Clinical Psychology Commons^™

An Exploration Of The Effects And Clinical Presentations Of Premature Birth Within The Latinx Population, Diana Hill

Dissertations

There are roughly ten percent, or 15 million, preterm births every year across the world. Therefore, it is vital to understand the impact on their development across cognitive, academic, socioemotional, and behavioral levels. A vast amount of research has shown that children who are born prematurely are more at risk of facing challenges across various areas of their development. However, the majority of the research samples have been limited within their scope, leaving behind a gap in research focused on specific subgroups within the population. By delving into the unique context of the Latinx population, this study endeavors to shed …

A Review Of The Role Of Anxiety In Diagnosis Of Children And Adolescents With Autism Spectrum Disorder: A Paradigm Shift In Conceptualization And Diagnosis, Evan Wahlquist

Dissertations

Early evidence of co-occurring anxiety symptoms in children and adolescents with autism spectrum disorder (ASD) dates back to the first descriptions of ASD by Leo Kanner (1943) and Hans Asperger (Frith & Mira, 1992). While current research has identified anxiety disorders as one of the most prevalent co-occurring disorders in children and adolescents with ASD, little is known about the nature of the relationship between these disorders. In an effort to explain these high prevalence rates, recent research has started to investigate the relationship between these two disorders. To join these efforts, this clinical research project explored the role of …

Adverse Childhood Experiences(Aces) And Nonverbal Reasoning Skills, Monika Malinowska

Dissertations

Severe stress and interpersonal traumatic experience in childhood have a cascade effect on an individual's physical and mental health. There is evidence that people with complex adverse childhood experiences have diminished cognitive abilities. However, there are few studies on the effects of Adverse Childhood Experiences (ACE) on non-verbal reasoning skills. This study aimed to assess the relationships between ACEs, non-verbal reasoning skills, and academic achievement.

Evaluating Outcome Factors Of Childhood Emotional Neglect: An Exploratory Factor Analysis, Taylor Levitt

Dissertations

Experiencing childhood maltreatment has been shown to have major implications on adult outcomes. Less is known about the outcomes of childhood emotional neglect (CEN). The purpose of this study was to identify factors related to psychological outcomes of CEN within the domains of depression, anxiety, and alexithymia as a precursor to the development of an inventory. One hundred and fifty participant responses on the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Toronto Alexithymia Scale-20 (TAS-20) were collected. Exploratory factor analysis was conducted where nine factors yielded significant results and were titled, “Depressive Symptoms,” “Difficulty Identifying Feelings,” “Usefulness of …

Mothers' Perceptions Of Ability In Children With Intellectual Disability And Mother-Child Connectedness, Nikhita Moolayil

Dissertations

The mother-child relationship is important in the development of children, especially for children with intellectual disabilities who may have specific needs. Understanding the nuances, such as the closeness of the mother-child relationship for children with intellectual disabilities, is often overlooked even though more than 3 million children under 18 were reported to have an intellectual disability in 2019. Still, very few studies have focused on the relationship between mothers with children with an intellectual disability. With the rise in services provided due to developmental disabilities in children, there was a need to examine mothers’ perceptions of the ability level in …

Development And Initial Evaluation Of The Assessment Of Teacher Expectations And Practices (Atep), Kimberly Barajas

Dissertations

Teacher practices and expectations are important factors for students’ academic and behavioral functioning (Andersson & Palm, 2016; Oliver, Wehby, & Reschly, 2011; Rimm-Kaufman, Storm, Sawyer, Pianta, & LaParom 2006; Rubie-Davies, 2007; Sandholtz, 2011). The current measures available require a great deal of resources (i.e., time, money, personnel), have poor psychometric properties, or are not comprehensive (e.g., facets assessed; assessment of teacher practices for different grade levels). Given these concerns, the proposed study aimed to develop a psychometrically sound measure that is time and cost efficient and comprehensively assesses the multi-faceted construct of teacher practices. This measure is expected to allow …

Teacher Biases And Expectations: Impact On Self-Esteem, Self-Efficacy, Delinquent Behavior Among Black Grade School Students, Rhonda Lloyd

Dissertations

Black children and adolescents in today’s society face so many challenges that come about from the hands of authority figures in their life, their environment, the education system, and society as a whole. Through a critical review of literature, the author sought to answer three research questions: (1) What are the indications that teachers may be more biased toward Black students? (2) How do perceived teacher biases and discrimination impact the self-esteem and self-efficacy of Black students? (3) How are teacher bias and the school-to-prison pipeline connected? The literature review exposed a need for a teacher training model, which was …

