Clinical Psychology Commons^™

Relationships Between White Psychology Trainees’ Multicultural Competence And Racial Affect In The Pandemic, Daniella L. Colb

Antioch University Dissertations & Theses

In this dissertation, I used an exploratory research approach to examine White psychology trainees’ affective responses to race-related material and how they relate to trainees’ self-perceived levels of multicultural competence amidst the COVID-19 pandemic and the rise of the Black Lives Matter movement. Participants completed self-report instruments about their experiences and identities, their affective responses to racial content, and their grasp of facets of multicultural competence. Significant correlations were found between affective responses—specifically White guilt and negation—and multicultural competence. The relationship found between White guilt and multicultural competence may speak to the power of guilt to motivate trainees’ pursuit of …

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …

College Students’ Loneliness, Feelings About Social Media, And Depressive Symptoms During Covid-19: Between And Within-Person Temporal Associations, Karen Kochel, Catherine L. Bagwell, Samara Rosen

Interdisciplinary Journal of Leadership Studies

During COVID-19, many institutions of higher education implemented health protocols that reduced college students’ in-person interactions and prompted an uptick in their social media use. Although social media has often been implicated in the development of psychosocial difficulties, we tested an alternate hypothesis – that, during the pandemic, students’ feelings about social media for interpersonal connection (i.e., FSMIC), would contribute to reductions in loneliness and depressive symptoms. To investigate temporal associations between loneliness, FSMIC, and depression, we estimated random-intercept cross-lagged panel models (RI-CLPM), permitting the disaggregation of between- and within-person effects. Participants (N = 517 undergraduates, M_age = …

Entering Terra Incognita: Adapting Psychotherapists To Work During The Covid-19 Pandemic, Monika Zielona-Jenek, Agnieszka Izdebska, Emilia Soroko

The Qualitative Report

Sudden historical events, such as the COVID-19 pandemic, may critically change the circumstances in which psychotherapy is conducted. The objective of this study was to analyze Polish psychodynamic psychotherapists’ experiences of working with patients at the onset of the pandemic and hence to understand the process of their coping with the external reality challenges. 183 Polish psychotherapists (160 women and 23 men) aged 26-66 years (average 38) completed a survey about their therapeutic work during the COVID-19 pandemic. Data were analyzed in accordance with Braun and Clarke’s thematic analysis framework. Five general themes were identified: (1) Facing a taboo; (2) …

The Influence Of Minority Stress, Coping, And A Pandemic On The Relationship Between Sexual Orientation And Mental Health: A Mixed Methods Study, James Michael Macchia

Psychology Theses & Dissertations

For decades, scientific literature has shown that sexual minority individuals across populations are disproportionately affected by negative mental health outcomes when compared to their heterosexual counterparts. These disparities are largely attributable to minority stress. Coping is a significant factor that can impact the content and severity of mental health outcomes and coping behaviors have been shown to vary based on sexual orientation. Mental health outcomes may also differ between sexual minority subgroups due to additional factors such as double discrimination and bisexual invisibility/erasure. Moreover, factors such as internalized homophobia and community connectedness have demonstrated strong associations with sexual minority mental …

A Pandemic’S Potential To Haunt: A Longitudinal Look At The Professional Wellbeing Of Tn’S Infant And Early Childhood Mental Health (Iecmh) Workforce, Robyn A. Dolson

Electronic Theses and Dissertations

Infant and Early Childhood Mental Health (IECMH) providers engage in uniquely relational work with high-risk families that expose them to the full advantages (i.e., compassion satisfaction [CS]) and disadvantages (e.g., burn-out [BO]) of a helper role. Though the pandemic seemed poised to escalate disadvantage, most early pandemic studies found high CS alongside elevated BO. Unfortunately, as COVID-19 has continued, CS has declined while BO has increased. Given the delayed COVID-19 impact on children, these changes may be particularly acute for IECMH providers. Using a longitudinal cohort of 27 IECMH providers, this study aimed to describe and quantify changes in professional …

Sensory Processing Impacts On Sleep Patterns In Children With Neurodevelopmental Disorders During The Covid-19 Pandemic, Julianne M. Myers

