Psychiatry and Psychology Commons^™

Shadows Of Self Doubt: Exploring The Dual Threat Of Impostor Syndrome On New Nurses And Quality Care, Siona Patel

Nursing | Senior Theses

Every nursing student goes through a transition period after nursing school where they step into the role of a new graduate nurse, and adapt to the demands of the clinical setting. Their acquired knowledge and skills taught to them are now applied to high stake situations of the real world. This critical time period is often paired with a mental phenomenon known as imposter syndrome in which competent people feel doubt or fraudulently of their skill set which can affect patient care and cause burnout. This thesis explores the connection between imposter syndrome and burnout and their impact on patient …

Distinguishing Symptoms Of Racial Trauma From Conventional Trauma, Michelle Yoong

West Chester University Doctoral Projects

Trauma research in psychology has traditionally been shaped by a White-centric framework, leading to the underrepresentation of racial and ethnic minority experiences. This study aims to establish racial discrimination as a distinct traumatic stressor with significant psychological consequences by exploring the distinction between racial and conventionally recognized traumatic stressors and posttraumatic stress symptoms (PTSS). It also aims to address inconsistent and exclusionary assessment methodology involving underrepresented racial minority (URM) populations, including the neglect of racial trauma and discrimination measures in trauma research. Participants consisted of URMs who sought enrollment in a clinical trial for opioid use disorder at a community …

Reunion With A Peer Partner Reduces Pvn Oxytocin Neuron Immunoreactivity In Socially Selective Voles, Nastacia L. Goodwin, Al M. Licata, Kelley C. Power, Kara M. Reitz, Yasmin Kamal, Annaliese K. Beery

Psychology: Faculty Publications

Friendships—i.e. selective peer relationships—are an important aspect of human behavior, but are rare in rodent species. Meadow voles are seasonally social rodents that form non-reproductive social groups in winter/short day lengths that are selective in nature. Across rodents, oxytocin neurons in the paraventricular nucleus (PVN) of the hypothalamus are typically active during socially salient events, including interaction with novel individuals as well as social separation. To assess whether familiar and novel peer interactions produce different patterns of immunolabeling in a species that forms bonds with familiar individuals, we measured oxytocin neuron immunoreactivity and colabeling with the immediate early gene product …

The Contributions Of Language And Inhibitory Control To False Belief Reasoning Over Time, Jill De Villiers, Peter A. De Villiers

Psychology: Faculty Publications

Introduction: The role of language in false belief reasoning has been much debated for twenty-five years or more, especially the relative contributions of general language development, complement syntax, vocabulary, and executive function. However, the empirical studies so far have fallen short, in that they generally have too few participants for adequate statistical modeling; they do not include control variables; or they are cross-sectional rather than longitudinal, making inferences about causal direction much more tenuous.

Methods: The present study considers the role of these different variables in the development of false belief reasoning over several months of testing, with 258 children …

A Spectroscopy Study Of The Brain: Exploring Sex Differences In Healthy Older Adults, Angela Gushue

CMC Senior Theses

Cognitive decline and aging-related disorders, such as Alzheimer’s, disproportionately affect patients based on sex, but the mechanisms underlying these skewed effects are unknown. This proton magnetic resonance spectroscopy (H-MRS) study seeks to understand if sex disparities in aging exist in neurometabolite concentrations of older adult brains. Sixty-seven participants, ranging from 60 to 85 years of age, underwent the Montreal Cognitive Assessment (MoCA) and H-MRS of the brain. Concentrations of myo-inositol, total creatine, total NAA, and total choline were calculated in the dorsal posterior cingulate cortex, left hippocampal cortex, left medial temporal gyrus, left primary sensorimotor cortex, and right dorsolateral prefrontal …

Neural Correlates Of Attentional Biases In Dietary Choice: Role Of Childhood Socioeconomic Status, Justine Jamie N. Gotico

CMC Senior Theses

Childhood poverty has been shown to increase adult risk for obesity above and beyond its direct effects on adult socioeconomic status (SES). One proposed mechanism of these effects is by shifting behavioral patterns of dietary consumption and choice, for example by increasing rapid attention to high-calorie unhealthy foods. Yet, whether such neural mechanisms can explain observed differences in dietary behavior based on childhood SES remains an open question. Here we used event-related potentials (ERPs) to examine early attentional correlates of low childhood SES during a dietary choice task, based on research suggesting that early attentional biases toward high-calorie foods emerge …

Money Matters: Investigating The Emotional, Cognitive, And Biological Pathways Connecting Maternal Early Life Financial Insecurity And Parenting Quality, Elise Power, Stacey N. Doan

