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Building Media Literacy In Adolescence: A Cognitive Behavioral Clinician's Manual To Combat Misinformation And Misdiagnosis During Sessions, Patricia Sacchetti

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper examines the role of Cognitive Behavioral Therapy (CBT) in countering misinformation that youth encounter on social media and other informal sources, with the goal of creating a manual for mental health clinicians. The use of CBT by clinicians working with adolescents to combat the issue of misinformation and misdiagnosis has received little attention in the literature. Mental health clinicians’ knowledge of media literacy as a psychological construct can foster an effective treatment style by building upon the foundation of well-established theory and practice, such as CBT. CBT is a multifaceted treatment that can help guide mental health clinicians …

Overcoming Barriers To Connection Between People With Schizophrenia And Their Caregivers, Sarah G. Fernandez

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The purpose of this doctoral project is to bring together existing literature on relational barriers between patients and caregivers, and strategies for overcoming them, for one reason: to help clinicians facilitate connection within families and households where one person has schizophrenia. It is therefore comprised of two parts: this paper containing a three-part literature review on barriers to connection including social skill deficits characteristic of the disease of schizophrenia, environmental factors, and caregiver burden and expressed emotion within families, as well as protective factors and strategies for overcoming them. The second component of this project is a psychoeducational module geared …

Social Perception Of Bipolar Disorders On Employment Outcomes, Mary E. Henson

Student Theses and Dissertations

An important component to quality of life in those living with bipolar disorders is employment. Employment gives people an opportunity to provide for themselves and others, granting them the ability to live bountiful lives. For those with mental health diagnoses, it also provides them with economic access to affordable treatment. Literature agrees that many people with these diagnoses, specifically people with bipolar disorders, are less likely to be employed and maintain employment. It is likely that a lack of employment is due to stigma faced from employers and colleagues. Many studies have investigated internal stigma of bipolar disorders, but there …

As Good As It Gets? Comparing Clients’ And Treatment Providers’ Perceptions Of Engagement Barriers And Facilitators For Exposure And Response Prevention Ocd Treatment, Samuel Mutschler-Aldine

University Honors Theses

This mixed-methods study compared clients' and providers' sentiments toward research-based themes on barriers and facilitators of client engagement in treatment. For individuals with Obsessive-Compulsive Disorder (OCD), engagement in Exposure and Response Prevention (ERP) therapy is a crucial ingredient of successful treatment and symptom remission. Therefore, it is imperative to thoroughly understand the perspectives on engagement barriers and facilitators of people with field experience: ERP patients and therapists.

The researcher administered two Qualtrics surveys to thirty current providers and six current or former clients of ERP for OCD. Each survey contained five-point, Likert-style scales to measure the level each participant agreed …

Trainees’ Experience Of Videoconferencing Psychotherapy Training: A Consensual Qualitative Research Study, Tin Weng Mak

Dissertations (1934 -)

As videoconferencing psychotherapy (VCP) becomes an increasingly common component of mental health service delivery, little is known about how trainees experience VCP training during their graduate education. Gaining insight into trainees’ lived experiences is essential to understanding how they navigate virtual care and how training programs can better prepare future clinicians. This study employed Consensual Qualitative Research (CQR) methodology to explore how trainees experienced their VCP training and how it shaped their clinical development. Fifteen master’s- and doctoral-level trainees were interviewed and provided rich accounts of both the helpful and challenging aspects of VCP training. Through the use of CQR, …

Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton

Walden Dissertations and Doctoral Studies

Autistic adults face a high risk of co-occurring mental health challenges, yet standard psychotherapy often fails to meet their unique needs, raising concerns about treatment effectiveness. This qualitative study aimed to understand how clinical psychologists decide on therapeutic approaches and adaptations for their autistic adult clients through three research questions: RQ1: How do clinical psychologists decide on the appropriate therapeutic approach they use with their autistic adult clients? RQ2: How do clinical psychologists decide which adaptations are appropriate to implement in psychotherapy with their autistic adult clients? RQ3: Does the therapeutic approach affect how a clinical psychologist chooses appropriate adaptations …

The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith

Walden Dissertations and Doctoral Studies

Affective polarization, a phenomenon characterized by animosity between opposing political parties, has emerged as a growing and intractable problem in the United States. Affective polarization threatens American democracy, as polarized citizens become increasingly unwilling to trust cross-partisans, hold their political leaders accountable, or support the results of free and fair elections. While prior research has investigated the mitigating effect of intellectual humility and perspective-taking on affective polarization, researchers have yet to investigate whether intellectual humility and perspective-taking work synergistically to mitigate affective polarization. Informed by social identity theory, this quantitative study determined if intellectual humility mediated the relationship between perspective-taking …