Clinical Psychology Dissertations

The COVID-19 global pandemic in 2020 introduced a sudden disruption to the people’s daily routines, including changes to sleep schedules and, thus, sleep quality. Generally, children with developmental disabilities (DD), such as autism spectrum disorder (ASD), experience higher levels of sleep difficulties compared to typically developing youth. These sleep difficulties have been linked to social and emotional abilities, cognitive development, and adaptive functioning. One component found to impact sleep behaviors is sensory processing differences. Individuals with ASD and other DDs exhibit greater levels of these sensory concerns. The current study sought to understand how the sleep behaviors of ASD and …

College Student Depression Throughout Covid-19: Fall 2019-Spring 2022, Matthew Powless, Zachary Pilot, Valentin Bouvier, Elisabeth Brown, Mikaila Ealum, Lakota Iron Rope

Midwest Social Sciences Journal

The current study examined the trends in depression and emotion regulation for students (n = 899) at one university in the Midwest United States from prior to the COVID-19 pandemic (Fall 2019) through the Spring 2022 semester. An analysis of covariance (ANCOVA) was conducted, controlling for difficulties in emotion regulation and gender identity. The ANCOVA indicated that depression was significantly lower in Fall 2019 than in the remaining five semesters under investigation. Results of these analyses appear to indicate that depression rose significantly in students after the onset of the pandemic and implementation of social restrictions. This negative effect …

Racialized Experiences Of Covid-19: Help-Seeking Patterns In Response To Racial Discrimination Among Asian American College Students, Jeeyun Lee

Student Theses

In the United States, reported anti-Asian hate crimes increased by 164% from 2020 to 2021, with New York demonstrating a difference of 223% (Center for the Study of Hate & Extremism, 2021). Ample evidence suggested its deleterious emotional impact; COVID-19-associated racial discrimination was found to be significantly associated with increased levels of mental distress, such as anxiety, depression, and PTSD symptoms (e.g., Hahm et al. 2021). With an aim of addressing the significant dearth of research on Asian Americans’ help-seeking behaviors in response to COVID-19-associated racism and distress, this study employed grounded theory to explore the experiences of 10 self-identified …

Covid-19, Olfactory Functioning, And Depressive Symptoms, Kevin Davis Psy.D.

Dissertations

The focus in this study was to investigate whether people who continue to experience a disordered sense of smell after recovering from COVID-19 are more likely to have higher levels of depressive symptoms. Data collection involved two questionnaires: the Patient Health Questionnaire-9 (PHQ-9) to assess depressive symptoms and the Assessment of Self-Reported Olfactory Functioning and Olfaction-Related Quality of Life (ASOF) to assess olfactory functioning. Additionally, general survey questions were asked to evaluate physical and mental health outcomes related to COVID-19. Results showed individuals who did not subjectively return to their baseline sense of smell after recovering from COVID-19 had lower …

The Pandemic Anxiety Inventory: A Validation Study, Irvin Sam Schonfeld, Tasmyn Prytherch, Mark Cropley, Renzo Bianchi

Publications and Research

The Pandemic Anxiety Inventory (PAI) assesses anxiety symptoms individuals attribute to the presence of a pandemic. We conducted this study of 379 British adults during the COVID-19 pandemic and found that the PAI exhibited excellent reliability and solid criterion validity. Pandemic anxiety was associated with reduced social support, anticipated life changes, financial strain, job loss, economic insecurity, and the hospitalization or death of a close friend or relative. Using correlational and bifactor analyses, we found that the PAI demonstrated solid convergent and discriminant validity. The findings suggest that the PAI can be used in research and clinical practice.

The Pandemic Anxiety Inventory: A Validation Study, Irvin Sam Schonfeld, Tasmyn Prytherch, Mark Cropley, Renzo Bianchi

Publications and Research

The Pandemic Anxiety Inventory (PAI) assesses anxiety symptoms individuals attribute to the presence of a pandemic. We conducted this study of 379 British adults during the COVID-19 pandemic and found that the PAI exhibited excellent reliability and solid criterion validity. Pandemic anxiety was associated with reduced social support, anticipated life changes, financial strain, job loss, economic insecurity, and the hospitalization or death of a close friend or relative. Using correlational and bifactor analyses, we found that the PAI demonstrated solid convergent and discriminant validity. The findings suggest that the PAI can be used in research and clinical practice.

