Social and Behavioral Sciences Commons^™

Compassion-Based Resilience Training (Cbrt) For Frontline Healthcare Workers In Contact With Covid-19 Patients, Michael Perez Sosa

Dissertations and Theses

Objectives: The COVID-19 pandemic has had deleterious consequences for the mental health of frontline healthcare workers worldwide. One systemic review of the literature found high prevalence rates of anxiety (67.55%), depression (58.89%), and stress (62.99%) reported by this population (Vizheh et al., 2020). Additionally, high rates of burnout and symptoms associated with trauma have also been ubiquitous during the pandemic for frontline healthcare workers. The purpose of this study is to investigate Compassion-Based Resilience Training (CBRT) as a remotely delivered intervention for frontline healthcare workers in contact with COVID-19 patients to reduce symptoms associated with stress, depression, anxiety, burnout, and …

The Impact Of Perceived Social Support On Complex Posttraumatic Stress Disorder, Elizabeth Eng

Dissertations and Theses

Individuals who have experienced repeated and interpersonal trauma often develop symptoms of Posttraumatic Stress Disorder (PTSD), along with additional features relating to disturbances in self-organization (DSO), which is now known as Complex Posttraumatic Stress Disorder (CPTSD). CPTSD has been seen to be associated with adverse outcomes such as somatic symptoms, attachment insecurity, and overall lower life satisfaction (Karatzias et al., 2018; Kuhar & Zager Kocjan 2022; Maercker et al, 2022). Due to these additional features relating to DSO, CPTSD has been identified as distinct from PTSD, and so it has been important to investigate these unique symptoms. One such symptom …

Internalized Gender Role Stereotypes Within Young Women And The Presentation Of Somatic Symptomatology Of Major Depressive Disorder, Michelle Miselevich

Dissertations and Theses

Evidence suggests that two distinct disorders are currently being diagnosed as depression. One, somatic depression, involves depression plus several somatic symptoms while the other, pure depression, involves depression without as much somatic symptomatology. Somatic depression has been hypothesized to afflict women who view themselves non traditionally and thus do not agree with traditional stereotypes of women. Measures of agreement with negative stereotypes of members of their own group have been found in several groups to be positively related to depression. This may apply among women to pure depression. Thus, women who exhibit pure depression are hypothesized to exhibit agreement with …

Immigrant Therapists’ Perceptions Of Transference, Countertransference, And Racial Experiences In The United States, Lian Malki-Schubert

Dissertations and Theses

There has been a steady increase in the percentage of immigrant therapists in the US. In psychology doctoral programs, the number of foreign-born students has doubled between 1997 and 2016. The present study aimed to examine the perceived impact of therapists’ immigrant identity when working with US-born and foreign-born clients, as little research has been dedicated to this topic. Another central theme this study sought to explore was immigrant therapists’ perspective shifts on racial identity upon arriving in the US. Given that race is a social construct that is culturally bound, the study investigated immigrant therapists’ perceptions of racial identity …

An Exploration Of The Relation Between Psychological Functioning And Reactions To Global Climate Change For Late Adolescents In New York City, Emma Routhier

Dissertations and Theses

Climate change poses a potentially unique generational crisis, as it threatens the viability of the very world that the current adolescent generation stands to inherit. While some studies have begun to appreciate the specific experience of adolescents as it pertains to climate change, they attend to young people’s behavior or self-reported feelings. The present study aims to employ psychoanalytic constructs, with attention to the unconscious determinants of psychic life and behavior, in an empirical examination of this topic, and to introduce a level of sensitivity to the vicissitudes of the adolescent period that have not previously been addressed in the …

Immigrant Risk, Self-Discontinuity, And The Role Of Nostalgia, Leila Talhouk

Dissertations and Theses

Background: There are conflicting theories and data about immigrants’ health in the host country (e.g., immigrant risk vs. paradox), which have encouraged researchers to examine more nuanced factors related to immigration to clarify these inconsistencies. This two-part study aimed to shed light on these discrepancies by investigating psychoanalytic concepts that have not yet been empirically tested. The study focuses on immigrant self-discontinuity, a migration- induced disruption in one’s sense of self-sameness and unconscious sense of going-on-being, manifesting in moments of disorientation, disorganization, or dissociative-like experiences. There is no adequate instrument to measure this construct; as such, Part 1 of the …

Early Adversity, Emotion Regulation, Object Relational Functioning, And The Moderating Effect Of Gender Identity: A Community Sample Study, Victoria Schilder

Dissertations and Theses

Introduction: Clinical and social psychological literature have long demonstrated group status, culture, and social support as equally integral and influential factors which contribute directly both to the quality of one’s lived experience, and to the development and experience of one’s sense of identity or selfness. For example, acceptable norms regarding behavior, dress, and emotional experience – particularly when an individual does not live up to societal standards – have been demonstrated to contribute to deleterious internalizations surrounding self-confidence, self-worth, and self-esteem. More specifically, the social and cultural implications of being identified as “female” versus “male” have been found to be …

