Digital Commons Network^™

The Impact Of Childhood Sexual Abuse On Adulthood Eating Disorders: When Healthy Eating Becomes Unhealthy, Audryn Andreoli

Theses and Dissertations

The Centers for Disease Control and Prevention (CDC; 2020c) estimated that approximately 3.7 million children experience childhood sexual abuse (CSA) every year in the United States. CSA is a significant issue associated with negative psychosocial and health-related outcomes, including eating disorders (Afifi et al., 2017). While there has been substantial research completed regarding CSA and eating disorders, there is a significant gap in the literature regarding Orthorexia Nervosa (ON) and CSA. The present study sought to determine whether CSA is a risk factor ON and determine the relationship between frequency of occurrence of CSA, sex, race, previous eating disorder diagnosis, …

Engaging Youth And Families Within The Context Of Evidence-Based Treatment (Ebt) Implementation: Examining Integrity Of Engagement Practices To Different Ebt Information Sources, Eleanor Wu

Theses and Dissertations

Promoting and maintaining client engagement has proven to be a significant challenge across community mental health settings, including within the context of implementing evidence-based treatments (EBTs) (De Haan et al., 2013). Few efforts have been made to equip providers with empirically-sourced engagement strategies outside of the limited set of engagement procedures covered in EBT protocols. To inform efforts for improving EBT accessibility, the current study characterizes the delivery of engagement practices from the literature within the context of EBT implementation, and examines provider integrity of engagement practice use according to two information sources (i.e., the provider’s EBT training history and …

Engaging Youth And Families Within The Context Of Evidence-Based Treatment (Ebt) Implementation: Examining Integrity Of Engagement Practices To Different Ebt Information Sources, Eleanor Wu

Theses and Dissertations

Promoting and maintaining client engagement has proven to be a significant challenge across community mental health settings, including within the context of implementing evidence-based treatments (EBTs) (De Haan et al., 2013). Few efforts have been made to equip providers with empirically-sourced engagement strategies outside of the limited set of engagement procedures covered in EBT protocols. To inform efforts for improving EBT accessibility, the current study characterizes the delivery of engagement practices from the literature within the context of EBT implementation, and examines provider integrity of engagement practice use according to two information sources (i.e., the provider’s EBT training history and …

Parenting Practices And Parental Religiosity: The Context Of Region And Conservatism, Melanie Stearns

Theses and Dissertations

Although parental religiosity generally has been associated with positive child outcomes it also has been connected to the use of corporal punishment and authoritarian parenting style. Thus, other variables must exist which influence how the interaction between religiosity and parenting practices influence child outcomes, such as regional differences (i.e., conservatism, population density, etc.). The current study expanded upon previous literature by examining maternal and paternal variables, extending the study to emerging adults, examining emerging adult gender, various religions, and different regions of the United States (i.e., Northeast, South, Midwest, West), as well as levels of conservatism and population density (i.e., …

Psychometric Properties Of The Spanish Version Of The Treatment Support Measure (Tsm-Sp), Corinne Elizabeth Ruth

Theses and Dissertations

Hispanic youth and families, although they comprise a sizeable portion of the population, are underrepresented in mental health settings within the United States and face significant barriers to receiving adequate treatment. Specifically, the lack of availability of Spanish assessment tools for application in treatment prohibits Hispanic clients from accessing the full extent of available therapeutic resources. The Treatment Support Measure (TSM) is a valid and reliable instrument that allows clinicians and researchers to collect information to better understand change processes and relevant client characteristics in therapy. The present study created a Spanish-translated version of the parent and youth TSM (TSM-SP) …

Relationships Between Parental Involvement, Socioeconomic Status And Literacy Skills, On Graduation Rates, Juvenile Incarceration Rates, And Psychiatric Hospitalization Rates, For Mississippi Youth, Karla Weir

Theses and Dissertations

The purpose of this study was to examine the relationship between two sets of variables with the first including parental involvement, literacy skills, and socio-economic status and the second including graduation rates, incarceration rates and psychiatric hospitalization rates. The study methodology included three separate multiple regression analyses. Data were collected from archival sources through the Mississippi Department of Education (MDE), Mississippi Department of Mental Health, and the Mississippi Department of Human Services Youth Divisions. The results of this study indicated that socio-economic status has a statistically significant relationship with high school graduation rates and youth psychiatric hospitalization rates in the …