CMC Senior Theses

Early life adversity has been shown to have a variety of negative effects on adult functioning, including parenting quality, with implications for child wellbeing. Adverse early life experiences including poverty have been linked to long-term disruptions in emotional, cognitive, and physiological functioning that compromise the ability to provide sensitive, nurturing care. The present study investigated whether emotional regulation difficulties, physiological regulation, and cognitive function mediate the relationship between early life financial insecurity and parenting quality. A sample of 132 mother-child dyads completed self-report measures, biological samples, and cognitive assessments. A multiple mediation model ran in SPSS, revealed a significant indirect …

Nightmare, Phoebe E. Bowen

Honors Theses and Capstones

No abstract provided.

Admitting Science: Problems With Current Admissibility Standards, William O'Donohue, Sneha Gupta

Lewis & Clark Law Review

Attorneys use expert testimony to advance legal positions in courtrooms. Because expert testimony can have tremendous influence over judges and juries, it is admitted only if it meets specific admissibility standards, i.e., Frye and Daubert. These standards provide different admissibility criteria, have been adopted by distinct sets of jurisdictions, and, we argue, are of questionable validity. These standards are attempts to ensure that only knowledge is admissible and are, then, essentially an epistemic matter. Science serves as a proxy for knowledge because science is the epistemic process that has been successful at generating knowledge. However, both epistemology and the philosophy …

Predictors Of General Education Teachers' Self-Efficacy For Educating Autistic Students: Enactive Mastery Experiences, Vicarious Experiences, Verbal/Social Persuasions, And Physiological And Affective States, Renette Portecop-Prentice

Dissertations

Problem

Autism is a complex neurodevelopmental condition that presents challenges not only for autistic individuals, but also for their families, healthcare providers and school professionals. A significant number of children with autism spend most of their school day in general education classrooms with teachers who may lack autism-specific training and are unfamiliar with evidence-based practices for supporting autistic students. This lack of training or relevant resources specific to autism may impact teacher self-efficacy for educating autistic students, which in turn may affect instructional decisions and student outcomes. Guided by Bandura’s theoretical framework, this study examined the relationships among autism-specific training …

Brain On Drugs: The Rewarding And Punishing Effects Of Addiction And Relapse, Abby Ferrell

Undergraduate Honors Theses

Addiction is a multidimensional disorder that is heavily influenced by behavior, biology, and social interaction. These factors work together to make addiction persist and make relapse easier. Three major models of addiction are explored--behaviorism, biology, and social learning theory, which all contribute to the understanding of addiction, and their respective treatments can be individual, and when integrated. Behavior models highlight how conditioning and reinforcement contribute to addiction, while biological studies focus on dopamine changes in the brain that alter other areas of brain chemistry. Social learning theories add to the environmental cue associations that behaviorism mentions briefly. The implications that …

Residual Next-Day Effects Of Alprazolam On Psychomotor Performance And Simulated Driving In Healthy Normal Adults, Stevie C. Roszkowski, Shanna Babalonis, Marion A. Coe, Paul Nuzzo, Michelle R. Lofwall, Laura C. Fanucchi, Sharon L. Walsh

Center on Drug and Alcohol Research Faculty Publications

The prevalence of drugged driving has increased in the United States. Some drugged driving may be unintentional as prescription medications used as sleeping aids, like zolpidem, cause impairment after the predicted duration of therapeutic action has elapsed. The aim of this study was to determine if nighttime administration of alprazolam, a drug commonly prescribed off-label as a sleeping aid, impacts driving performance the following day. Participants were healthy adults (n = 15) who completed a double-blind, double-dummy, within-subjects inpatient study examining the effects of nighttime administration of alprazolam (0.5, 1, and 2 mg), zolpidem (10 mg), and placebo on driving …

A Longitudinal Study Of The Association Between The Teachable Moment Heuristic And Smoking Of Head And Neck Cancer Patients, Tia Borger, Matthew W. Southward, Jessica Maras, Abigayle Feather, Jessica L. Burris

Psychiatry Faculty Publications

Background: The Teachable Moment Heuristic (TMH) posits that change in its three components (ie, affective response, risk perception, and social role/self-concept) could increase motivation and confidence for health promotion, such as smoking cessation. For patients with cancer, smoking cessation can extend survival, while persistent smoking causes numerous problems (eg, cancer recurrence).

Purpose: This intensive longitudinal study with cancer patients aimed to evaluate the link between TMH constructs and smoking outcomes.