The Moderating Roles Of Racial Discrimination And Covid-19 Stress On The Association Between College Students’ Cannabis Use And Psychosocial Functioning, Shannique Richards

Dissertations and Theses

Abstract

The Moderating Roles of Racial Discrimination and COVID-19 Stress on the Association between College Students’ Cannabis Use and Psychosocial Functioning

By

Shannique Richards, MA

Advisor: Sarah O’Neill, PhD

Greater use of cannabis is linked to poorer psychosocial outcomes. Rates of cannabis use are particularly high in racial/ethnic minoritized (REM) and socioeconomically disadvantaged college students. Cannabis use has been correlated with exposure to trauma. REM and socioeconomically disadvantaged college students report higher rates of trauma exposure, including discrimination and health and social disparities than their White peers. This study examined exposure to two types of potentially traumatic events (racial discrimination …

Joint Laughter Between Patient And Therapist: Exploring The Function Of These Moments And Their Relationship To The Working Alliance In Short-Term Psychotherapy, Molly Rappaport

Dissertations and Theses

Laughter emerges in infancy and reflects mutually aroused and regulated positive affect within the caregiver-infant relationship and repeated cycles of shared, co-regulated positive arousal have been shown to play a critical role in fueling secure attachment bond formation and laying the groundwork for the infant’s capacity for affect regulation (Schore, 2003). Throughout life, laughter continues to function as an attachment behavior with the possibility of promoting interpersonal closeness or creating distance. Attitudes toward the role of laughter in psychotherapy vary among psychodynamically-oriented clinicians and research has mostly focused on the kinds of humor and interventions that provoke laughter rather than …

“I Knew These Marvelous People”: Gay Men’S Experiences Of Long-Term Hiv/Aids Survival, Ilana J. Sichel

Dissertations and Theses

The gay and bisexual men who were diagnosed with HIV/AIDS before the pharmaceutical breakthroughs of the mid-1990s were given what was expected to be a death sentence. Instead, the majority of those who began the newly available treatments outlived not just their initial prognoses but their lovers, friends, and community members who had already perished. This study used grounded theory analysis of semi-structured interviews with a sample of 10 self-identified gay men who are long-term HIV/AIDS survivors to explore experiences of trauma, loss, and mourning in relation to current psychological wellbeing. Qualitative thematic analysis indicated that despite demographic variance among …

Early Risk Factors For School-Age Adhd And Irritability: The Roles Of Prenatal Risk, Intrusive Parenting Style During Preschool And Caregiver-Child Attachment Quality., Ashley M. Rainford

Dissertations and Theses

ADHD is a highly impairing neurodevelopmental disorder and the family context provides a critical early environment where children’s risk for the disorder may be heightened or reduced. A parent’s style, that is their approach to interacting and guiding the child may provide children with warmth and security, or elicit fear, distrust and disappointment, both of which in turn impact behavior. However, the parent-child relationship is not unidirectional; it is dynamic. Children with high ADHD-like behaviors have greater difficulty relating to and interacting with their caregivers, while caregivers become increasingly stressed and show greater hostility and less warmth in their parenting. …

Loneliness, Interpersonal Sensitivity And The Mechanisms Through Which The Dimensions Of Trait Emotional Intelligence May Protect Against Clinical Depression, Eva H. Leighton

Dissertations and Theses

Reducing the prevalence of loneliness and depression are important public health objectives. This dissertation aims to contribute to these objectives by improving our understanding of the relationship between loneliness and depression. Specifically, we assessed three additional constructs known to be strongly associated with loneliness and depression –-perceived social support, emotional intelligence, and interpersonal sensitivity –- with the aim of showing how these three constructs influence the relationship between loneliness and depression. Previous research that jointly examines all five constructs has not been identified by the author in an extensive search of prior literature.

Specifically, this dissertation tested the following hypotheses: …

Identification Of Adhd And Comorbid Disorders In Children: The Potential Role Of Minority Group Membership, Rachel H. Tayler

Dissertations and Theses

Identification of ADHD and Comorbid Disorders in Children: The potential role of minority group membership

by

Rachel Tayler, MSc, MA

Advisor: Sarah O’Neill, PhD

Attention-Deficit/Hyperactivity Disorder (ADHD) affects six million US children. Females, Latinx, and possibly Black children have lower rates of diagnosis than their Male and White non-Latinx peers. ADHD is behaviorally defined, and as such, clinicians' perceptions of symptoms and determination of diagnoses may be influenced by demographic factors such as race, ethnicity and sex.

