Clinical Psychology Commons^™

The Role Of Therapeutic Engagement, Oral Language Proficiency, And Core Learning Indicators On The Effects Of Therapy For Youth With Depression, Amanda E. Wagstaff

College of Science and Health Theses and Dissertations

Youth with depression, particularly ethnic minority youth, have low rates of engagement in mental health services, indicating a large need to better understand the role of engagement in effective treatments for depression (Merikangas et al., 2011). Cognitive behavioral therapy (CBT) is one of the leading psychotherapeutic treatments available for youth with depression (Weisz, McCarty, & Valeri, 2006), but several questions still remain regarding why and in what circumstances this therapy is most appropriate. CBT posits that part of the positive treatment effects is accounted by learning certain cognitive and behavioral skills during and outside of session (i.e., through active homework …

Corporate Social Responsibility (Csr) And Its Impact On Actions: Exploring Social Change Through College Students, Rachael Leigh Suffrin

College of Science and Health Theses and Dissertations

The present study has three goals. First, it validates a new Sensitivity to Employer Social Responsibility Scale, used to help understand how undergraduate students perceive their values related to corporate social responsibility (CSR) impact their prospective employment decisions. Second, this study examines whether students value working for a socially responsible employer and third, how (a) social justice experiences in college and/or (b) social justice attitudes and beliefs may predict how students perceive the impact their CSR values have on their prospective employment decisions. Results indicate that students who participated in the study overall positively endorsed a degree of sensitivity to …

Universal Teacher-Child Interaction Training: A Pilot Study Examining Coaching With Random Assignment, Alexandra Lauren Barnett

College of Science and Health Theses and Dissertations

Classrooms are in dire need of teacher support services and effective child behavior management, particularly in low-income urban areas (Campbell & Ewing, 1990; Fantuzzo & Mohr, 1999; Hamre & Pianta, 2004; Visser, Bitsko, Danielson, Perou, & Blumberg, 2010). Teacher-Child Interaction Training - Universal (TCIT-U) is a preventive, classroom-wide teacher training protocol that shows promise for strengthening teacher and child behavior (Budd, Garbacz, & Carter, 2016; Fernandez, Gold, Hirsch, & Miller, 2015b; Garbacz, Zychinski, Feuer, Carter, & Budd, 2014; Lyon, Budd, & Gershenson, 2009a). To date, this is the first pilot study with random assignment to investigate TCIT-U; further, it is …

Diabetes-Specific Distress And Glycemic Control In Children And Adolescents With Type 1 Diabetes: A Longitudinal Analysis Of The Moderating Effect Of Social Support, Carolyn E. Turek

College of Science and Health Theses and Dissertations

This thesis examines the roles diabetes-specific distress and social support play in impacting glycemic control trajectories in youth with type 1 diabetes. Due to the increase in responsibilities and stressors occurring during pre-adolescence and adolescence, it is particularly important to consider the impact of diabetes-specific distress on glycemic control trajectories during this time, in order to determine best practices for screening and treating this population. It is also important to consider how social support may serve as a buffer against negative diabetes outcomes. In order to determine how diabetes-specific distress and social support impact glycemic control trajectories in this population, …

The Reciprocal Effects Of Language Proficiency And Depression Among Low Income Latino Youth, Nicole Colon Quintana

College of Science and Health Theses and Dissertations

Extant research suggests that language plays an important role in both social processes and emotional encoding and regulation. In dual language youth, the maternal tongue has been observed as a protective factor against maladaptive outcomes (Toppelberg & Collins, 2010). Although Latino youth are at a heightened risk for depression (CDC, 2013), and a majority grow in Spanish-English speaking households (Pumariega et al., 2013), the impact of dual language development in their psychosocial well-being remains poorly understood. It is known that limited English language proficiency during early school years is predictive of maladaptive outcomes such as externalizing problems (Dawson & Williams, …

A Reexamination Of The Cognitive Behavioral Model Of Chronic Fatigue Syndrome: Investigating The Cogency Of The Model’S Behavioral Pathway, Madison Sunnquist

