Clinical Psychology Commons^™

For I Know The Plans I Have For You: God Locus Of Control, Spiritual Change, And Death Anxiety In Primary Brain Tumor Patients, Kelci D. Willis, Julia Brechbiel, Rachel Boutte, Laurel Kovalchick, Kyra Parker, Audrey Ann Louis Villanueva, Ashlee R. Loughan

Graduate Research Posters

Background/Purpose. Primary brain tumor (PBT) patients risk experiencing death anxiety given the high mortality rate of their diagnosis. In line with Terror Management Theory (TMT), many diagnosed with cancer utilize religion as a method of coping with the disease. However, previous literature on the relation between death anxiety and religion in cancer patients indicates mixed findings of either a negative relationship or no association. To the authors’ knowledge, no study has analyzed these two constructs together in PBT patients. The current study sought to address this gap by investigating the relationship between religiosity and death anxiety in an understudied population. …

Empirical Relationships Among Trauma Exposure, Anxiety Sensitivity, And Post Traumatic Stress Disorder, Sandra Yankah, Michael Southam-Gerow, Samantha Dehart, Payton Beam

Graduate Research Posters

This review synthesized and critically reviewed empirical studies that assessed relationships among trauma exposure, anxiety sensitivity (AS), and Post Traumatic Stress Disorder (PTSD). Across the literature, the prominent theory conceptualized anxiety sensitivity as a causal risk factor within two competing models. One model posited that individuals with dispositionally high AS prior to experiencing a potentially traumatizing event (PTE) have a greater likelihood of developing PTSD after trauma exposure. The second model theorized that the introduction of a PTE raises an individual’s baseline level of AS, leading to the development and maintenance of PTSD symptoms. Emerging research highlighted the possibility of …

Gene-By-Intervention Effects On Alcohol Dependence Symptoms In Emerging Adulthood, Zoe E. Neale, Sally I. Kuo, Fazil Aliev, Peter B. Barr, Jinni Su, Kit K. Elam, Thao Ha, Kathryn Lemery-Chalfant, Danielle M. Dick

Graduate Research Posters

The Importance of Peer Influence for LGBTQ+ Youth in Rural Communities

Aaron Kemmerer

supported by findings from Safe as Yourself (SAY) Project

Traci Wike (PI), Leah Bouchard, Maurico Yabar, and Aaron Kemmerer

Objectives: To explore the experiences and narratives of LGBTQ+ youth in rural North Carolina. To elaborate on the influence of peer support and impact of peer victimization for LGBTQ+ youth in rural North Carolina.

Methods: Data was collected from eleven young people who were interviewed from 2019-2020 at an LGBTQ+ youth center in rural North Carolina. The interviews were coded and analyzed using narrative analysis on a team …

Multidimensional Recovery Among An Opioid Use Disorder Outpatient Treatment Population, Anna Beth Parlier-Ahmad, Lori Beck, Caitlin E. Martin

Graduate Research Posters

Background: Given the current opioid crisis, recovery from opioid use disorder (OUD) warrants attention. SAMHSA’s working definition of recovery highlights dimensions that support recovery including health, home, community, and purpose. Recovery capital captures factors that support recovery within these dimensions and has been associated with recovery outcomes. Prior research highlights possible gender differences in recovery outcomes. Objective: 1) Describe and compare recovery capital among an OUD outpatient treatment population by gender; 2) Identify the relationship between recovery capital and length of time in treatment within this population.

Methods: Patients (n=126) taking medication for OUD at a single outpatient substance use …

Expressed Emotion, Mental Health, And Functioning In Families Of Children With And Without Asthma, Katherine W. Dempster, Julia Scheidemantel, Jessica Greenlee, Marcia A. Winter, Ph.D, Robin S. Everhart, Ph.D

Graduate Research Posters

Introduction: Expressed emotion (EE), the affective attitudes and behaviors of one toward another, can affect caregivers’ behaviors toward their child. Research examining associations between EE and child/family outcomes is mixed; these associations may be affected by other influences such as the presence of a chronic disease or parent mental health. In this study of families living in an urban area, we examined associations between EE and child outcomes (anxiety/depressive symptoms) and family functioning, with parent anxiety as a covariate. We evaluated child asthma status as a moderator in these associations as the presence of a chronic illness may strengthen the …

