Digital Commons Network^™

Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez

Antioch University Dissertations & Theses

Latinx graduate students transitioning into their first semester of clinical counseling master’s programs often navigate substantial challenges as they embark on their academic journeys. While transitions into any new role can be difficult, the changes that accompany the beginning of a graduate program have been associated with increased role and identity strain, anxiety, depression, and feelings of fraudulence and imposterism, negatively impacting student success, performance, and attrition rates (Halladay et al., 2019; Murphy, 2021; Vidic & Cherup, 2019). Although mindfulness practices provide benefits for graduate student wellbeing, there is no current scholarship that has examined how mindfulness practices support Latinx …

Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli

Antioch University Dissertations & Theses

This qualitative study explored the lived experiences of men (18+ years old) living with HIV to better understand how they navigate identity, mental health, relationships, and healthcare systems after diagnosis. The method included a qualitative thematic analysis with 10 participants. Eight themes emerged from the data: (1) reactions, reflections, and meaning-making after diagnosis; (2) managing medication, treatment, and co-occurring conditions; (3) stigma, disclosure, and negotiation of identity; (4) substance use, housing instability, and socioeconomic stressors; (5) navigating the changing HIV landscape; (6) experiences with family and intimate relationships; (7) implications for mental health counseling; and (8) the role of community …

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

Antioch University Dissertations & Theses

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

How To Reduce Inpatient Violence: A Theory Synthesis From Four Models, Arthur Walker

Antioch University Dissertations & Theses

Working in an inpatient setting inherently involves an increased risk of violence. This violence can affect both staff and patients alike and can lead to psychological trauma, serious bodily injury, and even death. To mitigate this risk, many models for preventing inpatient violence have been proposed for hospitals to implement. However, the evidence for the efficacy of these methods is inconsistent, and the theoretical underpinnings are varied and slim. This dissertation seeks to improve these models by re-examining the theoretical structures for common themes of four models for inpatient violence reduction and proposing additional recommendations informed by this synthesis. First, …

Youth And Caregiver Expectations In Pediatric Concussion Recovery And Persisting Symptoms, Molly A. O'Reilly

Antioch University Dissertations & Theses

Concussions present complex diagnostic and treatment challenges, particularly for pediatric patients who may experience persisting symptoms. Psychological mechanisms, including patient expectations and beliefs about recovery and symptoms, play a critical role in shaping outcomes. However, there is limited research exploring these factors in pediatric populations, particularly using qualitative approaches. This study sought to address this gap by employing a qualitative phenomenological design with interpretive phenomenological analysis to examine the recovery expectations of pediatric patients with persisting symptoms following concussion, as well as caregivers’ perspectives. Using the nocebo effect as a conceptual framework, eight pediatric patients and their caregivers participated in …

Comorbid Psychosis In The General Population, Mariam Sankoh

Theses and Dissertations

Psychosis is a complex psychiatric phenotype characterized by substantial heterogeneity in symptom presentation, psychosis diagnosis, comorbidity patterns, and genetic architecture across diverse populations in the general population. Despite advances in psychiatric epidemiology and genomics, important gaps remain in understanding how psychosis symptoms and psychosis-related diagnoses manifest across racial and ethnic groups and how evolutionary genomic factors may contribute to disease risk and cross-ancestry genetic prediction. This dissertation, Characterizing Comorbidity in Psychosis in the General Population, integrates epidemiological, psychometric, and evolutionary genetic approaches to examine psychosis across diverse populations.

Aim 1 examined racial and ethnic differences in psychosis comorbidity patterns …

Internalizing Symptoms In Lgbtq+ Young Adults: Understanding The Roles Of Social Support And Resilience To Social Stigma, Chloe M. Sobolewski

Theses and Dissertations

LGBTQ+ young adults are at increased risk of adverse mental health outcomes including internalizing symptoms. The current study seeks to better incorporate strengths when modeling internalizing symptoms outcomes in LGBTQ+ young adults. The present study is secondary analysis of data collected as part of a three-wave longitudinal study. LGBTQ+ young adults (N = 250) completed baseline questionnaires assessing resilience to social stigma, types of perceived social support (i.e., family, friend, significant other), and internalizing symptoms. Moderation models were not practically or statistically significant; however, covariates (i.e., age, socioeconomic standing, and childhood basic needs) stood out in their significant contribution in …

Examining Youth Ethnic Identity And Parental Familismo As Protective Factors Against Bicultural Stress And Internalizing Symptoms In Latino Youth, Daniella Olivares