Social Media, Bullying, And Preadolescent Eating Disorders: Psychoeducation And Prevention Model, Agnes Zalesna

Dissertations

The purpose of this theoretical project was to examine the available research surrounding preadolescent eating disorders with particular focus on prevalence and risk factors. The author proposed that social media and bullying should be considered as specific risk factors for this demographic in light of the increased media device use among children. Next, the author examined cognitive functioning, child development, and learning theories as they relate to the influence of social media an bullying on the development of eating disorders in children as well as current research on protective factors, prevention, programs, and treatment recommendations. Finally, the author proposed a …

Consistent Bedtime Routines Are Linked To Better Sleep Outcomes: Why?, Kristy Larsen

Dissertations

Results from nationwide studies estimate that between 81 and 95% of parents in the United States with young children use bedtime routines. This is auspicious given that the use of a consistent bedtime routine is linked with better sleep quality. Indeed, the use of bedtime routines has been determined to have “strong” empirical support for addressing bedtime behavior problems (e.g., bedtime resistance) and for improving children’s sleep. However, it is unclear how, or through what mechanism(s), that a consistent bedtime routine is associated with positive sleep outcomes. We evaluated compliance near bedtime and anxious distress at bedtime as possible mechanisms …

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 …

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 …

An Examination Of Parental Locus Of Control, Stress, Social Support, And Depression Among Parents Of Children And Adolescents With Intellectual Disabilities, Brandi Ellis

Dissertations

Caregivers (i.e., mothers and fathers) of youths with ID seem to be at a much higher risk of having symptoms of depression than caregivers of typically developing youths (Cantwell, Muldoon, & Gallagher, 2015; Giallo et al., 2015; Hu et al., 2010; Lee, 2013). A concurrent link has been found between parental locus of control (PLOC) and depression; however, there is a lack of support for a longitudinal association between these constructs among caregivers of youths with ID (Campis, Lyman, & Prentice-Dunn, 1986; Coyne & Thompson, 2011; Freed & Tompson, 2011; Lloyd & Hastings, 2009). Researchers have hypothesized that the lack …

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 …

Social-Ecological And Protective Factor Approach To Managing Parental Incarceration, Jacquelyn Harris

Dissertations

Mass imprisonment does not only impact the incarcerated individual; it also affects approximately five million children in the United States. Researchers identified and compare the impact of parental incarceration on child development. They acknowledged the protective factors across the lifecycle from a social-ecological perspective and specifically related to parental incarceration. The comprehensive literature review inspired an innovative model, the social-ecological and protective factor approach to managing parental incarceration. The primary goal of this model is to combat the detrimental effects of parental incarceration by identifying protective factors across the lifecycle and throughout the microsystem, mesosystem, and exosystem. This model is …

Exploration Of Factors That Influence The Use Of Psychological Testing In The Treatment And Evaluation Of Children: Development Of A Clinical Decision-Making Model, Joy Bui

Dissertations

Mental health disorders are on the rise among children. Within the field of clinical psychology, psychological testing is considered a professional competency and a formative diagnostic tool. Simultaneously, testing can help clarify differential diagnosis, guide treatment for both medical and mental health conditions, and provide accurate monitoring of treatment over time. Although there is substantial evidence supporting the use of testing in practice, there is limited scientific data linking these same benefits to the assessment process. One explanation for this is that studying psychological assessments is a challenging task, given the complexities of the process. Subsequently, many have described conducting …

Overparenting And Young Adult Narcissism: Psychological Control And Interpersonal Dependency As Mediators, Nathan Alexander Winner

Dissertations

Overparenting, or “helicopter parenting,” is a unique style of parenting characterized by parents’ well-intentioned but age-inappropriate over-involvement and intrusiveness in their children’s lives. Recent research has linked overparenting to the development of narcissistic traits in young adults, although the mechanisms of this relationship remain unclear. Two plausible mechanisms include the parenting behavior of psychological control and the increased interpersonal dependency of the child. Psychological control is a construct that overlaps with overparenting and has been linked to both dependent and narcissistic traits. Similarly, interpersonal dependency is a key predictor of narcissistic traits. Therefore, the present study sought to examine psychological …

Effect Of Attentional Focus On Learning And Performance In Youth Sports, Justin Wright