Life Satisfaction: Measurement Invariance And Correlations With Adolescent Adjustment, Sarah K. Pittman, Robert F. Valois, Albert D. Farrell

Graduate Research Posters

Background

Low life satisfaction during adolescence has been associated with adjustment problems. There are few well-validated measures available to assess adolescents’ life-satisfaction. The purpose of this study was to investigate the structure of the Life Satisfaction Scale, evaluate its measurement invariance across sex and race/ethnicity, and investigate its associations with related constructs.

Methods

Participants were 3,340 adolescents from rural middle schools in Florida. Half the participants were female, 51% were White, 15% were Black, and 22% were Latinx. Adolescents completed the Life Satisfaction Scale, the Children’s Report of Exposure to Violence scale, and the Problem Behavior Frequency Scale.

Results

Confirmatory …

Screening For Cognitive Impairment In Primary Brain Tumor Patients: A Preliminary Investigation With The Mmse And Rbans, Farah Aslanzadeh, M.S., Sarah Braun, M.S, Julia Brechbiel, M.S., Kelcie Willis, M.S., Kyra Parker, Autumn Lanoye, Phd, Ashlee Loughan, Phd

Graduate Research Posters

Introduction: The prevalence of mild cognition impairment (MCI) among older adults (≥65) is estimated to range between 10-20% (Langa & Levine, 2014). Integrated primary care allows opportunities for interdisciplinary consultation, screening, and intervention. The aim of this study is to explore the percentage of older adults reporting cognitive concerns during their first primary care psychology visits. It is hypothesized that these rates will mirror prevalence rates in other older adult community dwelling samples in primary care settings.

Methods: A patient sample of older adults (≥60) was introduced to services following a referral from their primary care physician. Clinicians then identified …

Daily Sleep Quality Is Associated With Daily Cognition In Late-Life, Emily K. Donovan, Joseph M. Dzierzewski, Constance H. Fung, Karen R. Josephson, Cathy A. Alessi, Jennifer L. Martin

Graduate Research Posters

Background: Older adults often face sleep disturbance or cognitive decline that goes beyond the scope of normal aging. The present study examined the relationship between self-reported sleep quality and self-reported daytime attention in a community-dwelling sample of older men at the between-persons and within-persons levels of association.

Methods: Thirty-eight participants (M age =75.36 years, SD age =7.51 years, range=66-90 years) completed a twice-daily sleep diary for one week. Sleep quality and attention were assessed using a single-item 0-10 rating scales from the morning diary (“How was the quality of your sleep last night?”) and from the evening diary (“How was …

Community Input On An Enhanced Care Planning Tool Addressing Health Behaviors, Mental Health Needs, And Social Risks, Kristen O'Loughlin, Hannah Shadowen, Paulette Lail Kashiri, Alex Krist

Graduate Research Posters

Background: Many patients with multiple chronic conditions (MCC) have social risks, mental health needs, and/or unhealthy behaviors. These interfere with their ability to manage their MCC. A care planning tool was created to help address these needs; this study solicited feedback from stakeholder groups and incorporated it into improving the tool.

Methods: Instrument: The Enhanced Care Planning (ECP) tool screens patients for social risks, mental health needs, and unhealthy behaviors. They are shown where their responses revealed risk, then select 1-2 to improve upon. Next, patients set personal goals and select strategies to support them. Patients are supported by …

Suicidal Ideation And Self-Injury Prevalence And Impairment In An Urban Integrated Primary Care Clinic, Kathryn L. Behrhorst, Bruce Rybarczyk, Ph.D., Heather A. Jones, Ph.D.

Graduate Research Posters

Introduction: Suicide is the second leading cause of death for adolescents (Rosenbaum & Ougrin, 2019). Pediatric primary care staff are often the first line of intervention for youth presenting with suicidal thoughts and NSSI (Taliaferro et al., 2013). The primary aim of the current study was to describe reported suicidal ideation, attempts, and NSSI in youth presenting to an urban integrated primary care setting.

