Clinical Psychology Commons^™

South Asian American Experiences Of Microaggressions And Wellbeing: The Moderating Role Of Social Support, Archita Birla

Electronic Theses and Dissertations

Although the South Asian American community is rapidly expanding in the United States (South Asian Americans Leading Together [SAALT], 2015), there remains a dearth of psychological research regarding the impacts on mental health and wellbeing affecting this diverse community. Racial microaggressions, or verbal or behavioral actions indicating hostile or negative attitudes toward marginalized individuals (Sue et al., 2007), negatively impact People of Color (POC) mental health and wellbeing (Forrest-Bank & Jenson, 2015a; Nadal, Wong, et al., 2015). Some research exists on South Asian American communities and microaggressions (Houshmand et al., 2014; Poolokasingham et al., 2014) but there is limited research …

Music As A Coping Mechanism: Clinical Implications Of How College Students Utilize Music To Cope With Anxiety, Depression, And Daily Stressors, Karly Pikel

Senior Theses

Many college students face stress, anxiety, and/or depression in their daily lives which they cope with in their own ways. Listening to music or playing an instrument are particularly powerful forms of coping that can have a plethora of positive effects on an individual. The purpose of this study was to conduct a survey amongst the University of South Carolina student body to determine how they utilize music to cope in their daily lives. Of 847 respondents, almost all of them reported experiencing some extent of anxiety and/or stress and listening to music to help them cope. Respondents agreed that …

Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield

Electronic Theses and Dissertations

Previous research has examined the complex mental and social health deficits of those who were trafficked that clinicians have to treat therapeutically (Litam, 2017; Pascual-Leone et al., 2017). Other research has explored how continuing education workshops often change the knowledge, competence, and attitudes of attendees to use more effective and evidenced techniques and skills (Neimeyer et al., 2009; Raghavan et al., 2008). However, there is a lack of understanding about how a complex topic, specifically treatment considerations of those who were trafficked, changes the knowledge and competence of continuing education workshop attendees. The purpose of the current study is to …

Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill

Electronic Theses and Dissertations

Obstetric violence includes acts of abuse, coercion, or disrespect that occur during the labor process. The present study explores how obstetric violence impacts a person’s postpartum psychosocial adjustment. This study used a subset of data (N = 339) from a larger online study, which attempted to explore multiple facets of a person’s postpartum health. The psychological constructs examined are postpartum depression and postpartum anxiety. Additional constructs assessed were protective and risk factors: self-compassion and medical mistrust. Self-compassion and medical mistrust were examined by using moderation models. Additional analyses were completed using simple regression models to explore whether obstetric violence predicts …

User Engagement With Apps For Depression, Danielle Rae Schweitzer

Theses and Dissertations

Depression is a debilitating and prevalent psychiatric condition, however, few individuals with depression seek mental health treatment. Mental health apps (MHapps) represent one treatment delivery option that may reduce gaps in mental health care. Current evidence suggests that MHapps are efficacious for reducing depressive symptoms, yet little is known about how MHapps are effective. Thus, the aims of the present study were 1) to examine whether two MHapps were effective for reducing depressive symptoms and 2) to determine whether variables such as user engagement, guidance, outcome expectancies, preferences, and coping skill development were associated with effectiveness. A community sample (N=20) …

Adversity, Resilience, Mental Health, And Well-Being In First-Year Student-Athletes: A Mixed Methods Intervention Study, Parker Leap

Dissertations, 2020-current

Research indicates that student-athletes face unique stressors as they transition to college. Resilience programming has been shown to have mental health benefits with the general college student population; however, few studies have examined efficacy of resilience programming with college-student athletes during their transition to college. The purpose of this study was to examine the effects of a novel, culturally-resonant, NCAA grant-funded resilience course on scores of resilience, student athlete mental health, and sport well-being. This study also sought to assess the feasibility of this course and explore participants’ subjective experiences. A mixed methods intervention research design was utilized and included …

The Impact Of Acculturative Stress On Internalizing Problems Among Racially And Ethnically Minoritized Adolescents And Young Adults In The U.S. : A Systematic Review And Meta-Analysis, Petty Tineo

Theses, Dissertations and Culminating Projects

Due to demographic changes of the U.S. population in the past few decades, more attention has been placed on understanding the sociocultural factors that have an impact on racially and ethnically minoritized (REM) groups and mental health outcomes. One of the factors that has been gaining increased attention in the past few years is acculturative stress. Acculturative stress is associated with various mental health outcomes, such as depression, anxiety, psychological distress, and suicide ideation (SI). However, the magnitude of this association remains unclear. A systematic review and meta-analysis were conducted to provide a comprehensive review of the impact of acculturative …

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 …

Utilizing New Technologies To Measure Therapy Effectiveness For Mental And Physical Health, Jonathan Ossie

Dissertations

Mental health is quickly becoming a major policy concern, with recent data reporting increasing and disproportionately worse mental health outcomes, including anxiety, depression, increased substance abuse, and elevated suicidal ideation. One specific population that is especially high risk for these issues is the military community because military conflict, deployment stressors, and combat exposure contribute to the risk of mental health problems.