From Prohibition To Prescription: Exploring Injustice, Bias, And Science-Based Solutions, Alexander Campos

University Honors Theses

This thesis critiques the war on drugs for disproportionately targeting minority communities and prioritizing systemic exploitation over public health. It examines the flawed, politically influenced DEA drug scheduling process, which neglects evidence of the medical benefits of substances like cannabis, psilocybin, LSD, DMT, and MDMA. This thesis gives a brief history of the evolution of US drug policy, which contributed to mass incarceration, reinforced racial disparities, and failed to reduce overdose deaths. It also highlights the potential mental health benefits of decriminalizing and regulating psychedelics to treat conditions like PTSD, depression, and substance abuse disorder. This thesis concludes by promoting …

Causal Effects Of Schooling On Memory At Older Ages In Six Low-And-Middle-Income Countries: Nonparametric Evidence With Harmonized Datasets, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D. Stites

Upjohn Institute Working Papers

Higher schooling attainment is associated with better cognitive function at older ages, but it remains unclear whether the relationship is causal. We estimate causal effects of schooling on performances on the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) word-recall (memory) test at older ages in China, Ghana, India, Mexico, Russia, and South Africa. We used harmonized data (n=30,896) on older adults (≥50 years) from the World Health Organization Study on Global Ageing and Adult Health. We applied an established nonparametric partialidentification approach that bounds causal effects of increasing schooling attainment at different parts of the schooling distributions under …

Examining County-Level Implicit Stereotypes And Prejudice As Predictors Of Racial And Gender Disparities In Incarceration Across The United States, Emma Elizabeth Lee Money

Dissertations and Theses

Background: This dissertation investigated the role of local macropsychological factors - specifically, county-level implicit racial bias and implicit gender stereotyping - in shaping inequalities in incarceration across the United States. Despite overall declines in incarceration, trends in the incarceration of women and people of color (particularly Black women) show disparities compared to White men. Regional aggregations of implicit biases have been proposed as robust markers and drivers of systemic inequalities and are examined in current research.

Research Questions: Three overarching research questions (RQ) guided this dissertation: RQ1 tested the relationship between county-level implicit racial bias and proportions of Black (relative …

Inhibitory Control: A Mediator Between Sensory Responsivity And Externalizing Behaviors In Children On The Autism Spectrum, Kaitlyn M. Drafton

Clinical Psychology Dissertations

Sensory differences are among the most commonly reported symptoms in children on the autism spectrum and have been linked to both externalizing behaviors and executive functioning challenges. However, few studies have explored the potential mechanisms that underlie these relationships. The present study examined whether inhibitory control mediates the relationship between sensory responsivity and externalizing behaviors in young autistic children, each rated via caregiver-report measures. Participants included 107 caregivers of autistic children between the ages of 5-10 years old. It was hypothesized that higher levels of sensory responsivity would predict greater difficulty with inhibition, which in turn would be associated with …

Building A Theory-Based Understanding Of Sexual Health Provider Stigma: A Phenomenological Study, Harit Agroia, Rebecca Reno, Maytal Bach, Jenette Spezeski, Erin Starzyk

Journal of Social, Behavioral, and Health Sciences

Unraveling provider-level sexual health stigma requires building an understanding of contributing factors, such as provider knowledge, values, beliefs, medical training, and other intrapersonal or interpersonal factors that may influence its manifestation at the clinic level during patient–provider interactions. Healthcare provider stigma has not been sufficiently understood or explained using classic psychological theories, such as Cognitive Dissonance Theory (CDT) or Social Cognitive Theory (SCT). We build a theory-based understanding of sexual health-provider stigma by proposing modifications to the SCT to develop the Modified SCT (M-SCT) model, where cognitive dissonance is hypothesized to influence the personal/cognitive and behavioral factors of the M-SCT. …

Iep Process As An Avenue Or Barrier To Inclusion For Autism Spectrum Students: The Importance Of Collaboration, Stephanie C. Holmes

Tapestry: Journal of Research in Education

Decades of research concerning the implementation of Individual Education Plans (IEPs) have shown that building and implementing an IEP for a student with additional needs can be adversarial between the child’s parents and the school system. In 1975, when Public Law 94-142 was passed, the idea behind the law was not only to provide a free and appropriate public education (FAPE) for children with needs and disabilities but also to give parents of these children a voice in the process of creating the child’s IEP. Autism Spectrum Disorder (ASD) was not added to the list of needs to be served …

