Psychology Commons^™

The Role Of Maladaptive Emotion Socialization In Risk For Urgency And Problem Drinking In Adolescents, Emily Atkinson

Theses and Dissertations--Psychology

Negative urgency (NU; the tendency to act rashly when experiencing negative emotions) is a robust risk factor for a number of problem behaviors, including early adolescent drinking. Little is known about the factors that precede the development of NU, and hence the full etiology of this component of risk. The current study aimed to investigate the possibility that childhood maladaptive emotion socialization (MES; the tendency for children’s expressions of emotions to be met with punishment, minimized, or invoke a reaction of distress from their parents/caretakers) increases risk for the development of NU. Secondarily, the study tested whether MES predicts increased …

Bipolarity Of Maladaptive Personality Traits In The Alternative Model Of Personality Disorders, Alexandra Hines

Theses and Dissertations--Psychology

It has been posited that extremely high or extremely low levels of any personality trait in the Five Factor Model of Personality can be maladaptive. However, the Alternative Model of Personality Disorders (AMPD) in Section III of the DSM-5 is composed almost exclusively of unipolar maladaptive traits. The lack of maladaptively low neuroticism and high extraversion fails to fully cover psychopathy; the lack of maladaptively high extraversion fails to cover histrionic personality disorder (HPD); the lack of maladaptively high agreeableness fails to cover dependent personality disorder (DPD); and the lack of maladaptively high conscientiousness fails to cover obsessive-compulsive personality disorder …

Personalized Longitudinal Network Models Of Alcohol Use: A Mechanistic Approach, Stephen Semcho

Theses and Dissertations--Psychology

AUD and high-risk drinking are significant public health concerns, and prevailing diagnostic models fail to account for the within-person variability in AUD presentation and the role of functional mechanisms that maintain drinking outcomes. The ETOH Framework highlights the importance of three primary superdomains that maintain and characterize AUD – reward salience, cognitive dyscontrol, and negative emotionality. The current study was the first attempt to investigate the role of the primary ETOH mechanisms, along with positive and negative affect, on alcohol use outcomes, using a novel approach to model individual-level networks of relations over time. This study gathered twice-daily diary data …

The Condom Use Outcomes And Sexual Functioning Of Young Adult Latinas: The Roles Of Intimate Partner Violence, Posttraumatic Stress Disorder, And Marianismo Beliefs, Jessica Flores

Theses and Dissertations--Psychology

Intimate partner violence (IPV) has been linked to poorer condom use outcomes and sexual functioning in women broadly. Limited studies have examined these associations in Latina samples through a culturally sensitive, trauma-informed lens. A sample of 383 U.S. Latina/Latinx/Hispanic women (Mage = 25.29 years; SD = 4.44) who had a past-year intimate relationship completed a cross-sectional online survey of IPV history, posttraumatic stress disorder (PTSD) symptoms, marianismo beliefs (i.e., traditional Latina gender role expectations), condom use outcomes (i.e., condom use attitudes, efficacy, negotiation efficacy, and behaviors) and sexual functioning. Linear regression models found that past-year IPV was positively related …

Victimization, Symptoms Of Posttraumatic Stress Disorder, And Gender As Predictors Of Long-Term Substance Use Outcomes Of Patients In Community Treatment Programs, Christopher John Penn

Theses and Dissertations--Psychology

Violence victimization and posttraumatic stress disorder (PTSD) are prevalent among individuals with substance use disorders (SUDs). Current evidence is mixed regarding the impact they have on substance use-related treatment outcomes and few studies have examined victimization and PTSD symptoms together in the same model. The current study will evaluate whether there is an indirect effect of past year victimization on substance use-related treatment outcomes through the pathway of PTSD symptom severity, among a subsample of 1,613 adult men and women reporting a lifetime history of victimization who participated in the Kentucky Treatment Outcome Study (KTOS), a statewide study evaluating federally- …

Assessing The Temporal Relationship Between Changes In Neuroticism And Symptom Improvement In The Unified Protocol, Nicole Stumpp

Theses and Dissertations--Psychology

Neuroticism is defined as the tendency to experience frequent and intense negative emotions accompanied by the belief that one could not cope adequately in response to stress. Neuroticism is associated with the development and maintenance of a range of emotional disorders (e.g., anxiety disorders, depression) and targeting this trait in treatment (rather than symptoms) may represent a more efficient approach to care. However, researchers have rarely measured neuroticism and symptoms frequently enough to establish temporal precedence between these dimensions. The present study is a secondary analysis that examined the temporal relationship between neuroticism and anxiety and depressive symptoms during a …

Pain Interference Across Chronic Pain Populations: Variability And Associated Psychosocial Processes, Stephanie Judge

Theses and Dissertations--Psychology

Chronic pain is one of the most common health complaints, yet the limited effectiveness of existing treatment options suggests that chronic pain is still not fully understood. The goals of this study are to identify and organize well-established and emerging psychosocial factors associated with pain interference, clarify the nature of between- and within-diagnostic group differences in psychosocial and demographic factors associated with pain interference, and identify interactions among diagnostic and psychosocial factors associated with pain interference.

