Psychology Commons^™

Beyond ‘Help-Seeking,’ Toward ‘Engagement’: Understanding Barriers To Mental Health Equity Among Sexual Minority Individuals, Elliot Spengler

Doctoral Dissertations

The finding that 57.4% of adults living in the United States with a diagnosable mental health disorder do not receive mental health care (Substance Abuse and Mental Health Services Administration, 2018) opens important questions as to what structural and individual factors contribute to this “treatment gap” and individuals’ willingness and/or ability to seek out traditional mental health care. Sexual minority (SM) individuals experience inequitable mental health outcomes and report more unmet mental health needs and more barriers to health care than heterosexual individuals. Thus, there is a need to understand the process of mental health care engagement (MHCE) for SM …

Am I Stigmatized? An Experimental Examination Of High-Status Experiences Of Stigma., Christopher F. Silver

Doctoral Dissertations

Stigma is a highly researched aspect of social psychology primarily focusing on outgroup perceptions of stigma or the behaviors associated with high-status individuals toward low-status individuals. Two studies sought to explore high-status perceptions of perceived stigma, focusing on the common variables associated with stigma within low-status groups. This was to address a growing perception among high-status individuals that they experience stigma given their identity. As a focus, this study sampled White Males (Study One) and Christians (Study Two) from the United States. As part of experimental manipulation, we presented participants with three potential conditions. Condition one where participants read an …

Therapist-Level Moderation Of Within- And Between-Therapist Process-Outcome Associations, Alice E. Coyne

Doctoral Dissertations

Objective: Although higher-quality patient-therapist alliance and more positive patient outcome expectation (OE) consistently predict improvement in psychotherapy, most research has failed to capture the inherent nuance in these process-outcome relations by parsing them into within-therapist (i.e., differences between patients treated by the same therapist) and between-therapist (i.e., differences between therapists’ average process/outcome ratings across all patients in their caseloads) components. Moreover, the few studies that have done so have produced mixed results, suggesting the possibility of systematic variability in these associations (i.e., moderators). One potential source of such variability could be providers themselves; that is, different therapists could use these …

Early Development Of Adhd And Odd Symptoms From The Toddler To Preschool Years, Hallie Brown

Doctoral Dissertations

ADHD and ODD are common and impairing externalizing disorders in childhood that are often comorbid. Understanding the development of these symptoms when they first emerge is crucial for better identifying children who are at-risk for later impairment. Parents (N = 273) were recruited via Amazon’s Mechanical Turk to complete surveys about their 2-year-old, followed by surveys every six months for two years. Children’s general pattern of ADHD and ODD symptom growth were examined with latent class analyses. Temperament traits were subsequently added as covariates. Dual group-based trajectories and cross-lagged analyses examined the co-development of these disorders. Results showed 4 distinct …

Neural Precursors Of Apathy And Depressive Symptoms In Amnestic Mild Cognitive Impairment, Molly A. Mather

Doctoral Dissertations

Depressive symptoms and apathy are common in amnestic mild cognitive impairment (aMCI) and are associated with increased risk of conversion to Alzheimer’s disease (AD). The shared neuropathological model of neuropsychiatric symptoms (NPS) in AD suggests that symptoms of depression and anxiety represent noncognitive manifestations of neuropathological changes. Neurodegeneration in aMCI occurs in areas of the brain that support emotion regulation, including the limbic system and prefrontal control regions. Depression and apathy in aMCI have been linked to atrophy in the limbic system and prefrontal cortex and reduced connectivity in resting-state networks. However, it is not yet established whether neural changes …

The Benefits Of Spatial Separation On The Cortical Representations Of Speech Sounds, Benjamin H. Zobel

Doctoral Dissertations

Spatial separation between competing speech streams reduces their confusion (informational masking) and improves speech processing under challenging listening conditions. The precise stages of auditory processing and the bottom-up and top-down mechanisms involved in this spatial release from informational masking are not fully understood. Event-related potentials (ERPs) were used to measure the cortical processing of relevant speech under conditions of informational masking and its spatial release, and to examine the preattentive and attentive mechanisms that benefit listeners. Participants were asked to detect noise-vocoded target speech presented with noise-vocoded two-talker masking speech. In separate conditions, the same set of targets were spatially …