College of Science and Health Theses and Dissertations

Cognitive behavioral theories of chronic fatigue syndrome (CFS) assert that cognitions and behaviors perpetuate the fatigue and impairment that individuals with CFS experience (Wessely, Butler, Chalder, & David, 1991). Vercoulen and colleagues (1998) utilized structural equation modeling to empirically develop a cognitive behavioral model of CFS. The resulting model indicated that attributing symptoms to a physical cause, focusing on symptoms, and feeling less control over symptoms were associated with increased fatigue. Additionally, individuals who attributed symptoms to a physical cause reported lower activity levels and more fatigue and impairment. However, in an attempt to replicate this model, Song and Jason …

Young Survivors Of Disaster: A Meta-Analytic Review Of Mental Health Interventions For Children And Their Families, Theressa L. Labarrie

College of Science and Health Theses and Dissertations

Disasters, both natural and human-made, are on the rise. While disasters affect everyone, the most vulnerable populations are often hardest hit. Our nation’s youth are among the most vulnerable, suffering the most severe psychological repercussions. This is a population in need of empirically supported post-disaster mental health interventions. However, the research on mental health treatments for post-disaster trauma treatment among youth is still in its developmental stages. There is no known synthesis of treatment interventions for youth and their families, even though there is clear evidence that this population is among the most vulnerable to the effects of disaster exposure. …

Wellness Interventions In An Asian American-Specific Mental Health Setting, Pui Kwan Ma

College of Science and Health Theses and Dissertations

Individuals with serious mental illness (SMI) on average die 25 years sooner than individuals in the general population. The elevated mortality is mainly due to preventable medical conditions and barriers to care. Primary care-behavioral health integration and wellness interventions have shown to be effective in addressing the disparities. However, racial and ethnic minorities are underrepresented in the literature. In particular, the disparities in health conditions and access to care among Asian American immigrants with SMI are exacerbated by unique cultural and linguistic barriers in healthcare service delivery. The current thesis examined a multi-year multi-faceted wellness intervention designed for Asian American …

The Role Of School Climate In Mitigating The Effects Of Neighborhood Socio-Economic Status And Violence On Academic Achievement, Linda D. Ruiz

College of Science and Health Theses and Dissertations

In recent years the quality of education available to children has become increasingly dependent on the social and economic demographics of neighborhoods in which the children live. This study assesses the role of community violence in explaining the relation between SES and academic outcomes and the potential of positive school climate to promote academic achievement. With a sample of 297 Chicago public elementary schools, we test the hypotheses that violent crime mediates the relation between SES and academic achievement, and school climate has a direct effect on achievement and moderates the relation between SES and academic achievement. Results support the …

Entrepreneurship As Empowerment: How Women Are Redefining Work, Charlynn Odahl

College of Science and Health Theses and Dissertations

The number of women who are entrepreneurs in the United States has steadily risen since the 1970s and today women found almost half of all new companies. For women, creating their own companies through entrepreneurship may be a way to reject existing work settings, where existing setting and gender dynamics may limit their advancement, creativity, or flexibility. Indeed, entrepreneurship may serve as a form of empowerment to enable women to pursue greater control over their lives. Yet research on the lived experience of this population is limited, with few studies examining the lived experience of this important group. Also, existing …

Living And Loving: A Qualitative Exploration Of The Dating And Sexual Relationships Of Hiv-Positive Young Black Gay, Bisexual, And Other Men Who Have Sex With Men, Darnell N. Motley

College of Science and Health Theses and Dissertations

Infection with HIV is a global pandemic that continues to have particular impacts on Black men who have sex with men. Accordingly, researchers have examined risk behaviors in order to inform interventions that seek to decrease transmission. However, there has been relatively little research that has examined the dating and sexual experiences of Black GBMSM living with HIV absent a particular focus on sexual risk and potential transmission. The present study seeks to better understand the dating and sexual experiences of a sample of young Black GBMSM living with HIV. Twenty young Black GBMSM living with HIV were interviewed using …

An Innovative Approach To Preventing Depression: Examining The Experiences Of Mothers And Daughters Who Participate In The Cities Mother-Daughter Project, Tasha M. Brown

College of Science and Health Theses and Dissertations

The current study employed qualitative inquiry to examine the experiences of mothers and daughters who participated in the Cities Mother-Daughter Project, an intervention aimed at preventing depression in low-income urban African-American girls, study participants included 9 mothers and 9 daughters. Qualitative analysis was used to examine the subjective experiences of mothers and daughters who participated in the Cities Mother-Daughter Project. Seven overarching themes emerged when participants reflected on their experience in the group intervention: 1) value of group, 2) desire for continued intervention, 3) suggestions for improvement, 4) skills learned in group, 5) mother-daughter relationship, 6) personal change, and 7) …