Community-dwelling participants (N = 284) completed a one-time survey which included demographic information, information about pain and diagnosis, and five existing measures that assess …

Mild Cognitive Impairment In Presurgical Deep Brain Stimulation For Parkinson's Disease, Elizabeth Roslyn Wallace

Theses and Dissertations--Psychology

Although clinically characterized by motor impairments, Parkinson's disease (PD) often affects cognition early in the disease course. Cognitive changes common in PD include visuospatial abnormalities and prominent executive function (EF) deficits, with 30% of individuals eventually developing Parkinson’s disease dementia (PDD). Mild cognitive impairment (MCI) has been identified as a transitional state between normal cognition and PDD. A large cohort of individuals with PD at the Kentucky Neuroscience Institute have undergone pre-surgical evaluations for deep brain stimulation, although cognitive performance in this cohort has never been probed. Baseline cognitive performance of this cohort from 2017-2020 was examined to characterize the …

Early Maturing Out Of Problematic Alcohol Use, Sarah J. Peterson

Theses and Dissertations--Psychology

Most research suggests that alcohol use peaks in the college years then declines into the mid-thirties (Jochman & Fromme, 2010). However, there is evidence that some individuals mature out earlier: downward trends for some individuals begin in college, with as many as one third of students decreasing their drinking (Baer et al., 2001). It is crucial to identify factors that differentiate those who decrease their drinking early from those who persist in high levels of consumption; doing so would clarify risk for college-related alcohol problems and perhaps subsequent alcohol use disorder, and aid in earlier targeted prevention and intervention. This …

Experiential-Based Feedback During Alcohol Intoxication And Its Effect On Drinkers’ Risk Awareness, Alexandra R. Kelly

Theses and Dissertations--Psychology

The prevalence of alcohol-impaired driving injuries and fatalities has not decreased for over a decade despite strategies to reduce and prevent driving under the influence of alcohol (DUI). In 2019, 10,142 people died in alcohol-impaired driving crashes in the United States, which totaled to 28% of all traffic fatalities for the year. DUI interventions have been found to have moderate effects on reducing DUI recidivism. Prevention research has identified a lack of risk awareness in DUI offenders and this could be a target to motivate behavioral change. However, the training to increase levels of risk awareness needs to occur in …

Non-Normative Critical Life Events: Where Dyadic Coping And Attachment Meet, Talley Mortara

Theses and Dissertations--Family Sciences

The aim of the current study was to examine both dyadic coping and anxious attachment following the experience of a critical non-normative life event. Pairfam, a nationally representative German sample, was used as a secondary data set for this quantitative study. Paired samples t-tests were used to analyze the data from 559 German couples to track statistically significant increases or decreases in the perception of dyadic coping responses and anxious attachment levels when a non-normative critical life event happened at some point in the previous two years. Results found that the partner of the anchor showed a statistically significant increase …

Development And Cross-Validation Of Personality Assessment Inventory Decision Rules For The Identification Of Psychogenic Nonepileptic Seizures, Chelsea Marie Bosch

Theses and Dissertations--Psychology

The published literature on the Personality Assessment Inventory (PAI) for psychogenic nonepileptic seizure (PNES) diagnosis includes a variety of interpretation methods to distinguish PNES from epileptic seizures (ES) and offers mixed findings. The purpose of this study was to use a cross-validation approach to create and derive new decision rules for the PAI to best differentiate PNES from ES. Data from 773 patients (PNES n = 328, ES n = 445) who underwent long-term video EEG (vEEG) monitoring and completed a PAI were examined. Individuals with invalid PAI profiles were removed, and patients were randomly assigned to the “development” group …

The Role Of Affective Heterogeneity On Treatment Effects For Youth With Conduct Problems, Pevitr Singh Bansal

