Psychology Commons^™

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, …

Is Perfectionism Always Unhealthy? Examining The Moderating Effects Of Psychological Flexibility And Self-Compassion, Clarissa W. Ong, Eric B. Lee, Julie M. Petersen, Michael E. Levin, Michael P. Twohig

Psychology Student Research

Objectives: Perfectionism is generally associated with worse mental health outcomes, though evidence suggests elements of it might be helpful. In light of these findings, we examined whether psychological skills like psychological flexibility and self-compassion moderated the relationship between perfectionism and wellbeing (i.e., quality of life, symptom impairment, and psychological distress).

Methods: Undergraduate students (N= 677) completed self-report measures.

Results: A latent profile analysis identified three perfectionism groups (low, average, high) based on four perfectionism subscales: concern over mistakes, need for approval, rumination, and striving for excellence. Generally, we found that psychological flexibility and/or self-compassion buffered the impact of average and …

An Open Trial Of Group Acceptance And Commitment Therapy (Act) With An Adjunctive Mobile App For Generalized Anxiety Disorder (Gad), Jennifer Krafft, Clarissa W. Ong, Carter H. Davis, Julie M. Petersen, Michael E. Levin, Michael P. Twohig

Psychology Student Research

Generalized anxiety disorder (GAD) is a common and debilitating condition. Effective treatments exist, but they are time-and resource-intensive. This study tested the initial efficacy and acceptability of a novel treatment protocol designed to increase efficiency: acceptance and commitment therapy (ACT) taught in groups and through an adjunctive mobile app. Participants were 21 individuals with GAD who received six weeks of 2-hour group ACT sessions as well as access to an adjunctive ACT mobile app. Significant improvements occurred in worry, anxiety, social functioning, and depression as well as relevant processes (psychological inflexibility, anxiety-related cognitive fusion). In-the-moment improvements were also observed in …

Examining The Feasibility And Effectiveness Of Online Acceptance And Commitment Therapy Self-Help In A Quasi-Stepped Care Model: A Pilot Study, Clarissa W. Ong, Carina L. Terry, Michael Levin, Michael P. Twohig

Psychology Student Research

The global burden of mental illness and limited resources make increasing the efficiency of available mental healthcare resources especially crucial. One way this can be done is a stepped care approach to treatment. To test the viability of using internet-based self-help in a stepped care model, we examined the feasibility, acceptability, and effectiveness of an online self-help acceptance and commitment (ACT) program prior to starting in-person therapy at a university community clinic (N = 51). Online program acceptability was at least moderate. There was clinically significant change in 75.9 to 79.3% and reliable change in 31.0 to 100% of …

Neural Efficiency And Spatial Task Difficulty: A Road Forward To Mapping Students' Neural Engagement In Spatial Cognition, Ariel W. Snowden, Christopher M. Warren, Wade H. Goodridge, Ning Fang

Psychology Student Research

The current study examined the neural correlates of spatial rotation in eight engineering undergraduates. Mastering engineering graphics requires students to mentally visualize in 3D and mentally rotate parts when developing 2D drawings. Students’ spatial rotation skills play a significant role in learning and mastering engineering graphics. Traditionally, the assessment of students’ spatial skills involves no measurements of neural activity during student performance of spatial rotation tasks. We used electroencephalography (EEG) to record neural activity while students performed the Revised Purdue Spatial Visualization Test: Visualization of Rotations (Revised PSVT:R). The two main objectives were to 1) determine whether high versus low …

Ehealth Parent Education For Hearing Aid Management: A Pilot Randomized Controlled Trial, Karen F. Muñoz, Guadalupe G. San Miguel, Tyson S. Barrett, Courtney Kasin, Kelsey Baughman, Bailey Reynolds, Caitlyn Ritter, Makynzie Larsen, John J. Whicker, Michael P. Twohig

Psychology Student Research

Objective: Parents frequently experience challenges implementing daily routines important for consistent hearing aid management. Education that supports parents in learning new information and gaining confidence is essential for intervention success. We conducted a pilot study to test an eHealth program to determine if we could implement the program with adherence and affect important behavioral outcomes compared to treatment as usual.

