Digital Commons Network^™

Assessing The Relationship Between Perceived Psychological And Physical Pain In Adults With Orthopedic Pain, Daniel C. Karimi Dehkordi

Honors Undergraduate Theses

Suicide remains a public health concern in the U.S., particularly among individuals experiencing chronic pain and psychological distress. This cross-sectional study investigated the relationship between perceived physical and psychological pain in 41 adults with chronic orthopedic conditions. The relationship between other risk and protective factors and perceived levels of pain distress was also examined. Results showed a significant positive correlation between psychological distress and physical pain (r(39) = 0.388, p < .05) and psychological distress and depressive/anxiety symptoms (r (39) = 0.477, p < .01). Psychological distress was moderately associated with feelings of hopelessness (r (39) = 0.403, p < .01), however, the relationship between physical pain and hopelessness was weak and nonsignificant (r (39) = -0.06, p = .71). Contrary to expectations, emotional support did not buffer the effects of psychological distress (r (39) = 0.07, p = 0.66). Mediational analysis confirmed that emotional support did not influence the relationship between physical pain and psychological distress (Beta (β) = -0.969, p = 0.572; Sobel Z = 0.5598, p = 0.575). Age was not correlated with psychological distress (r (39) = -0.24, p = 0.13) or mental health symptoms (r (39) = -0.05, p = .77). While there was no significant difference across sex, males reported higher mental health symptomatology and psychological distress scores than female counterparts. These findings underscore the direct impact of physical pain on psychological distress and challenge assumptions about the protective role of social support. The study highlights the need for integrated, multidisciplinary interventions targeting both physical and psychological pain to mitigate suicide risk among individuals with chronic orthopedic conditions. Future research should iii explore alternative support mechanisms and resilience-building strategies to address the complex interplay of pain, distress, and suicidality.

Anxiety And Adaptive Functioning In Young Adults: The Moderating Role Of Psychological Flexibility, Makenzie L. Kennedy, Jeffrey E. Cassisi

Honors Undergraduate Theses

Anxiety is highly prevalent among emerging adults and is associated with impairments in academic, social, and daily functioning. While previous research has documented strong associations between anxiety and adaptive functioning, the present study uniquely tested psychological flexibility as a potential moderator that may foster resilience and adaptive coping.

Undergraduate students (N = 522) from the University of Central Florida completed measures of anxiety (PROMIS-A, GAD-7, STAI-S), adaptive functioning (WHODAS 2.0), and psychological flexibility (COMPACT-23). Confirmatory factor analyses supported distinct but correlated latent constructs of anxiety and adaptive functioning. Due to poor subscale intercorrelations, the COMPACT-23 total score was modeled as …

A Real-Time Approach To Capture Ambient And Focal Attention In Visual Search, Gavindya Jayawardena, Yasith Jayawardana, Yasasi Abeysinghe, Bhanuka Mahanama, Sampath Jayarathna, Jacek Gwizdka

Computer Science Faculty Publications

During visual search, individuals’ attention shifts between ambient and focal states in response to task demands and stimuli. The ambient/focal coefficient K is a statistically validated measure of these states, computed offline from fixation duration and saccade amplitude data. While current methods compute K offline, real-time computation could enable applications such as monitoring user attention, creating attention-adaptive user interfaces, and optimizing graphics rendering. However, real-time computation of K requires stable estimates for the parameters of fixation duration and saccade amplitude distributions. Since these distributions are heavy-tailed, the real-time estimates exhibit high variance and slow convergence. To overcome this, we propose …

Religious Participation, Subjective Happiness, And Purpose In Life As Predictors Of Psychological Resilience Among College Students At A Faith-Based Institution In The United States, Elaine Powell Oliver

