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2011

Clinical Psychology

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Full-Text Articles in Psychology

Differences In Body Image: Comparing Asian American Ethnic Groups And White Americans, Alefiyah Z. Pishori Dec 2011

Differences In Body Image: Comparing Asian American Ethnic Groups And White Americans, Alefiyah Z. Pishori

Master's Theses

No abstract provided.


Racial/Ethnic Differences In Possible Selves Of Diverse Adolescents: Implications For Higher Education And Mental Health, Viana Y. Turcios-Cotto Dec 2011

Racial/Ethnic Differences In Possible Selves Of Diverse Adolescents: Implications For Higher Education And Mental Health, Viana Y. Turcios-Cotto

Master's Theses

There are striking disparities in the academic achievement of American youth, with Latino and Black adolescents attaining higher education at vastly lower rates than White adolescents. Though numerous reasons exist for these educational disparities this study examines possible selves as they may relate to educational achievement among Latinos. Specifically, this study investigates: a) racial/ethnic differences in the content and themes of expected possible selves held by young adolescents; b) within group differences among Latino students and their expected possible selves; c) racial/ethnic differences in the relation between higher education possible selves and current mental health adjustment. Written responses reflecting types …


The Impact Of Breast Cancer Screening On Sleep, Affect, And Immune Functioning, Caitlin Burbridge Dec 2011

The Impact Of Breast Cancer Screening On Sleep, Affect, And Immune Functioning, Caitlin Burbridge

Master's Theses

Despite great strides that have been made over the past several decades in terms of diagnosis and treatment, breast cancer remains the most commonly diagnosed cancer in American women and the second leading cause of cancer-related mortality for women in the United States. Although the benefits of early detection of breast cancer have been clearly established, the advantages of screening must also be weighed against a potential corresponding negative psychological impact of screening procedures. The purpose of the present study was to further investigate the impact of breast cancer screening on previously unstudied or understudied aspects of psychological and physiological …


Predictors Of Recidivism In Adolescent Offenders, Sara Kathryn Lawing Dec 2011

Predictors Of Recidivism In Adolescent Offenders, Sara Kathryn Lawing

University of New Orleans Theses and Dissertations

Adolescent offenders commit a significant number of physical and sexual assaults every year. A critical task for researchers and clinicians is to understand the distinct pathways that lead to these serious types of offending. The current study attempts to test the importance of these different pathways by comparing violent, violent sex, non-violent sex, and non-violent offenders based on SAVRY risk items, reoffending, and effects of treatment. A sample of 517 adolescents on probation was assessed for several risk factors (i.e., anger management, ADHD, low empathy/remorse) by probation officers. Recidivism over 12 months was assessed from official records. Results indicated that …


Assessing Parental Involvement In Type 1 Diabetes Management During Adolescence, Elizabeth M. Robinson Dec 2011

Assessing Parental Involvement In Type 1 Diabetes Management During Adolescence, Elizabeth M. Robinson

Theses and Dissertations

Type 1 diabetes is one of the most common pediatric chronic illnesses. Adolescents are at risk for poorer glycemic control; however, youth whose parents remain involved in diabetes care are in better control. The current study examined parental involvement (PI) using a multi-method, multi-source approach in a sample of 255 youth (Age M = 12.83). The Diabetes Family Responsibility Questionnaire, Parental Monitoring of Diabetes Care Scale, and 24-Hour Diabetes Interview assessed two types of PI, parental responsibility and parental monitoring. Global and specific assessment served to cross-corroborate indicators of PI related to HbA1c. Higher levels of monitoring related to lower …


A Self-Regulation Model Of Depression: Content Of Cognitive Representations And Prediction Of Treatment Seeking, Catherine Leite Dec 2011

A Self-Regulation Model Of Depression: Content Of Cognitive Representations And Prediction Of Treatment Seeking, Catherine Leite

