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Breaking The Silence: The Intersection Of Neuropsychology, Storytelling, And Mental Health Stigma, Judiene S. Gordon

Honors Undergraduate Theses

This thesis unites the disciplines of neuropsychology and creative writing to explore the complexities of mental health stigma, with a particular focus on substance use. Through a collection of original poems and short fiction, the project seeks to illuminate the lived experiences of individuals affected by these issues and challenge prevailing misconceptions and stereotypes. Drawing on accounts from individuals who have experience with mental illness and substance use, the creative work integrates psychological insight, personal narrative, and authentic voices to foster empathy and understanding. By merging scientific awareness with artistic expression, this thesis aims to humanize often-stigmatized experiences and contribute …

How Nature Affects Perceptions Oaf Architectural Details In Office Settings, Autumn R. Hurd

Senior Honors Theses and Projects

The importance of nature in our everyday lives has been well documented and researched. Theories such as the Biophilia Hypothesis, Stress Reduction Theory, and Attention Restoration Theory each attempt to explain why nature influences psychological states. The present research examined the influence of nature in office settings, such that offices with real nature would be seen as more appealing. It was hypothesized that participants would view offices with real plants and nature within or near the settings would be seen as more appealing as compared to similar offices with either AI-Generated nature or no nature within or near the office …

Blunt Relief: Cannabis Use As Coping Mechanism For Undergraduate Students With Adverse Healthcare Experiences, Isabella Marie Cafini

Senior Honors Theses and Projects

Negative experiences within the healthcare system can shape how individuals cope with psychological distress, particularly in young adult populations. Coping-motive frameworks suggest that when trust in formal support systems erodes, such as after an adverse healthcare experience, individuals may self-medicate with substances rather than risk another unsupportive interaction. This present study examined how negative experiences within the mental healthcare system influence help-seeking attitudes and cannabis use among college students. We hypothesized that (1) individuals with lower utilization of mental health resources will have higher cannabis use compared to those with higher utilization of mental health resources, and (2) greater amounts …

Predicting Job Performance: The Incremental Validity Of Cognitive Reflection Tests Over General Cognitive Ability And Conscientiousness., Olivia Earll

Theses and Dissertations

Cognitive reflection is the ability to suppress intuitive thinking (Type 1) in favor of deliberative, analytical thought (Type 2). This study investigated cognitive reflection as a predictor of supervisor-rated job performance, exploring its incremental validity over general cognitive ability and conscientiousness. Results indicated that all three variables positively predicted job performance, with cognitive reflection explaining a significant, unique portion of the variance. Exploratory analyses confirmed that this predictive validity remained consistent across industry, age, and sex. Furthermore, cognitive reflection significantly moderated the relationship between general cognitive ability and job performance. These findings highlight the value of deliberative reasoning as a …

Social Media, Masculine Body Ideals, And The Drive For Muscularity: A Serial Mediation Model Across Sexual Identities, Sean P. Mcdaniel

Theses and Dissertations

Body image concerns among men are increasingly prevalent yet remain understudied compared to women’s experiences. Drawing on objectification theory, the present study examines the relationship between social media influence and men’s drive for muscularity through a serial mediation model. Specifically, the present study investigates whether the internalization of masculine body ideals and engagement in body surveillance behaviors mediate the link between social media influence and the drive for muscularity. Furthermore, the present study model attempts to explore how these processes differ across sexual identities, given evidence that sexual minority men face distinct sociocultural pressures regarding appearance. Adult male-identifying social media …

The Price Of Parenthood: Policy, Gender, And The Self-Perception Of Work Commitment And Career Momentum, Emily Hubbard

Theses and Dissertations

Past research on parental leave has heavily focused on external backlash and the flexibility stigma, often utilizing hypothetical scenarios. The current study shifts this focus to the internal, lived experiences of returning parents, investigating how leave duration, gender, and corporate pay policies impact self-reported work commitment and subjective career success (SCS). Survey data were analyzed from a sample of employees (N = 129) who had recently returned to work following parental leave. Results show a significant negative relationship between leave duration and work commitment. However, gender did not moderate this relationship, nor did it moderate the relationship between leave duration …

Bridging The Gap Between Instruction To Application: Piloting Of Trauma-Informed Care Intervention For Pre-Service Teachers, Meredith Spraggon