Theses and Dissertations--Psychology

Conduct problems (CP) are a class of disruptive and aggressive behaviors (e.g., aggression, vandalism) comprised of both oppositional defiant and conduct disorder. CP are highly heterogenous and one vital factor that parses out this heterogeneity is affect, specifically the affective traits of irritability (IRR) and limited prosocial emotions (LPE). The current study examined how IRR and LPE predict distinct aspects of treatment efficacy including (1) treatment response (i.e., magnitude of change from week 1 to week 5); (2) trajectories (i.e., shape of symptom change); and (3) time-out (i.e., behavioral and emotional reactions to time-out). Participants were 49 youth aged 7-12 …

Self-Monitoring And The Dsm-5 Section Iii Alternative Model Of Personality Disorder, Gillian Mccabe

Theses and Dissertations--Psychology

The Alternative Model of Personality Disorder (AMPD) was introduced in Section III (“Emerging Measures and Models”) of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to address many of the challenges inherent to the categorical system of personality disorder diagnosis. According to the AMPD, personality disorders can be identified by the extent to which impairment in personality functioning (i.e., Criterion A) and pathological personality traits (Criterion B) are present. Researchers have divided over the distinction between Criterion A and Criterion B, with one side favoring the current AMPD conceptualization of personality traits and functioning as independent constructs and the …

Effects Of An Online Insomnia Intervention On Sleep And Alcohol Consumption, Justin Verlinden

Theses and Dissertations--Psychology

Alcohol use disorder (AUD) and insomnia are highly comorbid, due in part to the use of alcohol as a sleep aid among individuals with insomnia. Initial studies have shown that cognitive behavioral therapy for insomnia (CBT-I), the first-line treatment for insomnia, is moderately successful at improving both sleep and drinking outcomes in heavy drinkers with insomnia. However, CBT-I is expensive and not widely available. Online CBT-I could be a more accessible alternative. One online CBT-I program, Sleep Healthy Using the Internet (SHUTi), is especially promising due to its high efficacy in treating insomnia and its individualized and interactive platform. Here …

Latent Classes Of Symptom Trajectory In A Brief Treatment For Borderline Personality Disorder, Doug Terrill

Theses and Dissertations--Psychology

It is likely that patients with BPD progress through treatment in different ways. Characterizing symptom trajectories during treatment can facilitate the identification of distinct treatment responses, which may be shared by subgroups of patients. Researchers have consistently identified multiple distinct symptom trajectories among individuals with common psychopathological conditions, but no research to date has attempted to do so among patients with BPD. This study used latent growth mixture modeling to identify and characterize distinct classes of symptom trajectories among patients receiving an 18-week cognitive-behavioral treatment for BPD. Two distinct BPD symptom trajectories were identified in this sample, which were primarily …

Examining The Indirect Effect Of Trauma On Obsessive-Compulsive Symptoms Through Responsibility/Threat Beliefs, Emily E. Fenlon

Theses and Dissertations--Psychology

Inflated responsibility beliefs and threat estimations have been implicated in the etiology and maintenance of obsessive-compulsive (OC) symptoms. Research suggests that early life experiences that involve actual or perceived serious harm to oneself or others may lead to inflated responsibility/threat beliefs and OC symptoms. Research has yet to explore if traumatic experiences influence responsibility/threat beliefs or if the associations between trauma and OC symptoms are at all dependent on trauma’s influence on responsibility/threat beliefs. The present study aims to examine associations among exposure to potentially traumatic events (PTEs), responsibility/threat beliefs, and OC symptoms. A sample of 886 undergraduate students completed …

Psychological Distress And Relationship Satisfaction Among Survivors Of Sexual Violence, Alyssa Campbell

Theses and Dissertations--Family Sciences

The World Health Organization (WHO; 2002) has indicated that sexual violence is a serious public health concern, and both the WHO and the United Nations (UN) have declared that violence against women, in particular, is a profound violation of human rights (UN General Assembly, 1993; WHO, 2017). Although the systemic and negative impact of trauma on family and intimate relationships have been well documented, the empirical literature regarding the effects of adult sexual trauma on relationship satisfaction is less robust. These studies are designed to address this gap and will do so with analyses centered on an understudied population: the …

A Test Of The “Teachable Moment” Heuristic’S Relevance For Understanding Cancer Survivors’ Health Behavior Motivation And Performance: A Cross-Sectional Study, Gabriella Puleo

Theses and Dissertations--Psychology

Cancer diagnosis has potential to motivate health behavior changes to promote better health outcomes. The Teachable Moment Heuristic is a parsimonious, transtheoretical framework for understanding the conditions under which behavior change might occur, with constructs that include affective, cognitive, and social factors. This exploratory study aimed to measure the three primary constructs of the Teachable Moment, evaluate the extent to which they are associated with cancer survivors’ motivation to adopt favorable health behaviors, and explore their potential as a model for health behavior performance. Participants (n = 93) in this cross-sectional study were adult breast, prostate, colorectal, lung, and …

