Multicultural Psychology Commons^™

Naming The Pain: A Model And Method For Therapeutically Assessing The Psychological Impact Of Racism, Connesia Handford

Dissertations, 2020-current

This study is an exploratory applied research project piloting a therapeutic assessment model and method for addressing racial trauma. Therapeutic Assessment for the Psychological Impact of Racial Encounters (TAPIRE) hopes to illuminate the impact of racial trauma, process racial identity and experience, and explore effective intervention techniques to address a client’s particular relationship with racial identity and distress. Four measures, in addition to a clinical interview, were used to assess different aspects of one’s identity structure, racist experiences, and self-treatment. The four-session process concluded with each participant receiving an assessment report that included information gathered as well as an individualized …

Is Athlete Activism A Predictor Of Resilience?, Travis Robert Scheadler

Theses and Dissertations--Kinesiology and Health Promotion

Several athletes have taken personal responsibility to engage in activism, often with hopes of bringing social and political change. While scholars have identified several barriers preventing athletes from engaging in activism (e.g., public criticism, status and job loss, withdrawal of funding, anticipated distress; Cunningham & Regan, 2012), other scholars have identified personal benefits from engaging in activism (e.g., improved confidence, self-concept, belief in change, agency, life meaning; Klar & Kasser, 2009; Rabkin et al., 2019). Distress from the barriers, however, may be prerequisites to enhancing resilience, a theoretical construct that may help explain the benefits of activism. Thus, by applying …

“Is Therapy For Me?” Perceptions Of Therapy Inclusivity And Willingness To Seek Help Among Black Emerging Adults, Randl B. Dent

Theses and Dissertations

Mental health issues are prevalent among Black emerging adults; however, they tend to underutilize mental healthcare services. The goals of the current study were to examine whether: (1) perceived therapy inclusivity would predict willingness to utilize mental healthcare services and (2) the relationship between perceived therapy inclusivity and willingness would be moderated by two indices of racial identity (i.e., centrality and private regard). Results provide evidence that greater perceptions of therapy inclusivity are associated with greater willingness to seek mental health services even after controlling for factors, such as gender, self-stigma, and previous mental healthcare utilization. Additionally, there was no …

A Qualitative Analysis Of Caregiver Goals For Urban Children With And Without Asthma, Megan M. Carlson

Theses and Dissertations

Pediatric asthma is a major public health concern that disproportionately affects children of color and youth living in low-income, urban areas. The implications for public health, child health, and family functioning necessitates our understanding and addressing experiences by families who are facing barriers within their socio-demographic context in addition to the stressors associated with managing pediatric asthma. The current study applied qualitative methods to interviews with caregivers of children with and without asthma in an effort to more deeply connect with caregivers’ experiences and yield richer information about the intersection of identities as Black caregivers living in an urban setting …

Can School Be A Source Of Trauma? Assessing Academic Traumatic Stress As A Mechanism Underlying The Health Outcomes Of Black Undergraduate Students, Ebony A. Lambert

Theses and Dissertations

Research examining Black students’ school experiences demonstrates that exposure to oppressive power dynamics in schools may lead to adverse physiological and psychological consequences. Recent conceptualizations in public discourse further posit that traumatic educational experiences, operationalized here as academic trauma or the cumulative toll of adverse and oppressive experiences in academic settings, may influence Black students’ wellbeing even after they have graduated. However, academic trauma has yet to be investigated empirically, and the health contributions of such educational harm remain unstudied. Moreover, little is known about how culturally-relevant personal characteristics (e.g., emotion regulation strategies) influence Black students’ reactivity to academic trauma. …

Resilience Among Survivors Of Adverse Childhood Experiences In Appalachia, Bridget Jeter

Electronic Theses and Dissertations

The empirical investigation of adverse childhood events (ACEs) and their relationship with health and well-being outcomes in later life is increasing. Less is known about factors that may promote resilience for those who have survived such challenges, such as how resilience may be facilitated for those with ACEs residing in a marginalized region such as South Central Appalachia. Multidimensional spirituality, social support, stigma related to ACEs, and Appalachian acculturation may serve as both valid cultural factors and potential indicators of resilience. Cross-sectional, simultaneous multiple regression analysis was performed on data collected from 272 adult patients of a South Central Appalachian …

