Communication Sciences and Disorders Commons^™

The Effect Of Childhood Psychological Abuse On Depressive Symptoms In Adolescents Exposed To Campus Suicide: The Chain Mediating Role Of Psychological Trauma And Anxiety Symptoms, Tingting Tan, Jiawei Zhao, Mengxuan Wu, Xinyue Zhang, Xinchun Liu, Lili Zhang, Jie Wu

Communication Sciences & Disorders Faculty Publications

Exposure to campus suicide poses a significant threat to adolescent mental health. While childhood psychological abuse (CPA) is a known vulnerability factor for depression, the mechanisms linking this early adversity to depressive symptoms (DS) following acute trauma remain unclear. This study aimed to test a chain mediation model where CPA contributes to DS through the sequential effects of psychological trauma (PT) and anxiety symptoms (AS). In a cross-sectional study of 1603 adolescents exposed to a campus suicide event, participants completed self-report measures for CPA, PT, AS, and DS. Chain mediation analysis revealed a significant direct effect of CPA on DS. …

A Socioecological Needs Assessment Of Alternative Learning Environments: Implications For Occupational And Mental Well-Being In School Settings, Glenda Hux, Sydney Rice, Lexus Brettell Wicinski, John V. Rider

Communication Disorders and Occupational Therapy Faculty Publications and Presentations

Alternative learning environments (ALEs) support students with complex behavioral, emotional, and social needs, yet only a small amount of research has examined their occupational and mental health needs using a socioecological approach. This study aimed to demonstrate the process of conducting a socioecological needs assessment in an ALE and identify needs from multiple stakeholder perspectives. A qualitative descriptive design was employed. Semi-structured interviews and focus groups were conducted with 24 stakeholders, including students, educators, counselors, administrators, and a dietitian. Data were analyzed thematically by stakeholder group. Four overarching themes emerged: This School is a Shelter, We Believe in Resilience, We …

The Progression Of Deinstitutionalization And Its Effects On The American South: A Judicial Analysis Of 20th-Century United States Supreme Court Decisions, Eva-Marie V. Jones

Honors College Theses

This thesis explores the effects of four landmark Supreme Court cases on the deinstitutionalization movement in the American south. Previous literature frequently discusses the legislative implications of this era; however, no law is applicable without the interpretation and application of the judiciary, which so often contextualizes the greater public perspective. Rarely has an analysis of judicial decisions involving psychiatric care merged with regional focus, and certainly not in a format accessible to the average individual.

From unmarked graves to abandoned infrastructure, the legacy of historic psychiatric care in the United States has been largely obscured – yet its consequences continue …

English-Spanish Bilingual Speech Language Pathologists’ Experiences Evaluating English Language Learner Students: Incorporating Conceptual Scoring, Barbara De Jesus Rivera, Raul Prezas

Journal of Human Services: Training, Research, and Practice

The number of multilingual/bilingual students has increased across schools in the United States. Assessment in both the native language and English is considered the standard for evaluating bilingual children referred for language testing. Conceptual Scoring is an evaluation approach for bilingual students that considers the students’ responses in both languages to obtain an overall language score; however, there is variability among practitioners on best practices for multilingual assessment.

Purpose: The current study (a) sought to explore the decision-making process of bilingual SLPs when evaluating bilingual students, (b) to gain a deeper understanding of how bilingual SLPs incorporate conceptual scoring in …

The Science Of Sound: Studying The Cognitive, Emotional, And Physiological Effects Of Frequency, Genre, And Music, Jett Yarborough

Senior Honors Theses

Music influences emotion, physiology, and cognition, yet little is known about how the frequency it is tuned to affects these influences. Prior research has shown that music tuned to 432 Hz can reduce stress, lower blood pressure, and improve sleep. My colleagues and I conducted two studies to investigate this. Our research found that music tuned to 432 Hz promotes a significant increase in memory retention and induces a state of focus and relaxation. These results suggest that shifting from the standard tuning frequency of 440 Hz to 432 Hz could have a profoundly positive impact on our daily lives. …

Educational Services And Language Congruency In Low-Income Children Who Are Deaf Of Hard-Of-Hearing, Courtney J. Austin, Dylan Chan, Jihyun Stephans

Research Colloquium

Background: Children who are deaf or hard-of-hearing (DHH) are required by United States law to have access to educational services through the Individuals with Disabilities in Education Act (IDEA). However, access to language-congruent providers, as well as supplemental services, varies considerably. Household income is associated with poorer hearing care access and outcomes in DHH children. We predict that access to supplemental, language-congruent DHH services is poorer in DHH children from lower-income homes.

