Psychology Commons^™

Efficacy Of Patient Education And Duloxetine, Alone And In Combination, For Patients With Multisystem Functional Somatic Disorder: Study Protocol For The Edulox Trial, Cecilia Pihl Jespersen, Heidi Frølund Pedersen, Maria Kleinstäuber, Per Fink, Kaare Bro Wellnitz, Eva Ørnbøl, Andreas Schröder, Johanne Liv Agger, Lene Vase, Nanna Brix Finnerup, Lise Kirstine Gormsen

Psychology Faculty Publications

Background

Multisystem functional somatic disorder is characterized by specific patterns of persistent physical symptoms with a complex biopsychosocial etiology. The disorder can lead to disability and personal suffering. Current treatment options require specialized settings, therefore patients often wait a long time to receive specific treatment.

Patient education is considered important in most treatment programs, but has only been investigated sparsely as a stand-alone treatment. Pharmacological treatment is limited to tricyclic antidepressants in low doses with not antidepressant properties. Duloxetine has been found effective in single organ functional disorders. As a treatment for multisystem functional somatic disorder, duloxetine could reduce symptoms …

Skills To Support Mental Health In Uncertain Times, Part 2: Cultivating Awareness, Heather H. Kelley, Rachel Byers, Ty Aller, Timothy Keady

All Current Publications

Uncertainty and worry can be a common struggle for many people, whether they are uncertain about their jobs, health, or relationships. Events such as COVID-19 and the recent wars in Israel and Ukraine increase the stress and uncertainty many people face. This fact sheet discusses awareness, a fundamental part of psychological flexibility, which can help individuals maintain a high quality of life—even when experiencing uncertainty and mental health concerns.

Five-Year Fidelity Assessment Of An Evidence-Based Parenting Program (Generationpmto): Inter-Rater Reliability Following International Implementation, Margrét Sigmarsdóttir, Melanie M. Domenech Rodríguez, Abigail Gewirtz, Laura Rains, Jolle Tjaden, Marion S. Forgatch

Psychology Faculty Publications

Background Implementing evidence-based programs in community service settings introduces the challenge of ensuring sustained fidelity to the original program. We employ a fidelity measure based on direct observation of practitioners' competence and adherence to the evidence-based parenting program (EBPP) GenerationPMTO following installation in national and international sites. Fidelity monitoring is crucial, especially when the program purveyor transfers administration of the program to the community as was done in this case. In previous studies, the Fidelity of Implementation rating system (FIMP) was used to evaluate practitioners' fidelity to the GenerationPMTO intervention in six countries following implementation showing high levels of adherence …

Perceptions Of Disabilities Among Native Americans Within The State Of Utah, Erica Ficklin, Melissa Tehee, Sherry Marx, Eduardo Ortiz, Megan E. Golson, Tyus Roanhorse

Psychology Student Research

Currently, little research exists on disabilities among Native American communities and no research exists on how Native Americans perceive disabilities, services currently available, and unmet needs. Understanding these key areas is essential to providing efficacious and culturally relevant care. To address this gap in the literature, we used Indigenous research methodology through sharing circles throughout the state of Utah to listen and amplify the voices of the Native communities. Participants shared how they conceptualize "disability," what they thought of current services, and how they thought the needs of Native persons with disabilities should be addressed. Four major themes emerged in …

The Impact Of Family Support And Rejection On Suicide Ideation And Attempt Among Transgender Adults In The U.S., Guadalupe Marquez-Velarde, Gabe H. Miller, Jesse Ezra Shircliff, Mario Itzel Suárez

Sociology and Anthropology Faculty Publications

We evaluate the association of familial factors and suicidality among transgender adults in the U.S. by estimating the odds of lifetime suicide ideation and attempt using the 2015 U.S. Transgender Survey. Predictors include family support, family rejection, and specific experiences related to both. About 79% of sample respondents have experienced suicidal ideation and nearly 43% have made a suicide attempt. The predicted probability of suicide attempt is 0.35 for those with no family rejection experiences, 0.75 for those who have had all five experiences in our models. Rejection predicts both outcomes and experiences of rejection have a cumulative impact.

