Clinical Psychology Commons^™

Maternal Self-Efficacy And Perceived Stigma Among Mothers Of Children With Asd, Adhd, And Typically Developing Children, Sara D. Rosenblum-Fishman

Graduate Doctoral Dissertations

Maternal self-efficacy (a mother's beliefs about her parenting competence) is an important area of mothers' wellbeing and overall family functioning. This study examined environmental factors that are related maternal self-efficacy among mothers of children with autism spectrum disorder (ASD group), mothers of children with Attention-Deficit/Hyperactivity Disorder (ADHD group), and mothers of typically developing children (Typical group). Environmental factors included (a) messages of criticism or blame about one's parenting competence (parenting-related perceived stigma), (b) child problem behaviors, (c) maternal stress, and (d) social support. One hundred eighty mothers of school-age children living in the United States completed the measures on-line. Results …

The Effects Of Nesting Environment On Neonatal Hypoxic-Ischemic Injury, Laura Grace Rollins

Graduate Masters Theses

Term neonates with hypoxic-ischemic (HI) injury are at risk for devastating neurological sequelae. The objective of this study is to determine if altering the early environment for maternal care-taking impacts the immediate and long-term sequelae of HI offspring. The Rice-Vannucci model was used to induce HI in postnatal day (PND) 7 Long-Evans pups. Litters were assigned to a closed nest (CN) or normal standard housing (SH) condition. Neurobehavioral development, cognitive ability, and stress response were assessed to establish any benefits of the CN condition. Finally, postmortem brain tissue was analyzed for morphometric markers of injury.

Big Five Personality Traits, Pathological Personality Traits, And Psychological Dysregulation: Predicting Aggression And Antisocial Behaviors In Detained Adolescents, Katherine S. L. Lau

University of New Orleans Theses and Dissertations

This study tested the utility of three different models of personality, namely the social and personality model, the pathological personality traits model, and the psychological dysregulation model, in predicting overt aggression, relational aggression, and delinquency in a sample of detained boys (ages 12 to 18; M age = 15.31; SD = 1.16). Results indicated that the three personality approaches demonstrated different unique associations with aggression and delinquency. The psychological dysregulation approach, composed of behavioral dysregulation, emotional dysregulation, and cognitive dysregulation, emerged as the overall best predictor of overt aggression, relational aggression, and delinquency. After controlling for the Big Five personality …

Socioeconomic-Status And Mental Health In A Personality Disorder Sample: The Importance Of Neighborhood Factors, Zach Walsh, M. Tracie Shea, Shirley Yen, Emily B. Ansell, Carlos M. Grilo, Thomas H. Mcglashan, Robert L. Stout, Donna S. Bender, Andrew E. Skodol, Charles A. Sanislow, Leslie C. Morey, John G. Gunderson

Charles A. Sanislow, Ph.D.

This cross-sectional study examined the associations between neighborhood-level socioeconomic-status (NSES), and psychosocial functioning and personality pathology among 335 adults drawn from the Collaborative Longitudinal Personality Disorders Study. Participants belonged to four personality disorder (PD) diagnostic groups: Avoidant, Borderline, Schizotypal, and Obsessive Compulsive. Global functioning, social adjustment, and PD symptoms were assessed following a minimum two-year period of residential stability. Residence in higher-risk neighborhoods was associated with more PD symptoms and lower levels of functioning and social adjustment. These relationships were consistent after controlling for individual-level socioeconomic-status and ethnicity; however, the positive association between neighborhood-level socio-economic risk and PD symptoms was …

Family Processes As Moderators Of The Impact Of Peer, School, And Neighborhood Influences On Adolescent Aggression, Alison Kramer-Kuhn

Theses and Dissertations

Despite theoretical support for the role of the family in providing a foundation to protect youth against risks for aggression, there is little published literature examining a protective influence. This study examined family functioning and perceived parental messages about fighting and nonviolence as moderators of the relation between risk factors and adolescent aggression. The specific risk factors included affiliating with a delinquent group of peers, attending a school with norms that support aggression, and witnessing violence within the community. Secondary analyses were conducted on data collected from a high-risk sample of 537 adolescents in 2 cohorts from 18 schools. Adolescents …

Perceived Barriers And Facilitators To Mental And Behavioral Health Screening And Treatment In Primary Care For Women In Northeast Tennessee, Sarah K. Hill

