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Exploring Acculturation And Its Role In Substance Abuse Behaviors Among Refugee Populations In Bowling Green, Ky: An Interactive Learning Experience Through Provider’S Perspectives., Aishwarya Potluri

College of Graduate Studies: Theses & Dissertations

Substance use among refugee populations is an emerging public health concern shaped/influenced by cultural, social, and structural factors associated with resettlement. This qualitative study explored providers’ perspectives on substance use behaviors among refugees in Bowling Green, Kentucky. Using Health Behavior Theory with acculturation as a contextual construct, semi-structured interviews were conducted with 10 providers working with refugee-serving organizations. Data collected through the interviews was analyzed using thematic analysis in NVivo. The findings indicate that substance use is being influenced by peer exposure, occupational stress, and the increased availability of substances in the United States. Providers identified cultural stigma surrounding mental …

Embodied Tales Of Older Women And Their Relationship With Movement And Their Younger, Present And Future Selves, Valeria Varea, Robyne Garrett, Alfonso García-Monge, Gustavo González-Calvo

Research outputs 2022 to 2026

Ageing has been often seen as negative in Western cultures. Older bodies are frequently associated with decline, loss, dependency, illness and increasing incompetence. Significantly, this ‘decline model’ of ageing tends to ignore the diverse lived experiences of older adults. This paper draws on the theoretical concepts of embodiment and affect to explore the embodied experiences of a group of 17 older women, focussing on their relationship with movement and with their younger, present and future selves. We used a narrative analysis approach and creative nonfiction to represent the data. The findings are presented in composite narratives in the form of …

Racial Discrimination And Racial Identity Among Asian College Students: The Moderating Role Of Interdependent Self-Construal, Foong Yan Lee, Qianyi Wang, Eunseon Gong

Journal of Higher Education & Student Affairs

The current study examined the moderating role of interdependent self-construal in the relationship between perceived racial discrimination and racial group identification among 130 Asian college students at a U.S. institution. Using moderation regression analyses, results indicated that perceived racial discrimination was associated with lower racial group identification, and this relationship was significantly moderated by interdependent self-construal. Specifically, racial discrimination was negatively associated with racial group identification among students reporting lower levels of interdependent self-construal, whereas this association was not significant among those with higher interdependent self-construal. These findings suggest that individual differences in self-construal shape how Asian college students interpret …

The Impact Of Belonging To Identity-Based Student Organizations On Minority Stress In A Midwestern Predominantly White University, Mallory Millet, Akanksha Das, Christian C. Garcia, Rose Marie Ward

Journal of Higher Education & Student Affairs

Minoritized students are exposed to additional unique stressors due to the systematic devaluation of their identities (i.e., minority stress). Additionally, minoritized students report higher levels of mental health concerns than their peers (e.g., anxiety, depression). Identity-based student organizations can be one avenue that universities could use to support these students. These organizations, designed to build social connections among students with shared experiences, may reduce minority stress through fostering students’ sense of belonging. However, the relationship between sense of belonging, minority stress, and identity-based student organizations has yet to be studied. The present study used quantitative and qualitative methods to understand …

Sources Of Tensions In Ai Adoption For Organ Procurement Organizations, Amaneh Babaee

Masters Theses

"Although medical AI systems have promise, the healthcare system has not fully integrated them for improved organizational operations. Studies have been conducted to identify root causes for this hesitancy without targeting a specific domain in healthcare. This generalization can be enhanced for the nuanced or domain-specific factors that offer practical insights to organizations leader. In this thesis, I focus on the factors and sources of tensions in AI adoption in transplant system, which is highly regulated but encourages innovation. Applying the Extended Technology, Organization, Environment (TOE) framework, 10 interviews were conducted at Organ Procurement Organizations (OPOs).

