Psychology Commons^™

An Existential Punchline: How Humor Functions In A Young Adult Friendship Facing Advanced Cancer, Megan E. Solberg

Electronic Theses and Dissertations

Young adults (i.e., age 18-39) only comprise 4% of the total cancer population, yet cancers in this group are commonly found at more advanced stages due to situational factors influencing delayed diagnosis including access to healthcare, quality health insurance and competing life demands that may hinder prioritization of healthcare. Young adults with cancer also face unique challenges including higher rates of psychological distress, which may contribute to increased risk of social disconnection in response to cancer. Research suggests that humor may be a helpful coping approach and communication mechanism for mitigating distress and discussing difficult topics. Grounded within the frameworks …

“Omg, I Think You May Have Just Changed My Life”: Binge Eating Disorder Recovery In Instagram Comment Sections, Caitlin Roe

Electronic Theses and Dissertations

As the internet and social media have become a more ingrained part of everyday life, online eating disorder pro-recovery communities have become a common topic of examination in the psychological sciences. However, there has been little focus on online binge eating disorder (BED) pro-recovery communities specifically. Additionally, there has not been much exploration into the use of comment sections as a part of pro-recovery communities. The current study used codebook thematic analysis to code ten BED pro-recovery Instagram comment sections to examine the interactive data present within this recovery community. Four themes were developed during analysis: detailed self-disclosure, sharing experiences …

Providing Effective Assessment Feedback To Patients: Lessons Learned From Feedback After A Severe Injury, Kelsie Mcquinn

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper seeks to articulate lessons learned from feedback received after a severe injury in order to help guide neuropsychologists provide effective feedback to patients. Given that there is no agreed upon conceptual framework for providing neuropsychological assessment feedback, parallels are drawn from what works in clinical psychology – the working alliance. I use personal examples to highlight how the working alliance, as well as other psychological principles, can help inform neuropsychologists provide the most effective feedback to patients.

Exploring The Relational Impact Of Breast Cancer On Younger Women Partnered With Women, Kaitlin V. Ross

Electronic Theses and Dissertations

Approximately 268,600 new cases of breast cancer in women are diagnosed each year in the United States. Due to improvements in cancer detection and treatment, survivorship is higher than in the past. More than ten percent of new diagnoses are in women 45 years or younger. There are approximately one million sexual minority individuals living with cancer in the US, yet this population is understudied in cancer care. For sexual minority women with breast cancer, sociocultural factors such as lack of affirmative care influences their disease experience. Further, sexual minority women and women partnered with women may be subject to …

Development And Testing Of Remote Facilitation Of Prevent-Teach-Reinforce For Families To Address Challenging Behavior In Young Children (Ptr-F:R), Abby Hodges

Electronic Theses and Dissertations

As children advance through developmental stages, they often present behavioral difficulties such as tantrums, lack of cooperation, and aggression. For some children, behaviors are serious enough that they interfere with the child’s ability to engage in positive relationships, participate in necessary routines, and learn new skills, warranting behavioral intervention (Dunlap et al., 2017). Being responsive to the needs of the family and appreciation for the central role that they play is crucial to the success of behavioral interventions and the maintenance of positive outcomes (Bailey, 2013; Campbell, 1995), thus, their input should be at the center of all recommendations and …

Athletic Injury And Resources For Student-Athletes: A Proposal For An Athlete Injury Playbook, Jessica J. Pauley

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Athletic injury happens frequently and is rarely predictable. While injury is common in sport involvement at all levels, this proposal focused on National Collegiate Athletic Association (NCAA) student-athletes and expanding the resources they have available to them. The vast literature on athletic injury and rehabilitation in sport has served researchers and academic consumers, and unfortunately, has lacked an easily accessible resource for student-athletes and sports medicine professionals to utilize. Therefore, the purpose of this doctoral paper was to propose a resource focused on post-athletic injury and written for collegiate student-athletes to understand called, The Secret Playbook. This playbook included information …

Psychologists On Interdisciplinary Teams: Barriers To Interdisciplinary Work For Psychologists At The Pre-Doctoral Level And Beyond, Alison C. Swisher