Electronic Theses and Dissertations

Between one quarter and one third of all primary care patients meet criteria for at least one mental disorder. However, many women are not screened for mental disorders as recommended by the literature. Some studies suggest even lower rates of screening and treatment in rural areas. This researcher sought to identify barriers and facilitators to mental and behavioral health screening and treatment for women in primary care and solicit feedback on how to ameliorate perceived barriers. Given the limited extant data describing rural Appalachian women’s perceptions of barriers and facilitators to receiving mental health services an exploratory qualitative analysis was …

Actively Caring About The Actively Caring Survey: Evaluating The Reliability And Validity Of A Measure Of Dispositional Altruism, Philip Randall

Electronic Theses and Dissertations

Geller’s Actively Caring Survey (ACS) was theorized to measure person states deemed necessary to “Actively Care” or act altruistically toward others. Empirical research of the ACS has been limited, and this researcher sought to evaluate its reliability, validity, and factorial consistency. Undergraduate students (n = 1,095) completed the measure online. Hypotheses were partially supported. Unrotated primary component analysis found the ACS to be a unitary measure with 73.3% of the items loading onto the first factor. The ACS showed excellent internal consistency. Convergent and divergent validity with existing measures (i.e., the Big 5 Personality, Marlowe-Crowne Social Desirability, Cognitive Failures …

Who Done It? Rurality Vs. Ses As Critical Factors In Evaluating The Prevalence Of Child Psychosocial Concerns In Primary Care, Robert M. Tolliver

Electronic Theses and Dissertations

The purpose of this study was to evaluate the prevalence of child psychosocial concerns in rural primary care, hypothesized to be greater than national averages due to lacking mental health services in rural areas. This study was an examination of the role of SES, various definitions of “rural,” and the interaction of SES and rurality, in predicting parent-reported child psychosocial concerns in Appalachian primary care clinics. Caregivers presenting with their child at one of 8 pediatric primary care sites (n=2,672) were recruited to complete a measure assessing demographics and the Pediatric Symptom Checklist (PSC). Results showed that while rural status …

Technology Use In Rural Appalachia: A Pilot Study Of The Implications For Pediatric Behavioral Health, Courtney E. Lilly

Electronic Theses and Dissertations

Technology is a promising means for increasing rural individuals’ access to behavioral healthcare. However, the range of technology use in rural areas is currently unknown. The aims of this study were to examine the use of technology in rural areas, the relationship between technology use and willingness to access pediatric mental health services via videoconferencing, and this relationship within the context of other critical variables linked to service uptake. Data were collected at 2 pediatric primary care clinics. While no significant relationship was found between technology use and willingness to use videoconferencing, a significant relationship emerged between previous service seeking …

Examining The Inner Experience Of Four Individuals With Bipolar Disorder Using Descriptive Experience Sampling, Johanah Kang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Bipolar disorder is a lifelong mood disorder with diagnostic criteria that provide a description of expected experiences of individuals diagnosed with BD (e.g., elevated mood, sadness, difficulty concentrating). Despite these criteria, the inner experience of these individuals is largely unknown. Understanding the inner experience of individuals diagnosed with BD may prove essential in understanding and treating BD. The present study examined the inner experience of four individuals diagnosed with BD using the Descriptive Experience Sampling (DES) method (Hurlburt 1990, 1993, 2011). Results revealed all our participants had clear and prevalent experiences of sensory awareness. They also had difficulties apprehending and …

Adolescents’ Definitions Of Cheating In Romantic Relationships, Jerika C. Norona

Masters Theses

Cheating is a common occurrence in dating relationships. However, less is known about cheating in adolescence, a time when many individuals first experience romantic relationships. An important initial step for research is examining how adolescents define cheating in their romantic relationships. The present study used Thematic Analysis, a qualitative analytic method, to explore adolescents’ definitions of cheating and how these definitions might differ across age and gender. Furthermore, the present study examined patterns that emerged within definitions. Results indicate that definitions of cheating included a range of behaviors, such as engaging in physical activity, romantic/intimate involvement, spending time with, talking …

Examining The Relations Among Trauma, Distress, Resilience, And Physical Health, Kathryn Elizabeth Chaisson

