood Mental Health (IECMH) providers engage in uniquely relational work with high-risk families that expose them to the full advantages (i.e., compassion satisfaction [CS]) and disadvantages (e.g., burn-out [BO]) of a helper role. Though the pandemic seemed poised to escalate disadvantage, most early pandemic studies found high CS alongside elevated BO. Unfortunately, as COVID-19 has continued, CS has declined while BO has increased. Given the delayed COVID-19 impact on children, these changes may be particularly acute for IECMH providers. Using a longitudinal cohort of 27 IECMH providers, this study aimed to describe and quantify changes in professional …
Dyadic And Ecological Associations With Intimate Partner Violence (Ipv): Using Hierarchical Linear Modeling To Differentiate Ipv From Community Crime, Rachel Carpenter
Dyadic And Ecological Associations With Intimate Partner Violence (Ipv): Using Hierarchical Linear Modeling To Differentiate Ipv From Community Crime, Rachel Carpenter
Electronic Theses and Dissertations
Research on intimate partner violence (IPV) and intimate partner sexual violence (IPSV) has largely focused on individual and dyadic-level risk factors, but recently studies have explored how the surrounding environment is associated with IPV/IPSV. Studies that have explored community-level variables typically only use IPV/IPSV samples and do not first compare indicators of IPV/IPSV to those of general crime in those same communities. To address these gaps, this study was conducted in two parts. Data were retrieved from the Tennessee Bureau of Investigation Reporting System, County Health Rankings and Roadmaps System, the US Census Bureau, and other sources. Study 1 first …
Preference For Abstinence-Based Recovery And Public Stigma Toward Substance Use Disorders, Diamond Meadows
Preference For Abstinence-Based Recovery And Public Stigma Toward Substance Use Disorders, Diamond Meadows
Electronic Theses and Dissertations
The present study drew from the publicly available Amerispeak survey (n = 6,515) and examined public stigma towards different substances, the relationship between preferences for abstinence-based recovery and stigma toward each substance, and whether perceived dangerousness of substances moderates the relationship between preferences for abstinence-based recovery and public stigma. The results indicate that the general public has greater stigmatizing attitudes towards methamphetamine use disorder than cocaine use disorder, opioid use disorder, and alcohol use disorder. Furthermore, a preference for abstinence-based recovery was associated with greater stigmatizing attitudes toward all SUDs. The perceived dangerousness of a substance did not moderate the …
Validating An Internet Gaming Disorder Measure During Covid-19: Video Game Use, Distance Learning, And Impacts Of Covid-19 On Gaming Behavior, Christin Collie
Validating An Internet Gaming Disorder Measure During Covid-19: Video Game Use, Distance Learning, And Impacts Of Covid-19 On Gaming Behavior, Christin Collie
Electronic Theses and Dissertations
For most students, playing video games is a popular, enjoyable activity to do in their leisure time. While many people play video games for fun, some do develop problems associated with their play. Excessive engagement in video game play can lead to significant impairment and clinically significant levels of harm. However, there are several important gaps in the research literature which limit understanding of potential harm. First, little is known about the gaming behavior of students, ranging from middle-school to graduate school, specifically as it relates to their reasons for playing video games and their time spent playing. Second, concerns …
Borderline Personality Disorder And Violent Crime: The Moderating Role Of Sex And Race, Genevieve Allison
Borderline Personality Disorder And Violent Crime: The Moderating Role Of Sex And Race, Genevieve Allison
Electronic Theses and Dissertations
People receiving treatment for substance use disorders (SUD) are at risk of justice involvement. Although it is well-established that borderline personality disorder (BPD) increases risk for criminal involvement, it is unclear whether this relationship exists among people with SUDs. Furthermore, prior research has found sex and race differences in the relationships between BPD and justice involvement as well as violence, but these moderators have not been explored within a substance using sample. The current study utilized a sample receiving SUD treatment to examine whether BPD is associated with prior violent charges and, if race and sex moderated this relationship. Results …
Coping Strategies And Self-Compassion As Protective Factors In The Infant And Early Childhood Mental Health Workforce, Megan Wolff
Coping Strategies And Self-Compassion As Protective Factors In The Infant And Early Childhood Mental Health Workforce, Megan Wolff
Electronic Theses and Dissertations
