Digital Commons Network^™

Relational Efficacy Beliefs In Supervision Of Master’S Level Counseling Trainees As Predictors Of Counseling Interests And Goals, Taylor Karnilaw

Electronic Theses & Dissertations (2024 - present)

Master's level counseling trainees have condensed training periods before making career-related decisions and are often placed in settings with high rates of burnout and turnover. Supervision has been shown to be a protective factor for burnout and has the potential to be a source of self-efficacy, which has been linked with career-related outcomes like occupational interests and goals (Lent et al., 2018; O’Connor et al., 2018). Moreover, within the context of close relationships, like supervision, efficacy beliefs are believed to be shaped by a network of beliefs, including relation-inferred self-efficacy, self-efficacy, and other-efficacy (Lent & Lopez, 2002). The current study …

The Moderating Effect Of Self-Efficacy On The Relationship Between Social Determinants Of Health And Alcohol Use In A Diverse Adult Sample, Cara L. Fresquez

Electronic Theses & Dissertations (2024 - present)

Heavy alcohol consumption is associated with a range of psychosocial problems and chronic conditions, resulting in approximately 140,000 preventable deaths each year. With these potential consequences in mind, it is understandable that 46% of individuals who consume alcohol report attempting to reduce the quantity of alcohol they drink; however, very few enter formal treatment. Despite this, many people will decrease their heavy drinking over time, presumably due to individual and environmental factors, particularly self-efficacy and protective social determinants of health (SDoH). This study aimed to answer the research question “How is SDoH adversity related to the likelihood of reporting reduced …

Maintaining Balance And Wellness In Remote Work, Michelle Bartlett

Educational Leadership & Workforce Development Faculty Publications

In today's rapidly evolving work environments, remote work has become more than a trend; it is now a mainstay and rising (Ewers & Kangmennaang, 2023). This shift has necessitated a re-evaluation of traditional work paradigms, particularly in the realms of work-life balance and employee wellness. This chapter details the core strategies for thriving in remote work settings by setting boundaries, combating isolation, and fostering supportive corporate cultures. Transitioning from offices to remote work can blur the lines between personal and professional lives (Bella, 2023; Beňo, 2023). This section provides practical advice on how remote workers can effectively delineate these aspects. …

The Lived Experience Of Tenders Of Community Grief Rituals, Margaret Y. Wilson

Antioch University Dissertations & Theses

The purpose of this research study is to gain an understanding of the lived experience of tenders of community grief rituals, and how tenders make meaning of their experiences. This study utilized photo elicitation and a reflexive thematic analysis. Participants (N = 11) provided one to three photographs that captured their experience of grief and/or tending grief rituals. The results identified 10 themes supported by subthemes: (a) Grief Tender Wisdom About the Nature of Grief, (b) Life’s Many Experiences are Sources of Grief, (c) The Multifaceted Impacts of Grief-Body, Anger, Compassion, Empathy, Resilience, Gratitude, Joy, and Love, (d) The Nuances …

The Effect Of Paternal Engagement On The Sexual Self-Concept Of Black Female Adolescents, Amelia Flynn

Antioch University Dissertations & Theses

Black women in the U.S. continue to experience disproportionately high rates of unintended pregnancies, with a 64% rate reported in 2011 (Finer & Zolna, 2016). Positive sexual self-concept (SSC) is linked to healthier sexual behaviors, yet research on SSC development has largely overlooked the role of fathers and systemic influences, particularly within Black families. Grounded in an ecological framework, this study examines the impact of father-daughter engagement on SSC among Black female adolescents, considering paternal residential status and socioeconomic class as key contextual factors. The study revealed that when middle class father-daughter engagement is high, daughters’ sexual self-esteem is lower. …

Virtual Communities, Real Identities: Bi+ Storying And Connection On Youtube, Gabrielle Gershoni

Antioch University Dissertations & Theses

This dissertation explored how bi+ individuals narrate identity, belonging, and community connection through personal storytelling on YouTube. Despite being a significant subset of the LGBTQIA+ population, bi+ individuals face unique challenges such as monosexism, bi-erasure, and binegativity. These systemic challenges contribute to health disparities and a pervasive lack of belongingness in both straight and queer communities. Using a narrative inquiry framework and reflexive thematic analysis, this study examined six publicly shared narratives of bi+ YouTube creators to investigate how digital spaces are utilized to construct and discus bi+ identities. Heteronormative socialization, “clicks” of identity recognition, relational negotiations, and misrecognition both …

