Acculturation, Psychological Well-Being And Substance Use Behaviors In Asian Indian Americans, Sonia Y. Amin

Dissertations

The American population is becoming more diversified with increases in the number of immigrants and refugees entering the country. These new Americans bring distinct cultural values, traditions, and worldviews. With this diversity, an important need has arisen to better understand the interplay of culture, physical, and mental health concerns that affect specific racial and ethnic populations. This increase in knowledge and awareness will aid in the development and provision of culturally-sensitive mental health services. The stress of immigration and the multifaceted sociocultural and psychological adaptations involved in adjusting to living in a new country with a Eurocentric dominant culture can …

A Signal Detection Framework For Evaluating The Effects Of Feedback On Stroke Recognition, Jordan D. Bailey

Dissertations

The impact of stroke on the lives of individuals and the healthcare system is considerable. Damage from stroke can be reduced if the treatment is administered at the appropriate time so early recognition is essential. One problem is that strokes present in a variety of ways that sometimes do not fit into the Facial drooping, Arm weakness, Speech difficulties and Time (FAST; American Heart Association, 2019) acronym. Signal detection is one way to measure decision making under conditions of uncertainty (e.g., discriminating stroke symptoms and risk factors from other symptoms, and non-risk factors). The methodology also allows us to consider …

Cuban Immigrants’ Experience With Acculturation And How They Cope In The United States, Lourdes Araujo

Dissertations

Objective: This research examines how Cuban immigrants experience cope and adapt to the United States. Cuban immigration is associated with specific stressors related to the immigration experience and the necessary process of acculturation and assimilation. These major stressors can result in mental health concerns among Cuban immigrants; however, no studies have examined how acculturation may influence Cuban immigrants’ coping skills and resultant mental health concerns. This unique study is the first to examine the coping skills Cuban immigrants use during acculturation and the effects of these skills on Cuban immigrants’ mental health. Methods: Seventeen participants completed a semistructured interview and …

Organizational Stressors As Predictors Of Burnout, Kristen Albritton

Dissertations

The purpose of this study is to determine if organizational stress, measured by role conflict and role ambiguity, predicts burnout among employees. A review of the related literature identified variables that demonstrate a relationship with burnout, supported by the Maslach (1998) theory of burnout and Katz and Kahn’s (1966) organizational role theory. The researcher also examined whether organizational level and demographic variables (gender, education level, and job tenure) moderate the relationships between role conflict, role ambiguity, and burnout.

The study follows a non-experimental, cross-sectional design using data collected from a survey. Results of linear regression analyses reveal role conflict and …

Uncertainty In The Context Of End-Of-Life Communication In Heart Failure, Caleb Pardue

Dissertations

End-of-life communication between patients, their family members, and healthcare providers is essential to quality care at the end-of-life. Advance care planning is increasingly utilized to facilitate end-of-life communication, but heart failure patients in particular face numerous challenges to achieving adequate end-of-life communication. Extant literature has highlighted the inherent uncertainty in heart failure as a barrier to end-of-life communication as well as the role of time perspective on the experience of heart failure patients, but little empirical research has been conducted to examine the impact of these constructs. The sample included 168 participants with heart failure who were recruited online through …

Searching For A “Home”: Examining The Experiences Of Confucian Asian College Students With Third Culture Kid Backgrounds, Yuima Mizutani

Dissertations

Third culture kids (TCKs) spend their childhood and adolescence outside of their home countries. Because of their unique backgrounds, TCKs and adult TCKs face challenges including identity development, low self-esteem, lack of connection with their home countries, posttraumatic stress disorder, depression, adjustment disorder, and others. Although the number of TCKs is increasing due to globalization, this population has been understudied. Moreover, most existing research has focused on TCKs in Western countries. Few researchers have studied Confucian Asian adult TCKs; that is, adult TCKs from China, Hong Kong, Singapore, Japan, South Korea, Taiwan, and others. Confucian Asian countries have collectivistic cultures …

Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd

Dissertations

Abstract

Up to 85% of nurses have reported exposure to incivility in the workplace (Hunt & Marini, 2012). The often-subtle nature of incivility toward nurses in a minority population may partially explain why it remains a problem. Healthcare organizations realize the need for civility to counter the high turnover rate, staff shortages, and low job satisfaction reported by nurses, but lack understanding of how nurses of a minority population perceive incivility and bullying. This study aimed to answer the research question how do nurses with minority representation experience incivility and bullying versus empowerment in the workplace? A descriptive phenomenological design …

Recognition Of Gender Microaggressions In The Workplace: The Case Of Predisposition And Propensity To Recognize, Alicia Ako-Brew

Dissertations

This study examined the individual factors that affect the recognition of gender microaggressions in the workplace. A total of 220 subjects participated in this study. Specifically, this study revealed how social dominance orientation, ambivalent sexism and gender discrimination perceptions toward women affect a third-party observer’s recognition of gender microaggressions perpetrated against women. In addition, this study examined the effect of role congruence on the propensity to recognize gender microaggressions. Role congruence stems from role congruity theory which posits that a woman in a leadership or masculine role will receive positive or negative evaluations based on the degree to which she …

Assessing A Cognitive Model Of Trauma-Related Sleep Disturbance, Rebecca Chesher

Dissertations

Sleep disturbance is a symptom of many mental health disorders that may negatively affect cognition and mood. Trauma-related sleep disturbance is a core reaction of traumatic stress and PTSD, similar to symptoms experienced by individuals with insomnia or other sleep-wake disorders. Although the cause and symptom progression of trauma-related sleep disturbance may be very different, research and clinical practice assess and treat it with measures and interventions designed for general insomnia. Using a cognitive model of insomnia modified for trauma-related sleep disturbance, the current study assessed the relations between select trauma and sleep variables within the proposed constructs of: 1) …

Career Influences: A Phenomenological Study Of Career Influences Of African American Women In The Counseling Profession., Tamara L. Ford

Dissertations

The current literature concerning African American women in the counseling profession is limited. Research is available regarding women in the profession; however, research on African American women is scarce. This study seeks to add to the body of literature by exploring the reasons African American women become counselors, thereby improving recruitment techniques to increase representation in the field and improve mental health care for the African American community. This qualitative research study used a phenomenological approach to explore, interpret, and describe the lived experiences of eight African American women who are Licensed Clinical Mental Health Counselors currently practicing in the …

Exploration Of The Link Between Migration And Acculturation Related-Stress, Attachment Style, And Psychological Distress In Arab Immigrants, Refugees, And Asylees, Hayat Nadar Psy.D.

Dissertations

Abstract

The migration process is fraught with experiences of ethnic discrimination and has been linked to heightened levels of psychological and acculturative stress. Interestingly, earlier research revealed a higher prevalence of insecure attachment in migrant compared to non-migrant populations. Attachment style may be influenced by sociocultural and sociopolitical forces and the associated prejudice and discrimination experienced by a particular migrant population. The current study was conducted to explore whether higher levels of sociocultural adversity were associated with increased psychological distress and attachment insecurity and to test attachment as a mediator between sociocultural adversity and psychological distress. Using a cross-sectional design, …

Exploring Gender Differences Between Bipolar Disorder And Borderline Personality Disorder In Responses On The Personality Assessment Inventory (Pai), Stephanie M. Green

Dissertations

Bipolar disorder and borderline personality disorder are two diagnoses that are often difficult to differentiate. Current literature supports this challenge and reveals a high rate of misdiagnosis between the two, as well as a high prevalence of borderline personality disorder diagnoses in women. Diagnostic accuracy remains a vital skill for clinicians to effectively address the needs of clients, and diagnostic assessment tools are often used to aid in this endeavor. The focus in this study was to explore gender discrepancies in responses across the main features of borderline personality disorder (i.e., affective instability, identity problems, negative relationships, and self-harm) and …

Accurately Diagnosing Autism Spectrum Disorder Among A Comorbid Population, Michelle Okolita