A Minority Within A Minority: Exploring Identity Development In Relation To Mental Health Outcomes Within The Black Deaf Community, Nekolas Milton

Doctoral Dissertations

Black Deaf people are a double minority group that faces discrimination on multiple fronts. There is little literature on the relationship of cultural identity development and mental health concerns of this marginalized group. This study employs a mixed method approach to examine this relationship and explore the extant culturally tailored interventions targeted towards Black Deaf adults in a clinical setting. There were two phases of this project. Phase 1 included qualitative interviews with service providers of black deaf people to ascertain the type of culturally tailored interventions that are in place for this population. 5 themes emerged: systemic issues, mental …

Majority To Minority Shift: Experiences For American Born Chinese College Students From Predominant Chinese American Communities To Predominantly White Institutions, Joseph C. Chung

Doctoral Dissertations

This research aimed to fill the gap in literature by focusing on the experiences of American born Chinese college students that moved from ethnically dense Majority Minority Chinese American Communities (MMCAC) to attend Predominantly White Institution (PWI) college/universities. The study utilized a Grounded Theory qualitative approach, which led to the development of 6 categories or themes from 17 concepts and 48 codes. These were based on data from 10 participants across two phases with two interviews each (initial and follow-up). The 6 themes “Previous MMCAC Environment,” “Identity,” “New PWI Environment,” “Values,” “Transition Experience,” and “Mental Health'' provided the descriptive experience …

Stigma And Social-Emotional Health In Youth With Learning Differences, Kelsey Maki

Doctoral Dissertations

Youth diagnosed with specific learning disorder (SLD) and/or attention deficit hyperactivity disorder (ADHD), defined collectively for the purposes of this study as youth with learning differences, experience poorer social-emotional health outcomes in comparison to their typically developing peers. These youth additionally experience stigma from their peers, teachers, and broader community, which may impact social-emotional health. As a secondary data analysis of a larger study, the present study investigated the role of stigma consciousness alongside demographic variables, self-esteem, and peer relationships in social-emotional health outcomes. Due to the possible differences between youth diagnosed with SLD, ADHD, and comorbid SLD/ADHD, group differences …

Experiences Of Uc Santa Barbara Female Alumni Exposed To A Gender-Based Mass Shooting, Erin G. Carpenter

Doctoral Dissertations

Over the past five decades, mass shootings have emerged as a highly politicized, social problem that generates considerable public sentiment and media attention (Elsass et al., 2014; Rocque & Duwe, 2018; Shultz et al., 2014). Moreover, the increase in mass shootings carried out on or near college campuses have led researchers to focus more intently on the predictors and consequences that characterize these types of attacks (Boykin & Orcutt, 2018; Elsass et al., 2014; Fox & Savage, 2009). One college mass shooting that has received limited empirical attention is the 2014 mass shooting that occurred in Isla Vista, a town …

Patient Reported Outcomes In Sickle Cell Disease Examined Within A Conceptual Model, Swapandeep Mushiana, Marsha Treadwell Phd, Sherif M. Badawy Md, Ms, Liliana Preiss Phd, Allison King Md Mph Phd, Barbara Kroner Phd, Yumie Chen Bs, Jeffrey Glassberg, Victor Gordeuk Md, Nirmish Shah Md, Angie Snyder Phd Mph, Theodore Wun Md

Doctoral Dissertations

Objective: To examine the relations between patient reported outcomes (PROs) within a conceptual model for adults with sickle cell disease (SCD) ages 18 – 45 years enrolled in the Sickle Cell Disease Implementation Consortium (SCDIC) registry. We hypothesized that patient and SCD related factors and barriers to care would independently contribute to functioning as measured using the PRO domains. Additionally, pain and other SCD related complications are expected to impact the relation between the variables. Methods: Participants completed a 48-item survey that included socio-demographics and PRO measures, such as social functioning, pain impact emotional distress, and cognitive functioning. …

The Relationship Education Workshop And Its Impact On Learned Healthy Relationship Outcomes And Self-Compassion In The Emerging Adulthood Population, Ashley N. Russell

