Digital Commons Network^™

Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon

Electronic Theses, Projects, and Dissertations

This qualitative research study aimed to reduce mental health service disparities in Latinx communities and helps fill in the gap by addressing cultural and structural barriers to utilizing MHS in a school-based setting for Latinx youth. There is limited research regarding Latinx parents’ perspectives and the reservations they have on utilizing school-based mental health services (MHS) for their children. This study identified six important themes: cultural factors, trust and rapport, reservations, access and awareness, parental involvement and challenges, and school-based resources. Implications for school districts are that they can use these findings to increase early intervention mental behavioral health programs …

Traumatic Stress, Sexual Abuse-Related Shame Severity, And Participation In Commercialized Sex Based On Childhood Sexual Abuse, Barbara Ann Bailey

Dissertations and Theses

Any sexual act performed under the condition that one person will receive or provide something of value to another in exchange for the sexual act is referred to as commercial sex. Some research suggests that those who engage in commercial sex are more likely to be victimized or physically assaulted. Moreover, a frequently cited risk associated with engaging in commercial sex is a history of childhood sexual abuse (CSA). Because commercial sex and CSA are often unreported, there is limited understanding regarding symptom severity experienced by survivors of both. It was hypothesized that individuals who had experiences of both CSA …

Waking The Nightmare: Understanding The Relationship Between Trauma And Sleep In Children, Jacklyn Ewald

Doctor of Psychology (PsyD)

This clinical dissertation expands upon previous research investigating the impact of trauma on children’s sleep quality. Prior research utilized subjective reports of trauma’s impact on sleep in children or objective measures which studied a specific traumatic event. This study used objective measures through cardiopulmonary coupling to study sleep in children with trauma exposure. Participants completed a questionnaire which included the Pediatric Adverse Childhood Experiences (ACEs) and Related Life Events Screener (PEARLS) or Adverse Childhood Experience (ACE) questionnaire, Pediatric quality of life scale, the Children’s Sleep Habits Questionnaire, and demographic information. Trauma was defined by endorsement of any items on the …

Policing With A Double-Edged Sword: The Associations Between Neighborhood Deprivation, Coping & Substance Use Among Black & Latiné Families, Neil M. Allicock

Dissertations and Theses

The COVID-19 pandemic has exacerbated systemic racial inequities among Black and Latiné communities, increasing daily stressors such as exposure to violence, racial discrimination, and negative perceptions of the police. Social constraints from quarantining and social distancing have weakened community relationships that previously provided relief from these stressors. Persistent poverty and racial discrimination further strain community ties and challenge the well-being of marginalized communities. Negative experiences with the police are unique stressors for Black and Latiné youth, potentially increasing their risk for substance use. The erosion of community ties may heighten psychological stress and lead to less adaptive coping methods, such …

Exploring The Impact Of Early Adversity On Young Children With Autism, Kelsea M. Batista

Antioch University Dissertations & Theses

This dissertation builds on a small but growing literature exploring the association between early adverse childhood experiences (ACEs) and children diagnosed with autism spectrum disorder (ASD). Research suggests that children with ASD are more likely to experience ACEs throughout their lifetime due to increased vulnerability to victimization and social communication deficits. Still, to date, there is scant research explicitly exploring the impact of ACEs on young children diagnosed with ASD. This study utilized a biopsychosocial framework to further examine whether a relationship exists between ACEs and ASD. The objectives of this study include: (a) to determine whether a relationship exists …

Development Of Optimal Cut Scores For Within-Normal-Limits Mmpi-2-Rf Profiles Of Sex Offenders, Ilona Iikhtman

Theses and Dissertations

Alleged and convicted sex offenders are generally required to undergo forensic evaluations that frequently include a psychological assessment to answer a wide range of psycho-legal questions. A critical component of the psychological assessment of sex offenders is the evaluation of personality and psychopathology. The Minnesota Multiphasic Personality Inventory (MMPI) and its subsequent editions have been the most widely used personality assessment measures in forensic evaluations, including sex offender evaluations, and in research conducted with sex offenders. The previous literature demonstrates that a subgroup of sex offenders often produce test scores reflective of the general population, which is referred to as …

The Relationship Between Poverty And Behavior Problems : Examining The Role Of Family And Parental Factors From An Ecological Systems Perspective, Alaina Marie Wodzinski

Theses, Dissertations and Culminating Projects

The large number of children from low-income households or living in poverty are at increased risk for a range of negative outcomes, including behavior problems. The Family Stress Model is a framework that can be used to describe how poverty may shape the development of behavior problems through its influence on family processes, including parental mental health, parenting, and household environment. While the Family Stress Model has been widely replicated, studies have rarely examined the context of infancy and toddlerhood, during which family-related processes tend to be more impactful in child development. Therefore, the present study evaluated two adaptations of …