Theses and Dissertations

This study examined pre-service teachers’ (PSTs) knowledge, attitudes, and application of trauma-informed care (TIC) practices following a targeted training intervention designed by the researcher. The intervention included an introduction to trauma, it’s impacts on young people, key principles of TIC, recognizing the signs of trauma within the classroom and creating a trauma-informed classroom, culturally responsive TIC practices, as well as resilience factors. Participants included N = 48 undergraduate PSTs enrolled in a teacher preparation program at a large Midwestern university. Participants’ age ranged from 18 to 26 years old (M = 19.73, SD = 1.41). Slightly more than half of …

Comparison Of Mental Illness Comorbidity Pre-Pandemic Vs. Pandemic-Era And Associations With Clinical And Demographic Characteristics For Virginia Public Hospital Inpatient Discharges With A Substance Use Disorder, Marilyn Bartholmae, Tharidu Gunawardena

Department of Medicine Faculty Publications

The rise in mental illnesses after the COVID-19 pandemic is well documented. However, it is not known whether the rates of mental illness comorbidity increased. The objectives of this study were to compare mental illness comorbidity rates before and after the pandemic among inpatients with SUD and to test associations between mental illness comorbidity, physical illness, and demographics. We used a retrospective cross-sectional design in a sample of inpatient discharges (N = 233,017) at Virginia public hospitals from January 2018 to December 2022. We used Z tests to compare rates of mental illness comorbidity pre- and post-pandemic and Chi-square tests …

Criterion Validity Of The Functional Status And Pain Assessment Scale Versus Pain And Length Of Stay In Hospitalized Adults With Scd, Wally R. Smith, Daniel M. Sop, Yue May Zhang, Margaret S. Guy, Rehan Qayyum

Department of Medicine Faculty Publications

Objectives

In prior research we demonstrated face, construct, discriminant, and preliminary convergent validity of the newly developed, 10-item Functional Status Pain Assessment (FSPA) scale (0-50) in adult SCD patients hospitalized with VOC. We aimed in this study to further demonstrate criterion validity of the FSPA.

Methods

This was a prospective observational study of 561 daily functional and pain assessments from 91 hospitalized adults with SCD from January 2018 to June of 2019. Principal Component Analysis (PCA) Partial Least Squares (PLS) models determined the relationship between LOS, pain intensity, and FSPA. A Generalized Linear Model (GLM) to quantified the impact of …

Persistent Peristomal Pain Due To An Exposed Cutaneous Nerve, Iain Noel Encarnacion, Kaylin Beiter, Natasha Hakkal, Emily Hejazi, Paul Hernandez, Melissa Laughter, Shannon Nugent, Samir Thaker, Xiaowei Xu, Misha Rosenbach

Department of Medicine Faculty Publications

[Introduction]

Case description

A 25-year-old woman with a history of ulcerative colitis treated with multiple abdominal surgeries complicated by peristomal pyoderma gangrenosum (PPG) presented with severe peristomal pain and ulceration. Treatment course was complicated; disease control was achieved via combination infliximab 10 mg/kg every 4 weeks, corticosteroids (topical triamcinolone 0.1% ointment, intralesional 10 mg/ml injections, and oral prednisone 30 mg daily with a gradual taper), and cyclosporine 125 mg tapering by 25 mg every 3 weeks, ultimately tapered to infliximab monotherapy.

Regional Pain Is Associated With Functional Performance In People With Parkinson's Disease, Ryan P. Duncan, Monica R. Hendricksen, Luke Ekdahl, Kevin Smaller, Benjamin Friedman, Miriam R. Rafferty

Department of Medicine Faculty Publications

Background and Purpose:

Little is known about how pain influences physical function in people with mild Parkinson disease (PwPD). The purpose of this study was to investigate the association between physical function and pain presence, location, and intensity in PwPD who were evaluated in an early physical therapy program.

Methods:

Retrospective cross-sectional analysis of electronic medical records from patients with PD evaluated at a single center (2016-2023). Pain presence, location, and intensity (0-10 scale) were recorded at the initial physical therapy evaluation. Functional outcomes included 5-time sit-to-stand, 10-meter walk test, 6-minute walk test, timed up and go, mini-BESTest, and Functional …

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 …

Influences Of Response Rate And Distribution On Accuracy Estimates: The Value Of Replications Based On Analytic Approach, Olivia Brianne Harvey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Accurate observational data are essential for drawing correct conclusions about behavioral phenomena and ensuring the replicability of research findings. Accuracy is the extent to which an observer’s recorded responses correspond with true values (i.e., the actual occurrence of behavioral events). Correspondence is quantified using one of several percentage-based algorithms. However, these accuracy estimates may be influenced by characteristics of the data, such as response rate and response distribution, as well as the algorithm used to calculate them. The purpose of this dissertation was to evaluate how response rate, response distribution, and the algorithm used to evaluate accuracy influences estimates. Across …