Although several pharmacological approaches have been employed to combat this epidemic, their efficacy is mixed at best, which has led to novel nonpharmacological approaches. One such approach is Operation Surf, a nonprofit that provides nature-based programs advocating the restorative …

Dealing With Your Dragons: Counseling Through Dungeons And Dragons, Devon Howell

Educational Specialist, 2020-current

The purpose of this literature review is to explore the idea of using the game of Dungeons and Dragons as a form of group counseling in a therapeutic setting. A search of relevant literature was conducted to discover potential therapeutic utility and cultural aspects of this prospective methodology. It was hypothesized that while the topic might not be well researched, it will yield potential possibilities for therapeutic use. The research presents possibilities for different theoretical underpinnings; in particular, it offers a unique range of benefits to both the client (improvements to social skills, sense of community, and overall mental health), …

Breaking Into Bon Air Juvenile Correctional Center: A Lesson In (Non) Quantitative Research, Mackenzie Seward

Honors Theses

Gaps in the literature on juvenile justice and mental health within a juvenile correctional center prompted a study that focused on self-esteem, emotions, and empathy in residents living in a juvenile correctional center related to their participation in a storytelling course. First-year students from a local university visited the correctional center as part of a community-based learning component. They met with residents to swap stories about their lives. Several limitations and obstacles complicated the data collection process, forcing the researchers to pivot their study from quantitative analyses to qualitative observations. The experience of conducting a study within a juvenile correctional …

Does Perceived Emotional Invalidation Moderate The Relation Between Occupational Stress And Mental Health Outcomes In Law Enforcement Officers?, Sahar Jaafar M.S.; M.A.

Selected Full Text Dissertations, 2011-

Police officers are exposed to operational stressors while on duty, including child abuse, domestic violence, car crashes, and homicides (Jetelina et al., 2020). Repeated exposure to these stressors is associated with the development of mental illness (Jetelina et al., 2020). Organizational stressors, including lack of support/validation, demand, job pressure, administrative/organizational pressure, and long working hours, may be an even greater source of stress for police officers (Purba & Demou, 2019). Exposure to such organizational stressors can result in psychological distress, burnout, and suicidal ideation (Purba & Demou, 2019). However, there is a dearth of research on invalidation and the role …

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 …

Stress Levels Of Bisexual Individuals In Mixed-Orientation Relationships, Amanda Bartley

All Graduate Theses, Dissertations, and Other Capstone Projects

Binegativity, the negative perceptions, assumptions, and discrimination experienced by bisexual individuals, is associated with adverse health outcomes including higher rates of mood and anxiety disorders. There is a growing body of research on bisexuality, but there remains little research investigating the risk and protective factors, and the mental health outcomes of bisexual individuals in mixed-orientation relationships. The current study aimed to fill the gaps of the extant research, investigating if social support, outness of bisexual identity, satisfaction with communication between partners, and centrality of group membership and ingroup ties to the LBGT community moderate the relationship between experiences of negativity …

The Misattuned Music Industry: An Intersubjective Perspective On The Music Industry's Mental Health Crisis, Jonathan Fricke

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Research shows that professional musicians tend to experience higher rates of mental health challenges compared to the general population. While there are a number of underlying factors and historical experiences that may help us to better understand these psychological struggles, I will be examining the relational system between musician and the music industry beginning at the time in which an amateur musician transitions to the professional realm. With this transition comes incredible demand and pressure from the industry. Professional musicians are at the mercy of grueling tour schedules where they spend months away from loved ones, must be "on" at …

Body-Image Distress In Breast Cancer Survivors And Their Evaluation Of Medical Tattooing Following Surgery, Miranda Proctor

Graduate Thesis and Dissertation 2023-2024

A review of the literature reveals a high incidence of body-image distress among breast cancer survivors who have undergone surgery, which is a natural response to the significant changes in their appearance. Reconstructive surgery, utilizing implants or flaps, may be employed to restore breast size and shape. Medical tattooing can simulate the nipple-areola complex and decorative appliques can conceal scars and skin color variations. Both reconstructive surgery and medical tattoos are associated with patient-reported satisfaction, yet further research is necessary to understand their combined impact on body-image distress. To investigate this, a survey was distributed among national breast cancer support …

Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall

Theses and Dissertations

This study aims to assess 1) patterns of family functioning and 2) longitudinal associations between family functioning patterns and well-being in a vulnerable cohort of children with chronic illness. Caregivers of hematology (16.4%) and oncology (83.6%) patients ages 7-20 (N=55; M_age = 13.3 [SD = 2.7]; 52.7% female; 45.5% non-Latinx White, 38.2% Black or African American, 12.7% Latinx, 1.8% Asian, and 1.8% multi-racial,) reported on family functioning via the Family Assessment Device. Cluster analyses identified three mutually exclusive clusters: one high adaptive group, one moderate adaptive group, and one maladaptive group. Group membership was not significantly …

“Ella Se Lo Buscó”: Marianismo As A Cultural Vehicle For Self-Invalidation Among Latina Survivors Of Sexual Violence, Juliana Gutierrez Hudson

CMC Senior Theses

Sexual violence (SV) survivors are often confronted with hostile environments that perpetuate victim-blaming attitudes. One common response to SV is self-invalidation; whereby, survivors deny, neglect, minimize or judge themselves and their experiences via feelings of self-blame, shame, taintedness, and anticipatory stigma. Research suggests that patriarchal gender-based values like marianismo are prevalent in Latinx communities and that Latina survivors are at increased risk for self-invalidation and mental illness. Consequently, it is imperative to examine cultural mechanisms that may contribute to these negative outcomes among Latina survivors. This study’s objectives were threefold: (1) examine ethnic differences in self-invalidation between Latina and White …

The Intersection Of Religion And Mental Health Help-Seeking: Themes Within Youth Experiencing Early Psychosis, Breanna Nichols

Student Theses

Little research has examined the intersection of religion and mental health among predominantly conservative communities – where religion tends to weigh heavily. It is known from the literature that religion and spirituality play a role in influencing treatment pathways and views towards mental health. The primary aim of the present study was to explore via secondary thematic analysis, the intersection of religion and mental health within a conservative Midwestern community of youth who are receiving treatment for early psychosis, with a secondary look at family dynamics. Seven participant transcripts were analyzed from the Narrative Enhancement and Cognitive Therapy-Young Adult (NECT-YA) …

Lifestyle Choices Related To Food Consumption And Their Relationship To Depression, Steven L. Jennings Jr.

Dissertations

Dieting, or the act of restricting oneself to small amounts or particular kinds of foods on the basis of health, spirituality, lifestyle, and moral decisions, is a practice that dates to 1066 A.D. However, with social media being as influential as it is, one might believe dieting is a new obsession or at least an obsession to which popular culture is returning. Despite this, it is only in recent years that researchers have begun to focus on the health benefits of such behaviors. The present study was designed to take this focus a step further by exploring the potential risks …

Predicting Therapists’ Intentions To Use An Innovation: The Role Of Innovation-Specific, Individual, And Organizational Factors, Jonathan KuʻUhoaepilipono Ahuna

Theses and Dissertations

Understanding factors that contribute to an individual’s decision to use an innovation can increase the public health impact of innovations in children’s mental health services. Objective. This study examined whether and to what extent therapists’ innovation-specific judgements (e.g., innovation is easy to use, socially desirable) were associated with intentions to use an innovation using constructs from one of the most robust theories of innovation use–the Unified Theory of Acceptance and Use of Technology (UTAUT). Method. Two aims were addressed using data collected from 95 therapists and 28 supervisors who participated in a multi-site cluster randomized trial. Therapists used either a …

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. …

Rape Myth Acceptance And Acknowledgment: Predictors Of Disclosing Sexual Assault And Service-Seeking Among College Students, Zerbrina Valdespino-Hayden

Theses, Dissertations and Culminating Projects

Sexual assault is highly prevalent on college campuses in the United States (U.S.), such that college students are at high risk for sexual victimization. Furthermore, while the disclosure rates to informal sources are more prevalent, disclosure to formal sources (e.g., legal authorities and university staff) and mental health service use of college students who have experienced sexual assault are low. As such, understanding the factors that either facilitate or hinder disclosure and service-seeking is of critical importance. Research has identified rape myth acceptance (RMA) and acknowledgment of the victimization (i.e., whether the survivor labels their experience as sexual assault) as …

Factors Associated With Racial And Ethnic Minority Youths' Mental Health Help-Seeking At School, Sam Allouche

