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Integrated Behavioral Health In Pediatric Primary Care: Identifying Latent Patient Subgroups And Differential Outcomes, Karen Glownia

Master's Theses and Doctoral Dissertations

Fifty percent of children do not receive care for their mental health concerns, while 95% are seen annually within primary care by age 6. Individual, cultural, and systemic barriers limit access to mental health care. Integrating mental health services into primary care has the potential to increase awareness, reduce costs, and decrease stigma. However, integrated primary care often relies on a brief and targeted intervention approach that may not be suitable for all families. Therefore, it is important to examine differential outcomes within this setting. Methods: This study analyzed retrospective data from 3,494 new patient medical records at a large …

Examination Of Barriers To Accessing Integrated Behavioral Health Care, Alyssa Buthman

Master's Theses and Doctoral Dissertations

Research has found that pediatric integrated behavioral health (IBH) significantly increases utilization of behavioral health services, but there are still families who are missing out. The purpose of the current study is to examine characteristics that may influence or impede utilization of an IBH referral. Phase 1 utilized survey methodology paired with electronic medical record review in a sample of 24 caregivers to pediatric patients to investigate whether parent-reported perceived stigma of accessing mental health care, barriers to accessing health care in general, and child symptom severity uniquely predicted referral utilization. Phase 2 used electronic medical record data in a …

The Impact Of Parenting Behaviors On The Development Of Hope In Young Children Experiencing Homelessness, Gracie Munnie

Psychology Theses

Research in resilience science has revealed a “short-list” of protective factors that support positive development in contexts of risk and adversity (Masten, 2014). One such factor is hope, which includes agency thinking (i.e., the belief in one’s ability to accomplish their goals) and pathway thinking (i.e., the ability to produce attainable routes to those goals; Sparks, 2021; Synder, 1997). In families, parents with high levels of hope set intentional parenting goals and encourage their children to create goals as well; these parents also report better psychological functioning and increased ability to cope with parenting stressors (Cole & Molloy, 2023). Although …

Interaction Mechanism Between Health Anxiety And Information Seeking Behavior From The Perspective Of Phenomenology, Yanfeng Zhang, Minqian Yu

Journal of Scientific Information Research

[Purpose/significance]To analyze the evolution characteristics of health anxiety before and after information search behavior from the perspective of phenomenological graph analysis, and to explain the internal mechanism of the interaction between health anxiety and information search behavior. [Method/process]By using the phenomenological qualitative research method, the interactive mechanism between health anxiety and information search behavior was deeply explored. Based on the I-PACE theoretical model framework, the model elements of users' health anxiety and information search behavior were analyzed from the four dimensions of "Person-Affect-Cognition-Execution". To construct a mechanistic relationship model between health anxiety and information search behavior. [Result/conclusion]The research results revealed …

The Effects Of Prenatal Alcohol And Nicotine Exposure On Later-Life Drug-Seeking Behavior And Memory Performance, Zoe Campanella

West Chester University Master’s Theses

Alcohol and nicotine are the two most commonly consumed licit substances among pregnant individuals, and the potential consequences of prenatal exposure to each drug include a variety of neurological and behavioral alterations. These may include an increased likelihood of developing a substance use disorder (SUD) and/or cognitive impairments later in life. However, 30% of pregnant individuals who report consuming alcohol also report consuming nicotine, yet the potential consequences of combined prenatal exposure are not understood. Furthermore, 40% of pregnancies in the U.S. are unplanned, meaning that drug exposure most commonly occurs during the first trimester. However, there is limited research …

Psychosocial Factors Affecting Quality Of Life In Kidney Transplant Recipients, Lawrence Panlilio

Nursing | Senior Theses

Background: Kidney transplantation is the best solution to save lives for those that have end-stage renal disease. However, psychosocial issues play a huge role in their quality of life after the procedure which can affect these individuals negatively. These issues recipients face include depression and anxiety, a lack of social support, and self management difficulties. Objective: This research consists of investigating psychosocial factors that affect kidney transplant recipients’ quality of life. Evidenced by research, focused assistance with ongoing support in patients is essential after receiving surgery and recovery. A literature review was conducted that consists of research on studies with …

Mistrust Among Injured Immigrant Workers: A Conceptual Framework, Maude Arsenault, Daniel Côté, Jessica Dubé

Revues de littérature, synthèses de connaissances

Background

In Quebec, injured workers have access to medical assistance, wage replacement indemnities, and rehabilitation measures, with most injuries resolved easily. However, a small percentage of cases require a lengthy rehabilitation process, which is particularly complex when involving immigrants. The therapeutic alliance is at the heart of the process, involving mutual trust and confidence and a degree of consensus about the therapeutic interventions to be used and, ultimately, the return to work.