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

With the shift of psychologists into practice in interdisciplinary medical settings, where might these providers receive adequate training for effective entry into these roles? The field of health psychology struggles to adequately keep up with the need for specialized psychologists within medical settings. Training programs have historically failed to provide training opportunities within interdisciplinary medical settings. This project examined the interviews of three psychologists with experience working and training pre-doctoral level students in interdisciplinary, health-focused, medical settings. Based on the information gathered herein, it appears that the barriers to training pre-doctoral psychology students within medical establishments stem from the following …

Cancer Related Cognitive Impairment In Breast Cancer Patients: Guidelines For Neuropsychological Evaluation And Management, Ali Al-Humadi

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Current literature indicates there is still some debate regarding the scope and severity of cancer treatment related cognitive impairment (CRCI), with a wide variety of complex factors contributing to cognitive decline and discrepancies between objective findings and patient self-report. This paper aims to provide guidelines for neuropsychological evaluation, management, and rehabilitation of CRCI in breast cancer patients based on current research. This paper also aims to discuss current research on proposed mechanisms of action for CRCI, the cognitive domains affected in CRCI, and significant bio-psycho-social risk factors impacting CRCI.

Twentieth Century Pandemic Narratives And Mental Health Discourse, Kristy R. Barraza

Electronic Theses and Dissertations

This paper utilizes René Girard’s theories concerning plague literature to examine twentieth century pandemic novels’ engagement with mental health discourses surrounding anxiety and melancholia. Girard argues that plague literature consists of four main elements: contamination, dissipation of differences, doubles, and sacrifice; he also argues that the plague represents violence. In 1918, a plague of influenza killed more people in the United States than all the wars from the twentieth century combined. William Maxwell’s They Came Like Swallows and Katherine Anne Porter’s Pale Horse, Pale Rider depict the trauma caused by the 1918 pandemic; Maxwell shows how the 1918 influenza disrupted …

Resilience In Cancer Patients, Lori A. Gardner

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The phenomenon of resilience has long been identified as a key talking point within the realm of overall mental health, but the concept’s specific meaning, qualities, and sources remain somewhat elusive. For those with chronic health conditions, resilience is often identified as essential to coping effectively with significant disruptions to daily activities. The purpose of this study was to better understand the concept of resilience and to determine themes that underlie resilience, specifically within a cancer patient population. This goal was addressed by using a qualitative approach to elicit commonalities among the experiences of cancer patients representing varying types and …

The Risks For Eating Disorders/Disordered Eating In Refugee & Immigrant Experiences And The Imperative Of Culturally Alert Screening, Chantal A. Bushelle

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Eating Disorders (ED)/Disordered Eating (DE) largely remain outside of global mental health agendas. There are limited data on the epidemiology EDs/DE in refugee and immigrant populations, and there is a paucity of research on refugee and immigrant experiences of EDs/DE. Study of acculturation issues in refugee and immigrant populations have historically missed investigating what role and impact experiences of stress and trauma (e.g., historical, chronic) along with cultural change and transition may have on their food attitudes and eating behaviors. While there has been some study of eating habits within refugee and immigrant populations, the focus is typically on food …

Identifying Gaps In Transitional Care For Adolescent Parents And Their Infants Leaving The Nicu: A Needs Assessment, Stevie Griglak

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Parents of infants admitted to the Neonatal Intensive Care Unit (NICU) are more likely to experience posttraumatic stress, anxiety, feelings of hopelessness, difficulties caring for or bonding with their infants, and financial concerns than parents who deliver full-term, healthy newborns (Ionio et al., 2016). Some NICU admissions may last several months before the premature and/or critically ill infant is stable enough for discharge, and other times the likelihood of discharge is uncertain. Arguably, teen parents with NICU infants are confronted with even more stressors throughout their newborn's hospitalization and post-discharge when they settle into their role as a new parent. …

The Role Of Awareness In Traumatic Brain Injuries: Interviews With Experts, Dominique Chao

