Clinical Psychology Commons^™

At-Risk Children: Adult Perception And Recognition Of Mental Health Concerns, Abby D. Lucas

Electronic Theses and Dissertations

Approximately 20% of children ages nine to 17 in the United States struggle with mental health concerns each year (Gamm et al., 2010). Early identification of child and adolescent mental health concerns is crucial for initiating treatment to prevent recurrence or persistence of pathology into adulthood (Logan & King, 2001). Children are primarily dependent upon adults in their lives (e.g., parents/caregivers, education professionals, healthcare providers) to recognize mental health concerns and seek services (Sayal et al., 2010). Providing these adults with guidance on how to appropriately identify and recognize these mental health needs in children is critical (Crouch et al., …

Behavioral Indicators Of Reflective Functioning In Mother-Child Dyadic Interactions, Rachel Clingensmith

Electronic Theses and Dissertations

Positive parenting practices and secure attachments are consistently linked to healthy child outcomes (Ainsworth & Bowlby, 1991; Waters et al., 2000). Research on cognitive processes that scaffold parental behaviors which contribute to secure attachment is an essential contribution to the literature, particularly given the potential for early intervention with at-risk families. Parental Reflective Functioning (PRF) is a construct of increasing interest which has been linked to secure attachments and positive child outcomes, with one commonly used self-report measure of PRF being the Parental Reflective Functioning Questionnaire (PRFQ; Camoirano, 2017; Clingensmith, 2021; Luyten et al., 2017). As such, the purpose of …

Embodied Fatness In Boys: A Critical Phenomenological Study, Sean Leadem

Electronic Theses and Dissertations

This dissertation was an exploratory study of experiences of fatness in boyhood using a hermeneutic phenomenological qualitative method. The author conducted in-depth, open-ended interviews with participants who identify as men and for whom fatness or related body-difference was an issue in childhood or adolescence to gather data on the meanings of fatness for boys and the men they become. Data analysis was organized around the existential dimensions of embodiment, temporality, and relationality. Themes emerging from this analysis included a) the discovery of fatness as ambiguous meanings mediated by others, b) fatness as a problem in a horizon that does not …

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 …

Validating An Internet Gaming Disorder Measure During Covid-19: Video Game Use, Distance Learning, And Impacts Of Covid-19 On Gaming Behavior, Christin Collie

Electronic Theses and Dissertations

For most students, playing video games is a popular, enjoyable activity to do in their leisure time. While many people play video games for fun, some do develop problems associated with their play. Excessive engagement in video game play can lead to significant impairment and clinically significant levels of harm. However, there are several important gaps in the research literature which limit understanding of potential harm. First, little is known about the gaming behavior of students, ranging from middle-school to graduate school, specifically as it relates to their reasons for playing video games and their time spent playing. Second, concerns …

Look, But Don’T Touch: Impact Of Covid-19 On The Nicu Caregiver, Rebecca C. Otwell-Dove

Electronic Theses and Dissertations

Admission of an infant into the neonatal intensive care unit (NICU) is an experience that has been associated with a variety of both positive and negative health outcomes for parent and child. While both the setting name and the admitted population alludes to a sole focus on the affected infant, what often remains underrecognized is the impact on the ones who care for the newborn long before and longer after their NICU stay. Given the recency and unprecedented impact of the COVID-19 pandemic, very little research has examined the impact of COVID-19-specific stress on the experience of parents of infants …

Co-Rumination, Romantic Relationships, And Depressive Symptom Development In Adolescence, Jessica L. Shankman

Electronic Theses and Dissertations

The present research aimed to better understand the associations among romantic involvement, co-rumination with friends, and depressive symptom development in a sample of 338 adolescents (ages 14-19 years). Using a multi-method, longitudinal study design, the present study examined whether co-rumination (self-reported and observed) mediated the relationship between romantic involvement and depressive symptoms over time. Next, analyses separately tested whether this process was further moderated by positive friendship quality, whether youth discuss romantic experiences during problem talk with friends, and/or gender. Analyses also tested whether romantic relationship quality among romantically involved youth influenced depressive symptoms over time via co-rumination.

