Clinical Psychology Commons^™

A Network Analysis Examining Dissociation And Suicide Risk In Military Veterans And Non-Veterans, Nicole Caulfield

Dissertations

Higher rates of dissociation are related to more severe psychopathology, psychiatric comorbidity, and poorer response to treatment, yet there is limited research examining dissociation as a transdiagnostic factor. In particular, examining dissociation in a Veteran sample is vital, as Veterans have been shown to have higher trauma exposure and dissociation rates than non-Veterans. Dissociation has been linked to several adverse outcomes related to Veterans, particularly suicide, as dissociation may increase the possibility of a suicidal act because of intensified disconnect from the body. However, research examining the relationship between dissociation, suicide, and additional related factors has been limited, given the …

Introspective Accuracy For Social Cognition Across The Psychosis Spectrum: Influence Of Sleep Disturbance, Cassi Springfield

Master's Theses

People with schizophrenia-spectrum and bipolar disorders can have impairments in introspective accuracy (IA; ability to accurately estimate one’s own abilities). Research suggests that positive, negative, and depressive symptoms may be related to IA, but findings are mixed. Examining sleep disturbance as a determinant of IA may help explain these mixed findings. The current study aimed to explore the relationships between sleep disturbance, symptoms, and IA in participants across the psychosis spectrum. Participants completed diagnostic, symptom, and sleep disturbance assessments. Participants also completed social cognitive tasks, estimated their performance on the tasks (used to calculate IA), and indicated their confidence in …

Gender Differences In Personality Dysfunction And Aggression In A Sample Of At-Risk Youth, Chloe O'Dell

Master's Theses

Youth with antisocial and borderline traits in adolescence have been found more likely to commit violence and experience negative outcomes later in life. There is evidence for gender differences in the manifestations of dysfunctional personality features (antisocial and borderline traits) and functions of aggression, but little research has sought to assess unique gender differences that may help unravel the sequelae of personality dysfunction in youth. Accordingly, this exploratory study examines gender differences in associations between antisocial features, borderline features, and proactive and reactive functions of aggression in a sample of at-risk youth. Four hundred and sixty-four adolescents (M_age = …

The Relations Between Rumination, Thought Control, And Suicidal Thinking, Morgan Buerke

Master's Theses

Despite the far-reaching impact of suicide on our communities, we need more research to understand how suicidal thoughts develop, and what leads to their maintenance. As suggested by the depression distress-amplification model (Capron et al., 2013), emotion-regulation strategies such as rumination may cause or worsen suicidal ideation by amplifying the distress associated with negative thoughts. In addition, ruminative thoughts are often described as difficult to control, which may lead people to think about suicide as an escape from these uncontrollable thoughts. The current study examined the relationship between certain forms of rumination (i.e., brooding, reflection, anger rumination, and suicidal rumination) …

Examining The Moderating Effects Of Adult Social Support On The Relationship Between Adverse Experiences And Psychosocial Adjustment, Zachary Wilde

Master's Theses

Exposure to adverse experiences during childhood place adolescents at a disproportionately high risk of developing physical and mental health problems later in life (Anthony et al., 2019; Basto-Pereira et al., 2016; Brown & Shillington, 2016; Felitti et al., 1998). Further, at-risk adolescents, conceptualized as children and adolescents who lack resources for upward mobility, are more likely to be exposed to adverse experiences and thus are at greater risk for these negative outcomes when compared to adolescents who are not considered at-risk (Fernandes-Alcantara, 2018). To obtain better specificity of what outcomes adverse childhood experiences (ACEs) predict in a sample of vulnerable …

Family Rejection Predicting Suicidal Thoughts And Behaviors Among Sexual Minority Males: Indirect Effects Through Internalized Homophobia And The Interpersonal Theory Of Suicide Constructs, Brian Bulla

Dissertations

Past research has identified sexual minority males as presenting with more suicidal thoughts and behaviors in comparison to the general population, possibly due to additional stressors (e.g., family rejection, internalized homophobia) encountered throughout their lives that are specific to minority identities (Meyer, 2003). Extant literature has also examined constructs from the Interpersonal Theory of Suicide (ITS; Joiner, 2005; Van Orden et al., 2008) with mixed support for each (e.g., perceived burdensomeness, thwarted belongingness, capability) predicting suicidal thoughts and behaviors among sexual minority males. The current study, therefore, sought to further existing literature by examining indirect effects of family rejection on …