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Approximately 2.8 million US citizens sustain a traumatic brain injury (TBI) annually, with more than 275,000 requiring inpatient rehabilitation (Taylor, Bell & Breiding, 2013). As rehabilitation techniques are refined and adapted to increase the speed of recovery and functional independence following TBIs, there is an ongoing need for better prognostic assessment tools. Research has shown that a lack of self-awareness following TBI is associated with poorer outcomes (e.g. employability, community reintegration) following discharge from inpatient hospitalizations (Cheng & Man, 2006; Robertson & Schmitter, 2016) and can result in decreased motivation (Simmonds & Fleming, 2003), compromised safety, poor community re-integration, and …

Biology Of Binge Eating Related Disorders And Proposal For Integration Into Treatment, Karlyne Morawe

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The concerningly low recovery and high cross over rates of eating disorders with binge eating behaviors suggests there might be a missing element in current treatment approaches commonly used to address eating disorders. Research supports the existence of significant biological correlation between disorders that are characterized by binge eating behaviors. This paper examines some of the biological processes in which these disorders show the most significant correlations. These include the organism’s response to caloric restriction, the brain’s response to feeding, the biological drive for reproduction, sensory association to feeding, and habituated responding to the feeding process. Additionally, we will explore …

Doubled Up With Pain: Applying A Relational Framework To The Primary Care Provider - Chronic Pain Patient Relationship, Rebecca Hillel

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Treatment relationships between primary care providers (PCPs) and chronic pain patients are often rife with difficult interpersonal dynamics and experienced by both parties as being noncollaborative. It is important that PCPs are provided with recommendations to make these treatment relationships more collaborative. Relational psychological frameworks, such as intersubjectivity, can teach PCPs how to improve their relationships with chronic pain patients. This paper focuses on how to strengthen the working alliance between PCPs and chronic pain patients using intersubjective principles. Conceptualizing the working alliance from an intersubjective lens gives PCPs guidance about where to turn if their treatment relationships with chronic …

Telebehavioral Health Program Needs Assessment Conducted At Aurora Mental Health Center, Iwei Wang

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The purpose of this project was to conduct a needs assessment for a Telebehavioral Health Program at Aurora Mental Health Center (AuMHC) to determine how telebehavioral health aligns with the organization’s interests, needs, services, target population, and readiness for telebehavioral health services. This investigator used survey and content analysis methods to conduct this investigation. Findings of this assessment showed that both literature and existing programs at AuMHC were supportive of moving forward with telebehavioral health services. Considerations of AuMHC’s contextual conditions and recommendations for successful implementation are provided.

The Utility Of Neuropsychological Measures On The Differential Diagnosis Of Adhd-Inattentive Type Versus Anxiety In A Pediatric Outpatient Behavioral Health Population, Emily Stapleton

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This study examined the differences in inattention and executive function between a group of children diagnosed with ADHD and a group diagnosed with anxiety disorders to establish differential profiles for these two disorders. This study evaluated the differences among children with ADHD and anxiety disorders, using parent-report and performance-based measures of inattention and anxiety. A retrospective chart review was completed for a total of 58 patients who met the criteria for an anxiety disorder or for ADHD-C and ADHD-I at the completion of the neuropsychological assessment. Analyses compared the ADHD group and the Anxiety group on select scales and subscales …

Utilization Of Behavioral Health Services Among The Latino Population, Jennifer R. Mazzetti

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Limited research exists examining the effectiveness of an integrated primary care model of behavioral health service delivery among the Latino population. This descriptive pilot study addresses this gap in the literature by exploring the mechanisms that influence whether Latino integrated primary care patients who receive a Warm Hand-Off (WHO) will or will not pursue further Behavioral Health Services (BHS). Participants were recruited from Clinica Tepeyac, an integrated primary care clinic located in Denver, Colorado. Results showed that the majority of participants engaged in BHS at the suggestion of their medical provider, as opposed to initiating BHS involvement by their own …

Recommendations For Developing Video Games To Address Depression Among College Students, John Bodycombe

