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The Experience Of Spirituality And Self-Image In Sexually Abused Women, Nereyda Sullins

Walden Dissertations and Doctoral Studies

I explored the role of spirituality and self-image in the healing processes of adult women who have experienced sexual abuse. Using trauma theory as a guiding framework, I sought to understand how survivors engage with spirituality to reconstruct their identities and navigate their recovery. I aimed to contribute to the growing body of literature on trauma recovery by offering insights into the ways survivors integrate spiritual practices and self-perceptions to foster resilience. A qualitative phenomenological approach was used to capture the lived experiences of 12 women who had experienced sexual abuse and engaged with spirituality as a coping mechanism. Thematic …

Network Analysis Of Biopsychosocial Factors Associated With Trauma Exposure: Impacts On Inflammation, Taryn R. Fitzgerald

Dissertations

This study adds to current understandings of the relationship between trauma exposure and inflammation through network analysis of the sociodemographic sequelae that may influence this relationship. A reductive approach has been helpful in establishing the relationship between a pro-inflammatory state and trauma exposure, however understanding of the role of additional factors in this relationship is necessary to better understand how inflammation may serve as a transdiagnostic factor relating to mental health and biopsychosocial variables. 999 trauma-exposed individuals from the National Longitudinal Study of Adolescent to Adult Health (Add Health), 1994-2018 study at three timepoints (ages 18—26, 24—32, 33—43) were included. …

The Effects Of Crossfit And Pharmacology On Generalized Anxiety Disorder Symptoms And Self-Efficacy Levels, Priscilla Kay Fleming

Walden Dissertations and Doctoral Studies

Nearly half of individuals diagnosed with generalized anxiety disorder (GAD) who are provided with an SSRI or SNRI medication do not experience a clinically meaningful reduction of symptoms or a full remission of symptoms. A gap in the literature existed for comparisons of treatment approaches and their outcomes for GAD symptoms and self-efficacy levels. Research questions for this study were: Is there a difference in GAD symptoms between the CrossFit participants and pharmacology participants at the point of three months treatment regimen?, and Is there a difference in self-efficacy levels between the CrossFit participants and pharmacology participants at the point …

The Role Of Somatization In Predicting Health-Related Quality Of Life Among Racial And Ethnic Minorities: Examining The Mediating Effects Of Perceived Injustice And Symptom Catastrophizing, Kimi Han Hashimoto

Clinical Psychology Dissertations

There is a pressing need to address the significant health disparities of underrepresented groups such as racial and ethnic minorities (Mills et al., 2020). As of 2019, individuals identifying as a racial or ethnic minority make up 40% of the U.S population as of 2019, yet they fare significantly worse across many health-related measures (Hill et al., 2022). Given these disparities in healthcare and health outcomes, racial and ethnic minorities represent an important group to investigate somatization and health-related quality of life (HRQOL). Cognitive appraisals, such as perceived injustice and symptom catastrophizing, may mediate this relationship, influencing how somatization translates …

Pain Dismissal, Anxiety, Depression, And Substance-Use Coping In Emerging Adults With Chronic Pain, Elizabeth Felice Fenelon

College of Science and Health Theses and Dissertations

Twelve percent of emerging adults (EA) experience chronic pain. Having one’s pain dismissed by others, or pain dismissal, is not uncommon and is isolating. There is already an established relationship between pain, anxiety, and depression; furthermore, pain dismissal exacerbates anxiety, depression, and substance-use coping. The current study explores pain dismissal’s relationship to anxiety, depression, and coping with substances. Undergraduate students with chronic pain (N = 227, age M = 19.58, SD = 1.42, range = 18-25) at a Midwestern university reported if they had pain, if their pain had been dismissed, as well as symptoms of anxiety, depression, and substance-use …

Quiet Times: The Application Of Self-Management To Private Spiritual Practices, Noah R. Branson

Steeplechase: An ORCA Student Journal

A “quiet time” refers to the private spiritual practice of reading the Bible, praying, and meditating on one’s own initiative outside of religious sanctioned events. This study examines the effect of a self-management intervention on establishing and maintaining the habit of a daily quiet time. The study’s hypotheses predicted there would be an increase in quiet time 1) frequency, 2) duration, and 3) overall satisfaction from the baseline phase to the intervention phase. Data was collected via a daily check-in and pretest/posttest surveys, and participants attended an in-person intervention to determine how to apply self-management tactics to their own personal …