Mindfulness-Based Stress Reduction And Mindfulness-Based Cognitive Therapy As Interventions For Generalized Anxiety Disorder: A Meta-Analytic Review, Amitojeroop Kaur

Honors Scholar Theses

This systematic review and meta-analysis examined the efficacy of mindfulness-based interventions (MBIs), specifically Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), in reducing anxiety symptoms in individuals with Generalized Anxiety Disorder (GAD). A review of the literature revealed that while GAD affects millions globally, many individuals diagnosed with GAD do not receive treatment. This review evaluated the effectiveness of MBIs using randomized controlled trials (RCTs) and non-RCTs, focusing on effect sizes, study quality, and control conditions. The central hypothesis was that MBCT would significantly reduce anxiety symptoms, particularly in comparison to inactive control groups. Meta-analytic results showed that MBSR …

The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford

Walden Dissertations and Doctoral Studies

Behavioral health professionals are concerned with the opioid epidemic in the United States, as opioid use results in needless overdose deaths annually. Relapse prevention is the theory that grounded this study, and naltrexone or extended-release naltrexone (XR-NTX) was used to measure effectiveness for 50 forensic, rural, and urban individuals with opioid use disorder (OUD) to prevent relapse. Furthermore, this study used a chi square test of independence, nonparametric test with a Cramer’s V, and Fisher’s exact. While outcomes revealed no significant differences between rural and urban groups, significant evidence was observed when medication outcomes and medication extent were evaluated, Pearson …

The Role Of Gender And Sexual Identity In Mental Health Outcomes For Asylum-Seeking Survivors Of Sexual Torture, Samantha A. M. Doerr

Clinical Psychology Dissertations

Millions of people worldwide flee violent persecution each year, with more than 6.8 million estimated to have sought asylum in 2023 alone (United Nations High Commission on Refugees, 2025). Up to 40% of refugees and asylum-seekers are reported to be survivors of torture, with sexual torture one of the most commonly-reported means of torture, particularly among women and LGBTQ+ populations (Abu Suhaiban, 2019; Hopkinson et al., 2017; United Nations High Commission on Refugees, 2017). Sexual torture has been associated with severe impacts on mental health, including posttraumatic and depressive symptoms. Despite marked differences in sexual torture risk across gender and …

Reading Patients' Personalities The Sentence Completion Way, Stephen P. Joy, Lawrence Mccloskey, Wilson Mcdermut

Archives of Assessment Psychology

Previous research has shown that reliable, valid measures of major personality traits can be derived from a sentence completion test, the Rotter Incomplete Sentences Blank (RISB). However, all previous samples consisted of undergraduates. Here, we report findings for two clinical samples (N = 120) to whom a variety of self-report inventories and structured clinical interviews were also administered. RISB-based ratings of Extraversion and Neuroticism were consistently correlated with relevant variables in both samples and displayed convergent and discriminant validity vis a vis self-reported traits. RISB-based ratings of Psychoticism were clearly associated with relevant variables in one sample with mixed but …

Secondary Medical Conditions In Pediatric Survivors Of Acute Lymphoblastic Leukemia: Role In Performance-Based Neurocognitive Functioning, Caregiver-Reported Outcomes, And Adaptive Functioning And Transition Readiness Intervention, Victoria Seghatol-Eslami

All ETDs from UAB

Survivors of childhood acute lymphoblastic leukemia (ALL) are at risk of secondary medical conditions arising from disease and treatment effects. Secondary medical conditions are associated with adverse survivorship outcomes (e.g., neurocognitive, psychosocial, and adaptive functioning/healthcare transition) in adult survivors of childhood ALL. Little is known about secondary medical conditions in pediatric ALL survivors. Further, the relationship between secondary medical conditions and survivorship outcomes has not been explored in this younger population. This dissertation examined 1) the role of secondary medical conditions in performance-based and caregiver-reported neurocognitive, psychosocial, and adaptive functioning; and 2) the roles of secondary medical conditions and neurocognitive …

Autism Spectrum Disorder-Specific Knowledge And Self-Efficacy Among Early Interventionists In Alabama, Greta R. Conlon