Toward An Understanding Of Treatment Moderators Based On Etiological Models Of Disruptive Behavior Disorders, Tess E. Smith

Theses and Dissertations--Psychology

Extant research suggests negative outcomes associated with Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD) can be avoided with early intervention, with the most efficacious being behavioral parent training. However, parent training suffers from limitations including high drop-out rates, adherence, and long-term maintenance. Yet, consistent predictors of differential outcomes among individuals have not been identified. Etiological work suggests traits may be an early marker of disruptive behaviors. The goal of the current study is to examine child traits as a moderator of treatment outcomes for ADHD and ODD, using an efficacious short parent training treatment, Brief Behavioral Intervention (BBI). Twenty-six …

The Utility Of The Unified Protocol In Treating Borderline Personality Disorder, Martina Fruhbauerova

Theses and Dissertations--Psychology

Borderline personality disorder (BPD) is characterized by maladaptive levels across three personality domains: Neuroticism, (low) Agreeableness, and (low) Conscientiousness. The Unified Protocol (UP) is a transdiagnostic treatment that targets neuroticism and has demonstrated promising effects with BPD. However, not all individuals with BPD respond to UP treatment. The aim of the current study was to explore the extent to which the UP is an efficacious treatment for BPD symptoms. This study represents a secondary analysis of a clinical trial in which the UP was the study treatment; data from the full sample and a subset of nine participants who likely …

The Interactive Effects Of Brain-Derived Neurotrophic Factor (Bdnf) Polymorphisms And Posttraumatic Stress Disorder On Neurocognitive Functioning In U.S. Military Veterans, Colton Shafer Rippey

Theses and Dissertations--Psychology

Posttraumatic Stress Disorder (PTSD) is associated with mild-to-moderate deficits in neurocognitive functioning. Single nucleotide polymorphisms (SNPs) in the brain-derived neurotrophic factor (BDNF) gene, namely, the Met allele, may also be associated with mild deficits in neurocognitive functioning. However, findings are inconsistent and may be sensitive to environmental epigenetic moderators such as psychopathology.

The current study analyzed data from European-American U.S. military veterans (n = 1,244) who participated in the 2011 National Health and Resilience in Veterans Study (NHRVS). Multivariate analyses of covariances were conducted to evaluate the unique and interactive effects of the Met allele and probable PTSD on …

Trauma-Related Shame And Guilt As Prospective Predictors Of Daily Mental Contamination And Ptsd Symptoms In Survivors Of Sexual Trauma, Jesse P. Mccann

Theses and Dissertations--Psychology

Mental contamination–the experience of dirtiness or pollution in the absence of a physical contaminant–has established links with posttraumatic stress disorder (PTSD). Emotions such as shame and guilt have well-documented relationships with PTSD symptoms and are suggested to play a role in the development and maintenance of mental contamination. The goal of the present study was to examine whether trauma-related shame and guilt prospectively predicted daily experiences of mental contamination and PTSD symptoms among women with sexual trauma history. Forty-one women with a history of sexual trauma completed baseline and twice-daily assessments of mental contamination and PTSD symptoms over a two-week …

Impact Of Ptsd On Hcv/Hiv Risk-Reduction Interventions Among Incarcerated Drug-Using Women In Rural Appalachia, Caitlyn Hood

Theses and Dissertations--Psychology

Justice-involved women in rural Appalachian Kentucky are a particularly vulnerable group in need of targeted risk-reduction interventions for hepatitis C virus (HCV) and human immunodeficiency virus (HIV). Compared to women in the general U.S. population, justice-involved women in rural Appalachia report dramatically higher rates of HCV/HIV risk behaviors (e.g., injection drug use and risky sex), interpersonal violence (IV; e.g., physical, sexual, or emotional abuse), and posttraumatic stress disorder (PTSD). IV and PTSD may exacerbate rural Appalachian women’s risk for contracting and transmitting HIV/HCV, indicating a need to approach HCV/HIV risk-reduction interventions from a trauma-informed perspective.