Electronic Thesis and Dissertation Repository

Leventhal's self-regulation model (SRM) was applied as a conceptual framework from which to examine individuals' cognitive representations of depressive symptoms. This thesis explored the nature of these representations, as well as factors that may impact on these representations and, in turn, influence coping strategies and professional help seeking. In particular, Study 1 examined the effect of symptom severity and the label used to identify the symptoms on the cognitive representations of depressive symptoms and coping, whereas Study 2 examined the effect of symptom duration in this regard. This thesis also considered the extent to which the various SRM domains are …


Flexibility In Parent-Child Interactions: The Application Of Dynamic Systems Methodology To Dyadic Processes In Children With Behaviour Problems, Vivien Lee Dec 2011

Flexibility In Parent-Child Interactions: The Application Of Dynamic Systems Methodology To Dyadic Processes In Children With Behaviour Problems, Vivien Lee

Electronic Thesis and Dissertation Repository

Dynamic systems theory (DST) can provide a comprehensive account for how parent-child interactions evolve over time to produce stable patterns of interacting and can result in seemingly divergent trajectories. Recent methodological advances using state space grids (SSGs) have provided a graphical means to examine real-time dyadic processes, as well as measures of dyadic flexibility, or the ability to adapt emotional and behavioural responding in response to contextual demands. Higher levels of dyadic flexibility have been associated with improvements in child behaviour problems after treatment (Granic et al., 2007), while its converse, rigidity, has been associated with increases in behaviour …


Avoidance And Depression: Evidence For Reinforcement As A Mediating Factor, John Paul Carvalho Dec 2011

Avoidance And Depression: Evidence For Reinforcement As A Mediating Factor, John Paul Carvalho

Doctoral Dissertations

Behavioral Activation theory (Martell, Addis, & Jacobson, 2001) posits that a pattern of excessive use of avoidant coping strategies removes an individual from environmental sources of reward and reinforcement and subsequently leads to the development (or maintenance) of depressive symptoms. This investigation examined this theory by establishing measures of environmental reward as mediators between avoidance and depression, while further demonstrating that there is a strong connection between avoidance and depression independent of anxiety. Reward was measured by both self-report questionnaire (Reward Probability Inventory; Carvalho et al., under review) and daily activity diary ratings (Hopko, Bell, Armento, Hunt, & Lejuez, 2003), …


Risk Factors For Intimate Partner Violence During Pregnancy, Julianne Christina Hellmuth Dec 2011

Risk Factors For Intimate Partner Violence During Pregnancy, Julianne Christina Hellmuth

Doctoral Dissertations

Intimate partner violence (IPV) has been shown to be highly prevalent during pregnancy, particularly for couples of low socioeconomic status. IPV poses an especially serious problem for pregnant women as it puts both mother and unborn child at risk for severe physical harm, including death. This investigation of potential risk factors for IPV during pregnancy examines alcohol use, stress, suspicion of infidelity, jealousy, and relationship discord from both a cross-sectional and longitudinal perspective. The overarching theoretical frameork for this study is based on Leonard's conceptual model of substance use and intimate partner violence in combination with evolutionary theory as discussed …


Women's Cognitive Appraisals Of Their Birth Experience As Predictive And Maintaining Factors Of Postpartum Posttraumatic Stress Symptom Severity, Lauren Carr Spooner Dec 2011

Women's Cognitive Appraisals Of Their Birth Experience As Predictive And Maintaining Factors Of Postpartum Posttraumatic Stress Symptom Severity, Lauren Carr Spooner

Dissertations

Empirical support has accumulated for evidence of posttraumatic stress symptoms following approximately 30% of childbirth experiences (Olde, van der Hart, Kleber, & van Son, 2006). Researchers have suggested that there is a complex relationship among predisposing, precipitating, and maintaining factors that impact postpartum PTSD (Slade, 2006). Anxiety, perception of support, and negative cognitions are such factors that have been shown to significantly correlate with PTSD symptoms (Foa & Rothbaum, 1998; Olde et al., 2006; Soet, Brack, & Dilorio, 2003), but have not been studied together in relation to PTSD associated with traumatic birth. The current study controlled for trait anxiety …


