Clinical Psychology Commons^™

Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perinatal substance use (PSU) is a serious and growing public health concern. It is associated with a variety of adverse health outcomes for both mother and child and has been shown to negatively impact the parent-child relationship. Despite the growing prevalence of PSU, there are notable deficits in provider knowledge regarding, and comfortability with, PSU. Moreover, providers report feelings of judgment, resentment, fear, and hesitancy related to their work with women with PSU. Subsequently, women with PSU struggle to find appropriate, compassionate, and effective treatment for their substance misuse. Widespread and accessible training is needed to bolster provider knowledge base, …

An Examination Of The Relation Between Memory Self-Efficacy And Working Memory Within The Cognitive Reserve Framework, Genna Marie Mashinchi Ma

Graduate Student Theses, Dissertations, & Professional Papers

Dementia has been found to negatively affect multiple aspects of cognitive functioning. Despite an increasing prevalence of cognitive decline, many aging adults do not experience reduced cognitive functioning. The reason as to why some experience cognitive decline and others do not is still unclear. One leading theory thought to explain this phenomenon is the cognitive reserve theory (CR), which proposes that certain lifestyle factors (e.g., educational attainment, occupational attainment, and leisure activity participation) prolong one’s cognitive functioning and reduce the risk of cognitive decline. Memory self-efficacy (MSE), defined as one’s beliefs in their memory ability, was found to be positively …

The Effects Of Acculturation, Marianismo, And Religiosity On Pregnancy Related Anxiety In Latina Women, Jennifer M. Zanoli

Doctoral Dissertations

There is a dearth of information about pregnancy related anxiety (PRA) in Latina women, yet a growing body of literature demonstrates adverse birth outcomes for mother and infant due to PRA. This study examined the association between acculturation, religiosity, marianismo, parity, and a Latina pregnant woman’s relationship with her healthcare provider with PRA in Latina women aged 18 and above. Acculturation was expected to be the more robust factor amongst the independent variables.

Participants in this study (n = 53) were Hispanic, Chicano, Latino or had a Latin or Spanish heritage, over the age of 18, pregnant at the …

Dyadic And Ecological Associations With Intimate Partner Violence (Ipv): Using Hierarchical Linear Modeling To Differentiate Ipv From Community Crime, Rachel Carpenter

Electronic Theses and Dissertations

Research on intimate partner violence (IPV) and intimate partner sexual violence (IPSV) has largely focused on individual and dyadic-level risk factors, but recently studies have explored how the surrounding environment is associated with IPV/IPSV. Studies that have explored community-level variables typically only use IPV/IPSV samples and do not first compare indicators of IPV/IPSV to those of general crime in those same communities. To address these gaps, this study was conducted in two parts. Data were retrieved from the Tennessee Bureau of Investigation Reporting System, County Health Rankings and Roadmaps System, the US Census Bureau, and other sources. Study 1 first …

The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe

Expressive Therapies Capstone Theses

Within the last ten years research on art therapy and its positive impact on oncology patients’ stress and anxiety during treatment has been minimal. Oncology patients whether they are children or adults when diagnosed experience similar reactions due to their diagnosis, treatment, and in some cases end of life care. The current question is whether or not art therapy does have a positive impact on decreasing the stress and anxiety with oncology patients while undergoing treatment. Deane, Fitch & Carmen (2000), discussed art therapy as a healing art that is “intended to integrate physical, emotional, and spiritual care by facilitating …

The Association Between Psychotic Symptoms And Romantic Relationship Quality Among Young Adult Ethnic Minorites, Tashagaye T. Mckenzie

Doctoral Dissertations

This study aimed to examine the association between psychotic symptoms and the quality of romantic relationships amongst ethnic minority young adults. Approximately 10.4 million people, which represents 4.2% of the adult population in the U.S, are currently diagnosed with severe mental illnesses, including psychotic disorders. Prior research found that ethnic minorities, in general, have an increased risk of developing psychotic disorders such as schizophrenia. People with SMI generally have issues being and maintaining romantic relationships. However, being in positive romantic relationships is associated with better physical and mental well-being. The final sample size for the study consisted of 411 young …