Dissertations

Youth athletes are different from adult and elite athletes in several domains that include cognitive resources, working memory, automaticity of motor movements, conscious control for propensity, attentional focus, and acquisition of motor-skills. Due to significant differences between athletes, not all instructions and feedback provided by coaches are best suited for every player. Instructions and feedback may direct an athlete’s attentional focus and cognitive resources incorrectly leading to poor acquisition and performance of motor-skills. Clinical psychologists with knowledge of motor-skill acquisition, cognitive resources, learning theory, conscious control propensity, automaticity of motor movements, constrained action hypothesis, and attentional focus can follow the …

Structural Model Of Child Routines And Self-Regulation In Relation To Parenting And Externalizing Behavior Problems In Young Children, Lovina R. Bater

Dissertations

The relationship between parenting practices and externalizing behavior problems in preschool children is well established; however, the mechanisms that explain this relationship are less understood. It is suggested that the structure and predictability created by child routines allow children the opportunity to become aware of and learn to regulate their behaviors accordingly, yet only a couple of studies have examined this relationship. Therefore, this study examined competing models (i.e., direct, indirect, and serial mediation models) to help determine which model captures the relationship between the variables of interest. It was hypothesized that each model would have good model fit but …

Parent Perception Of The Working Alliance, Parent Self-Efficacy, And Parent Locus Of Control As Predictors Of Child Therapy Outcome, Christopher Glenn Chandler

Dissertations

The purpose of this study is to examine the impact that parent-therapist working alliance, parent self-efficacy, and parent locus of control have on child therapy outcomes. Bordin’s model of the working alliance provides a framework for measuring the collaboration between the parents and therapists while Social Cognitive Theory informs the decision to assess parent self-efficacy and parent locus of control.

The research questions were as follows: 1) Does a strong parent and therapist working alliance, as perceived by the parent, predict improved outcomes in child counseling? 2) Does parent self-efficacy predict outcomes in child counseling? 3) Does parent locus of …

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

The Goal-Driven, Resilient, And Influential Teens Program In Kentucky High Schools: The Impact On Social And Emotional Learning And Influencing Factors, Brant Von Goble

Dissertations

In order to assess the effects of the Goal-driven, Resilient, and Influential Teens (GRIT) program on social and emotional learning and academic performance in high schools throughout Kentucky, data from several sources were compiled and analyzed. These sources included results from the Student Engagement and Performance (STEP) survey, an instrument developed by the Rock Solid Evaluation Team at Western Kentucky University and administered yearly to high school students and teachers, and school-level academic and socioeconomic data from the Kentucky Department of Education. Additional data on fidelity of GRIT program implementation were obtained from FranklinCovey, the GRIT program’s developer and publisher. …

Emotion-Related Factors As Mediators In The Relation Between Family Stress And Adolescent Externalizing Problems, Kristy Marie Disabatino

Dissertations

Adaptive regulation of emotions, maternal depression, parenting stress, and environmental stress have all been related to adolescent psychosocial outcomes. Considering these established relations, the current study examined serial mediation models in which it was hypothesized that (1) maternal distress or community stress (examined in separate models) would positively relate to adolescent externalizing behaviors directly and (a) indirectly through maladaptive maternal emotion socialization (ES) practices (i.e., magnify, neglect, and punish), (b) indirectly through adolescent emotion regulation (ER) difficulties, and (c) indirectly through both maternal ES practices and adolescent ER difficulties; (2) maternal distress or community stress would positively relate to adolescent …

The Role Of Parental Locus Of Control In The Relations Among Early Childhood Temperament, Parenting Practices, And Child Externalizing Behavior, Amanda Kathryn Stary

Dissertations

Child externalizing behaviors are a common reason for children’s referral for mental health services, and parenting practices are a primary target of efficacious interventions. In turn, child temperament and parent beliefs, such as parental self-efficacy and locus of control, relate to use of specific parenting practices. The present study aimed to evaluate whether parental locus of control and related components moderate the indirect effect of preschool-aged children’s temperament on their externalizing behaviors through parenting practices. Specifically, child temperament was expected to predict parenting practices only at certain levels of locus of control. Female caregivers of 146 children ages 3-5 years …

Cybervictimization As A Predictor Of Aggression And Cyberbullying Among Adolescents: Examination Of Potential Risk And Protective Factors, Laura Ashley Cook

Dissertations

The current study examined how cybervictimization is related to aggression outcomes among adolescents. The current study also examined various potential risk and protective factors, including depressive symptoms, anger rumination, impulsivity, social support, and gender. It was hypothesized that the relation between cybervictimization and aggression or cyberbullying would be intensified when levels of depressive symptoms, impulsivity, and anger rumination were higher and that the relation between cybervictimization and aggression or cyberbullying would be attenuated when levels of social support were higher. Gender was examined as a research question, with no specific directionality hypothesized. The data for the current study were collected …