The mental health field experiences high levels of stress, resulting in a greater risk of poor professional quality of life, likely exacerbated by the additional stress associated with COVID-19. The present study examined the effect COVID-19 stress had on the professional quality of life of the infant and early childhood mental health (IECMH) workforce and whether coping strategies and self-compassion acted as protective factors. Results indicated that higher COVID-19 stress was associated with higher burnout and secondary traumatic stress (STS) and lower compassion satisfaction (CS). The results also showed that the pathway from COVID-19 stress to burnout was moderated by …
Parent Emotion Socialization And Emerging Adult Internalizing Symptoms: Differences And Moderation By Rurality, Cheston West
Parent Emotion Socialization And Emerging Adult Internalizing Symptoms: Differences And Moderation By Rurality, Cheston West
Electronic Theses and Dissertations
Emerging adulthood is a unique developmental period from late adolescence to late 20s during which individuals experience a multitude of developmental transitions and are at an increased risk for internalizing symptoms. Parent emotion socialization in childhood can also contribute to risk for internalizing symptoms and is shaped by parent gender and sociocultural context. Rurality is a sociocultural context that has implications for parenting, but less research has explored how parent emotion socialization varies by rurality. The present study examined maternal and paternal emotion socialization in relation to rurality and emerging adult internalizing symptoms. Participants were 270 emerging adults (18-29 years …
Analyzing Emerging Adulthood Narratives And The Role Of Anxiety In Developmental Functioning, Daryl Parungao
Analyzing Emerging Adulthood Narratives And The Role Of Anxiety In Developmental Functioning, Daryl Parungao
Electronic Theses and Dissertations
Emerging adulthood is a developmental period characterized by the themes of identity exploration, instability, feeling in-between, being self-focused, and exploring possibilities (Arnett, 2006). Emerging adults are at higher risk for anxiety as they navigate novel developmental experiences and responsibilities (Kranszler et al., 2019). This study explores whether these themes map on to the experiences of modern-day emerging adults, and whether developmental functioning corresponds to anxiety. College students completed standard questionnaires and provided free-text responses about adjusting to adulthood. Identity exploration and instability were perceived as the most positive and negative aspects of aging, respectively, though response-type varied by participant demographics. …
Look, But Don’T Touch: Impact Of Covid-19 On The Nicu Caregiver, Rebecca C. Otwell-Dove
Look, But Don’T Touch: Impact Of Covid-19 On The Nicu Caregiver, Rebecca C. Otwell-Dove
Electronic Theses and Dissertations
Admission of an infant into the neonatal intensive care unit (NICU) is an experience that has been associated with a variety of both positive and negative health outcomes for parent and child. While both the setting name and the admitted population alludes to a sole focus on the affected infant, what often remains underrecognized is the impact on the ones who care for the newborn long before and longer after their NICU stay. Given the recency and unprecedented impact of the COVID-19 pandemic, very little research has examined the impact of COVID-19-specific stress on the experience of parents of infants …
The Role Of Emotion Dysregulation In The Relationship Between Anhedonia And Opioid Craving, Rachelle Kromash
The Role Of Emotion Dysregulation In The Relationship Between Anhedonia And Opioid Craving, Rachelle Kromash
Electronic Theses and Dissertations
Research on factors that predict opioid cravings is lacking. Anhedonia may be a predictor of cravings and particularly relevant to cravings when people struggle to regulate emotions but has yet to be examined among justice-involved populations. This study aimed to examine the relationship between anhedonia, opioid cravings, and emotion dysregulation (ED) in this population. Participants completed several measures. The results showed that anhedonia and opioid cravings were significantly related at the bivariate level, but not in moderation models. The DERS-36 total score and ‘DERS Impulse’ subscale had a significant, positive effect on cravings in moderation models. In a higher severity …
Optimism And Physical Health-Related Quality Of Life In Chronic Illness: Mediating Effects Of Control Beliefs And Health Behaviors, Morgan Treaster
Optimism And Physical Health-Related Quality Of Life In Chronic Illness: Mediating Effects Of Control Beliefs And Health Behaviors, Morgan Treaster
Electronic Theses and Dissertations
