Psychology Commons^™

Associations Among Psychosocial Factors, Health-Related Quality Of Life, And Adherence In Pediatric Inflammatory Bowel Disease, Cecelia I. Nelson

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Inflammatory Bowel Disease (IBD) is a prevalent disorder among youth in the United States. IBD is one of the leading causes of chronic pain in adolescence and symptoms can lead to reduced quality of life, social embarrassment, and lower self-esteem. Adherence to medical regimens for IBD is incredibly important to prevent morbidity, mortality, and impaired health-related quality of life (HRQOL). However, adolescents struggle generally with adherence and the regimen for IBD can be complicated and include aversive side effects. Psychological factors, such as depressive symptoms, are key factors associated with non-adherence. Nevertheless, gut-specific anxiety (GSA) is a psychological factor that …

Seeing Red: Hostile Attribution Bias, Aggression, And Antisocial Personality Disorder Traits, Kaley Potter

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Antisocial personality disorder (ASPD) is a destructive and severe mental illness that costs the U.S. trillions of dollars annually. Although ASPD is significantly correlated with acts of aggression, violence, and imprisonment, not all individuals with ASPD are aggressive. In samples without ASPD, increased aggression has been linked to an error in social information processing, which is referred to as hostile attribution bias (HAB).

The current study tested the extent to which HABs, or the tendency to attribute hostility to neutral or ambiguous stimuli, predicted aggression above and beyond ASPD traits in participants with a history of incarceration. Participants (N = …

The Relationship Between Moral Thought-Action Fusion And Scrupulosity Across Judaism, Christianity, And Islam, Kelsey Evey

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Scrupulosity is a subtype of obsessive-compulsive disorder (OCD) where individuals are upset by intrusive thoughts related to religious or moral issues. Current research suggests that scrupulosity occurs across the major world religions—including the Abrahamic religions (i.e., Judaism, Christianity, and Islam). Some research suggests that moral thought-action fusion (moral TAF), a dysfunctional belief that thinking something is equal to doing it, may only be pathological under certain circumstances (e.g., if it is not culturally normative). If this is true, the current cognitive model of scrupulosity may need to be amended to reflect how cultural differences impact the role of moral TAF …

Examining Invalid Brief Child Abuse Potential Inventory Profiles Within A Randomized Controlled Trial For Toddler-Aged Children And Their Parents, Lindsay Rebecca Druskin

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Child abuse is a significant public health concern that impacts children worldwide. Efforts to connect at-risk parents with prevention and intervention programs require the use of high-quality measures that evaluate child abuse potential. Researchers frequently use the Child Abuse Potential Inventory (Milner, 1986) and the Brief Child Abuse Potential Inventory (BCAP; Ondersma et al., 2005) which contain Validity indices that evaluate response patterns such as social desirability responding. The measure developers recommended that abuse risk scores from invalid profiles be disregarded in clinical and research settings; however, little is known about factors that may relate to invalid responses and whether …

Associations Among Executive Functioning, Family Functioning, Adolescent Responsibility, And Adherence In Pediatric Inflammatory Bowel Disease, Cecily Newel Conour

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Background: Inflammatory Bowel Disease (IBD) is a common cause of chronic pain for adolescents in the United States. Adherence to the treatment regimen is a significant concern, particularly for adolescents. Barriers to adherence are varied, but include cognitive factors, such as forgetting. Parent involvement is associated with increased adherence in this population, though adolescent involvement is less studied. Family functioning is associated with adherence to medication regimen across pediatric chronic illnesses, including IBD treatment regimen. To better inform clinical care, this study aims to understand the relations among adolescent’s responsibility, executive functioning, family functioning, and adherence. Methods: The current study …

You've Got A Friend: Social Factors And Depressive Symptoms In Older Adults, Erika A. Fenstermacher

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Depression in late life has been associated with disability, lower quality of life, increased mortality, and increased risk of suicide (Fiske et al., 2009; Rodda et al., 2011). Research suggests that functional disability, which is often brought about by a medical condition, may precede depressive symptoms and may be a major factor for older adults developing depression (Ormel et al., 2002). Social support can be beneficial for both emotional and physical health (Fiori & Jager, 2021). Numerous studies found evidence that social networks, perceived and subjective social support, and satisfaction with support received moderated the relation between health problems and …