Is It Good To Be Bad? The Potential Buffering Role Of Callous-Unemotional Traits On The Relationship Between Trauma And Juvenile Offending, Kathryn Anne Mcgill

Theses and Dissertations

Juvenile offending is prevalent, costly, and often difficult to intervene in. Although there are a multitude of factors previously studied that contribute to offending, researchers are still unable to pinpoint all possible variables contributing to juvenile offending. More so, of explored and accepted factors leading to juvenile offending, predictive ability of any specific factor leading to offending is still weak. Thus, study of specific predisposing factors leading to juvenile offending, as well as mediational or moderational variables, is needed. This study explores two previously studied variables in the pathway to juvenile offending: trauma and callous-unemotional traits. Novel study of the …

Understanding Resilience: Investigating The Relationship Between Risk Factors, Resilience, And Psychological Well-Being, Paulyna Schulz, Jisook Park

Academic Leadership Journal in Student Research

Adversity in life is rarely considered positive. Adverse events can increase stress levels and decrease psychological well-being. However, experience of overcoming hardship can be the start of developing psychological resilience in life. Resilience is known to help regulate negative emotions and provides protection to one’s psychological well-being. The current study focused on contributing to present literature by further investigating the role of resilience on mitigating the negative impact of stress on psychological well-being. In the current study, resilience is expected to positively influence the relationship between perceived stress and psychological well-being by negating the direct negative effect of stress on …

From Exploration Of Classism To Anticlassist Counseling: Implications For Counselors And Counselor Educators, Lucy Parker-Barnes, Suzanne Degges-White, David A. Walker, Scott Wickman, Bellamy Linneman, Courtney Rowley, Robert Giansante, Noel Mckillip

Journal of Counselor Preparation and Supervision

Classism is a recently studied, but historically present, form of oppression. Despite much attention to inclusion of underrepresented clients in counseling literature, there has been little focus on the presence of classism in academic settings. In an effort to close this gap, a study of 202 individuals, aged 18 to 38, was conducted to explore the relationships among perceived classism, ethnicity, and socioeconomic status. Only 4.5% of the participants had never experienced any incidents of classism. African American individuals were more likely to experience interpersonal classism and working class/poor individuals were more likely to experience interpersonal and systemic classism. Recommendations …

Adaptive Functioning And Autism Spectrum Disorder Symptom Severity In Childhood: Parent Perception Vs Clinician Rating, Corin Lillian Osborn

Theses and Dissertations

Autism Spectrum Disorder (ASD) is a neurocognitive developmental disorder that impacts over one percent of the population. As of 2016, one in 64 children were diagnosed with ASD by four years of age, with males receiving the diagnosis 3.5 times more often than females (Shaw et al. 2020). Research also indicates that ASD prevalence varies by socioeconomic status (SES) and race/ethnicity (Diguiseppi et al., 2016). These differences may be a result of differential access to resources, a connection between SES and race/ethnicity, measure sensitivity to child sex, cultural differences in sensitivity to symptomatology, or a true difference in ASD presentation. …

The Effects Of A Six-Week Mindfulness Intervention Designed For Adolescents On Emotion Regulation And Perceived Stress In College Students, Theodora Malinowski

West Chester University Doctoral Projects

College students are a vulnerable population to developing mental health problems. Without adequate emotion regulation abilities and adaptive coping skills to manage stress, college students are at risk of experiencing negative mental and physical health outcomes. Mindfulness has been shown to improve mental and physical health. Unfortunately, many mindfulness interventions are developed with the needs of adults in mind. Some features of common mindfulness programs, such as cost and required length of daily practice, make the interventions difficult for most college students to access. The present study investigated the effects of a six-week mindfulness intervention (Learning to BREATHE) that was …

Psychedelic-Assisted Therapy: Support For The Rebus Hypothesis And Its Application To Specific Psychiatric Illnesses, Wren Cilimburg

CMC Senior Theses

For centuries, psychedelic substances have been a part of human culture. Classic psychedelics such as LSD and psilocybin are characterized by their agonism of 5HT-2A receptors, and recent clinical trials have found that these substances hold great promise for treating mental disorders. Neurobiological evidence supports the recent theory that psychedelic-assisted therapy works by increasing neuroplasticity and allowing for the revision of maladaptive predictions. This theory is called the REBUS hypothesis, and it is situated within a predictive processing model of cognition. There is evidence that individuals with mental disorders such as depression, addiction, and eating disorders have a diminished ability …