Shared Screens: A Qualitative Study Of Therapist Self-Disclosure Over Telehealth, Nathan Fordsham M.S.

Selected Full Text Dissertations, 2011-

The following qualitative study explored how psychodynamic clinicians approach and use self-disclosure with patients over telehealth platforms. There is an abundance of research on therapist self-disclosure, with discussion of this topic dating back as early as Freud (1912) and Ferenczi (1933), and since spanning the spectrum of theoretical orientation and practice. There is some literature on psychotherapy over telehealth, with a recent surge in research as a response to the COVID-19 pandemic. There is less research on psychodynamic therapy or psychoanalysis over telehealth (Wolson, 2021), and to the author’s knowledge, no research on therapist self-disclosure and telehealth. This study aimed …

Compassion-Based Resilience Training (Cbrt) For Frontline Healthcare Workers In Contact With Covid-19 Patients, Michael Perez Sosa

Dissertations and Theses

Objectives: The COVID-19 pandemic has had deleterious consequences for the mental health of frontline healthcare workers worldwide. One systemic review of the literature found high prevalence rates of anxiety (67.55%), depression (58.89%), and stress (62.99%) reported by this population (Vizheh et al., 2020). Additionally, high rates of burnout and symptoms associated with trauma have also been ubiquitous during the pandemic for frontline healthcare workers. The purpose of this study is to investigate Compassion-Based Resilience Training (CBRT) as a remotely delivered intervention for frontline healthcare workers in contact with COVID-19 patients to reduce symptoms associated with stress, depression, anxiety, burnout, and …

Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot

Walden Dissertations and Doctoral Studies

Burnout rates of correctional employees are higher than employees in the general public. The purpose of this study was to identify how occupational factors impact burnout rates among correctional mental health workers. Grounded in the job-demands theoretical model, this study compared burnout rates among mental health staff within county jails and state prisons. Burnout was measured using the Maslach Burnout Inventory and Occupational factors were measured using the Areas of Work life Survey and Pandemic Experience and Perception Survey. Data was analyzed using IBM SSPS software to address multiple a priori directional research questions. Research questions considered how occupational factors …

Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham

Walden Dissertations and Doctoral Studies

Little research has been conducted exploring contributing stressors from the COVID-19 pandemic that may have led to alcohol relapse among individuals diagnosed with alcohol use disorders (AUDs). Prior to the pandemic, alcohol use was at an all-time high; during the pandemic, the rates of substance use rose significantly more. AUDs are a leading mental health problem with over 32.6 million meeting diagnostic criteria in the United States. This study was conducted to explore self-identified factors leading up to relapse during the COVID-19 pandemic among individuals diagnosed with AUDs, with a focus on the circumstances and events leading up to relapse. …

Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham

Walden Dissertations and Doctoral Studies

Little research has been conducted exploring contributing stressors from the COVID-19 pandemic that may have led to alcohol relapse among individuals diagnosed with alcohol use disorders (AUDs). Prior to the pandemic, alcohol use was at an all-time high; during the pandemic, the rates of substance use rose significantly more. AUDs are a leading mental health problem with over 32.6 million meeting diagnostic criteria in the United States. This study was conducted to explore self-identified factors leading up to relapse during the COVID-19 pandemic among individuals diagnosed with AUDs, with a focus on the circumstances and events leading up to relapse. …

Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot

Walden Dissertations and Doctoral Studies

Burnout rates of correctional employees are higher than employees in the general public. The purpose of this study was to identify how occupational factors impact burnout rates among correctional mental health workers. Grounded in the job-demands theoretical model, this study compared burnout rates among mental health staff within county jails and state prisons. Burnout was measured using the Maslach Burnout Inventory and Occupational factors were measured using the Areas of Work life Survey and Pandemic Experience and Perception Survey. Data was analyzed using IBM SSPS software to address multiple a priori directional research questions. Research questions considered how occupational factors …