A Systematic Review And Meta-Analysis Of Self-Guided Online Acceptance And Commitment Therapy As A Transdiagnostic Self-Help Intervention, Korena S. Klimczak, Guadalupe G. San Miguel, Miriam N. Mukasa, Michael P. Twohig, Michael E. Levin

Psychology Student Research

Online Acceptance and Commitment Therapy (ACT) interventions use websites and smartphone apps to deliver ACT exercises and skills. The present meta-analysis provides a comprehensive review of online ACT self-help interventions, characterizing the programs that have been studied (e.g. platform, length, content) and analyzing their efficacy. A transdiagnostic approach was taken, including studies that addressed a range of targeted problems and populations. Multi-level meta-analyses were used to nest multiple measures of a single construct within their respective studies. A total of 53 randomized controlled trials were included (n = 10,730). Online ACT produced significantly greater outcomes than waitlist controls at …

Emotional Support Animal Partnerships: Behavior, Welfare, And Clinical Involvement, Jillian Ferrell, Susan L. Crowley

Psychology Student Research

The present study gathered information about the characteristics of individuals and dogs in Emotional Support Animal (ESA) partnerships, instances of service-animal misrepresentation, animal welfare and behavior, dimensions of bond quality, and health professional involvement. Seventy-seven adults (53 female, 24 male) with a canine ESA were surveyed via Qualtrics panel services. Data were analyzed for descriptive data, as well as correlational analyses among variables. Participants reported high frequencies of misrepresentation of emotional support animals, access law violations, and problematic instances including ESAs with a history of aggression and times when participants were unable to care for their dog. The majority of …

Examining The Role Of Experiential Avoidance And Valued Action In The Negative Effects Of Weight Self-Stigma, Marissa L. Donahue, Michael E. Levin, Kayloni Olson, Emily Panza, Jason Lillis

Psychology Faculty Publications

Harmful effects of weight self-stigma on quality of life and health behaviors have been well-established. However, the processes that lead to these negative outcomes are less understood. Psychological inflexibility is defined as a pattern of rigid psychological reactions dominating over values and meaningful actions. A lack in valued action is characterized by the absence of activities that are connected to what is personally meaningful. In this secondary analysis, we aim to extend research by examining two subprocesses of psychological inflexibility, experiential avoidance and lack of valued action, as statistical mediators of the relations between weight self-stigma and quality of life/health …

Unpacking The Internalized Homonegativity–Health Relationship: How The Measurement Of Ih And Health Matter And The Contribution Of Religiousness, G. Tyler Lefevor, Eric R. Larsen, Rachel M. Golightly, Maddie Landrum

Psychology Faculty Publications

Internalized homonegativity (IH) is widely recognized to negatively influence the health of lesbian, gay, bisexual, and queer/questioning (LGBQ +) individuals. It is not clear, however, the role that religiousness may play in the relationship between IH and health or how differing conceptualizations of IH or health may influence this relationship. We conducted a multi-level meta-analysis of 151 effect sizes from 68 studies to examine the relationship between IH and health as well as what may moderate this relationship. Results suggested that IH was consistently and negatively related to health (r = − .28). Analyses suggest that IH was most …

Effects Of Multisensory Input On Numerical Representations Of Diverse-Ses Preschoolers, Kerry Jordan

Funded Research Records

No abstract provided.

Acceptance And Commitment Therapy For A Child With Misophonia: A Case Study, Julie M. Petersen, Michael P. Twohig

Psychology Faculty Publications

Misophonia, a condition involving hypersensitivity, anger, and/or disgust in response to specific noises (e.g., chewing, tapping), is highly underresearched in children. Several case studies point towards the utility of cognitive behavioral therapy and related treatments (e.g., acceptance and commitment therapy [ACT]). ACT presents a particularly promising option, as it focuses on building psychological flexibility in response to difficult internal experiences, rather than trying to remove or change them (e.g., responding effectively to irritation provoked by chewing). The present case study describes “Kelly” (pseudonym), a 12-year-old girl with moderately severe misophonia symptoms, who received a 16-session course of ACT for misophonia. …

Trauma Exposure And Trauma Symptoms As Predictors Of Police Perceptions In Latinx Youths, Amanda Venta, Germán Cadenas, Alfonso Mercado, Luz M. Garcini, Melanie M. Domenech Rodríguez

Psychology Faculty Publications

Objective: The Latinx immigrant youth population composes nearly a quarter of all children in the U.S. and are a high-risk group for police encounters. Based on perceptions of Latinxs as criminals, increased enforcement actions against Latinxs in the U.S., and failures of policing and police brutality in immigrants’ home countries, we expected that immigrants who reported increased trauma exposure and symptoms would have more negative perceptions of police. Method: This study utilized data from 107 recently immigrated Latinx youth to examine how trauma exposure (Child Trauma Screen) and symptoms (Child PTSD Symptoms Scale) related to perceptions of police (Criminal Sentiments …