Design: Randomized controlled trial

Study sample: Parents of children birth to 42 months who use hearing aids. Eighty-two parents were randomly assigned to the intervention or treatment-as-usual group. Four parents assigned to the intervention group did not continue after baseline …

Weight-Related Psychological Inflexibility As A Mediator Between Weight Self-Stigma And Health-Related Outcomes, Julie M. Petersen, Carrie Durward, Michael Levin

Psychology Student Research

Weight self-stigma, the internalization of negative societal stereotypes, is a problem amongst populations with high weight. Weight self-stigma is associated with psychological inflexibility and maladaptive health-related behaviors. In this study, we explore how weight-related psychological inflexibility may influence weight self-stigma and health-related outcomes in 79 adults with high weight. Participants were primarily white (92.4%) and female (82.3%), with an average age of 39.56 and average body mass index of 33.78. The present study uses baseline, self-report data from a larger trial. Results indicate that weight self-stigma was negatively correlated with maladaptive eating behaviors, weight, and mental health. Weight-related psychological inflexibility …

Integrating Storytelling Into The Theory And Practice Of Contextual Behavioral Science, Carter H. Davis, Brandon A. Gaudiano, Louise Mchugh, Michael E. Levin

Psychology Student Research

The practice of generating and interpreting stories can be examined through a behavioral lens and has many potential implications for clinical practice. However, storytelling has for the most part yet to be integrated into the field of contextual behavioral science (CBS). A bedrock of human culture, storytelling has influenced both individual behavior and intergroup cooperation for millennia. Basic principles of relational frame theory, such as those pertaining to coherence, perspective-taking, and the transformation of stimulus function, may help to reveal how stories derive their psychological impact. In turn, understanding storytelling from a CBS perspective can facilitate the broader integration of …

A Systematic Review And Psychometric Evaluation Of Self-Report Measures For Hoarding Disorder, Clarissa W. Ong, Jennifer Krafft, Michael E. Levin, Michael P. Twohig

Psychology Student Research

Background: Hoarding disorder (HD) affects approximately 2.5% of the general population, leads to significant distress and impairment, and is notoriously difficult to treat. The crux of developing effective treatments for HD is our ability to reliably and validly measure relevant constructs in HD to better understand its presentation and, subsequently, formulate appropriate interventions.

Methods: We identified measures specific to HD and evaluated their psychometric properties using rating criteria formulated by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) group.

Results: The 17 included measures were developed to assess adult and pediatric hoarding severity, functional impairment, and maladaptive …

Confirmatory Factor Analysis And Measurement Invariance Of The Cognitive Fusion Questionnaire-Body Image In A Clinical Eating Disorder Sample, Jennifer L. Barney, Tyson S. Barrett, Tera Lensegrav-Benson, Benita Quakenbush, Michael P. Twohig

Psychology Student Research

Individuals with eating disorders (EDs) may be particularly susceptible to body image related cognitive fusion(i.e., excessive entanglement with one’s body image related thoughts such that they unduly influence on behavior). The Cognitive Fusion Questionnaire-Body Image (CFQ-BI) is the only existing measure of this construct, yet its psychometric properties have not been examined within a clinically diagnosed ED sample. The current study used confirmatory factor analysis and explored measurement invariance, construct validity, and incremental validity of the CFQ-BI when used with adolescent (n = 75) and adult (n= 100) females admitting to residential ED treatment. A modified version of the single-factor …

Does The Cognitive Fusion Questionnaire Measure More Than Frequency Of Negative Thoughts?, Jennifer Krafft, Michael E. Levin

Psychology Student Research

Cognitive fusion is a psychopathological process that appears to be relevant to a wide range of disorders. This process is frequently measured with the Cognitive Fusion Questionnaire (CFQ). However, the construct validity of similar measures has been criticized for substantial overlap with distress. It is possible the CFQ may excessively measure the presence of unwanted thoughts, rather than fusion per se. Therefore, this study examined the discriminant validity of the CFQ relative to a measure of automatic negative thoughts (the Automatic Thoughts Questionnaire) in a college student sample (n = 389). While the two measures were highly correlated (ρ …

Mental Health Awareness And Advocacy Assessment Tool (Mhaa-At), Ty B. Aller, Elizabeth B. Fauth, Joshua R. Novak, Sarah Schwartz

Human Development and Family Studies Faculty Publications

The Mental Health Awareness and Advocacy Assessment Tool l (MHAA-AT) consists of three types of items: 1) declarative knowledge items (30 items); 2) self-efficacy items (20 items); and 3) behavior items (15 items). These items are then divided into the three micro-processes that define mental health literacy: a) identifying mental health issues; b) locating evidence-based resources; and c) responding to mental health issues (see Figure 1 below).