Graduate Theses and Dissertations

This study examined the role of traumatic distress as a mediator in the relation between trauma exposure and somatic malaise and healthcare utilization. Resilience was examined as a moderator between trauma exposure and somatic malaise and healthcare utilization, then between trauma exposure and traumatic distress. A total of 206 female participants recruited from an obstetrics and gynecology specialty practice completed measures of trauma exposure, traumatic distress, resilience, somatic malaise, and healthcare utilization. Multiple hierarchical regressions were performed to test the hypothesized relations. Results indicated that trauma exposure was a significant predictor of traumatic distress and resilience, and of somatic malaise …

Female Adolescent Trauma Survivors Worldviews: Is This A Defining Moment In My Life Or Does This Moment Now Define My Life?, Carey Lynn Sorenson

Theses and Dissertations

What is your life experience? Do you feel you have taken an active role in your life experiences or do you feel as though life "just happens to you"? Trauma is an event that comes into one's life, without invitation, and can alter the meaning and value of every event thereafter. Many times, exposure to trauma can leave one feeling like he or she is a passive participant in life and that his or her efforts are fruitless.

This researcher tapped into the worldview of sixteen adolescent trauma survivors by conducting qualitative interviews to gain an understanding of how their …

Feeling Sad? Maybe You Are Just Uncertain! A Predictive Test For Depression, Dana Elizabeth Larson

Masters Theses & Specialist Projects

The current study examined the relationship between depression and uncertainty within the stress-diathesis model. Depression is a mental health disorder that is wide spread within our society. However, few causes of this disease have been able to be identified. Studies in uncertainty have shown that it is a major stressor in day-to-day life. Previous research has shown that individuals with high levels of uncertainty show higher levels of depression. The stress-diathesis model, a model originally developed to explain differences in development of schizophrenia, provides a theoretically meaningful way to combine these two concepts. The model states that a person who …

The Effect Of Maternal Borderline Personality Disorder And Social Support On Patterns Of Emotional Availability In Mother-Child Interactions, Rebecca Devan Trupe

Doctoral Dissertations

Individuals with borderline personality disorder (BPD) experience severe and pervasive disturbances in the development of attachment relationships, identity, and emotion regulation. Given these deficits, there is an important need to understand the unique challenges mothers diagnosed with BPD are likely to face in parenting their children, as well as identify contextual variables that might be associated with maternal functioning and parenting outcomes. The current study used a low socioeconomic sample of children aged 4-7 of mothers with BPD, and a comparison group of children of mothers without BPD, to examine associations between maternal BPD, maternal borderline features, social support, and …

The Impact Of Rumination Induction On Iq Performance, Kerry Margaret Cannity

Masters Theses

Performance deficits on cognitive tasks have been demonstrated consistently in depressed and anxious individuals. Processing efficiency theory asserts that these deficits might be accounted for by task-irrelevant processes, including the negative impact of rumination. This study was designed to better understand the relationship between cognitive deficits and depression by creating a ruminative state in healthy control subjects to determine if they would exhibit performance deficits similar to those observed in patients with depression. Specifically, the effect of rumination induction on select subtests of the Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV) was examined. Participants were college students with no …

Family Support: A Buffer For Parenting Stress Among Ethnic Minority Parents Of Children With Dd, Susanna Luu

Loma Linda University Electronic Theses, Dissertations & Projects

Adapting to a new culture is a stressful experience for some ethnic minorities. Lower acculturation in ethnic minorities is related to high levels of stress. Parents of children with developmental delays (DD) typically experience high levels of stress, particularly parenting stress. Therefore, ethnic minority families of children with development delays may be at risk for especially high levels of parenting stress due to the additive stress of adapting to a new culture. Currently, there is uncertainty within the field about the relationship between acculturation and parenting stress given that studies have found both low and high levels of acculturation to …

Human Action Switching In Hiv, Chinonyere Nzerem

Loma Linda University Electronic Theses, Dissertations & Projects

We evaluated switching in human action/verb fluency to examine how it associates with other measures of executive functioning and with difficulties in the performance of IADLs in a HIV+ sample. Our sample was comprised of 29 HIV+ participants. All the participants completed measures of phonetic fluency (FAS) and semantic fluency [Animals, Human Actions (HA)] in addition to the Paced Auditory Serial Addition Test (PASAT), Stroop Color-Word Test (Stroop), Trail-making Test Part B (TMT B), Letter-Number Sequencing (LNS), Wisconsin Card Sorting Test, and the Boston Naming Task (BNT). The first regression model with phonetic and semantic switching produced R2 = .260, …