The Association Of Blood Glucose With The Daily Self-Regulation Of Everyday Life Stress In Adolescents With Type 1 Diabetes, Laura Bethany Cohen

Graduate College Dissertations and Theses

Adolescents with type 1 diabetes must learn to balance the complexities of managing a chronic disease with managing non-disease-related experiences in their daily life that also contribute to stress. For example, in addition to diabetes management, these adolescents must also balance ongoing demands from everyday life stressors including school, social interactions, and home and family life. However, it remains unclear if daily diabetes management might contribute to experiences of everyday life stress. The present study assessed the association between daily everyday life stress and blood glucose regulation in adolescents with type 1 diabetes using both linear and nonlinear models. Thirty-nine …

With Liberty And Justice For All: Psychological And Functional Consequences For Service Members Acquitted Of Sexual Assault, Jamie Leavey

Antioch University Full-Text Dissertations & Theses

Policy makers are tasked with changing laws and improving systemic processes in response to evolving moral standards. As societal outrage grew regarding sexual assault in the military, those in power sought to balance what was perceived as a system that ignored, retaliated against, or unfairly burdened victims. However, as the pendulum swung toward victims’ rights and privileges, those accused of this crime inherited the burden of an imbalanced system. In the military context, the experience of the accused is impacted by the lack of separation between functional domains of life (e.g., work, home, community), multiple roles of military commanders (e.g., …

Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker

Antioch University Full-Text Dissertations & Theses

Autistic populations experience significant mental health challenges. A growing body of research supports addressing autistic mental health problems using the framework of minority stress theory, the social model of disability, and the neurodiversity paradigm (e.g., Botha & Frost, 2018; Cage et al., 2018). This quantitative study explored how identification with the neurodiversity paradigm versus the pathology paradigm related to mental well-being in autistic adults. Participants (N = 135) completed an online survey in which they rated their identification with autism descriptions representing both paradigms. Participants also completed measures of psychological distress, self-esteem, personal autism acceptance, and internalized autism stigma. Most …

The Impact Of Poorly Facilitated Anti-Racist Conversations, Brandon Kirkwood

Antioch University Full-Text Dissertations & Theses

It is well established that the graduate school experience is significantly different for students of color; on top of a rigorous training program, they face additional distinct challenges including racism, discrimination, and feelings of isolation. Insidious Trauma theory provides the framework for this quantitative exploration assessing the impact of poorly facilitated anti-racist conversations on the physical and emotional wellbeing of clinical psychology graduate students of color. George Floyd’s murder, among many other incidents of racial injustice, was a powerful catalyst that propelled academic institutions into action. Anti-racist dialogue became the intentional focus of graduate classes almost overnight. Well-meaning but insufficiently-prepared …

Examining The Relationship Between Non-Suicidal Self-Injury And Attachment Styles, Larissa Grundmanis

Antioch University Full-Text Dissertations & Theses

Non-suicidal self-injury, or NSSI, can be defined as the “intentional, self-inflicted destruction of body tissue performed without suicidal intent using methods that are not socially sanctioned” (Martin et al., 2017, p. 425). Lifetime prevalence has been found to be between 5.9% and 18% (Cassels et al., 2019; Klonsky, 2011), indicating that there is a need to understand NSSI so that individuals can be helped to reduce the frequency of their harming behaviors. There is reason to believe that one’s attachment style is associated with the engagement of NSSI (e.g., Wrath & Adams, 2019). Research shows mixed results regarding the types …

When The Bough Breaks: Alcohol Misuse Among Jamaican Young Adults, Marsha Smith

Antioch University Full-Text Dissertations & Theses

The incidence of alcohol misuse globally continues to be a significant problem with copious adverse health and social causes and implications. The prevalence of alcohol misuse in Jamaica, British West Indies, instigated the trifold objective of this study. The ecological systems model provided a framework for conceptualizing multilayered biological and social processes that interact to determine mental health. This study examined anxiety and depression, family structure, and perceived parental warmth and control as predictors of alcohol misuse among young adults ages 18 to 30 residing in Jamaica. The current study revealed a correlation between alcohol misuse and higher levels of …