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Depression is a significant problem on college campuses, and the data shows that prevalence is on the rise (The National Survey on Drug Use and Health [NSDUH], 2014; Stewart, Ricci, Chee, Hahn, & Morgenstein, 2003). Depression impacts the well-being of students and puts them at risk for a variety of issues (Leach, 2009; Adams, Wharton, Quilter, & Hirsch, 2008; Serras, Saules, Cranford, & Eisenberg, 2010; Cranford, Eisenberg, & Serras, 2009; Weitzman, 2004). Many students with depression do not receive care (Blanco, Okuda, Wright, Hasin, Grant, Liu, & Olfson, 20008; Eisenburg and Chung, 2012), or receive care that is not minimally …

Exploring Shame And Guilt In Hiv-Positive Women In Southern India, Mitra L. Lebastchi

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Limited research exists examining shame and guilt among HIV positive populations and across cultural contexts. This study addresses this gap in the literature by considering shame and guilt, and potential associations with mental health symptoms, among a sample of 20 HIV positive women in Southern India. Results indicate that most women experienced high levels of shame and guilt, based on responses to items from an adapted version of the State Shame and Guilt Scale (Marschall, Saftner, & Tangney, 1994). Although correlations were not significant between shame and PTSD or depression, guilt was significantly correlated with both. Future research should focus …

Relational Frame Theory: Implications For Training Perspective-Taking And Empathy In Children With High Functioning Autism, Lyssa Haase

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perspective-taking involves the ability to shift one's visual-spatial and affective stance relative to contextual cues. Empathy responses leading to socio-emotional reciprocity depend intimately on perspective-taking processes. Deficits in perspective-taking have been widely documented in individuals with Autism Spectrum Disorders (ASD), and are commonly regarded to underlie impaired interpersonal functioning in this population. The most widely used frameworks for understanding ASD derive from a cognitive science program called Theory of Mind (ToM), and from an applied behavior analytic program based on Operant Theory (OT). Recent research interest has centered on a contemporary contextual behavior analytic approach to perspective taking drawing upon …

Attitudes, Beliefs, And Behaviors Of Practicing Psychologists Regarding Psychological Assessment, Jason Turret

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Recent research has documented the effectiveness, benefits, and value of psychological assessment, yet the use of psychological assessment is declining. To better understand why an effective treatment intervention is being underutilized, this project sought to understand the attitudes, beliefs, and behaviors of practicing psychologists regarding psychological assessment. The investigators of this study surveyed 26 psychologists who are members of a statewide association of psychologists in the western United States. Results revealed that 96% of participants enjoyed their graduate training in psychological assessment and 93% of participants view psychological assessment as valuable, yet 78% believed that psychological assessment was underutilized. Participants …

Transgender Awareness Within State Hospitals: Addressing Gaps In Training, Rose Ruoxi Yang

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Individuals in the transgender ("trans") community continue to face stigmatization, discrimination, and violence in the United States (Benson 2013; Bradford, Reisner, Honnold, & Xavier, 2013; Lombardi, Wilchins, Priesing & Malouf, 2001; Shipherd, Green, & Abramovitz; 2010). They remain underserved in many domains, including housing, healthcare, and employment (Bradford et al. 2013). This paper focus on the needs for trans-specific training within the U.S. state hospital system. Although many institutions, including state hospitals, are implementing diversity initiatives to increase the sensitivity of their employees to a broad range of identity statuses, transgender affirmative trainings are often non existent or inadequate; trans-specific …

Relationship Between Employee Involvement Management Practices And Burnout Among Military Mental Health Providers, Raymond-Steven Almora Fernandez

Electronic Theses and Dissertations

This study will investigate the relationship between Employee Involvement Management Practices, Burnout, and work-related consequences of Burnout. The sample for this study was drawn from a population of Military Mental Health Providers in the United States Navy. Based on research information about work stress, direct service work, and the costs of interpersonal work, there is a strong potential for Burnout to occur among individuals working in such a setting.

Burnout has been shown to lead to negative organizational consequences such as increased employee turnover, reduced organizational commitment, reduced job satisfaction, emotional exhaustion, and cynicism, all of which can result in …