Clinical Psychology Commons^™

Approaches For And Barriers To The Long-Term Execution Of A Recovery-Oriented Rehabilitation Model Of Treatment In A Community Day Psychiatric Rehabilitation Setting, Sarah Fischer

Department of Psychology: Dissertations, Theses, and Student Research

This dissertation explores the process of creating, implementing, adapting and evaluating a program of care that is composed of specific program features that promote the acquisition of independent living skills, prosocial behavior, progress toward personal recovery goals, and more integrated community living. This program was created and implemented at a community mental health agency that provides integrated mental health care services for individuals with serious mental illness (SMI).

The goals of this dissertation were to (1) compare initial and long-term fidelity to the psychiatric rehabilitation model in order to establish the program’s ability to prevent drift, (2) explore the culture …

Symptom Presentation Of Sexually Abused Youth: Associations With Abuse Attributions, Brittany Biles

Department of Psychology: Dissertations, Theses, and Student Research

Child sexual abuse (CSA) outcomes are heterogeneous. Some victims display a combination of externalizing behaviors (e.g., aggression) and internalizing symptoms (e.g., depression), while others present with minimal symptoms (Domhardt, Munzer, Fegert, & Goldbeck, 2015). Among the factors that have been explored as relating to CSA outcomes are child characteristics (e.g., age; Dube et al., 2005), abuse-specific variables (e.g., abuse severity; Stroebel et al., 2012), and family variables (e.g., familial social support; Ryan, Kilmer, Cause, Watanabe, & Hoyt, 2000). Although much of the literature supports these factors as contributing to outcomes following CSA, conclusions have been inconsistent. Research has begun to …

Factors Associated With Return To A Child Advocacy Center For A Subsequent Sexual Abuse Allegation: A Longitudinal Analysis, Jessica Pogue

Department of Psychology: Dissertations, Theses, and Student Research

Child sexual abuse is a widespread problem impacting substantial numbers of youth (Finkelhor, Shattuck, Turner, & Hamby, 2014). There are many factors that make telling someone about sexual abuse difficult for children, which can mean disclosures are delayed and children are at-risk longer. After initial victimization, there is increased risk for children to experience subsequent sexual abuse victimization (Pittenger, Pogue, & Hansen, 2018). Using the framework of Bronfenbrenner’s bioecological model, the present study examined predictors to distinguish children who are at the highest risk of returning to a Child Advocacy Center (CAC) for a subsequent sexual abuse referral. It also …

The Wounded Warrior: Resilience Factors Minimizing Suicide Risk In Veterans With Posttraumatic Stress Disorder, Christina Hein

Department of Psychology: Dissertations, Theses, and Student Research

Veterans experience high rates of both posttraumatic stress disorder (PTSD) and suicidal behaviors when compared to the general public. Moreover, PTSD is a significant predictor of suicidal behavior among clinical and non-clinical adult populations. Joiner’s Interpersonal-Psychological Theory (IPT) of suicide (Joiner et al., 2005) identifies three etiological factors that greatly increase risk of suicide, with PTSD potentially increasing risk of suicide by exacerbating these three components of IPT. Conversely, prior work has also identified resilience factors that may serve to buffer against the risk of suicide, particularly by counteracting the three components of IPT. These resilience factors fall into primary …

Defining Dimensions In Schizotypy: Factor Structure Replication And External Validation Of The Schizotypal Personality Questionnaire – Brief Revised Updated (Spq-Bru)., Elaina Montague

Department of Psychology: Dissertations, Theses, and Student Research

Background: Schizotypy is a construct that captures quantitative dimensions of the psychosis continuum from clinical to non-clinical expressions. The purpose of this study was to determine the factor structure and criterion validity of a newly revised self-report measure, the Schizotypal Personality Questionnaire–Brief Revised Updated (SPQ-BRU; Davidson, Hoffman, & Spaulding, 2016) for predicting later cognitive-perceptual experiences in college undergraduates.

