The Role Of Embodied Metaphor In The Relationship Between Vestibular Dysfunction, Anxiety And The Self, Kaitlyn Abrams

Electronic Theses and Dissertations

There is considerable evidence that vestibular dysfunction and anxiety are correlated. Clinical and philosophical arguments suggest that a loss of sense of self, experienced through symptoms like derealization and depersonalization, might contribute to this relationship. The present study used a mixed methods approach, including Systematic Metaphor Analysis, to analyze written short answer and quantitative survey data from one hundred and thirteen participants with vestibular disorders. The Systematic Metaphor Analysis revealed several primary metaphor concepts which elucidated the connections between concrete experience and abstract concepts in vestibular dysfunction. These included metaphors of Agency, Stability, Orientation, Self-Object, and Figure-Ground. Primary metaphors for …

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 …

Social Cognition, Impulsivity, And Emotion Regulation Factors In Aggressive Behavior Among Children With Attention-Deficit/Hyperactivity Disorder., Kelly E. Slaughter

Electronic Theses and Dissertations

Children with Attention-Deficit/Hyperactivity Disorder (ADHD) exhibit greater levels of aggressive behavior than their typically developing peers, often resulting in impairment in social and family functioning. Aggressive behavior is often differentiated into two functions: reactive, or “hot-blooded” and proactive, or “cold-blooded” aggression. Prior research has identified several factors contributing to aggressive behavior within a general population, including emotion dysregulation, negative urgency, social information processing (SIP), and parenting behaviors. A paucity of research has examined these factors within an ADHD population. Thus, the present study aimed to examine social, emotional, behavioral, and cognitive factors associated with aggression among children with ADHD. Specifically, …

The Role Of Anxiety Sensitivity In The Etiology Of Anxiety And Cognitive Symptoms Of Eating Disorders, Rachel Small-Crevier

Electronic Theses and Dissertations

The present study examined common genetic and environmental contributions to the etiology of anxiety sensitivity, cognitive symptoms of eating disorders, and anxiety severity in a community sample of adolescents. I leveraged data from the Twins Early Development Study, a longitudinal epidemiological study of mono- and dizygotic twins born in England and Wales between 1994 and 1996. At age 16, families of twins (n=5,111) were assessed for anxiety sensitivity, cognitive symptoms of eating disorders (i.e., felt fat, fear of gaining weight, weight- and shape-influences thoughts about self), and anxiety severity. Strong phenotypic correlations among the four cognitive symptoms of eating disorder …

Working Through Lingering Anger Following Interpersonal Grievances: Examining Mechanisms Of Change In Rumination, Reappraisal, And Identification Of Unmet Needs, Michael Arend Strating

Electronic Theses and Dissertations

Many clients present to psychotherapy with lingering feelings of anger, bitterness, or resentment in response to interpersonal grievances. The current project sought to compare the effects of cognitive reappraisal and needs identification interventions on lingering anger while determining whether intervention effects occur through shared or distinct mechanisms of change. Using an experimental, therapy-analogue design, 197 undergraduate participants (Study 1) completed a brief, self-guided online intervention involving either anger rumination (comparison condition), cognitive reappraisal, or needs identification. This design was replicated in a clinical sample of 31 participants (Study 2) who were recruited from local mental health clinics using the same …

The Association Between Self-Reported Psychiatric Symptoms And Performance Validity Test Failure Across Brain Injury Severity Levels, Alana G. Sabelli

Electronic Theses and Dissertations

Performance validity testing is a routine procedure used in neuropsychological assessment to ensure an examinee is putting forth a performance that is an accurate representation of their ability. There is increasing evidence that individuals reporting high levels of psychiatric symptoms as well as those with mild traumatic brain injury (mTBI) fail performance validity tests (PVTs) more often. This research sought to determine if the high base rate of failure (BRFail) in the mTBI sample were related to an increase of self-reported psychiatric elevations. An archival dataset of 480 individuals either with an orthopedic injury, mTBI, or moderate-severe traumatic …

Understanding Maternal Depressive Symptoms And Aggression In Young Children: An Affective Dyadic Systems Approach, Lerna Hanceroglu

Electronic Theses and Dissertations

Parent-child interactions have been examined to understand the trajectory of childhood aggression into adolescence and beyond. Maternal depressive symptoms have been considered as an influential factor in the development and continued trajectory of aggressive behaviours. In addition, aggressive children can influence maternal depressive symptoms and parenting behaviours that subsequently increase the risk of aggression in children. To understand the unique emotional patterns that occurs within parent-child interactions in these at-risk populations, the present study examined the relationship between maternal depressive symptoms and child aggression through a dynamic systems approach. Participants were 105 and mothers and their children aged 3 to …