Impact Of Difficult Dialogues On Social Justice Attitudes During A Multicultural Psychology Course, Elizabeth Tish Hicks, María De La Caridad Alvarez, Melanie M. Domenech Rodríguez

Psychology Faculty Publications

Background Previous research shows that Multicultural Psychology courses can produce significant improvements in students’ cultural competence-related atttitudes in in-person and online courses. Objective We evaluated the impact of adding a skills-focused group assignment (i.e., Difficult Dialogues) to an online asynchronous Multicultural Psychology course. Method Undergraduate students filled out a battery of self-report measures at the beginning and end of the course. Of the 192 total students, 107 were in course sections which completed a Difficult Dialogue (DD) group project, and 85 were in the teaching as usual (TAU) section. Results Students in DD groups had significantly greater pre-to post-increases on …

School-Based Acceptance And Commitment Therapy For Adolescents With Anxiety: A Pilot Trial, Julie M. Petersen, Carter H. Davis, Tyler L. Renshaw, Michael E. Levin, Michael P. Twohig

Psychology Student Research

Anxiety disorders are one of the most prevalent diagnoses in youth, often resulting in impaired social and school functioning. Research on treatments for youth anxiety is primarily based in traditional clinical settings. However, integrating youth psychotherapies into the school environment improves access to evidence-based care. The present study is a pilot, randomized waitlist-controlled trial of a school-based, group acceptance and commitment therapy-based (ACT) intervention for adolescents with anxiety. Students at two separate schools (N = 26) with elevated anxiety were randomized to a 12-week waitlist or to immediate treatment. Participants in the immediate treatment condition reported statistically significant decreases …

Moderators And Predictors In A Parent Hearing Aid Management Ehealth Program, Guadalupe G. San Miguel, Karen F. Muñoz, Tyson Barrett, Michael P. Twohig

Psychology Student Research

Objective: Consistent hearing-aid use is essential for spoken language development of children who are hard of hearing. A recent randomized controlled trial of an eHealth hearing aid management education program found the intervention increased knowledge, perceptions, confidence, and device monitoring among parents of young children. Yet, it is not known which variables can be a point of emphasis to improve treatment outcomes. The purpose of this study was to investigate potential moderators and predictors in the eHealth program.

Design: Randomized controlled trial

Study Sample: Parents (N=78) of children (42 months or younger) were randomized to the intervention or treatment-as-usual (TAU) …

Event-Related Correlates Of Evolving Trust Evaluations, Ariel W. Snowden, Allison S. Hancock, Catalin V. Buhusi, Christopher M. Warren

Psychology Student Research

Accurate decisions about whether to trust someone are critical for adaptive social behavior. Previous research into trustworthiness decisions about face stimuli have focused on individuals. Here, decisions about groups of people are made cumulatively on the basis of sequences of faces. Participants chose to either increase or withdraw an initial investment in mock companies based on how trustworthy the company representatives (face stimuli) appeared. Companies were formed using participant trust ratings from the previous week, to create strong trustworthy, weak trustworthy, weak untrustworthy, and strong untrustworthy companies. Participants made faster, more accurate decisions for companies carrying stronger evidence (e.g., faces …

Does Emotion Training Reduce Implicit Racial Bias?, Marisa Davis, Emma Greenwood

Research on Capitol Hill

USU junior Marisa and senior Emma are Utah natives studying psychology. Both are Honors students and the team is leading this project through a student grant they received. Some people mistakenly perceive Black people as being angry when they are actually showing neutral or fearful expressions, which puts Black individuals at higher risk in police interactions. Marisa and Emma have been developing and testing trainings on emotion recognition to challenge this implicit bias, which they hope will be implemented in police forces in the future. The two see undergraduate research as a way to help other people. While they agree …

Examining A Mediation Model Of Body Image-Related Cognitive Fusion, Intuitive Eating, And Eating Disorder Symptom Severity In A Clinical Sample, Jennifer L. Barney, Tyson S. Barrett, Tera Lensegrav-Benson, Benita Quakenbush, Michael P. Twohig

Psychology Student Research

Purpose: This study sought to explore the associations between Intuitive Eating (IE), eating disorder (ED) symptom severity, and body image-related cognitive fusion within a clinical sample. IE was also examined as a possible mediator in the relationship between body image-related fusion and ED symptoms.

Methods: This study includes cross-sectional analyses with data from 100 adult females and 75 adolescent females seeking residential treatment for an ED. Self-reported demographic information, ED symptoms, IE behaviors, and body image-related cognitive fusion were collected from participants within the first week of treatment following admission to the same residential ED treatment facility.