Method: The data analytic sample was comprised of 2,474 undergraduate students (female = 71.9%) attending a university in the Midwest. First, we aimed to identify a model of best fit by comparing latent measurement models of schizotypy using confirmatory factor analysis (CFA). …

Sleep, Executive Control, And Psychopathology In Children: A Longitudinal Study And An Examination Of Brief Sleep Treatment, Katherine M. Kidwell

Department of Psychology: Dissertations, Theses, and Student Research

Researchers have acknowledged that poor sleep is not merely a symptom of psychopathology but also a contributing factor to the development of psychopathology in children (Walker & Harvey, 2010). However, more research is needed to explicate the associations among sleep, executive control (EC), and psychopathology. Specifically, there are few studies using longitudinal designs and limited research on how treating sleep can improve mental health symptoms. This dissertation provides a conceptual framework for the associations among sleep, EC, and psychopathology. The conceptual framework is bolstered by two studies. Study 1 is an examination of early sleep problems and preschool EC as …

Predicting Sexual Revictimization In Childhood And Adolescence: A Prospective Examination Using Ecological Systems Theory, Samantha L. Pittenger

Department of Psychology: Dissertations, Theses, and Student Research

Child sexual abuse is a prevalent problem in the United States and is associated with revictimization: a victimization episode perpetrated by a different individual and occurring subsequent to initial abuse experiences (Barnes, Noll, Putnam, & Trickett, 2009). While evidence shows that 20-39% of sexual abuse victims report revictimization within childhood or adolescence, much of the research to date has focused on its occurrence in adulthood. Thus, there is a limited understanding of the pathways to revictimization and its associated outcomes for youth. The present study examined predictors of sexual revictimization within childhood and adolescence using ecological theory, which includes individual, …

Exposure And Responses To Pre-Incident Behavior In A College Student Sample, Brandon A. Hollister

Department of Psychology: Dissertations, Theses, and Student Research

Campus threat assessment has included gathering, assessing, and intervening in situations with pre-incident behavior. However, with limited general population examination, concerns regarding the prevalence, assault correspondence, and reporting of pre-incident behavior exist. With an undergraduate student sample (n = 1,063), this dissertation utilized a survey regarding exposure and response to campus safety concerns. In comparison to students not witnessing concerns, students seeing problematic behavior had higher self-reported antisocial history and campus connectedness. Students witnessing physical assault were more likely to see multiple pre-incident behaviors, multiple incidents of pre-incident behavior, threatening statements, and threatening gestures from the perpetrator than students witnessing …

A Comparison Between Telehealth And Face-To-Face Brief Alcohol Interventions For College Students, Sarah Christine King

Department of Psychology: Dissertations, Theses, and Student Research

Problematic alcohol use is a common occurrence among college students. While empirically supported interventions exist, their access is typically limited to those who attend large universities. In the health care field there has been an expansion of services provided via telehealth to increase client access to treatment. However, the evidence is mixed regarding the effectiveness of face-to-face versus telehealth interventions and there is a gap in the literature regarding the use of telehealth interventions for brief alcohol interventions in college students. As such, the purpose of this study was to test the effectiveness of a well-validated brief alcohol screening and …

Avoidance As An Explanatory Mechanism For Poor Outcomes In Treatment For Substance Use Disorders, Andrew Oakland

Department of Psychology: Dissertations, Theses, and Student Research

Substance use disorders (SUDs) are prevalent and lead to significant impairments in people's lives in a variety of ways. One area which has gained attention is that of SUDs and their high comorbidity with mood and anxiety disorders. Many theories exist as to why these conditions often occur together, and the self-medication hypothesis is one that has perhaps the most research and general support behind it. The self-medication hypothesis states that individuals use substances to reduce negative affect which creates a feedback loop of negative reinforcement. Individuals then develop problematic substance use in addition to emotional dysregulation. One recent theory …

Self-Protective Behaviors And Campus Threat Assessment, Sarah Hoff

Department of Psychology: Dissertations, Theses, and Student Research

Extreme acts of targeted violence on postsecondary campuses have prompted many institutions to commit more resources to increasing safety while maintaining an open and creative environment. Investigations after incidents of targeted violence on campuses have identified pre-incident behaviors, or “red flags,” that were observed before the perpetrator engaged in violence. Threat assessment is a proactive approach to preventing acts of targeted violence that was initially developed by members of the United States Secret Service (USSS), and has since expanded into the context of postsecondary campuses. Research has shown some individuals may engage in self-protective behaviors in order to reduce their …

Premature Termination Of Outpatient Psychotherapy: Predictors, Reasons, And Outcomes, Kristin N. Anderson

Department of Psychology: Dissertations, Theses, and Student Research

Premature termination is a pervasive barrier to effective implementation of outpatient psychotherapy that frequently results in decreased treatment gains for clients and lowered morale for therapists. Unfortunately, despite its high prevalence and cost, premature termination remains poorly understood. The current study addressed some gaps in the literature using a national online survey design that permitted investigation of a broader range of potential predictors, exploration of more specific reasons for premature termination, and examination of longer term treatment outcomes than has been possible in most previous research. Participants were 278 workers from Amazon.com’s Mechanical Turk, an online labor market regularly used …