Utility Of An Emotion Coding System For Parent-Child Interaction Therapy With Toddlers, Christopher Kyle Owen

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Numerous efficacious early interventions target and alter caregiver-child interactions to promote optimal social-emotional outcomes for young children (Bagner et al., 2014). However, research has primarily relied on the use of caregiver report to assess caregiver-child emotion-focused practices, revealing the need for a behavioral observation assessment (Zinsser et al., 2021). Preliminary evidence suggests that Parent-Child Interaction Therapy with Toddlers (PCIT-T) is a well-received and efficacious intervention for reducing disruptive behaviors, improving child internalizing and externalizing behavior, reducing parental stress, and increasing parental sensitivity (Kohlhoff et al., 2021; Kohlhoff, Cibralic, & Morgan, 2020). PCIT-T strives to train caregivers to interact with their …

The Effect Of Face Interpretation Training On Social Anxiety Symptoms, Grace L. Wheeler

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According to cognitive models of social anxiety disorder (SAD), individuals place excessive importance on gauging others’ reactions (e.g., facial expressions) to their social performance. Facial interpretation bias modification (FIBM) was developed to shift interpretations of ambiguous faces. The current study uses FIBM to test whether face interpretation is causally related to SAD symptoms in an unselected adult sample. Participants (N=139) were randomized to 1 of 3 conditions (positive, negative, accurate) in a single-session, online study. Pre- and post- intervention measures of face interpretation and SAD were completed. In line with hypotheses, individuals in the positive condition interpreted faces more positively …

Understanding And Evaluating Stereotypes Towards Obsessive Compulsive Disorder Symptom Subtypes, Gabriella T. Ponzini

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Public stigma has detrimental impacts on those with obsessive compulsive disorder (OCD). Yet, stereotypes associated with OCD are poorly understood. Given the heterogeneity of OCD symptom presentations, a conceptualization of stereotypes associated with symptom subtypes is warranted to inform stigma reduction efforts.

In Study 1 (N = 60), participants read one of five vignettes on OCD subtypes (Symmetry/Just Right, Contamination, Sexual, Harm/Aggression, or Scrupulous) prior to responding to Internet-delivered open-ended questions. Study 1 methods followed the qualitative description framework, such that data were derived from participant responses and findings were presented using participant language. Prior to final coding and …

Age As A Moderator Of Health Outcomes And Trust In Physicians And The Healthcare System, Emma Katz M.S.

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Trust is an integral part of the healthcare experience. Patient trust is associated with treatment adherence, patient satisfaction, patients engaging in follow-up care, shared decision-making, and positive health-related outcomes (e.g., Gupta et al., 2014; Mohseni & Lindstrom, 2007; Musa et al., 2009; Tam, 2012; Thom, et al., 2004; Trachtenberg et al., 2005). There are several levels of trust discussed in the literature, including interpersonal trust and institutional trust. The current study examined two levels of trust: interpersonal trust in the form of trust in the physician and institutional trust in the form of trust in the healthcare system. The study …

Implementing Trauma-Informed Care Through A Multi-Agency Learning Collaborative: A Theory-Driven Analysis Of Outcomes And Sustainability, Mira D H Snider M.S.

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Learning collaboratives (LCs) are often used in large-scale implementation initiatives to promote evidence-based practice across provider networks. Although the outcomes and stakeholder perspectives of many LCs have been documented, support for the effectiveness of LCs is equivocal, and the means by which LCs achieve long-term improvements in clinical care are not understood. The current study investigated outcomes and sustainability of a multi-agency LC for implementing trauma-informed care in 23 rural Pennsylvania counties. Changes in outcomes (i.e., trauma symptom screening, trauma-informed care training attendance, clinician confidence with using trauma informed-care, utilization of trauma-related diagnostic codes, retention in service, service unit density) …

Self-Reported And Behavioral Perseverance Associated With The Maintenance Of Health Behaviors, Alivia Kay Frazier

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Research has shown that positive psychological traits, such as perseverance, may be associated with the maintenance of health behaviors aimed to prevent commonly fatal diseases (e.g., cardiovascular disease, stroke). Although there is limited research in this area, the current study examined whether there was an association between self-reported perseverance, behavioral perseverance, and distress tolerance with various health behaviors (e.g., sleep, physical activity, nutrition, vaping, alcohol use, general health status, and COVID-19 behaviors). A novel methodology was implemented for this study that employed using the online mirror tracing task as a measure of behavioral perseverance.