Mock Juror Perceptions Of Intimate Partner Rape Victims: The Effects Of Mental Illness And Emotional Expression, Kristina Lambert

Honors Program Theses and Projects

Intimate partner rape (IPR), defined as non-consensual sexual intercourse between domestic partners, has a high prevalence rate especially among women with mental illness, yet it is highly under-convicted. This is often due to a lack of evidence in rape cases resulting in jurors relying on extralegal factors, such as a victim’s mental illness or emotional expression, in their decision making. Jurors may provide lower pro-victim judgments (e.g., guilty verdicts, victim credibility) when a victim has a mental illness, whereas jurors often expect a victim to express emotions, which can increase pro-victim judgments. The present study examined mock juror perceptions of …

Gender Differences In Factors Influencing Problematic Sexuality: A Comparative Analysis Using The Midsa Assessment, Brandon Andrew Lozano

Walden Dissertations and Doctoral Studies

Problematic sexuality among college students is a complex and understudied issue, particularly regarding gender-based differences in affective instability and sexual compulsivity. While prior research has focused mainly on male populations, limited evidence exists about how these factors manifest among female students or whether gender moderates these relationships. The purpose of this quantitative correlational study is to examine whether gender moderates the relationship between factors affecting sexual compulsivity as measured by the Multidimensional Inventory of Development, Sex, and Aggression (MIDSA). The MIDSA, originally developed for male sexual offenders, has since been administered to both male and female populations. Findings from hierarchical …

An Examination Of Writing Attitudes And Writing Proficiency Throughout A Performance Feedback Writing Intervention, Sophia Victoria Alderman

Theses - ALL

Writing attitudes, defined as self-assessments of liking or disliking writing (Ekholm et al., 2017), are important motivational factors that can impact writing development. A review of the literature on writing attitudes found that attitudes positively predicted writing achievement and that writing interventions can increase writing attitudes (Ekholm et al., 2017). Existing empirical literature has primarily focused on examining writing attitudes before and after implementing writing interventions, which vary in empirical support (Boscolo et al., 2012; ; Knudson, 1991b, 1992; Seban, 2012). However, no studies have dynamically assessed writing attitudes throughout the course of an evidence-based writing intervention with emerging writers. …

Foraging Connections: Exploring The Relationship Between Optimal Foraging And Phonological Fluency Performance, Kimberly Savika Arjune

Theses - ALL

The semantic fluency task is a timed listing of as many words as possible within a certain category (Bousfield & Sedgewick, 1944). Optimal search requires traversing resource-rich clusters (groups of consecutive responses with shared characteristics) and weighing the benefit of staying in the current cluster, decreasing the rate of return, or switching to a new cluster with more easily accessible resources, but with the cost of search time (Charnov, 1976). According to the marginal value theorem, a switch to a new cluster should occur when the rate of finding words in the current cluster drops below the average rate for …

Developing Art Resources To Reduce Stress And Increase Well-Being For Healthcare Professionals, Elisabeth Ruth Baird

Theses - ALL

This study explored how art-based wellness resources can support healthcare professionals who provide direct patient care in hospital settings. A focus group of these providers shared their experiences with stress and burnout, identifying key challenges and needs. Based on their feedback, a Mini Wellness Manual was developed with practical, research-based art activities designed to help reduce stress and promote well-being. In a second focus group, participants reviewed the manual and provided feedback on its usefulness and accessibility. Findings showed that self-care interventions often place the burden on individuals rather than addressing the larger systemic issues that contribute to burnout, highlighting …

A Counselor’S Experience: Trauma-Informed Care When Working With Children Diagnosed With Autism Spectrum Disorder, Abbigail Rinard

Electronic Theses and Dissertations

This study sought to understand the lived experience of professional counselors when implementing trauma informed care to children diagnosed with autism spectrum disorder. There are few studies that have assessed the counselors lived experience of implementing TIC, and even fewer that have examined professional counselors experience doing so in a specialized population.

