Digital Commons Network^™

Beyond Ssris: Omega-3 Fatty Acids And The Neurobiology Of Impulsivity In Borderline Personality Disorder, Sujean Doo

Scripps Senior Theses

Impulsivity is a central and clinically significant dimension of Borderline Personality Disorder (BPD), and is strongly associated with self-harm, aggression, and suicide risk. Despite its prognostic importance, pharmacologic management of impulsivity in BPD remains inconsistent. Selective serotonin reuptake inhibitors (SSRIs) are frequently prescribed; however, randomized controlled trials demonstrate limited efficacy for impulsive-aggression, and some patients experience a paradoxical behavioral activation. Meta-analytic and systematic reviews further suggest that mood stabilizers and second-generation antipsychotics may outperform antidepressants, yet no specific medication is indicated to target impulsive behavioral dyscontrol.

This thesis synthesizes findings from systematic reviews, randomized trials, and neuroimaging research to evaluate …

Climate Change In An Educational Context: A Model Addressing Psychological Distance, Hope, And Concern, Brooke E. Kasl-Godley

Scripps Senior Theses

As the threat of climate change becomes more urgent, educators should focus on fostering climate concern and action instead of simply providing climate information. These studies present a novel model of climate education where locally-framed and action-oriented curriculum increases students’ environmental concern through the mechanisms of psychological distance and hope. This curriculum was taught over two years to sixth-grade students at a school in the Los Angeles Metropolitan Area. Study 1 examines students’ environmental concern and sense of responsibility before and after delivery of the curriculum. Study 2 is a proposed follow-up study, that will address limitations of Study 1 …

Remembering Choices: Feedback, Memory Accuracy, And Context-Dependent Preference Shifts, Cameryn K A Okamura

Scripps Senior Theses

Preferences are often assumed to be stable across time and context, yet research on cognition and behavioral economics suggests otherwise. The present study examined whether false reminders of prior choices amplify susceptibility to the asymmetric dominance effect, commonly known as the decoy effect, and secondly, whether working memory capacity moderates this relationship. Twenty-one participants completed an online experiment in which they first chose between pairs of everyday consumer products or services before receiving accurate, inaccurate, or no reminders of their earlier selections. They then made new choices from triplet sets containing a target (T), competitor (C), and asymmetrically dominated decoy …

Identity Development And Resonance With Cultural Sounds: A Study Of Undergraduate Women Of Mexican Descent, Manuela S. Flores

Scripps Senior Theses

Undergraduates of Mexican descent are not a monolith; their experiences vary based on positionality and lived experiences within academia in the United States. This study explored the lived experiences of seven women of Mexican descent, ages 18 to 25, to examine how they experience and make meaning of music while developing their identities in college. A descriptive phenomenological approach was employed, using semi-structured interviews to explore participant’s lived experiences in relation to music. Identity development was contextualized in relation to cultural values, musical experiences, and participant positionalities. Interview questions addressed music engagement, conceptualizations of Chicanx culture, and the values participants …

Just War Theory In The Hunger Games: Suzanne Collins’S Critique Of Violence, Power, And Rebellion, Laila Hannum

Scripps Senior Theses

This thesis applies just war theory to Suzanne Collins's The Hunger Games trilogy, arguing that while the districts' rebellion satisfies the principles of jus ad bellum (justice in going to war), it systematically violates jus in bello (justice in the conduct of war) and jus post bellum (justice after war), and ultimately replicates the oppressive structures of the Capitol it sought to overthrow.

Drawing primarily on Michael Walzer's Just and Unjust Wars and on Brian Orend's ideas on post-war justice, this thesis traces the rebellion's moral arc across all three novels. Chapter One shows that the rebellion meets the criteria …

From Passive To Powerful: Creating Engaging Resident-As-Teacher Modules, Anna E Rueda, Stephanie V Sherman, Sherita J Love, Glenn C Bridges, Wesley A Mayer, Mark J Harbott, Teri L Turner, Bani M Ratan

Faculty and Staff Publications

Background: We aimed to design, implement, and evaluate three novel institutional resident-as-teacher (RAT) e-modules for postgraduate year (PGY) 1, 2, and 3 and compare them to previously utilized online trainings.

Methods: We utilized PICRAT, a model examining both students' relationship with technology (passive, interactive, creative) and instructors' use of technology (replaces, amplifies, or transforms) to create interactive experiences that amplified teaching methodologies. We compared evaluations of the previous and new trainings with an unpaired t test. New modules were assessed with one-way analysis of variance for specialty-based acceptability and content analysis of two open-ended questions.

