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Understanding The Roles Of Individual And Family-Based Resilience Resources And Mechanisms In Youth With Painful Disorders Of Gut-Brain Interaction, Corinne Taylor Evans

All ETDs from UAB

Background Children living with chronic pain are at risk for many negative physical and mental health consequences. However, certain positive attributes and factors can help lessen or prevent such consequences. Children with painful disorders of gut-brain interaction (DGBIs) experience deficits in social, emotional, and physical functioning. However, it is unknown whether a combination of individual and family-based resilience factors may lower these risks and contribute to improved physical and mental health responses. Methods 120 children with painful DGBIs were recruited from a pediatric gastroenterology clinic. Children and caregivers completed a series of questionnaires measuring individual and family-based resilience resources (e.g., …

Longitudinal Relations Between Self-Esteem And Depression: A Continuous Time Analysis With Exploration Of Sleep Duration Effects, Mackenzie Cummings

Clinical Psychology Dissertations

Adolescents and young adults face elevated risk for depression. While poor self-esteem and sleep disturbance are known risk factors, few studies have examined their unique and interactive contributions. Longitudinal research often overlooks unequal intervals and multiple sources of variance (e.g., between- and within-person). This study used continuous time structural equation modeling to address these gaps and examine relationships between self-esteem, sleep duration, and depression from adolescence into adulthood. Drawing on four waves of data from the National Longitudinal Study of Adolescent to Adult Health (N = 6,184), I tested whether sleep duration moderated the self-esteem–depression link and explored gender differences. …

Investigating Momentary Body Image Disturbance, Affect, And Disordered Eating Among College Students, Allison T. Cunning

USF Tampa Graduate Theses and Dissertations

Despite evidence that eating disorders are associated with elevated mortality rates, increased risk of suicide, and societal and financial burden, treatment outcomes for individuals with eating disorders remain poor. Body image disturbance has emerged as a robust risk factor for the development and maintenance of disordered eating (e.g., overeating, binge eating, purging, restriction) and theoretical and clinical perspectives most commonly operationalize body image disturbance as a trait construct. However, empirical evidence suggests body dissatisfaction may fluctuate, and these fluctuations may play an important role in the relationship between risk factors and disordered eating. The current study employed ecological momentary assessment …

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

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

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

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

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

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

Effect Of Ipv On Latino Children's Perspectives Of Fatherhood, Elizabeth Berks

University Honors Theses

Intimate partner violence (IPV) can be found in many cultures throughout the world, with varying levels of acceptability, victimization, and perpetration. Approximately one in five couples report experiencing at least one instance of IPV in a given year. Women are victims of IPV more frequently than men, and experience more severe injuries. 20% of women report a lifetime history of physical IPV victimization by their current or past partners. Further, women are also ten times more likely to be killed due to IPV than men are. Presently, empirical research literature surrounding the dynamics and impacts of IPV is heavily focused …

The Intersection Of Education And Empowerment: How Comprehensive Sex Education Equips Adolescents To Navigate Complex Relational Dynamics, Joleigh Wood

University Honors Theses

This thesis examines the impact of comprehensive sex education (CSE) on adolescents' understanding of consent, personal boundaries, and relational competence. Drawing upon social learning theory, intersectionality, and relational-cultural theory, the study employs a multidisciplinary framework to analyze how CSE functions as both an instructional practice and a sociocultural intervention. Utilizing an integrative thematic review of empirical studies, policy analyses, and national curriculum standards, the research evaluates the extent to which CSE promotes emotional literacy, fosters ethical relationship skills, and addresses structural inequities in educational access. Findings indicate that well-implemented, inclusive CSE contributes to healthier developmental outcomes by enhancing students' emotional …

The Relative Strength Of Help-Seeker Stereotype, Help-Seeking Self-Stigma, And Self-Esteem In Predicting Attitudes Toward Seeking Mental Health Help, Souad Torjani Azim

Walden Dissertations and Doctoral Studies

The increasing prevalence of mental health issues among college students is a critical concern. Disorders such as depression and anxiety are becoming more common, with depression notably a major risk factor for suicide—the second leading cause of death in this age group. Despite this troubling trend, significant barriers to accessing mental health services remain. While research has explored various factors contributing to students’ reluctance, such as stigma, distrust in the mental health system, lack of social support, and mental health literacy, none to date has examined the relative strength of help-seeker stereotype, help-seeking self-stigma, and self-esteem in predicting attitudes toward …