Dissertations

Problem

During the transition from adolescence to adulthood, also known as emerging adulthood, many college students experience psychological distress, such as anxiety, depression, stress, and loneliness (Arnett & Tanner, 2009; DeRosier et al., 2013). For some students, their psychological distress will impact how they perform academically and whether they will persist in their academic goals (Hartley, 2012; Robbins et al., 2018). Many students lack the resilience needed to survive and thrive amid the challenges of college life (Lane, 2020; McLafferty et al., 2022; Watkins et al., 2012). -- Resilience is considered an essential psychological characteristic to assist students in navigating …

Including Individuals' Sense Of Self In Digital Information Privacy, Peter N. Meso, Solomon Negash, Humayun Zafar, Gurpreet Dhillon

Faculty Articles

The nature of contemporary digital ecosystems causes concerns that affect the person, the individual-self, an integral part of an individual’s information privacy calculus and hence a component of individuals’ Information Privacy Concerns (IPC). Yet, prior IPC models overlook self-focused concerns. This study articulates two constructs, termed “loss of autonomy” (i.e., autonomy) and “control over profiling” (i.e., profiling), that reflect individuals’ self-focused privacy concerns. Combining these new constructs with conventional IPC constructs that capture data-focused and device-focused concerns yields an IPC model made up of three dimensions: self-focused concerns, data-focused concerns, and device-focused concerns. The authors first develop instrument items for …

Exploring The Mental Health Of Korean-American Elderly Immigrants, Iris Minkyung Kim

Antioch University Dissertations & Theses

This study sought to understand the mental health of Korean-American elderly immigrants using the theoretical frameworks Erikson’s Stages of Psychosocial Development and Interpersonal Psychotherapy Theory (IPT). To achieve this purpose, this study incorporated a qualitative thematic analysis and conducted in-depth interviews with 10 elderly Korean immigrants living in the United States. From these interviews, eight themes were identified: (a) multifaceted immigration experiences, (b) immigration challenges, (c) complex language barriers, (d) personality constructs impacting experience, (e) the importance of relationships, (f) limited information and access to support, (g) life satisfaction and dissatisfaction, and (h) advice for future immigrants. These themes indicate …

Mental Heath Experiences Of Transracial Adoptees Of The Global Majority (Black, Indigenous, And People Of Color - Bipoc)., Phebe Brako

Antioch University Dissertations & Theses

This qualitative hermeneutic phenomenological study explores the lived experiences of transracial adoptees of the global majority (BIPOC), focusing on their bicultural identity integration and its impact on mental health. During semi-structured interviews, nine participants shared their stories of navigating cultural and racial dynamics as adoptees in predominantly White adoptive families and communities. The findings revealed six core themes: (1) the Quest for Bicultural Identity Formation, (2) Cultural Integration and Adaptation, (3) Navigating Racial and Cultural Tensions, (4) the Role of Family in Cultural Integration, (5) the Importance of Community and Support Systems, and (6) Mental Health and Therapeutic Experiences, addressing …

Creating A General Psychology Curriculum That Embeds Humane Education, Kristina Marie Pham

Antioch University Dissertations & Theses

Academic freedom is under attack in the United States, hindering the ability of educators to develop critical thinking skills in students to prepare them for their roles as participating members of a democracy. The inquiry that informed the curriculum development is as follows: How to embed Humane Education and Participatory Action Research into a General Psychology class? The theoretical framework of Humane Education was the basis for utilizing the principles of Participatory Action Research in the General Psychology curriculum co-created with rural community college students. The Backward Design Model was chosen because the curriculum was created using an existing General …

Mental Health In The Post-Deployment Transition Assistance Program: A Qualitative Study Of National Guard Members' Experiences, Alayna L. Collins

Antioch University Dissertations & Theses

Objective: National Guard post-deployment and reintegration processes leave servicemembers with a unique urgency to return to their families, homes, and civilian lives due to the timing and location of the post-deployment Transition Assistance Program (TAP); consequently, National Guard members have reported “checking the boxes” on mental health screeners to prioritize a quick and smooth transition (Salahi, 2023). Although researchers have called for data on the experiences of National Guard members undergoing post-deployment TAP since 2005 (Bascetta), no research to date has answered this call. Method: Eight National Guard members who had been deployed and had undergone post-deployment were individually interviewed …

Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster

Antioch University Dissertations & Theses

This study explores the lived experiences of clinical supervisors who engage in somatically oriented supervision. Informed by relational-cultural theory and polyvagal theory, the research employs a grounded theory methodology to investigate the potential development of a somatic supervision framework. Eleven participants completed semi-structured interviews and data were analyzed using both thematic analysis and grounded theory techniques. Eleven core themes emerged: (a) conceptualizations of somatic supervision, (b) integration of somatic techniques in supervisory practice, (c) theoretical foundations for somatic supervision, (d) attunement to countertransference, (e) the supervisory relationship, (f) trauma-informed approaches, (g) somatic techniques and practices, (h) initiating and structuring somatic …

Initial Validation Of The Measure Of Practical Existential Wellbeing, Bryant L. Moore

Antioch University Dissertations & Theses

According to the theory of existential psychology, all humans experience existential anxiety, a negative feeling that results from the understanding of certain unavoidable truths. If left unchecked, existential anxiety can lead to symptoms of mental illness. Much work has been done to explore and measure existential anxiety, but little has focused on protective factors within existential theory. This dissertation proposes the construct of existential wellbeing, representing protective factors corresponding to different existential domains. To assess this construct, a new instrument, the Measure of Practical Existential Wellbeing (MPEW), was developed, distributed, and analyzed in relation to other established measures. The MPEW …

Exploring The Perceptions Of Technology Use Of Clinicians And Their Clients, Chase M. Torbergson

Antioch University Dissertations & Theses

The research question guiding this study was: What is the perceived understanding of technology use by clinicians for their work with clients? Fourteen participants completed an online qualitative survey exploring their experiences with technology and media in clinical practice. A thematic analysis revealed four primary themes. The first theme, variations in counselor online media usage, highlighted differences in how counselors engaged with online platforms for education, client connection, and self-care. The second theme, counselor assessment of, and dialogue around, online media use, captured varying levels of intentionality in exploring clients’ digital habits, ranging from minimal inquiry to regular, structured discussions. …

Exploring Mental Health Concerns And Loneliness Among East Asian International Students In U.S. Universities, Shihan Xu

Antioch University Dissertations & Theses

This study examined the unique stressors encountered by international college students, with particular attention to East Asian international students, whose collectivistic cultural values contribute to their mental health status and reported symptoms. Following the COVID-19 pandemic, the rise in stress levels and loneliness highlighted the need for further examination. Using data collected in 2024 through the Counseling Center Assessment of Psychological Symptoms-34 (CCAPS-34) and the UCLA Loneliness Scale, the study surveyed East Asian international students enrolled in universities in the United States to identify prevalent mental health concerns and explore the correlation between loneliness and self-reported symptoms among East Asian …

My Body My Choice: A Qualitative Study Of Volitional Female Sterilization In The U. S. Latina And Hispanic Female Population, Heather Morris Tuip

Antioch University Dissertations & Theses

This qualitative study, utilizing an interpretative phenomenological analysis methodology, elucidates the experience of Latina and Hispanic women living in the United States who have volitionally undergone sterilization or have sought the procedure out for birth control. Understanding the rich, contextual, lived experience of Latina and Hispanic women through an intersectional framework highlights how cultural influences and contemporary policies on reproductive rights informed their personal choice to undergo a female sterilization procedure. The participants of this study shared how they made meaning of their experiences. Within a homogenous sampling of study participants who share ethnicities and genders, six group experiential themes …

Replicating Attention-Deficit/Hyperactivity Disorder (Adhd) Behavioral Profiles In School-Age Children: A Multi-Informant Investigation Of Emotional, Behavioral, And Cognitive Functioning, Tarah K. Todd Mrs.

Electronic Theses and Dissertations

Attention-Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder characterized by difficulties with attention, behavioral regulation, and impulsivity. Traditional diagnostic methods rely on categorical subtypes, often failing to capture the substantial heterogeneity observed across children with ADHD. As a result, there is growing support for data-driven, person-centered approaches that identify naturally occurring behavioral profiles rather than relying solely on categorical subtypes.

