Clinical Psychology Commons^™

Identifying The Trauma Recovery Needs Of Maltreated Children: An Examination Of Child Welfare Workers' Effectiveness In Screening For Traumatic Stress, Adrienne Whitt-Woosley

Theses and Dissertations--Social Work

Children in the child welfare system comprise a group characterized by their exposure to trauma via experiences of maltreatment, under circumstances presenting multiple risk factors for traumatic stress. High rates of posttraumatic stress have been observed in this population. However, there is currently no standard for the universal screening of children in child welfare for trauma exposure and traumatic stress. The purpose of this study was to analyze the trauma experiences of a sample of maltreated children and examine whether child welfare workers are effective screeners of traumatic stress symptoms with children from their caseloads. Method: A sample of children …

Children's Response To Pediatric Continuous Glucose Monitoring (Cgm) Sensor Insertion : The Role Of Intervention And Individual Differences, Kristen M. Uhl

Legacy Theses & Dissertations (2009 - 2024)

Research indicates that nonpharmacological interventions are effective at reducing pain and distress during pediatric procedures. Certified child life specialists often perform these interventions. However, child life delivered procedural interventions have not been well studied in outpatient settings. Additionally, while characteristics that influence pediatric distress levels are known, their impact on procedural response in the presence of nonpharmacological interventions is not fully understood. In particular, the contribution of temperamental negative affect (NA) and effortful control (EC) are relatively unstudied in this context. The present study examined procedural response in a sample of 28 diabetic children and adolescents aged 2-18 years undergoing …

A Culturally-Sensitive Model Of The Development Of Child Anxiety., Jenny Marie Petrie

Electronic Theses and Dissertations

Explanatory models significantly enhance the understanding of etiological influences that place children at risk for anxiety, yet little is known about processes that promote resilient outcomes in children. While contextual factors influence risk and protective processes, cultural constructs have not been incorporated into existing models of anxiety and the role of culture remains obscure. The current study proposes a culturally sensitive model for understanding the etiological and mitigating processes underlying anxious symptoms in ethnic minority youth, and preliminarily tests basic components of the proposed model within a non-clinical community sample of 49 African American (AA) parent-child dyads who completed self-report …

Working Memory And Symptoms Of Attention Deficit Hyperactivity Disorder In Children, Alison Margaret Colbert

Master's Theses and Doctoral Dissertations

Attention Deficit Hyperactivity Disorder (ADHD) is a disorder mainly characterized by high levels of inattention, hyperactivity, and impulsiveness. Although ADHD is a topic of great interest in multiple domains, much remains to be explored before a thorough understanding will be possible. Recently, working memory (WM) has gained attention as a potential core deficit of ADHD. Therefore, theories of ADHD and WM may provide guidance for increased understanding of ADHD, and continued research on ADHD, guided by WM theory, will maximize the effectiveness of assessment and treatment for this disorder. The current study utilized a model integrating WM measurement and symptoms …

Using Structural Equation Modeling To Understand The Role Of The Family In Pediatric Asthma Contexts, Nour Al Ghriwati

Theses and Dissertations

Family factors have long been associated with the psychosocial adjustment of children with chronic illnesses, such as asthma (Minuchin, 1975; Rapee, 1997). Research indicates that negative family factors may also contribute to child disease severity, via bio-behavioral mechanisms of effect (Wood et al., 2006); however, these pathways have yet to be examined with a comprehensive focus on more positive family factors. This study sought to examine whether factors such as family cohesion, problem solving abilities, and communication influence asthma symptom severity in children via their effects on child depression and anxiety symptoms. Using structural equation modeling, we identified significant indirect …

Stakeholder Views On Behavioral Health Care In The Pediatric Primary Care Setting: A Qualitative Approach Towards Integration Of Care, Alexis Quinoy

Theses and Dissertations

The pediatric primary care setting has been discussed as playing a central role for the identification and treatment of behavioral and mental health disorders in youth. Although this setting is in a unique position to provide these services, there are many barriers to the integration of mental health care and pediatric primary care. The aim of this study is to examine perspectives of multiple stakeholders (i.e., patient, parent, nurse, resident, faculty, clinic director) in a pediatric primary care setting to explore barriers, behavioral and mental health needs, and facilitators to the integration and provision of mental health care for children …