Masculinity Ideology As A Moderator On The Effects Of Lethal Means Counseling And Distribution Of Cable Locks On Firearm Storage Practices Among National Guard Personnel, Samantha E. Daruwala

Dissertations

Safer firearm storage practices, which may reduce suicide risk, can be promoted by lethal means counseling (LMC). A recent trial found that providing a single LMC session or distributing cable locks can lead to sustained changes in firearm storage practices within a sample of firearm-owning National Guard personnel (Anestis et al., 2021). An important next step is to consider if the intervention effects may differ based on participant characteristics. One particularly relevant sociodemographic characteristic to consider is traditional masculine norms, which are evident in the military and firearm cultures and associated with several negative outcomes. The current study evaluated if …

Using Nudges To Increase Engagement With Suicide Prevention Resources In An Online Sample Of United State Military Veterans, Brian W. Bauer

Dissertations

Suicide rates have continually increased from 1999 to 2019 in the United States, with populations such as military Veterans showing substantially higher suicide death and attempt rates than civilians. Behavioral economics researchers have demonstrated that people regularly make decisions that are not aligned with their own self-interests (i.e., irrational decisions). These irrational decisions often stem from humans having bounded rationality (i.e., limited computational power), which produce reliable cognitive biases that occur outside of people’s awareness and influence the decisions they make. There are many important decisions leading up to a suicide attempt (e.g., whether to engage with suicide prevention resources), …

The Role Of Traumatic Experiences In Developing Nocturnal Panic Attacks, Nicole S. Smith

Dissertations

Nocturnal panic attacks refer to panic attacks that occur out of a sleeping state with no obvious cause, resulting in awakening at the peak of a panic attack. Nocturnal panic affects roughly half of patients with panic disorder as well as individuals with other psychological disorders such as PTSD. Prior research has suggested that experiencing a traumatic event may lead to the development of nocturnal panic attacks. The current study sought to expand upon the extant literature related to the role of trauma in nocturnal panic by collecting a comprehensive trauma and panic history in order to establish a timeline …

Predictors Of Intensive Supervision Placement Among Committed Youths Within A Maximum-Security Residential Facility, Tiffany Harris

Master's Theses

Some youths committed to juvenile justice residential facilities struggle to adjust and may exhibit institutional rule violations that necessitate an intensive supervision placement (ISP). ISPs require substantial institutional resources and may result in additional negative outcomes for these committed youths (e.g., additional charges, longer commitment). To date, only two studies have examined factors that place committed youths at greater risk of ISPs, and it was found that commitment length, number of arrests, age at admission, impulsive/reactive and psychopathic traits, and anger-irritability were predictive of ISPs (Taylor et al., 2007; Butler et al., 2007). The present study considered additional predictors that …

Examining Parenting Practices And Routines As Possible Mediators Of Parenting Inflexibility And Child Behaviors, Lauren S. Erp

Master's Theses

Due to the high prevalence rates of child behavioral problems, considerable research has focused on factors that contribute to child behavioral problems. Parenting inflexibility has been shown to relate to child internalizing and externalizing behaviors through ineffective parenting practices. However, child routines, another related yet distinct parenting behavior, has yet to be explored in this relationship. The primary purpose of this study was to examine parenting practices and child routines as mediators of the relationship between parenting inflexibility and child behavioral outcomes. Mothers of school-aged children (N = 157) were recruited through Amazon’s Mechanical Turk and completed self-report measures of …

Assessing The Effect Of Negative Mood States On Valence-Dependent Belief Updating, Aleksandr Karnick

Master's Theses

Individuals consistently tend to underestimate the likelihood of negative events happening to them and fail to update these beliefs adequately when provided with statistical evidence. However, depressed populations are better able to accurately update beliefs. It is not clear if the ability to update beliefs effectively is due to overall dysphoria or are partially due to momentary fluctuations of acute affective states. Undergraduates (N=83) completed a belief updating task where they estimated the likelihood of a negative event happening to them, were presented with the actual likelihood of the event, and then re-estimated the likelihood of the event happening to …

Testing Barriers To Non-Suicidal Self-Injury With College Students: Narcissistic Traits As Moderators, Philip Stoner