Further Refinement Of An Asd-Subscale For The Childhood Behavior Checklist, Kimberly Ellison

LSU Doctoral Dissertations

The early diagnosis of autism spectrum disorder (ASD) is tied to receiving the earliest possible intervention services that can influence a child’s development (Filipek et al., 1999). There are different measurement tools utilized to aid in the diagnostic assessment process, including broadband behavioral rating scales. The Childhood Behavior Checklist (CBCL; Achenbach & Rescorla, 2001) is a parent/caregiver completed questionnaire about one’s child (typically or atypically developing). The CBCL is one of the most utilized broadband measures at the initial stages of a diagnostic assessment or screening to aid in understanding the symptom presentation (Hyman et al., 2020). Currently, there …

Job Stress Moderates The Effects Of A Mindfulness Intervention On Early Childhood Teachers' Emotion Dysregulation, Emily J. Starr

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Addressing the current crisis of early childhood (EC) teacher turnover is essential for supporting the development of young children. Teacher attrition remains a concern for policymakers globally, and in the United States, early childhood teachers frequently cite job stress and lack of support as reasons for leaving the field. For over 40 years, researchers who study childcare have been concerned about the consequences of work-related stressors. Even if these stressors do not result in turnover, EC teachers’ psychological well-being may be impacted, leading to increased emotion regulation difficulties and more frequent negative teacher-child interactions. Young children’s emotional development is significantly …

Transgender Family Transitions: A Sibling Perspective, Mariessa Robles M.S.

Selected Full Text Dissertations, 2011-

As more families are seeking professional help to navigate issues surrounding gender, there is a growing need for clinicians who can assist in the family transition that accompanies an individual’s gender transition process (Coolhart, Ritenour, & Grodzinski, 2018). While family therapy literature is currently expanding to address families with a transgender member, existing psychological thought mostly centers therapeutic focus on the identified transgender individuals and their parents, neglecting the roles and experiences of siblings in this process (Blumer, Green, Knowles, & Williams, 2012). The purpose of this qualitative study was to explore the experiences of those who had a sibling …

Mitigating Compounded Barriers To Independence: Improving Outcomes Post Emancipation For Foster Youth With Secondary And Tertiary Barriers To Success, Corletha Norman

DSW Capstone Projects

A total of 407,493 children were identified as foster children by the U.S. Department of Health and Human Services, Administration for Children and Families (2021) at the completion of their 2020 fiscal year. The reason for entry into foster care is just as varied as the way in which the children exit. It is expected that many foster youth will experience poor outcomes as a result of their foster care experiences. Poor outcomes continue to be an ever-present undesired rite of passage for foster youth preparing to leave foster care at or after the age of 18. Research conducted over …

Parent Emotion Socialization And Emerging Adult Internalizing Symptoms: Differences And Moderation By Rurality, Cheston West

Electronic Theses and Dissertations

Emerging adulthood is a unique developmental period from late adolescence to late 20s during which individuals experience a multitude of developmental transitions and are at an increased risk for internalizing symptoms. Parent emotion socialization in childhood can also contribute to risk for internalizing symptoms and is shaped by parent gender and sociocultural context. Rurality is a sociocultural context that has implications for parenting, but less research has explored how parent emotion socialization varies by rurality. The present study examined maternal and paternal emotion socialization in relation to rurality and emerging adult internalizing symptoms. Participants were 270 emerging adults (18-29 years …

Consistency Of Sleep Across Development And Relations To Executive Functions; Applications To Emerging Adults Transitioning To College And Adolescents With Spina Bifida, Laura Nicholson

Dissertations

College Students, Development, Executive Functioning, Inhibition, Sleep consistency, Spina Bifida

A Longitudinal Study Of Pain In Youth And Young Adults With Spina Bifida: Three Studies Based On The Bio-Neuropsychosocial Model, Diana Margaret Ohanian

Dissertations

Family Functioning, Neuropsychology, Pain, Pain Coping, Psychological Adjustment, Spina Bifida

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 …

The Impact Of Social Support Sources On Lgbtq Adolescents, Kaitlyn C. Mccauley

LSU Master's Theses

Research demonstrates that adolescents social support plays an important role in protecting against adverse events (e.g., Brewin & MacCarthy, 1989; Muzik et al., 2017). LGBQ adolescents have been shown to experience greater adverse experiences such a daily microaggressions and higher rates of both childhood adversity (Baams, 2018) and peer victimization (Kosciw et al., 2014). Increased stressors often lead to poorer outcomes in this population. Social support research for adolescents has shown that different sources of social support have shown to buffer these reported issues (e.g., greater parent and peer support buffers suicidal ideation, Fredrick et al., 2018). Studies with LGBQ …