Objective

This article delves into the concept of mistrust as more than the absence of trust, and sheds light on its role in the rehabilitation process of immigrant …

The Self-Control Of Eating, T. Mann, Andrew Ward

Psychology Faculty Works

Many individuals struggle to regulate their own consumption of food. Beginning with general theories of self-control, we review psychological factors that have been shown to influence the regulation of eating, including those related to particular personality variables, such as external eating, restrained eating, and reward sensitivity, as well as situational constraints, including normative influences, emotions, and calorie deprivation. Strategies for the self-control of eating, including reappraisal, effortful inhibition, and various automatic strategies are also reviewed, along with a discussion of the strengths and limitations of historical and contemporary psychological studies investigating food consumption. Whereas extensive examinations of food preferences and …

A Conceptual Replication Of An Implicit Test Of Grammatical Gender Effects On Inanimate Concepts, D. Mahajan, Frank H. Durgin

Psychology Faculty Works

It has been argued that the incidental and arbitrary use of gender markings for inanimate concepts in language may affect the conceptualization or semantics of those inanimate concepts. The present article sought to replicate the findings of a classic paper that made this argument. Konishi used the potency dimension of the semantic differential method as an implicit measure of perceived gender. He reported that words for inanimate concepts of masculine grammatical gender were rated as higher in potency than words for the same concepts that had feminine grammatical gender. Two preregistered replication studies are reported here. The first was a …

Is Abortion Policy The Next Catalyst For Ideological Migration? Dobbs V. Jackson And Migration Intentions Across The United States, J. C. Blanchar, Catherine Norris

Psychology Faculty Works

The overturning of federal abortion protections by the U.S. Supreme Court in Dobbs v. Jackson Women's Health Organization has shifted abortion regulation to state legislatures. This study investigates whether impending changes in state-level abortion policies could trigger ideological migration across the country, where individuals relocate to align with states that match their political and moral beliefs. We surveyed a sample of Americans (N = 743) two weeks after the Dobbs v. Jackson decision to investigate whether pro-choice and pro-life advocates experienced a diminished sense of belonging and stronger intentions to migrate when their state's anticipated abortion policy conflicted with …

Figurative Language Is (Implicitly) More Dynamic And Emotionally Deeper Than Literal Language, Tshering Yangzom Dorji , '23, Frank H. Durgin

Psychology Faculty Works

Two experiments investigated the nature of the emotional differences between figurative language and literal counterparts. The semantic differential method was used with principal component analysis as a data-driven implicit method for distinguishing emotional variables. The first experiment found that metaphoric stories were reliably different in emotionality than their literal counterparts along three different data-defined dimensions. The second experiment extended the conclusions to the evaluation of individual words used figuratively (including simile and metaphor). In both studies, principal component analysis revealed three distinct underlying sources of variance implicit in the ratings of experimental items including the dimensions of dynamism and depth, …

I Love You, But I’Ve Got To Cancel You: Psychological Determinants And Consequences Of Cancel Culture Participation, Rebecca Tukachinsky Forster, Daniel H. Spitz

Communication Faculty Articles and Research

This study explores how individuals react to celebrities who take a political stance that contradicts and threatens their social identity. An online experiment examines these questions in the context of the Israeli war against Hamas in the wake of the October 7 terror attack. Israeli Jewish participants who were led to believe that a beloved celebrity fully embraced the Palestinian’s narrative and condemned Israel experienced more negative and less positive emotions and had a greater intention to cancel the celebrity. However, writing a comment or a social media post (particularly if the comment bashed the celebrity) partially buffered these emotional …