LSU Doctoral Dissertations

Despite the high prevalence and associated consequences of mental health problems in youth, adolescents with these problems are often left untreated. This service gap is even greater in racial and ethnic minority youth who not only engage in treatment less frequently, but also experience far greater discrimination and systemic inequality than non-ethnic or racial minority students; factors further contributing to a need for service. Schools may provide an ideal location to treat mental health problems in youth, in part because schools eliminate structural barriers, but also because school staff have an opportunity to observe students across a range of functioning. …

Pediatric Seizures: Access And Utilization Of Specialty Care And Mental Health Care, Samantha Delos Santos

Theses and Graduate Projects

Epilepsy is the leading neurological disorder among children, and requires specialized health care (Zack & Kobau, 2015). However, many patients with seizures do not receive appropriate specialized care (Begley et al., 2009; Burneo et al., 2009). This study examined the impact of health insurance type on access to and use of specialty care and mental health care among pediatric patients, ages 3-17, whose parents reported that they had experienced at least one seizure in the last year. This study was a secondary analysis of data collected in the 2011 (n = 77) and 2016 (n = 87) National Health Survey …

Asian Immigrant Parents And Their Asian/Asian-American Children: Bridging The Emotional Gap, Natalie Vergara Realubit

Educational Specialist, 2020-current

This manuscript explores and examines Asian/Asian-American identity and values. A brief discussion of Asian immigration history, intergenerational trauma, and the impacts of COVID-19 will be linked to Asian identity. Eastern values are explored in conjunction with Western values to highlight the differences and contradictions Asians/Asian-Americans navigate. Biculturalism is explained, as well as how the navigation of values results in individuals living in their ethnic and host cultures simultaneously. Acculturation and enculturation, the model minority myth, education and the American Dream, and bicultural stress experienced by Asian-Americans and Asian international students are explored to highlight the various ways in which biculturalism …

Examining Body Trust And Body Listening In Sexual And Gender Minorities., Emma G. Roberts

College of Arts & Sciences Senior Honors Theses

Introduction: Minority stress theory posits that sexual and gender minority individuals (SGM) may be at higher risk for poor mental health outcomes due to unique social experiences of stigma and discrimination. Interoception (i.e., awareness of one’s body and bodily sensations; Mehling et al., 2012) is a factor that has been linked to mental health broadly, however, SGM individuals may experience interoceptive awareness differently than cisgender and heterosexual individuals given experiences of stigma. In this paper, we aim to examine how two specific facets of interoceptive awareness (body listening and body trusting) relate to differences in mental health outcomes among SGM …

Inter-Agency Collaborations Among Mental Health And Law Enforcement Professionals In San Bernardino County During Covid-19: A Qualitative Study, Sonya Mcisaac

Electronic Theses, Projects, and Dissertations

As first responders, law enforcement officers and mental health professionals are constantly sought after regarding the delivery of critical services to people in need. However, the COVID-19 pandemic brought almost everything to a halt. It is therefore important to understand how social services were delivered during the crisis. It has been assumed in the literature that interprofessional collaboration is an important service delivery framework. However, because COVID-19 is a relatively recent public health phenomenon, relevant studies on interprofessional collaboration between law enforcement officers and mental health professionals are scant, if not non-existent. This qualitative study addresses this gap by exploring …

Race, Racial Matching, And Cultural Understanding As Predictors Of Treatment Engagement In Youth Mental Health Services, Wendy Chu

Theses and Dissertations

Racially marginalized youth experience barriers that impact their ability to maximally benefit from mental health services; thus, efforts to identify strategies that support youth treatment engagement may address mental health and treatment disparities. This study examined the role of youth race, youth-therapist racial matching, and youthreported therapist cultural understanding on youth’s early treatment engagement in mental health services. The youth sample (n = 1159; M_age = 13.8 years, SD = 2.9; 52.1% female) comprised of 778 (67.1%) Latinx, 221 (19.1%) African American, 139 (12.0%) White, and 21 (1.8%) Asian American clients. The therapist sample (n = 126; Mage …

Inviting The Perspectives Of Refugee Mental Health Interpreters: A Critical Narrative Analysis, Emme Y. Paik

Electronic Theses and Dissertations

The research literature lacks examination into several areas concerning mental health interpretation for refugee clients. This includes the management of interpreters’ vicarious trauma and retraumatization, interpreter’s perspectives on the appropriateness of hiring refugees as mental health interpreters, how interpreters define their trauma as well as their clients’ trauma, and support that interpreters seek for their traumatic responses from their work. The literature is also missing an analysis of how oppressive power differentials are repeated in workplace institutions, specifically for refugee mental health interpreters. Thus, this study aimed to invite the perspectives of refugee mental health interpreters on several issues pertaining …