Doctoral Dissertations

The present study examined the effectiveness of the Relationship Education workshop (Davila, 2020) on several outcome measures for its target population, emerging adults. The Relationship Education workshop is comprised of two consecutive three hour sessions which take place a week apart. Participants were recruited from a southeastern state university campus. Participants were given a thorough and group-discussion based didactic focusing on the relationship competency skills of insight, mutuality, and emotion regulation with other core focuses, including relational decision making and adaptive relationship beliefs. Participants who completed the Relationship Education workshop were hypothesized to show improvement in these target domains as …

Interactional Synchrony In Romantic Couples: Linking Dynamic Systems Of Nonverbal Behavior With Outcome Data, Darren J. Garcia

Doctoral Dissertations

Abstract

The aim of this study was to bridge the growing body of research on interactional synchrony with variables reflecting relationship quality in romantic couples. Video data from 116 romantic couples who participated in a short-term relationship intervention (Gordon et al., 2019) and their self-report assessments of relationship satisfaction, emotional intimacy, and constructive communication patterns were used for analyses. Movement was objectively quantified for each partner using Motion Energy Analysis (MEA; Ramseyer & Tschacher, 2011), an automated frame-differencing method. Cross-lag correlations of the time-series data were then aggregated and operationalized as interactional synchrony. Empirical relationships between interactional synchrony and relationship …

Audiovisual Speech Processing: Implications For Speech Perception And Language Development, Ryan Andrew Cannistraci

Doctoral Dissertations

This dissertation aims to empirically assess the complex, multileveled relationships between audiovisual speech perception and early language development. The majority of extant language development research has justifiably focused on infants’ ability to learn language from auditory input, and indeed, infants are precocious auditory learners (Saffran & Kirkham, 2018). Complementary to auditory speech, however, are the necessarily redundant facial movements used to articulate speech. Outside of language development research, multimodal processing has been theorized to facilitate perceptual learning and cognitive development (Bahrick & Lickliter, 2000), but only a small number of empirical studies have investigated how audiovisual speech perception in infancy …

Development And Validation Of The Scale Of Emotional Functioning: Educators (Sef:Ed), Lezli Suzanne Anderson

Doctoral Dissertations

Data collected from 97 educators provide preliminary support for the psychometric integrity of an experimental self-report instrument designed to operationalize emotional intelligence (EI) specific to educators, the Scale of Emotional Functioning: Educators, or SEF:ED. Data analyses relied in part on results from an exploratory factor analysis, which revealed an acceptable three-factor solution and item-scale correlations. Reliability estimates (i.e., split-half reliability correlations) obtained for the SEF:ED subscales of Emotional Awareness, Emotional Management, and Interpersonal Relations subscales are .86, .80, and .71, respectively. Correlation coefficients (i.e., Pearson r) between the SEF:ED composite and the Profile of Emotional Competence composite (PEC; Brasseur …

The Effects Of An Interdependent Group Contingency On Student Writing, Madeline B. Auge

Doctoral Dissertations

National data indicate that many students in the United States are not proficient in writing at grade-level expectations (Persky et al., 2003). However, there is not enough research, resources, or support for school personnel to improve student writing (Graham & Harris, 2003). Previous writing intervention studies involving performance feedback methods have shown positive impacts on student writing fluency, but it may be too time consuming for teachers to use in the classroom (Truckenmiller et al., 2014). Teachers need feasible, evidence-based writing interventions that are easy to implement in their classrooms and that motivate students to improve their writing skills.

The …

Brief Sheets: Examining An Intervention That Increases Academic Reinforcement, Kyle Edward Ryan

Doctoral Dissertations

This study is designed to extend research on the Brief Sheets intervention. The Brief Sheets intervention involves taking a full-page assignment that is given to students to complete independently and breaking up this assignment into multiple, smaller assignments that still contain the same total number of problems cumulatively. An experiment was designed to see if students would complete more total problems when they were given Brief Sheets compared to a control assignment containing the same total number of problems, if the percentage of accurate responding would be higher for the Brief Sheets assignment, and if students would rate the Brief …

Exploring The Relationship Between School Organizational Health, Advice Seeking Networks, And Student Behavior, Abbey M. Nachman