Results supported …

Understanding Maternal Depressive Symptoms And Aggression In Young Children: An Affective Dyadic Systems Approach, Lerna Hanceroglu

Electronic Theses and Dissertations

Parent-child interactions have been examined to understand the trajectory of childhood aggression into adolescence and beyond. Maternal depressive symptoms have been considered as an influential factor in the development and continued trajectory of aggressive behaviours. In addition, aggressive children can influence maternal depressive symptoms and parenting behaviours that subsequently increase the risk of aggression in children. To understand the unique emotional patterns that occurs within parent-child interactions in these at-risk populations, the present study examined the relationship between maternal depressive symptoms and child aggression through a dynamic systems approach. Participants were 105 and mothers and their children aged 3 to …

Medication Versus Brain-Based Treatment: Evaluation Treatment Preferences Of Parents Of Children With Adhd, Rebecca Recio-Swift

Electronic Theses and Dissertations

Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental disorders across the world. Currently, treatment for ADHD mostly consists of either medication or behavioral therapy or a combination of both. However, research has shown that medication used as therapy for the treatment of ADHD has side effects which parents deem undesirable for their children. Therefore, recent research has focused on patient and parent preferences. Studies have found that behavioral or other treatment options may often be chosen over medications. These same studies have documented the characteristics of parents that prefer certain treatments for their children. The purpose of this …

The Resilience Of Female Survivors Of Intimate Partner Violence In Southwest Nigeria: An Interdisciplinary Analysis, Tobi F. Oloyede

Electronic Theses and Dissertations

Female survivors of intimate partner violence (IPV) in Nigeria endure harsh and traumatic experiences that affect their rights as women and their well-being. As the phenomenon of IPV persists in Nigeria, it is not only a family problem but a critical social and psychological problem. This study examined Nigerian female survivors’ hidden strength, agency, and resilience, rather than their powerlessness and vulnerability. Analysis of survey questionnaires, interviews, and secondary scholarship reveals that some Nigerian female survivors of IPV are able to cope whilst navigating stressful and traumatic experiences. The results also show that survivors’ ability to thrive and cope under …

Affective, Physiological, And Cognitive Response To Imagery- And Verbally-Based Rumination And Distraction In Adolescence, Hannah Lawrence

Electronic Theses and Dissertations

To date, rumination and interventions for rumination have largely been verbal in focus. Rumination has been conceptualized as dwelling on negative affect in the form of verbal thought, and interventions aim to interrupt cycles of rumination using verbal strategies. Yet, emerging evidence suggests that many individuals dwell on negative affect in the form of imagery (e.g., Lawrence, Haigh, Siegle, & Schwartz-Mette, 2018) and that imagery-based interventions may be even more effective (e.g., Arntz, 2012). This is not surprising as imagery is more affectively arousing (Holmes & Mathews, 2010), physiologically stimulating (Vrana, Cuthbert, & Lang, 1986), and realistic/vivid (Mathews, Ridgeway, & …

Fatalism As A Cultural Influence On Correlates Of Anxiety And Worry In Latino/A Adolescents., Judy Mier-Chairez

Electronic Theses and Dissertations

Evidence that Latino/as in the United States experience lower rates of anxiety disorders as compared to the non-Latino/a White population has not yet led to the identification of the sources of these differences. Higher rates of anxiety disorders among more acculturated Latino/a individuals compared to those lower in acculturation suggest there are influential cultural variables relevant to anxiety, specifically that there is a loss of a protective Latino/a cultural factor in the acculturation process. Fatalism, an often-cited Latino/a cultural characteristic, emerges as an intriguing candidate for exploration in relation to anxiety due to the shared elements of future orientation and …

Reactive And Regulative Temperament Dimensions, Emotion Regulation, And Concurrent Internalizing And Externalizing Pathology Among Youth With Adhd., Kirsten D. Leaberry

Electronic Theses and Dissertations

Emerging research has increasingly identified the detrimental effect of internalizing and externalizing comorbidity on the functioning of youth with Attention-Deficit/Hyperactivity Disorder (ADHD). Research in the broad child psychopathology literature has identified a variety of dispositional and developmental risk factors for psychopathology development in youth. However, a conceptual model of psychopathology development has yet to be developed and empirically evaluated in an ADHD sample. Children with ADHD may be particularly vulnerable to exhibiting high rates of psychopathology, given deficits in self-regulation prevalent in this population. The current study proposed and evaluated a theoretical model of distal and proximal risk factors for …

Xylo-Bot: A Therapeutic Robot-Based Music Platform For Children With Autism, Huanghao Feng

Electronic Theses and Dissertations

Children with Autism Spectrum Disorder (ASD) experience deficits in verbal and nonverbal communication skills, including motor control, emotional facial expressions, and eye gaze / joint attention. This Ph.D. dissertation focuses on studying the feasibility and effectiveness of using a social robot, called NAO, and a toy music instrument, xylophone, at modeling and improving the social responses and behaviors of children with ASD. In our investigation, we designed an autonomous social interactive music teaching system to fulfill this mission.