Children’S Participation Rights In Child Welfare Systems: Identifying Opportunities For Implementation, Anna M. Cody

Theses and Dissertations

Children’s participation rights are critically important for supporting children’s well-being. Studies across the world consistently demonstrate that children and youth feel uninvolved, silenced and marginalized within the child welfare context which has a direct impact on their physical safety as well as their subjective well-being. There has been a shift in US policy and practice towards recognizing the value and importance of engaging youth, older youth in particular, in being involved with planning for their care and for their future. However, definitions of what meaningful “youth engagement” might look like within the child welfare context generally lack clarity. In addition, …

Team Building Challenges And Opportunities After A Public Agency Merger, Andrea A. Severson

Theses and Dissertations

This study used a mixed-method design to gather data about team building after a public agency merger. This study found that teamwork, role clarity, and clear decision processes were the most important factors impacting goal accomplishment post-merger. Prioritizing team building before, during, and after a public agency merger can address some of the most common challenges presented by a merger or acquisition.

The Moderating Role Of Developmental Assets On Relations Between Child Maltreatment, Trauma, And Dating Violence, Stephanie A. Hitti

Theses and Dissertations

Teenage dating violence (TDV) is prevalent and associated with an array of psychosocial and health problems. Thus, numerous studies have focused on the identification of risk and protective factors for TDV. Child maltreatment has been consistently identified as a risk factor for TDV victimization and perpetration. However, potential underlying mechanisms that may partially explain the relations between child maltreatment and TDV victimization and perpetration are not well understood. The present study explored indirect relations between child maltreatment and TDV victimization and perpetration via trauma symptoms, and examined whether internal and external developmental assets moderated relations between (a) child maltreatment and …

Dating Violence Victimization And Posttraumatic Stress Outcomes Among Urban Adolescents: The Moderating And Mediating Role Of Positive Outlook, Carine Leslie

Theses and Dissertations

Adolescent dating violence occurs far too frequently in early adolescence and is related to adverse mental health outcomes, including posttraumatic stress symptoms. One focus within this literature has been to determine and better understand how protective processes may function in influencing relations between risk factors and dating violence victimization. A protective factor that has not been explored in the dating literature is positive outlook. The current short-term longitudinal study investigated whether dating violence victimization at Time 1 predicted posttraumatic stress symptoms at Time 2 among African American middle school students and examine whether positive outlook moderated or mediated this relation. …

Use Of Formative Research To Inform Family-Based Approaches To Prevent Prescription Opioid Misuse Among Mississippians, Mary Nelson Robertson

Theses and Dissertations

The United States is in the midst of an opioid epidemic, which is leading to approximately 130 deaths each day. While research on family-based approaches for substance misuse prevention, such as alcohol and tobacco prevention, has been conducted, few if any studies have focused on prescription opioid misuse prevention. Previous literature suggests that a comprehensive family-based approach can be effective in preventing substance misuse at the family-level. Considering the multiple age groups the sandwich generation cares for, the sandwich generation may have greater access to reaching multiple age groups to prevent prescription opioid misuse. Therefore, the purpose of this study …

Collaboration Within Special Education Transition: Perceptions Of Barriers, Strategies, And Effects Of Collaboration, Elizabeth Magee

Theses and Dissertations

Transitioning students with disability demonstrate poorer outcomes in employment, education, and independent living than peers without disability. Legislation and research aimed at supporting transitioning students has led to increased understanding of initiatives that can better support youth and families. Interagency collaboration for transition planning is a key pillar, but evidence-based research in implementation and effects is limited. Through a single-state survey research design, this study aims to identify the levels and perceptions of collaborative factors among transition professionals, specifically educators, Vocational Rehabilitation professionals, and various community supports providers. Variance in perceptions exist among participant role groups, as well as among …