Methods: This is a secondary, ad hoc exploratory study of DHH children aged 0-27 months enrolled in a randomized clinical trial (CT.gov: NCT04928209). Children were enrolled across all …

Towards Accessibility In Healthcare For Individuals With And Without Hearing Loss: Evaluation Of Usability, Fit, And Communicative Effectiveness Of A Transparent N95 Mask Prototype, Samuel R. Atcherson, Brooklyn Schultes, Jeanne Hahne, Barbara Debaun, Chris Showell

JADARA

The COVID-19 pandemic has underscored the necessity of effective face masks in both public and healthcare settings for mitigating the spread of disease. However, traditional face masks impede communication, posing significant challenges for approximately 13% of the general population and 10% of healthcare and social assistance workers who have hearing loss and who rely on lipreading and other non-verbal cues. Traditional surgical masks and N95 respirator masks serve important roles in healthcare, but they differ in levels of protection. Currently, a transparent surgical mask is available, but not an N95 version. Thus, this study aimed to evaluate the usability, fit, …

Investigating The Practice Of A Somatic, Mindful Christian Prayer And Breathing Practice On Public Speaking Anxiety, Robyn L. Middleton

Doctoral Dissertations and Projects

This randomized controlled trial investigated the effectiveness of a mindful Christian prayer practice (The Jesus Prayer) combined with slow diaphragmatic breathing on communication anxiety. Participants (N = 80) included university students and members of the general public aged 18-60 who experience public speaking anxiety. Measurements included self-reported speech anxiety and heart rate variability (assessed via the WellHero app). Repeated measures ANOVAs revealed that the mindful prayer practice had no significant effect on participants' self-reported speech anxiety or RMSSD heart rate variability. A statistical trend of lower Baevsky’s Stress Index (another variable WellHero provided) was observed in the intervention group. This …

Increasing Implementation Of The Comfortable Cafeteria Program To Promote School-Age Children’S Mental Health And Well-Being, Reinecka Mondesir, Angela Labrie Blackwell Phd, Otr

Summer 2025 OTD Capstone Symposium

Every Moment Counts (EMC) is a positive mental health promotion initiative that offers several initiatives to create inclusive environments that support student participation and emotional well-being throughout the school day. Comfortable Cafeteria, part of EMC, fosters positive mealtime experiences supporting peer interaction, emotional regulation, and inclusion. Many SBOT practitioners lack the resources to implement Comfortable Cafeteria, despite its benefits. This capstone project addresses the need for practical tools to help school-based occupational therapy (SBOT) practitioners integrate the Comfortable Cafeteria program into daily practice. Using the Multi-Tiered System of Supports (MTSS) framework, the project developed and disseminated an interactive, evidence-based video …

Conflicting Social Information And Its Impact On Sentence Comprehension In Young Adults With Dld: An Eye Tracking Study, Ansley Davis

USF Tampa Graduate Theses and Dissertations

Individuals must recognize linguistic and non-linguistic social cues to resolve contextual ambiguities in their conversations. When the linguistic and social cues match, sentence processing is facilitated. However, conflicts between linguistic and social stimuli (i.e., incongruency) can lead to prediction errors which slow sentence processing. Limited research has explored the social cognition conflict resolution skills in individuals with Developmental Language Disorder (DLD) despite their documented emotion processing deficits. This study considers the role of social prediction processing in adults with DLD as they engage in a social cognition conflict resolution task.

Young adults with DLD (n=29) and typically developing (TD) peers …

External Challenges For Individuals Who Need Or Use Aac Who Are Learning Language: Lived Experiences, Key Research Findings, And Future Directions, Christine Holyfield, Janice Light, Dana Nieder, Jamie Preece

Communication Disorders and Occupational Therapy Faculty Publications and Presentations

Language skills are essential to effective communication, but learning language is by no means a simple process for individuals with developmental disabilities who cannot rely on speech alone to be heard and understood. Research demonstrates that augmentative and alternative communication (AAC) interventions positively impact development across language domains (e.g., pragmatics, semantics, morphosyntax) and may also benefit speech production. However, these gains can only be realized if people have timely access to effective AAC and have meaningful opportunities to interact with others. This paper integrates the lived experiences of individuals who need or use AAC and their families with key research …