Predictors Of Addiction Treatment Attrition, Suranee Abeyesinhe

Loma Linda University Electronic Theses, Dissertations & Projects

According to the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) National Survey on Drug Use and Health, 23.5 million persons aged 12 or older needed treatment for an illicit drug or alcohol abuse problem in 2009 (9.3 percent of persons aged 12 or older). Unfortunately, addiction treatment completion rates remain relatively low, looming around 50%. In order for treatment programs to be more effective, it is imperative that risk factors for attrition are identified, and that programs strive to combat these risks through personalized engagement and individually tailored treatment programs. This study aims to identify specific risk factors for …

Interaction Of Parent Pain And Child Empathy On Child Depression: A Pilot Study, Ketlyne Sol

Loma Linda University Electronic Theses, Dissertations & Projects

Children aged 11-17, in their relationships with their parents, are capable of experiencing a negative mood if their parent is in pain. According to the empathy-altruism hypothesis, people that are high on empathy will want to help someone in distress with the ultimate goal of benefitting the other person. Because of this, the empathy-altruism hypothesis proposes that if an attempt to help is not resolved, the person will report more negative mood. Because children are capable of experiencing empathy for their parents in distress and feel a negative mood as a result, it was hypothesized that an interaction between empathy …

Suicide-Related Imagining And Acquired Capability: Investigating The Role Of Imagery In Self-Harm Behaviors, Tara C. Holaday

Masters Theses & Specialist Projects

The purpose of this investigation was to examine the role of suicide-related mental imagery in suicidal behavior. It was hypothesized that engagement (frequency, emotional impact, vividness, realism) with suicidal imagery would be related to suicidality, with greater engagement with imagery associated with more suicidal behaviors. Acquired capability for suicide was expected to be a mediator of this relationship. These hypotheses were tested by surveying 237 undergraduate university students (59% female; mean age = 20). Students completed a packet of self-report measures: The Modified Suicidal Cognitions Interview, The Acquired Capability for Suicide Scale, and the Self-Harm Behavior Questionnaire. Results suggested that …

Clarifying The Direction Of Effects Between Alliance And Client Involvement In Treatment For Child Anxiety In Community Settings, Nadia Islam

Theses and Dissertations

Alliance and client involvement are thought to be important therapy process factors in child psychotherapy; however, few studies have investigated them over the course of treatment. The present study examined change in alliance, client involvement, and the relationship between the two over time in an effectiveness study comparing cognitive behavioral therapy (CBT) and usual clinical care (UC) for child anxiety disorders. The sample included 40 clinically-referred children (57.50%, female, mean age = 10.81, SD = 2.11, 35.00% Caucasian, 32.50% Latino/Hispanic, 5.00% African-American, 7.50% mixed ethnicity, 20.00% not reported) and 39 therapists employed by community clinics. Two doctoral-level students comprised the …

Ideal Dating And Sexual Partners For Low-Income Heterosexual African American Adolescents, Darnell Nathaniel Motley

College of Science and Health Theses and Dissertations

Dating and sexual relationships among adolescents have been identified as both normative and beneficial. However, the research examining the dating and sexual relationships of African American adolescents has been narrow in scope, focusing primarily on risks of intimate partner violence, pregnancy, and STI/HIV transmission. This myopic focus has left a gap in the literature as it relates to the normative aspects of dating and sexual relationships for these youth.

The present study sought to better understand the dating and sexual partner preferences of 51 African American adolescents (male = 32, female = 19) recruited from Chicago and San Francisco. The …

Clinical Benefits Of Emotional Freedom Techniques On Food Cravings At 12-Months Follow-Up: A Randomized Controlled Trial, Peta Stapleton, Teri Sheldon, Brett Porter

Peta B. Stapleton

This randomized, single-blind, crossover trial tested whether participants who used Emotional Freedom Techniques (EFT) maintained reduced food cravings after 12-months and updates previously reported 6 month findings. Ninety-six overweight/obese adults were allocated to a 4-week EFT treatment or wait list condition. Degree of food craving, perceived power of food, restraint capabilities, and psychological symptoms were assessed pre- and post-test and at 12-month follow-up for collapsed groups. Significant improvements occurred in weight, body mass index, food cravings, subjective power of food, craving restraint, and psychological coping for EFT participants from pre-test to 12 months (p < .05). It appears EFT can result in participants maintaining reduced cravings over time and affect weight and BMI in overweight and obese individuals.