A novel modular robot-music teaching system consisting of three modules is presented. Module 1 provides an autonomous self-awareness positioning system for the …

Fostering Trauma-Informed Schools By Considering The Experiences Of Teachers In Working With Trauma-Exposed Students, Allison A. Stiles

Electronic Theses and Dissertations

High rates of trauma exposure among youth in the United States and the detrimental effects of trauma on students’ psychosocial and academic outcomes are well-established. Such findings have engendered the emergence of trauma-informed schools across the nation. While research regarding trauma-informed schools has understandably focused on the needs of students, shockingly little is known about teachers’ experiences in working with trauma-exposed students. In particular, very few studies have examined the relationship between teachers’ indirect exposure to student trauma and related symptoms of secondary traumatic stress (STS), as well as factors that may predict STS levels or explain variation in the …

Perceived Credibility Of Child Sexual Abuse Reporting, Bridget Lashbaugh-Barney

Electronic Theses and Dissertations

Understanding factors that could influence attitudes and beliefs regarding child sexual abuse may inform efforts to educate clinicians, legal and medical personnel, and even the public on potential sources of bias and barriers to treatment and other service utilization, particularly in rural communities. The purpose of the current study was to experimentally investigate the impact of child accuser age and gender and participant rural status on ratings of perceived credibility of child sexual abuse allegations described in vignettes. With this study, I aimed to not only clarify and update previous findings on accuser age and gender, but also to expand …

The Strong Families Program: Differential Impacts Of Resilience And Parent Management Training, Katie Slusher

Electronic Theses and Dissertations

Childhood behavior problems are pervasive with 50% of non-referred families citing noncompliance and behavior problems as an issue (Achenbach & Edelbrock, 1981). Many behavioral parent trainings (BPTs) treat these behaviors at an early age. Recently, adaptions to BPTs include group formats increasing accessibility and decreasing cost, especially for rural families with limited resources (Niec, Barnett, Prewett, & Stanley Chatham, 2016). Beyond BPTs, Alvord, Zucker, and Johnson Grados (2011) developed the Resilience Builder Program to enhance children’s social, emotional, and behavioral skills through a cognitive behavioral framework. The Resilience Builder Program improves anxious and depressive symptoms and reduces behavior problems in …

Adverse Childhood Experiences, Familial Emotion Socialization, And Adult Emotion Regulation: A Moderation Model, Rebecca Otwell-Dove

Electronic Theses and Dissertations

Adverse childhood experiences (ACEs) have been associated with maladaptive outcomes, including difficulties with emotion regulation (ER). ER difficulties, in turn, increase risk for experiencing physical and mental health problems. Parental emotion socialization is one factor that has been associated with ER skills across development. No known studies, however, have examined whether parental emotion socialization moderates the relationship between ACEs and ER difficulties. In the current study, undergraduates (N = 678) completed questionnaires about their history of ACEs, parental emotion socialization experiences, and current ER difficulties. Correlational results indicated a positive correlation between ACEs and ER difficulties. Results of the hierarchical …

Childhood Abuse, Religiosity, And Opioid Use: Findings From The National Epidemiologic Survey On Alcohol And Related Conditions Data, James E. Lewis

Electronic Theses and Dissertations

Religiosity is adopting a belief system surrounding concepts of purpose, meaning, and value through an institution that has already defined these concepts prior to the individual member attending and that member’s degree of participation. Religiosity does have protective factors against negative health outcomes. This protective influence was evaluated in this study. Data from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were examined to learn about the relationship between protective effects of religious participation on substance abuse, and whether this association weakened for individuals who have experienced higher levels of childhood abuse. A binary logistic regression …

Using The Coaching Approach Behavior And Leading By Modeling (Calm) Program To Examine Attachment And Parental Behaviors In Childhood Anxiety, Seana Bandi

Electronic Theses and Dissertations

Anxiety is one of the most common disorders in children that can often lead to detrimental outcomes. Empirically-supported risk factors for child anxiety include the child’s temperament and behavioral inhibition, insecure attachment, parental over-controlling behaviors, parental anxiety, and the impact of adverse life events on the child. Targeting these risk factors early on has the ability to lead to a decrease in anxiety symptoms later in adolescence and adulthood.