Effects Of Alcohol Intoxication And Neurocognitive Processing On Intimate Partner Aggression, Rosalita C. Maldonado

Department of Psychology: Dissertations, Theses, and Student Research

Intimate partner aggression (IPA) is a serious public health concern that occurs with alarming frequency, results in both physical and psychological harm to victims, and costs billions of dollars per year due to healthcare costs and loss of productivity. These adverse consequences highlight the need to understand risk factors of IPA perpetration. Attempts to identify these risk factors have focused mostly on broad factors that may predispose someone to perpetrate aggression, including individual demographic and dispositional characteristics (e.g., low socioeconomic status, psychopathy). Although valuable, this knowledge cannot reveal the specific circumstances that may prompt an individual to perpetrate aggression against …

Event-Related Potential Correlates Of Social And Nonsocial Cognitive Processes Related To Schizotypy, Charles A. Davidson

Department of Psychology: Dissertations, Theses, and Student Research

Social cognitive, neurocognitive, and social functioning research in serious mental illness (SMI) have recently proliferated. Their synergy requires translational bridges to applied research. This project aims to develop a measurement protocol capable of measuring independent components of social cognitive and neurocognitive brain functioning. These brain processes should each vary systematically with schizotypal traits whose extremes represent core elements of psychotic disorders. The measurement technology must be affordable, efficient, and acceptable for use in clinical settings.

An ERP protocol was developed that incorporates an array of candidate measures. The stimuli consist of emotional (angry and happy), neutral, and scrambled (non-face comparison) …

The Effects Of Alcohol Intoxication And Cognitive Emotion Regulation Strategies On Lab-Based Partner Aggression, Laura E. Watkins

Department of Psychology: Dissertations, Theses, and Student Research

Intimate partner aggression (IPA) is a serious national health concern that affects an alarming number of individuals and can lead to substantial psychological and physical suffering. Situational risk factors that arise in the immediate context of IPA reflect state-like influences that trigger aggression. Because these factors are more variable and fluctuate according to the situation, they are potentially promising targets for prevention and intervention efforts (e.g., through cognitive and behavioral interventions). Within this realm, two factors in particular appear to play a prominent role in the etiology of IPA: alcohol intoxication and cognitive emotion regulation strategies. In contrast to prior …

Peer Support For Consumers With Psychosis, Elizabeth Ann Cook

Department of Psychology: Dissertations, Theses, and Student Research

The purposes of this project were: 1) to collaboratively adapt an existing cognitive-behavioral intervention for consumers with serious mental illness (SMI) so that it could be provided by peers, and 2) to evaluate the feasibility of the resulting group intervention and perform a preliminary analysis of its effectiveness. Focus groups consisting of 7 consumers with SMI and 9 peer providers assisted in the determination of group content and structure. Results from the focus groups suggested significant overlap between topics covered and educational strategies utilized in traditional psychosocial interventions and preferences for the peer-based group. However, participants expressed a preference for …

Sexual Victimization History And Visual Attentional Bias For Emotional Pictures In College Women, Renu A. Thomas

Department of Psychology: Dissertations, Theses, and Student Research

Various traumatic experiences and post-traumatic stress disorder (PTSD) are associated with biased attention toward trauma-related information. However, few studies have exclusively investigated such biases in sexual victimization survivors or identified factors that influence this relationship between sexual victimization and biased attention. Using eyetracking methodology, the current study attempts to delineate attentional patterns in sexually victimized and non-victimized undergraduate women, using viewing of different emotional picture pairs. This study also aims to assess the impact of PTSD symptomatology on the relationship between sexual victimization and greater attentional bias. Finally, the study explores changes in attention toward trauma-related stimuli among survivors by …

Depression And Diabetes Comorbidity: Psychotherapy Treatment Preferences Among A Predominantly Mexican Sample Of Primary Care Patients With Diabetes., Maria José Herrera

Department of Psychology: Dissertations, Theses, and Student Research

Depression and diabetes are highly comorbid problems yet their conjoint treatment, particularly the use of evidence based psychological treatments among diabetics, warrants further research. Specifically, little is known about the treatment of depression among diabetic Latinos, one of the fastest growing populations with comorbid depression and diabetes. Because of this scarce research among Latino diabetics, the present study aims to test whether educating Latino diabetics about treatment options for depression would differentiate their choice of one treatment over the other. Secondary aims were to investigate the degree to which cultural, depression, and diabetic factors differentiated treatment choice. Thirty two participants …