Doctoral Trainees’ Experiences Of Vicarious Trauma Within Inpatient Settings: An Exploratory Study, Melissa Neitlich

Antioch University Dissertations & Theses

Vicarious trauma (VT), first coined by Irene Lisa McCann and Anne Pearlman, is described as a pervasive and cumulative impact of working with survivors of trauma, resulting in changes to the therapist’s identity, worldview, psychological needs, beliefs, and memory. In spite of the unique vulnerabilities of doctoral trainees for experiencing VT, there is limited research on the impact of VT among doctoral trainee populations, as most of the extant literature focuses on the impact of VT in middle- to late-career psychological practice. In this primarily qualitative dissertation, I examined trainees’ experiences of vicarious trauma within various inpatient settings using the …

Impact Of Therapeutically Applied Role-Playing Games (Ta-Rpg) For Individuals At The Intersection Of Sexual And Gender Minorities (Sgm) And Autism Spectrum Disorder (Asd), Alexander S. Gelernter

Antioch University Dissertations & Theses

Individuals with Autism Spectrum Disorder (ASD) who also identify as sexual and gender minorities (SGM) may experience intersecting challenges related to communication, social belonging, masking, identity development, and access to affirming clinical spaces. Although role-play and therapeutically applied role-playing games (TA-RPGs) have been described as promising experiential approaches, limited research has examined how ASD/SGM individuals themselves understand role-playing games (RPGs) or evaluate their possible therapeutic use. This qualitative study explored how young adults with ASD level 1 who identify as SGM describe their experiences with RPGs and how they appraise the potential usefulness, risks, and conditions of TA-RPG. Five participants …

The Effects Of Coping Motives On Alcohol Use Consequences, Madisyn E. Feliciano, Samantha Pelfrey

UROP Posters

The purpose of this study was to examine the difference in alcohol use consequences between those who drink to cope with anxiety or depression symptoms and those who do not. Our research aimed to expand on earlier studies by placing emphasis on how coping with anxiety and depression influences alcohol consequences using constructs aligned with DSM-V symptom criteria. Research has consistently shown that those who drink to regulate distressing emotions experience more harmful consequences, making this an imperative area for prevention efforts. It was hypothesized that coping motivated drinking would be associated with an increased amount of alcohol related consequences. …

Measurement Invariance Of Transtheoretical Model-Based Measures For Covid-19 Vaccination Readiness, Allegra Opiela

Open Access Dissertations

Purpose. To assess the measurement invariance of four novel Transtheoretical Model (TTM)-based measures for readiness to get vaccinated for COVID-19. Design. Cross-sectional.

Setting. Online survey study in the United States (US).

Participants. 1169 US-based adults aged 18-85.

Measures. Demographics, Stage of Change, Vaccination History, Decisional Balance, Self-efficacy, Myths, and Barriers to COVID-19 vaccination.

Analyses. Multigroup confirmatory factor analyses with increased restraints on model parameters to assess configural (no constraints), metric (factor loadings constrained), and scalar invariance (factor loadings and item intercepts constrained) in a sequential manner.

Results. Decisional Balance, Myths, and Barriers demonstrated scalar …

Estimating The Average Treatment Effect In Randomized Controlled Trials With Incomplete Covariates, Elizabeth M. Pauley

Open Access Dissertations

Randomized controlled trials (RCTs) are commonly used to estimate average treatment effects (ATEs), with baseline covariates often included to improve precision and statistical power for detecting those effects. In applied settings, covariates can be incomplete, and some may moderate treatment effects, leading to heterogeneous treatment effects (HTE). Literature lacks clear direction regarding whether incomplete covariates should be included when estimating the ATE and how different missing data handling methods perform in such conditions. This study aimed to evaluate the performance of four missing data handling methods in RCTs via Monte Carlo simulations, namely listwise deletion (LD), inverse probability weighting (IPW), …

Protective Behavioral Strategies On Alcohol And Cannabis Co-Use Occasions, Sabrina Todaro