Revising And Consolidating The Dsm-5 And Icd-11 Post-Traumatic Stress Disorders Into A Dimensional Spectrum-Based Disorder: A Literature Review, Samuel Milton Shatsky

University Honors Theses

This thesis investigates the clinical, cultural, and theoretical implications of replacing the current DSM-5 and ICD-11 categorical diagnoses of posttraumatic stress disorder (PTSD) and complex posttraumatic stress disorder (CPTSD) with a unified dimensional framework: trauma spectrum disorder (TSD). The proposed TSD model addresses ongoing concerns around diagnostic inflation, treatment misalignment, and clinical confusion stemming from binary trauma categorizations. This thesis explores whether adopting a dimensional diagnostic model to replace DSM-5 and ICD-11's current PTSD and CPTSD designations could lead to improved treatment outcomes and diagnostic clarity.

Methodology consisted of an extensive literature review of the field's current research. Using the …

Exploring The Connection Between Mental Health Stigma, Social-Emotional Risk, And Help-Seeking Behaviors Among High School Students, Dorie Ross

USF Tampa Graduate Theses and Dissertations

Throughout the United States, the rate of adolescents experiencing mental health-related challenges continues to rise, impacting their social-emotional well-being. Despite increasing concerns, the majority of adolescents do not seek treatment for mental health problems. One barrier contributing to a lack of help-seeking behaviors is mental health stigma. Furthermore, for students who have sought help for such concerns, there is a lack of consensus on whom high school students turn to for support when seeking help. The current study utilized quantitative methodology in the form of Structural Equation Modeling to examine the complex relationship between social-emotional risk, perceptions of mental health …

Evaluating The Use Of Repetitive Transcranial Magnetic Stimulation In A Patient With Treatment Resistant Depression, Autism Spectrum Disorder, And Post-Traumatic Stress Disorder: A Case Report, Luke Fritsch Ba, Mba, Msiv, Oluwafunke O. Ogunremi Bs, Msiv, Alexandra R. Job Bs, Msiv, James Hellekson Md

Aesculapius Journal (Health Sciences & Medicine)

Despite a wide array of therapeutic modalities, many patients with Major Depressive Disorder (MDD) experience no significant improvement in symptoms with traditional treatment. Given the prevalence of Treatment Resistant Depression (TRD), other alternative therapeutic modalities for MDD are being researched. Repetitive Transcranial Magnetic Stimulation (rTMS) is one modality that continues to show successful therapeutic outcomes for those with TRD. The aim of this study is to highlight a case of rTMS being used on a patient with TRD, autism spectrum disorder (ASD), post-traumatic stress disorder (PTSD), and substance use.

Methods:

Our patient is a 53-year-old female who first presented to …

Reproductive Rights At Work: The Role Of Organizations In Menstrual Support, Emily Julia Ready

Dissertations and Theses

Painful menstrual symptoms affect up to 90% of people with uteruses globally. These symptoms can result in lost productivity at work and absenteeism for working individuals. Normative work structures have not been designed with accessibility and inclusivity for those with uteruses in mind. Therefore, women and those with uteruses have often had to work through barriers with no accommodations or systematic change. Currently, there is no published research in the United States on the nuances of the relationship between menstruation and work with the intention of exploring effective solutions. There has been discussion related to menstrual supportive policies, but there …

The Love With A Thousand Faces: Heroism As Embodied Love In Action, Scott T. Allison

Heroism Science

In this article, I argue that heroism is, at its core, embodied love in action -- a morally charged, physically grounded expression of care enacted through selfless deeds, courage, and commitment to others. Rather than reducing love to sentiment or an abstract ideal, I emphasize its embodied dimensions: love as a lived, relational force that motivates people to act bravely and altruistically, often at great personal cost. Drawing on psychological research in empathy, attachment, and prosocial motivation, I show how love undergirds moral courage by activating deep emotional bonds and transforming them into action-oriented commitments that transcend fear and self-interest. …