The Social Negotiation Of Ambiguous In-Between Stigmatized Identities: Investigating Identity Processes In Multiracial And Bisexual People, Vali Dagmar Kahn Dec 2011

The Social Negotiation Of Ambiguous In-Between Stigmatized Identities: Investigating Identity Processes In Multiracial And Bisexual People, Vali Dagmar Kahn

Graduate Doctoral Dissertations

To date, most bisexual and multiracial identity models in psychology capture a largely internal developmental process (Collins, 2000; Kich, 1992; Weinberg, Williams & Pryor, 1994). However, individuals learn to manage their socially stigmatized identities in social interactions (Goffman, 1963). While the demands to socially negotiate stigmatized identity affect all minority peoples, individuals with in-between ambiguous stigmatized identities, such as multiracial and bisexual people, must negotiate also being situated at the margins of their own reference groups (e.g. heterosexual and gay/lesbian). Using a comparative grounded theory approach, this study explored the question: How do experiences of socially negotiating an in-between ambiguous …


Trajectories Of Psychological Distress Among Low-Income, Female Survivors Of Hurricane Katrina, Sarah Ryan Lowe Dec 2011

Trajectories Of Psychological Distress Among Low-Income, Female Survivors Of Hurricane Katrina, Sarah Ryan Lowe

Graduate Doctoral Dissertations

The purpose of this study was to investigate trajectories of psychological distress among low-income women, primarily unmarried and African American, who survived Hurricane Katrina (N = 386). Data were collected in the year prior to the hurricane, as well as approximately one and three years thereafter. Using Latent Class Growth Analysis (LCGA), we detected six distinct trajectory groups. Over half of participants fit into a trajectory consistent with resilience; that is, they maintained low levels of psychological distress over the course of the study, but experienced an elevation in symptoms at the first pre-disaster time point, followed by a return …


The Relation Between Children's Perceived Containment And Parental Antisocial Behavior, Joye L. Henrie Dec 2011

The Relation Between Children's Perceived Containment And Parental Antisocial Behavior, Joye L. Henrie

Graduate Theses and Dissertations

Researchers have invoked a variety of theories when discussing the relation between children's orientation to authority and the development of antiSocial behavior (ASB). Here, the focus is children's sense of containment. Previous studies revealed an association between perceived containment and child externalizing behaviors. In this study, the degree to which a child's sense of containment is related to parents' level of ASB was examined. One hundred sixty aggressive children and their parents participated. I hypothesized that ineffective discipline would moderate the relation between parent ASB and child perceived containment. I expected to find an inverse relation between parents' level of …


Effect Of Maternal Borderline Personality Disorder On Romantic Attachment In Adolescence, Christopher Daniel Watkins Dec 2011

Effect Of Maternal Borderline Personality Disorder On Romantic Attachment In Adolescence, Christopher Daniel Watkins

Masters Theses

Borderline personality disorder (BPD) is a severe and chronic disorder that has been described as a disorder of attachment. The present study examined the effect of maternal BPD and borderline personality features on the romantic attachment styles of mothers with BPD and their 14-17 year old offspring. In a low socioeconomic status (SES) sample of n=28 adolescents whose mothers have BPD and n=28 normative comparisons, groups were compared on maternal and adolescent self-reported romantic attachment styles. Across the sample as a whole, the relationship between borderline features and romantic attachment styles were assessed. Also, the relationship between maternal …


Relationship Of Age Of Onset And Other Dimensions Of Trauma To Dissociation In An Adult Clinical Population, Amineh Abbas Dec 2011

Relationship Of Age Of Onset And Other Dimensions Of Trauma To Dissociation In An Adult Clinical Population, Amineh Abbas