Dissertations

Two of the most common neurodevelopmental disorders, attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), are diagnosed in early childhood. The two disorders share similar impairments across domains, are highly comorbid, and have many overlapping symptoms. Studies have shown that among this comorbid population, children receive an ASD diagnosis a few years after their initial ADHD diagnosis, which leads to many negative consequences, including a delay in treatment. The focus in this study was on the early indicators of ASD that are present prior to the age of 3 years in order to educate others on these symptoms. In an …

A Task Analytic Model Of Tenderness In Emotion-Focused Therapy For Couples: The Discovery Phase, Corie Mcnally

Dissertations

The focus in the present study was to develop a refined model of tenderness events in emotion-focused couples therapy. The model was created in the discovery phase of a task analytic research study through a rational-empirical method. The study was designed to combine empirical and rational data on the expression of tenderness and the display of a tenderness expression within the context of therapy. The rational model was derived from a review of the literature on emotions, couples therapy, and tenderness as an emotion. Empirical data were observed and recorded through reviews of videotapes and transcripts obtained during the York …

The Experiences Of African American Men At Predominantly White Institutions Of Higher Education, After Successfully Transferring From A Community College, Keenan King

Dissertations

African American men complete post-secondary education among the lowest rates of any other subgroup in higher education (Brooms & Davis, 2017; Farmer & Hope, 2015; Palmer, Wood, Dancy, & Strayhorn, 2014; Warde, 2008). This study focuses on addressing this problem by attempting to understand the experiences of African American men who successfully navigate a higher education pipeline from community college to a four-year, predominantly White institution (PWI). Half of all African American men enter higher education at the community college level (Villavicencio, Bhattacharya, & Guidry, 2013); therefore, community college plays a key role in shaping their experiences in higher education …

Mindfulness And Technology: Evaluating An Online Mindfulness Intervention For Symptoms Related To Sexual Assault, Erica Catherine Johnson

Dissertations

Sexual assault has been found to increase the risk of distressing psychological symptoms including PTSD, depression, somatization, drug and substance use, lower quality of life and experiential avoidance. As such, interventions for reducing the distress and negative impacts of sexual assault are of importance. Mindfulness is of particular interest as it addresses one of the prominent factors known to maintain psychological distress after trauma, experiential avoidance (Polusny et al., 2004; Merwin et al., 2009). Furthermore, an online mindfulness-based intervention can increase the accessibility and reduce the barriers to treatment. A within subjects repeated measures open clinical trial design was used …

Establishing Auditory Discrimination And Echoic Stimulus Control With An Auditory Matching Procedure, Clare Christe

Dissertations

A generalized auditory matching repertoire is considered an early milestone in the development of verbal behavior (Greer & Keohane, 2006). Previous literature has demonstrated that the auditory matching (AM) protocol can improve echoics in individuals with developmental delays (Brown, 2005; Choi, Greer & Keohane, 2015; Du, Speckman, Medina, & Cole-Hatchard, 2017). However, some children experience difficulties with the match-to-sample (MTS) format of the AM protocol, if they are unable to perform delayed MTS tasks.

One alternative to MTS is the go/no-go procedure (Serna, Dube, & McIlvane, 1997), which requires the student to make a simple discrimination (i.e., same/different) between two …

Can A Brief Online Intervention Change Low-Income Caregivers’ Reported Use Of Spanking? A Randomized Controlled Trial, Hilary L. Richardson

Dissertations

Spanking is commonly used by parents (64-94%) in the United States as a strategy for managing undesirable child behaviors. Research has found that the use of spanking is particularly high among young mothers, low-income parents, and African American families. Decades of literature on the use of spanking has identified abundant detrimental outcomes for children such as increased externalizing behaviors, decreased long-term compliance, and less guilt following misbehavior, as well as serious outcomes in adulthood such as depressed mood and alcohol/drug use. There is also a risk for spanking to escalate to physical abuse. Thus, safer, more effective discipline strategies are …

Performance Management Training Evaluation In An Autism Treatment Facility, James D. Morrison