Shaping A Wellness-Oriented Culture: A Mixed-Methods Exploration Of The Mental Health Training And Stigma Reduction Among College Seminarians, Evan P. Taja-On

Journal of Catholic Education

Mental health is vital to seminarians' holistic development, playing a crucial role in their personal growth and pastoral readiness. Equipping seminarians with mental health training enhances their human formation and addresses stigma, creating a foundation for more compassionate and effective ministry. The study utilized an explanatory research design with 11 college seminarians as the participants. The study reveals that mental health training significantly improved seminarians' knowledge, awareness, and beliefs, leading to a more supportive and informed approach to mental well-being. Seminarians transitioned from initial skepticism to active mental health advocacy, recognizing the importance of psychological support alongside spiritual care. The …

Book Of Abstracts, Iaccp

Papers from the International Association for Cross-Cultural Psychology Conferences

No abstract provided.

Facilitating Cbt Delivery With Graphic Design: Enhancing Worksheets For Practitioners And Patients, Josephine Cassandra Widjaja, Sarah Aurelia Saragih, Daniel Maynard Samosir

Papers from the International Association for Cross-Cultural Psychology Conferences

Cognitive Behavioral Therapy (CBT) remains one of the most empirically supported psychological treatments, yet its practical delivery often depends on materials that can feel cognitively overwhelming due to text-heavy design, poor adherence, and high cognitive load. These challenges impede learning and engagement for patients, as well as regulating session structure for novice practitioners. This study explores how graphic design principles can enhance CBT delivery through a visual prompt card deck that improves comprehension, usability, and collaboration for both practitioners and clients for a more intuitive therapeutic process. A mixed-methods pilot was conducted with two novice practitioners who used a 44-card …

Can Secure Base Script Knowledge Predict Changes In Perceptions Of Conflict Resolution Discussions In Engaged Couples Over Time?, Sarah Finkelstein

Selected Full Text Dissertations, 2011-

According to attachment theory, attachment representations shape the way in which individuals obtain and organize social information. One facet of social information processing that has been studied in relation to attachment representations is memory reconstruction, which is the process by which previous experiences and prior knowledge shape the recollection of past events. In this study, we examined how secure base script knowledge, an aspect of attachment representations that reflects access to a temporal-causal sequence regarding receiving support from close others, predicts changes in how romantic partners perceive conflict resolution discussions over time. Members of engaged couples (N =154) rated levels …

Childhood Betrayal Trauma, Psychopathy, And Ptsd: The Role Of Ambiguity Tolerance, Distress Tolerance, And Impulse Control Difficulties In A College Sample., Surabhi Swaminath

Dissertations and Theses

Childhood betrayal trauma engenders negative outcomes such as post-traumatic stress disorder (PTSD) and psychopathy. Though these outcomes are viewed as functional opposites, this multi-finality suggests similar underlying mechanisms. Childhood betrayal trauma results in low tolerance for different types of distress, including emotional distress and ambiguity. Distress is known to induce impulse control difficulties, which are associated with both PTSD and psychopathy. This cross-sectional study tested hypothesized indirect associations between childhood betrayal trauma and two outcomes: PTSD symptoms and psychopathy in a sample of young adults (N¬ = 753). We hypothesized direct paths from childhood betrayal trauma to PTSD, and psychopathy. …

Ubuntu In Namibia And Kenya: How Emerging Adults Live An Essential African Value Today, Julia S. Rotzinger, Lene Arnett Jensen, Amber Gayle Thalmeyer

Psychology

Psychology in Africa often relies on Euro-American theories, despite their limitations in African cultures. Here, a shift to an Afrocentric perspective was made by exploring Ubuntu in two sub-Saharan African countries using a cultural-developmental psychology approach for in-depth emic understanding. Ubuntu (also known as botho, etc.) is a moral ideal that at core means placing a higher importance on the community than on oneself. Most literature on this important African concept has been theoretical rather than empirical, and little is known about how well it describes contemporary worldviews and experiences of emerging adults. In this interview study, Namibian and …