A sample of young adult participants …

Effects Of Depression And Stress On Oral Self-Care Among Perinatal Women In Appalachia: A Longitudinal Study, Jeongwi An

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Oral health during the perinatal period has an impact on the health of women and their offspring. Oral self-care behaviors are preventive methods that can be employed to maintain or improve oral health but may be compromised during the perinatal period. Identifying factors affecting oral self-care behaviors might provide direction on how to intervene in oral health during and after pregnancy. The purpose of this study was to investigate independent and interactive effects of depression and stress on oral self-care behaviors of perinatal women in Appalachia, given the burden of oral disease in this region. A total of 1,172 women …

Freeze! The Impact Of A Guided Imagery Intervention On Looming Vulnerability And Subclinical Contamination-Ocd Symptoms, Amber Lynn Billingsley

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Looming vulnerability (LV) refers to the tendency to appraise and perceive potential threats as dynamic and increasing in risk. Research suggests that contamination-fearful individuals may have an increased tendency to interpret contamination as growing or spreading (i.e., “looming”), which may hinder habituation to contamination and play a role in the maintenance of contamination-OCD symptoms. Studies have shown that engaging in imagery in which one mentally freezes contamination in place decreases state levels of fear, though little is known about its longer-term effects (e.g., after one week). The present study aimed to experimentally manipulate LV using freeze imagery in a subclinical …

Covid-19: Examining Adherence Through The Health Belief Model, Leah Ashton Brown

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Over 6.4 million individuals have died due to COVID-19. Although the vaccine has been distributed and made more accessible, it is important for individuals to continue adhering to guidelines that prevent the spread of this deadly virus. The current study explored adherence to COVID-19-related health behaviors (wearing a mask, social distancing, properly washing hands, and receiving the COVID-19 vaccine) in a U.S. sample (recruited through Amazon MTurk) and examined the role of interactions among various identities. The study was informed by the Health Belief Model (HBM) and participants completed questionnaires that assessed COVID-19 health behaviors, constructs comprising the HBM (perceived …

A Multi-Method Evaluation Of Parent And Child Factors Associated With Child Abuse Potential, Lindsay R. Druskin

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Child abuse is a pervasive, global problem impacting millions of children (Stoltenborgh et al., 2015). Researchers have largely relied on the use of parent-report questionnaires to examine a variety of risk factors for child abuse (see Azar, 2002; Stith et al., 2009), leaving a gap in the research regarding the link between observed parent and child behaviors and child abuse potential. Utilizing a sample of families clinically referred for child behavioral problems, the proposed study pursued a multi-method approach to explore relations between parent factors (parent attachment, emotion regulation, harsh behaviors, and stress), child factors (child disruptive behaviors), and the …

Association Of Early Life Stressors With Deficits In Child And Adolescent Cognitive Functioning, Emily M. Deming

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The purpose of this study was to determine whether the ACEs questionnaire could be a viable screener tool for identifying children in need of neuropsychological testing. This study consisted of a sample of child participants aged 8-17 years (N=53) who were divided into a no ACEs group or the ACEs group (1 or more ACEs) depending on parental responses to the ACEs questionnaire. Participants completed a series of virtual neuropsychological tests that assessed overall neurocognitive functioning, memory, and attention. No significant differences between the no ACEs group and the ACEs group in performance of the overall Neurocognitive Index, …

Zonulin As A Mediator Of Psychological Stress And Periodontal Disease, Casey D. Wright

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The prevalence of chronic inflammatory diseases is on the rise. Some have posited the permeability of tight junctions in gastrointestinal epithelium tissues as a potential mechanism for precipitating inflammatory processes throughout the body. Zonulin is the only known modulator of tight junction permeability and has been implicated in numerous chronic inflammatory processes (e.g., proinflammatory cytokine production) and diseases, more generally. The role of zonulin in oral inflammation, however, has yet to be explored. Periodontal disease is the most common oral inflammatory condition and primary perpetrator of tooth loss. Periodontal disease also is associated with a number of other health problems …

Validity Evidence For The Male Depression Risk Scale-22 (Mdrs-22) In Younger And Older Adult Males, Montgomery T. Owsiany