Partial Least Squares Multimodal Analysis Of Brain Network Correlates Of Language Deficits In Aphasia, Sigfus Kristinsson Ph.D., Dirk B. Den Ouden, Chris Rorden, Roger Newman-Norlund, Lisa Johnson, Janina Wilmskoetter, Ezequiel Gleichgerrcht, Argye E. Hillis, Gregory Hickok, Julius Fridriksson Ph.D., Leonardo Bonilha

Faculty Publications

Lesion-symptom mapping techniques are essential to determine brain regions critical for language functions. However, high collinearity in neuroimaging and behavioural data remains a challenge for distinguishing neural substrates supporting multiple language domains (shared variance) and those subserving specific language functions (unique variance). Here, we employed a novel approach to multimodal lesion-symptom mapping using multivariate partial least squares regression to delineate the latent structure of lesion-behavioural mapping in aphasia and decompose the shared and unique neural determinants of language impairments. A total of 86 participants with chronic (>12-month post-stroke) aphasia after left hemisphere strokes were examined. Language impairment was assessed …

Quality, Suitability, Understandability, Actionability, And Readability Of Patient Education Materials: Baseline Findings From Slp Graduate Students, Bonnie K. Slavych, Greg Williams, Lauren Siemers, Lauren E. Jones, Alana Mantie-Kozlowski

Teaching and Learning in Communication Sciences & Disorders

This study evaluated graduate SLP students’ ability to communicate complex health information, highlighting strengths and areas for improvement. A cross-sectional analysis of 28 first-semester graduate students enrolled in a voice disorders course examined the quality of patient education materials they created based on fictional scenarios. Quality and credibility were assessed using the DISCERN instrument, suitability with the Suitability Assessment of Materials, and understandability/actionability with the Patient Education Materials Assessment Tool for Printable materials. Readability was analyzed using five formulas: Flesch-Kincaid Grade Level, Gunning Fog Index, FORCAST, New Dale-Chall, and Simple Measure of Gobbledygook. DISCERN scores ranged from 17 to 31 …

Neuroanatomical And Morphometric Differences In Children Who Stutter, Mohammad A. Khan

Honors Scholar Theses

Childhood-Onset Fluency Disorder commonly known as stuttering is a neurodevelopmental speech disorder characterized by disruptions in speech fluency. While genetic and neurobiological factors are implicated, the structural brain differences underlying stuttering remain unclear. This study investigated neuroanatomical alterations in children who stutter (CWS) compared to typically fluent children (TFC), focusing on gray matter volume, cortical thickness, and surface area in speech-related regions; the Inferior Frontal Gyrus, Middle Temporal Gyrus, and Pre-motor Operculum. High-resolution MRI data from 100 children (48 CWS, 52 TFC) aged 3–12 years were analyzed using FreeSurfer. Group comparisons revealed no statistically significant differences in cortical thickness, surface …

Pulse Pressure, White Matter Hyperintensities, And Cognition: Mediating Effects Across The Adult Lifespan, Jade Hannan, Sarah Newman-Norlund, Natalie Busby, Sarah C. Wilson, Roger Newman-Norlund, Chris Rorden, Julius Fridriksson Ph.D., Leonardo Bonilha

Faculty Publications

Objectives: To investigate whether pulse pressure or mean arterial pressure mediates the relationship between age and white matter hyperintensity load and to examine the mediating effect of white matter hyperintensities on cognition.

Methods: Demographic information, blood pressure, current medication lists, and Montreal Cognitive Assessment scores for231 stroke- and dementia-free adults were retrospectively obtained from the Aging Brain Cohort study. Total WMH load was determined from T2-FLAIR magnetic resonance scans using the TrUE-Net deep learning tool for white matter segmentation. In separate models, we used mediation analysis to assess whether pulse pressure or MAP mediates the relationship between age and total …

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.