All ETDs from UAB

Young children diagnosed with autism and those who will go on to receive an autism diagnosis are frequently enrolled in early intervention services under Part C of IDEA. ASD-specific knowledge and self-efficacy have been shown to vary among providers working with autistic children, including those providing early intervention services (i.e., early interventionists). The current study aimed to characterize ASD-specific knowledge and self-efficacy in a sample of early interventionists in Alabama. In addition, it sought to identify differences in knowledge and self-efficacy between early interventionists serving different roles and to identify predictors of identified knowledge levels and self-efficacy ratings among participants. …

Intersectionality And Experiences With Mental Health Care: Transgender And Gender Diverse Autistic Adults, Megan Callahan

LSU Doctoral Dissertations

Current prevalence rates of autism spectrum disorder (ASD) in transgender and gender diverse (TGD) populations range between 4 and 13% (Thrower et al., 2020). Studies into autistic TGD individuals’ experiences with healthcare have primarily collected qualitative data, identifying themes including barriers to healthcare, invalidation of both autistic and TGD identities, difficulty finding competent providers, limited support and resources, and refusal of care (Cooper et al., 2022; Maroney & Horne, 2022; Hall et al., 2020). N = 3094 self-identified TGD adults completed the 2017 TransLifeline Mental Health Survey, a collaborative effort between the National LGBTQ Task Force and the TransLifeline, which …

Examining Risk And Protective Factors Of African Americans Who Use Substances, Dominique Ashonta Black

All ETDs from UAB

African Americans (AAs) are less likely to report internalized symptoms and substance use compared to other racial groups but tend to report more severe symptoms related to either condition. Research suggests internalized symptoms and substance use share a causal relationship or an underlying factor that contributes to both conditions. Risk factors such as stress, discrimination, and trauma strengthen the relationship between anxiety and substance use in AAs. A higher prevalence of stress, discrimination, and trauma exposure was found in AAs when compared to other racial groups, increasing AAs risk for internalized symptoms and substance use. While it is important to …

Stroke Survivors: Predicting Cognitive Outcomes By Stroke Severity, Caregiver Factors, & Social Determinants Of Health, Jason Alexander Blake

All ETDs from UAB

Physical and cognitive disabilities are common following a stroke, often leading to significant changes in survivors' daily lives and increasing dependency on caregivers. These changes can include involuntary retirement, loss of independence, and decreased social engagement, which may necessitate adjustments in living arrangements and long-term care. This dissertation investigates the predictors of cognitive outcomes in stroke survivors, with a particular focus on the roles of stroke severity and caregiver factors. Utilizing data from the REasons for Geographic and Racial Differences in Stroke (REGARDS) project, this research captures the different predictors of post-stroke cognition through biennial assessments. Through longitudinal studies, this …

Servant Leadership And Team Cohesion: The Mediating Roles Of Procedural Justice And Service Culture, Tyler Norris, Dalia L. Diab

Servant Leadership: Theory & Practice

This study examined the relationships among servant leadership, team cohesion, service culture, and procedural justice. It was hypothesized that service culture and procedural justice would mediate the relationship between servant leadership and team cohesion. A total of 125 participants were recruited using Prolific, and after data cleaning, 120 participants’ responses were retained. Results supported the study hypotheses, such that service culture and procedural justice fully mediated the relationship between servant leadership and team cohesion. These findings imply that the positive correlation between servant leadership and team cohesion is mediated by a culture that promotes procedural justice and service. By treating …

Measuring Emotional Intelligence With The Msceit 2: Theory, Rationale, And Initial Findings, John D. Mayer, David R. Caruso, Peter Salovey, Iris Y. Lin, Braden J. Hansma, Joanna Solomon, Gill Sitarenios, Manolo Romero Escobar

UNH Personality Lab

Introduction: The model of emotional intelligence as an ability has evolved since its introduction 35 years ago. The revised model includes that emotional intelligence (EI) is a broad intelligence within the Cattell-Horn-Carroll (CHC) model of intelligence, and that more areas of problem solving are involved than originally detailed. An argument is made here that veridical scoring of EI test responses is a sound procedure relative to scoring keys based on expert consensus or a single emotion theory. To the degree that EI fits present-day theories of intelligence (i.e., the CHC model), any subsidiary factors of EI reasoning should correlate highly …

Lived Experiences Of Sex Offenders On Probation With Housing And Employment, Katheryn Winslow

Walden Dissertations and Doctoral Studies

Lived Experiences of Sex Offenders on Probation with Housing and Employment by Katheryn Winslow MA, South University, 2013 BS, University of Central Florida, 2010 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Psychology Walden University May 2025

Culturally Responsive Intimate Partner Violence (Ipv) Service Needs Among African Immigrant Women: Examining The Impact Of Cultural Norms And Psychosocial Barriers On Safety Perceptions And Help-Seeking Behaviors, Titilayo Ogunbambi