Protective Behavioral Strategies And Negative Consequences Of Alcohol Use Among College Athletes, Nirmala Jayaraman

Antioch University Full-Text Dissertations & Theses

Alcohol use is associated with a variety of negative consequences among young adults (Benton et al., 2004). Current studies are considering how protective behavioral strategies (PBS), such as acting as a designated driver, alternating with a non-alcoholic beverage, or watching out for a friend at a party, can be analyzed to better understand what factors contribute to alcohol consumption and drinking behavior (Borden et al., 2011). The purpose of this study was to further understand the relationship between the use of specific protective behavior strategies and negative consequences related to drinking alcohol among college athletes. The present study used survey …

The Conditional Effects Of Emotion Regulation On The Relationship Between Occupational Stress And Suicidal Behaviors In Veterinary Students, Sara Carroll Johnson

Electronic Theses and Dissertations

Suicide is an area of increasing concern in the field of veterinary medicine. As veterinary students prepare to enter the profession and take on the unique stressors associated with this line of work, there is a need for models that identify protective factors for suicidal behaviors. Specifically, research is needed to identify factors that offset the relationship between occupational stress and suicidal behaviors. To better inform interventions designed to prevent suicidal behaviors in veterinary students, emotion upregulation and downregulation strategies were evaluated as potential moderators in the relationship between occupational stress and suicidal behaviors in a sample of veterinary students. …

Silver Linings Playlist: Exploring The Effectiveness Of Music As An Emotion Regulation Tool, Caitlin Fountain

Electronic Theses and Dissertations

Music not only entertains listeners, but it also evokes emotions and facilitates emotion regulation (Gabrielsson, 2001; Krahe & Bienick, 2012). Specifically, music helps listeners to express their emotions and alter their mood through cognitive reappraisal (Chin & Rickard, 2014; Witvliet & Vrana, 2007). Listening to music also enhances relaxation and reduces physiological arousal after experiencing a stressful event (Yehuda, 2011). Stress often involves an influx of negative emotions, which when left unmitigated, may result in fewer positive emotions, increased depression, and maladaptive coping (Flynn & Rudolph, 2010; Lazenby et al., 2019). While music appears to be an effective stress management …

An Intersubjective Approach To The Role Of Anger In Differentiation And The Development Of A Cohesive Self: A Case Study, Hannah Schriber

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The anger-turned-inward theory of depression has been extensively explored in psychodynamic literature. Still, little has been written about how modern relational approaches work with anger to aid patients in developing a healthy self-concept. This paper will first focus on a literature review of anger in Self Psychology and Intersubjective Systems Theory. These theories view anger as the manifestation of asserting one’s self after narcissistic injury. This paper will explore the relationship between anger and depression with an intersubjective lens utilizing the case study of Martha. Here I conceptualize depression as an introjective defense against misattuned early relational experiences. I explore …

Effects Of Perpetrator And Victim Gender, Rape Myths, And Report Timing On Blame Attributions Following Sexual Assault, Katherine E. Kennon

Electronic Theses and Dissertations

Previous research examined the effects of victim gender, perpetrator gender, and rape myth acceptance on victim blaming attribution; however, fewer studies explore victim and perpetrator gender at the same time, and even fewer studies examined the relevance of factors like timing of reporting (immediate or delayed) or rurality. The primary purpose of the study, therefore, was to explore the effect of victim gender, perpetrator gender, and report timing (same day vs. six months later) on victim blaming attributions. The study also examined the role of rape myth acceptance on victim blame and compared levels of rape myth acceptance across participant …

The Strong Families Program: Utility Of Telehealth Parenting Skills Psychoeducation, Grace C. Prosperi

Electronic Theses and Dissertations

Externalizing behaviors in children are a common problem experienced by many parents. If untreated, externalizing behaviors are associated with more serious consequences (Hann, 2012). Parents of children with behavior issues also report higher levels of stress (Dumas et al., 2009). Parenting stress is related to lower life satisfaction for parents and increased negative outcomes for children living in the home. Parent training programs, incorporating attachment building and discipline strategies, combat childhood externalizing behaviors in clinical settings. While reducing childhood externalizing behaviors is the main aim of parent training, there are other benefits to gaining parenting skills such as increased familial …