Theses and Dissertations

Adolescence is a critical developmental period marked by increased vulnerability to mental health challenges. For Latino adolescents living in the U.S., experiences of bicultural stress may heighten the risk for adverse mental health outcomes. However, cultural strengths–such as youth ethnic identity and parental familismo–may serve as protective factors. The current study examined whether youth ethnic identity and parental familismo moderated the relationship between bicultural stress and internalizing symptoms among a diverse sample of Latino youth in central Virginia. Latino adolescents (n = 60) completed measures assessing bicultural stress, ethnic identity, and internalizing symptoms, while parents (n = 60) reported on …

Conceptual Concerns Regarding The Content Validity Of The Construct Of Gender Dysphoria In The Diagnostic And Statistical Manual Of Mental Disorders, Fifth Edition, Text Revision, Waverley Vesely

Theses and Dissertations

The diagnostic classification of gender dysphoria in the DSM-5-TR elicits a number of clinical, political, and philosophical concerns, ranging from those that are diagnostic and taxonomical in nature to those that fall within the domains of ontology, phenomenology, and hermeneutics. Part of the reason for the complexity of studying the diagnostic and nosological validity of gender dysphoria as an extant diagnostic classification is that, unlike many disorders, gender dysphoria is inextricably tethered to identity. While the recent change from gender identity disorder to gender dysphoria has nominally removed the status of disorder, in practice, both clinicians and the general population …

The Relationship Between Symptom Catastrophizing And Sociocultural Factors Among Adults With Persistent Sympathetic Activation Syndromes, Whitney M. Redemer

Theses and Dissertations

Persistent Sympathetic Activation (PSA) has emerged as a potential unifying mechanism underlying a range of complex chronic health conditions yet remains poorly characterized within biomedical and psychosocial research. Limited research has delineated how PSA manifests across diverse populations or how diagnostic and sociocultural factors shape lived experiences of this phenomenon; thus, the objective of the present study was to examine whether diagnostic certainty – operationalized as provider-confirmed versus self-suspected PSA-related diagnoses – is associated with symptom catastrophizing, and whether this relationship varies as a function of sociocultural factors. Drawing on data from a larger study aimed at characterizing the lived …

Visual Cues Of Human-Likeness, Not Salience, Impact Trust-Related Human-Computer Interaction, Jordan Schotz

Graduate Studies Theses and Dissertations 2026

As interactions with digital agents become increasingly integrated into daily life, understanding how visual representations influence social decision-making is critical. Previous research in human-computer interaction has frequently confounded the psychological effects of an agent's perceived human-likeness with the underlying visual salience of the stimuli. To address these persistent gaps, the present study systematically isolated the effects of human-likeness and visual cue trustworthiness on trust behavior while controlling for objective image properties. The present study expanded on and normed the Virtual Avatar Facial Stimuli Set (VAFSS), a comprehensive database comprising hundreds of identity-matched photographs and computer-generated avatars varying across a spectrum …

Survivors Of Historical Intergenerational And Familial Trauma Scale For Black American Descendants Of Enslaved People: A Development And Initial Validation Study, Loryn Chás Kimbrough

Graduate Research Theses & Dissertations

Despite extensive research documenting cultural and racialized trauma, no validated assessment tool had previously captured the intrafamilial mechanisms of trauma transmission specific to the BADEP population, whose trauma lineage is rooted in slavery. The present study addresses this gap through the development and initial validation of the Survivors of Historical Intergenerational and Familial Trauma Scale (SHIFTS), a culturally grounded instrument designed to measure the transmission of historical trauma (HT) and ongoing intergenerational trauma (IGT) among Black American Descendants of Enslaved People (BADEPs). The SHIFTS examines how HT gives rise to the continued transmission of two interrelated legacies: survival-based and trauma-rooted …

Identifying Maltreatment Classes And Their Associated Psychological Outcomes From Childhood To Adolescence, Colleen Bartlett

Graduate Research Theses & Dissertations

Previous research has consistently shown that experiencing maltreatment has significant, negative effects on youth’s psychological health; however, research on the psychological impact of maltreatment is often limited by challenges in accurately capturing children’s maltreatment experiences, as most children who are exposed to maltreatment experience multiple types of maltreatment. The present study utilized latent class analyses (LCAs), a person-centered, data-driven approach to empirically identify patterns in children’s maltreatment experiences at ages 3, 5, and 9. Maltreatment class indicators included frequency of behaviorally approximated emotional abuse, physical abuse, and neglect. Following the LCAs, associations between maltreatment class membership and youth internalizing 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, …

Personality-Based Clinical Predictors Of Transdiagnostic Suicidality In Emotional Disorders, Harshini Arun

Masters Theses

No abstract provided.

Suicidal Mental Imagery And Its Association With Suicide-Related Disclosure And Suicidal Severity, Elisheva S. Rosensweig M.S.