Although not always technically …

Carrots, Not Sticks: A Contingency Management Model For Rural Methamphetamine Recovery, Ella House

Scripps Senior Theses

Rates of methamphetamine use disorder (MUD) have risen sharply across the United States, with rural Appalachia experiencing the steepest mortality increases. Contingency management (CM) is among the most effective treatments for stimulant use, yet implementation is constrained by cost, logistics, and clinician shortages. Utilizing digital CM platforms and peer recovery support specialists, who are central to addiction support in rural regions, may reduce these barriers. This thesis proposes a 16-week, three-arm randomized controlled trial (N ≈ 300) comparing: (1) Digital Abstinence CM Only (remote saliva toxicology and monetary vouchers for stimulant-negative tests); (2) Digital + Peer-Goal CM (digital abstinence-based CM …

Art Therapy’S Effect On The Social And Emotional Skills Of Children With Autism: A Naturalized Parent Mediated Design, Abigail Adell

Scripps Senior Theses

This study examines the effect of art therapy on the social and emotional skills of children with autism. Using sensitive design and language, participants will take the CARS2 and ADOS-2 and then undergo an eight-week art therapy program. Families will attend weekly training sessions at the autism center their child already attends for eight consecutive weeks, with each session lasting approximately 90 minutes. Parents will implement the assigned art activity at home five times per week between training sessions, with each home session lasting fifteen to twenty minutes. The program uses a naturalized parent-mediated design so topics and projects can …

Lights, Camera, Aggression!: Exploring The Relationship Between The Horror Genre And Criminality, Taylor M. Wanke

Scripps Senior Theses

This proposed correlational study will examine the effect of exposure and involvement with the horror genre in media and the crime genre in media on one’s antisocial personality traits, criminal thinking, criminal behavior/aggression, and morality in the general population and those who are currently incarcerated. Data will be collected through a Qualtrics survey accessed online for the general sample and printed out for the incarcerated sample. Each participant will complete exposure checklists, involvement scales for each genre, and multiple measures to record their level of each dependent variable. Data will be analyzed using a correlational analysis, 1-sample t-tests, and a …

Assessing Diagnostic Overshadowing For Co-Occurring Autism Spectrum Disorder (Asd) And Eating Disorders (Ed), Eden Sweet

Scripps Senior Theses

Significant behavioral overlaps in feeding patterns are observed among individuals with eating disorders (EDs) and autism spectrum disorder (ASD). These behavioral similarities can blur diagnostic boundaries, contribute to diagnostic overshadowing, and consequently increase the risk of misdiagnosis and the implementation of ineffective treatment approaches. The proposed study addresses the risk of diagnostic overshadowing as it relates to the ambiguous distinction between autism-driven feeding behaviors and clinically significant eating disorders (ED) within the autistic population. Although the literature has acknowledged behavioral similarities between ASD and EDs, limited research has systematically examined how they impact diagnostic practices and influence the likelihood of …

Maternal Child Maltreatment And Intimate Partner Violence: Effects On Perceptions Of Infant Temperment And The Mediating Role Of Emotion Regulation And Responsiveness, Jewelian N. Fairchild, G. Anne Bogat, Amy K. Nuttall, Alytia A. Levendosky, Joseph S. Lonstein, Maria Muzik

Psychology Faculty Publications

Purpose

Maternal adverse experiences, such as maltreatment in childhood and later intimate partner violence (IPV) during pregnancy, can disrupt the mother-child relationship and influence maternal perceptions of infant temperament. The present study explored how these adversities influence mothers’ views of their infants’ temperaments and examined the role of maternal emotion regulation and responsiveness to their infants as mediators of these relationships.