Among persons living with, or recovering from, chronic illness, poor physical health-related quality of life is a concern, as current and residual illness symptoms and treatment side effects may deleteriously impact physical functioning and fulfillment of daily roles. Numerous cognitive, emotional, and behavioral factors may impact perceptions of health status. Optimism, for example, is conceptualized as belief in the occurrence of positive future outcomes, and is beneficially associated with physical health-related quality of life. Further, optimism may contribute to enhanced perceptions of control and efficacy over disease symptoms and general health, manifesting as proactive health behaviors (e.g., wellness behaviors; treatment …
Reported Motivations For Non-Medical Use Of Prescription Stimulants In A Sample Of Community College Students, Taylor Wexler
Reported Motivations For Non-Medical Use Of Prescription Stimulants In A Sample Of Community College Students, Taylor Wexler
Undergraduate Honors Theses
Introduction. Prior research has found high rates of behavioral health concerns, including several forms of substance use, among community college students. However, the prevalence of non-medical use of prescription stimulants (NMUS) as well as the motivations driving NMUS among community college students is unknown. Methods. Survey results from 13 community colleges within the Tennessee Board of Regents school system were evaluated to explore 1) rates of NMUS, 2) reported motivations for NMUS, and 3) how demographic characteristics including race, age, and income differ based on self-reported reasons for NMUS. Results. NMUS was reported by approximately 9% of the overall sample. …
Interpersonal Needs And Suicide Risk: Examining Indirect Effects Of Internal Hostility And Feeling Forgiven, Kelley C. Berto
Interpersonal Needs And Suicide Risk: Examining Indirect Effects Of Internal Hostility And Feeling Forgiven, Kelley C. Berto
Electronic Theses and Dissertations
Suicide is a national public health concern, and unmet interpersonal needs (i.e., perceived burdensomeness, thwarted belongingness) may contribute to enhanced risk. However, mechanisms of action and certain protective variables are not well understood. The present study examined simple mediation models, with internal hostility as a mechanism of action between interpersonal needs and suicide risk. Additionally, our study examined the moderating role of various aspects of receiving forgiveness on the association between interpersonal needs and internal hostility in these simple mediation models. A community-based convenience sample was surveyed (N=712). Our findings indicated that internal hostility partially mediated the association …
Forgiveness, Gratitude, Humility, And Spiritual Struggle: Associations With Religious Belief Status And Suicide Risk, Benjamin B. Hall
Forgiveness, Gratitude, Humility, And Spiritual Struggle: Associations With Religious Belief Status And Suicide Risk, Benjamin B. Hall
Electronic Theses and Dissertations
Religion is a known contributor to suicide risk, with both positive and negative effects. Negative religious experiences, such as spiritual struggle, can exacerbate suicide risk. Alternatively, religion may promote positive psychological characteristics associated with reduced suicide risk, such as forgiveness, gratitude, and humility. However, research has yet to assess how religious changes, including conversion and deconversion, affect the linkage between religious risk and protective factors and suicidal behavior. We conducted three studies assessing these associations across four belief status groups: life-long religious believers, former religious non-believers who now believe, life-long religious non-believers, and former religious believers who no longer believe. …
A Gap Analysis Of Reentry Services For Corrections-Involved Populations In Rural East Tennessee, Alyssa P. Gretak Leal
A Gap Analysis Of Reentry Services For Corrections-Involved Populations In Rural East Tennessee, Alyssa P. Gretak Leal
Electronic Theses and Dissertations
Returning citizens face a host of barriers when attempting to reintegrate into society; thus, services for these concerns are imperative for successful reintegration. Unfortunately, services are often lacking, particularly in rural communities which tend to be overlooked in reentry research. In order to better determine service need for justice-involved populations in rural communities, the current study completed a gap analysis, both inspired and supplemented, by qualitative information collected from mental health providers (MHPs) in a rural Appalachian region of Tennessee. To complete the gap analysis, an estimation of need was collected via local crime statistics. Using this data, a two-sample …
Psychological Distress And Susceptibility To Disease In The Infant And Early Childhood Mental Health (Iecmh) Workforce In The Time Of The Covid-19 Pandemic, Ashley Sexton
Undergraduate Honors Theses
Chronic stress, anxiety, and depression can have many adverse effects on physical health, including immunosuppression and increased susceptibility to disease. For the last year, the world has endured sustained stress caused by the COVID-19 pandemic which has had its own impact on mental health. Stress from COVID-19 will likely have an even greater impact on the Infant and Early Childhood Mental Health (IECMH) workforce due to the stressful nature of their work. Self-care has been shown to improve overall wellbeing and act as a buffer for stress. Therefore, the current study aims to investigate if IECMH workers with clinically significant …