Open Access Dissertations

Simultaneous use of alcohol and cannabis, or co-use (i.e., the use of both substances so that effects overlap), is an increasingly significant public health concern among young adults between the ages of 18 and 25 in the U.S. (SAMHSA 2025; Terry-McElrath & Patrick, 2018). Protective behavioral strategies (PBS; i.e., tactics used to modify or limit substance use related harm; Pearson, 2013) have been robustly linked to fewer negative outcomes (e.g., lower use quantity, frequency, and consequences) for alcohol- and cannabis-only occasions (Bravo et al., 2016; Bravo et al., 2017; Bravo et al., 2019; Pearson, 2013; Pedersen et al., 2016; Pedersen …

Intersectionality In Discrimination, Posttraumatic Stress Symptoms, And Suicide Ideation: Black Americans In Appalachian Contexts, Jailyn May Wilson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Racial discrimination is recognized as a race-based traumatic stressor that has been associated with posttraumatic stress symptoms (PTSS) and suicide ideation (SI). However, there remains a paucity of research investigating the impact of racial and other forms of discrimination on understudied populations, including Black Americans residing in Appalachian regions. The current study used an online self-report survey to examine PTSS as a mediator in the association between perceived discrimination and SI and to examine the moderating effect of the number of identity factors with which one experienced discrimination (i.e., race, gender, region) on the relationship between perceived discrimination and PTSS. …

Cross-Cue Reactivity Of Nicotine And Cannabis Vaping Products, Madeline Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

SIGNIFICANCE. The rewarding properties of nicotine increase when administration is paired with external stimuli, or “cues”, including those related to vaping products. Given the visual similarity between nicotine vaping products (NVPs) and THC vaping products (TVPs), exposure to one product may elicit reactivity (e.g., craving, urge to use) to the other. The present study aimed to develop a set of cues capable of differentiating NVPs from TVPs to inform investigations of cross-cue reactivity. METHODS. Images (n=61 NVPs; n=64 TVPs; 7=unspecified) were obtained via an online search using both generic (“vape”, “vape pen”) and product-specific (e.g., “nicotine vape”, “dab pen”) keywords …

Do Transdiagnostic Factors Predict Emotion Recognition?, Grace L. Wheeler

Graduate Theses, Dissertations, and Problem Reports (ETD)

While emotion recognition deficits have been found in several anxiety and related disorders (e.g., social anxiety, obsessive-compulsive), consistent results have not been established. To clarify the relationship between emotion recognition abilities and anxiety, the current study tested if transdiagnostic factors related to anxiety are predictors of emotion recognition abilities. Data was analyzed from participants (N = 188) recruited via CloudResearch; they completed measures of three transdiagnostic factors related to anxiety (e.g., anxiety sensitivity, intolerance of uncertainty, and rumination), followed by an emotion recognition task. Multiple regression analyses revealed higher levels of anxiety sensitivity predicted worse recognition for anger, disgust, …

Feasibility Of Parent-Child Interaction Therapy-Toddler In Community Clinics In The United States And Japan, Sharon T. Phillips

Graduate Theses, Dissertations, and Problem Reports (ETD)

The toddler age (12-36 months) is characterized by a toddler’s increasing desire for autonomy, which can result in caregiver-child conflict and toddler externalizing problems (Kohlhoff & Morgan, 2014). Clinical levels of disruptive behavior in toddlerhood can be predictive of a host of negative outcomes, including problems with academic achievement and delinquency (Copeland et al., 2007; Milledge et al., 2019). High levels of toddler behavior problems also are associated with poor caregiver-child relationships and poor toddler emotion regulation skills (Beijers et al., 2013; Umemura et al., 2022). Thus, interventions targeting toddler behavior problems need to focus on strengthening the caregiver-child relationship …

Embodiment Among Collegiate Women Athletes: The Perceived Impact On Sport Performance, Commitment, And Enjoyment, Hannah Lynne Silva-Breen

Graduate Theses, Dissertations, and Problem Reports (ETD)

Collegiate women athletes report high rates of body dissatisfaction and wanting more support for improving their body image within their athletic departments. Guided by the Developmental Theory of Embodiment (DTE; Piran, 2017), the purpose of this study was to examine collegiate women athletes’ perceptions of the relationship between their embodiment and aspects of their sport experience. Participants were 311 women currently competing in 24 different sports within NCAA and NAIA athletics. Participants completed the Experience of Embodiment Scale, Subjective Performance Questionnaire, Sport Commitment Questionnaire-2, and open-ended response questions about the perceived relationship between these variables. A convergent parallel mixed methods …