Methods

Using data from a longitudinal study of highly stressed, vulnerable women, 355 mothers retrospectively reported on their own childhood maltreatment, as well as their experiences of IPV and emotion regulation during pregnancy. Maternal responsiveness was coded using mother-infant …

Advancing Models Of Ptsd-Aud Comorbidity: Protocol For A Multimethod Framework Using Genetics And Ecological Momentary Assessment, Elizabeth A. Stinson, Samhita Lellapalli, Sage E. Hawn, Natalie Merrill, Lance M. Rappaport, Christina M. Sheerin, Vasiliki Michopoulos, Silviu-Alin Bacanu, Roseann E. Peterson, Abigail Powers, Ananda B. Amstadter

Psychology Faculty Publications

Background: Posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD), which are moderately heritable, frequently co-occur and contribute to significant public health burdens, particularly among economically disadvantaged urban communities. There are noted sex differences in PTSD and AUD outcomes, with evidence suggesting women have heightened susceptibility to stress-related alcohol use. Preliminary PTSD-AUD ecological momentary assessment (EMA) findings support bidirectional associations across clinical outcomes. However, no studies to date have used PTSD-AUD comorbidity models as organizing frameworks to examine the temporal ordering and stability of within-person symptom dynamics underlying the maintenance or exacerbation of PTSD and AUD symptoms, including bidirectional and …

Parental Psychological Distress And Perceived Child Externalizing Behaviors: Examining Mediators And Bidirectional Effects, Abigail J. Anderson, Christina M. Rodriguez, James M. Henson

Psychology Faculty Publications

Parental psychological distress is a commonly examined risk factor for the emergence of child problem behaviors, but the factors that contribute to that relationship—such as limited parental resources like greater social support and coping skills—have not been adequately explored, particularly with attention to potential bidirectional relations that incorporate child evocative effects. The current longitudinal study examined maternal and paternal psychological distress in relation to perceived child externalizing behaviors, considering parental resources as mediators within a bidirectional model. The sample included a racially and socioeconomically diverse group of 201 primiparous mothers and 151 fathers. Mothers and fathers reported their current psychological …

I Can't Stop: The Effects Of Psychological Climate For Overwork On Recovery Experiences, Jeffrey Drake Terry, Konstantin P. Cigularov

Psychology Faculty Publications

Recovery experiences are important for many health and well-being outcomes. One potential threat to an individual's recovery experiences in the workplace is psychological climate for overwork. The purpose of the present study was to examine the relationship between psychological climate for overwork and recovery experiences. Using a multi-wave research design (N = 202), we found that psychological climate for overwork had direct effects on psychological detachment and indirect effects on psychological detachment and relaxation through cognitive workaholism and work-recovery guilt. These results suggest that psychological climate for overwork may contribute to an individual's experience of cognitive workaholism and work-recovery guilt, …

Examining The Factor Structure And Subgroup Invariance Of The Deliberate Denial Of Disordered Eating Behaviors Scale, Lindsay Howard, Sage Hawn, Kayla D. Pitchford, Riley Mcgrath, Aubri Farniok, Arturo Sesma, Kristin E. Heron

Psychology Faculty Publications

The denial, concealment, or omission of disordered eating behaviors has received limited attention in the eating disorder literature, partly due to the lack of reliable and valid measures. This study re-examined the factor structure of the Denial of Disordered Eating Behaviors Scale (DDEBS-12) and tested measurement invariance across gender identity, racial identity, and levels of disordered eating in a non-clinical undergraduate sample (N = 3285). Confirmatory factor analyses did not support the original unidimensional structure. Instead, a seven-item model assessing denial of dietary restriction demonstrated the best fit and was renamed the DDEBS-restriction. The revised scale showed good internal consistency …

A Real-Time Examination And Comparison Of Differentiation Among Suicidal Thinking And Affect Items In An Adolescent Sample, Elizabeth A. Edershile, Kinjal K. Patel, Annabelle M. Mournet, Richard T. Liu, Catherine R. Glenn, Evan M. Kleiman

Psychology Faculty Publications

Suicide risk assessments require individuals to differentiate among types of suicidal thoughts (e.g., passive vs. active); yet most research relies on aggregate metrics that obscure this differentiation. Indeed, more severe forms of suicidal thinking are thought to involve the simultaneous experience of multiple forms of thoughts at high intensities. The present study draws on concepts from the affect differentiation literature to (a) examine different ways to operationalize differentiation in suicidal thinking and (b) compare differentiation in suicidal thinking with differentiation in affect. Adolescents (N = 200) recently hospitalized for suicidal thoughts and behaviors completed a 28-day ecological momentary assessment …