Evaluation Of A Brief Online Alcohol Intervention For College Students: The Role Of Race-Specific Normative Feedback, Racial/Ethnic Identity, And Readiness To Change, Jacob Scharer

Dissertations

Brief online interventions are effective for reducing alcohol use among college students. However, some research has suggested that these interventions may be less effective for African American students. This study evaluated the acceptability and efficacy of a widely available brief online alcohol intervention in a sample of African American and Caucasian college students through a randomized controlled trial. The aims of this study were to determine if providing race-specific normative feedback impacted treatment efficacy for African American students, and if this effect was moderated by racial/ethnic identity and readiness to change. Participants were 310 heavy drinking African American and Caucasian …

Efficacy Of Integrated Mental Health Care With Dual Diagnosis Patients And Their Utilization Of Psychiatric Emergency Services, Denton Scott

Doctoral Dissertations

Historically, patients with dual diagnosis have been subjected to ineffective treatment and negative attitudes from healthcare providers. Further, these patients are plagued with myriad afflictions that exist beyond substance abuse and mental illness. The treatments and collateral damage associated with the diagnosis impose excessive healthcare costs and can be of significant detriment to society. Largely, patients suffering from dual diagnosis do not receive adequate treatment. As such, psychiatric emergency services are frequently utilized as an alternate treatment, wherein the main focus of care is on the substance abuse alone. This study argues that solely treating the substance abuse is not …

Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho

Doctoral Dissertations

This study is a program evaluation with a mixed methods design that evaluated the effectiveness of Peer Engagement and Knowledge (PEAK), a six-week community-based group intervention that incorporates mindfulness-based interventions (MBIs) to address multiple health behaviors for multiracial youth in Hilo, Hawai‘i. A total of 51 youth, ages 12-23 years old, participated in this study which included pre-/posttest analyses of health risk factors such as substance use and depression and health promoting factors such as resilience, self-esteem, and mindfulness. Responses from two subsets of participants, who engaged in a focus group (n = 11) and composed gratitude letters ( …

A Cross-Cultural Examination Of The Relations Among Parkinson’S Disease Impairments, Caregiver Burden And Mental Health, And Family Dynamics In Mexico And The United States, Erin Smith

Theses and Dissertations

Parkinson’s Disease (PD) is a common progressive neurodegenerative disorder that leads to both physical and cognitive impairment over time. Eventually, these impairments may include the loss of autonomy, and the individual may require the assistance of an informal caregiver. Informal caregivers are critical in the care of individuals with PD and spend substantial time providing care, which may be associated with negative caregiver outcomes such as burden, mental health issues, as well as poor family dynamics. Although research in the United States and Europe has generally supported these relations, there is very limited research on PD caregiving in Latin America. …

Implicit Attitudes Of Asian American Older Adults Toward Aging, Anita Ho

Scripps Senior Theses

Greenwald, McGhee, and Schwartz (1998) developed the Implicit Association Test (IAT), a measure of mental associations between target pairs and positive or negative attributes. Highly associative categories yield faster responses than the reverse mental associations, which is thought to reflect implicit attitudes toward stereotypes. The present study investigated the effect of ethnic group on one’s implicit attitudes toward aging and gender stereotypes by comparing two groups of older adults, Asian Americans and Caucasian Americans, that likely hold different culture values. Past qualitative studies have established the existence of mental health stigma in Asian American populations, including negative Asian American perceptions …

The Role Of Strength: Navigating Perinatal Loss Among Black Women, Ashley N. Hill

Theses and Dissertations

In the U.S., Black mothers experience fetal and infant mortality at alarming rates when compared to White and Latina mothers (Gregory, Drake, & Martin, 2018). The intent of this study was to examine perinatal loss among Black American women and to expand understanding of how the Strong Black Woman (SBW) ideology influences bereavement. Data were gathered from (N=109) Black American bereaved mothers. It was predicted that endorsement of differing aspects of the SBW would moderate the relationship between perinatal grief and psychosocial outcomes (i.e., depression and post-traumatic growth). Regression analyses, alongside a bootstrapping procedure via PROCESS (Hayes, 2017), …