Results: Response rates averaged 93.2% …

Equity And Justice In Water Pricing And The Effects On Water Distribution System Management, Brian Barkdoll

Michigan Tech Publications

Equity regarding access to potable water is paramount. Municipal Water Distribution Systems supply potable water to users and are essential to public health. To find the optimal price of water to maximize utility revenue and allow changes to the system components for capital and maintenance expenditures, network modeling was performed for 15 real MDWSs. A new power-law price-usage elasticity curve, entitled the Power Law Elasticity Function (PLEF), was used that allowed for various users, both high- and low-income, and a non-discretionary level of usage. It was found that: (1) the maximum profit was obtained when the price was approximately 0.8 …

Use Of A Medication Management Algorithm In Depressed Youth Living With Hiv: Secondary Analysis Of A Multisite Randomized Controlled Trial, Graham J Emslie, Beth D Kennard, Kristin Baltrusaitis, Sophia M Jones, Jessica M Jones, Jaime G Deville, Kathleen Pitts, David E Shapiro, Allison Eliscu, Larry K Brown

Faculty, Staff and Students Publications

Objectives: Depression is a prevalent co-occurring condition in youth living with HIV. This report is a secondary analysis of a multisite cluster randomized trial evaluating the efficacy of a health and wellness cognitive behavioral therapy (CBT) combined with a medication management algorithm utilizing measure-based care (COMB-R) compared with enhanced standard of care (ESC). We describe and compare antidepressant prescribing strategies (i.e., antidepressant treatment, type of antidepressant) for youth living with HIV at COMB-R sites to those at ESC sites over the 24-week intervention. We also describe self-reported adherence to antidepressants.

Methods: Participants (12-24 years) were youth living with HIV diagnosed …

Injuries In Children Undergoing Subspecialty Abuse Evaluations Because Of Intimate Partner Violence, M Katherine Henry, Gunjan Tiyyagura, Joanne N Wood, Jan Leonard, Kristine A Campbell, Daniel M Lindberg, Angela N Bachim, Farah W Brink, Lori D Frasier, Nancy S Harper, Claire Hickey, Natalie Laub, John D Melville, Hannah Sahud, Philip V Scribano

Faculty, Staff and Students Publications

Background and objectives: Intimate partner violence (IPV) and child physical abuse often co-occur, but the frequency and risk factors for abusive injuries in IPV-exposed children remain unknown. Our objectives were to (1) determine frequency of skeletal surveys (SSs) and neuroimaging use because of IPV and their diagnostic value in children aged less than 24 months evaluated by a child abuse pediatrics specialist (CAP) and (2) identify factors associated with performance of and findings on SS and neuroimaging.

Methods: We conducted a retrospective study of children aged less than 24 months undergoing CAP consultations because of IPV exposure from February 2021 …

A Comparative Analysis Of The Sport Mental Health Assessment Tool (Smhat-1) Between Paediatric And Adult Olympic And Paralympic Athletes, Ashley N Triplett, Travis Anderson, Eric G Post, Jessica Bartley, Jeffrey S Shilt, Eric L Dugan, Amber Donaldson, Jonathan Finnoff, William M Adams

Faculty, Staff and Students Publications

Objective: To determine if paediatric athletes exhibit differences in positive screenings on the Sport Mental Health Assessment Tool (SMHAT-1) compared with adults.

Methods: Team USA Olympic and Paralympic paediatric athletes ≤21 years (n=589; 58.8% female; age=19.5±1.7 years) completed the SMHAT-1 between January 2021 and September 2024. A comparative sample of Team USA adult athletes (n=493, 54.2% female; age=27.3±4.9 years) matched for sex and sport was randomly sampled, and the percentage of athletes with a positive screening on each questionnaire was calculated. χ2 analysis compared the proportion of positive screenings between paediatric and adult samples. Piecewise linear regression assessed the association …

The Rise Learning Theory: A New Paths-Way For Teaching Social Emotional Learning Curricula, Rebecca L. Demeo

Scripps Senior Theses

This study aims to look at the effectiveness of the Promoting Alternative THinking Strategies (PATHS) Social Emotional Learning curriculum when taught through the second and fourth principles of the RISE learning theory. The implementation will take effect within United States elementary schools, and consenting students will participate in the quasi-experimental design where classrooms will either be assigned to the control group, PATHS program taught as normal, or the experiment, PATHS taught with the RISE principles. During the study, participants will complete pre-experiment, post-experiment, and follow-up assessments to measure differences in mean scores of competence and application throughout the implementation. I …

"Chatcbt”: Understanding The Implications Of Artificial Intelligence In Cognitive Behavioral Therapy, Esther R. Goldberg