Selected Full Text Dissertations, 2011-

People utilize two different modes of cognition, experiencing thoughts as mental images or verbal thoughts. Mental imagery tends to be more emotionally arousing and vivid than verbal thoughts, and most suicidal individuals report experiencing suicidal imagery in addition to verbal thoughts. Increasing evidence suggests that suicidal mental imagery is associated with heightened suicide risk, including greater likelihood of prior suicide attempts (e.g., Lawrence et al., 2021). However, suicide risk assessments primarily focus on verbal suicidal thoughts and rarely assess suicidal mental imagery, potentially contributing to the low rates of suicide-related disclosure and challenges identifying individuals at risk. The present study …

Beyond The Identified Patient: Sibling Attachment, Burden, And Coping In The Context Of Mental Illness, Blaire Fauser M.S.

Selected Full Text Dissertations, 2011-

A “mental illness” is defined as a condition that causes clinically significant disturbance in cognition, emotion regulation, or behavior. Mental illness is growing increasingly more prevalent and has been found to not only impact the affected individual but also the broader family system. This study examined the impact of having a sibling with a mental illness on the non-diagnosed sibling. Specifically, the study focused on the relationship between siblings’ (sibling attachment), coping mechanisms, and caregiver burden. Previous research has shown that siblings of individuals with mental illness are at a higher risk of developing psychiatric conditions themselves, which is due …

Secure Base Script Behaviors In Romantic Couples As Predictors Of Romantic Relationship Quality, Ben N. Zigelstein

Selected Full Text Dissertations, 2011-

Attachment representations guide expectations about the availability and responsiveness of attachment figures during times of need. These representations are shaped by early experiences of consistent, reliable caregiving and influence how individuals seek and receive support from close others across the lifespan. Secure base script knowledge, a temporal-causal sequence of events encompassing the essential elements of seeking and receiving support at times of need, is increasingly used to capture attachment representations. Research indicates that secure base script knowledge significantly predicts the quality of self-reported and observed romantic relationships. However, the extent to which secure base script behaviors (i.e., bidding for support, …

Ethnoracial Disparities In Treatment-Seeking Among Suicidal Adults: Stigma As A Mediator, Yiming Huang M.S.

Selected Full Text Dissertations, 2011-

Despite the disproportionate increase in their suicide risk in recent years, ethnoracially minoritized individuals utilize mental health treatment less frequently than their non-Hispanic, White counterparts. Understanding the underlying mechanisms is crucial to identify strategies to mitigate such disparities. While mental health-related stigma has received attention as a potential mechanism, select types of stigma have been examined in isolation, leaving it unclear which forms of stigma are most relevant to the observed ethnoracial disparities in treatment-seeking among suicidal individuals. The current study assessed and examined a range of stigma constructs as potential mediators of ethnoracial differences in treatment-seeking outcomes among suicidal …

Examining Firefighter Perceptions Of Stress And Recovery Across A Shift And Engagement In Recovery Activities, Nathan T. Ebersole

College of Graduate Studies: Theses & Dissertations

The occupational demands of firefighting, such as fire suppression and rescue tasks, working in hazardous conditions, inconsistent sleep patterns, and exposure to traumatic events, can lead to work-related injuries, burnout, and feelings of isolation. To date, there is limited research on the impact of a single work-shift on firefighter perceptions of stress and recovery and the recovery activities that may influence these perceptions. Thus, the purpose of this study was to examine the effect of a single work-shift on firefighter perceptions of stress and recovery status as well as the recovery activities firefighters choose to engage in. Forty-three firefighters across …

Bipoc Supervisors And Their Cross-Ethnoracial Supervisees: An Exploratory Dyadic Interdependence Study On Cultural Humility, Ethnocultural Empathy, Supervisory Alliance And Ethnoracial Identity Development, Karen Andal Neri

Antioch University Dissertations & Theses

There is an ongoing need for more relational, process-oriented multicultural supervision training models and research to address multicultural issues through a sociocultural perspective in cross-ethnoracial supervision. BIPOC therapists have often reported inadequate multicultural education and training as well as responsiveness from their White supervisors. As supervisors themselves, BIPOC therapists are often overlooked and understudied in the couple/marriage, family therapy (C/MFT) field, which remains predominantly Eurocentric. As a process-oriented model, multicultural orientation (MCO), especially its primary organizing pillar, cultural humility, appears highly relevant to BIPOC supervisors working across ethnoracial and cultural lines with their supervisees. However, neither the MCO nor broader …

Cross-Domain Identity Development In Bipoc Autistic Adults: A Grounded Theory Study, Ginnylyne Mariano Guisadio