Differences In Narcissistic Presentation In Abused And Non-Abused Children And Adolescents, Mallory Laine Malkin

Dissertations

The present study examined whether children and adolescents who have been victims of sexual or physical abuse report higher levels of narcissistic tendencies than children and adolescents who have not been victims of abuse. Inaddition to narcissism, internalizing symptoms, externalizing behaviors, and risky behaviors were evaluated, as such issues have been associated with both maltreatment (Baer & Maschi, 2003) and narcissism (Barry & Malkin, 2010; Bushman & Baumeister, 1998). One-hundred fifty- six (156) children and adolescents (100 females, 56 males) ranging in age from 8 to 17 (M = 12.90, SD = 2.66) were recruited as participants. The vast majority …

Identifying Barriers And Facilitators Of Successful School-Based Mental Health And Behavioral Programs Delivered In The Context Of Urban Poverty: A Qualitative Exploration Of Perspectives From Service Providers And Youth, Farahnaz K. Farahmand

College of Science and Health Theses and Dissertations

The goal of this study was to identify the barriers and facilitators of successful mental health and/or behavioral programs implemented within inner-city schools. The impetus for this study came from prior meta-analytic research which demonstrated programs being offered within inner-city schools, as a whole, showed very low effect sizes, with many of the programs offered to youth within these settings showing iatrogenic effects. The use of qualitative methods, specifically a phenomenological approach, provided an in-depth understanding of 1) service providers' experience(s) delivering mental health and/or behavioral programs in inner-city schools; and, 2) low-income, urban youths' experience(s) with receiving school-based mental …

Relations Between Fine Motor Skill And Parental Report Of Attention In Young Children With Neurofibromatosis Type 1, Christy Casnar

Theses and Dissertations

Neurofibromatosis type 1 (NF1) is one of the most common genetic disorders presenting in approximately 1 in 3,000 live births. NF1 is a highly variable condition with a large number of complications. A common complication is neuropsychological problems, including developmental delays and learning difficulties that affect as many as 60% of patients. Research has suggested the children with NF1 often have poorer fine motor skills and are at greater risk for attention difficulties than the general population. Furthermore, recent research is beginning to demonstrate a relationship between fine motor skills and attention in older children; however, very little research has …

The Mediating Role Of Emotion Regulation In The Relations Of Between Somatization And Internalizing Disorders In Children, Priscilla A. Khuanghlawn

Psychology Theses & Dissertations

Somatic symptoms are a common experience of childhood and research suggests that specific populations, including girls and children who are African-American, may be more likely to experience and report somatic complaints. Although seen in developmentally typical populations, somatic symptoms are also often strongly linked with general psychopathology, especially internalizing disorders. The etiology of somatic symptoms is unclear, with the current literature suggesting various contributing causes. One such contributing factor includes emotional factors such as the management of emotional arousal through emotion inhibition, coping, and dysregulation. Using an African-American sample of 136 elementary school-aged children (47% boys) and their parents (86% …

Deconstructing Children's Expectations For Psychotherapy: Understanding How Parents Prepare Their Children For Mental Health Treatment, Heather Nix

Master's Theses and Doctoral Dissertations

Little research has investigated the effects of stigma on child psychotherapy. Because parents are a primary factor in determining whether children receive psychotherapy and how therapy progresses, understanding how parental perceptions of psychopathology and psychotherapy are associated with children’s mental health treatment seems to be an important step in investigating how stigma impacts child psychotherapy. Researchers have not closely examined, however, how parents might influence children’s experiences of psychotherapy. To address this topic, the current study examined how parents’ views of psychotherapy were related to how they prepared their children for psychotherapy and how this preparation was related to children’s …

The Relation Between Children's Perceived Containment And Parental Antisocial Behavior, Joye L. Henrie

Graduate Theses and Dissertations

Researchers have invoked a variety of theories when discussing the relation between children's orientation to authority and the development of antiSocial behavior (ASB). Here, the focus is children's sense of containment. Previous studies revealed an association between perceived containment and child externalizing behaviors. In this study, the degree to which a child's sense of containment is related to parents' level of ASB was examined. One hundred sixty aggressive children and their parents participated. I hypothesized that ineffective discipline would moderate the relation between parent ASB and child perceived containment. I expected to find an inverse relation between parents' level of …