Scripps Senior Theses

The proposed study is intended to explore the impacts of artificial intelligence (AI) tools when used in cognitive behavioral therapy (CBT) to treat anxiety in American adults. The research is designed to measure whether AI systems such as large language models (LLMs) provide sufficient therapy through the factors of empathy, coping skills, and anxiety symptom reduction. Human therapists are hypothesized to surpass chatbots in all three. Through an experimental design, participants will be placed in either an AI therapy condition or human therapy condition. Participants will undergo a 12-week CBT program, after which they will measure anxiety reduction, perceived empathy …

Roots To Recovery: How Therapeutic Horticulture Can Heal Sexual Trauma, Fiona E. Larsen-Teskey

Scripps Senior Theses

Sexual assault is one of the most prevalent sources of trauma among females. While still requiring more research, therapeutic horticulture (TH), also known as gardening therapy, has so far shown promising results regarding trauma recovery. In this study, I seek to discover how TH can aid in female sexual assault recovery. To determine its impact, I will conduct a three-month experiment with two groups: those who receive cognitive behavioral therapy (CBT) and those who receive CBT plus TH. I will specifically measure three common side effects survivors face: dissociation, shame, and PTSD. These categories will be measured through surveys and …

Carrots, Not Sticks: A Contingency Management Model For Rural Methamphetamine Recovery, Ella House

Scripps Senior Theses

Rates of methamphetamine use disorder (MUD) have risen sharply across the United States, with rural Appalachia experiencing the steepest mortality increases. Contingency management (CM) is among the most effective treatments for stimulant use, yet implementation is constrained by cost, logistics, and clinician shortages. Utilizing digital CM platforms and peer recovery support specialists, who are central to addiction support in rural regions, may reduce these barriers. This thesis proposes a 16-week, three-arm randomized controlled trial (N ≈ 300) comparing: (1) Digital Abstinence CM Only (remote saliva toxicology and monetary vouchers for stimulant-negative tests); (2) Digital + Peer-Goal CM (digital abstinence-based CM …

Pervasive Policing: The Psychological Effects Of Overcriminalization Of Black And Latino Youth, Chloe Gonzalez

Scripps Senior Theses

Recent years have brought increased awareness to the discriminatory treatment of Black and Latino individuals by the police, but a gap in the literature remains at the intersection of the study of criminalization and psychology. The proposed study will attempt to bridge this gap by investigating the extent to which the overcriminalization of Black and Latino high schoolers contributes to the internalization of racialized stereotypes and the development of depressive symptoms. The research will implement a correlational approach combining quantitative and qualitative methods to gather data from a sample of Black and Latino high schoolers ages 14 to 18. Participants …

Art Therapy’S Effect On The Social And Emotional Skills Of Children With Autism: A Naturalized Parent Mediated Design, Abigail Adell

Scripps Senior Theses

This study examines the effect of art therapy on the social and emotional skills of children with autism. Using sensitive design and language, participants will take the CARS2 and ADOS-2 and then undergo an eight-week art therapy program. Families will attend weekly training sessions at the autism center their child already attends for eight consecutive weeks, with each session lasting approximately 90 minutes. Parents will implement the assigned art activity at home five times per week between training sessions, with each home session lasting fifteen to twenty minutes. The program uses a naturalized parent-mediated design so topics and projects can …

Boredom And Creativity: The Effects Of Unstructured Play Versus Screen Time On Creative Performance, Vivienne J. Swenson

Scripps Senior Theses

Children today spend increasing amounts of time engaged with digital media, raising questions about how screens may displace developmental experiences that support creativity. Although research suggests that unstructured play and even mild boredom can facilitate divergent thinking, few studies have directly compared unstructured, self-directed play with passive screen use in early childhood. The present study proposes an experimental design to examine whether 20 minutes of unstructured play leads to higher creativity scores on the Thinking Creatively in Action and Movement (TCAM) than an equivalent period of passive screen engagement among children ages 3–5. Using matched-group assignment based on demographic, cognitive, …

Bilingual Beginnings: Expressive Language And Socio-Emotional Development In Early Childhood, Molly C. Mccormick

Scripps Senior Theses

Although research on bilingualism has expanded rapidly in recent years, the majority focuses on cognitive advantages or receptive vocabulary, or the words children understand. Far less attention has been given to how expressive language, the words children produce, and its potential role as the mechanism linking bilingual exposure to socio-emotional development. Although dual-language learners sometimes appear to have relatively limited expressive vocabularies in one language, these differences tend to reflect patterns of language use and input quality rather than true developmental delays. Even so, temporary differences in expressive skills can be especially meaningful during children’s formative years, when they rely …