Dissertations

Intimate Partner Violence (IPV) remains a pervasive public health and social justice issue globally, with African immigrant women in the United States facing compounded challenges as they navigate cultural, structural, and systemic barriers, including migration-related vulnerabilities and attachment to cultural values that shape their decisions and experiences. Although formal IPV services exist, they often fail to address the lived realities and culturally specific needs of this population, leading to underutilization and barriers in seeking help. This qualitative study examines how cultural norms, psychosocial barriers, and systemic inequities influence safety perceptions and help-seeking behaviors among African immigrant women survivors of IPV. …

Baseline Predictors Of Responders To Auricular Point Acupressure In Chronic Low Back Pain, Nada Lukkahatai, Wanqi Chen, Jennifer Kawi, Hulin Wu, Claudia M Campbell, Johannes Thrul, Xinran Huang, Paul Christo, Constance M Johnson

Faculty, Staff and Student Publications

Background: Chronic low back pain (cLBP) is a major cause of disability, with varied patient responses to treatments. Auricular point acupressure (APA) has shown potential as a non-pharmacological intervention, but individual responses may differ significantly.

Objective: This study aimed to determine the predictability of baseline characteristics, including functional disability, symptom severity, and treatment expectancy, on clinically significant responses to APA in reducing pain and improving function.

Methods: A secondary analysis was performed using data from a randomized controlled trial with 263 cLBP patients. Participants were randomly assigned to targeted APA (T-APA), non-targeted APA (NT-APA), or to a control group. APA …

The Heart Of The Defense: Exploring The Relationship Between Emotional Intelligence, Cultural Competence, And Client-Centered Lawyering In Public Defense, Cherise Burdeen

Dissertations

This dissertation explores the relationship between emotional intelligence (EI), cultural competence, and client-centered lawyering (CCL) within the public defense system. Using a mixed-methods design, this study analyzed quantitative data from 96 White public defenders and qualitative data from a focus group of 7 experienced public defense trainers. Because of the disparate racialized impact of the criminal legal system and anti-Blackness as a foundational component of the United States, cultural competence was operationalized as antiracism. Pearson correlations revealed significant, positive relationships between EI and CCL, r = .483, p < .001; antiracism and CCL, r = .356, p < .001; and EI and antiracism, r = .225, p = .027). Regression analyses indicated that EI significantly predicted both antiracism (β = .225, p =.027) and CCL (β = .483, p < .001), and that antiracism independently predicted CCL (β = .260, p =.004). A combined model including both EI and antiracism accounted for 29.7% of the variance in CCL scores, R² = .297, p < .001. Qualitative findings revealed that CCL and cultural competence are often viewed by attorneys as intuitive or already mastered, yet training on these skills typically provokes emotional dysregulation and resistance. The qualitative and quantitative analysis resulted in the Emotion-First Praxis Theory (EFPT), which posits that EI is a prerequisite for antiracist and client-centered practice, and that if contextualized in antiracist work, emotionally developed White facilitators should work with White people, to prepare them for the kinds of collaborations needed to ensure tangible results. Recommendations are offered to improve antiracism work in and beyond public defense systems. Future research should validate the CCL measure with clients, expand sampling, and empirically test EFPT in diverse settings.

Chatgpt Or Human Mentors? Student Perceptions Of Technology Acceptance And Use And The Future Of Mentorship In Higher Education, Jimin Lee, Alena G. Esposito

Psychology

GAI technologies are increasingly recognized as mentor-like resources in higher education. While these tools offer academic guidance and personalized feedback, little is known about how students perceive and evaluate AI-generated mentorship. This study investigated how Prior ChatGPT Use, primary mentor identity, mentorship effectiveness, and technology acceptance predict students’ response identification and evaluations of AI- versus human-generated responses. College students (N = 127) completed a survey in which they identified the source of masked responses across different domains and rated each response on helpfulness, caring, and likelihood to reach out again. Binary logistic regression models revealed that Prior ChatGPT Use predicted …

More Than Hormones: Psychological Consequences Of The Medicalized Menopausal Experience, Haley Derrickson

University Honors Theses

Menopause, a transitional period that roughly half the population may experience, has a high degree of variability in onset and intensity of symptoms, one of which is depression. It is also a period in which the lives of those transitioning are highly medicalized. This literature review investigates how medicalization has increased since the term was created, and how it impacts perimenopause, menopause, and mental health.