Methods: Participants included 42 newly diagnosed head/neck cancer patients who reported smoking in the past month. Participants completed a baseline questionnaire before a 30-day daily assessment. Single-item measures were used …

Adverse Childhood Experiences, Depression And Subjective Cognitive Decline By Gender: A Moderated Mediation Analysis, Monique J. Brown, Darlingtina K. Esiaka, Jaya Viswanathan

Behavioral Science Faculty Publications

Studies assessing depression as a mediating factor between adverse childhood experiences (ACEs) and subjective cognitive decline (SCD) are lacking. Therefore, the aims of this study were to: (1) determine the mediating role of depression in the association between ACEs and SCD; and (2) assess the moderating role of gender. Data were obtained from the 2023 Behavioral Risk Factor Surveillance Study (BRFSS) survey (N = 38,600). Crude and adjusted path analyses were used to determine the mediating role of depression between ACEs and SCD. Adjusted analyses controlled for sociodemographic confounders. ACEs were positively associated with depression (B = 0.129, p …

Commercial Tobacco Retail Marketing In Rural Communities In Appalachian Kentucky, 2024, Saber Feizy, Judy Van De Venne, Melissa Abadi, W. Jay Christian, Jayani Jayawardhana, Bethany Shorey Fennell, Delvon T. Mattingly, Shyanika W. Rose

Behavioral Science Faculty Publications

Objective: To investigate heterogeneous commercial tobacco marketing patterns across rurality gradient.

Methods: We conducted audits in all retail stores (n = 279) selling at least one commercial tobacco/nicotine product in eight U.S. Appalachian Kentucky counties in 2024, comprising rural and peri-urban catchments. Trained auditors assessed product availability, discounts, and advertising. Stores were linked to census tract demographics and Index of Relative Rurality (IRR) quartiles. Poisson models assessed prevalence rates of exterior and interior ads and discounts for cigarettes, nicotine vapes, and nicotine pouches (ONP) by IRR quartiles.

Results: Most stores carried cigarettes, cigarillos, and smokeless products, and over 50 % …

Differential Speed And Accuracy Trade-Off In Working Memory Retrieval And Bilateral Precuneus Between Older Men And Women, Darlingtina K. Esiaka, Stephanie Strothkamp, Aghayeeabianeh Banafsheh, Lucas S. Broster, David K. Powell, Gregory Jicha, Yang Jiang

Behavioral Science Faculty Publications

Background

Despite various hypotheses, including differences in longevity, hormones, genetics, and neuroanatomy, the reasons for the higher prevalence of Alzheimer's disease in older women compared to men remain unclear. Emerging evidence suggests that the precuneus, a key region of the default mode network, is linked to internally focused processes like memory retrieval. We examined the relationship between precuneus volumes and task performance (accuracy and reaction time) during working memory retrievals in cognitively normal older adults.

Method

A cohort of older participants (N = 45; 25 women; M_age = 77) from the University of Kentucky Alzheimer's Disease Research Center …

Disparities In Discrimination Distress Among U.S. Youth, Delvon T. Mattingly, Meman Diaby, Osayande Agbonlahor, Shyanika W. Rose, Carrie B. Oser, Nancy L. Fleischer, Adam M. Leventhal, Joy L. Hart

Behavioral Science Faculty Publications

Introduction

Racial and ethnic discrimination differentially affects youth in the U.S. However, evidence of U.S. youth discriminatory experiences at the national level is scant.

Methods

Using data from the 2023 National Youth Tobacco Survey on youth aged ≥9 years (N=22,069), the authors used the 15-item Adolescent Discrimination Distress Index to create a binary indicator of any discrimination and mean summary scale (i.e., overall) and subscales (i.e., educational, institutional, and peer) representing frequencies of distress. The authors estimated the distribution of each discrimination measure overall and examined differences by the intersection of gender, race, and ethnicity.

Results

More than half the …

Disparities In Use Modalities Among Adults Who Currently Use Cannabis, 2022–2023, Meman Diaby, Osayande Agbonlahor, Bethany Shorey Fennell, Joy L. Hart, Delvon T. Mattingly

Behavioral Science Faculty Publications

Purpose

Following the legalization of cannabis in several U.S. states, the cannabis market has expanded, leading to a wider range of products including smoked, edible, and vape products which have variable health effects. This proliferation highlights the need for more research on patterns of current cannabis use among U.S. adults.