Resilience As A Pathway From Openness To Eustress In College Students, Karis H. Choi

Scripps Senior Theses

College students experience high levels of stress, yet not all stress leads to negative outcomes. This study examines how personality and coping resources contribute to eustress—a positive, motivating form of stress—by investigating whether resilience mediates the relationship between openness to experience and eustress. Undergraduate participants completed baseline measures of openness and resilience before engaging in either a high-demand mental arithmetic task or a low-demand control task. Following the task, participants reported their emotional and behavioral responses using the Measure of Emotional, Physical, and Behavioral Markers of Eustress and Distress (MEDS). Consistent with expectations, individuals higher in openness were predicted to …

Exploring The Moderating Role Of Ethnic Identity In Asian American Multi-Ethnic Youths’ Sense Of Purpose And Life Satisfaction, Grace Cheung

Scripps Senior Theses

The rapid increase of interracial and interethnic families globally creates a need for researchers to understand the unique experiences and development of multi-ethnic youths’ sense of identity and purpose as they relate to well-being. Emerging research in Asian American psychology also suggests the urgency and need to reexamine the experiences of individual ethnic groups. The current study will examine the moderating role of ethnic identity in Asian American multi-ethnic youths’ sense of purpose and life satisfaction through a mixed methods approach that includes an online survey followed by an interview for a subgroup of participants. Anticipated results will show how …

An Analysis Of Eating Disorders As A Comorbidity Of Autoimmune Diseases, Madeleine Shore

Scripps Senior Theses

For many autoimmune disease patients, psychiatric conditions are a common comorbidity. Although there are many shared mechanisms between autoimmune disease and psychiatric conditions, current research surrounding mental health among autoimmune disease patients often focuses on mood disorders rather than eating disorders. Despite the high risk for developing psychiatric conditions, most autoimmune disease patients are not screened for eating disorders. This lack of screening is significant, because if an eating disorder is missed by a healthcare provider, the autoimmune or eating disorder condition could be exacerbated, resulting in severe illness or even fatality. Given an existing link between comorbid psychiatric disorders, …

Effects Of Teacher Training On Identifying Inattentive Type Adhd In Afab Students, Gabrielle A. Boles

Scripps Senior Theses

Teachers are more likely to detect hyperactive ADHD symptoms than inattentive ones, which often results in students, especially girls with inattentive symptoms, being under-referred (Willcut, 2012). This study evaluates whether a targeted, inattentive-focused, and gender responsive teacher training reduces gendered and symptom-based biases in referral decisions. K-5 teachers will be randomly assigned to receive either standard general ADHD identification training or an inattentive-focused, gender-responsive training, and will then be asked to review vignettes depicting children with hyperactive and inattentive symptoms, with varying student genders. Referral accuracy and knowledge of ADHD will be measured. Training condition, symptom presentation, and student gender …

Assessing Diagnostic Overshadowing For Co-Occurring Autism Spectrum Disorder (Asd) And Eating Disorders (Ed), Eden Sweet

Scripps Senior Theses

Significant behavioral overlaps in feeding patterns are observed among individuals with eating disorders (EDs) and autism spectrum disorder (ASD). These behavioral similarities can blur diagnostic boundaries, contribute to diagnostic overshadowing, and consequently increase the risk of misdiagnosis and the implementation of ineffective treatment approaches. The proposed study addresses the risk of diagnostic overshadowing as it relates to the ambiguous distinction between autism-driven feeding behaviors and clinically significant eating disorders (ED) within the autistic population. Although the literature has acknowledged behavioral similarities between ASD and EDs, limited research has systematically examined how they impact diagnostic practices and influence the likelihood of …

The Effects Of The Opioid Crisis On Contraceptive Decisions And Fertility In Pakistan, Simren R. Khan

Scripps Senior Theses

This paper examines how the opioid epidemic influences household fertility behavior in Pakistan by analyzing contraceptive use and fertility outcomes across regions with differing levels of opioid prevalence. Using household-level data from the 2017–18 Pakistan Demographic and Health Survey (DHS) and estimating OLS regression models, the study compares households in high-prevalence regions with those in low-prevalence regions. The results show that exposure to high-opioid regions is associated with lower fertility outcomes and a higher likelihood of respondents wanting their last child. These patterns suggest that households may respond to opioid-related economic and caregiving burdens by limiting family size and treating …

Lights, Camera, Aggression!: Exploring The Relationship Between The Horror Genre And Criminality, Taylor M. Wanke