Targeted Threats: An Examination Of Thematic Content And Approach Behavior Displayed By Mentally Ill And Non-Mentally Ill Contactors, Charles D. Darrow

Department of Psychology: Dissertations, Theses, and Student Research

Threat assessment involves a set of investigative and operational techniques used to identify, assess, and manage the risks of targeted violence and other problematic approach behavior. The threat assessment approach continues to be refined through empirical research conducted in an effort to identify and better understand the risk factors for engaging in such behaviors, which accounts for the transition to a more dynamic evaluative process. Pertinent is the examination of thematic content utilized by subjects who engage in threatening behavior toward identifiable victims. In targeted threat assessment, thematic content examination involves the analyses of what the threatening individual is saying …

Social Affiliation: A Model Of Anxious Avoidance In Women, Milena Stoyanova

Department of Psychology: Dissertations, Theses, and Student Research

There is substantial evidence demonstrating that women experience greater anxiety and fear compared to men. However, our understanding of specific factors accounting for women’s greater vulnerability remains rather limited. Taylor and colleagues (2000) proposed that women may have a different biobehavioral response to stress, which has evolved to protect and nurture offspring. The tend-and-befriend model provides new opportunities to explore underlying processes that may contribute to women’s greater anxiety and fear.

The present study examined women’s stress response combined with the absence of positive social contact as it relates to the presentation of fear and anxiety. One hundred and seven …

Pathways To Social Functioning Via Emotion Regulation In People With Serious Mental Illness, Hayden C. Bottoms

Department of Psychology: Dissertations, Theses, and Student Research

Recent research on social cognitive deficits associated with serious mental illness (SMI) has demonstrated a range of emotion processing difficulties, from emotion perception to emotion regulation. Whereas emotion perception deficits are well documented in this population, little is understood about emotion regulation and the relationship of emotion regulation to other abilities and impairments.

Method. Participants included 41 individuals with SMI recruited from a day rehabilitation program. Assessments included a range of functional domains, including symptom severity, neurocognition, social cognition, emotion regulation, and social functioning.

Results. Emotion dysregulation was hypothesized to be associated with more severe positive symptoms, poorer neurocognitive …

Emotional, Social, And Cognitive Correlates Of Stalking And Intrusive Harassment., Allissa Marquez

Department of Psychology: Dissertations, Theses, and Student Research

Although stalking has been recognized as social problem for the last twenty years, few studies have examined the treatment needs or effectiveness with these persistent offenders. The dearth of information on appropriate intervention is in part related to the difficulty of operationalizing stalking behavior in empirical studies. Accordingly, the present study sought to examine clinically relevant indicators of functioning using both categorical and continuous definitions of stalking behavior. Two hundred and fifty male prisoners were surveyed about their engagement in intrusive and aggressive behaviors during a significant conflict, as well as their social, emotional, and cognitive functioning. Results indicated quantitative …

Psychotherapy Clients’ Online Behavior And Opinions Regarding Internet Searches Conducted By Therapists, Emily B. Gale

Department of Psychology: Dissertations, Theses, and Student Research

The Internet has become possibly the most popular medium to find information and communicate in our society. For the field of psychology, the Internet offers a new way to collect data and communicate with both study participants and, for practicing psychologists, possibly clients. Little is known, however, about the implications of interacting with clients online. The existing empirical studies in this area (DiLillo & Gale, 2011; Lehavot, Barnett, & Powers, 2010; Taylor et al., 2010) have focused on psychology graduate students’ actions online. These studies highlight the importance and paucity of research regarding the online behaviors of psychotherapy clients and …

The Role Of Engagement Across Conceptually Distinct Treatment Elements For Social Anxiety Disorder, Timothy M. Emge

Department of Psychology: Dissertations, Theses, and Student Research

There are currently several efficacious treatments for social anxiety disorder (e.g. exposure therapy and cognitive therapy). Each of these treatments is thought to reduce symptoms of social anxiety by disrupting maintenance mechanisms of the disorder, yet mechanism of change research has not supported this view. The current study compared components from each therapy modality in order to better understand why symptoms reduce similarly between conceptually distinct treatments. Participants with high social anxiety were randomly assigned to give a speech with cognitive restructuring and engagement-enhancing procedures, cognitive preparation and video feedback, or a speech alone. Self-ratings of speech performance, confidence in …