Rejection Sensitivity, Relationship Quality, And Adjustment In Late-Adolescent Romantic Relationships And Friendships, Laura A. Foster

Electronic Theses and Dissertations

Rejection sensitive (RS) individuals are at greater risk for emotional maladjustment across the lifespan, with consistent links identified with depression and social anxiety. Yet little is known about interpersonal factors that may affect this association for late adolescents, especially with their romantic partners and close friends. The present study examined relationship qualities of support and negative interactions with romantic partners and friends as moderators of the link between RS and internalizing symptoms. Given the differences between male and female social relationships and experiences, these associations were expected to be further moderated by gender, with RS females in poorer quality relationships …

A Phenomenology Of Challenging Psychedelic Experiences: From Relational Trauma To Relational Healing, Leland Guthrie

Electronic Theses and Dissertations

Psychedelic medicine is a re-emerging therapeutic paradigm with potentially significant clinical applications. This study contributes to an understanding of the aspects of challenging psychedelic experiences that may contribute to therapeutic outcomes. Interview and written data from five participants about their challenging Ayahuasca experiences was analyzed using Interpretative Phenomenological Analysis (IPA). The results of this analysis revealed a phenomenological structure of challenging psychedelic experiences consisting of a change process that moved the participants from a sense of disconnection to a sense of connection with themselves, others, nature and the cosmos. Findings from the study suggest that challenging psychedelic experiences may be …

Individual Differences And Ecological Validity Of Emotion Regulation In Response To Sadness, Colin M. Bosma

Electronic Theses and Dissertations

The majority of research on emotion regulation processes has been restricted to controlled laboratory settingsthat use experimental paradigms to investigate short-term outcomes (Berking & Wupperman, 2012). A true understanding of emotion regulation requires an unobtrusive, ecologically valid assessment of the construct as it naturally unfolds in the environment. Digital phenotyping, or moment-by-moment quantification of individual-level human behavior using data from smartphone sensors (Torous & Onnela, 2016), is a novel method for evaluating human behavior in naturalistic settings. The present project is the first to implement digital phenotyping in the investigation of emotion regulation.

The central aim of the study was …

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

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

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 …

Manipulating Mindful Breathing Versus Mindful Eating: Examining The Effect Of Specific Mindfulness Mechanisms On Food Intake And Eating Disorder Symptoms., Irina Alexandrovna Vanzhula

Electronic Theses and Dissertations

Background. Understanding which specific mindfulness practices contribute to improvements in ED symptoms, as well as the mechanisms of action by which this change occurs, may help improve MBTs for EDs. The current study aims to compare the effects of various brief mindfulness exercises on state ED symptoms and food intake and to test whether a reduction in state rumination and state difficulties in emotion dysregulation and an increase in awareness of hunger, fullness, and satiety cues mediate these effects. Methods. Two hundred and two undergraduate females participated in the experiment. Participants were randomized to listen to one of the four …

Medication Versus Brain-Based Treatment: Evaluation Treatment Preferences Of Parents Of Children With Adhd, Rebecca Recio-Swift

Electronic Theses and Dissertations

Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental disorders across the world. Currently, treatment for ADHD mostly consists of either medication or behavioral therapy or a combination of both. However, research has shown that medication used as therapy for the treatment of ADHD has side effects which parents deem undesirable for their children. Therefore, recent research has focused on patient and parent preferences. Studies have found that behavioral or other treatment options may often be chosen over medications. These same studies have documented the characteristics of parents that prefer certain treatments for their children. The purpose of this …

Hot Or Not? The Effects Of Fitspiration Images On Body Dysmorphic Concerns, Kayla Ramsey

Electronic Theses and Dissertations

Despite positive intentions, research suggests that fitspiration causes a multitude of negative effects on body image. This study will expand on previous work by examining the effects of fitspiration on body dysmorphic concerns, appearance-based rejection sensitivity (appearance-RS), and intentions to exercise, as well as the differences in these effects by sex. The first hypothesis is that participants will report more body dysmorphic concerns and appearance-RS following exposure to fitspiration compared to travel images. Second, it was hypothesized that compared to males, females will be more prone to the negative impact that fitspiration images have on body dysmorphic concerns and appearance-RS. …

An Interpretive Phenomenological Analysis Of Psychotherapists' Experiences Of Vulnerability, Kay Yu Yuan Chai