Schizophrenia: Breaking The Myths, Peighton Hunt

A with Honors Projects

Throughout the years, schizophrenia has been commonly misunderstood and misrepresented within the media. Film, television, news outlets, and even social media frequently fail to do research before involving mental health, both intentionally and unintentionally creating turmoil for innocent people. Most of the depictions created are completely false and fail to properly reflect the reality of the disorder. Mental health is a hot topic, especially with young adults and college students. However, to this day schizophrenia still continues to be one of the most misunderstood and stigmatized mental disorders. By being educated on the reality of schizophrenia, we can help eliminate …

Alert During What? Beyond The "Big O" To A Culturally-Cognizant, Process View Of Entrepreneurial Alertness, Robert J. Pidduck, Daniel R. Clark

Management Faculty Publications

Entrepreneurial alertness is a psychological aptitude generally associated with aspects of nascent venturing, centered on individuals' environmental observations, the association of resources, and idea evaluation. A decade following the Tang et al. (2012) consensus construct and scale, critiques remain questioning its utility and unique value to the major conversations in entrepreneurship. Proponents put great emphasis on entrepreneurial alertness's proven association with opportunity recognition and entrepreneurial actions. Yet, critics suggest it might be an unnecessary step offering little more than a positive association with opportunity recognition in a highly generalized and static way. The purpose of this paper is to address …

Why People Stay: Factors Contributing To Staff Retention In Community Mental Health Clinics, Brianna D. Boggs

Theses and Dissertations

The current behavioral health crisis is exacerbated by a crisis in the behavioral health workforce. Recruiting and retaining workers in behavioral health has become a challenge, making access to services for those needing them even more difficult. This study aimed to examine which factors have the strongest influence on an employee’s work engagement and decision to remain employed at their current organization. This study used Aarons et al.’s multilevel, multiphase implementation model (2011), with a focus on inner contextual factors as a means to help inform potential interventions to address the factors and improve retention. This study also applied the …

The Role Of Context Sensitivity On The Association Between Racial Discrimination And Emotional Dysfunction Among Black American Adolescents, Summer C. Bryant

Theses and Dissertations

Black adolescents are at an increased risk of experiencing racial discrimination due to a developmental period marked by increased time away from parents and caregivers and increased time with peers (Fisher et al., 2000). Empirical research has shown that Black adolescents’ experiences of racial discrimination are associated with emotion dysfunction (Benner et al., 2018; Seaton et al., 2009; Sellers et al., 2006). Although previous research has identified racial factors such as racial socialization and racial identity as protective factors by reducing the impact of racial discrimination on Black adolescents’ emotion dysfunction (Gibson et al., 2021; Neblett et al., 2008), we …

The Correlation Between Working From Home And Depression, Anxiety & Stress And The Moderating Effect Of Parenting, Lauren H. Marshall

Murray State Theses and Dissertations

This thesis explores the impact of working from home on depression, anxiety and stress and whether parenting has a moderating role in its impact. The number of individuals working from home increased dramatically because of the pandemic and many individuals continue to work from home despite the absence of government-issued lockdowns and the diminishing threat of the COVID-19 virus. Earlier pre-pandemic research supports several positive work-related outcomes of working from home; however, little consideration has been given to the long-term impact of this major change in the way we work on individual’s mental health. Social isolation, an increase in sedentary …

Evaluating The Brief Symptom Inventory (Bsi) And Bsi-18 Psychometrics, Samantha Freville

Murray State Theses and Dissertations

The Brief Symptom Inventory (BSI) (Derogatis, 1975, 1993) is often utilized as an intake screener for psychiatric symptoms with a variety of populations. The present study evaluated the internal consistency, convergent validity, and discriminant validity of the BSI-18 when compared to similar subscales, including Somatization (SOM), Anxiety (ANX), and Depression (DEP), and dissimilar subscales, including Nonsupport (NON), Drug Problems (DRG), and Alcohol Problems (ALC), on the Personality Assessment Inventory (PAI) to determine its clinical utility in communicating clients’ level of distress in an outpatient clinical sample. The results indicated that Global Severity Index (GSI) scores of the BSI and BSI-18 …