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Men are two times less likely to be diagnosed with major depressive disorder than women. However, suicide rates are nearly four times higher in men than women, increasing to six times when comparing older men to older women. Given that affective disorders are present in most individuals who die by suicide, investigators have begun researching the possibility that depression presents differently in individuals who adhere to traditional masculine norms, leading to the conceptualization of masculine depression. Presently, one assessment for masculine depression shows strong reliability and validity evidence: the Male Depression Risk Scale-22 (MDRS-22). Despite burgeoning validity evidence for the …

Relation Of Child Feeding Behaviors & Caregiver Qualities To Adherence To Nutritional Therapy In Type 1 Diabetes Management, Corrine N. Ahrabi-Nejad

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Type 1 diabetes (T1D) is a chronic illness, typically diagnosed within childhood, that affects the ability of the pancreas to produce insulin. Significant daily self-management behaviors are required to maintain metabolic control for patients with T1D. Nutritional therapy, including adequate intake of macronutrients, is one self-management behavior necessary to optimize health. Adherence to such nutritional guidelines is associated with improved glycemic control, decreased instances of acute health complications (e.g., hyperglycemia, hypoglycemia), and can also prevent insulin resistance. Despite the critical importance of nutritional therapy, adherence to these guidelines remains low within pediatric populations. Therefore, it is important and necessary to …

The Effects Of Dementia Knowledge On Dementia Worry, Attitudes, Social Comfort, Empathic Concern, And Personal Distress, Alexandria Rose Ebert

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The present study examined the effects of different types of dementia knowledge on attitudes and affective reactions towards persons with dementia. Work has demonstrated that individuals with higher levels of personhood-based knowledge have lower levels of personal dementia fear and higher levels of social comfort. However, to our knowledge, work has not examined dementia attitudes more broadly or differentiated causal relations among different forms of dementia knowledge and attitude outcomes. Participants (N = 334) aged 19-78 (M = 44.53, SD = 16.57) were randomized into one of five experimental conditions: (1) biomedical-knowledge (BK; read biological and medical facts about …

Perceptions Of Integrated Mental And Behavioral Health In Pediatric Specialty Care Settings: A Mixed-Methods Study, Desireé Nicole Williford

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Pediatric patients are at an increased risk of experiencing mental and behavioral health concerns, which have direct associations with HRQOL, physiological health, and likelihood that youth will engage in health promoting behavior. Researchers and practitioners have increased their awareness of these concerns and identified strategies for improving the mental and behavioral health of these youth, specifically via implementing organizational efforts (i.e., task forces) and guidelines around integrating psychosocial screening and other services into routine practice. Despite this, there are several identified barriers to families receiving mental/behavioral health care in these settings. These barriers exist at all levels, including at the …

Can Parent-Child Interaction Therapy Improve Core Features Of Autism? Findings From A Comparison Of Pcit For Children With And Without Autism Spectrum Disorder, Robin C. Han

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Although there is a small yet growing body of evidence supporting Parent-Child Interaction Therapy (PCIT) as an effective treatment for disruptive behaviors among children with autism spectrum disorder (ASD; Scudder et al., 2019), further study is warranted, particularly with more robust methodology (e.g., larger sample sizes, comparison groups). Furthermore, preliminary studies have demonstrated improvements in symptoms of autism following the completion of PCIT, including improvements in frequency of child verbalizations (Hansen & Shillingsburg, 2016), caregiver report of social skills and social responsiveness (Zlomke et al., 2017), time spent in pretend toy play (Lieneman et al., 2019), and shared positive affect …

A One-Session, Brief Acceptance And Commitment Therapy Workshop For Chronic Pain Patients: A One-Sample Pretest-Posttest Prospective Exploratory Study, Kelly Anne Thomas Ms

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Chronic pain affects one in every four persons (NIH, 2010). For individuals residing in rural communities where chronic pain treatment is often not accessible (Artnak et al., 2011), a one-session brief mental health intervention is a critical healthcare need. More specifically, acceptance and commitment therapy (ACT) for chronic pain is a novel treatment approach in need of more research (Society of Clinical Psychology, 2016). This current study contributes to the gap in the literature by implementing an ACT workshop in a rural healthcare setting for individuals with chronic pain. It was hypothesized that the workshop would increase adaptive coping mechanisms …