Inside Out: Autistic Psychologists On The Power Structures Of Diagnosis, Audrey J. Scaer, Christopher R. Dabbs

Ought: The Journal of Autistic Culture

How do relationships between medicalized diagnostic powers and training intersect with the complex social identity of autism? How does self-identification (self-diagnosis) challenge the diagnostic status quo, created and scaffolded by enormously powerful social systems? In this paper, we reflect on the historical and modern dynamics of these power relations. As autistic psychologists actively working with and diagnosing autistic clients, we end this paper with an autoethnographic interrogation of our own self-diagnostic journeys and ways in which we’ve integrated our identities across personal and professional spheres of functioning.

Does Schooling Improve Cognitive Abilities At Older Ages? Causal Evidence From Nonparametric Bounds, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Hans-Peter Kohler

Upjohn Institute Working Papers

We revisit much-investigated relationships between schooling and health, focusing on schooling impacts on cognitive abilities at older ages using the Harmonized Cognition Assessment Protocol in the Health & Retirement Study (HRS) and a bounding approach that requires relatively weak assumptions. Our estimated upper bounds on the population average effects indicate potentially large causal effects of increasing schooling from primary to secondary; yet, these upper bounds are smaller than many estimates from the literature on causal schooling impacts on cognition using compulsory-schooling laws. We also cannot rule out small and null effects at this margin. We do, however, find evidence for …

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

University Honors Theses

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

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

Honors Scholar Theses

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

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

Clinical Psychology Dissertations

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

Masculine Traits In Female Serial Killers: A Qualitative Analysis, Ashley Polk

Walden Dissertations and Doctoral Studies

Female serial killers represent a minority in criminal statistics; their cases offer significant insights regarding broader patterns of serial killing behavior. The purpose of this study is to understand the role masculine traits play in the lives of female serial killers. This study involved using a qualitative research method to understand specific characteristics of female serial killers with common masculine traits and childhood experiences. Common masculine traits researched in this study were lack of emotions, aggression, control, dominance, and manipulation. The trauma control model and the gender scheme theory were the theoretical frameworks for this study. Data were collected by …

An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored how the intersection of identities related to race and gender shapes the lived experiences of Black female kinship caregivers raising youth aged 13–18. Drawing on Intersectionality Theory, the study sought to understand the caregiving challenges, emotional resilience, and systemic barriers encountered by this underrepresented population. Nine participants were recruited through purposive and snowball sampling and engaged in in-depth semi-structured interviews. Thematic analysis revealed that cultural norms and racialized gender expectations often compelled Black females to assume caregiving roles without institutional recognition or support. Participants described emotional isolation, financial instability, and limited access to legal and …

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

LSU Doctoral Dissertations

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

Arts-Based Sustainability: From New York To Malawi, Martha B. Lerski

Publications and Research

Recognizing that libraries serve multiple constituencies and subject areas, this chapter documents and advocates for development of transdisciplinary arts-based research (ABR) and culture-related projects linked to environmental challenges. Libraries contribute collections and spaces, as well as the research of library and information scientists. Libraries are currently among invisible contributors to sustainability planning and services. The chapter will link this invisibility to the value of what visual arts refer to as negative space elements in subjects ranging from traditional ecological knowledge to environmental science. Library collections, projects, and research contribute to education for sustainable development (ESD) as required to achieve the …

Functional And Cultural Values Of Shame: A Motivator To Seek Help For Suicidal Ideation, Yu-Chin Lin

Clinical Psychology Dissertations

Suicide is a global issue with rates continuing to rise despite decades of research and prevention efforts. The role of shame in the development of suicidal ideation, especially within non-Western contexts, remains underexplored. This mixed-methods study explored the relationships among shame, suicidal ideation, and help-seeking intentions in a Taiwanese sample, focusing on four culturally distinct Mandarin terms for shame—diu lian, can kui, xiu kui, and xiu chi. A total of 101 participants who has experiences of suicide-related thoughts or behaviors responded to an online survey. Quantitative analyses revealed that all shame terms were strongly correlated …

Do Resiliency And Coping Skills Moderate The Relationship Between Mood Disorders And Parenting Styles Due To Parental Relationship Distress?, Tiffany Burks