Dissertations

Research on non-suicidal self-injury (NSSI) has produced mixed findings, resulting in a lack of clarity regarding these behaviors (Klonsky & Meuhlenkamp, 2007). To address this, Hooley and Franklin (2018) developed the Benefits and Barriers Model (BBM) to provide a comprehensive understanding of NSSI, in which they identified the barriers that commonly prevent people from engaging in these behaviors (e.g., self-esteem, shame, and peer-bonding motivations/social norms). They also identified adverse childhood experiences (ACEs) as a distal predictor of NSSI, which aids people in overcoming the barriers to engaging in these behaviors. Recent NSSI literature has shown that college women in the …

A Re-Examination Of The Motivations For Using Substances Questionnaire: Motives For Alcohol And Simultaneous Alcohol And Marijuana Use, Taylor Altenberger

Dissertations

The growing body of research examining simultaneous alcohol and marijuana (SAM) use suggests motivations for alcohol-only, marijuana-only, and SAM use, especially among college-aged people, warrant further examination to ultimately tailor interventions to not only specific substances but also the underlying motivations for using those substances. Thus, the purpose of the present study was to test the measurement invariance of a novel broadband motives measure, the Motivations for Using Substances Questionnaire (MUSQ), across alcohol-only, marijuana-only, and SAM users and further test motivations’ relationships to use-related problems. However, due to insufficient sample sizes of marijuana-only users (n = 175), the MUSQ …

Latent Variables Predicting Drug Use In Adolescents With High Versus Low Protective Factors, Jessica Jorgenson

Dissertations

The present study utilized archival data provided from the Minnesota Student Survey (2013). The study consisted of two levels of analysis. The first level involved the development of measurement models for various latent constructs (i.e., disaffiliation, normalized use, internalizing behaviors, and externalizing behaviors). Utilizing Structural Equation Modeling (SEM), the second level applied the observed (i.e., abuse) and measured latent variables to the prediction of the outcomes of interest (i.e., a latent variable estimate of substance use) for middle- and high school-aged youth. Models for adolescent girls and boys were examined separately based on sex and high vs low protective factors. …

Development And Initial Evaluation Of The Assessment Of Teacher Expectations And Practices (Atep), Kimberly Barajas

Dissertations

Teacher practices and expectations are important factors for students’ academic and behavioral functioning (Andersson & Palm, 2016; Oliver, Wehby, & Reschly, 2011; Rimm-Kaufman, Storm, Sawyer, Pianta, & LaParom 2006; Rubie-Davies, 2007; Sandholtz, 2011). The current measures available require a great deal of resources (i.e., time, money, personnel), have poor psychometric properties, or are not comprehensive (e.g., facets assessed; assessment of teacher practices for different grade levels). Given these concerns, the proposed study aimed to develop a psychometrically sound measure that is time and cost efficient and comprehensively assesses the multi-faceted construct of teacher practices. This measure is expected to allow …

Depressive Symptoms And Marijuana Outcomes In College Students: The Mediating Role Of Protective Behavioral Strategies For Marijuana, Nicholas Militello

Master's Theses

The present study evaluated the sequentially mediating role of protective behavioral strategies for marijuana (PBSM) and marijuana use frequency on the relationships depressive symptoms had with hazardous marijuana use and marijuana-related negative consequences in college students Participants were 338 (50.3% male) undergraduate college students age 18 to 25 (M = 22.10; SD = 1.97) who reported marijuana use in the past 30 days. Participants reported their gender and completed measures of depressive symptoms, PBSM use, marijuana use frequency, marijuana-related negative consequences, and hazardous marijuana use through an online survey from a 2018 project. Depressive symptoms were positively associated with …

Consistent Bedtime Routines Are Linked To Better Sleep Outcomes: Why?, Kristy Larsen

Dissertations

Results from nationwide studies estimate that between 81 and 95% of parents in the United States with young children use bedtime routines. This is auspicious given that the use of a consistent bedtime routine is linked with better sleep quality. Indeed, the use of bedtime routines has been determined to have “strong” empirical support for addressing bedtime behavior problems (e.g., bedtime resistance) and for improving children’s sleep. However, it is unclear how, or through what mechanism(s), that a consistent bedtime routine is associated with positive sleep outcomes. We evaluated compliance near bedtime and anxious distress at bedtime as possible mechanisms …