Dimensions Of Individuals' Judgements About Sexual Attraction, Romantic Attachment, And Sexual Orientation, Luis F. Morales Knight

Department of Psychology: Dissertations, Theses, and Student Research

Despite 150 years of scientific interest in sexual orientation, contemporary investigators grapple with a number of serious difficulties. A precise, unified definition of sexual orientation appropriate for scientific use continues to elude researchers, most likely because there is still no single coherent theory of sexual orientation. This lack impedes research into the measurement of sexual orientation. Existing measurements of sexual orientation rely on partial or incompletely empirical research. The present study identified promising avenues for development of credible definitions, theories, and measurements of sexual orientation: (a) mate-selection tasks; (b) the idea that bisexually-identified individuals place a lower priority on partner …

Interpersonal Aggression Perpetration: Static And Emotion Regulation Risk Factors, Jill Panuzio

Department of Psychology: Dissertations, Theses, and Student Research

Intimate partner aggression (IPA) is a serious public health problem for both men and women in the United States. With aspirations of alleviating the significant negative effects of IPA, a substantial body of literature has been devoted to uncovering risk factors for IPA perpetration. Much of this research has focused on static, or relatively stable, factors that may influence IPA, such as life stress, distress tolerance, rumination, and jealousy. However, considering situational variables that influence individuals more proximally to aggressive acts, in conjunction with these static factors, may provide more precise prediction of partner aggression. Current theoretical and empirical work …

Visual Attention And Social Anxiety: Oculomotor Behavior When Threatened, Jacqueline S. Singh

Department of Psychology: Dissertations, Theses, and Student Research

A growing theoretical and research literature suggests that trait and state social anxiety can predict attentional patterns in the presence of emotional stimuli. The current study addressed some inconsistencies and gaps in the literature using eye tracking methodology. Participants with high and low trait social anxiety were randomly assigned to either give a speech or to watch a video of another individual delivering a speech (state social anxiety manipulation). Next, participants were asked to engage in a free view task in which pairs of emotional facial stimuli (angry-happy, angry-neutral, or happy-neutral) were presented for 3 s. Eye movements were monitored …

Exploratory Analyses Of A Developmental Conceptualization Of Insight And Treatment Outcomes Of Individuals With Serious Mental Illness In Psychiatric Rehabilitation, Ashley R. Wynne

Department of Psychology: Dissertations, Theses, and Student Research

The purpose of the present study was to further examine the relationship between adolescent psychiatric pathology and SMI by assessing the relationship between prior mental health services before the age of 18 and time of assessment on people’s insight into their illnesses. A secondary relationship between adolescent psychiatric pathology and functioning in a variety of domains before, during, and after treatment was assessed. Overall, there was an inconsistent pattern of results and partial support of hypotheses. The current study was a retrospective longitudinal study in which assessments were given to 308 participants in an inpatient psychiatric rehabilitation unit every 6 …

Child/Adolescent Sexual Abuse And Alcohol: Proposed Pathways To Problematic Drinking In College Via Ptsd Symptoms, Emotion Dysregulation, And Dissociative Tendencies, Alicia K. Klanecky

Department of Psychology: Dissertations, Theses, and Student Research

Research has discussed the use of alcohol to self-medicate posttraumatic stress (PTSD) symptoms following child/adolescent sexual abuse (CASA). Less research has examined the self-medication hypothesis in college students. Further, investigation of the self-medication hypothesis generally precludes the integration of additional psychological vulnerabilities that may impact students’ alcohol consumption. Supported by the “dynamic” stress-diathesis perspective, emotion regulation (ER) difficulties and insufficient dissociative tendencies existing prior to and potentially altered after CASA exposure may relate to problematic alcohol use. The current study aimed to provide an initial, cross-sectional examination of 1) the relations between CASA exposure severity and alcohol use, 2) the …

Reassessing The Architecture Of The Health Beliefs Models In Low-Income Diverse Families, Krista B. Highland

Department of Psychology: Dissertations, Theses, and Student Research

Health beliefs contribute to health outcomes. These health beliefs extend to include health beliefs parents have regarding their children’s health. However, the role of parental health beliefs remains unexplored among a low-income population. This study aims to assess these beliefs and the effects they have on child health. Furthermore, this study aims to delineate potential belief differences between socioecological-level groups (e.g. population density, Latino identification, and insurance coverage). The long-term goal is to understand the relationships among various personal health beliefs and parental health beliefs, psychosocial factors, community factors, cultural factors, organizational factors, and healthcare perceptions among this at-risk population. …