Increasing Honest Statements In Young Children Through Presentation Of Social Contingencies And Emotionally Evocative Stimuli, George Noell, Kristin Gansle, Ella Wheelbarger, Hannah Sliman, Danielle De Lucia

Psychology Faculty Publications

Honesty is fundamental to interpersonal relationships and civil society. Although immediate contingencies often favor lying, many individuals respond honestly even when lying would be more efficient for contacting reinforcement. Across two experiments, we evaluated strategies for increasing honest responding by young children through exposure to social contingencies and emotionally evocative stimuli when material contingencies continued to reinforce lying. The stimuli were pictures of faces of children displaying happiness and sadness. The first experiment found that presession pairing of happy faces with honesty and sad faces with lying did not affect behavior; however, pairings combining verbal rule statements and faces contingent …

Efficacy Of Induced After Death Communication Therapy For Grief: A Single-Group Wait-List Controlled Trial, Thomas J. Nehmy, John Daniels, Paul Williamson, Sarah E. Stegall-Rodriguez

Psychological Science Faculty Publications

Induced After-Death Communication (IADC) therapy, which uses bilateral stimulation derived from EMDR, is an emerging approach to reducing grief symptoms in bereaved individuals. The present study evaluated the IADC protocol, consisting of two 90-min sessions, in 43 bereaved adults with assessments at four time points including a one-month waitlist period to provide control data. Large reductions in grief symptoms were observed from baseline to follow-up (global grief severity d = 1.56; average daily sadness d = 1.33). Two-thirds of participants who exceeded the clinical cutoff score for prolonged grief at baseline scored below this threshold at follow-up. Treatment effects were …

Factors Influencing Vaping Behaviors Based On Social Cognitive Theory: A Qualitative Study Among Mexican-American College Students, Bara S. Bataineh, Liza Talavera-Garza, Alexandra Loukas, David J. Badillo, Sherman Chow, Geronimo B. Cardenas, Erika Garza, Anna Wilkinson

Psychological Science Faculty Publications

Background: Vaping rates among Mexican-American college students are high, yet the contributing personal and environmental factors remain understudied. The current qualitative study applies Social Cognitive Theory to examine how personal factors (e.g., self-efficacy, beliefs, and outcome expectations) and environmental influences (e.g., social norms and social media) shape vaping behaviors in this vulnerable population. Methods: We conducted semi-structured interviews with 19 Mexican-American college students (ages 18–25 years), 68% of whom were female, and all were current vapers. Participants discussed the personal and social contexts of their vaping experiences, with questions exploring their beliefs and outcome expectations. Interviews were recorded, transcribed, and …

Independent And Interacting Effects Of Co-Presence And Social Media 'Likes' On Online Disinhibition, Margaret M. Doheny

Graduate Studies Theses and Dissertations 2026

Social media platforms have fundamentally transformed interpersonal communication by creating environments in which behaviors are publicly reinforced through visible social feedback systems such as “likes.” Although prior research has linked online environments with increased disinhibition and negative behavior, existing literature has primarily focused on anonymity and invisibility as the primary mechanisms underlying these effects. However, the mechanistic role of physical and psychological co-presence in driving online disinhibition has received little empirical investigation. The central aim of the present study was to determine whether reduced social presence and the selective reinforcement of negative content contribute to online disinhibition and anticipatory reward-seeking …

Detecting Error In Ai-Generated Text: The Effects Of Authorship And Word Presentation Speed, Gabriela Flores Cruz