Electronic Theses and Dissertations

Parental relationship dynamics such as intimate partner violence (IPV), interpersonal distress (IPD), and parental alienation (PA) can significantly affect both mental health and parenting practices. This study examined whether personal strengths, specifically resilience and problem-focused coping, could help buffer these negative outcomes. Correlational analyses showed that IPV, IPD, and PA were positively associated with symptoms of depression and anxiety. IPV and PA were also negatively associated with the use of an authoritative parenting style. In contrast, resilience and problem-focused coping were linked to fewer mood-related symptoms and greater use of authoritative parenting. Multiple regression analyses revealed that IPV significantly predicted …

Religiosity And Mental Distress In U.S. Healthcare Workers During Covid-19, Jasmine Logan

Loma Linda University Electronic Theses, Dissertations & Projects

A major impact of the COVID-19 pandemic is the global increased rates of mental distress and decreased levels of resilience in healthcare workers. The development of quick, effective interventions for healthcare workers are all the more needed to maintain job performance and increase well-being. Associations between religion and health have been clearly established, and evidence suggests religious coping as an effective strategy for mental wellbeing. The current study investigated whether religious coping could predict levels of mental distress and resilience in a U.S. cohort of healthcare workers. The sample consisted of 137 healthcare workers from a large healthcare institution who …

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

Faculty, Staff and Student Publications

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

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

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

Navigating Emotional Transitions: A Study Of Self-Perception And Emotion In Bio-Childfree Women Entering A Blended Family, Janine Cednick

Dissertations

The transition to a blended family is an emotional and psychological adjustment for bio-childfree individuals. The present qualitative study investigated how self-concept and emotional adjustment of bio-childfree stepmothers change when they become members of their new family. With a phenomenological approach, semi-structured interviews were conducted with 12 female participants who were bio-childfree, in a committed relationship with a partner with children, and had cohabited for one year or more. The study aimed to find out how these women cope in their new role, their emotional adjustment to their transition, and the influences that impact their well-being. Thematic analysis of interviews …

Effective And Empowering Psychotherapy For Black Women: A Culturally Adapted Proposed Model, Kaylla A. Jackson

Dissertations

Black women in the United States are a minoritized group that has experienced oppression and suffering explicitly targeting their intersectional and minority identities. The intensity and frequency of stressors result in a negative impact on Black women that prompts a need to cope. Rather than relying on professional mental health care, many Black women rely on their religious and spiritual communities and other cultural and historical methods to cope with stressors. As a field and profession, clinical psychology has been overwhelmingly dominated by White individuals. The profession has a rich history of developing and perpetuating oppressive systems that have ignored …

The Neurobehavioral Consequences Of Prenatal Opioid Exposure On The Play Behavior Of Juvenile Rats, Rebecca S. Smart

Dissertations, Theses, and Capstone Projects

Prenatal opioid exposure has increased as a consequence of both increased Opioid Use Disorder (OUD) and prescription use for treatment of pain and OUD. However, human studies on prenatal opioid exposure are complicated by several confounding variables and thus, use of an animal model can lessen these confounds. Illicit use of opioids produces fluctuating blood levels whereas prescribed use of opioids results in stabilized blood levels of opioids. Our first study sought to determine if different methods of opioid administration, resulting in differing blood levels of opioids, would impact social play, a developmentally important behavior that is modulated by the …

Resilience In Stem: How Gender-Professional Identity Integration (G-Pii) And Self-Compassion Empower Women To Thrive, Isabelle Chiew

Dissertations and Theses Collection (Open Access)

Fostering resilience is crucial for the retention of women in male-dominated fields such as STEM. This paper investigates the interplay between gender-professional identity integration (G-PII), resilience, and self-compassion through two complementary studies. It is hypothesised that G-PII positively predicts resilience, with higher levels of integration associated with greater resilience. Furthermore, self-compassion is expected to moderate this relationship. Study 1 employs a cross sectional survey design to explore the relationships between G-PII, self-compassion, and resilience, while Study 2 uses an experimental design to assess the causal impact of G-PII on resilience. Study 1 found that G-PII was significantly and positively associated …