Clinical Psychology Commons^™

Wicked Problems: Depression, Sebastian Wendolowski

English Department: Research for Change - Wicked Problems in Our World

Depression is a disorder that can affect anybody and is the leading cause of disability and disorders in the United States. This year, due to COVID-19, it has hit an all time high, affecting many more people. Suicide rates have been steadily growing across all ages, and this year is at a record high too, showing correlation with depression. There are two types of depression, major depressive disorder and chronic depressive disorder. Diagnosis of depression is typically done physically or through a questionnaire, which is compared into a DSM-5. There are many risk factors for depression and other common mental …

Empty Cribs: Infertility Challenges For Orthodox Jewish Couples, Itay Kohane

Antioch University Full-Text Dissertations & Theses

This dissertation discusses an issue that is of importance to many people throughout their lifetime—infertility. One in every eight couples (12%) is incapable of carrying a pregnancy to term after one year of natural attempts. This paper further examines the prevalence of infertility among couples, bringing into focus more common variables such as gender and age. But, going beyond these, the present study will demonstrate that other variables including stressors such as social factors, interpersonal dynamics, and personal judgment affect couples in a manner which indirectly reduces their chances of conceiving a child. This research will touch on a number …

A Randomized Controlled Trial: Attachment-Based Family And Nondirective Supportive Treatments For Youth Who Are Suicidal, Guy S. Diamond, Roger R. Kobak, E. Stephanie Krauthamer Ewing, Suzanne A. Levy, Joanna L. Herres, Jody M. Russon, Robert J. Gallop

Mathematics Faculty Publications

Objective: To evaluate the efficacy of attachment-based family therapy (ABFT) compared with a family-enhanced nondirective supportive therapy (FE-NST) for decreasing adolescents’ suicide ideation and depressive symptoms. Method: A randomized controlled trial of 129 adolescents who are suicidal ages 12- to 18-years-old (49% were African American) were randomized to ABFT (n ¼ 66) or FE-NST (n ¼ 63) for 16 weeks of treatment. Assessments occurred at baseline and 4, 8, 12, and 16 weeks. Trajectory of change and clinical recovery were calculated for suicidal ideation and depressive symptoms. Results: There was no significant between-group difference in the rate of change in …

Lending A Hand: Healthcare Cost And Treatment Impact Of Peer Recovery Services, A Review Of The Literature, Nicholas J. Bush

Senior Honors Projects

Background: In the United States, the need for mental health and substance misuse treatment has been on the rise leading to an increase in healthcare costs and a reduction in barriers to care. Recently, there has been a growing interest in implementing peer support services (PSS) to increase access to care, improve treatment outcomes, and reduce healthcare related costs, such as emergency room visits, psychiatric hospitalization, and crisis stabilization.

Aims: This Honors project reports on a systematic review of the literature on treatment outcomes associated with PSS in mental health and/or substance misuse populations. It reviews the evidence that PSS …

The Experience Of Relapse After Long-Term Sobriety And Subsequent Return To Sobriety, Bahram Edward Kaikhosrow Shahrokh

Antioch University Full-Text Dissertations & Theses

While psychiatric medications have been categorized as the same as substances of abuse in Alcoholics Anonymous (AA), medications for common medical disorders were not affected by this disapproval of medication. It may be time for a new dialogue (Woody, 2015). According to Gjersing and Bretteville (2018), there has been a concerning increase in overdose deaths in the last decade. This includes a threefold increase in overdose deaths from prescription narcotics and six-fold increase in overdose deaths from heroin in the United States. When prescription opioid users find difficulty in obtaining pills, they may move on to heroin, which is much …

How Eye Movement Desensitization And Reprocessing (Emdr) Trained Therapists Stabilize Clients Prior To Reprocessing With Emdr Therapy, Edward H. Brendler