Evidence suggests behavioral, therapeutic interventions are effective for treating anxiety and other mood disorders for middle childhood and adolescents. Recent research has begun to focus on developmentally-appropriate adaptations for younger children …

Examining Links Between Social Anxiety And Relational Aggression In Adolescence: The Influence Of Rumination And Anger, Shannon L. Brothers

Electronic Theses and Dissertations

Social anxiety is linked to more covert forms of aggressive behavior, particularly reactive and relational aggression in early adolescent and young adult samples. Adolescents with social anxiety and those who engage in reactive relational aggression are also more likely to have difficulties regulating emotions (e.g., anger) and show maladaptive cognitive coping styles (e.g., rumination). The goal of the present study was to assess the relationship between social anxiety and reactive relational aggression in adolescents (14-17 years), combining the form and function of aggression, and to examine trait anger and anger rumination as underlying factors that may explain the relationship between …

Fear Of Missing Out, Social Media Abuse, And Parenting Styles, Kylie Richter

Electronic Theses and Dissertations

With the increasing rise in technology use, particularly engagement in social media, it is important for researchers to gain a better understanding of the usage patterns along with the antecedents and consequences of heavy social media usage. In addition to the rise in social media usage, a new anxiety driven phenomenon is storming the research world, FoMO (Fear of Missing Out). To date, there has been little empirical research on the relationship between social media usage and psychological adjustment. This study aimed to investigate the relationships between FoMO, social media abuse, and parenting styles. It is theorized that because FoMO …

Emotion Socialization And Families Of Children With And Without Adhd., Danielle M. Walerius

Electronic Theses and Dissertations

Emotional competence (EC) represents several distinct emotional skills found to be strongly associated with children’s socioemotional outcomes. EC is thought to develop through a process known as emotion socialization (ES), whereby children’s emotions and emotion-based behaviors are socialized through interactions with parents and/or other primary figures. The present study examined ES across families of children with and without ADHD in order to clarify the role ES plays in the development of EC in typically developing (TD) children versus children more prone to EC impairments due to intrapersonal characteristics (e.g., inattention, disinhibition, etc.). Forty-eight children 5 to 8-years-old (23 with ADHD, …

Examining Variables Associated With Age Of First Concern And Diagnosis In Children With Autism Spectrum Disorder, Amy Mathews Creel

Electronic Theses and Dissertations

Abstract

Autism Spectrum Disorder is a disorder that is present during a child’s early developmental ages; affects that child’s ability to communicate and socially interact with others; and involves the presentation of restrictive interests and/or repetitive behaviors. Autism Spectrum Disorder (ASD) symptoms/behaviors are recognized by parents and can be reliably diagnosed at age two but often are not diagnosed until after age four. Delay in diagnosis results in loss of important intervention services that can improve the well-being of children with ASD. This study examined ethnicity, severity of symptoms, and type of symptoms and their effect on the age at …

A Theory-Guided Investigation Of Proposed Factors That Influence The Relationship Between Cybervictimization And Psychological Adjustment In Late Adolescents, Melissa K. Hord

Electronic Theses and Dissertations

Cybervictimization is related to negative psychological adjustment (e.g., Tokunaga, 2010); however, not all cybervictims report negative outcomes, and it is not clear what factors may influence vulnerability. One possibility is that cybervictims’ attributions regarding technology-based communication impact their emotional adjustment. Those who make hostile intent attributions in ambiguous situations are more likely to experience negative outcomes (e.g., Crick & Dodge, 1994), and the inherent ambiguity of electronic communication may be particularly susceptible to misinterpretation. In addition, how individuals respond to cyber experiences may serve to either protect or damage their emotional well-being. Furthermore, those who are high in rejection sensitivity …

Who Done It? Rurality Vs. Ses As Critical Factors In Evaluating The Prevalence Of Child Psychosocial Concerns In Primary Care, Robert M. Tolliver

Electronic Theses and Dissertations

The purpose of this study was to evaluate the prevalence of child psychosocial concerns in rural primary care, hypothesized to be greater than national averages due to lacking mental health services in rural areas. This study was an examination of the role of SES, various definitions of “rural,” and the interaction of SES and rurality, in predicting parent-reported child psychosocial concerns in Appalachian primary care clinics. Caregivers presenting with their child at one of 8 pediatric primary care sites (n=2,672) were recruited to complete a measure assessing demographics and the Pediatric Symptom Checklist (PSC). Results showed that while rural status …

Adult's Perceptions Of Children's Aggressive Play With Advertised And Non-Advertised Toys., Lori J. Klinger

Electronic Theses and Dissertations

This study examined adults’ perceptions of aggression in toys and toy commercials targeted toward young boys. The subjects, 262 undergraduate psychology students, completed the Buss/Perry Aggression Questionnaire and rated either a videotape of 10 boy-oriented toy commercials or slides of 10 non-advertised boy-toys. Parental status, exposure to an advertised versus non-advertised toy, and level of self-reported aggression were assessed to determine their relationship to perceptions of aggressiveness in a toy’s image and predicted play with the toy.

Univariate analyses of variance and paired sample t-tests were conducted. The results indicate that toys advertised in commercials are judged to portray more …