How Individual Differences In Self- And Other-Focused Co-Rumination Relate To Internalizing Symptoms And Friendship Quality, Heather Smith-Schrandt

USF Tampa Graduate Theses and Dissertations

Co-rumination involves friends spending a great deal of time encouraging each other to excessively discuss problems, with content being largely negative (Rose, 2002). Co-rumination appears to strengthen the bonds between best friends, while ironically exacerbating internalizing symptoms. Co-rumination is conceptualized as a mutual dyadic process, but little is known about the reciprocity of excessive problem discussion. The balance of college students' (N = 601) self- and other-focused co-rumination with their best friend was assessed via an online survey. Contrary to expectations, inconsistent and weak evidence was obtained for differentiating self- and other-focused co-rumination, and their balance. Specifically, self- and other-focused …

Slope Of Change Through D-Cycloserine Facilitation Of Exposure Therapy In A Social Anxiety Population, Christina M. Sheerin

Dissertations

The present study sought to add to a growing base of research investigating approaches that facilitate the therapeutic effects of exposure-based therapy for social anxiety disorders. In particular, the approach involves the use of medication adjuvants that work in conjunction with therapeutic learning. This work translates findings from preclinical work to further our understanding of the neurobiological mechanisms that impact extinction learning. Among others, a promising method has been found with the use of D-cycloserine (DCS), a partial NMDA receptor agonist. Evidence of its positive impact in preclinical work has led to its application to clinical populations who suffer from …

An Exploratory Study Of Recovery And Recovery Maintenance For Victims Of Childhood Sexual Abuse Who Completed Faith-Based Residential Treatment Programs, Ann Kerlin

Doctoral Dissertations and Projects

This interpretive phenomenological analysis of the experience of recovery and recovery maintenance for women with a history of childhood sexual abuse and its sequelae included interviews and a non-standard questionnaire. Ten women with this history who had completed a faith based treatment program for substance abuse and/or eating disorders described recovery. Themes that emerged related to the process of change included: Changes in Relationships with Others, to Self, to God, and lastly, Forgiveness as a Catalyst for Change. Six practices emerged in the exploration of maintenance recovery. This research highlighted the need for thorough bio-psycho-social-spiritual assessment and areas of concern …

The Effectiveness Of Educational Interventions In Reducing Negative Attitudes And Stigmatisation Toward Patients With Anorexia Nervosa, Amy Bannatyne, Peta Stapleton

Peta B. Stapleton

It is frequently reported that clinicians across a range of professional disciplines experience strong negative reactions toward patients with eating disorders, particularly anorexia nervosa (AN). As research consistently demonstrates fear of stigma is the most frequently cited reason explaining why individuals with mental illness do not seek treatment, the current study aimed to develop, evaluate and compare the effectiveness of two differing educational interventions, based on an etiological framing model, against a wait-list control. Participants were fourth-year medicine students randomly assigned to one of three conditions. A three-hour educational workshop was delivered to participants at the beginning of an eight-week …

Impact Of Co-Occurring Psychiatric Disorders And Traumatic Brain Injury On Speech-Language Treatment: Speech-Language Pathologists’ Perspectives, Janis Whitney Neal

Master's Theses and Doctoral Dissertations

Previous studies have associated traumatic brain injury (TBI) with higher rates of psychiatric disorders. This study investigated speech-language pathologists’ (SLPs) perspectives on the prevalence of co-occurring psychiatric disorders in the TBI population and its impact on speech-language treatment. Interviews were conducted with twelve SLPs working with a TBI population. Results revealed a lack of standard measures to assist SLPs in distinguishing between the symptoms of psychiatric disorders versus the neuropsychiatric symptoms of TBI. Also, results indicated the heavy reliance on a multidisciplinary team to provide comprehensive and individualized treatment for the TBI clientele, and the negative consequences of untreated psychiatric …

Peer Support For Consumers With Psychosis, Elizabeth Ann Cook

Department of Psychology: Dissertations, Theses, and Student Research

The purposes of this project were: 1) to collaboratively adapt an existing cognitive-behavioral intervention for consumers with serious mental illness (SMI) so that it could be provided by peers, and 2) to evaluate the feasibility of the resulting group intervention and perform a preliminary analysis of its effectiveness. Focus groups consisting of 7 consumers with SMI and 9 peer providers assisted in the determination of group content and structure. Results from the focus groups suggested significant overlap between topics covered and educational strategies utilized in traditional psychosocial interventions and preferences for the peer-based group. However, participants expressed a preference for …