Masters Theses

This study examined four dimensions of trauma and how they affected levels of dissociation in male and female adult outpatients. These dimensions are age of onset, multiple trauma, chronicity, and recency. Two hundred forty-five adult outpatients at the University of Tennessee Psychological Clinic were administered the Dissociative Experiences Scale (DES) and the Traumatic Experiences Checklist (TEC) as part of the routine intake procedure. Of those individuals, 177 patients reported trauma and were included in the final study sample. All four dimensions of trauma were found to be significantly correlated with dissociation. In addition, multiple trauma was found to be the …


The Practice Effect: The Relationships Among The Frequency Of Early Formal Mindfulness Practice, Mindfulness Skills, Worry, And Quality Of Life In An Acceptance-Based Behavior Therapy For Generalized Anxiety Disorder, Lucas Paul Kawika Morgan Dec 2011

The Practice Effect: The Relationships Among The Frequency Of Early Formal Mindfulness Practice, Mindfulness Skills, Worry, And Quality Of Life In An Acceptance-Based Behavior Therapy For Generalized Anxiety Disorder, Lucas Paul Kawika Morgan

Graduate Masters Theses

Mindfulness- and acceptance-based treatments are currently being used to treat a variety of medical and mental health difficulties. Most of these treatments teach formal mindfulness practices which aim at developing mindfulness skills. However, little is known about the relationships among amount of formal mindfulness practice, changes in mindfulness skills, and changes in outcome variables. An acceptance-based behavior therapy (ABBT) has been shown to be particularly effective in the treatment of Generalized Anxiety Disorder (GAD; Roemer & Orsillo, 2007; Roemer, Orsillo, & Salters-Pednault, 2008). This study explored the relationships among formal mindfulness practice, skills, and outcomes in the context of an …


Neuropsychological, Psychosocial, And Mood Outcomes Following Mild Traumatic Brain Injury, Julia L. Evans Dec 2011

Neuropsychological, Psychosocial, And Mood Outcomes Following Mild Traumatic Brain Injury, Julia L. Evans

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) in adolescents and adults can result in cognitive, emotional, behavioral and neurological deficits that can persist more than a year after an injury. The aim of the current preliminary study was to use a comprehensive neuropsychological assessment to determine the nature of cognitive impairments and their relationship with specific psychosocial factors, including coping skills and perceived quality of life, following mild TBI (mTBI). Neuropsychological tests administered measured intelligence, pre-morbid intelligence, executive functioning, verbal memory, complex visual construction and non-verbal memory, sustained attention distractibility, and vigilance, verbal learning and memory, fine motor speed, and novel problem solving …


Rejection Sensitivity And Early Relationships: Explaining Differential Outcomes In Early Dating, Heather Holly Nov 2011

Rejection Sensitivity And Early Relationships: Explaining Differential Outcomes In Early Dating, Heather Holly

Master's Theses

No abstract provided.


Disclosure And Health: Enhancing The Benefits Of Trauma Writing Through Response Training, Andrea Konig Nov 2011

Disclosure And Health: Enhancing The Benefits Of Trauma Writing Through Response Training, Andrea Konig

Theses and Dissertations

Writing about a personal traumatic event has been found to have psychological and physical health benefits. Focusing on traumatic memories in writing may be a form of exposure. In imagery exposure and trauma writing, greater physiological reactivity was predictive of better outcomes. Given the importance of physiological output in emotional processing, response training was developed and found to be effective in increasing appropriate physiological reactivity in imagery exposure. If response training amplifies physiological reactivity and the benefits of writing, the hypothesis that writing is a form of exposure would be strengthened, and training may be a valuable tool to improve …


Efficacy Of A Cognitive-Behavioral Treatment For Insomnia Among Afghanistan And Iraq (Oef/Oif) Veterans With Ptsd, Margolies Skye Ochsner Nov 2011

Efficacy Of A Cognitive-Behavioral Treatment For Insomnia Among Afghanistan And Iraq (Oef/Oif) Veterans With Ptsd, Margolies Skye Ochsner