The Effects Of Amount Of Contact, Relationship Quality, And Types Of Activities On Child Social And Emotional Functioning In A Youth Mentoring Program, Dorothy Maria Lipski

All Graduate Theses, Dissertations, and Other Capstone Projects

Various factors in youth mentoring programs are associated with beneficial outcomes in youth. Extending mentoring research, this pilot study aimed to evaluate the effectiveness of the Y's Brother/Sister program. The particular factors under study included the influence of the amount of contact between mentors and mentees, the self-reported quality of the relationship, and the types of activities engaged in on mentee's mental health. Ten mentees between the ages of 8 and 17 years of age (M = 11.5) were included in the study. Contrary to the hypothesis, the results show that more contact was associated with elevated levels of behavioral …

The Evaluation Of A Parent-Implemented Behavioral Intervention For The Treatment Of Food Selectivity And Mealtime Behavior Problems In Children With Autism Spectrum Disorders, Suzanne Michelle Milnes

Legacy Theses & Dissertations (2009 - 2024)

The purpose of the current study was to extend and replicate the procedures used by Gentry and Luiselli (2008) and evaluate whether their parent-implemented treatment package was effective in increasing food acceptance in children with an autism spectrum disorder. Additionally, this study evaluated whether food acceptance generalized to foods and mealtimes not targeted during intervention. A secondary purpose of the current study was to evaluate the impact of the same treatment package on each child's inappropriate mealtime behavior. Parents conducted all sessions in a naturalistic setting (i.e., the home) and parent training took place via a consultative model. The primary …

A Structural Equation Analysis Of Family Accommodation In Pediatric Obsessive-Compulsive Disorder, Nicole Elise Caporino

USF Tampa Graduate Theses and Dissertations

Family accommodation of symptoms conflicts with the primary goals of cognitive-behavioral therapy for pediatric obsessive-compulsive disorder (OCD) and can be an obstacle to positive outcomes. This study examined a structural equation model of parent and child variables related to family accommodation using a sample of 65 parent-child dyads recruited from a university-based clinic. Additionally, parents' motivations for engaging in accommodation were explored. Results generally supported the hypothesized model. Family accommodation mediated the relationship between OCD symptom severity and parent-rated functional impairment, child internalizing problems mediated the relationship between parent anxiety and family accommodation, and parent empathy and consideration of future …

Does D-Cycloserine Augmentation Of Cbt Improve Therapeutic Homework Compliance For Pediatric Obsessive Compulsive Disorder?, Jennifer M. Park

USF Tampa Graduate Theses and Dissertations

D-cycloserine (DCS), a partial agonist that acts on the N-methyl-D-aspartate (NMDA) receptor of the glutamatergic receptor complex, may enhance fear extinction learning during exposure-based therapy. Clinical studies in adults with obsessive-compulsive disorder (OCD) and non-OCD anxiety disorders - and a recent trial in pediatric OCD - have shown that DCS can improve treatment response to exposure therapy relative to placebo and exposure therapy. Some have hypothesized that improved treatment response is a function of increased compliance and engagement in therapeutic homework tasks, a core component of behavioral treatment. The present study examined the relationship between DCS and homework compliance in …

Women's Compliance In Outpatient Substance Abuse Treatment: The Role Of Children And Mental Health, Cathy Gertrude Cooke

Psychology Theses & Dissertations

The purpose of this study was to examine the role of children and mental illness in women's compliance in a treatment program for substance abuse. Information was retrieved from medical records of female clients ( N=221) who took part in a community-based day treatment program for substance abuse in a large city in southeastern Virginia during a 32-month period. It was anticipated that, as compared to women who resided with minor children, women who did not reside with minor children would have greater treatment success defined as: (1) more days in the treatment program; (2) higher percentage of negative …

The Influence Of Family Factors On Neuropsychological Outcome In A Clinical Sample Of Preschool Children, Kara Leiser

Dissertations (1934 -)