Masculine Norms, Psychological Symptom Severity, And Intentions To Seek Formal Help In Male College Students, Zahra S. Shine

Cal Poly Humboldt theses and projects

Research has consistently found men to be less likely than women to seek help for mental health symptoms. Additionally, greater symptom severity is related to higher levels of help seeking, although this relationship is less clear among men. Greater conformity to masculine norms may help to explain the relationship between symptom severity and help seeking among men. The present study aimed to further research on men’s help-seeking by examining whether conformity to masculine norms would moderate the relationship between symptom severity and help-seeking intentions in male college students (N = 89). A multiple regression analysis was conducted with all …

Racism, Healthcare Provider Trust, And Medication Adherence Among Black Patients In Safety-Net Primary Care: A Strength-Based Approach, Mickeal Pugh Jr

Theses and Dissertations

Integrated primary care has been incorporated into a variety of healthcare settings. The benefits of these services are empirically supported by a plethora of studies, which highlight the integration of behavioral and physical healthcare to be beneficial for both patient and healthcare providers. Integrated care models are typically incorporated in Veterans Affairs hospitals, general primary care facilities, and community clinics. Community-based clinics, such as safety-net clinics, typically serve underrepresented populations, and research has shown several mental and physical health disparities to exist among minority populations. Further, the minority stress model posits that distal and proximal minority-based stress processes can result …

Screen Time, Sleep, And Mental Health: An Investigation Of Electronics Use And Sleep Habits, Robert Nicks

Electronic Theses and Dissertations

Internet addiction (IA) is classified as a compulsive-impulsive behavior disorder involving excessive use of the internet, withdrawal, tolerance, and negative repercussions (Block, 2007). Internet usage is becoming more widespread across all industrialized people, and younger people are using the internet more and more as it becomes more ubiquitous (Rideout, Foehr, & Roberts, 2010). The purpose of the current study is to investigate internet usage habits, sleep disturbance, and IA as it appeared in a national United States sample, and a sample seeking clinical psychological help in the Southwestern United States. The results of the current study suggested that IA predicted …

The Role Of Meaning-Making In Posttraumatic Growth Among Eritrean Refugees With Posttraumatic Stress Disorder, Yacob Tewolde Tekie

Doctoral Dissertations

The study examined the moderating role of meaning made, meaning making and social support on the relationship between negative life events and posttraumatic stress disorder (PTSD), anxiety and depression as well as the facilitating role of these moderating variables for posttraumatic growth(PTG). Eritrean refugees (N = 135) who were residing in Europe were recruited. The results showed that post-migration living difficulties significantly related with negative outcomes. In addition, the results showed that social support moderated the relationship between the number of traumatic life events and anxiety symptoms. However, meaning made and social support were not significant moderators on the …

Hispanic Parent/Caregiver Health Literacy: Examining Effect On Pediatric Emergency Department Utilization, Sandy Anhai Ramirez Sanchez

Social Work Doctoral Dissertations

This study aimed to explore Hispanic parent/caregiver health literacy and emergency department (ED) utilization for children ages birth to 10 years of age from a single outpatient pediatric primary care office in Wilmington, Delaware. English language proficiency (ELP) was measured to determine whether ELP was a moderating variable for ED utilization in children of Hispanic parents/caregivers. The following research question was explored in this study: “Are there significant differences between levels of health literacy and emergency department utilization rates when controlling for level of English language proficiency in Hispanic parents/caregivers?” The research question was guided by the following hypothesis: “Hispanic …

The Impact Of Beauty, Body Image, And Health Discourses On Eating Disorder Risk In South Asian-Canadian Women, Nazia Bhatti

Electronic Thesis and Dissertation Repository

This study explores socio-cultural influences that impact South Asian women’s self-perceptions and eating behaviours. The findings revealed that cultural gender ideologies played a substantial role in shaping the way women view themselves and their bodies. The analysis of interviews conducted with seven South Asian-Canadian women between the ages of 19-29 years, demonstrate that women’s perceptions of their own physical appearance is framed within the context of their South Asian cultural identity and cultural norms. This study was approached through the lens of post-colonial feminism by examining cultural factors that contribute to South Asian women’s increased risk for developing eating disorders. …