Academic Risk And Protective Factors Of Latinos Of Undocumented Status: A Narrative Approach, Claudio Rivera

College of Science and Health Theses and Dissertations

There are currently 11 million immigrants of undocumented status in the United States, with over 80% comprising of Latinos. Latinos attain less education than other racial/ethnic groups, and immigrants of undocumented status face additional barriers to a higher education, such as being ineligible for federal financial aid. Using a resiliency framework, this study sought to identify the academic risk and protective factors affecting young Latinos of undocumented status in the United States. In-depth qualitative interviews were conducted with 20 Latinos of undocumented status; eligible participants were between the ages of 16 and 30 who immigrated to the United States without …

Housing Choices Among Homeless Families In Child Welfare: A Mixed Methods Study, Anne Rufa

College of Science and Health Theses and Dissertations

A growing body of research has identified a link between housing instability and involvement with child welfare services for families. For some, inadequate housing situations lead to parent-child separations or delayed reunification. Housing assistance may be one option for these families to avoid these outcomes; however, little research examines existing housing services for inadequately housed families in contact with the child welfare system. Public housing assistance represents the primary source to connect low-income families with affordable housing; however, a number of barriers challenge navigation of this system, including long waitlists, stigmatization of voucher use, and stringent eligibility requirements for all …

An Examination Of The Effectiveness Of A Bibliotherapy Version Of Parent-Child Interaction Therapy, Julie Christine D'Amico

College of Science and Health Theses and Dissertations

Disruptive behavior problems are common in early childhood. However, despite their ubiquity, they are often quite stressful for parents and can be damaging to parent-child relationships. In addition to being disruptive to the family, research has demonstrated that early disruptive behavior problems can set children on a path to continue experiencing escalating levels of disruptive behavior throughout childhood and into adolescence. Recent research has determined prevention to be an important area of emphasis for interrupting this negative trajectory of disruptive behaviors. Secondary prevention interventions target children and families who are seeing the early signs of this negative long-term trajectory and …

An Examination Of The Specificity Of Economic Loss And Deprivation And Community Violence On Depressive Symptoms And Aggressive Behavior In Urban, Low-Income Adolescents, Jarrett T. Lewis

College of Science and Health Theses and Dissertations

Based on the current literature examining associations of stress and psychopathology in adolescents, several types of stress (e.g., violence exposure, economic-related stress) have been identified as particularly salient in lowincome, urban adolescent populations (Grant et al., 2003; Natz et al., 2012). This population also has been shown to be at heightened risk for problems including internalizing and externalizing symptoms. Identifying specific pathways through which urban, low-income adolescents develop specific emotional and behavior problems in response to particular stressors would be helpful in the development and selections of as the targets of interventions that disrupt mediators that link particular stressors to …

Early Diagnosis Of Autism Spectrum Disorder Via A Transdisciplinary Clinic, Peter John Thaxter

College of Science and Health Theses and Dissertations

The current study seeks to explore whether a transdisciplinary clinic is accurate in their diagnosis of ASD prior to the age of three. Participants in the current study consist of 34 children aged 13 to 36 months who were evaluated by a transdisciplinary clinic between 2007 and 2009. Participants were reassessed using the ADOS and ADI-R once the child is over the age of three. The diagnoses from the two time points was compared to determine the accuracy and reliability of the diagnosis assigned by the transdisciplinary clinic prior to the age of three.

Overall, diagnostic stability was high between …

An Evaluation Of The Perfectionistic Social Disconnect Model Among Ethnic Minority Youth, Ana Belen Goya Arce

College of Science and Health Theses and Dissertations

Interpersonal aspects of perfectionism, particularly perfectionistic self-presentation, have been identified as specific vulnerability factors in the development of depressive disorders during the early adolescent years. The Perfectionistic Social Disconnect Model (PSDM) offers a theoretical framework explaining the relationship between perfectionistic self-presentation (PSP) and depressive disorders. The PSDM suggests that perfectionistic self-presentation leads to depressive symptoms indirectly through interpersonal problems and social disconnection. While previous studies have supported the hypothesized role of social disconnection as a mediator in the relation between perfectionistic self-presentation and suicidal ideation, no studies have explored the role that interpersonal problems play in the model. Furthermore, the …