Toward A New Approach To Job-Related Distress: A Three-Sample Study Of The Occupational Depression Inventory, Renzo Bianchi, James Sowden, Jay Verkuilen, Irvin Sam Schonfeld

Publications and Research

The Occupational Depression Inventory (ODI) was recently developed to assess depressive symptoms that individuals specifically attribute to their work. One purpose of the ODI is to respond to limitations of current assessments of job-related distress, most notably, assessments relying on the burnout construct. In this study, we conducted a thorough examination of the psychometric and structural properties of the ODI using exploratory structural equation modelling bifactor analysis and Mokken scale analysis. The study involved three samples of employed individuals, recruited in France (N = 3454), Switzerland (N = 1971), and Australia (N = 1485). Results were consistent across the three …

Occupational Depression In Italy: Associations With Health, Economic, And Work-Life Characteristics, Renzo Bianchi, Caterina Fiorilli, Giacomo Angelini, Nicoletta Dozio, Carlo Palazzi, Gloria Palazzi, Benedetto Vitiello, Irvin Sam Schonfeld

Publications and Research

Background: The Occupational Depression Inventory (ODI) reflects a new approach to job-related distress centered on work-attributed depressive symptoms. The instrument was developed with reference to the characterization of major depression found in the DSM-5. The ODI has been validated in English, French, and Spanish. This study (a) investigated the psychometric and structural properties of the ODI’s Italian version and (b) inquired into the nomological network of occupational depression. Methods: A convenience sample of 963 employed individuals was recruited in Italy (69.9% female; mean age = 40.433). We notably relied on exploratory structural equation modeling bifactor analysis, common-practice …

African American Female Identified Therapists' Experiences Working Culturally Similar And Dissimilar Populations, Kimiko J. May

Doctoral Dissertations

African-American female-identified individuals continue to be one of the smallest subgroups of licensed therapists. However, this group continues to grow steadily and offer services to a broad array of clientele. While the aims of literature have grown to include populations that have been historically marginalized, the research surrounding African-American female-identified therapists is scarce. Deep understanding of their lived experiences while navigating the multifaceted nature of clinical work has been grossly overlooked. This study aimed to qualitatively analyze the lived experiences of African-American female-identified therapists who work with diverse populations using interpretative phenomenological analysis. Since the nature of clinical work is …

Developing Queer Faith: Exploring Experiences Of Cognitive Dissonance And Identity Integration For Lgbq Catholics Individuals, Kendal M. Vaarwerk

Doctoral Dissertations

While religion may be meeting existential needs, it may, at the same time, be asking the LGBQ youth to be someone different than who they are (Longo et al., 2018). LGBQ individuals experience severe cognitive and emotional consequences because of oppressive religious doctrine, including guilt, shame, self-loathing, and suicidal ideation (Schuck & Liddle, 2001). When LGBQ individuals are involved with religious belief systems that cast rejecting or disapproving messages about LGBQ individuals, these individuals often experience more internalized negative self-messages, as well as more significant challenges in developing and accepting one’s sexual identity (Page et al., 2013). Therefore, this very …

Personality Disorder Predisposing To Alcohol Dependence, Samarchitha S Ms., Venkatesh Babu Dr., Megha Sadashiv Dr., Sudeep Pk Mr.

Digital Journal of Clinical Medicine

No abstract provided.

Latent Profiles Of Psychopathic Traits Among Emerging Adult College Students: Functional And Dysfunctional Psychopathy And Related Outcomes, Lydia J. Stanhope

Theses and Dissertations

Psychopathy research continues to study the adaptability of psychopathic characteristics and differentiate between functional and dysfunctional features. The current study identified latent profiles in emerging adults and compared them across behavioral/cognitive correlates, functional outcomes, aggression types, and also examined gender differences. Results demonstrated that men scored higher across cold-heartedness and fearless dominance profiles, but not self-centered impulsivity. The low psychopathy group had lower proactive aggression than the high psychopathy group; no other differences were observed. Additionally, men and women in the high psychopathy group did not significantly differ regarding experienced outcomes. Lastly, higher psychopathy was not associated with higher proactive …