Impact Of Immigration Parent-Child Separation Policies On Children’S Attachment Experiences, Daisy Casasnovas

Dissertations

This critical literature review (CRP) project explores the consequences of child-parent separation by deportation laws. Considering the number of Latinx immigrant families immigrating to the United States, this review focused on how the unexpected separation by deportation impacted immigrant families and how these separations affect their children’s development, attachment style, and overall well-being. The review explored the short- and long-term consequences for immigrant children and their families, including children who are U.S.-born and remain in the country without their parents. Results from the review indicate an extensive and significant impact on attachment style and overall developmental impairments. The unexpected separation …

Examining The Impact Of Attachment And Parent Socialization Of Emotion In Childhood On Emotion Regulation In Maltreated Adults, Nikki Major

USC Aiken Psychology Theses

Objectives: The aim of the current study was to examine the relationship between child maltreatment and adult emotion regulation by examining parenting processes of emotion socialization and attachment security as possible mechanisms accounting for this relationship. It was hypothesized that maltreated adults would retrospectively report more unsupportive responses from parents/caregivers, greater attachment insecurity, more difficulty with emotion regulation, and using expressive suppression more than cognitive reappraisal. It was also hypothesized that unsupportive responses to emotions and attachment security would both indirectly effect the relationship between child maltreatment and adult emotion dysregulation.

Method: A sample of 226 participants from Amazon Mechanical …

Latinx Parent-Child Acculturative Stress Profiles And Their Relation To Expressed Emotion And Academic Achievement, Laura Saldana

College of Science and Health Theses and Dissertations

A unique stressor among families of immigrant background is acculturative stress (AS), which is experienced by both adults and youth. AS results from difficulties with acculturation and is associated with negative youth outcomes. Past studies link AS to worse family functioning yet very few studies examine parent and youth AS together. The current study incorporates reports from 284 Latinx youth (M_age = 11.5; 55.6% females) and their parents to examine AS latent profiles. Four profiles emerged in this sample, characterized by high child-low parent (HLAS), low child-high parent (LHAS), moderate child-low parent (MLAS), and low child-low parent (LLAS), …

Mediation Of Intergenerational Trauma Transmission By Family Variables In Children Of Rwandan Survivors Of The 1994 Genocide Against The Tutsi, Jessica L. Bonumwezi

Theses, Dissertations and Culminating Projects

Twenty-eight years after the 1994 genocide against the Tutsi in Rwanda, children of survivors are being increasingly documented to show increased risk for adverse mental health outcomes. However, no studies in Rwanda have empirically explored psychosocial factors underlying this intergenerational transmission of trauma. We investigated family factors that could underlie this transmission in 285 adult Rwandan children of survivors (mean age = 23.31; 50.2% female) who completed an online survey. We found that 42.2% of participants had clinically significant secondary PTSD symptoms and 37.8% had clinically significant symptoms of depression or anxiety. For participants with survivor mothers (n = 187), …

Valuating The Evidence Base Of Physician Reported Assessment Measures Used In Childhood Adhd Diagnosis, Sarah Ewen

Masters Theses & Specialist Projects

An accurate Attention-Deficit/Hyperactivity Disorder (ADHD) diagnosis is essential as there are substantial social and functional costs associated with misdiagnosis. Data collected from a 2014 National Survey suggested that one-half of the children diagnosed with ADHD were diagnosed by a pediatrician or family health provider through unstructured behavioral observations or using a checklist that may not adhere to diagnostic guidelines. Additionally, clinicians providing ADHD diagnoses have admitted to possessing limited knowledge on the disorder itself and denied attending continuing education courses on ADHD. The current study sought to answer two research questions: 1) are measures reported for diagnosis by pediatricians evidence-based …

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 …

The Combined And Unique Roles Of Ptsd And Polyvictimization In Predicting Delinquency Among Adolescents, Joana Reyes

Honors Program: Senior Projects (Public)

As a supplement to previous research understanding the relationship of polyvictimization to delinquent behaviors, these analyze question the mediating role of PTSS between the two factors. A cascade model was used to understand the factors relationship, in which they influence each other independently and as a group. Therefore, it has been found that polyvictimization leads to an increase in the likelihood of delinquent behavior, PTSS was also expected to play a role in this cascade model. Analyzes found that PTSS does influence delinquency, yet not in each Wave of data.