Results: …

Youth Mental Health Service Preferences And Utilization Patterns Among Latinx Caregivers, Alejandro L. Vázquez, María De La Caridad Alvarez, Cynthia M. Navarro Flores, José Manuel González Vera, Tyson S. Barrett, Melanie M. Domenech Rodríguez

Psychology Faculty Publications

Latinx caregivers underutilize traditional youth mental health services (MHS) relative to their White counterparts. Disparities may be explained by barriers preventing engagement in traditional MHS. A potential mismatch between available services and preferred culturally appropriate healing practices may also contribute to treatment disparities. The current study examined Latinx caregivers’ perceived need for and utilization of support services in relation to family characteristics, youth problem-type, and barriers to care. Findings were contextualized by assessing caregiver preferences for addressing youth psychopathology. The study consisted of 598 Latinx caregivers from across the United States. Descriptive statistics and binary logistic regression models were used …

Everyday Positive Identity Experiences Of Spiritual And Religious Lgbtq+ Bipoc, Elizabeth Grace Wong, Renee V. Galliher, Hay Pradell, Tyus Roanhorse, Hanna Huenemann

Psychology Student Research

This study examines the everyday positive identity of spiritual/religious lesbian, gay, bisexual, transgender, queer (LGBTQ+), Black, Indigenous, People of Color (BIPOC). By enriching our knowledge about the positive developmental processes (e.g., strengths, resilience, protective factors) that multiply marginalized and underrepresented populations employ to navigate their identity, we can better understand the impact and dynamics of systemic oppression on an individual’s expression and development of self. Ten individuals from Canada and the US provided diarized voice entries to a daily prompt in an experience sampling method (ESM). We analyzed voice clip entries collected over a period of two to four weeks …

The Impact Of Gender-Based Microaggressions And Internalized Sexism On Mental Health Outcomes: A Mother–Daughter Study, Nicole D. Feigt, Melanie M. Domenech Rodríguez, Alejandro L. Vázquez

Psychology Faculty Publications

Background: Although research is emerging on the subtle slights that women experience, research is needed regarding the frequency with which gender-based microaggressions occur, their impact on mental health, and how views on gender roles may influence their impact. Objective: The current study examined how mothers and daughters experienced gender-based microaggressions, internalized sexism, and mental health symptoms. Methods: The sample included 102 predominantly White mother–daughter pairs. Adolescents were 14 to 18 years old, and mothers were 34 to 68 years old. Mothers and daughters answered surveys including a demographic questionnaire, the Gender-Microaggressions Scale, Ambivalent Sexism Inventory, the Patient Health Questionnaire—9 for …

Latinx Caregivers’ Perceived Need For And Utilization Of Youth Telepsychology Services During The Coronavirus Pandemic, Alejandro L. Vázquez, Cynthia M. Navarro Flores, María De La Caridad Alvarez, Melanie M. Domenech Rodríguez

Psychology Faculty Publications

Telepsychology has the potential to provide a safe method of addressing mental health problems among Latinx youth during the coronavirus pandemic. However, the extent to which Latinx caregivers are accessing telepsychology services for their child and whether this format is perceived to be an appropriate method of addressing youth psychopathology is unknown. The present study examined indicators of youth psychopathology and external stressors in relation to Latinx caregivers’ perceived need for and utilization of youth telepsychology during the coronavirus pandemic. The sample consisted of 598 Latinx caregivers of school-age youths (MAge = 11.9, SD = 3.4) from across the United …

High Value Correlates Of Caregiver Reported Counseling Service Need And Utilization For Adolescents At-Risk For Childhood Maltreatment And Neglect, Alejandro L. Vázquez, Tommy Chou, Cynthia M. Navarro Flores, Tyson S. Barett, Miguel T. Villodas, Melanie M. Domenech Rodríguez

Psychology Faculty Publications

Adolescents with a history of child maltreatment experience increased risk for psychopathology that sets them on a trajectory towards a range of difficulties in adulthood. Various factors influence caregivers’ decisions to seek mental health services (MHS) that could improve developmental outcomes. The present study applied a machine learning algorithm, elastic net, to a sample of 878 adolescent-caregiver dyads from the Longitudinal Studies of Child Abuse and Neglect. Analyses simultaneously examined a large number of factors to determine their ability to discriminate between caregivers who perceived a need for MHS and those who did not, as well as caregivers who utilized …

Professional Education To Reduce Provider Stigma Toward Harm Reduction And Pharmacotherapy, Sandra H. Sulzer, Suzanne Prevedel, Tyson Barrett, Maren Wright Voss, Cassandra Manning, Erin Fanning Madden

Extension Research

Aims: A novel professional training was developed to reduce stigma toward harm reduction and pharmacotherapy for substance use disorders.