This vignette study examined whether clinicians' implicit ethnic, racial, and sex biases affect diagnosis of ADHD and comorbid conditions. Psychiatry trainees and pediatricians …

Being Black & Blue: Sex As A Moderator Between Adverse Childhood Experiences And Depressive Symptoms Among Black Emerging Adults, Wynta C. Alexander

Dissertations and Theses

Adverse Childhood Experiences (ACEs) have been linked to adult mental health consequences (e.g., depressive symptoms). Black people are disproportionately affected by ACEs, and factors related to ethnic subgroups and/or sex may produce differential depressive outcomes. The current study examined the moderating role of sex in the association between adverse childhood experiences and depression symptoms using a life course of health approach among a sample of Black emerging adults. Participants (n = 159) of the current study were Black (e.g., African – American) and Black Caribbean (e.g., Jamaican) undergraduate students (18 – 59 years old; 72.3% female) attending a large, public …

Does Social Media Promote Disordered Eating?, Carly Feldstein

Dissertations and Theses

Hispanic people are the largest and fastest-growing minority group in the U.S. with a total of 18.5% of the U.S population being of Hispanic descent (United States Census Bureau, 2020). Although eating disorders (ED), particularly those involving binge eating, comprise a significant health concern, EDs are often overlooked in the Hispanic culture (Higgins et al., 2016; Opara & Santos, 2019). Hispanic individuals have comparable rates of anorexia nervosa, bulimia nervosa, and an even higher rate of binge eating disorders compared to non- Hispanic (NH) White individuals (Higgins et al., 2016). Within Hispanic adults, the lifetime prevalence of EDs is higher …

The Contribution Of Adverse Childhood Experiences To The Interplay Between Insecure Attachment Characteristics, Trait Emotional Intelligence, Difficulties In Emotion Regulation, And Personality Organization, Kseniia Gvozdieva

Dissertations and Theses

There are well-established connections between unfavorable attachment experiences and subsequent personality pathology. Individuals with adverse attachment experiences and those with personality pathology have been found to have difficulty with emotional awareness and emotion regulation. Attachment characteristics inform emotional intelligence and emotion regulation, while emotional intelligence and emotion regulation capacities can be protective against personality pathology and serve as a potential mechanism of positive change in one’s attachment. Complex trauma disrupts attachment and the subsequent development of emotional intelligence, emotion regulation, as well as personality structure.

In this dissertation, we examine the ways in which individual attachment patterns can be linked …

Mechanisms Of Value-Biased Prioritization In Fast Sensorimotor Decision Making, Kivilcim Afacan-Seref

Dissertations and Theses

In dynamic environments, split-second sensorimotor decisions must be prioritized according to potential payoffs to maximize overall rewards. The impact of relative value on deliberative perceptual judgments has been examined extensively, but relatively little is known about value-biasing mechanisms in the common situation where physical evidence is strong but the time to act is severely limited. This research examines the behavioral and electrophysiological indices of how value biases split-second perceptual decisions and the possible mechanisms underlying the process. In prominent decision models, a noisy but statistically stationary representation of sensory evidence is integrated over time to an action-triggering bound, and value-biases …

Does Overweight/Obesity Moderate The Association Between Adhd And Internalizing Difficulties In Young Adults?, Breanna Badripersaud

Dissertations and Theses

This study’s objective was to investigate if ADHD symptoms and BMI are associated with internalizing impairments of depression, anxiety, stress and lower self-esteem in college students. It was predicted that higher ADHD symptoms would be associated with elevated depression, anxiety, stress, and low self-esteem, especially if BMI fell in the overweight/obese range. Undergraduate students [N= 580; Mean (SD) age= 20.7 (3.10)] from an urban campus completed an online survey comprising self-report measures of demographics, height/weight, attention and hyperactivity/impulsivity (Barkley Deficits Executive Functioning Scale ADHD- Executive Function Index), depression, anxiety, stress (all using the Depression Anxiety and Stress Scale) and self- …

The Epidemiology Of Somatic Depression And Eating Disorders: The Relationship Between Depressive Subtypes And Symptoms Of Disordered Eating, Anita M. Sicignano

Dissertations and Theses

Depression is known to affect females in much greater numbers than males, with about three times as many women having the disorder as men (American Psychiatric Association, 2013). A similar gender disparity can be seen in eating disorders, where up to nine in ten sufferers are female (American Psychiatric Association, 2013). Studies have shown that most of the gender difference in depression occurs as a result of women experiencing a form of depression involving a number of body-centric symptoms, including headaches, weight changes, fatigue, and insomnia, which has been termed “somatic depression” (Silverstein et al., 2013). Some of the symptoms, …

Exploring Obesity, Adhd Severity, And Disordered Eating Behavior Among College Students, Carolina Rozario

Dissertations and Theses

Obesity is a global epidemic because of the potential health risks. There is evidence that many obese individuals manifest persistent ADHD symptoms, and that both disorders increase risk for binge eating. Nevertheless, how obesity and ADHD may increase risk for binge eating work is unclear. Neuropsychological deficits are common to all disorders and may help to explain the relations observed. The aim of this study was to explore whether neuropsychological dysfunction, especially inhibitory control weaknesses, moderate the association between greater BMI and more severe ADHD and disordered eating behaviors. Thirty-nine undergraduate college students (27 females; Mean age = 20.77, SD …