Antioch University Dissertations & Theses

Racial and autistic identity development both involve navigating stigma, seeking community, and contending with dominant frameworks that constrain authentic self-expression, yet existing research has not examined how these processes interact for individuals holding both identities. These interactions unfold within structural conditions such as diagnostic disparities, culturally specific ableism, and racialized consequences of visible autistic expression, which shape how identity development proceeds for BIPOC autistic adults. This study investigated whether and how the core identity processes of exploration and commitment proceeded for this population. Nine BIPOC autistic adults participated in written interviews analyzed through constructivist grounded theory, with identity status theory …

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 …

Startle Habituation And Vagally Mediated Heart Rate Variability Influence The Use Of Emotion Regulation Strategies, Xiao Yang, Fang Fang, Angela Ximena Babb

Psychology Faculty Publications

Emotion regulation refers to the processes through which people modulate their emotional experiences and expressions, and difficulties in these processes underpin many forms of psychopathology. According to the process model, emotion regulation encompasses five classes of strategies, commonly grouped into antecedent-focused strategies (e.g., cognitive reappraisal) and response-focused strategies (e.g., expressive suppression). These strategies involve both explicit and implicit processes, which can be objectively assessed using physiological indices. The present study examined the effects of startle habituation and vagally mediated heart rate variability (vmHRV) on the use of cognitive appraisal and suppression. Forty-nine college-aged participants were recruited, and their resting heart …

From Molecules To Minds: Integrative Multi-Omics In Psychiatry, Hossein Abbasi, Sage E. Hawn, Arash Javanbakht, Soraya Seedat, Kyle Bourassa, Sinead M. Sinnott, Antonia V. Seligowski, Sian Hemmings, Nathan A. Kimbrel, Alicia K. Smith, Leslie Brick, Divya Mehta

Psychology Faculty Publications

Psychiatric disorders are biologically complex conditions arising from interactions across genomic, epigenomic, transcriptomic, proteomic, metabolomic, and metagenomic layers. Single-omics approaches rarely capture more than a fraction of the variance in complex conditions, underscoring the importance of integrative multi-omics frameworks. This mini-review summarizes key methodologies and their application in psychiatric research, with a focus on systems-level integration of genomic risk scores, transcriptomic networks, and neuroimaging data to advance biological understanding of disorders such as depression, schizophrenia, and Alzheimer’s disease. We also outline the infrastructural requirements for effective multi-omics research, including standardized biobanking, Laboratory Information Management Systems, adherence to FAIR data principles, …

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 …

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 …

Best Practices For Using Biological Data In Psychological Research, Sage E. Hawn, Sinead M. Sinnott, Alicia K. Smith, Kyle Bourassa, Leslie Brick, Sian Hemmings, Soraya Seedat, Arash Javanbakht, Lauren Smith, Antonia V. Seligowski, Nathan A. Kimbrel, Divya Mehta, Hossein Abbasi, Erika Wolf

Psychology Faculty Publications

Advances in statistical techniques for analyzing biological data have driven the need for larger sample sizes, which are ultimately made possible through team science efforts. Findings from these efforts have led to a significant shift in approaches to biological data collection over the past decade, from traditional approaches relying on single measures or assays collected by individual investigators in small lab-based studies to high-dimensional methodologies embedded within large cohorts or multi-site studies. These recent large scale consortium efforts necessitate careful consideration across the full data pipeline, from pre-data generation and sample collection to processing and statistical analysis, while addressing challenges …

Examination Of The Effects Aesthetic Enrichment And Music Have On Well-Being And Task Performance In A Workplace Simulation, Emily Budik

Theses and Dissertations

Workplace environments are often designed with a focus on efficiency, yet emerging research suggests that environmental features such as aesthetic enrichment and music may influence employee well-being and performance. The present study examined whether visual aesthetic enrichment and auditory stimulation through music could improve well-being, reduce stress, and enhance task performance within a simulated workplace task. Participants completed a 30-minute in-basket task under one of four conditions: a control environment, music only, aesthetic enrichment only, or a combined aesthetic enrichment and music condition. Measures of stress, well-being, and task performance were collected following task completion. Results indicated that neither aesthetic …

Daily Rhythms In Psychosocial Stress, Sleep, And Mood: A Multimethod Approach To Transdiagnostic Psychopathology Risk And Intervention, Gabriel Gilmore

Theses and Dissertations--Psychology

Rhythms are central to nearly every core physiological and psychological process and have profound influences on overall health and well-being, particularly in the context of mood disorders. This dissertation emphasizes a rhythm-centered framework for understanding transdiagnostic psychopathology, proposing that the temporal organization of psychosocial stress, sleep, and mood provides crucial information for the development and treatment of mood disorder symptomology. Current literature relies primarily on mean symptom levels, overlooking day-to-day patterns in psychosocial experiences. To address this key methodological gap, three studies are examined. Study 1 develops and validates the Psychosocial Stress Regularity Measure (PSRM), a brief single-item measure of …