Brief motivational interviewing and psychoeducation …

Personality Disorders In The Icd-11: Spanish Validation Of The Picd And The Saspd In A Mixed Community And Clinical Sample, Fernando Gutiérrez, Anton Aluja, José Ruiz, Luis F. García, Miguel Gárriz, Alfonso Gutiérrez-Zotes, David Gallardo-Pujol, Maria V. Navarro-Haro, Miquel Alabèrnia-Segura, Joan Ignasi Mestre-Pintó, Marta Torrens, Josep M Peri, Bárbara Sureda, Joaquim Soler, Juan Carlos Pascual, Gemma Vall, Natalia Calvo, Marc Ferrer, Joshua R. Oltmanns, Thomas A. Widiger

Psychology Faculty Publications

The International Classification of Diseases–11th revision (ICD-11) classification of personality disorders is the official diagnostic system that is used all over the world, and it has recently been renewed. However, as yet very few data are available on its performance. This study examines the Personality Inventory for ICD-11 (PiCD), which assesses the personality domains of the system, and the Standardized Assessment of Severity of Personality Disorder (SASPD), which determines severity. The Spanish versions of the questionnaires were administered to a community (n = 2,522) and a clinical sample (n = 797). Internal consistency was adequate in the PiCD …

Access To Autism Spectrum Disorder Services For Rural Appalachian Citizens, Angela Scarpa, Laura S. Jensen, Denis Gracanin, Sharon L. Ramey, Angela V. Dahiya, L. Maria Ingram, Jordan Albright, Alyssa J. Gatto, Jen P. Scott, Lisa Ruble

Journal of Appalachian Health

Background: Low-resource rural communities face significant challenges regarding availability and adequacy of evidence-based services.

Purposes: With respect to accessing evidence-based services for Autism Spectrum Disorder (ASD), this brief report summarizes needs of rural citizens in the South-Central Appalachian region, an area notable for persistent health disparities.

Methods: A mixed-methods approach was used to collect quantitative and qualitative data during focus groups with 33 service providers and 15 caregivers of children with ASD in rural southwest Virginia.

Results: Results supported the barriers of availability and affordability of ASD services in this region, especially relating to the need for more ASD-trained providers, …

A Systematic Review Of Mindfulness Interventions’ Impact On Athlete Emotional Distress & Wellbeing, Trevor Nathan Tierney

Theses and Dissertations--Kinesiology and Health Promotion

Mindfulness-based interventions’ (MBIs) effectiveness for improving wellbeing and reducing emotional distress is well-documented in both clinical and non-clinical sections of the general population (McAlarnen & Longshore, 2017). Although mindfulness has been shown to be effective with these populations, less is known about the specific effects for athletes. The effects of MBI’s for athletes may be different given that the intention for MBIs in the sport context is typically to improve performance, where in most other contexts it is not (Gardner & Moore, 2012). Furthermore, athletes are a distinct population who possess unique factors on which their wellbeing and mental health …

Intentional Personality Change: Toward The Prevention Of Problem Drinking, Elizabeth N. Riley

Theses and Dissertations--Psychology

Personality stability across the lifespan has been well documented, but within that overall stability there is also evidence of meaningful change. There is both theoretical and empirical evidence to suggest that personality change can occur at the volition of the individual, through behavioral processes. The current study tested whether an emotion modulation intervention that promoted behavior change could be applied to reduce a related, high-risk personality trait (negative urgency) and a high-risk behavior (heavy alcohol consumption) using a three-week long, mixed laboratory design. Participants (n=23) were a sample of heavy drinking but otherwise healthy volunteers who were randomly assigned to …

Structure And Demographic Correlates Of Individual Trait Responses To Emotions, Anita Adams

Theses and Dissertations--Psychology

From a functionalist perspective, emotions inform people of their needs and influence responses to the environment. Responses to emotion encompass more than emotion regulation strategies. Individual differences emerge from the consistent way that people cope with their emotions, called trait responses to emotion (TRE). We hypothesized approach/avoidance and control/dyscontrol would characterize the dimensional structure of TRE and that dimensions would correlate with age, gender, and early life experiences. The present study developed a multidimensional model to explore TRE from a TurkPrime sample (N = 284). Participants completed a web-based battery of surveys with demographic, early life experience, and TRE questionnaires. …

Acute Sensitivity And Tolerance To Alcohol As Predictors Of At-Risk Drinking, Holley Allen

Theses and Dissertations--Psychology

Laboratory studies have reliably shown that reduced sensitivity to alcohol’s subjective intoxicating effect is associated with heavier drinking. More recently, there has been research to suggest that heightened sensitivity to the disinhibiting effects of alcohol might also contribute to at-risk drinking. Most research on the acute effects of alcohol has focused on drinking magnitudes averaged across participants with little attention to how individual differences influence abuse potential. This study overcomes previous limitations by testing the degree to which individual differences in acute sensitivity and tolerance to the subjective intoxicating and disinhibiting effects of alcohol predict drinking behavior in a large …