Pediatric Medical Traumatic Stress In Youth With Type 1 Diabetes And Their Caregivers: A Longitudinal Assessment Of Metabolic Control And Psychosocial Mediators, Sabrina Anne Karczewski

College of Science and Health Theses and Dissertations

This dissertation examines the role of pediatric medical traumatic stress (PMTS) in response to a type 1 diabetes (T1D) diagnosis for both parents and children and its influence on a child’s future metabolic control. PMTS is a term that represents a continuum of posttraumatic stress symptoms (i.e., intrusion, hyper-vigilance, and avoidance) that occur in response to a medical event that may or may not meet full clinical criteria for a Diagnostic Statistical Manual, Fifth Edition (DSM-5) diagnosis. This study examines a theoretical model (see Figure 1) and the interrelationships between a child and/or parent’s level of PMTS in response to …

Early Patterns Of Change In Parent-Child Interaction Therapy, Lauren J. Legato

College of Science and Health Theses and Dissertations

Early intervention for young children with behavior problems is important for promoting healthy social/emotional development and reducing the risk of persistent and worsening conduct problems (DuPaul, McGoey, Eckert, & VanBrakle, 2001; Lahey et al., 1995; Shaw, 2013). Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for young children exhibiting behavior problems (Eyberg, Nelson, & Boggs, 2008). PCIT aims to promote parents’ use of positive attention and effective discipline skills with their children (Zisser & Eyberg, 2010). Although substantial research has demonstrated the efficacy of PCIT in research settings, far fewer studies have tested its effectiveness with clinically referred samples in …

The Impact Of Ethnicity On Executive Functioning In Youth, Silvia M. Henriquez Gerken

College of Science and Health Theses and Dissertations

Executive function can be defined as a group of processes that guide and direct cognitive functions (Isquith, Roth & Gioia, 2013). Relatively little is known about executive function in ethnic minority children. This dissertation examined whether ethnicity predicts performance and parent rating scores on three executive function processes. To date, no study has teased apart the effects of ethnic minority status and its confounding variables in executive function. A total of 134 Caucasian and African American youth between the ages of 11-17 were included in the study. Of those 134 youth, 116 had complete data (both performance-based scores and rating …

Onset Patterns Of Chronic Fatigue Syndrome And Myalgic Encephalomyelitis: A Mixed Method Approach, Meredyth Evans

College of Science and Health Theses and Dissertations

Chronic fatigue syndrome (CFS), Myalgic Encephalomyelitis (ME) and Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS) refer to a debilitating illness without a universally accepted or well-understood etiology. Some experts have suggested that there are multiple pathways to the development of ME and CFS, which may also indicate multiple onset patterns. Due to unanswered questions regarding etiology, the onset of ME and CFS is considered a key area of inquiry.

Case criteria for ME and CFS and much of the academic literature suggest that patients typically experience one of two possible onset patterns: sudden or gradual. Many experts consider the mode of ME …

A Person-Centered Examination Of Latino Youth Depressive Symptom Trajectories: The Role Of Youth, Parent, And Dyadic Familism, Jessica Annabel Arizaga

College of Science and Health Theses and Dissertations

A growing body of literature indicates Latino youth are at greater risk for depression relative to other racial/ethnic groups (CDC, 2014). Research examining predictors of Latino youth depression suggests higher familial values might buffer against youth depressive symptoms (Polo & Lopez, 2009; Zeiders et al., 2013b). However, longitudinal relationships between these variables remain largely unexamined. Furthermore, the literature on longitudinal youth depressive symptoms is mixed, with both increases and decreases being observed over time using group-centered analyses. The present study has three major aims: 1) map the trajectories of depressive symptomology among middle-school age Latino youth over the course of …

Child Appraisals Of Interparental Conflict: The Effects Of Intimate Partner Violence And The Quality Of Parent-Child Relationships, Caleb J. Figge

College of Science and Health Theses and Dissertations

Children’s appraisals of parental conflict, particularly perceived levels of threat, self-blame, and coping efficacy, have consistently been shown to mediate the association between conflict exposure and maladaptive outcomes. However, few studies have examined factors that may contribute to children’s use of these maladaptive appraisals, particularly among children exposed to more severe forms of interparental conflict. The current study will examine the influence of intimate partner violence (IPV) exposure and parent-child relationship quality on children’s appraisals of conflict, evaluating if these factors have independent effects, if they interact (i.e., parent-child relationship quality buffers the effect of IPV) or if parent-child relationship …