Characterizing And Predicting Canadian Adolescents’ Internalizing Symptoms In The First Year Of The Covid-19 Pandemic, Haley E. Green, Andrew R. Daoust, Matthew R. J. Vandermeer, Pan Liu, Kasey Stanton, Kate L. Harkness, Elizabeth P. Hayden

Psychology Publications

To date, most longitudinal studies of adolescents’ internalizing symptoms during the COVID-19 pandemic include few time points, limiting knowledge about the long-term course of adolescents’ mental health during the pandemic. Moreover, examining intraindividual variability in symptoms, which may have important implications for adolescents’ adjustment beyond mean or “typical” symptoms, requires multiple time points. We examined the course of internalizing symptoms in 271 Ontario adolescents (mean n = 193 across time points) during the first year of the pandemic (March 2020–April 2021) via mixed-effect location scale models, drawing upon established internalizing symptom risk factors as predictors of mean trends and intraindividual …

Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr

Theses and Dissertations

Pediatric asthma disproportionately affects children living in urban areas and within families reporting an income below the poverty threshold. Home interventionist models of care, utilizing interventionists from the communities they serve, have been found to improve pediatric asthma symptoms and reduce Medicaid costs. Home interventionists, such as community health workers (CHWs) and Healthy Homes assessors (HHAs), focus on connecting care among schools, providers, and homes, and empowering families in accessing resources to overcome barriers to care. However, research is just beginning to understand how home interventionists create positive change among families within low-income, urban communities. This dissertation study used a …

The Moderating Roles Of Racial Discrimination And Covid-19 Stress On The Association Between College Students’ Cannabis Use And Psychosocial Functioning, Shannique Richards

Dissertations and Theses

Abstract

The Moderating Roles of Racial Discrimination and COVID-19 Stress on the Association between College Students’ Cannabis Use and Psychosocial Functioning

By

Shannique Richards, MA

Advisor: Sarah O’Neill, PhD

Greater use of cannabis is linked to poorer psychosocial outcomes. Rates of cannabis use are particularly high in racial/ethnic minoritized (REM) and socioeconomically disadvantaged college students. Cannabis use has been correlated with exposure to trauma. REM and socioeconomically disadvantaged college students report higher rates of trauma exposure, including discrimination and health and social disparities than their White peers. This study examined exposure to two types of potentially traumatic events (racial discrimination …

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …

Diabetes Distress In U.S. Adults During The Covid-19 Pandemic: A Systematic Review, Joanna Leah Sullivan

Antioch University Dissertations & Theses

Diabetes mellitus (DM) is a common metabolic disease that continues to grow in prevalence, affecting around 11% of the U.S. population in 2019. Although DM has a clear medical cause, a growing body of research points to social determinants of health (SDOH) and psychosocial factors as important mediators of prevalence and severity of DM. Diabetes distress, a mental health phenomenon arising out of the challenges of living with a stigmatized and demanding chronic disease, is one such factor. Given the heightened effect of the COVID-19 pandemic on psychosocial stressors and vulnerability to mental health disorders, it is important to understand …

2 Years On: Loss And Grief Amidst The Covid-19 Pandemic, Eman H. Nabulsi

Psychology and Counseling Theses

This study sought to examine the variability and impact of different kinds of losses experienced during COVID-19 and how people reacted to and coped with those losses. The most common loss reported by individuals was the loss of social connection, while death-related losses were identified as the most impactful loss experienced. Results suggest that people responded in a myriad of ways, including increased cautiousness for health safety, refocusing their attention on important life matters, and finding alternative ways to connect with others. Furthermore, this study found that individual factors such as intolerance of uncertainty and perceived social support may play …

Coping Strategies And Self-Compassion As Protective Factors In The Infant And Early Childhood Mental Health Workforce, Megan Wolff