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 …

Effects Of Fluency-Based And Percentage-Based Mastery Criteria On Learning, Maintenance, Application, And Learner Experience In Behavior-Analytic Skill Acquisition, Marisela Alicia Aguilar

Graduate Theses, Dissertations, and Problem Reports (ETD)

In behavior analysis, staff are often trained to percentage-based criteria to demonstrate that they have mastered a skill. However, percentage-based mastery criteria may not result in long-term maintenance of the skill. In other areas of instruction, fluency criteria resulted in multiple positive outcomes such as maintenance, endurance, and application of the skill beyond the training context, but these outcomes have not yet been widely demonstrated in the context of teaching behavior support plan (BSP) content and implementation. Across two experiments, we attempted to evaluate the extent to which training individuals to a fluency-based or percentage-based criterion resulted in maintenance and …

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, …

Behavioral Adaptation To Systematically Changing Local Conditions Of Reinforcement, Kento Yasukawa

Graduate Theses, Dissertations, and Problem Reports (ETD)

Adaptation is the continual process of behavioral change in response to changes in environmental contingencies. One example of adaptation is to track the temporal distribution of reinforcers. The present dissertation investigated how responding tracked cyclically changing reinforcement schedules (i.e., cyclic interval [CI]) and how such tracking was influenced by concurrently available alternative reinforcement schedules. Across two experiments, four pigeons responded under a CI 60-s schedule in which the interreinforcer intervals (IRIs) changed systematically according to a sinusoidal function. The primary dependent variable was postreinforcement pauses (PRPs), with local response rates (response rates per IRI) examined as a secondary measure of …

Posttraumatic Growth In Appalachian Youth: Findings From An Outpatient Pediatric Trauma Specialty Clinic, Marinne M. Morgan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Childhood traumatic event exposure (CTE) involves exposure to extreme events that overwhelm one’s ability to cope. Childhood traumatic event exposure has been linked to a wide range of adverse mental and physical health consequences, including posttraumatic stress symptoms (PTSS). Fewer studies have examined positive trajectories following childhood traumatic event exposure, such as posttraumatic growth (PTG), especially in understudied regions such as Appalachia. The current study used a cross-sectional design to examine posttraumatic growth in 14 youths aged 9 to 15 years seeking trauma-focused therapeutic services at an outpatient pediatric trauma specialty clinic in West Virginia. In line with previous research, …

Exploring The Intersectionality Of Sociodemographic Factors And Adverse Childhood Experiences That Impact College Performance, Taylor June Brown

Graduate Theses, Dissertations, and Problem Reports (ETD)

Success in higher education is influenced by a range of social and economic factors that do not affect all students equally. This thesis examined how Adverse Childhood Experiences (ACEs), socioeconomic status (SES), first-generation college status, minority status, and geographic isolation independently and multiplicatively relate to academic outcomes. Using data from 775 first-year students at a large public university in rural Appalachia, this study assessed whether these factors independently and/or multiplicatively predicted first-year GPA and odds of dropping out. ACEs linearly predicted first-year cumulative GPA and odds of dropping out. A significant ACE x Race interaction emerged for predicting first-year cumulative …

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 …

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, …

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 The Adaptogenic Mushrooms, Cordyceps Militaris And Hericium Erinaceus, Produce Caffeine-Like Discriminative-Stimulus Effects?, Stephen James Cullinan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Caffeine is one of the most widely consumed drugs in the United States, but its excessive consumption increases the risk of heart disease, sleep problems, and anxiety. In response to these issues, there has been a rise in efforts to find safer alternatives to caffeine while maintaining similar subjective effects. The adaptogenic mushrooms, cordyceps and lion’s mane, are claimed to have similar energy- and mood-enhancing effects as caffeine; however, there is limited research directly comparing their effects to caffeine. A drug-discrimination paradigm, in which rats were trained to discriminate between caffeine and saline, was used to compare the discriminative-stimulus effects …

Appendices A, B, C, D, & E For "In Their Own Words: Qualitative And Quantitative Analyses Of What Students, Staff, And Faculty Say About Vertical Transfer", Alexandra W. Logue, Vita Rabinowitz, Kerstin Gentsch, David Wutchiett, Barbara Condliffe, Sophia Sutcliffe, Yoshiko Oka, Stephanie Abbeyquaye, Rhina Torres, Nayeon Yoo, Kyle Du