Examining The Effects Of State Anger On Self-Reported Psychopathic Trait Inventories, Olivia C. Preston

Dissertations

Research indicates that experiencing anger is linked to social undesirability and temporarily induces a host of significant changes within an individual, such as hostile attribution bias, lower trust, increased impulsivity, poorer decision-making, and preferential recall. Such changes theoretically may inflate psychopathy scores due to a greater ability or willingness to endorse attitudes, behaviors, cognitions, and emotions that are regarded as reflective of psychopathic traits and may potentially introduce random error variance into measurement. Such distortion due to mood may bear important implications for applied settings where one individual’s scores are measured at a single time point, rather than research where …

Effects Of Adolescent Motivation And Personality On Adherence And Success In A Voluntary Residential Bootcamp Program, Lydia Sigurdson

Master's Theses

The Youth ChalleNGe Program is a voluntary program for adolescents who have dropped out of high school and is intended to address various needs of at-risk youth. As a result, individuals are motivated to enroll for an array of reasons. Though prior research on the Youth ChalleNGe Program has sought to identify individual factors that determine program outcomes, no study has considered motivation for enrollment as a predictor of program success. Further, personality traits related to goal setting and self-regulation may impact the relationship between motivation and program outcome. Archival data was gathered from 710 participants in the Youth ChalleNGe …

Proposed Subtypes Of Anger Rumination: Brooding And Reflection And Their Associations With Aggression, Fayth Walbridge

Master's Theses

Rumination maintains, exacerbates, and is related to several maladaptive outcomes including negative affect (e.g., sadness, anger), symptoms of depression, and aggression in samples of nonclinical and clinical populations across developmental periods (e.g., McLaughlin & Nolen-Hoeksema, 2011; Nolen-Hoeksema, 1991; Nolen-Hoeksema, 1996; Thomsen, 2006; Peled & Moretti, 2007; Yang, et. al., 2014). Recently, the construct of sadness rumination has been conceptualized as two distinct subtypes, reflection and brooding (Treynor, Gonzalez, & Nolen-Hoeksema, 2003). Brooding is considered maladaptive because feelings and situations are viewed through a negativistic lens and reflection is viewed as adaptive and uses a problem-solving approach (Lopez, 2010; Burwell & …

Exploring Dissociation As A Facilitator Of Suicide Risk Using Virtual Reality, Nicole Caulfield

Master's Theses

Research shows that suicidal behavior is not a result of a single cause or single event, but instead is an interaction of facilitators. One potential facilitator that needs further exploration is dissociation. Dissociation has been consistently linked to suicidal behavior, and treatment for dissociative disorders seem to be associated with a reduction of suicidal ideation and suicide attempts. Prior theories have posited that dissociation increases the possibility of a suicidal act because of intensified disconnect from the body. However, these theories do not indicate whether dissociation is a facilitator of suicide risk by increasing suicidal ideation, attempt behaviors, and capability …

Romantic Relational Aggression Among College Students: A Moderated Mediation Study Of Attachment Style, Romantic Jealousy, Mate Value, And Relationship Investment, Skylar Hicks

Dissertations

Most of the research on intimate partner violence has concentrated on overt physical and verbal aggression, and less is known about relational aggression in the framework of romantic relationships. Relational aggression is more prevalent in college students’ romantic relationships compared to physical aggression and may be a risk factor for intimate partner violence. Additionally, a number of adverse correlates have been associated with romantic relational aggression, suggesting that it is worthy of study independent of its association with intimate partner violence. The present study explored the relationships among adult attachment, romantic jealousy, mate value, relationship investment, and romantic relational aggression …

The Mediating Effects Of Drinking Refusal Self-Efficacy On The Associations Between Alcohol Protective Behavioral Strategies And Alcohol Use Outcomes, Kray Scully

Dissertations

Alcohol use continues to pose a serious public health problem at universities across the U.S., largely due to the extent of consumption and frequency of negative consequences experienced among college students. Alcohol protective behavioral strategies (PBS-A) are an empirically supported repertoire of safe drinking behaviors college students can use to monitor and control their alcohol consumption as well as limit harm while drinking. However, there remains a need to better understand how cognitive mechanisms, such as drinking refusal self-efficacy (DRSE), help explain college student safe alcohol use behaviors to enhance evidenced-based intervention and prevention efforts. Recently, studies that examined the …