Theses and Dissertations

Sleep disturbances are a core and salient feature of PTSD and can maintain or exacerbate associated symptoms. Recent research demonstrates that cognitive-behavioral sleep-focused interventions improve sleep disturbances as well as PTSD symptoms. The present study is a randomized controlled trial comparing Cognitive Behavioral Therapy for Insomnia (CBT-I) to a waitlist control group. Conducted at a Veterans Affairs Medical Center, the study: 1) compared subjective outcome measures of sleep amongst veterans assigned to either a treatment group (CBT-I) or a waitlist control group; (2) examined the influence of the intervention on measures of PTSD, general mood and daytime functioning, comparing veterans …


Sex Talk: Factors That Influence Parent-Child Communication About Sex, Tiffany Abrego Nov 2011

Sex Talk: Factors That Influence Parent-Child Communication About Sex, Tiffany Abrego

Master's Theses and Doctoral Dissertations

Between 50 and 70% of young people are first sexually active between the ages of 15 and 17, and almost 90% by age 18. This early sexual debut puts adolescents at high risk for sexually transmitted diseases and unplanned pregnancy if they are uneducated about safe sex. For this reason, it is important to determine the variables that contribute to early sexual debut. One factor that researchers have explored is the communication between parents and their children concerning sex. Researchers have found that the communication about sex is influenced by parents’ own beliefs, experiences, and comfort level discussing sexual topics. …


Moving To The Other Side Of The Desk: An Examination Of The Practice Of Including Peer Support Specialists As Treatment Providers Within The Dialectical Behavior Therapy Paradigm, Chelsea Cawood Oct 2011

Moving To The Other Side Of The Desk: An Examination Of The Practice Of Including Peer Support Specialists As Treatment Providers Within The Dialectical Behavior Therapy Paradigm, Chelsea Cawood

Master's Theses and Doctoral Dissertations

Dialectical Behavior Therapy is the primary empirically supported treatment for Borderline Personality Disorder. This multi-modal treatment consists of individual therapy, group skills training, the availability of 24-hour phone coaching, and weekly consultation meetings for therapists. A recent trend in Michigan Community Mental Health has been to add an additional component to traditional DBT, the inclusion of peer-provided services. In this role, graduates of DBT programs become members of the DBT team and may function to provide services at a variety of levels. Currently, no research exists examining this potential new treatment modality. The purpose of the current qualitative and descriptive …


The Development Of The Common Factor Therapist Competence Scale For Youth Psychotherapy, Ruth Brown Oct 2011

The Development Of The Common Factor Therapist Competence Scale For Youth Psychotherapy, Ruth Brown

Theses and Dissertations

In order to continue to improve the effectiveness of psychotherapy, researchers must identify key change processes. Unfortunately, there are disparate views in the field about the relative importance and potency of specific techniques versus relationship factors. Few measures have been developed to examine the relative contribution of these factors, particularly for child-focused treatment. The Common-Factor Therapist Competence Scale for Youth Psychotherapy (COMP-CF) was developed to address this deficit. For this study, 142 video-taped sessions of child CBT for anxiety were observed and rated by independent coders using the COMP-CF. The measure demonstrated good reliability and internal consistency. Significant between-therapist and …


Individual Differences In Anxiety Sensitivity: The Role Of Emotion Regulation And Alexithymia, Amrit Kaur Oct 2011

Individual Differences In Anxiety Sensitivity: The Role Of Emotion Regulation And Alexithymia, Amrit Kaur

Master's Theses and Doctoral Dissertations

The literature has shown anxiety sensitivity to be a significant risk factor in the development of pathological anxiety. Recent theoretical models have also emphasized the additional importance of emotion regulation in predicting the development of anxiety disorders. The present study examined the interactive influence of anxiety sensitivity and emotion regulatory strategies on anxiety symptoms in an ethnically diverse sample recruited in Singapore in order to determine the most appropriate anxiety prevention strategies to pursue. Results indicate that emotion regulation skills had a much greater effect on anxiety levels in this non-clinical sample than anxiety sensitivity and, second, that emotion regulation …


Acculturation, Cultural Values, And Latino Parental Beliefs About The Etiology Of Adhd, Kathryn E. Lawton Oct 2011