Bending But Not Breaking: An Investigation Of The Relationship Between Psychological Flexibility And Suicidality In Individuals With Chronic Pain, Adalyn Mcmurray

Murray State Theses and Dissertations

Chronic pain is a burdensome condition that has been found to be associated with increased suicide risk, yet the mechanisms underlying this relationship remain unclear (Domenichiello & Ramsden, 2019). The present study aimed to examine the role of pain interference and psychological inflexibility in predicting past two-week suicidal thoughts among individuals with chronic pain, with psychological inflexibility explored as a potential moderator. This study also sought to replicate and extend McCracken et al. (2018) and enhance the understanding of suicidality in chronic pain populations by using the Multidimensional Psychological Flexibility Inventory (Rolffs et al., 2018b), a more psychometrically sound measure …

Master Of Disguise: Humor, Disguise, And Performance Anxiety, Jordan Pearsall

Murray State Theses and Dissertations

This study examined humorous facial disguise in relation to social anxiety during a speech task. Social anxiety is characterized by a strong desire to present a positive image of oneself to others, while simultaneously doubting one’s ability to do so (Clark & Wells, 1995). Performance anxiety is a subtype of social anxiety that affects individuals in various performative contexts, to include public speaking. Previous research has examined the relationship between social anxiety and facial concealment through face-masking (Karimi 2024; Saint & Moscovitch, 2021), concluding that facial concealment can serve as a safety behavior intended to reduce social anxiety. Further, humor …

Out Of The Circle: Exploring Religious Ostracism In Cyberball, Ralph D. Stewart Iii

Murray State Theses and Dissertations

The purpose of this study was to investigate the psychological effects of social ostracism in group settings, particularly in relation to social identity theory (Tajfel & Turner, 1979) and the need to belong (Baumeister & Leary, 1995). Collective self-esteem, hostility, and belonging were examined to see if they changed significantly with the implementation of ostracism through the Cyberball paradigm (Williams, 2000). The relationship between ostracism, hostility, and religious fundamentalism was also explored. Though insignificant results from subsequent analysis were obtained, these results suggest weaker ostracism effects for interpersonal measures rather than intrapersonal measures consistent with findings by Hartgerink et al. …

The Power Of Absence: Using Group Contingent Negative Reinforcement To Boost Attendance, Kinlee Hobbs

Murray State Theses and Dissertations

This study explored the use of group contingent negative reinforcement on attendance in a college freshman orientation course at Murray State University. Using behavior modification principles, the Fall 2024 course implemented a reinforcement procedure that allowed students to leave class early if the majority had attended four previous classes. Attendance, Canvas engagement (page views and minutes spent on Canvas), and academic outcomes (pass or fail) were compared between the Fall 2023 orientation course where no reinforcement was used and the Fall 2024 class where reinforcement was used. Independent samples t-tests revealed that Fall 2023 students exhibited higher Canvas engagement (page …

Understanding The Influence Of Team Identifications Influence On Perception Of States, Morgan Elizabeth Macke

Murray State Theses and Dissertations

Team identification refers to an individual’s psychological connection to a team or athlete (Wann, 2006a), while rival salience involves awareness of a prominent rival team (Wann & James, 2019). This study examined the relationship between sport team identification and perceptions of a state housing a salient rival, specifically whether identification with the University of Kentucky (UK) men’s basketball team influenced perceptions of Tennessee, home to rival team University of Tennessee (UT). It was hypothesized that greater team identification would be associated with more negative evaluations of Tennessee, and that this relationship would be mediated by perceptions of the rival team. …

The Role Of Adverse Childhood Experiences On Aggression And Substance Use In Young Adulthood, Sadie Goralski

Murray State Theses and Dissertations

Adverse childhood experiences (ACEs) are widespread within the United States. More than half of the population has experienced at least one adverse event during their youth. Such experiences range from parental divorce to sexual assault. Past research has shown that adverse experiences during the formative years play a major role in the development of multiple physical and mental health issues. The current study aimed to explore the interplay among ACEs and two of these covariates: aggression and substance use. Moreover, the proposed study further investigated the development of substance use in emotionally dysregulated individuals with past adverse experiences. In doing …