Personal Narratives Of Young Adults With Epilepsy: Exploring The Transition To Adulthood Amidst Stigma And Disclosure Fears, Kirby-Estar Gilene Laguerre

Graduate Theses, Dissertations, and Problem Reports (ETD)

Navigating the transition to adulthood presents unique challenges for young adults with epilepsy, particularly concerning stigma and the fear of disease disclosure. While significant social difficulties, such as increased unemployment rates and decreased relationship satisfaction, are prevalent among individuals with epilepsy, current transition programs often fail to address these psychological and social aspects that are vital for an independent adult life. Instead, the majority of the attention for young adults transitioning into adulthood is focused on the shift to adult-oriented healthcare systems. Consequently, there is a critical need for research that goes beyond a healthcare focus and explores the social …

Dispositional Mindfulness And Autonomic Reactivity, Thomas Dylan Boyer

Graduate Theses, Dissertations, and Problem Reports (ETD)

To explain how different facets of mindfulness were associated with task performance in distinctive ways, Lindsay and Creswell (2017) proposed the Monitor and Acceptance Theory (MAT). According to this model, the mindfulness facet of monitoring present state awareness was thought to influence task performance differently than the nonjudgmental acceptance facet of mindfulness, but no studies to date have examined this model with respect to an individual's physiological response to stressful tasks. Because dispositional mindfulness has been associated with both increased and decreased physiological and affective reactions to stress in previous studies, the present study tested whether the Monitoring facet of …

Psychometric Assessment Of The Ambivalent Ageism Scale: Investigating Measurement Invariance And Stability Across Groups And Time, Carly Pullen

Graduate Theses, Dissertations, and Problem Reports (ETD)

The goal of the current study was to examine the psychometric properties of the Ambivalent Ageism Scale (Cary et al., 2017) and to provide an understanding of how ageist attitudes might change or remain the same in response to a cultural and societal event. Measurement invariance is the assessment of the psychometric equivalence of a construct (e.g., ageism) across groups or waves of measurement (Putnick & Bornstein, 2016). The first step in measurement invariance analyses is configural measurement invariance, which is the evaluation of the factor structure, with the goal of producing the same number of factors and the same …

The Bleeding Edge Of Misogyny: How Gender-Based Harassment And Infrastructural Neglect Shape Menstrual Distress, Mackenzie J. Miller

Graduate Theses, Dissertations, and Problem Reports (ETD)

Despite growing attention to menstrual health, organizational research has largely overlooked how workplace conditions shape menstrual experiences. Dominant perspectives frame menstruation as an individual issue that negatively affects work, neglecting how features of the work environment – such as gender-based harassment and access to menstrual-related infrastructure – contribute to menstrual distress. Addressing this gap, this dissertation adopts a bidirectional perspective, examining how social and material workplace conditions shape menstrual distress, defined as the extent to which menstrual symptoms interfere with daily functioning. Drawing on the transactional model of stress and objectification theory, I hypothesized that gender-based harassment would predict menstrual …

Early Life Adversity And Reward Reactivity In Humans, Maria C. Potts

Graduate Theses, Dissertations, and Problem Reports (ETD)

Both animal and human research has identified early life adversity (ELA) as a prominent risk factor for substance use disorder (SUD). However, the underlying mechanisms linking ELA to SUD development remain unclear. Animal studies point to differences in reward responsiveness as the primary explanation; specifically, that ELA could lead to individual differences in the attribution of incentive salience to reward-predictive cues, or the “sign-tracking” behavioral phenotype. Sign-tracking has been linked to addiction-related behaviors in both animal and human studies, but no human studies have examined whether sign-tracking could partially explain the link between ELA and SUD. In fact, human studies …

Operationalizations Of Adverse Childhood Experiences And Health Prediction, Sarah Josephine Miller

Graduate Theses, Dissertations, and Problem Reports (ETD)

Exposure to adverse childhood experiences (ACEs) has been consistently linked to suboptimal health outcomes and behaviors across the lifespan. As such, there has been widespread adoption of measures like the 10-item cumulative ACEs count measure developed by Felitti and colleagues (1998) across research literature and clinical practice. However, this measure was not developed with consideration of optimal psychometric properties and thus consists of several limitations that inhibit understanding of the specific dimensions of adversity that influence health outcomes. This 3-study dissertation focused on different measurement and statistical techniques to better understand the associations between ACEs and health. In study 1, …

Be A Man: Hypermasculinity And Hostile Attribution Bias As Predictors Of Violence, Kaley Nicole Potter

Graduate Theses, Dissertations, and Problem Reports (ETD)

In recent years, violence has risen to record-high numbers in communities and correctional facilities, with men perpetrating the vast majority of violent crimes. Hypermasculine values (e.g., power, aggression, and domination) have been linked to aggressive and violent behavior. Hostile attribution bias, which leads individuals to attribute hostile intent to neutral or ambiguous stimuli, has also been linked to aggression.