To understand the lived experience of professional counselors, the participants of the study were purposefully selected to include those who have an active professional counseling license, implement TIC, and work with children diagnosed with ASD. The study was conducted with a total of eight participants who have implemented …

Identifying Strategies In Moral Decision Making, Ilaria Siriner

Theses - ALL

This study explored the strategies used in moral decision-making, within the context of selfdriving car scenarios. Our goal was to uncover the strategies people use when faced with moral dilemmas, using methodological approaches previously applied to the study of decision-making. The strategies that we were interested in were those that align with the ethical frameworks of utilitarianism, deontology or a blend of the two. In this study, participants were confronted with a series of moral dilemmas involving self-driving cars. Their choices and decision-making processes were analyzed using Machine Learning Strategy Identification (MLSI), which incorporated features related to the information participants …

Predicting Detection Threshold Performance With Modality-Specific Sensory Profile Scores, Marie Shuter

Theses - ALL

Research on tactile psychophysics among autistic people has examined inhibitory pathways within the primary somatosensory cortex (S1). Both adults and children with autism are equally able to detect vibrotactile stimuli in dynamic and static task conditions. In contrast, typically developing peers find dynamic tasks harder than static tasks due to pre-stimulus inhibition. Task performance has been linked to sensory overresponsivity in children with autism (McKernan et al., 2020); however, recent literature suggests that sensory processing (e.g., overresponsivity) in autism may be better defined within sensory modalities. Here, I utilized a cross-sectional design to 1) replicate findings of similarities and differences …

The Role Of Causal Structure In Romantic Stay-Leave Judgments, Judith Lynn Burkle

Theses - ALL

I report on one between-subjects experiment exploring the impact of causal structures on decisions regarding staying in relationships. Subjects were randomly assigned to one of two conditions: a first-person perspective or a third-person perspective. In each condition, subjects encountered several relationship scenarios that instantiated one of five distinct causal structures: (a) common cause, (b) common effect, (c) causal chain, (d) positive feedback loop, and (e) negative feedback loop. Within these scenarios, subjects were asked to make causal attribution judgments by evaluating how each event described in the scenario would influence the decision to stay in the relationship. Additionally, subjects rated …

Behavioral Self-Regulation In Context: Timing, Types, And Changes Of Material Hardship Across Childhood, Qingyang Liu

Dissertations - ALL

Behavioral self-regulation in childhood lays the foundation for lifelong adaptive functioning, including academic achievement, social relationships, and psychological well-being. While early poverty is consistently linked to worse behavioral self-regulation, less is known about how the timing, types, and changes in material hardship (i.e., daily experiences of deprivation), shape children’s development of behavioral self-regulation. This dissertation addresses these literature gaps through three interconnected studies that examine the dynamic association between material hardship and behavioral self-regulation across childhood, including (1) how early exposure to distinct patterns of material hardship in infancy shapes children’s behavioral self-regulation developmental trajectory from early to middle childhood; …

Pulse Pressure, White Matter Hyperintensities, And Cognition: Mediating Effects Across The Adult Lifespan, Jade Hannan, Sarah Newman-Norlund, Natalie Busby, Sarah C. Wilson, Roger Newman-Norlund, Chris Rorden, Julius Fridriksson Ph.D., Leonardo Bonilha

Faculty Publications

Objectives: To investigate whether pulse pressure or mean arterial pressure mediates the relationship between age and white matter hyperintensity load and to examine the mediating effect of white matter hyperintensities on cognition.

Methods: Demographic information, blood pressure, current medication lists, and Montreal Cognitive Assessment scores for231 stroke- and dementia-free adults were retrospectively obtained from the Aging Brain Cohort study. Total WMH load was determined from T2-FLAIR magnetic resonance scans using the TrUE-Net deep learning tool for white matter segmentation. In separate models, we used mediation analysis to assess whether pulse pressure or MAP mediates the relationship between age and total …

Program Evaluation Of The Behavioral Interventions Monitoring Assessment System-2 For High School Students In Rural Nebraska, Laura Burnett, Lakin Braman

Doctor of Nursing Practice Projects: College of Nursing

Behavioral and mental health issues among adolescents in rural areas often go unrecognized due to limited access to screening and intervention. This study evaluated the efficacy of the BIMAS- 2 tool in identifying at-risk high school students in a rural Nebraska high school. Methods: A retrospective cohort program evaluation was conducted over two years with 263 students in grades 9-12. The BIMAS-2 assessment was administered electronically each semester, followed by in-person mental health interviews. Descriptive statistics and Pearson chi-square tests assessed the tool’s sensitivity, specificity, and predictive value. Results: The BIMAS-2 demonstrated high sensitivity (100%) and specificity (96.15%), with a …