The present study sought to replicate previously identified ADHD-related behavioral profiles using contemporary clinical measures. BASC-3 Parent Rating Scale (PRS) data served as the foundation for replication of behavioral profiles, and then these profiles were examined across teacher ratings, executive-function …

Do Exploratory Probing Movements Predict Perceived Geometric Or Affordance Properties Of A Surface?, Arghya Kashyap

Theses and Dissertations

People use different exploratory movements to perceive different properties of a handheld object and different exploratory wielding movements to perceive different properties of a wielded object. We investigated whether people use different exploratory probing movements to perceive different properties of a surface. Participants probed a surface and attempted to perceive either an affordance (whether they could stand on that surface) or a geometric property (angle of inclination) of that surface. Perceived angle was nearly perfectly correlated with (but imperfectly scaled to) surface angle. The perceived boundary between surfaces that could be stood on and those that could not be stood …

Resilience After Prenatal Substance Exposure: Exploring The Role Of Cumulative And Specific Protective Factors In Predicting Toddlerhood Temperament Profiles, Anjeli Elkins

Theses and Dissertations--Psychology

Objective

Prenatal exposure to common substances, including nicotine, marijuana, cocaine, methamphetamine, opiates, and alcohol, has been linked to a wide range of psychiatric disorders and neurodevelopmental impairments. Identifying protective factors that may improve temperament profiles in toddlers who have experienced prenatal substance exposure may protect against these adverse outcomes and is crucial for developing targeted early interventions.

Methods

Participants (n=92; Mage = 28.7 years; 47.0% White) were biological mothers of toddlers (Mage = 22.6 months) with prenatal substance exposure. Mothers responded to an online survey that gathered information on substance use during pregnancy, proposed perinatal protective factors, and child temperament. …

Responses To Tobacco Use Screening And Tobacco Cessation Assistance Offers Among Rural And Ubran Cancer Survivors At An Nci-Designated Comprehensive Cancer, Abigayle Feather

Theses and Dissertations--Psychology

Smoking after cancer diagnosis is associated with poor outcomes while smoking cessation can improve quality of life and promote survival. Although there are calls for equitable tobacco treatment delivery in cancer and other healthcare settings, disparities in tobacco-related disease burden persist. In the context of an outpatient cancer center’s population-based tobacco treatment program, this study examines the association between cancer survivors’ rural and Appalachian residence and 1) current tobacco use status, 2) decision to decline cessation assistance, and 3) reason for declining assistance. A cross-sectional, retrospective analysis was conducted using electronic health record data from 16,839 adults (64.04% female, 88.49% …

Multidimensional Health Outcomes In Lgbtq+ Older Adults In The United States: Individual And Community-Level Protective Factors, Emily P. Lapidus

Theses and Dissertations--Psychology

Despite a lifetime of systematic barriers, LGBTQ+ individuals age into late adulthood, likely due to various protective factors. Guided by the Iridescent Life Course Framework (ILCF; Fredriksen-Goldsen & Muraco, 2019), I analyzed unique protective factors at two levels: (1) individual psychological factors (i.e., resilience, identity management) and (2) community-level factors (i.e., LGBTQ+ community connectedness, social support). Health was operationalized as mental health, physical health, and health-promoting behaviors. The present study accounted for covariates (i.e., financial barriers to healthcare, felt subjective age discrepancy, lifetime discrimination). I hypothesized that both stronger individual and community factors would be associated with better physical and …

"We Talk About It At The Dinner Table": Parent Discussions Of Identity And Politics In Diverse Adoptive Families In The United States, Abigail L. Moore