Methods

We used combined data on adults who currently use (i.e., past 30-day use) cannabis (n = 16,999) from the 2022 and 2023 National Survey on Drug Use and Health. We analyzed whether seven cannabis use modalities including smoking, vaping, dabbing, consuming edibles, taking pills, applying topicals, and absorbing …

Examining The Relationship Between Racial, Ethnic, And Economic Residential Segregation And Cigarette Smoking Among A Nationally Representative Sample Of Young Adults, Shyanika W. Rose, Mary Kay Rayens, Mona Azadi, Elexis C. Kierstead, Amanda Y. Kong, Kimberly Horn

Behavioral Science Faculty Publications

Introduction

Predominantly Black, Hispanic or Latino, and lower-income communities are overexposed to tobacco. This study investigated the relationship between cigarette smoking and racial/ethnic and economic segregation using the Index of Concentration at the Extremes (ICE). Aims and Methods

A nationally representative sample of 4091 (aged 18–34 years) was surveyed between September and October 2016. We calculated census-tract population estimates to form ICE measures for ethnicity, race, income, ethnicity and income, and race and income. Quintiles were determined, with Quintile 1 (Q1) representing the most Hispanic/Latino, Black, and lowest-income neighborhoods and Q5 representing the most non-Hispanic/Latino, White, and highest-income neighborhoods. State …

Blood Biomarkers In Down Syndrome: Facilitating Alzheimer’S Disease Detection And Monitoring, Melissa E. Petersen, Lisi Flores-Aguilar, Elizabeth Head, Laia Montoliu-Gaya, Andre Strydom, Sarah E. Pape, Juan Fortea, Nicholas J. Ashton, Chinedu Udeh-Momoh, Sid E. O’Bryant, Dwight German, Florin Despa, Mark Mapstone, Henrik Zetterberg

Neurology Faculty Publications

Blood-based biomarkers continue to be explored for disease detection, monitoring of progression, and therapeutic outcomes as the diagnostic determination of Alzheimer’s Disease in Down Syndrome (DS-AD) remains challenging in clinical settings. This perspective highlights the current status of this effort. Overall, amyloid (A), tau (T), and neurodegeneration (AT[N]) blood-based biomarkers have been shown to increase with disease pathology for individuals with DS. Phosphorylated tau biomarkers (p-tau217, p-tau181) have been consistently shown to track disease progression for DS-AD and are likely good candidates for use in clinical settings. Biomarkers of inflammation (glial fibrillary acidic protein) also show promise; however, additional work …

The Psychological Impact Of Denied Blood Transfusions By Jehovah's Witness Parents In Pediatric Patients, Jaelyn Capablanca Braganza

Nursing | Student Research Posters

Jehovah's Witnesses believe that it is against God's will to receive blood from someone else, or to tamper with their own blood, influencing them to deny blood transfusions for themselves and for their children. Since minors are legally not allowed to make healthcare decisions on their own until they reach 18 years of age, this decision made by the parents to deny transfusions on the pediatric patient's behalf may create significant emotional and psychological challenges, potentially influencing family dynamics, mental health, and overall well-being. Understanding these effects, especially for the pediatric patient, is crucial for healthcare providers, social workers, and …

Effectiveness Of Post-Discharge Interventions Following Psychiatric Hospitalization On Readmissions And Suicide Prevention Among Adolescents, Maria Paz Eladia Posadas

Nursing | Student Research Posters

Background: Suicide is a pervasive and far-reaching issue. Psychiatric hospitalization is often used as an intervention for individuals, including adolescents, experiencing suicidal ideation and/or behavior. However, post-discharge care may lack structure or clearly defined follow-up services, which can result in rehospitalizations and increased suicidality. Objective: The goal of the proposed research study is to investigate how implementation of peer support groups for adolescents following psychiatric hospitalization can assist in reducing readmissions and mitigating suicide risk. This can also help shape strategies for managing care after discharge. Method: The proposed research study utilizes a quantitative quasi-experimental design to determine the efficacy …

Forgiveness Of Self And Others: A Group Approach To The Treatment Of Ptsd And Other Trauma Related Experiences, Jarrod A. Mask

Psychology Doctoral Specialization Projects

Forgiveness is often misinterpreted as the act of forgetting what happened or offering one’s offender the ability to redeem themselves for their wrongdoings. This is simply not the case. Rather, forgiveness is the process of the individual making the unprovoked choice to release their resentment in their own voyage towards living a free and happy life without being imprisoned from the emotions un-forgiveness produces. Forgiveness, as it may be a necessary process for the individual is to attain a sense of peaceful acceptance and liberation from their pain, is not an easy process. Providing a peer-based support system in the …

Reducing Stress Related To Injection Therapy: A Zen Bundle Approach, Valoree Bowen

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Needle fear and stress are common barriers preventing adults from seeking necessary medical treatments, including intramuscular (IM) injection therapy. Research highlights the need for evidence-based interventions to mitigate this fear and improve patient experience.