Reducing Stigma Towards Alcohol Use Disorder (Aud): A Parasocial Contact Approach, Prah Haider

Honors Thesis

Alcohol use disorder (AUD) is characterized by loss of control over alcohol intake, compulsive alcohol use and a negative emotional state when not drinking, which can follow a chronic, relapsing course (Carvalho et al., 2019). AUD ranks among the most prevalent mental disorders globally. According to the 2022 National Survey on Drug Use and Health, 28.8 million adults ages 18 and older (11.2% in this age group) had AUD in 2021 (NIH, 2024). My proposal seeks to create a novel approach to addressing stigma through creating the illusion of a relationship between a television viewer and a mediated on-screen persona. …

Behavior Analysts’ Training And Practices Regarding Cultural Diversity: A Replication And Extension, Tania M. Valdez-Nuguid

Theses & Dissertations

Culturally responsive care, which involves adapting assessment and treatment methods to reflect the culture of individuals served (Sue & Torino, 2005), is crucial for client success, especially for minoritized and marginalized groups. This study replicated and extended Beaulieu et al. (2019) by surveying behavior analysts on their training, perceived competence, and practices in culturally responsive care. We extended Beaulieu et al. (2019) by including open-ended questions regarding culturally responsive practices and barriers faced in delivering culturally responsive care and offering the survey in Spanish. Participants reported feeling skilled and comfortable providing culturally responsive care, with increased training across various modalities. …

The Art Of Dreaming: A Surrealist Approach To Dream Analysis, Shelby Wright

Honors Thesis

Over the past two years, I created a series of paintings to explore the meaning of my nightmares. This study analyzes the themes and symbols in these dreams through the psychological frameworks of Sigmund Freud and Carl Jung. Freud’s causal approach focuses on repressed desires, while Jung’s method relies on mythological symbols and archetypes in the collective unconscious. Drawing on the ideas of André Breton and the Surrealist movement, I examine how art can bridge dreams and waking life. By painting my dreams, I aim to better understand my unconscious and invite viewers to question their perception of reality. This …

Changing The Face Of Power: Understanding Black Female Clinical Supervisors Through The Superwoman Schema, Shanelle V. Clay

Electronic Theses and Dissertations

According to the American Counseling Association Code of Ethics (2014), the counseling profession’s core values include honoring diversity and embracing a multicultural approach to both direct services and supervision. Despite the acknowledgement of multiculturalism in clinical supervision, there is minimal research on the impact of supervisors’ intersectionality on supervision dynamics. This qualitative research study will examine the experience of Black female clinical supervisors and the impact the Superwoman Schema has on their role in supervision. This phenomenological research is grounded in the Superwoman Schema Conceptual Framework and Black Feminist Thought. A total of five superordinate themes and 14 subordinate themes …

Do Psychopathic Traits Influence Post-Traumatic Growth? Testing The Moderating Effects Of Psychopathic Traits Between Stressful Life Events And Post-Traumatic Growth, Ariela Denham

Honors Theses

The present study investigated the relationship between psychopathic traits and post-traumatic growth (PTG) following exposure to stressful life events. A sample of 291 undergraduate students completed self-report measures including the Triarchic Psychopathy Measure (TriPM), Post-Traumatic Growth Inventory (PTGI), and the Life Events Checklist for DSM-5 (LEC-5). Pearson correlations and hierarchical regression analyses were conducted to test whether the TriPM dimensions—Boldness, Meanness, and Disinhibition—moderated the association between stressful life events and PTG. Results revealed that Meanness was negatively associated with PTG, while Boldness and Disinhibition were not significantly related. Boldness showed a positive relationship with the PTGI Strength subscale, suggesting a …

Fear Of Pain In Migraine: Psychological Factors In Perceptions Of Headache Triggers, Sarah Basha, Todd Smitherman