Assessing The Effectiveness Of A Picture Exchange Communication System On Increasing Manding And Vocal Speech In Identical Twin Adults With Autism, Laura C. Hilton

Dissertations

This study examined the effectiveness of a Picture Exchange Communication System (PECS) on increasing manding (i.e., making requests) and spontaneous vocalizations. Participants were a set of identical twin adult women, both with a diagnosis of autism. The main dependent variable was the number of mands emitted by the participants while utilizing PECS. During each phase of training, participants had to meet a specific criterion before receiving a preferred item. Once the participants met the criterion for each phase of PECS training, a new phase began. Spontaneous vocalizations were tracked during each phase of training to determine if, as previous studies …

The Impact Of Sleep Restriction (Nap Deprivation) On Preschool Children's (Aged 3-5) Emotional Response, Hui-Ya Gail Han

Dissertations

This study examined the effect of nap restriction on 3- to 5-year-old habitually napping children’s emotional responding. It was predicted that the intensity of emotional stimuli would moderate the relationship between nap restriction and the magnitude of emotional responding. Specifically, following nap restriction, the emotional responses to stronger stimuli would be amplified, while the emotional responses to weaker stimuli would be reduced. Emotional stimuli, were classified into four categories: strong negative, weak negative, weak positive, and strong positive. Facial electromyography was measured to reflect preschoolers’ emotional responses. The results indicated emotional responses to both strong negative and positive stimuli were …

Differences In Narcissistic Presentation In Abused And Non-Abused Children And Adolescents, Mallory Laine Malkin

Dissertations

The present study examined whether children and adolescents who have been victims of sexual or physical abuse report higher levels of narcissistic tendencies than children and adolescents who have not been victims of abuse. Inaddition to narcissism, internalizing symptoms, externalizing behaviors, and risky behaviors were evaluated, as such issues have been associated with both maltreatment (Baer & Maschi, 2003) and narcissism (Barry & Malkin, 2010; Bushman & Baumeister, 1998). One-hundred fifty- six (156) children and adolescents (100 females, 56 males) ranging in age from 8 to 17 (M = 12.90, SD = 2.66) were recruited as participants. The vast majority …

Examination Of The Pediatric Diabetes Routines Questionnaire In Adolescents: Development Of An Adolescent Self-Report Version And Confirmatory Factor Analysis, Jessica Sima Pierce

Dissertations

Previous literature suggests a positive relationship between general child routines and diabetes treatment adherence. However, research examining routines specific to the diabetes regimen is lacking. Recently, the Pediatric Diabetes Routines Questionnaire (PDRQ) was developed as a parent-report measure of diabetes-specific routines for children and adolescents with type 1 diabetes. Though the PDRQ has provided a means to measure routines specific to the diabetes regimen, limitations exist in regard to its use with adolescents. Thus, the goals of this study were to develop and evaluate a parallel adolescent self-report version (PDRQ: Adolescent; PDRQ:A) of the PDRQ and to examine the psychometric …

Motivational Interviewing Assessment And Behavior Therapy As A Stepped-Care Approach To The Treatment Of Adolescent Depression, Tanya N. Douleh

Dissertations

Depression is a significant public health concern with a lifetime prevalence of 24.01 for adolescents in grades 9-12 (Lewinsohn, Hops, Roberts, Seeley, & Andrews, 1993) and a point prevalence of 4-6% (Kessler, Avenevoli, & Ries, 2001). The risks associated with adolescent onset depression include comorbidity, depressive episodes continuing into adulthood, and suicidality. These risks make it imperative to develop effective treatments to address adolescent depression. Stepped care is an approach to treatment which involves treatment of illness using the least invasive measures first and moving toward more invasive treatment as indicated by ongoing assessment. Through a single-participant design, the current …

Trauma And Post-Traumatic Stress Disorder In Therapeutic Day School Students: Prevalence In This Population And Effective Treatment Programs, Monica Roberts

Dissertations

This survey-based, comparative study investigated the percentage of students at a suburban Chicago therapeutic day school who meet criteria for clinically significant levels of PTSD as compared to students in a general education setting. The directional hypothesis was that students placed at therapeutic day schools have a higher prevalence of PTSD than a general population of students. The method used was a survey assessment called the Child PTSD Symptom Scale (CPSS) given to 16 students at a suburban Chicago therapeutic day school. These CPSS scores were analyzed and statistically compared to CPSS scores of an already published study with students …