A Phenomenological, Arts-Based Study Of Art Therapists’ Self-Reflective Practice, Laurie Ponsford-Hill

Theses and Dissertations (Comprehensive)

This phenomenological, arts-based study examined the experiences of 15 art therapists using five-minute, full-bodied self-portraiture with 55 minutes of self-reflective journaling once a week for four weeks at the end of each work week. The therapists determined the location for this practice. Subsequently, the four artworks, as a serial, were explored with each participant in a one-hour telephone or Skype interview to understand their lived experience through art, and its signs, and symbols. This process enabled the therapists to act as witness to their respective self/selves, deepening their insights and connections about self. The transcribed audio-taped interviews were manually coded …

Queer Health Equity And Cervical Cancer: Identifying Social Determinants Of Papanicolaou Test Uptake In A Sample Of Sexual Minority Women And Gender Nonbinary Individuals, Ariella R. Tabaac

Theses and Dissertations

Sexual minority women (SMW) demonstrate lower rates of cervical cancer screening than heterosexual women. This is concerning as lesbian and bisexual women tend to engage in higher rates of substance-related cancer risk behaviors, unprotected sex, and tend to have higher body mass indices, all of which are risk factors for cancer development. Another major risk factor, screening avoidance, places SMW at increased risk for the development of high grade cervical lesions in the absence of early detection practices, which is likely to impact overall cervical cancer morbidity in this population. The aim of the present study was to utilize the …

Latino/A Adolescents And Young Adults Coping With Parental Cancer Within A Cultural Context, Amanda Mia Marin-Chollom

Dissertations, Theses, and Capstone Projects

Parental cancer has a strong influence on the psychological well-being of children at all ages. Children and adolescents whose parents have more distress and advanced disease tend to have lower rates of healthy psychological adjustment. Children from the U.S. Latino/a population may face additional challenges, such as racism and acculturative stress that compound the stress of having a parent with cancer. At the same time, facets of the Latino/a culture may play a crucial role in how Latino/a adolescents adapt to parental cancer, specifically the Latino/a cultural values of familismo (familism), espíritu (spirit), and respeto (respect).

This cross-sectional study examined …

Spirituality And Suicidal Behavior: The Mediating Role Of Self-Forgiveness And Psychache, Benjamin B. Hall

Electronic Theses and Dissertations

Growing evidence for protective factors of spirituality against physical and mental health related outcomes has led to the consideration of spirituality as a protective factor for suicidal behaviors. Although initial support for this association is promising, spirituality has yet to be explored as it relates to psychache. Additionally, self-forgiveness has emerged as an important protective factor of suicidal behavior, but has not been explored in the context of psychache. Following a model developed by Webb, Hirsch, and Toussaint (2015), the current project explores the protective role of spirituality on suicidal behavior based on three dimensions of spirituality: ritualistic, theistic, and …

Non-Medical Use Of Prescription Drugs, Stress, Cultural Orientation, Utilization Of Healthcare, And Protective Factors Among College Students In China, Cheuk Chi Tam

Theses and Dissertations

Background: Non-medical use of prescription drugs (NMUPD) refers to the use of prescription drugs which are traditionally utilized to manage pain or treat psychiatric problems but without a doctor’s prescription. In 2010, an investigation by the Substance Use and Mental Health Services Administration (SAMHSA) revealed that 5.3% of young adults (18 to 25-year-olds) in the United States reported past-month NMUPD. NMUPD has become a growing concern owing to associations with consequences such as college dropout, poor academic achievement, and health jeopardizing behaviors. College students' NMUPD has been well documented in the United States. Limited studies, however, have been conducted among …

The Role Of Afrocentric Features In Mental Healthcare Utilization And Counselor Preferences In Black College Students, Randl B. Dent

Theses and Dissertations

Though mental health issues are prevalent in Black young adults, they underutilize mental healthcare services. This research examined the role of feature-based discrimination in mental healthcare (under)utilization. Study 1, a secondary analysis of the National Longitudinal Study of Adolescent to Adult Health, provided no evidence supporting a link between skin tone and mental healthcare utilization, when controlling for depression diagnosis. However, when controlling for depression symptoms, there was a trend such that Black young adults with darker, as opposed to lighter, skin tone utilized healthcare less. Study 2, an experimental study with 33 Black college students, showed 73% of the …