Methods: The training was delivered over three sessions to n = 147 health professionals in Utah between 2019 and 2020, including n = 40 substance use disorder treatment professionals. Pre and post-training survey measures provided evaluation information on knowledge, attitudes, and planned action regarding harm reduction and pharmacotherapy. Items were grouped into a stigma score, and multilevel modeling, regression analyses, and McNemar tests were used to quantify changes in overall stigma toward harm reduction interventions both before and after the training. …

Effects Of Cognitive Restructuring And Defusion For Coping With Difficult Thoughts In A Predominantly White Female College Student Sample, Jennifer Krafft, Korena S. Klimczak, Michael E. Levin

Psychology Student Research

Background: Understanding how cognitive processes are naturally used by untrained individuals in the moment to cope with difficult thoughts may help inform effective and efficient interventions.

Methods: This study investigated self-reported naturalistic use of two evidence-based processes, cognitive restructuring and cognitive defusion, in an untrained, predominantly White female college student sample (n = 194) through ecological momentary assessments over seven days.

Results: Cognitive restructuring and defusion had a large positive relationship. Both processes were also positively associated with increased momentary use of suppression and distraction. Only momentary defusion was associated with decreased rumination and negative affect at the same timepoint, …

Suicide On College Campus: An Evidence-Based Practice Guide For College Professors Of Emerging Adults, Tyler Richardson

Evidence-Based Social Work Practice Guide Series

This guide is geared to educate college professors on how to recognize the signs and risks of suicide in their students, and to know specific steps that they can take to help students who may be at risk. There are five suggestions in the guide, that are taken from current research on protective measures that help prevent suicide in at risk populations.

Borderline Personality Disorder: Interventions For Adolescents And Caregivers, Addison Odum

Evidence-Based Social Work Practice Guide Series

Borderline personality disorder (BPD) encompasses a wide range of symptoms characterized by emotional dysregulation, including challenging interpersonal relationships, impulsivity, disturbances in cognition and identity, and is often accompanied by intentional self-injury and suicidal behaviors. In this guide, emphasis is placed on three aspects of intervention: (1) clinical interventions for adolescents who meet the criteria for BPD; (2) interventions clinicians can teach to parents/caretakers so they can better work with their child’s diagnosis; and (3) due to the negative impact this can have on adolescents, clinical interventions for parents/caregivers diagnosed with or exhibiting common symptoms of BPD is also provided.

Treating Suicidal Ideation On College Campuses: An Evidence-Based Practice Guide For Counselors On Campus, Lexi Sherwood

Evidence-Based Social Work Practice Guide Series

The suicide rate on college campuses is rising. These 5 evidence-based practices can help therapists and counselors address suicidal ideation and treat the causes.

The Role Of Psychological Inflexibility And Perspective Taking In Anti-Racism And Anti-Sexism, Carter Davis, Jennifer Krafft, Elizabeth Tish Hicks, Michael E. Levin

Psychology Student Research

Racism and sexism are pervasive forms of discrimination that cause significant individual and societal burden.Understanding manipulable psychological processes that contribute to these modes of discrimination would aid in developing anti-prejudice interventions that target them. Psychological flexibility has been proposed as a potential tool in combating prejudice by modifying one’s relationship with unwanted or automatic prejudicial thoughts, in addition to the ability to take the perspective of marginalized groups. A survey assessing psychological inflexibility and perspective taking along with anti-racist/anti-sexist attitudes and behaviors was administered to a sample of 395 undergraduate students. Perspective taking predicted anti-racist/anti-sexist behaviors above and beyond their …

Preliminary Findings On Processes Of Change And Moderators For Cognitive Defusion And Restructuring Delivered Through Mobile Apps, Michael E. Levin, Jennifer Krafft, Woolee An, Clarissa W. Ong, Michael P. Twohig

Psychology Student Research

A process-based therapy approach emphasizes examining how and for whom specific therapeutic components linked to specific processes of change function. This preliminary study explored the processes of change for cognitive defusion and restructuring with daily ratings of self-criticism from a larger component trial as well as self-compassion as a moderator of these daily effects. A sample of 51 adults high in self-criticism (M age = 22.69, 78% female, 88% non-Hispanic White) were randomized to a cognitive defusion or restructuring mobile app for two weeks and completed daily assessments. Both conditions improved over time on daily frequency, defused noticing, challenging, …