Methods: Within an outpatient pediatric primary care clinic, patients were referred by medical staff and introduced to behavioral health services. Patients were asked about their history of suicidal thoughts/attempts and NSSI (Mage = 12.63; SD = …

Predictors Of Mental Health Need And Treatment In Safety Net Primary Care, Kristen O'Loughlin

Theses and Dissertations

Many mental health (MH) needs go unidentified in primary care, and certain patients appear to be at higher risk of needs going unidentified and subsequently untreated. Little is known about patterns of detection and treatment in clinics with integrated mental health services. The purpose of this study was to characterize the prevalence of MH needs and evaluate patient characteristics as predictors of both the presence of a MH need and type of MH services received. Subjects were patients receiving care at two safety net primary care clinics with integrated mental health services (N=816; 52.7% Latinx, 15.9% African American), …

Profiles Of Adjustment Among Children In Institutional Care In Ghana: Predictors Of Positive Functioning, Anna W. Wright

Theses and Dissertations

Worldwide, approximately 2-8 million children reside in institutional care, which can lead to developmental setbacks. Given the need for institutional care persists, it is important to continue investigating which improvements can be made to provide optimal care. The current mixed-methods study included participants from Accra, Ghana. Study 1 involved cluster analyses to determine patterns of adjustment for 100 children in institutional care (CIC) (M age = 13.31 years, SD = 3.14; 40% female) and 100 children in families (CIF) (M age = 13.37 years, SD = 3.08; 40% female) across several domains. ANOVA was used to evaluate whether …

Bidirectional Associations Between Passive And Active Technology Use And Sleep: A Longitudinal Examination In Young Adolescents With And Without Adhd, Elizaveta Bourchtein

Theses and Dissertations

Many adolescents do not receive recommended amounts of sleep, and prevalence rates of sleep problems are particularly high among adolescents with attention-deficit/hyperactivity disorder (ADHD). One factor that may contribute to these sleep difficulties is technology use, and there is some evidence that the association between technology use and sleep may be bi-directional. Further, type of technology use (i.e., passive versus active) may be differentially associated with sleep. To date, most studies have evaluated these associations cross-sectionally and relied upon global and subjective ratings of technology use and sleep, which masks important day-to-day variability. The present study evaluated bi-directional associations between …

A Randomized Trial Of Cbt4cbt For Women In Residential Treatment For Substance Use Disorders, Sydney S. Kelpin

Theses and Dissertations

Women with substance use disorders (SUD) face unique barriers to substance use treatment, and as a result, are less likely than their male counterparts to seek treatment for the disorder. Cognitive behavioral therapy (CBT) is an evidence-based treatment known to reduce relapse rates by teaching clients to recognize and respond to their cues for substance use. Recent research suggests CBT may be particularly of benefit to women. Despite the effectiveness of CBT, its dissemination in clinical practice is limited due to a range of barriers (e.g., time, cost). Computer-based training for cognitive behavioral therapy (CBT4CBT) offers an opportunity to improve …

Exploring Whether Contextual Factors Relate To The Hoped-For And Feared Possible Selves Of Latinx Youth, Stephanie M. Romo

Theses and Dissertations

Youth’s hopes and fears for their future (i.e., hoped-for and feared possible selves) are related to their academic and health behavior outcomes. Much of the literature on possible selves focuses on African-American and European-American youth. In a sample of 132 Latinx youth, the present cross-sectional study utilized widely-used measures (i.e., Possible Selves Questionnaire, Beliefs about Education, Youth Risk Surveillance Survey) to identify the content and characteristics (e.g., strategies, balance) of their possible selves; investigate the relationship between contextual factors (e.g., sex, immigrant status) and possible selves; and, explore whether possible selves predicted youth’s beliefs about education and sexual risk behaviors. …

A Meta-Analysis Investigating The Correlation Between Treatment Integrity And Youth Client Outcomes, Ruben G. Martinez

Theses and Dissertations

Objective: The relation between treatment integrity and youth client outcomes in psychosocial treatment research has implications for therapist training, study design, and study interpretation. Despite work done in this area, this relation remains unclear. The aim of the current study was to meta-analyze and describe characteristics of investigations of integrity and outcome in youth.