The Influence Of Preschool Absence Rate And Stability On The School Readiness Of Children, Taylor Watson Poole

Theses and Dissertations

This pilot study adds to the limited literature by examining various forms of dosage (i.e., absence rate; stability in years) within a quality early childhood center and its links to multiple criterion-referenced indicators of school readiness (i.e., gross motor, fine motor, pre-writing, cognitive, language, self-help, personal/social developmental). The sample included 46 children between the ages of 3 and 4-years-old primarily from middle to upper-middle socioeconomic backgrounds. Absence rates were determined via daily sign-in sheets, while stability was determined according to center records. Results indicate stability, not absence rate, as a statistically significant predictor of better performance on two school readiness …

Complex Trauma: Counselors' Self-Efficacy And Treatment, Breeze Valenska Rueda

Theses and Dissertations

The purpose of this descriptive and exploratory mixed-method study was twofold: to explore counselors’ perceptions and knowledge regarding complex trauma and, assess counselors’ perceptions regarding their level of confidence when working with this population. The study determined what relevant factors were related to counselors’ perceived self-efficacy concerning complex trauma. Although complex trauma is emerging as an important issue, there is limited research regarding counselors’ experiences with complex trauma. The current study explored participants’ perceptions when providing services to individuals with prolonged and cumulative trauma and provided a greater understanding of counselors’ recognition and selfefficacy when working with this population. A …

Helping South Carolina’S Children Thrive: Promoting Protective Factors To Prevent The Long-Term Impact Of Adverse Childhood Experiences Through The Development Of Evidence-Based Public Health Policies, Aditi Srivastav

Theses and Dissertations

This study considered Adverse Childhood Experiences (ACEs) to be an underlying cause of engagement in risk behaviors and that the implementation of protective factors, or positive relationships and environments, can reduce long-term implications of ACEs. First, this study examined the empirical relationship between safe, stable, and nurturing relationships (SSNRs), exposure to ACEs, and risk behaviors using a population-level health survey in South Carolina. The results of this research, which demonstrate that SSNRs moderate the relationship between ACEs and risk behaviors, provide innovative evidence for the role of protective factors in reducing exposure to ACEs and risk behavior engagement. Next, this …

Changes In Self-Concept And Substance-Related Cognitions During Short-Term Residential Substance Use Treatment, Olivia Grace Larson

Theses and Dissertations

The United States is in the midst of an opioid crisis, with more than 130 people dying each day from an opioid overdose (Centers for Disease Control and Prevention [CDC], 2018a). Given the recent spike in overdose deaths associated with highly potent synthetic opioids (i.e., fentanyl), there are few signs of the crisis abating (CDC, 2018a). Compared to other age groups, the prevalence of both heroin and prescription opioid use is particularly elevated among young adults (Sharma, Bruner, Barnett, & Fishman, 2016). While there is a large body of evidence demonstrating the effectiveness of substance use treatment in general, only …

Parental Spiritual Coping As A Protective Factor Against Psychological Maltreatment Among Korean American Immigrant Families, Chin He Bae

Theses and Dissertations

This study aimed to examine whether greater parental daily spiritual practices relate to their psychological aggression potential and parenting stress. A sample of Korean American adults who identified as Christians and had at least one child aged 18 and under were included in the sample (n = 108). Correlations associated with parental daily spiritual practices, their psychological aggression potential, and parenting stress were examined. Hierarchical multiple regression analyses and negative binomial regression analysis were used to determine if parental daily spiritual practices are predictive of lower parental psychological aggression and parenting stress. Results found weak to moderate correlations between parental …

Exploring The Lived Experiences Of Foster Youth Who Obtained Graduate Level Degrees: Self-Efficacy, Resilience, And The Impact On Identity Development, Cristina Miranda

Theses and Dissertations

The purpose of this phenomenological study was to explore the lived experiences of former foster youth who have completed graduate level academic programs in order to discover and describe the elements that these individuals believe led to their academic success. The primary research question for this study was: what do former foster youth who completed graduate level programs report as elements that contributed to their academic success? The researcher utilized a qualitative approach and portraiture methodology. In depth, interviews were conducted with six individuals, three women and three men, who spent time in foster care and later went on to …