Honors Theses

Migraine is a debilitating neurological disorder affecting millions worldwide, with substantial societal and personal burdens. Psychological factors, particularly fear of pain, may influence migraine experience by impacting perceptions of headache triggers. This study investigates the relationship between fear of pain and perceived triggers in individuals with migraine. A sample of 2,959 young adults meeting diagnostic criteria for migraine completed a structured diagnostic interview and self-report measures of fear of pain, headache-related disability, and beliefs about headache triggers (which stimuli triggered headache, most important triggers, and likelihood of developing a headache upon exposure to the most important trigger [trigger potency]). Linear …

The Endocannabinoid System's Influence And Modulation Of Nociception, Doreen M. Flannery

Honors Thesis

The anatomy and physiology of pain is a well-defined pathway where noxious stimuli is processed by different systems in the brain. The central research question of this review is how can we better understand the neurobiological effects pain has, and assess if there is therapeutic potential in using endocannabinoids to modulate these effects. Endocannabinoids are signaling molecules that play a key role at both the cellular and molecular level in modulating both acute and chronic pain by influencing different processes within each level that affect how the body responds to both internal and external stimuli. The endocannabinoid system is a …

Universal Adolescent Depression Screening And Implications For Identification Of Adolescent Depression And Mental Health Referrals, Cherry Cooper, Juan Zhou Powell

Doctor of Nursing Practice Projects: College of Nursing

Background: Throughout the United States, mental health concerns have been steadily increasing, which has created a significant impact for caregivers, overburdened healthcare facilities, and patients. In fact, a large number of those experiencing mental health issues are unidentified and thus more likely to experience mental health crises, suicidal ideation, or suicide attempts. Rural adolescents are significantly more vulnerable than their urban counterparts related to disparities in both mental health services and preventative screening. Coordination with a critical access hospital (CAH) emergency department revealed that there was no universal adolescent depression screening in place, and patients were potentially going undiagnosed and …

Processing Words Using An Ostracism Avoidance Scenario Improves Recall Performance, Julia R. East

Honors Theses

Background. Psychologists have long been interested in studying memory retention, the ability to retain or recall information. Many experiments show that survival processing, which involves encoding information in the context of survival scenarios, has consistently been demonstrated to be one of the best deep processing tasks identified to date. Memory performance following survival processing has been compared with other conditions universally accepted to produce excellent retention, such as processing information using imagery, pleasantness instructions, and self-reference processing. The present study compares the survival processing condition with an ostracism processing condition. It was hypothesized that ostracism processing might perform similarly …

Effects Of Acute Exercise On Cognition: Consideration Of Potential Moderators, Mary G. Jackson, Lucy Wilson, Mara Liston, Elizabeth Gaines, Mckenzie Cotten, Reese Carwile

Honors Theses

The present thesis aims to determine the effects, if any, of six potential moderators on the effects of acute moderate-intensity exercise on cognitive functioning. The modes of exercise undertaken by the participants included treadmill (Experiment 1) and stationary bike (Experiment 2) exercise. Participants in each experiment either exercised or rested for twenty minutes and then participated in either a memory recall task or cognitive functioning (“Stroop”) task. The bouts of either exercise or rest on the stationary bike were followed by a rest period during which the participant would be exposed to either standard air oxygen levels (normoxia) or hypoxic …

The Power Of Parental Responses: Emotional Invalidation And Its Association With Adolescent And Emerging Adult Anxiety And Emotion Regulation Across Genders, Ashlynn Payne

Honors Theses

Adolescence and emerging adulthood are critical developmental periods marked by increased vulnerability to psychological distress, particularly anxiety and difficulties in emotion regulation. One factor that may contribute to this vulnerability is parental emotional invalidation. Although prior research has linked parental invalidation to adverse emotional outcomes, few studies have examined how these associations differ by caregiver and child gender. The current study evaluated how maternal and paternal emotional invalidation interacted with gender to influence anxiety symptoms and emotion regulation difficulties among 45 adolescents and emerging adults (n = 9 boys, 36 girls) between the ages of 13 and 22 years (M …

Academic Burnout In Human Anatomy & Physiology I Students, Shivani Shukla

Honors Theses

Human Anatomy and Physiology I is the study of the function and structure of the human body. It is a challenging class that many students have to take for their undergraduate degree. Due to the vast information that is given in this complex class, students can struggle with understanding the material and knowing how to study thus leading to burnout in the course. Understanding why students undergo burnout in their courses could uncover ways that professors and institutions could help the students to prevent burnout. The goal of this study was to determine the level of burnout in Human Anatomy …