Method and Analytic Plan: A total of N = 30 studies were identified. Conceptual and methodological factors were coded. Pearson’s r represented the magnitude of the integrity-outcome correlation. Robust variance estimation was used to account for dependency of within-study effect sizes. Two models were run with …

Differential Identification Of Hyperacusis And Misophonia: Implications Of Discrete Decreased Sound Tolerance (Dst) Condition Subtypes, Rachel E. Wallace

Theses and Dissertations

Hyperacusis and misophonia are two conditions of decreased sound tolerance (DST) studied in the psychological literature due to their association with psychological symptoms and mechanisms. DSTs are differentiated from normal sound sensitivity due to the reported impairment and distress individuals experience. Researchers suggest that DSTs are differentiated by types of sounds and emotional reactions elicited, such that hyperacusis is a fear and pain response to ordinary environmental sounds perceived as uncomfortably loud, and misophonia is an anger and disgust response to human-made sounds, but these distinctions, and associated characteristics, have not been empirically demonstrated. Undergraduate students (N = 1572) …

The Moderating Role Of Developmental Assets On Relations Between Child Maltreatment, Trauma, And Dating Violence, Stephanie A. Hitti

Theses and Dissertations

Teenage dating violence (TDV) is prevalent and associated with an array of psychosocial and health problems. Thus, numerous studies have focused on the identification of risk and protective factors for TDV. Child maltreatment has been consistently identified as a risk factor for TDV victimization and perpetration. However, potential underlying mechanisms that may partially explain the relations between child maltreatment and TDV victimization and perpetration are not well understood. The present study explored indirect relations between child maltreatment and TDV victimization and perpetration via trauma symptoms, and examined whether internal and external developmental assets moderated relations between (a) child maltreatment and …

Effects Of Violent And Nonviolent Life Stressors Among Urban Early Adolescents: Testing Competing Models Of Comorbid Distress And Externalizing Symptoms, Erin Thompson

Theses and Dissertations

The strong association between stressful life events and the wide-ranging spectrum of psychopathology has led some to advocate for the reconceptualization of traumatic stress. There has been a longstanding debate on whether these symptoms are best represented by using dimensional versus categorical approaches. Moreover, further understanding of the risk factors associated with various dimensions or patterns of comorbid emotional and behavioral problems could inform future research and intervention efforts. The current study tested competing variable- and person-centered approaches and examined how stressful life events are associated with different patterns of distress and externalizing symptoms among a predominantly African American and …

Adverse Childhood Experiences In Children Presenting To Integrated Pediatric Primary Care, Irene A. Jacobs

Theses and Dissertations

The prevalence of adverse childhood experiences (ACEs) has created a significant public health concern in the United States. A vast body of literature examining adult populations has displayed a dose-response association between cumulative ACEs and chronic illnesses (Chapman et al., 2004; Felitti et al., 1998). ACEs research conducted with children and adolescents has indicated higher ACE scores associated with learning and behavioral problems (Burke et al., 2011), health risk behaviors (Garrido et al., 2018), and mental health challenges (Mackner et al., 1997). However, ACEs research and subsequent interventions have largely relied upon retrospective data retrieved from adults (Felitti et al., …

The Correlation Between Maternal Postpartum Depression And Child Psychopathology, T'Keyah I. Vaughan

Theses and Dissertations

Background: Postpartum depression (PPD) is a phenomenon that affects nearly 10-15% of pregnancies in the US. It is characterized by depressed mood or anhedonia and lasting for more than 2 weeks. PPD changes how moms interact with family members and child-rearing behavior. Depression is a phenomenon that is also known to affect the psychopathology of children. However, the specifics of how postpartum depression impacts children remains controversial. Many studies do not control for major depressive disorder which makes it difficult to disentangle the impact depression has within the first year of life. Furthermore, other PPD risk factors may be confounding …