Examining Coteaching To Lessen And/Or Preclude The Segregated Placement Of Students With Emotional Disturbance Via Southern California School Districts, Christa Sara Stepanian

Theses and Dissertations

This mixed methods case study examined the systems thinking component of collaboration through coteaching at inclusive public school environments to facilitate the need of special education students who are presently segregated at nonpublic schools. This study first analyzed qualitative data in the form of interviews from a sample population of 5 district representatives to disclose the chief reason for such failure on the part of a plethora of public school districts in southern California to facilitate the needs of their students (characterized with emotional disturbance and/or another disability who also display behavior issues) in inclusive and collaborative environments. Secondly, this …

The Role Of Religiosity, Spirituality, And Creative Arts In The Recovery Process Of Latina Survivors Of Child Sexual Abuse, Bridget M. Vazquez

Theses and Dissertations

The purpose of this study aimed to examine the use and effectiveness of religiosity, spirituality, and creative arts as culturally sensitive forms of coping among adult Latina and/or Hispanic child sexual abuse (CSA) survivors. Research has demonstrated that methods of coping serve as culturally sensitive techniques that help Latinas cope with CSA experiences by fostering feelings of empowerment, pride, and safety (Becker, 2015; Collins, O'Neill-Arana, Fontes, & Osseg, 2014; Ligiero, Fassinger, McCauley, Moore, & Lyytinen, 2009; Marques et al., 2016; Meston, Lorenz, & Stephenson, 2013; Sabina, Cuevas, & Schally, 2012; Sweig, 2000). Despite these findings, these interventions with this specific …

Adaptation Of A Resilience-Oriented Stress Management Intervention For Youth With Type 1 Diabetes, Tamara Michele Rumburg

Theses and Dissertations

Managing type 1 diabetes involves a complex treatment regimen, and often results in increased stress and mental health issues in youth and families as youth enter adolescence. Research indicates that effective management of diabetes-related stress can have a positive impact on both the psychological and physical health of youth and their families. While traditional stress management interventions have aimed to reduce stress through coping, building resilience is a more recent approach to stress management that can be cultivated even in the absence of stress. Interventions specifically aimed at increasing resilience in youth with chronic illnesses have shown promising results; however, …

Determining Success Factors In Interprofessional Practice With Dynamic Teams, Danah Alsane

Theses and Dissertations

Background: The interprofessional healthcare team is dynamic to cope with complex issues and needs existing in the healthcare environment. Understanding the important factors that predict dynamic team effectiveness helps health educators to establish team training models that focus on improving collaborative student performance that facilitates their transition to practice and helps to improve the health and system outcomes.

Objectives:1) Assess the impact of a practice-based interprofessional education (IPE) model on student attitudes and knowledge toward interprofessional teamwork.2) Evaluate predictors associated with team effectiveness among dynamic student teams participating in a practice-based IPE setting.

Methods: This was an exploratory cross-sectional …

Examining Sleep And Family Functioning In Pediatric Craniopharyngioma Using Ecological Momentary Assessment, Nour Al Ghriwati

Theses and Dissertations

Craniopharyngiomas are among the most common brain tumors in children and are associated with greater rates of sleep problems compared to other pediatric cancers. However, research examining sleep among youth with craniopharyngioma has been limited by a reliance on retrospective reports or sleep studies. Families also play a crucial role in children’s adjustment following a pediatric cancer diagnosis, yet remarkably little is known about transactional associations between family functioning and sleep in pediatric cancer. This study examined cross-sectional and daily associations among family functioning, affect, and sleep difficulties for youth with pediatric craniopharyngioma using retrospective reports and ecological momentary assessment …

Stress-Buffering Of Social Support On Depressive Problems: Moderation By Parental Depressive Problems, Erica Marie Szkody

Theses and Dissertations

The impact of parental depressive problems on children’s depressive symptoms has been widely studied. The Stress Buffering Hypothesis states that social support acts as a protective factor between the impacts of stress from negative life events on physical and psychological health. The current study examined the stress buffering hypothesis in terms of the relationship between parental depressive problems and emerging adult depressive problems. The differential buffering strength of both perceived social support and received social support between stress from negative life events and depressive problems were examined along with the moderating effects of parent and emerging adult gender. Neither perceived …