Scripps Senior Theses

This proposed correlational study will examine the effect of exposure and involvement with the horror genre in media and the crime genre in media on one’s antisocial personality traits, criminal thinking, criminal behavior/aggression, and morality in the general population and those who are currently incarcerated. Data will be collected through a Qualtrics survey accessed online for the general sample and printed out for the incarcerated sample. Each participant will complete exposure checklists, involvement scales for each genre, and multiple measures to record their level of each dependent variable. Data will be analyzed using a correlational analysis, 1-sample t-tests, and a …

The Dunning-Kruger Effect In Sixth Grade Adolescents: Improving Metacognition For Self-Regulated Learning, Julie H. Chen

Scripps Senior Theses

The Dunning-Kruger (DK) effect is a cognitive bias where low-performing individuals overestimate their own abilities, and top-performing individuals underestimate their own abilities relative to their peers. The purpose of this proposed study is to investigate the DK effect in sixth grade adolescents and to use metacognition as an intervention to improve self-assessment calibrations. This study will investigate adolescents in Piaget’s formal operational stage, aiming to improve metacognition levels. The study will occur over 12 weeks, and participants will be given a preparation handbook with or without metacognition activities for the purpose of preparing for the California Assessment of Student Performance …

The Economics Of Accountability: Learning From German Holocaust Reparations, Grace I. Gates

Scripps Senior Theses

Drawing on microdata from the Survey of Health, Aging, and Retirement in Europe, this study compares European Holocaust survivors who received reparations with similar Europeans who did not. It finds that, decades on, recipients are not systematically better or worse off on core outcomes like life satisfaction, savings, and debt. This is consistent with the argument that reparations restore parity rather than create new advantages. Where differences emerge, they point to stabilization in more vulnerable settings (e.g., lower likelihood of high debt in parts of Eastern Europe). The main takeaway from effective reparations is applicable to the United States debate: …

Mindfulness As A Potential Facilitator Of Self-Forgiveness?, Isabella S. Lindsay Castelli

Scripps Senior Theses

Despite clinicians’ attestation to self-forgiveness’ relevance in clinical practice, as well as research suggesting its positive relationship to well-being, most clinicians are not familiar with models for facilitating self-forgiveness. The present study draws on theoretical overlap between mindfulness theory and three prominent models of the self-forgiveness process, as well as empirical research showing a positive association between dispositional mindfulness and dispositional self-forgiveness. Participants were adults in the United States, randomly assigned to a mindfulness exercise or control (progressive muscle relaxation exercise). Participants were asked to think of a transgression they committed, report their self-forgiveness for that transgression, and retake the …

The Silent Language Of Trauma: Defendant Behavior, Juror Bias, And Expert Testimony, Jensen Goldman

Scripps Senior Theses

Trauma can profoundly influence behavioral presentation, yet jurors often rely on demeanor as a diagnostic cue for guilt, credibility, and remorse. Such reliance poses risks within a legal system that seldom equips jurors to interpret trauma related behaviors accurately. The proposed study will examine how two trauma-linked affective presentations– overemotionality and flat affect– shape juror perceptions of credibility and guilt, and whether expert psychological testimony about trauma-related affect can mitigate these biases. Online survey participants will read one of five trial vignettes with varying defendant conditions (flat affect vs. overemotional) and varying expert testimony conditions (present or not present) and …

Suicidal Ideation In Spinocerebellar Ataxia, Levi Peppel, Ruo-Yah Lai, Christian Rummey, Puneet Opal, Jeremy D Schmahmann, Christopher M Gomez, Henry Paulson, Theresa A Zesiewicz, Susan Perlman, George Wilmot, Sarah H Ying, Chiadi U Onyike, Khalaf O Bushara, Michael D Geschwind, Karla P Figueroa, Stefan M Pulst, Sub H Subramony, Antoine Duquette, Tetsuo Ashizawa, Ali G Hamedani, Marie Y Davis, Sharan R Srinivasan, Matthew R Burns, Nadia Amokrane, Lauren R Moore, Vikram G Shakkottai, Liana S Rosenthal, Sheng-Han Kuo, Chi-Ying R Lin

Faculty, Staff and Students Publications

Objective: Suicidal ideation has not been extensively studied in spinocerebellar ataxias (SCAs). The authors examined whether individuals with SCAs have increased suicidal ideation and related factors.

Methods: The authors studied patients with genetically confirmed SCAs enrolled in the Clinical Research Consortium for the Study of Cerebellar Ataxia cohort, examining the percentages of patients with SCA subtypes 1, 2, 3, and 6 who reported suicidal ideation and comparing findings with nationally representative data from the National Survey on Drug Use and Health (NSDUH). Clinical characteristics that may contribute to suicidal ideation in SCAs, including age, disease duration, sex, ataxia severity, depression, …