Speech Stigma: Exploring Predictors Of Attitudes Toward Nonspeaking Autistic Individuals, Kate Herrmann

Honors College Theses

Roughly 30% of autistic individuals are nonspeaking, meaning they do not (or very minimally) communicate with speech. Many nonspeaking individuals have the ability to communicate with others by using augmentative and alternative communication, such as speech-generating devices or communication boards. The purpose of this study was to examine the attitudes of speaking individuals toward nonspeaking autistic people through a survey measuring attitudes and stigma toward nonspeaking people, autistic people, and disabled people, respectively. Predictors of attitudes, such as contact, knowledge, gender, and psychological inflexibility were examined. It was hypothesized that participants who have more contact with and knowledge of nonspeaking, …

How Individual Differences In Cue Weighting Influence The Link Between Memory And Speech In Noise Perception, Ava Buckmir, Anne Marie Crinnion, Emily Myers

Honors Scholar Theses

Listening to speech is challenging, particularly when there is background noise or ambiguities in the speech signal. Numerous factors impact our ability to understand speech, including age, cognitive processes, and contextual information. But how do we account for these challenges? The types of cues we use may aid us in perceiving ambiguities in speech. Some individuals may rely on semantic cues (higher-level cues), such as how words relate to each other, or they may rely on acoustic-phonetic cues (lower-level cues), such as the durational information in the speech signal itself. But why do individuals differ in the types of cues …

Creating A Multi-Sensory Room At The University Of Arkansas, Alexandra R. Smith

Crop, Soil and Environmental Sciences Undergraduate Honors Theses

Autism Spectrum Disorder, or autism, is a genetic neurological condition that can affect all aspects of an individual’s life, depending on their symptoms. Autistic people tend to struggle most significantly with social and emotional issues, which often results in declining academic success. With such a multifaceted disability, autistic students can struggle to perform at the same standards as their non-autistic peers, mostly due to the complications from their disability paired with limited accommodations. The consequences of these issues can manifest as lower admission rates, higher dropout rates, and higher stress levels for autistic students. This creative and service-learning honors thesis …

The Relationship Between Player Age And Reporting Injuries To Coaches And Medical Personnel, Drew O. Lingen

Research & Creative Achievement Day

It is estimated that there are 1.6 to 3.8 million concussions sustained each year in the USA. While most athletes recover from concussions in just a few days or weeks, prolonged symptoms can affect one's everyday life. This is an essential topic for me because I have first-hand experience with concussions. In 2021-2022, I had four concussions in nine months, with one concussion lasting six months. That concussion ended my college-catching career. I would never want someone to go through what I have gone through in this experience, which is why I have been conducting this study for the past …

The Decline Of Civil Discourse On Facebook: A Qualitative Content Analysis Of The Comment Sections Of News Organizations' Facebook Pages, Cameron Lawson

Doctoral Dissertations and Projects

This study explores the role of Facebook’s comment sections in the decline of civil discourse, examining how the platform’s design influences user behaviors and contributes to increased incivility. Through a qualitative content analysis of 3,030 comments from 12 national and regional news organizations’ posts on both Facebook and their website, the research identifies key structural elements such as engagement-drive algorithms and broader reaction options that amplify uncivil behavior. The study also introduces three prevalent persona types in online discourse—the passionate partisan, the agitator, and the cynical joker. Each of these contributes to the dynamics of incivility in different ways. Grounded …

White Matter Integrity Of Hearing And Cognitive Impairments In Healthy Aging, Samaneh Nemati, Meisam Arjmandi M.Sc., Ph.D., Jean Neils-Strunjas Ph.D, Ccc-Slp, Roger Newman-Norlund Ph.D., Sarah Newman-Norlund B.S., M.A., Laura Droege, Leonardo Bonilha, Julius Fridriksson Ph.D.

Faculty Publications

Age-Related Hearing Loss (ARHL), or presbycusis, affects two-thirds of U.S. adults over 70 and is linked to cognitive decline and an increased risk of dementia. This study examines associations between white matter integrity and hearing and cognitive function in healthy aging using diffusion tensor imaging (DTI). We recruited 126 participants (92 female) aged 20–79 years () from the Aging Brain Cohort Study at the University of South Carolina (ABC@UofSC). Cognitive performance was assessed using the Montreal Cognitive Assessment (MoCA), and hearing was evaluated through pure-tone thresholds (PTT) and words-in-noise (WIN) thresholds. White matter integrity was measured with fractional anisotropy (FA) …

Spatial Training For Children With Suspected Auditory Processing Disorder: A Random Control Trial, Taylor Delao

Student Research Symposium

Auditory Processing Disorder (APD), defined here as a deficit in the way sounds are analyzed by the brain, has remained a controversial topic within audiology for decades.