Graduate Studies Theses and Dissertations 2026

The increased us of artificial intelligent (AI) chatbots powered by Generative Pre-trained Transformers has raised concerns about users’ ability to detect errors of AI-generated text. This dissertation examined how readers identify inconsistencies in AI-generated expository passages using the inconsistency detection paradigm from comprehension monitoring research. Across two experiments, it investigated whether perceived authorship and word presentation speed influenced inconsistency detection. Experiment 1 used a 3 (author: human, AI, no author) × 2 (inconsistency type: internal, external) between-subjects design. Perceived authorship did not significantly affect hit rates, sensitivity, or response bias. Exploratory analyses indicated that reading comprehension and working memory predicted …

Appraising The Uniform: Stress, Predisposition, And Trust In Police Among Latin American And U.S. Latino Populations, Maren J. Mainx

Graduate Studies Theses and Dissertations 2026

Public trust in police is central to regime legitimacy, yet reforms intended to build trust produce inconsistent results, and communities facing comparable conditions can respond differently to similar policing. This dissertation accounts for that variation by examining how stress shapes citizens’ responses to police visual cues. It proposes a framework in which citizens interpret these cues through their general trust in police—trust that weighs more heavily under stress. This framework is examined through a multi-method design spanning the Americas. Study 1 merges AmericasBarometer data with the Global Police Militarization Dataset across nineteen countries (2010–2023) to examine how stress and national …

The Role Of Alcohol Expectancies In The Relationship Between Social Anxiety And Protective Behavioral Strategies Among College Students, Jordan Ortman

Graduate Studies Theses and Dissertations 2026

College students with elevated social anxiety are at heightened risk for alcohol-related consequences despite not consistently reporting greater alcohol use. One potential explanation for this pattern is lower engagement in protective behavioral strategies (PBS). Social alcohol expectancies are relevant to PBS use because students with elevated social anxiety often expect alcohol to reduce social discomfort or facilitate social interaction, and these beliefs may correspond with lower use of strategies that constrain the pace or amount of drinking. The present study examined whether positive and negative social alcohol expectancies were intermediate variables in associations between social anxiety and three PBS domains: …

Perspectives Of Poetry: Peering Into Poetry And Aphasia, Kristian M. Perez

Graduate Studies Theses and Dissertations 2026

People with aphasia often experience significant barriers to communication, emotional expression, and participation in meaningful life activities following stroke or neurological injury. Although poetry and creative expression have been explored in broader therapeutic contexts, limited research has examined how people with aphasia perceive poetry. The purpose of this qualitative study was to explore the perspectives of people with aphasia regarding definitions of poetry, level of interest in poetry and the factors influencing said interest. Semi-structured interviews were conducted with adults with aphasia recruited through convenience sampling. Participants responded to questions before and after exposure to the poem Trust by Mark …

A Modular Virtual Reality Training Framework For Multi-Target Drone Defense, Susann Schleupner

Graduate Studies Theses and Dissertations 2026

Unmanned aerial systems (UAS), commonly referred to as drones, have become a rapidly growing challenge in modern military operations. In particular, the increasing use of small, agile, and low-cost systems—such as first-person-view (FPV) drones and coordinated multi-drone deployments—places high cognitive demands on operators, requiring rapid target detection, prioritization, and decision-making under time pressure.

Existing training approaches either rely on costly and logistically constrained live exercises or focus primarily on isolated piloting and shooting tasks, without sufficiently addressing these cognitive demands. At the same time, advances in commercial off-the-shelf (COTS) virtual reality (VR) hardware enable scalable, flexible, and repeatable training environments. …

From The Classroom To The Workplace: The Role Of Internships In Shaping Student Values, Jasmine Williams

Honors College Theses

A significant degree of research on workplace values has been conducted to better understand how employees are motivated in the hopes of reducing turnover. There also exists a significant body of literature on how internships impact career outcome and can effectively prepare students for the workforce. However, previous studies have not explored the differences between students who have completed internships in comparison to those who have not. The goal of this research is to determine whether internships create a significant impact on students’ workplace values (e.g. intrinsic, extrinsic, altruistic, and social) when compared to students who have not completed an …