Jurors' Perceptions Of False Confessions, Madison G. Gallimore

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This study examined the effect of mock jurors’ perceptions of a defendant’s false confession vs. no confession (false confession presence), coercive interrogation techniques vs. panic-escape (false confession reason), and expert witness testimony vs. defendant explanation vs. expert witness testimony plus defendant explanation for his false confession (source). The four hypotheses and one research question pertained to main effects and interaction effects of false confession presence, false confession reason, and source (separately) and expert witness conditions combined on five outcome variables. Outcome variables were defendant’s guilt, trustworthiness, suggestibility, susceptibility to external influences, and juror’s likelihood of changing their verdict. Using Amazon …

An Examination Of The Start Now Dialectical Behavior Therapy-Based Intervention Plus A Behavioral Level System On Male Inmate Misbehavior, Aggressive Behavior, And Mental Health, Victoria Disciullo

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The purpose of this study was to evaluate the impact of the START NOW program + behavioral level system (BLS) in a self-contained therapeutic community (SCTC) on inmate misbehavior at a correctional facility in a southern state. The SCTC includes the START NOW manualized mental health treatment, recreation groups, process groups as needed, and additional positive reinforcement to target inmate prosocial behavior (i.e., level system to obtain privileges). Inmate data was evaluated at 3-months pre-START NOW intervention and 3-months post-START NOW intervention to determine if there were differences in the number of referrals to mental health services for misbehavior, write-ups …

Mnemonic Discrimination And Social Anxiety: The Role Of State Anxiety, Gabriella T. Ponzini

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The Mnemonic Similarity Task (MST) measures mnemonic discrimination, or the ability to correctly identify new stimuli from highly similar, old stimuli. Neuroscientific and theoretical suppositions suggest that poor mnemonic discrimination may represent a potential risk or maintenance factor for anxious individuals. However, state affect appears to moderate the relation between mnemonic discrimination abilities and trait anxiety. The current study aimed to elucidate the nascent research on mnemonic discrimination and anxiety by evaluating the MST in a specific subtype of anxiety (i.e., social anxiety) and utilizing a clinically relevant stressor task (i.e., knowledge of a future speech). Participants (N = …

A Video Decision Aid For The West Virginia Post: A Randomized, Controlled Trial, Jarred Vicente Gallegos

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The Physician Orders for Life Sustaining Treatment (POLST) allows patients to express preferences for end-of-life medical decisions. Although POLST forms are used throughout the United States, evidence is lacking about the quality of the decision-making process of individuals completing these forms. The use of a decision aid developed for the POLST could ensure that patients completing these forms are informed, confident, and certain of their treatment decisions. The purpose of the study was to develop and evaluate a video decision aid for the West Virginia POST. 64 English-speaking, community-dwelling adults (50+), with no evidence of cognitive impairment, were recruited to …

Creating Positive, Negative, And Neutral Primes And Testing Their Impact On Scrupulosity Relevant Tasks And Symptoms, Kelsey Jean Evey

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A series of three studies was conducted to develop and validate primes to activate negative, positive, or neutral beliefs about God and to determine how these activated beliefs impact scrupulosity signs and symptoms. Scrupulosity is a specific presentation of obsessive-compulsive disorder (OCD) in which individuals become preoccupied and distressed by intrusive thoughts and images related to religious issues. Individuals with more severe scrupulosity often have more negative beliefs about God. Christianity conceptualizes God in both positive (e.g., loving, caring, and helpful) and negative (e.g., angry, judgmental, and wrathful) terms. It is therefore important to determine how more positive, negative, or …

Understanding The Relationship Between Dental Fear, Behavior Management Problems, And Caregiver-Child Interactions During Young Child Dental Appointments, Christopher Kyle Owen

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Positive oral health practices should begin early in life (AAPD; 2013; 2014; 2015); however, dental care-related fear and anxiety and behavior management problems are prevalent among young children in oral health (Klingberg & Broberg, 2007). The study explored caregiver and child dental care-related fear and anxiety, child behavior, and caregiver-child interactions during early childhood dental appointments. Caregiver-child dyad participants (N = 140) were collected from dental practices in West Virginia, Ohio, and Tennessee. Children (n = 139) in the sample were largely White (69.8%) and male (54.0%), with an average age of 3.05 years. Video-taped dental appointments for children under …