Electronic Theses and Dissertations

In the service of forging a deep authentic connection that has the power to heal and transform, psychotherapists create and hold space for their patients to show themselves in a deeply vulnerable manner so that they can be known and accepted as they are. At the same time, psychotherapists are also flawed and wounded mortal beings who cannot help but bring their own woundedness, personalities, and limitations into the space, and must negotiate the delicate balance between restraint and expressiveness of their vulnerability. This study is a phenomenological inquiry into how psychotherapists experience their vulnerability given the demands of their …

Examining The Influence Of Mental Health On Expressions Of Verbal Aggression And Assertiveness, Juliet Aura

Electronic Theses and Dissertations

ABSTRACT

Recent reports in the media suggest an increase in the number of aggression cases in schools and the community. One of the forms of aggression experienced over the lifespan is verbal aggression. Verbal aggression has been considered a negative trait because of the harmful effects it has on the recipient. On the contrary, assertive behavior is a socially desirable trait and is considered a positive communication trait. The purpose of the study was to establish the effectiveness of psychological services and self-care in reducing verbally aggressive behavior. The study also aimed to determine how psychological services can improve assertiveness. …

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 Relationship Between Resilience And Social Support Among College Students During The Covid-19 Pandemic, Amy Baskin

Electronic Theses and Dissertations

Due to the unprecedented and unexpected nature of the COVID-19 pandemic, there is little data to date that have investigated the impact on college students. The current study evaluated the relationships between resilience, social support, and distress levels among college students during the COVID-19 pandemic. One-hundred and ninety-one college students in a psychology course completed three measures assessing resilience, social support, and distress during the COVID-19 pandemic. The first hypothesis was that as social support increases, then resilience will also increase in a college population during a worldwide pandemic. A second hypothesis was that as resilience increases, then distress will …

Trainee Attitudes Toward Social Class As Predictors Of Clinical Decision Making: Exploring The Effects Of Classism In Psychotherapy, Jeremy J. Coleman

Electronic Theses and Dissertations

The current study examined the effects of classist beliefs on trainee attitudes toward their client based on perceived social-class status. This study sought to determine whether classist attitudes contribute to meaningful differences in clinical decision making. A sample of mental health trainees (n = 147) attending graduate-level programs in the U.S. were recruited and randomly assigned to one of two clinical vignette conditions. Both vignette conditions included identical data regarding a hypothetical client’s presenting concerns (e.g., sleep disturbance, worry, rumination, loneliness), but differed on indicators of client socioeconomic status (SES). Results showed statistically significant between-group differences on ratings of clinical …

Parental Self-Efficacy, Parenting Stress, And Mental Health Among Latina Mothers Of Young Children, Thania Galvan

Electronic Theses and Dissertations

Parenthood can increase the risk for mental health concerns, especially for Latina mothers. Poor maternal mental health can result in significant negative maternal and child outcomes, particularly if a mother’s mental health needs go unmet. In an attempt to better understand the factors that impact Latina mother’s mental health, this study explored the relations among parental self-efficacy, parenting stress, and mental health. It also explored mother’s self-reported resource availability and sociocultural factors as potential modifiable points of interventions in these relations.

Methods: The study was conducted using data from 132 Latina mothers that participated in a larger project examining stress …

Moderate Effects Of Anxiety And Physical Activities On The Relationship Between Body Image And Covid-19 Fear, Yutong Guo

Electronic Theses and Dissertations

Improving psychological well-being has been a hot topic in counseling psychology research. However, since the COVID-19 pandemic, people’s lifestyle has been changed that caused series mental health problems. Using a sample of 576 participants from different universities. This study examined whether Covid-19 correlated with Body image a) whether anxiety moderated this relationship. b) whether physical activities moderated this relationship. c) how does different kind of body image avoidance being influenced. Pearson’s correlation test and linear regression analyses were conducted. The result indicated that COVID-19 fear has significantly positive relationship with body image. physical activities level has significantly increase the relationship …

Preconception Stress, Affect-Biased Attention, And Negative Affectivity: Assessing Pathways And Early Markers Of Psychopathological Risk In Infancy And Childhood, Danielle A. Swales

Electronic Theses and Dissertations

The developmental origins of mental health likely begin early in life and perhaps even prior to conception. Research is needed to elucidate pathways of risk and resilience in the development of psychopathology. The goal of the current dissertation was to explore how both preconception and postnatal experiences influence negative affectivity, a robust and transdiagnostic risk factor for later psychiatric symptoms. The present dissertation accomplished this goal by completing two independent studies, each of which are presented in the format of standalone journal articles. Study one focused on evaluating how preconception experiences, specifically maternal symptoms of post-traumatic stress disorder (PTSD), impact …