The Role Of Guilt, Shame, And Self-Compassion In Promoting Racial Justice Engagement For White Students, Elizabeth A. Mcconnell

College of Science and Health Theses and Dissertations

Diversity courses and activities are a part of the multicultural mission of many institutions of higher education. However, universities, colleges, and diversity educators continue to grapple with how to increase participation and student engagement in these courses. The lens of privilege studies provides an important perspective for thinking about how to achieve this goal for White students learning about systems of racial inequity. In the current study, we conducted four studies to better understand how to decrease resistance to reflecting on White privilege (e.g., defensive affect or withdrawal) and to promote racial justice engagement (e.g., willingness to take diversity courses …

The Importance Of Family Meals And Sedentary Behavior In Understanding Childhood Depression And Obesity, Draycen D. Decator

College of Science and Health Theses and Dissertations

The ongoing obesity epidemic within the United States is a problem that has received a lot of attention, but is still inadequately understood. Understanding the epidemic requires examining BMI from a larger perspective, with an ecological mindset (Rosenkranz & Dzewaltowski, 2008). A bidirectional relationship between depression and obesity, which has been found in the past, might be due to family meals. Sedentary behaviors has been linked to both outcomes, and is predicted by family meal frequency, suggesting that it may play a mediational role. In order to help clarify the relationship between depressive symptoms and obesity, a sample of 120 …

Executive Functioning In The Context Of Urban Poverty: An Examination Of Poverty Related Stress And Its Relationships To Academic Achievement, Jacquelyn L. Doxie

College of Science and Health Theses and Dissertations

Living in urban poverty has been linked to numerous negative conditions that disproportionately expose low-income urban youth and their families to severe and chronic stressors (Collins et al., 2010; DeNavas-Walt, Proctor, and Smith, 2012; Sznitman, Reisel, and Romer, 2011). Research has consistently shown a strong relationship between these stressors and numerous negative outcomes that can impact an adolescent emotionally, behaviorally, and academically (Conger et al., 2002). This dissertation is focused on the area of academic achievement, an outcome consistently found to be negatively impacted by poverty (Rouse and Fantuzzo, 2009). Based on Bronfenbrenner’s model of bio-ecological human development (Bronfenbrenner and …

Social Support And The Role Of Housing For Homeless Families Involved In The Child Welfare System, Saidah Chambers

College of Science and Health Theses and Dissertations

The present study investigates the impact of a housing intervention for homeless families involved in the child welfare system on social support and their networks. Qualitative methods were employed in a randomized control trial of a housing intervention to examine the meaning of social support ±rom the perspective of caregivers while exploring the relation between instrumental support (e.g. advice, emotional support, and perceived support), family roles, decision making processes, and housing. Findings suggest little difference in families' perceptions of social support regardless of receiving a housing voucher; however, differences between doubled up housing arrangements and independently housed families may be …

The Cross Cultural Examination Of A Brief Autism Diagnostic Interview (Adi-R) In Korea And The United States, Elizabeth Lally Daley

College of Science and Health Theses and Dissertations

Autism is the fastest growing developmental disability in the United States; as many as 1 in 88 individuals have been identified with an Autism Spectrum Disorder (ASD) (Centers for Disease Control and Prevention [CDC], 2010). Although scientists are working on understanding how many people in the population have autism, there is a limited amount of focus on the identification of any cultural factors that may influence people’s understanding about autism, attitudes about autism, and reporting of symptoms. The accepted methods for diagnosing autism are the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview-Revised (ADI-R). This study seeks to …

Manifestations Of Traumatic Stress Among Adolescent Girls In Post-Conflict Northern Uganda, Tiamo Katsonga-Phiri

College of Science and Health Theses and Dissertations

This study examines manifestations of mental health concerns in response to Gender Based Violence (GBV) specifically rape in a Non-western post-conflict setting. The population is a sample of girls aged 13-18 years residing in an Internally Displaced Person’s camp in Northern Uganda. Through semi-structured interviews, the girls shared their experiences of Gender Based Violence. Using Interpretative Phenomenological Analysis, 30 transcripts were analyzed to explore what these girls’ experiences have been with regard to rape, mental health and cultural and contextual stressors. Findings show that the girls described experiencing symptoms similar to those outlined in the DSM. Additionally, the girls described …