Early Childhood Teachers' Perception Of Their Principal's Leadership And The Relationship On Their Own Job Satisfaction And Self-Efficacy, Maria F. Rincon

Theses and Dissertations

The purpose of this study was to determine if a correlation exists between Early Childhood teachers’ sense of job satisfaction and their sense of self-efficacy. Teachers in this study participated voluntarily and answered a set of questionnaires that collected data regarding their current opinions and perceptions of their school principal’s leadership, job satisfaction, and self-efficacy beliefs.

Reclaiming Empowerment, Agency, And Collective Healing (R.E.A.C.H.) For Youth: An Adaptation Of Emotional Emancipation Circles For Adolescent Males Of African Ancestry, Marlene Angela Garza

Theses and Dissertations

This dissertation identifies the relevant literature and methods that were used to develop a facilitator's handbook for a culturally-specific intervention for adolescent males of African ancestry. The handbook, 'Reclaiming Empowerment, Agency, and Collective Healing for Youth' (R.E.A.C.H.-Youth) provides curriculum for a culturally-centered and social justice-oriented group intervention for adolescent males of African ancestry. The resource developed will serve to provide empowerment for healing for young adolescents who have experienced historical discrimination and the negative effects of racism and discrimination in the United States. Adolescent young men of African ancestry are one of the many groups within the US that have …

Advancing Understanding Of Dynamic Mechanisms In Onset To Event Models: Discrete Time Survival Mediation With A Time Variant Mediator, Heather Lasky Mcdaniel

Theses and Dissertations

Integrating discrete time survival and mediation analytic approaches, discretetime survival mediation models (DTSM) help researchers elucidate the impact of predictors on the timing of event occurrence. Though application of this model has been gainful in various applied developmental and intervention research contexts, empirical work has yet to consider how DTSM models operate with a mediator that has a varying effect over time. The importance of examining this situation has important impacts for application of the model, given more complex statistical models are required, and subsequent interpretation of model parameters differ from the basic DTSM model. The overarching purpose of this …

Developing A Measure Of Empowerment In Schools, Abby Albright Bode

Theses and Dissertations

Youth empowerment is widely defined as youth being actively involved in and influencing their environment in such a way as to foster positive developmental trajectories. Youth empowerment is fostered by such external aspects as positive relationships with adults, having a safe and supportive environment, and being included as meaningful contributors to teams. Given these aspects that enhance empowerment, schools are poised to provide a natural context for fostering youth empowerment. Relatedly, there is a national movement toward more comprehensive school mental health (SMH) programs and services, and building youth empowerment within this field is a logical and needed step, but …

Education’S Role In A System Of Care For Children And Youth With Emotional/Behavioral Challenges: A Mixed Methods Evaluation, Lauryn Young

Theses and Dissertations

Students with more severe emotional/behavioral (EB) challenges have many problems in the school environment and subsequently have significant difficulty making adjustments later in adulthood. Coordinated care systems, such as local system of care (SOC) initiatives, were established in response to a call for reform in youth mental health services as research began highlighting the need for improved access and quality of mental and behavioral services for youth. However, even in communities where SOC initiatives are operating well, school involvement is usually marginal. Therefore, the current study aimed to evaluate education’s role in one SOC for children and youth with EB …

Urban Social Landscapes And Urban Places: Processes Of Making And Informing Maronite Identity In Beirut, Divin Boutros

Theses and Dissertations

This research looks at the Maronites of Beirut and examines, from their perspective, the role of belonging, imagined geographies, and memories of place in the processes of making and informing Maronite identity in Beirut after the civil war of 1975. The civil war of 1975 allows me to examine the city’s change in demographics in relation to the Green Line that divided the city between a Muslim West Beirut, and a Christian Eastern Beirut during the civil war. The thesis approaches Beirut’s homogenous neighborhoods, a result of the city’s cantonization during the civil war, as problematic for the future of …