Theses and Dissertations--Psychology

Parents discussing identity and politics with their diverse adolescents can be protective against experiences of political stress and negative outcomes (Anderson, 2023). Identity discrepancies between parents and adolescents may complicate these conversations (McCrimmon et al., 2024). However, this research often only focuses on only one identity (e.g., race or gender; Mendez, 2022). Because negative political climates affect multiple identities simultaneously (Kassing et al., 2021), the current study explores political conversations in diverse, adoptive family contexts with varying (un)shared identities. Through reflexive thematic analysis (Braun & Clarke, 2021), 7 major themes were developed. Results suggest that identity discrepancies may underlie a …

Associations Between Queer Parent Family Socialization And Adolescent Outcomes Among Diverse Lgbtq+ Parent Families In The U.S., Nita U. Kulkarni

Theses and Dissertations--Psychology

Queer parent family socialization refers to the way LGBTQ+ parents talk with their children about what it means to be queer in society, how to handle discrimination, and ways to have pride in their family’s identity. This construct has been linked with positive well-being outcomes in children, and this study used a strengths-based, mixed- methods framework informed by Minority Stress Theory and intersectionality to examine how queer parent family socialization related to several adolescent well-being outcomes, namely internalizing behaviors, social competence, and adaptive coping. Participants recruited across two projects were 191 queer parents with an adolescent and 114 adolescents with …

Living With Flying Colors: Associations Among Lgbtq+ Identity, Religiosity, Spirituality, Community, And Overall Well-Being Among Lgbtq+ Older Adults, Madison T. Diomede

Theses and Dissertations--Psychology

Experiences of discrimination and prejudice place LGBTQ+ individuals in older adulthood (i.e., 55 years old and older) at risk for poor overall well-being. This risk can be especially salient in the Southern and Midwestern U.S., where LGBTQ+ individuals enjoy fewer legal protections than in the Northeast and Western regions of the U.S. In defiance of these odds, LGBTQ+ individuals in older adulthood cultivate overall well-being through psychological-level constructs, like LGBTQ+ identity affirmation, and community-level constructs, LGBTQ+ community connection. Yet, little research has examined these avenues of strength among LGBTQ+ individuals in older adulthood. Guided by Iridescent Life Course Theory and …

Weighted Family History Density Of Substance Use: Influence On Participant Substance Use Onset, Escalation, And Duration, Carleigh A. Litteral

Theses and Dissertations--Psychology

Substance use disorders impose a staggering toll on the United States (U.S.), straining healthcare systems, destabilizing communities, and profoundly impacting both individuals and families. Approximately one in six Americans aged 12 and older had a past-year substance use disorder in 2022 (Key Substance Use, 2022), and nearly one-third of adults experience a substance use disorder in their lifetime (Wu, 2010), contributing to an economic burden exceeding $400 billion annually (National Drug Threat Assessment, 2011). Family history of substance use disorders is a key predictor of vulnerability, with individuals who have affected relatives being 2–8 times more …

Exploring The Effects Of Transcranial Direct Current Stimulation Of The Right Inferior Frontal Gyrus On Inhibitory Control In Posttraumatic Stress Disorder, Colton Rippey

Theses and Dissertations--Psychology

Background: The right inferior frontal gyrus (rIFG) is implicated in stop signal reaction time (SSRT) performance – a common measure of inhibitory control – and emotional expression and control. Individuals with posttraumatic stress disorder (PTSD) exhibit poorer stop SSRT performance, which is associated with rIFG hypoactivity. Neuromodulation of the rIFG with transcranial direct current stimulation (tDCS) can significantly improve inhibitory control and reduce fearful responding to threatening stimuli. Research has yet to test the effects of multifocal tDCS targeting the rIFG on inhibitory control or emotional reactivity in individuals with PTSD.