Slam Poetry: An Online Intervention For Treating Depression, Spencer J. Ruchti, Mercedes Becker, Cara Mckee, Austin Herron, Alex Swalling

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Given that depression is the “leading cause of disability worldwide,” and that less than 50% of people suffering from depression receive treatment, this study aims to provide support for a globally accessible depression treatment (WHO, 2012). The study conducted implemented an internet-based treatment for depression in which users were provided an opportunity to watch slam poetry videos related to mental health issues and write free responses regarding the content of the videos and their subjective experience of depression. Numerous studies provide support for the effectiveness of expressive writing, online mental health interventions, and slam poetry in particular for reducing symptoms …

Title: Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul

Walden Dissertations and Doctoral Studies

The pervasiveness of autism has significantly increased over the past 2 decades with the 2014 Center for Disease Control and Prevention report indicating 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD). Early intervention is recommended as the most effective treatment approach. Nevertheless, previous research has indicated that White children are diagnosed with ASD about 1.5 years earlier than are Non-White children. A current gap remains in literature regarding ASD and different racial groups, and evidence has been inconclusive regarding disparities in identifying and diagnosing ASD. To fill this gap, this study investigated the relationship between child race, …

Exploring The Role Of Intersectionality On Cardiovascular Disease Risk In Sexual Minorities, Leia Harper

Theses and Dissertations

Background: Previous research has shown that sexual minority individuals (SM) are twice as likely to smoke, twice as likely to be overweight or obese, and less likely to be physically active than heterosexual persons; all of which place SMs at an increased risk for cardiovascular disease (CVD). While information on CVD risk by race/ethnicity and socioeconomic status is well documented, there is scant literature examining race, gender, and the potential CVD risk in SMs. The purpose of this study was to examine CVD risk in sexual minorities.

Method: The current study used data from the National Longitudinal Study of Adolescent …

The Sixties Scoop Among Aboriginal Veterans: A Critical Narrative Study, Munira Abdulwasi

Electronic Thesis and Dissertation Repository

This study explored the experience of Aboriginal Veterans adopted and/or fostered during the Sixties Scoop using critical narrative inquiry. The objectives were to: 1) understand the lived experience of Aboriginal veterans adopted and/or fostered during the Sixties Scoop, 2) explore any health needs expressed by Aboriginal veterans adopted and/or fostered during the Sixties Scoop, and 3) provide recommendations for the implementation of health services and programs to assist this group of Aboriginal veterans with their health needs. Eight individual interviews were conducted with participants in Kitchener-Waterloo, London, Ottawa, Winnipeg, and Vancouver. All interviews were audio-taped, transcribed verbatim, and analyzed using …

The Association Of Racial Identity And Locus Of Control With Eating Attitudes And Obesity In African American College Women, Jamie Grisham

Psychology Theses & Dissertations

African-American women have been disproportionately affected by the obesity epidemic in the United States, and studies have suggested that sociocultural factors may have a negative influence on weight and weight loss efforts. Relatedly, other studies have found that African-American women have reported feeling less motivated to lose weight than other ethnic groups. Previous research has also indicated that locus of control plays a role in some health outcomes for African America women. The current study aimed to examine the impact of Black identity, external locus of control, and exercise motivation on obesity in African-American college women. Uncontrolled eating and exercise …

Health, Wellbeing, And Academic Achievement Among Urban College Students, Elise Tanzini

Dissertations and Theses

The post-secondary educational environment is full of demands—both academically and outside of the direct college setting—and as a result, stress is a prevailing concern for college students. Chronic, high levels of stress have been linked to a number of negative health outcomes, such as anxiety and depression, and academic outcomes, such as lower academic achievement. Using a diverse sample of undergraduate and masters students [n=84; mean (SD) age = 22.89 (5.99) years] from an urban, public college, the current study measured students’ experiences of stress (Perceived Stress Scale) and the adaptive and maladaptive strategies they utilized to cope with stress, …