Dissertations

The demand for Board Certified Behavior Analysts (BCBA) has increased dramatically since 2010 (Burning Glass Technologies, 2019). A core component of a BCBA’s role is to provide supervision to Board Certified Assistant Behavior Analysts (BCaBA) and other paraprofessionals. Currently there is a lack of research on effective supervision training in the ABA literature. This study evaluated a supervision training program based on the Operant Model of Effective Supervision developed by Komaki (1986). The training developed for this study incorporated basic OBM concepts such as behavioral pinpointing, feedback, and goal setting as well as concepts such as work sampling, which the …

An Evaluation Of Different Measures Of Social Problem-Solving: Using Ecological Momentary Assessment, Dana B. Goetz

Dissertations

The present study recruited a sample of undergraduate college students and examined the extent to which three measures of social problem-solving measured the construct of social problem-solving. A self-report measure (i.e., Social Problem-Solving Inventory-Revised Long), analogue task (i.e., the Means-Ends Problem-Solving task), and ecological momentary assessment (i.e., a diary card on real-life events) were compared. It was hypothesized that the three measures would assess different aspects of social problem-solving. The analogue task would theoretically be a measure of ability to generate solutions to a problem, the diary card would theoretically measure implementation of solutions in real-life, and the self-report measure …

You Are Resilient: Trauma-Informed, Strengths-Based Treatment For Low-Ses, Urban Youth, Courtney Molina

Dissertations

The focus in this review was to explore the benefits and optimal use of trauma-informed, strengths-based care for the therapeutic treatment of low-socioeconomic status (SES), urban youth. Specific focus was given to evidence-based research on the treatment of emotional and behavioral dysregulation among low-SES, urban youth. The review was guided by the following research questions: How can emotional and behavioral dysregulation be symptoms of trauma among low-SES, urban youth; What makes trauma-informed and strengths-based care optimal for the treatment of low-SES, urban youth with dysregulation; and What are clear guidelines for providing trauma-informed, strengths-based care to low-SES, urban youth with …

Social Deprivation And Solitary Confinement, Mallory Mccoy

Dissertations

Solitary confinement is one of the most enduring, severe, and restrictive prison practices that has been widely debated since its inception in the early 19th century. Across the United States, the development of supermaximum prison facilities and the use of solitary confinement have become foundational aspects of corrections. Despite the controversy surrounding solitary confinement, there has been a lack of empirical research in this area. This literature review attempted to further explore and advance the understanding of the potential harmful effects of solitary confinement on incarcerated individuals. Specifically, this review summarized what is currently know regarding the effects of social …

The Impact Of Social Media On The Self-Esteem Of Youth 10–17 Years Old: A Review Of The Literature, Jasmine M. Daniels

Dissertations

The world of technology has expanded quickly and vastly since its inception. The creation of social media sites and applications has changed the ways in which youth interact, connect, and share with one another. As the number of social media sites and applications increases, so does their use by adolescents. During adolescence, youth are undergoing the process of identity development and self-esteem is an important part of this development. During this developmental period, adolescents’ self-esteem is likely to be affected by the feedback they receive online through social media sites. There is limited research available that specifically evaluated the impact …

Exploring The Relationship Between Mindfulness, Self-Compassion, And Empathy In Student Therapists, Nicole Montes

Dissertations

Literature suggests that the practice of mindfulness may foster self-compassion within the practitioner. Mindfulness is also associated with increased empathy towards others. The current study explored the relationship between a mindfulness intervention and student clinicians’ levels of self-compassion and empathy towards a mock “client.” Graduate student clinicians were randomly assigned to two groups: one that participated in a mindfulness exercise then viewed a mock client video, and another that did not participate in the mindfulness exercise and went directly to viewing the mock client video. Participants’ levels of empathy towards the client and self-compassion were measured. The results revealed no …

A Parametric Analysis Of Opportunities To Respond On Academically Engaged Behavior, Morgan G. Mccargo