Children impacted by neurological insult or disorder are at risk for impaired neuropsychological functioning; however, there is substantial variation in outcome, with many affected children doing very well. The factors that explain the variation in outcome in children with compromised neurological functioning are poorly understood. The present study examined the nature of relationships among family factors, including primary caregivers' appraisals of stress (i.e., primary caregivers' injury/medical condition-related stress, parenting stress, psychological distress, and relationship quality) and the primary caregiver-child relationship, and neuropsychological outcomes (i.e., intellectual functioning; language skills; adaptive, socio-emotional, and behavioral functioning). A clinical sample of 72 preschool children …

Family Coping As A Protective Factor For Poor Children, Catherine Decarlo Santiago

Electronic Theses and Dissertations

This study examined family influences on coping and adjustment among 90 low-income Latino middle school children (46% Female; Average age = 11.38, SD = .66) and their primary caregivers (93% Female; Average age = 36.12, SD = 6.13). All participants identified as Hispanic/Latino, with 75% of families identifying as Mexican-origin Latino, 77% of parents identifying as immigrants, and 32% of children identifying immigrants. All children participating in the study were receiving free or reduced lunch, a poverty indicator. Hierarchical linear modeling analyses revealed that family reframing is related to fewer symptoms of psychopathology and that familism enhances the protective effect …

Predicting Children's Emotional And Behavioral Functioning: An Examination Of Coparenting And Parental Satisfaction, Samantha Scott

Electronic Theses and Dissertations

To examine the interplay among shared parenting, coparent support, parental satisfaction, and child behavior problems, the current study examines the responses of mothers and fathers who have children between the ages of 3- and 6-years. As part of this study, 107 parents (i.e., 80 mothers and 27 fathers) completed a questionnaire packet including measures of coparenting, parental satisfaction, and child behavior problems. Results are examined using correlational and hierarchical regression analyses. Correlational analyses suggest that coparent support and parental satisfaction are related positively and that coparent support and parental satisfaction are related negatively with children's behavior problems. Unique relationships are …

Mitigating Risk For Anxiety Among Preschool-Age Children Living In Poverty: Evaluating The Impact Of Adult-Provided Social Support On Autonomic Stress Reactivity, Brian Cory Wolff

Electronic Theses and Dissertations

Poverty increases children's exposure to stress, elevating their risk for developing patterns of heightened sympathetic and parasympathetic stress reactivity. Repeated patterns of high sympathetic activation and parasympathetic withdrawal place children at risk for anxiety disorders. This study evaluated whether providing social support to preschool-age children during mildly stressful situations helps reduce reactivity, and whether this effect partly depends on children's previously assessed baseline reactivity patterns. The Biological Sensitivity to Context (BSC) theory proposes that highly reactive children may be more sensitive than less reactive children to all environmental influences, including social support. In contrast, conventional physiological reactivity (CPR) theory contends …

Am I Too Fat To Be A Princess? Examining The Effects Of Popular Children's Media On Preschoolers' Body Image, Sharon Hayes

Electronic Theses and Dissertations

The current study investigated the effects of brief exposure to appearance-related media on female preschoolers' body image. Results indicated that exposure did not affect body dissatisfaction or engagement in appearance-related play behaviors. Surprisingly, participants' self-reported frequency of weight concerns decreased at posttest. In contrast to older populations, it is possible that young children may adopt the persona of attractive characters with whom they identify rather than comparing themselves to the characters. This level of identification temporarily may alleviate weight concerns. This is the first empirical study to provide support for previous findings that suggest media exposure does not affect body …

The Effects Of Group Counseling On The Self-Esteem, Anxiety, And Behavior Of Children With Deployed Parents, Nancy Taylor Mitchum

Psychology Theses & Dissertations

The purpose of this study was to examine the effectiveness of a six-session group counseling intervention for children who had a parent experiencing military-induced deployment. Participants were 65 children (30 boys, 35 girls) of enlisted military personnel attending elementary schools near the Norfolk Naval Base. Elementary school counselors facilitated the counseling groups.

An experimental/control group pretest-posttest design was employed. Independent variables were the child's participation in the Children of Deployed Parents-Group/control group, child gender and age. Dependent variables were self-esteem, anxiety, and behavior as measured by the Coopersmith Self-Esteem Inventory (SEI), the State-Trait Anxiety Inventory for Children (STAIC), the Child …