Doctoral Dissertations

The purpose of this study was to explore the relationship between organizational health and advice seeking behavior of school staff around students exhibiting social, emotional, or behavioral concerns. School staff are front line responders to mental/behavioral health issues and it would benefit schools to better understand the organizational factors that influence advice seeking behavior and the affect that school climate amongst teachers has on student behavior. This study investigated the climates and communication patterns of two urban elementary schools. Social network analysis was used to visualize and analyze both schools’ respective networks. School staff completed the Organizational Health Inventory as …

Representation Of Reward And Risk In The Brain’S Motor System: Studies In Adolescents And Adults, Xingjie Chen

Doctoral Dissertations

In the neuroscience of economic decision making, the brain’s motor system has been ascribed a role in implementing choice actions. However, recent work has revealed canonical motor signals much in advance of choice action, possibly indicating their role in evaluation of decision options. In the current dissertation, we applied multimodal neuroimaging combining EEG and fMRI and used a novel paradigm that temporally separated the evaluation phase from the action phase of a decision-making process to investigate the mechanisms through which the motor control system contributes to decision making. Additionally, we further examined the developmental changes during the two phases of …

Mental Health Outcomes Of Various Types Of Fear Among University Students Who Have An Undocumented Legal Status During The Donald Trump Presidency, Liliana Campos

Doctoral Dissertations

Having an undocumented legal status is a risk factor for mental health conditions such as depression and anxiety among university students. Much of the literature on the experiences of university students who hold an undocumented legal status has primarily focused on better understanding the educational, social, financial, and legal challenges among undergraduate students. The literature has addressed how some of these difficulties impact components of their social and mental health wellness. Yet, there is still a dearth of research focused on further understanding the experiences of students who hold an undocumented legal status from a psychological perspective, and specifically, with …

Impact Of Moral Injury For Ethnic/Racial Minority Male Veterans, Kristopher Kern

Doctoral Dissertations

Trends in demographics of post-9/11 veterans (deployments to the Middle East after 2001) describe this group as having higher survival rates, increased service-connected disabilities, and more racially diverse (NCVAS, 2018; Schnurr et al., 2009; Tanelian & Jaycox, 2008). Additionally, their deployment experiences include combat-related experiences that contradict personal moral beliefs, later named “moral injury” (MI) (Litz et al., 2009). Currier, Holland, and Mallot (2015) describe MI as intense emotions of shame, guilt, and anger alongside maladaptive behaviors emerging after “witnessing and/or participating in warzone events that challenge one’s basic sense of humanity” (p. 231).

The research on MI continues to …

Understanding The Healthcare Experiences Of Lgbtq+ People: An Adaptation Of The Daily Heterosexist Experiences Questionnaire, Conor Smith

Doctoral Dissertations

LGBTQ+ people's experiences of heterosexism, which are common in the healthcare system, are linked to poor health outcomes. There are no measures of LGBTQ+ people’s experiences in healthcare settings which could be used by healthcare systems and providers to improve the quality of their care for this vulnerable population. The Daily Heterosexist Experiences Questionnaire (DHEQ), developed using the minority stress model, measures the general stressful life experiences of LGBTQ+ people. This project aimed to adapt the DHEQ for use in healthcare settings.

A mixed-methods study was conducted to create the Daily Heterosexist Experiences Questionnaire-Healthcare (DHEQ-H). Semi-structured interviews focused on the …

The Use Of Mindfulness Meditation To Increase The Efficacy Of Mirror Visual Feedback For Reducing Phantom Limb Pain In Amputees, Nicolas Sebastian Mills

Doctoral Dissertations

Phantom limb pain is a chronic pain condition that negatively impacts the lives of over half of amputees, and results in considerable morbidity. Currently, there is no gold standard for treatment for phantom limb pain. However, a frequently used intervention is the use of mirror visual feedback, in which the amputee watches the reflection of the adjacent non-amputated limb move and exercise. In the last few decades, mindfulness-based interventions have been increasingly used with individuals living with different types of chronic pain. This study attempts to discover if the addition of a mindfulness-based intervention, such as guided meditation, will augment …

Provider Perspectives: Working With The Male Lifer Reentry Population, Laura R. Marker Dr.

Doctoral Dissertations

The passage of Proposition 57 in California creates a path to parole for individuals who experienced long-term continuous incarceration. For the first time, men who experienced long-term incarceration are joining reentry populations in California, establishing an emerging subpopulation of men on parole who were incarcerated for life sentences or experienced long-term continuous incarceration. In the San Francisco Bay Area, most of these men will receive mental health services provided by Community Mental Health agencies or California Department of Rehabilitation and Correction (CDRC). Research suggests that men who experience continuous long-term incarceration may have symptoms of Post-Incarceration Syndrome (PICS).