The current study used structural equation modeling (SEM) to examine hypermasculinity and hostile attribution bias as predictors of proclivity for violence, comprised of aggression and historical violence. The model was iteratively modified to assess changes in model fit and constructs. Male …

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Parent Perspectives: Child Attendance In Community Grief Support, Janeene Sanderson

EWU Masters Thesis Collection

Childhood bereavement can affect children emotionally, socially, and developmentally, creating a need for support that is both age-appropriate and grief-informed. This qualitative study explored how parents perceived the impact of community grief support programs for their bereaved children. The study focused on children ages 8–12 who attended a peer support group, grief camp, or similar community-based grief support program after the death of a loved one. Data were collected through parent interviews and reviewed through thematic analysis. Findings showed that parents perceived these programs as meaningful because they created safe spaces where children could feel normal and validated in their …

Utilising Video Recordings To Assess Student Pilot Performance: An Exploratory Study During A Simulated Training Flight, Bradley Moncion, Shi Cao, Allison Lynch, Suzanne K. Kearns, Elizabeth Irving, Ewa Niechwiej-Szwedo

Journal of Aviation/Aerospace Education & Research

In ab initio flight training, the quality of the feedback a flight instructor provides their student is essential to their success. While other high-performance and safety-critical industries have incorporated the use of video recordings into training and assessments, the aviation industry generally has not. There are some studies addressing the potential benefits of video recordings in training professional pilots, but there is a lack of research at the ab initio level. In this study, five flight instructors assessed the performance of student pilots conducting a simulated training flight using a 4-point marking scale. The flights instructors were then tasked with …

Developing And Evaluating A Multidimensional Measure Of Pride In The Lgbtqia+ Community, Donovan Edward

College of Graduate Studies: Theses & Dissertations

Pride in LGBTQIA+ spaces has thus far been an ethereal concept with no universally agreed-upon definition. Previous literature frequently connects pride to traits such as resilience, comfort, confidence, and identity expression. This is a critical oversight, as most measures of LGBTQIA+ experiences focus on the negative aspects of queer experiences (e.g., vulnerability, victimization) or are created to evaluate non-LGBTQIA+ perceptions of LGBTQIA+ people, falsely characterizing this community in a deficit-based light. In response, this study aimed to offer a holistic definition of pride and develop a psychometrically sound measure of pride stemming from culturally salient expressions by using rigorous analytical …

How Does Language Influence Interest In Psychological Treatment?, Alexis B. Dixon

College of Graduate Studies: Theses & Dissertations

In 2022, approximately 59 million adults in the United States were diagnosed with a mental health disorder, and approximately half received mental health services (NIMH, 2023). Given the number of individuals whose mental health concerns remain untreated, it is vital to investigate mechanisms predicting treatment-seeking behaviors. Health literacy, which influences treatment-seeking, is largely absent from research on barriers to mental health treatment. Health literacy is related to readability, the ease of reading (Adkins & Singh, 2001), and jargon, the technical language used by professionals in a field (Shulman et al., 2020). Health materials are often written at a high reading …

The Efflorescence Of Apocalypticism (Imminent & Prepping Beliefs): Considering Informational And Motivational Regulatory Mechanisms, James T. Good Mr.

College of Graduate Studies: Theses & Dissertations

In the last quarter of the 21st century, apocalyptic beliefs emerged in scholarly and lay representations notably doubling over the last decade. With nearly forty percent of United States citizen reporting this belief, unfulfilled questions arose: What drives discrepancies in beliefs of an imminent end of the world? Additionally, what drives beliefs in the need to prepare for an end of the world? These individual questions were examined together in this study using Construal Level Theory (CLT) and Regulatory Focus Theory (RFT) in an attempt to identify how psychological mechanisms are significantly affecting the fluctuations, in these self-reported beliefs. A …