The Trajectory Of Resilience, Meaning In Life, Social Support, Posttraumatic Growth, And Posttraumatic Stress For Emerging Adult Trauma Survivors, Marcela C. Weber

Electronic Theses and Dissertations

BACKGROUND: The literature suggests the relationship between posttraumatic growth (PTG) and posttraumatic stress (PTS) is curvilinear, and that type or severity of trauma may affect this relationship. The relationship between depression, anxiety, and PTG is understudied. It is well established that meaning in life predicts PTG, PTS, and resilience, yet most of the research has measured general perceived meaning rather than meaning beyond-the-self, specifically, which was initially theorized by mid-century Humanistic psychologists. Mixed findings about whether searching for meaning is beneficial or harmful suggests potential moderators of search for meaning should be explored. METHOD: Participants (N = 628) were emerging …

The Influence Of Emotion Regulation And Family Involvement On Diabetes Distress Among Adults With Type 2 Diabetes, Patric Justin Leukel

Electronic Theses and Dissertations

Adults with diabetes frequently experience diabetes related distress which is associated with negative health outcomes. Family members are commonly involved in patients’ diabetes self-management. However, family involvement can have harmful and/or helpful effects on patients’ diabetes outcomes. Difficulties in regulating emotions may play a role in patients’ interactions with family members and experience of diabetes distress. This study examined the role of emotion regulation and type of family involvement in diabetes distress among 370 adults with type 2 diabetes. Two separate three-step sequential linear regression models were used to test the main and interactive effects of harmful and helpful family …

Stress, Depression, And Anxiety, Oh My: Examining The Effects Of A Single-Session Seminar On Depression And Anxiety Symptomatology, Katelyn Sharpe

Electronic Theses and Dissertations

Young adults (aged 18-25) were identified as the most stressed age group due to internal and external factors that are relatively unique to their group. High stress levels are alarming as they coincide with a multitude of adverse effects on psychological health, including difficulty falling and staying asleep, reduction in overall sleep quality, and exacerbated depression and anxiety symptomatology. Young adults attending post-secondary education institutions are at particular risk for developing and maintaining these adverse psychological effects of stress, especially considering the low rate in which they seek treatment for psychiatric difficulties. Limited literature exists to date regarding condensing a …

Interictal Avoidance Of Sensory Stimuli Among Individuals With Migraine, Daniel Rogers

Electronic Theses and Dissertations

Migraine is the most debilitating neurological disorder worldwide and is associated with high economic and psychological costs. Common behavioral strategies for coping with migraine include avoidance of stimuli believed to precipitate an attack, though literature suggests that avoidance behaviors may serve to exacerbate migraine-symptoms and increase disability. Although the incorporation of trigger avoidance in modern conceptualizations of headache-related disability represents a more comprehensive understanding of disability occurring outside of migraine attacks (interictally), extant literature has emphasized trigger avoidance to the exclusion of other factors. Learning principles suggest stimuli that exacerbate migraine may take on similar eliciting properties as pain and …

The Role Of Social Anxiety In Prosocial Behavior Following Exclusion, Hannah Friedman

Electronic Theses and Dissertations

Social anxiety (SA) causes significant distress and impairment in several areas of daily life. Individuals with SA experience increased rates of exclusion and have more difficultly forming meaningful interpersonal relationships. Exclusion is associated with increased SA and motivations for social withdrawal in emerging adulthood. In non-SA individuals, the desire for compensatory social interaction following exclusion often produces prosocial behaviors (e.g., increased effort to help the group). Prosocial behavior levels following exclusion are not uniform, however, as an individual’s response may vary depending on the type of exclusion experienced. Although previous work has observed decreased levels of prosocial behavior in non-SA …

Acceptability, Anticipated Adherence, And Willingness To Begin Interoceptive Exposure: Examination Of The Influence Of A Values Rationale, Gina Quebedeaux Boullion

Electronic Theses and Dissertations

Interoceptive exposure (IE) is a treatment entailing induction of feared physiological sensations that has emerged as the most efficacious component of cognitive behavioral treatments for panic disorder. However, small-to-moderate effect sizes, wide variability in response rates, and dropout rates indicate that panic disorder treatments may benefit from modifications to improve upon retention, response rates, and symptom reduction. Patient motivation and lack of engagement have been identified as factors to intervene upon. One specific direction that has gained increasing empirical interest is the inclusion of values identification; however, research has not yet examined the influence of values on motivation to engage …