A Qualitative Investigation Into The Trauma Exhibited By First Responders Tackling The Opioid Epidemic In Tennessee, Thalia Sullivan
A Qualitative Investigation Into The Trauma Exhibited By First Responders Tackling The Opioid Epidemic In Tennessee, Thalia Sullivan
Electronic Theses and Dissertations
Recent increases in opioid overdose rates have changed the role of first responders on the front lines of this national crisis. The present study used a semi-structured qualitative interview to investigate how the increase in opioids, opioid-related harm, and opioid-related death within Tennessee has affected the first responder population. Law enforcement officers, firefighters, and paramedics (N = 30) from rural-serving counties in Tennessee completed a semi-structured interview. Eight themes emerged from the interviews: (1) mental health symptoms, including posttraumatic stress disorder and secondary traumatic stress symptoms; (2) coping behaviors; (3) available resources; (4) barriers to accessing resources; (5) recommendations …
The Resilience Of Female Survivors Of Intimate Partner Violence In Southwest Nigeria: An Interdisciplinary Analysis, Tobi F. Oloyede
The Resilience Of Female Survivors Of Intimate Partner Violence In Southwest Nigeria: An Interdisciplinary Analysis, Tobi F. Oloyede
Electronic Theses and Dissertations
Female survivors of intimate partner violence (IPV) in Nigeria endure harsh and traumatic experiences that affect their rights as women and their well-being. As the phenomenon of IPV persists in Nigeria, it is not only a family problem but a critical social and psychological problem. This study examined Nigerian female survivors’ hidden strength, agency, and resilience, rather than their powerlessness and vulnerability. Analysis of survey questionnaires, interviews, and secondary scholarship reveals that some Nigerian female survivors of IPV are able to cope whilst navigating stressful and traumatic experiences. The results also show that survivors’ ability to thrive and cope under …
Thwarted Interpersonal Needs, Depression, And Sleep Disturbances In Primary Care: Does Gratitude Help You Sleep?, Heather R. Altier
Thwarted Interpersonal Needs, Depression, And Sleep Disturbances In Primary Care: Does Gratitude Help You Sleep?, Heather R. Altier
Electronic Theses and Dissertations
Sleep disturbances are prevalent in primary care patients and can be exacerbated by interpersonal dysfunction and depression. As well, thwarted interpersonal needs (TIN), including thwarted belongingness and perceived burdensomeness, contribute to depression. However, the presence of gratitude, a cognitive-emotional protective factor, may improve symptoms. We longitudinally examined the mediating role of depressive symptoms on the relation between TIN and sleep disturbances, and the moderating role of gratitude on the TIN-sleep disturbances and depression-sleep disturbances linkages. Our primary care patient sample (N = 223) completed self-report surveys at baseline (T1) and at a one-year follow-up (T2; n = 97). Patients …
Examining The Warm Handoff In Rural Integrated Care, Jamie Tedder
Examining The Warm Handoff In Rural Integrated Care, Jamie Tedder
Electronic Theses and Dissertations
An ever-growing body of evidence supports the efficacy of integrated care as a treatment approach; however, less is known about what specific components of integrated care are most effective. This is especially true of warm handoffs, which are an often discussed but understudied process in integrated care. A total of 246 patient charts were reviewed to determine if type of referral (warm handoff or traditional) increased the likelihood of follow-up with behavioral health services as well as factors that might impact this relationship. There were no significant differences between type of referral and likelihood of follow-up with behavioral health services. …
Healthy Identity Development Among Black Same-Gender Loving Men: A Mixed Methods Approach, Byron D. Brooks
Healthy Identity Development Among Black Same-Gender Loving Men: A Mixed Methods Approach, Byron D. Brooks
Electronic Theses and Dissertations
Black Same-Gender Loving Men (BSGLM) are a population at the juncture of multiple marginalized identities, which may make it difficult to successfully form their identity due to experienced racism and heterosexism from communities to which they belong. Current paradigms of racial/ethnic and sexual identity do not fully capture the complexities of identity development among BSGLM. Moreover, there is scant literature available detailing what the process of identity development looks like among this population and which factors influence identity development among BSGLM. As such, the current study used an exploratory sequential mixed methods design to first discover what healthy identity looks …