Electronic Theses and Dissertations

The mental health field experiences high levels of stress, resulting in a greater risk of poor professional quality of life, likely exacerbated by the additional stress associated with COVID-19. The present study examined the effect COVID-19 stress had on the professional quality of life of the infant and early childhood mental health (IECMH) workforce and whether coping strategies and self-compassion acted as protective factors. Results indicated that higher COVID-19 stress was associated with higher burnout and secondary traumatic stress (STS) and lower compassion satisfaction (CS). The results also showed that the pathway from COVID-19 stress to burnout was moderated by …

Fear And Trembling While Working In A Pandemic: An Exploratory Meta-Analysis Of Workers’ Covid-19 Distress, William P. Jimenez, Ian M. Katz, Elissa A. Liguori

Psychology Faculty Publications

The global COVID-19 pandemic has disrupted the lives of workers and taken its toll on health and well-being. In line with recent calls for more inductive and abductive occupational health science research, we exploratorily meta-analyzed workers’ COVID-19 distress, defined as psychological and psychosomatic strain contextualized to experiencing the virus and pandemic broadly. We identified many existing COVID-19 distress measures (e.g., Fear of COVID-19 Scale by Ahorsu et al., 2020; Coronavirus Anxiety Scale by Lee, 2020a) and correlates, including demographic variables (viz., gender, marital status, whether worker has children), positive well-being (e.g., quality of life, perceived social support, resilience), negative well-being …

Stress Arising From The Covid-19 Pandemic: Impacts On Coparenting Quality And Child Internalizing And Externalizing Problems, Michelle R. Ebrahim

Honors Theses

Since emerging in late 2019, the highly contagious coronavirus disease (COVID-19) has caused worldwide disruptions, with major shutdowns in school, work, and other aspects of life. These stressors uniquely impacted families with young children. The present study investigated the impact of the pandemic on family functioning and risk for child internalizing and externalizing problems during the first year after the pandemic. The study included three waves of data collection from a larger longitudinal study aimed at understanding how couples navigate the prenatal-postpartum transition and the impacts of the family on early child development. We found that family pandemic-related stress was …

Belonging In Context: An Exploration Of Sense Of Belonging Among College Students, Ladonna L. Gleason

Theses and Dissertations

Feeling a sense of belonging is essential to human health and functioning and has been well documented in the literature. However, questions of context remain. Research in belonging has focused on social aspects of belonging, leaving broader contextual frames unexplored. There has been little work in identifying and differentiating the contexts in which belonging is experienced or in developing an understanding of how the experience of belonging differs across contexts. Current belonging theory lacks this important contextual perspective that could inform the ways in which belonging is constructed and reconstructed through disruption. With the advent of the COVID-19 pandemic, new …

An Intersectional Lens To Covid-19: Promoting Youth Well-Being In The Midst Of Social-Political Stressors, Magdalena S. Moskal

Theses and Dissertations

Guided by interpretative phenomenological methodology and intersectionality theory, this thesis aims to uncover the mental health experiences of youth surrounding the COVID-19 pandemic. This study also seeks to situate these experiences with the subsequent stressors that young people face in the current social-political context (e.g., witnessing trauma in the media, uprisings to address racism and the resulting backlash, rhetoric of the 2020 presidential election). Furthermore, this thesis aims to give insight and voice how intersectionality shapes the COVID-19-related experiences of youth in South Carolina. Data was collected through semi-structured interviews with 23 participants aged 16-21 years old in South Carolina. …

The Impact Of Covid-19 On Secondary Victimization And Resiliency Following Sexual Assault, Elena Cantorna

Clinical Psychology Dissertations

Many individuals report negative experiences with the court system after experiencing a sexual assault (i.e., secondary victimization) and this leads to a belief that they are unable to cope with future stressors (i.e., resiliency). Furthermore, the COVID-19 pandemic negatively impacted individual’s lives and their overall well-being. In this dissertation, I examined a model predicting resiliency appraisals from positive experiences with the legal system, mediated by COVID-19 weekly metric case rate and the number of COVID-19 vaccines administered. Participants were 18 years and older, self-identified cis females, and were clients of a local legal advocacy clinic (N = 94) following …