Objective: This evidence-based pilot project included a Zen Bundle—an intervention incorporating shared decision-making, aromatherapy, and distraction—to evaluate the impact on stress reduction and patient satisfaction in a retail vitamin shop in North Texas.

Methods: The project utilized a pre-and post-intervention design over eight weeks. Participants completed pre-surveys assessing stress levels using a Visual Analog Scale before choosing an intervention (aromatherapy, distraction, or both) during IM …

Investigating The Role Of Dynamic Signaling Of Nrg3-Erbb4 In The Prefrontal Cortex In Mediating Nicotine Withdrawal Phenotypes, Emily Prantzalos

Theses and Dissertations--Pharmacy

While several pharmacotherapies are currently available for nicotine use disorder (NUD), smoking cessation success rates remain below 10% each year. The molecular mechanisms underlying failed quit attempts continue to represent a critical gap in our knowledge. However, recent advances in understanding the genetic contributions to nicotine dependence offer a promising avenue for developing more effective cessation therapies. Prior research has identified genetic variation in Neuregulin 3 (Nrg3) and its cognate receptor ErbB4 as potential contributors to affective nicotine withdrawal (WD) phenotypes and cessation outcomes. Therefore, this dissertation aims to systematically investigate the region-specific, functional role of the Neuregulin Signaling Pathway …

Early Adversity, Impulsivity, And Health Behaviors, Amy Lynn Meadows

Theses and Dissertations--Clinical and Translational Science

Childhood trauma and early adversity are associated with a variety of negative health outcomes, some of which may be mediated by changes to impulsivity as described by the cumulative risk model. The purpose of this project is to provide insight into the effects of cumulative adverse childhood experience on impulsivity in various populations. Three studies examine the effects of early adversity on impulsivity in normal volunteers, parents caring for a child with medical needs, and in patients with diabetes or pre-diabetes with data collected through crowdsourcing. The strongest effects for early adversity on impulsivity were seen in the patients with …

Autism And The Delay Of Diagnosis In African American Communities, Kiara Loud

Theses and Dissertations

Autism Spectrum Disorder (ASD) is a developmental disability accompanied by a wide range of neurodevelopmental disorders. ASD can affect anyone regardless of race, socioeconomic status, or ethnicity (CDC, 2025). Individuals with ASD tend to have issues with various challenges and strengths regarding how they learn, think, and solve problems. Some children with ASD have repetitive patterns of behavior, restricted interest in activities, and difficulty in communication and social interaction.

According to the World Health Organization, the global prevalence of ASD 1 in 100 children diagnosed with Autism. Additional data supplied by the CDC states that the number of children with …

Confronting Indecision, Lane Allison Murray

ENGS 15.11: Design and Education

This course aims to increase students' understanding of indecision and how to confront it. The class provides insight into how the fear of the unknown holds people back from making decisions and about understanding one's values as a means to combat indecision. Students and teachers alike explore instances of indecision and evaluate their own impulses & thought processes by reflecting on the deeper reasons for their choices. Students will increase their comfort level of asking themselves and their peers questions about the values that guide them and, in doing so, strengthen their relationships with themselves and others.

Leadership In Behavioral Health, Rebecca Mccoy

School of Business Student Theses and Dissertations

Abstract

Leadership in healthcare is difficult when dealing with human contact in its most raw and vulnerable way. Leadership in behavioral health is just as challenging as direct practice practitioners tend to be the ones who move up into these roles. This study will exam “Identifying factors that promote successful leadership and challenges that cause barriers to having successful leadership in behavioral health.” This includes soft and hard skill knowledge, growth opportunities and the strengths and struggles in moving into leadership roles in this industry.

The study is based on phenomenological research to gain an understanding of the individual experience …

A Happy Medium?: Using Image Generators To Explore Solution-Focused Art Therapy’S Miracle Question, Daniel A. Hernried

Art Therapy | Master's Theses

This mixed methods, randomized, single-session study tested whether integrating text-to-image generations into Solution-Focused Brief Art Therapy alters therapeutic rapport and short-term outcomes relative to traditional artmaking materials. Participants were assigned by coin flip to create using either a text-to-image generator or convention media (23 per group), completing immediate and three-day follow-ups. Alliance was measured using DREAM (Dimensions of Regard, Empathy, and Authenticity Metric), and problems were rated pre/post; groups did not differ significantly on DREAM total or facets, and both modalities produced reliable pre-to-post reductions in problem severity. At the same time, process differences were pronounced: the AI condition showed …