Systematic Review Of Ketamine Therapy For Treatment Resistant Depression, Amal Abdulkadir

Antioch University Dissertations & Theses

a systematic literature review the results of 29 published studies from 2020-2025 that met specified inclusion criteria. The review identified costs and benefits of traditional algorithms for treating this problem, as well as the trend in research to include the use of ketamine. Studies have demonstrated a potential association between the use of ketamine therapy and significant clinical improvement in depressive symptoms. However, the current efficacy of ketamine therapy compared to treatment as usual, side effects and contraindications have not been addressed. This dissertation is available in open access at AURA, https://aura.antioch.edu/, and OhioLINK ETD Center, https://etd.ohiolink.edu/

Preoperative Patient Sentiment Is Associated With Postoperative Outcomes In Adult Spinal Deformity Surgery, Ross J. Gore, David Mazur-Hart, Mohan K. Sunkara, Aaqib Ali, Qizar Ali, Christopher J. Lynch, Christopher Ames

Center for Secure and Intelligent Critical Systems (CSICS) Publications

Study Design: Prospective observational pilot study of adult spinal deformity surgery patients.

Objective: To determine whether preoperative patient sentiment, quantified using a 21-class valence scale extending the CARP paradigm implemented through an offline Large Language Model, predicts postoperative outcomes.

Summary of Background Data: Predicting adult spinal deformity surgery outcomes remains challenging with traditional clinical and radiographic parameters alone. Although patient psychological factors and expectations significantly influence postoperative satisfaction and quality of life, systematic approaches to capture these factors are underdeveloped. Offline Large Language Models offer scalable, privacy-preserving psychological risk stratification.

Materials and Methods: We prospectively enrolled 18 patients undergoing adult …

Steady As She Goes: Remote Work Benefits Daily Goal Progress Through Reduced Energy Variability, Andrew A. Bennett, Kathleen R. Keeler, Emily D. Campion, Sheila K. Keener

Management Faculty Publications

As the prevalence and allowance of remote and hybrid work evolves, research has shown consistently mixed findings about how work location is related to worker energy and perceptions of daily performance. We aim to resolve this ambiguity by integrating affective events theory with ideas about emotion dynamics to develop new theorizing explaining why energy variability, rather than mean energy level, is an important predictor of daily goal progress. We test our hypotheses using a sample of 219 employees from one organization allowing remote and hybrid work, capturing individual hourly energy levels for five consecutive workdays (4,812 hourly observations). Our …

Don’T Give The Fae Your Name: Focus Of Attention And Victim Blaming, Entropy Cramer

Murray State Theses and Dissertations

Victim-blaming is thought to be a result of the fundamental attributional error, where people over-emphasize internal attributions about the victim. Despite this, there is little literature on manipulating the focus of attention and the result for victim-blaming. People who are high in rape myth acceptance tend to visually focus on the victims longer (Süssenbach et al., 2015). Rempala and Bernieri (2005) found that adding irrelevant information, such as height and weight, to the trial about the victim increased victim-blaming compared to when it was absent. The current study investigated if relevant information about the victim and perpetrator changed the amount …

Modeling Joint Visual Attention In Naturalistic Dyadic Interactions, Kuushini Thennakoon, Yasasi Abeysinghe, Bhanuka Mahanama, Vikas Ashok, Sampath Jayarathna

Computer Science Faculty Publications

Joint visual attention (JVA) provides important insight into how individuals coordinate attention during social interaction. Egocentric eye tracking enables the study of JVA in natural, multi-user settings. This work presents a multi-stage framework to identify and analyze JVA using egocentric video and gaze data. The approach consists of three steps: spatiotemporal tube-based visual similarity, gaze-guided object detection, and attention pattern analysis using the ambient–focal coefficient K. Results show that object-focused collaborative activities exhibit high JVA, with object detection capturing higher joint attention than visual similarity, whereas conversation-based or independent activities show lower and more fragmented joint attention. Analysis of K …