Antioch University Full-Text Dissertations & Theses

Helping clients develop resources and stability required to tolerate reprocessing memories can be a considerable part of psychotherapy, particularly with clients who are suffering symptoms related to complex developmental trauma or cumulative multiple-event trauma. There is a paucity of research regarding how experienced EMDR Therapy practitioners experience helping their clients to develop resources required to tolerate reprocessing of trauma memories. This dissertation is an in-depth study of five participants, each a licensed mental health practitioner in the State of Washington, who are trained in EMDR and experienced working with clients who are suffering symptoms of trauma. Each participant was interviewed …

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 …

Distress Among Psychologists: Prevalence, Barriers, And Remedies For Accessing Mental Health Care, Kimberly Patterson-Hyatt

Antioch University Full-Text Dissertations & Theses

This study completed a critical review of psychologists’ mental health by developing a conceptual analysis based on the current empirical literature of the mental health needs of clinical psychologists. Distress among psychologists was explored by examining the following domains: (a) examining the prevalence of mental illness and psychological distress that exist among them, (b) examining the barriers they encounter to seeking treatment when experiencing this distress, and (c) reviewing current interventions and integrating remedies for access to mental health care that best meets psychologists’ needs. Results included several themes within each domain shaping a contextual picture of some of the …

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 …

The Impact Of Treatment Exposure, Trauma, And Caregiver Involvement In Therapy On Children's Response To Behavioral Treatment, Mindy R. Chadwell

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Early childhood represents a time period during of rapid growth and development including physical development, language and communication, autonomy, and a wide variety of self-regulation skills (Campbell, 2006; Egger & Angold, 2006). Children vary in the rates at which they achieve these skills and they may challenge their parents through behaviors such as noncompliance and temper tantrums (Butler & Eyberg, 2006). Failure for children to adequately develop these basic skills can contribute to the development of behavior problems that lead to persistent problems throughout life (Whittaker et al., 2011). This study examined three factors that influence young children’s response to …

Cognitive Behavior Therapy For Anxiety Disorders In Youth: Treatment Specificity And Mediation Effects, Ileana Hernandez

FIU Electronic Theses and Dissertations

The present study investigated the efficacies of Individual CBT (ICBT), Parent Relationship Skill Training (RLST, which targets increasing parental acceptance of youth and increasing autonomy granting) and Parent Reinforcement Skills Training (RLST, which targets increasing parental positive reinforcement and decreasing negative reinforcement). The specific aims were to examine treatment specificity and mediation effects of parenting variables. ICBT was used as a baseline comparison condition.

The sample consisted of 253 youth (ages 5-16 years; M = 9.38; SD = 2.42) and their parents. To examine treatment outcome and specificity, the data were analyzed using analysis of variance within a structural equation …

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 …

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 …

Social Cognition And Interaction Training (Scit) For Individuals With Schizophrenia Spectrum Disorders In Outpatient Treatment Settings, Petra Kleinlein

Department of Psychology: Dissertations, Theses, and Student Research

The role of social cognition in severe mental illness (SMI) has gained much attention, especially over the last decade. The impact of deficits in socio-cognitive functioning has been found to have detrimental effects on key areas of day-to-day functioning in individuals with SMI, such as gaining and maintaining employment and overall experienced quality of life. Treatment of individuals with SMI is challenging, as the presentation of individual signs and symptoms is rather heterogeneous. There are several treatment approaches addressing deficits ranging from broader social and interpersonal functioning to neurocognitive and more intrapersonal functioning. As research in the domain of social …

Neuropsychological Effects Of The Traumatic Stress Response In Sexually Abused Adolescents Throughout Treatment, Kathryn R. Wilson

Department of Psychology: Dissertations, Theses, and Student Research

Child maltreatment is a pervasive problem in our society that has long-term detrimental consequences to the development of the affected child such as future brain growth and functioning. The alteration of the biochemical stress response system in the brain that changes an individual’s ability to respond efficiently and efficaciously to future stressors is conceptualized as the traumatic stress response. The purpose of this research was to explore the effects of the traumatic stress response on sexually abused adolescents’ through a two-tiered study of neuropsychological functioning throughout treatment. It was determined that there are measurable differences in neuropsychological processing in sexually …