Dissertations

The purpose of this study was to evaluate the adequate rate of opportunities to respond (OTR) to provide to students that would result in the highest rates of Academically Engaged Behavior. This study utilized a parametric analysis to evaluate and assess the effects of altering the number of OTR provided per minute (i.e., 1, 3, 5) on academically engaged behavior, disruptive behavior, and passive off-task, as an antecedent intervention in a general education elementary school setting. An alternating treatments design was utilized with three treatment conditions. All treatment conditions were implemented in a predetermined pattern, meeting the standards of Kratochwill …

The Role Of Masculinity In The Development Of Capability For Suicide, Claire Houtsma

Dissertations

Males account for over two-thirds of suicide deaths annually. Additionally, more than 50% of American suicide deaths annually are firearm-related. Suicide risk is elevated within firearm owning households and men are more likely to own firearms, which suggests that male firearm owners are at disproportionate risk for suicide. Prior research has argued that certain stereotypically male traits (e.g., lack of help-seeking) may explain sex differences in suicide death; however, this remains a poorly understood phenomenon. Male gender norms (e.g. physical toughness, self-reliance) may contribute to the development or expression of capability for suicide, primarily through their impact on behavior. The …

Romantic Relational Aggression Among College Students: A Moderated Mediation Study Of Attachment Style, Romantic Jealousy, Mate Value, And Relationship Investment, Skylar Hicks

Dissertations

Most of the research on intimate partner violence has concentrated on overt physical and verbal aggression, and less is known about relational aggression in the framework of romantic relationships. Relational aggression is more prevalent in college students’ romantic relationships compared to physical aggression and may be a risk factor for intimate partner violence. Additionally, a number of adverse correlates have been associated with romantic relational aggression, suggesting that it is worthy of study independent of its association with intimate partner violence. The present study explored the relationships among adult attachment, romantic jealousy, mate value, relationship investment, and romantic relational aggression …

Student-Athlete Success: An Examination Of Parenting, Grit, Academic Success, And Mental Health Outcomes, Jackson Howard

Dissertations

Factors such as poor adjustment, substance misuse, and mental health concerns have been found to be detrimental to college student success. Considering this, researchers have focused on investigating protective factors, which may enhance performance in higher education. Specifically, non-cognitive traits, such as grit, or an ability to maintain determination and passion for long-term goals in the face of adversity, and positive parenting strategies, such as psychological autonomy granting, have been tied to positive outcomes for college students in higher education. Conversely, overparenting behaviors and negative outcomes, such as burnout, have been found to be damaging to student success. Student-athletes are …

Posttraumatic Stress Symptoms And Alcohol Outcomes: The Mediating Role Of Drinking Motives And Protective Behavioral Strategies, Hallie R. Jordan

Dissertations

The present study evaluated the sequentially mediating role of drinking motives (i.e. social, enhancement, coping, conformity) and alcohol protective behavioral strategy (PBSA) subtypes (i.e. serious harm reduction [SHR], stopping/limiting drinking [SLD], manner of drinking [MOD]) on the relationships posttraumatic stress symptoms had with hazardous drinking and alcohol-related negative consequences in college students. Participants were 492 (50.8% men) traditional age (i.e. 18 to 25 years old) college students reporting past 30 day alcohol consumption and the experience of at least one potentially traumatic event over their lifetime. Participants reported their gender and completed measures of posttraumatic stress symptoms, drinking motives, PBS …

The Mediating Effects Of Drinking Refusal Self-Efficacy On The Associations Between Alcohol Protective Behavioral Strategies And Alcohol Use Outcomes, Kray Scully

Dissertations

Alcohol use continues to pose a serious public health problem at universities across the U.S., largely due to the extent of consumption and frequency of negative consequences experienced among college students. Alcohol protective behavioral strategies (PBS-A) are an empirically supported repertoire of safe drinking behaviors college students can use to monitor and control their alcohol consumption as well as limit harm while drinking. However, there remains a need to better understand how cognitive mechanisms, such as drinking refusal self-efficacy (DRSE), help explain college student safe alcohol use behaviors to enhance evidenced-based intervention and prevention efforts. Recently, studies that examined the …