The Role Of Masculinity In The Development Of Capability For Suicide, Claire Houtsma

Dissertations

Males account for over two-thirds of suicide deaths annually. Additionally, more than 50% of American suicide deaths annually are firearm-related. Suicide risk is elevated within firearm owning households and men are more likely to own firearms, which suggests that male firearm owners are at disproportionate risk for suicide. Prior research has argued that certain stereotypically male traits (e.g., lack of help-seeking) may explain sex differences in suicide death; however, this remains a poorly understood phenomenon. Male gender norms (e.g. physical toughness, self-reliance) may contribute to the development or expression of capability for suicide, primarily through their impact on behavior. The …

Student-Athlete Success: An Examination Of Parenting, Grit, Academic Success, And Mental Health Outcomes, Jackson Howard

Dissertations

Factors such as poor adjustment, substance misuse, and mental health concerns have been found to be detrimental to college student success. Considering this, researchers have focused on investigating protective factors, which may enhance performance in higher education. Specifically, non-cognitive traits, such as grit, or an ability to maintain determination and passion for long-term goals in the face of adversity, and positive parenting strategies, such as psychological autonomy granting, have been tied to positive outcomes for college students in higher education. Conversely, overparenting behaviors and negative outcomes, such as burnout, have been found to be damaging to student success. Student-athletes are …

An Examination Of Parental Locus Of Control, Stress, Social Support, And Depression Among Parents Of Children And Adolescents With Intellectual Disabilities, Brandi Ellis

Dissertations

Caregivers (i.e., mothers and fathers) of youths with ID seem to be at a much higher risk of having symptoms of depression than caregivers of typically developing youths (Cantwell, Muldoon, & Gallagher, 2015; Giallo et al., 2015; Hu et al., 2010; Lee, 2013). A concurrent link has been found between parental locus of control (PLOC) and depression; however, there is a lack of support for a longitudinal association between these constructs among caregivers of youths with ID (Campis, Lyman, & Prentice-Dunn, 1986; Coyne & Thompson, 2011; Freed & Tompson, 2011; Lloyd & Hastings, 2009). Researchers have hypothesized that the lack …

Exploring The Maladaptive Cognitions Of Moral Injury, Rachel L. Martin

Dissertations

Moral injury and Post-Traumatic Stress Disorder (PTSD) are two prominent mental health problems that affect military personnel. Moral injury results when the individual is exposed to a situation or event that violates their moral code; however, PTSD results when there is a substantial threat of harm. Moral injury is a relatively new construct within the literature with research starting in the late 2000s. Although distorted cognitions are core components of PTSD symptomatology, there has been no research of cognitions in moral injury. The current study sought to differentiate PTSD and moral injury using the specific maladaptive cognitions associated with trauma …

The Effects Of Culturally Competent Messaging On Willingness To Engage In Firearm Means Safety, Sarah E. Butterworth

Dissertations

Little is known regarding how to most effectively deliver messaging that promotes safe firearm storage behavior. This study examined the extent to which engagement with firearm means safety messaging is conditional based on type of messaging, political beliefs, past suicidal ideation, and implicit associations of firearms with safety or danger. A sample of 909 American firearm owners recruited from Amazon’s Mechanical Turk (mTurk) was randomized to receive standard or gun culture-friendly firearm suicide prevention messaging at baseline, with 608 completing one-month follow-up. Main effects of messaging condition on means safety openness, intention to change firearm storage practices, and actual changes …

The Role Of Acculturation And Acculturative Stress In The Association Between Generational Status And Factors Related To Suicide Among South Koreans In The United States, Hyejin Jin

Dissertations

Korean Americans have the highest suicide mortality rates among Asian American subgroups (6.84 per 100,000 population; U.S. Census Bureau, 2010). Therefore, it may be important to examine the unique factors that account for the suicide rates of Korean Americans, especially since current knowledge on suicide with Korean Americans is limited. Thus, the present dissertation study sought to examine the role of acculturation and acculturative stress in the association between generational status and factors related to suicide among Korean Americans.

A sample of 150 participants completed a study protocol consisting of various self-report measures on MTurk. The results supported the hypothesis …