Methods: The current study aims to examine the impact …

Relationship Between Anticipated Stress And Individuals’ Health-Related Behaviors, Julie Parsons

Theses and Dissertations--Psychology

Prior work in assessing the relationship between stress and health behaviors has identified the complex and multi-directional nature of these relationships. However, minimal work has assessed the possible relationships between stress anticipation and health behaviors such as diet, physical activity, and sleep outcomes in individuals. This work seeks to address this gap by conducting a daily diary study assessing within-person associations between stress anticipation and health behaviors over the course of a week. We hypothesized that daily stress anticipation would be negatively associated with dietary scores, physical activity engagement reports, sleep quality, and sleep duration while being positively correlated with …

Interparental Conflict And Sibling Relationship Quality In Emerging Adulthood: An Emotional Security Perspective, Courtlyn A. Fields

Theses and Dissertations--Psychology

Sibling relationships are among the earliest lifelong relationships and have been found to be protective against family dysfunction and positive adjustment outcomes. Yet research on sibling relationships remains limited. The current study aims to expand understanding of sibling relationship quality in emerging adulthood through the application of Emotional Security Theory (EST). EST provides a framework for understanding how adult sibling relationships may be impacted by childhood experiences of destructive interparental conflict. A sample of 1222 undergraduates with siblings completed an online survey. Participants retrospectively reported on interparental conflict and emotional security in childhood, and reported on their current emotion regulation, …

Global Sleep Quality, Emotion Regulation Difficulties, And Ptsd Symptom Severity In Trauma-Exposed College Women, Grace M. Seymour

Theses and Dissertations--Psychology

Sleep problems are common among college women and may contribute to PTSD symptoms. Those with emotion regulation difficulties may have increased difficulty managing distress worsened by poor sleep, though it is unclear which specific facets of emotion regulation are most relevant. This study examined interactions between sleep quality and facets of emotion regulation difficulties on PTSD symptoms among college women (N = 1,037) using self-report measures: the Pittsburgh Sleep Quality Index (PSQI), PTSD Checklist for DSM-5 (PCL-5), and Difficulties in Emotion Regulation Scale (DERS-18). Two significant interactions emerged. Sleep disturbance interacted with difficulties engaging in goal-directed behavior (b …

Putative Mechanisms Of Personality Change In Treatment, Hannah Croom

Theses and Dissertations--Psychology

BPD Compass was designed to engage the BPD-relevant traits from the Alternative Model of Personality Disorders in the DSM-5 by targeting putative mechanisms associated with these personality domains: aversive reactivity to engage negative affectivity, attachment insecurity to engage antagonism, and self-efficacy to engage disinhibition. The goal of the present study was to test the associations between putative mechanisms and respective personality traits. We used multilevel structural equation modeling to test if personality domains and putative mechanisms changed in treatment, if changes in putative mechanism were associated with changes in respective personality domain, and if within-person changes in putative mechanisms predicted …

Why Are Women Tired? Examining Sex-Dependent Effects Of Behavioral Rhythms On Perceived Sleepiness, Maricel Schuler

Theses and Dissertations--Psychology

Sleep complaints in women emerge at menarche and coincide with reproductive hormonal fluctuations throughout the monthly menstrual cycle. To our knowledge, we are the first study (N = 44) to utilize a validated algorithm that uses actigraphy-derived light and activity data in a novel approach to estimate circadian phase, referred here as the photobehavioral phase. We hypothesize that women will have earlier photobehavioral phases, larger phase angles, poorer perceived sleep quality, and greater sleepiness compared to men. In addition, we hypothesize that the perimenstrual phase will be associated with poorer sleep within a subsample of women (N = 15). Contrary …

Examining Values In The Treatment Of Borderline Personality Disorder: A Single-Case Experimental Design, Nicole Stumpp

Theses and Dissertations--Psychology

Borderline personality disorder impacts roughly 1.6% of the general population yet only a quarter of people with BPD are able to access treatment. Understanding the mechanisms that promote behavior change in treatment is crucial for improving care for this population. Experiential avoidance has been linked to risky behaviors, a prevalent and debilitating symptom observed in BPD. Values identification may be a fruitful avenue for engaging experiential avoidance in treatment. The goal of the present study is to understand the unique and combined effects of values identification and behavior change skills (i.e., opposite actions, exposure) on experiential avoidance (target), maladaptive behavior …