Acculturation, Cultural Values, And Latino Parental Beliefs About The Etiology Of Adhd, Kathryn E. Lawton

Master's Theses (2009 -)

Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent mental health disorders of childhood, but despite the availability of several evidence-based interventions, Latino children are more likely than non-minority children to have an unmet need for services related to ADHD. Because parental beliefs about the etiology of ADHD likely influence which services are sought, more research is needed to examine this aspect of help-seeking behavior in order to address the unmet need among Latino families. Specifically, research needs to focus on cultural factors that likely influence parental beliefs about the etiology of child behavior problems. Thus, the goal of the …


Parents' Influence On Child Social Self-Efficacy And Social Cognition, Denise Marie Gardner Oct 2011

Parents' Influence On Child Social Self-Efficacy And Social Cognition, Denise Marie Gardner

Master's Theses (2009 -)

No abstract provided.


Long Term Effects Of Chronic Variable Stress Administered During Different Developmental Stages In Mice, Henry Boeh Oct 2011

Long Term Effects Of Chronic Variable Stress Administered During Different Developmental Stages In Mice, Henry Boeh

Dissertations (1934 -)

A number of studies have suggested that the occurrence of past trauma can increase an individual's chance of developing PTSD from a new traumatic experience later in life. Trauma that occurs during childhood appears to have a particularly strong effect on this risk increase. Furthermore, conditioned fear responses have been shown to incubate over extended periods of time in animal models. To further investigate the role these phenomena play in the development of PTSD, this study exposed juvenile and adult mice to 7 days of chronic variable stress (CVS). One month later, a Pavlovian delay fear conditioning procedure was used …


The Therapeutic Relationship In Dialectical Behavior Therapy: A Longitudinal Investigation In A Naturalistic Setting, Sara Elizabeth Little Oct 2011

The Therapeutic Relationship In Dialectical Behavior Therapy: A Longitudinal Investigation In A Naturalistic Setting, Sara Elizabeth Little

Dissertations (1934 -)

The quality of the therapeutic alliance in psychotherapy has been found to be positively associated with many treatment outcome variables, such as client retention, client satisfaction in treatment, and improvement in symptoms. While some theorists assume that therapeutic alliance is established early in therapy and remains fairly stable across time in treatment, others such as Safran et al. (1990) suggest that the alliance quality fluctuates across time and is likely to be marked by frequent patterns of rupture and repair. In particular, individuals with Borderline Personality Disorder (BPD) have clusters of symptoms and interpersonal styles that are likely to present …


Influences On Father Involvement: Testing For Unique Contributions Of Religion And Spirituality, Mark Lynn Oct 2011

Influences On Father Involvement: Testing For Unique Contributions Of Religion And Spirituality, Mark Lynn

Dissertations (1934 -)

The role of the father in children's development historically has been neglected. Studies examining family processes were primarily limited to mothers, under the assumption that mothers' influences encapsulated what (little) effects could also be attributed to the father. Although theory and research have begun to address fathers' roles in families in earnest, there is still much work to be done, particularly in regard to understanding the determinants of father involvement. One direction that has received attention from researchers is towards a conceptualization of environmental and contextual influences on fathers' interactions with their families. The goal of this study was to …


Military Mental Health: Problem Recognition, Treatment-Seeking, And Barriers, Laura Bein Oct 2011

Military Mental Health: Problem Recognition, Treatment-Seeking, And Barriers, Laura Bein

Dissertations (1934 -)

Substantial numbers of military troops are serving overseas in military operations and are returning home with elevated reports of psychological symptoms; however, a treatment gap exists between those reporting mental health problems and those receiving appropriate treatment. Stigma has been cited as a potential barrier to treatment-seeking, although few studies distinguish between perceived and public stigma or between stigma for having a mental illness versus that for seeking treatment.

In the present study, Army National Guard soldiers returning from deployment to Iraq were asked to complete questionnaires assessing psychological symptoms, as well as reports of perceived stigma from self and …