A Novel Method For Deriving The Binaural Interaction Component And Its Association With Spatial Listening Ability In Adults, Kate M. Fisher, Marlana J. Petersen, Mindee Anderson, Annika P. Williams

Student Research Symposium

• Spatial listening helps children detect and focus on specific sounds in noisy environments.
• Classrooms require filtering relevant speech (e.g., teacher's voice) from background noise, which is challenging without strong spatial listening skills.

Examining Cultural Competency In Audiologists Across The United States: A Pilot Survey, Olivia Montoya

Student Research Symposium

• Cultural competency refers to the ability of systems to provide care to patients with diverse values, beliefs, and behaviors, including tailoring delivery to meet patients' social, cultural, and linguistic needs (Betancourt, 2002).

• Limited studies to date have explored the implementation of cultural competence in audiology, which begs the question of how audiologists are fighting against—instead of contributing to—healthcare disparities among ethnic minorities.

Understanding The Relationship Between Executive Function And Language During The Preschool Period, Haya Q. Kidwai

Senior Theses

Executive functions (EFs) are abilities that help us to control our actions, pay attention, and go against automatic responses. EF skills include working memory, inhibition, and cognitive flexibility, all of which develop rapidly during early childhood alongside other developmental abilities like language. In fact, previous research has found a relationship between EFs and language abilities. Therefore, the current study investigated the correlation between EFs and language in the preschool period, a pivotal moment in their development. Specifically, the current study examined the relationship between working memory and inhibition and expressive vocabulary and morphosyntax measures in 7 children 4-6 years old. …

Investigating Child-Informed Considerations For Animated Picture Symbols Representing Emotion For Aac Use In Children With Asd, Hannah Kitsmiller

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Development of emotional competence is an important area of consideration when supporting individuals who use augmentative and alternative communication (AAC). Emotional competence includes skills related to identifying and communicating about one’s emotions. Individuals who use AAC may struggle to develop strong skills in emotional competence. One potential barrier to developing emotional competence may be access to symbols that facilitate understanding of the represented emotion. Emotions are abstract and challenging to represent in visual symbols. Additionally, evidence suggests individuals with autism spectrum disorder (ASD) may have visual perceptual differences when viewing faces. Current emotion symbols are often depicted using isolated facial …

The Impact Of Provider Communication On Treatment Adherence In Patients With Hypertension And Diabetes, Trey Carlson

Honors Program: Senior Projects (Public)

Current research cites effective provider communication as an important factor in improving treatment adherence and the health outcomes of patients. This study examines the effect of provider communication on treatment adherence in patients with chronic illnesses with a specific focus on hypertension and diabetes. Provider communication was measured using patient satisfaction surveys and treatment compliance was measured as the percentage of hypertensive and diabetic patients with a blood pressure below 140/90 mmHg and hemoglobin A1C levels below 9%. A one-way MANOVA revealed that provider communication had no significant impact on the combined treatment compliance variables for hypertension and diabetes (Wilk’s …

Recognizing Individual Variability In Misophonia: Identifying Symptom-Based Subgroups With Gaussian Mixture Modeling, Mercedes G. Woolley, Amanda M. Ramos, Emily M. Bowers, Karen Muñoz, Julie M. Petersen, Michael P. Twohig

Psychology Student Research

Misophonia is characterized by intense emotional and physiological reactions to everyday sounds such as chewing and tapping. While previous researchers have focused on defining and characterizing the disorder, limited attention has been given to the variability in symptom presentations across individuals. In this study, we sought to identify distinct subgroups of individuals with misophonia by applying a Gaussian finite mixture model to explore the heterogeneity of symptom profiles. Sixty treatment-seeking participants completed the Duke Misophonia Interview, which assessed the presence and severity of various behavioral, affective, and cognitive symptoms. Items from this measure served as model indicators. Two clusters were …

Speech And Language Assessment Practices For Bilingual Children In The School Setting: Where Do We Go From Here?, Seijra Toogood, Raul Prezas

Journal of Human Services: Training, Research, and Practice

Abstract

The field of speech-language pathology has demonstrated growth in bilingual assessment and evaluations. However, many questions remain regarding formal and informal assessment practices, intervention recommendations, and cultural competency or responsiveness. Sixty-one SLPs in Virginia completed a survey on demographics, bilingual assessment practices, cultural competence, and language development of ELL students. Seven SLPs who work with bilingual and/or ELL students were also interviewed to ascertain bilingual assessment practices, cultural competence, and language development knowledge. Areas of concern included assessment of bilingual students, lack of developmental norms and standardized assessment tools in languages other than English, and lack of knowledge of …