Placement Instability, Perceived Social Support, And Internalizing Symptoms In Youth In The Child Welfare System, Michelle Cusumano

Theses and Dissertations

High rates of youth in the child welfare system (CWS) experience placement instability, or frequent moves between household, institution, or placement (Fisher et al., 2013). Placement instability has been shown to predict subsequent internalizing symptoms regardless of the maltreatment type, severity, or frequency experienced by the child in foster care (McGuire et al., 2018). Frequent moves between biological parents, foster or kinship caregivers, or group homes may detrimentally affect youth’s social support networks, which are known to serve as a protective factor for maltreated children and adolescents (Folger & Wright, 2013). The current study aims to examine longitudinally whether perceived …

Social Attention And Memory In Youth With Asd, Adnp Syndrome, And Foxp1 Syndrome, Megan L. Braconnier-Krupa

Theses and Dissertations

The current study used eye tracking and behavioral measures to examine social attention and recognition memory in two rare genetic disorders commonly associated with autism spectrum disorder (ASD): ADNP syndrome and FOXP1 syndrome. Impairment in social functioning is considered a core deficit in ASD. Although individuals with ADNP syndrome and FOXP1 syndrome typically present with symptoms of ASD, research suggests several dissimilarities in symptom presence and severity between the groups. Thus, there is a need to clarify disorder-specific patterns of social attention and their relationships to observed social skills. A visual paired comparison eye tracking task was used to assess …

Are Narcissism And Entitlement Associated With Higher Rates Of Violence And Unsuccessful Treatment Completion?, Melissa Chipollini

PCOM Psychology Dissertations

Following the dimensional-categorical model of personality functioning, this study used archival data to examine the degree to which narcissism and entitlement determined engagement in violent acts and treatment completion. The study reviewed MCMI-III/IV scores, discharge summaries, and violence histories for a sample of 105 individuals who were referred for forensic outpatient services by the court. One-way ANOVAs were used to assess all four of the hypotheses (a) individuals with more than one violent act (vs. one violent act) would have significantly higher mean scores on the MCMI-III/IV entitlement subscale, (b) individuals with more than one violent act would have significantly …

Acculturative Stress Trajectories And Mental Health Among Mexican Immigrant Families, Susana Sarai Sosa

Master's Theses

The United States is one of the leading countries with high immigration rates, with Mexican immigrants making up about 25% of all immigrants living in the United States (Budiman et al., 2020). The current study examined the divergent trajectories of acculturative stress, years in the U.S., and parent internalizing symptoms among Mexican-origin immigrant parents. Participants in this study are from a larger study on family coping among Mexican-origin immigrant families. A total of 104 families participated at T1, 99 at T2 (6 months after T1), and 97 at T3 (12 months after T1). Finally, in 2017, a reduced sample of …

Growth Of Condition-Related Knowledge Among Youth With Spina Bifida: Associations With Neurocognitive Functioning And Self-Management Skills, Olivia Emery Clark

Master's Theses

Spina bifida (SB) is a congenital birth defect that may involve physical, medical, and neuropsychological complications due to central nervous system malformation (Copp et al., 2015). Ambulation problems, bladder and bowel dysfunction, and hydrocephalus require daily medical management tasks, including catheterization, bowel program management, and skin checks to avoid secondary complications. While self-management skills are typically gained during adolescence, executive dysfunction in SB may complicate gains (Dennis et al., 2006; Greenley, 2010). Indeed, evidence in other chronic conditions suggests that adolescent executive dysfunction is linked to poorer medical self-management. Condition-related knowledge has been identified as an important basis of medical …

Using Individual Determinants To Predict Behavioral Health Service Use In Integrated Pediatric Primary Care, Alfonso L. Floyd Jr.

Theses and Dissertations

Mental health problems (e.g., attention, externalizing, internalizing) are commonly observed in youth and are often associated with significant impairment and an increased need for mental health services. Conceptual frameworks, such as Andersen’s Behavioral Model of Health Service Utilization, have proposed that several individual determinants (e.g., predisposing, enabling, and need factors) may influence service use for mental health problems among youth. Despite the glaring need for mental health treatment among youth with mental health problems, studies indicate that many affected youths do not receive mental health care. Integrated pediatric primary care (IPPC) settings provide an ideal setting for youth and families …

Working With Families With Refugee Experiences In The United States: The Impact Of Forced Displacement On Parent-Child Relationships After Resettlement, Sakshi Kapur

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Refugees resettled in high-income countries like the United States have a unique set of challenges ranging from great psychological disturbance to acculturation challenges. With recent changes to policies related to immigration and refugee resettlement in the United States after the 2016 presidential elections, the refugee diaspora was left with resettlement services focused more on ensuring national security and economic independence rather than services that catered to re-integration beyond economics like acculturation stress, family functioning, and cultural adjustment. This systemic literature review explores the impact of forced displacement and migration on individuals, with an emphasis on family systems and parent-child relationships. …