Publications and Research

Deposited here are the Appendices (A, B, C, D, & E) for an article to be published in 2026 in Journal of Postsecondary and Student Success. The abstract of this article is:

This research analyzed higher education constituencies’ statements about vertical transfer (student transfer from community to bachelor’s colleges). Data consisted of both focus group excerpts involving dozens of students, staff, and faculty, and of answers to open-ended survey questions completed by thousands of students and faculty. Results were generally consistent using both qualitative (topic identification) and quantitative (bigram frequency and sentiment analysis) analyses. The results were also compared …

From Prompt To Practice: Designing Custom Ai Bots For Interpersonal Skill Development, Alaina Michelle Schrader

2026 Scholarly Teaching Conference: Concurrent Session Papers

Developing strong interpersonal, leadership, and professional communication skills is foundational in counselor and education preparation programs (Fecke et al., 2023; Lateef, 2010; Stamer et al., 2023). Despite this reality, students often have limited opportunities for repeated, low-stakes practice before engaging with real clients, students, families, administrators, and other stakeholders (Lateef, 2010; Maurya, 2024; Stamer et al., 2023). This session describes a teaching practice that uses custom AI bots as simulated clients, parents, group members, and school administrators to create realistic, structured practice environments where students can rehearse counseling skills, consultation conversations, advocacy, boundary-setting, and professional decision-making without the pressure or …

Perceived Discrimination And Posttraumatic Stress In People Of Color: The Moderating Role Of Ethnic-Racial Identity And Psychological Flexibility, Jacinta O. Anyanwu

Dissertations and Theses

Perceived discrimination is highly prevalent among people of color (POC) and is strongly associated with elevated posttraumatic stress symptom (PTSS) severity, even after accounting for socioeconomic factors. Guided by the minority stress model, this study examined whether two resilience factors - ethnic racial identity and psychological flexibility moderated the association between everyday discrimination and PTSS in a trauma exposed adult sample of POC. Participants (N = 355) were recruited through Prolific, an online crowdsource platform, and completed self report measures assessing discrimination, PTSS severity, ethnic racial identity, and psychological flexibility. Everyday discrimination was a robust predictor of PTSS severity across …

Mixed-Methods Evaluation Of A Therapeutic Assessment Clinic Model For Children With Prenatal Alcohol And Substance Exposures, Lauren Perovsek

Clinical Psychology Dissertations

Prenatal alcohol and/or substance exposure (PA/SE) affects an estimated 6% to 23% of the U.S. population and is associated with complex neurodevelopmental profiles impacting cognitive, adaptive, and behavioral domains. Children with PA/SE frequently experience co-occurring early adversity, face significant diagnostic complexity, and encounter challenging systems of care. This often leads to individuals with PA/SE and their caregivers navigating substantial barriers to care, including stigmatizing experiences and fragmented service systems. The Specialized Neurodevelopmental Assessment and Consultation Service (SNACS) clinic addresses these needs through an FASD-informed model that integrates therapeutic assessment techniques within a brief, multi-session evaluation process. While prior research has …

Examining The Flow State In College Football, Nicholas R. Reynolds Jr., Selen Razon

West Chester University Graduate Theses, Dissertations, and Final Projects

The flow state, first defined by Csikszentmihalyi (1990) as a state of total absorption in an activity characterized by effortless control, heightened focus, and peak functioning, has been well-documented in sport but has received limited attention in the context of college football. This study examined the flow state experiences of varsity football players at West Chester University, including their awareness of the concept, the frequency and subjective nature of their experiences, the strategies they use to reach this state, and their perceptions of its relationship to team success. A researcher-developed survey was administered to team members during the offseason, yielding …

Arts Enriched Head Start Preschool And School Readiness: Are Benefits Accentuated For Children Facing Greater Economic Hardship?, Isabella Capera

West Chester University Graduate Theses, Dissertations, and Final Projects

Children growing up in impoverished and low-income households face opportunity gaps that limit their school readiness (Blair & Raver, 2015). Head Start preschool, which serves families facing economic hardship, has been demonstrated to reduce these gaps and enhance school readiness. Further, multiple studies have suggested that arts enriched Head Start may offer particular benefits (e.g., Brown et al., 2010, 2018; Lobo & Winsler, 2008). Yet research to date is limited and has not examined whether the benefits of arts enriched preschool may be uniquely helpful for children facing the greatest economic risk. The present study examines growth in school readiness …