However, few …

Using A Cognitive Behavioral Approach In Individual Counseling With Patients Undergoing Bariatric Surgery, Nina Marie Ditommaso

Doctoral Dissertations

Morbid obesity is linked to physical and psychological well-being. Bariatric surgery has shown tremendous success with rapid weight loss in the patient population with morbid obesity. These patients experience issues with weight regain post-surgery, which can be linked to psychological and social factors. Despite this, mental health counseling is rarely offered in bariatric surgery programs. The primary investigator used a six-session Cognitive Behavioral Therapy (CBT) approach in individual counseling with patients following bariatric surgery. The primary investigator used a single case research design to treat four participants. The primary investigator measured the effectiveness of a six-session CBT treatment, assessing for …

Social Context Influences On Behavior Of Carolina Chickadees, Brittany A. Coppinger

Doctoral Dissertations

This dissertation assesses fundamental social factors that drive variation in calling and other behaviors of experimental flocks of Carolina chickadees. Specifically, I tested how group member familiarity and group composition affected individual behavior. In addition, I performed a direct experimental test of the Social Complexity Hypothesis for Communicative Complexity, which states that groups that are more socially complex will communicate with greater signal complexity than groups that are less social complex. I consider complexity to be a combination of three factors: the number of parts in a system, the variation among the parts, and the variation in the way those …

The Effectiveness Of A Transaffirmative Cognitive Behavioral Therapy Group-Based Intervention To Help Transgender Individuals Suffering From Depression, Joy Riach

Doctoral Dissertations

Transgender individuals report higher levels of elevated symptoms of depression and anxiety due to psychological distress caused by pervasive transphobic discrimination and prejudice that persist in pathologizing and stigmatizing their lived experiences. An important first step would be to develop, implement, and assess transaffirmative interventions that address the mental health issues that this population is particularly susceptible to, such as depression. This current study was designed to assess the effectiveness of one such culturally adapted intervention, which was a 5-week-long, group-based therapy developed for treating depression in transgender individuals using cognitive behavioral therapy (CBT). This was then followed with one …

Multiple Identities In Sport Fandom: Balance, Conflict, & Negotiation, Aaron Mansfield

Doctoral Dissertations

Simultaneous to the sport industry’s ascent, obesity has become an issue of growing societal concern. Scholars have explored the role of social-psychological identification in both fandom and physical health, but have not yet explored the intersection of the two. Throughout life, individuals must negotiate all of their identities, including their attachment to sport teams, yet understanding of role identity within sport management is limited. Likewise, scholars have noted the need for greater illumination of the relationship between fandom and physical well-being. I address these gaps through three studies. In Study One, I completed semi-structured interviews with individuals who consider both …

Really, You Should Be Thanking Us: Paternalism And Instrumental Gratitude Expectations, Greg Larsen

Doctoral Dissertations

Intergroup helping is sometimes motivated by paternalistic narratives about recipients being incapable of making good choices. Five studies investigated whether paternalistic perceptions of recipients encouraged members of groups that provide help expect gratitude from recipients, and whether receiving gratitude and affirmation from recipients was rewarded when it was given. I first found preliminary evidence that paternalistic perceptions of recipients affects the way that members of a helper group respond to recipients’ responses to help (Study 1). I then found that believing paternalistic narratives about recipients did increase participants' expectations that recipients should show them gratitude, and that these expectations did …

Mental Fatigue: Examining Cognitive Performance And Driving Behavior In Young Adults, Abigail F. Helm

Doctoral Dissertations

Mental fatigue causes an increase in task-based EEG theta and alpha power and a decrease in performance (for a review, see Tran et al., 2020). However, little is known about the emergence of mental fatigue in resting state EEG recordings and whether the progression of mental fatigue over time is influenced by individual differences. The current dissertation examined the utility of resting state EEG as a measure of mental fatigue by testing whether EEG power changed in young adults over the course of a cognitively demanding battery of tasks. The current dissertation also tested how this measure of mental fatigue …