Social and Behavioral Sciences Commons^™

Therapeutic Alliance Between African American Clients And European American Providers: A Phenomenological Study, Dr. Pamela Johnson-Hood

Walden Dissertations and Doctoral Studies

African Americans do not seek mental health help at the same rate, as do European Americans; furthermore, African Americans who do seek help tend to leave therapy prematurely. A poor therapeutic alliance between African American clients and European American clinicians may be one reason that African Americans do not seek therapy or leave prematurely. The purpose of this phenomenological study was to understand the lived experience of African American clients in therapeutic relationship with European American clinicians. Rogers' theory of therapeutic alliance, which included empathy as a key concept, served as the conceptual framework of this study. Through purposeful sampling …

Substance Abuse And Depression: Exploring Changes In Symptomology In Minority Subgroups, Ruth Michel

Walden Dissertations and Doctoral Studies

While a comorbid relationship between substance abuse and depression in Caucasian adults has been widely documented, comorbid substance abuse and depression in minorities remains unexplored, leaving a gap in knowledge concerning the treatment of these comorbid disorders in the fastest growing population in the United States. Cognitive behavior theory posits that specific stressors increase the likelihood of substance abuse. These factors may include structural discrimination experienced by minorities. This quantitative, pretest-posttest archival study examined the effects of a substance abuse treatment program in reducing comorbid depressive symptoms among 317 participants from 3 minority subgroups and a comparison nonminority group enrolled …

Resilience Or Recovery: A Phenomenological Investigation Into Parental Bereavement, Anita Elderkin

Walden Dissertations and Doctoral Studies

Facing the death of a loved one is often a traumatic experience; when the deceased is one's own child, the loss may be the most stressful event of one's life. There has been very little research into the phenomenon of being a bereaved parent. This study is a phenomenological investigation into the lived experience of being a bereaved parent and whether resilience or recovery plays a role in how parents move through and eventually past such a loss to continue with their own lives. Previous research has indicated that adjustment to traumatic experiences can take multiple pathways or trajectories, depending …

The Link Between Therapists' Social Class Attributions And Treating Clients Of Low Socioeconomic Status, Dan Sharir

Walden Dissertations and Doctoral Studies

Social class may impact the ways people are perceived and treated by others. The social class attributions of therapists may influence the manner in which they conceptualize their clients' problems and their relationship with their clients. There is a gap in the literature concerning the link between therapists' social class attributions and their responses toward low socioeconomic status (SES) clients in actual clinical settings, which could impact the therapists' interaction with their clients and the treatment process. The purpose of this qualitative descriptive case study was to examine the links between therapists' social class attributions and their experiences with low …

The Lived Experiences Of Low Income Parents Of Children With Autism, Renee L. Sullivan

Walden Dissertations and Doctoral Studies

Previous studies indicated that parents raising children with autism (CWA) experience higher rates of stress; however, no qualitative studies have addressed low-income parents' lived experiences of raising CWA. The purpose of this hermeneutic phenomenological study was to understand the challenges that low-income parents of CWA face daily within the framework of family systems theory and biopsychosocial theory. Research questions focused on the impact of income and the core symptoms of autism (social deficits, communication deficits, and repetitive behaviors) on marital and interpersonal relationships. Semistructured interviews with 13 parents were conducted, and transcripts were analyzed for themes using a 4-step process. …

Predictors Of Obesity, Acculturation, And Perceived Stress In Meskhetian Turk (Ahiska) Immigrants In The United States, Zekeriya Temircan

Walden Dissertations and Doctoral Studies

Obesity is a risk factor for chronic diseases among the ethnic minorities for adult immigrants in the United States. There have been many research studies conducted to examine the relationship between the predictors and obesity in minority groups in the United States, that relationship was unknown in Meskhetian Turk (Ahiska) immigrant populations. Guided by social ecological model and acculturation theory, this study examined the predictors of obesity in the Meskhetian Turk (Ahiska) immigrant population in the western United States. Data were collected from 109 participants using CDC's Behavioral Risk Factor Surveillance System, Stephenson Multigroup Acculturation Scale, and Perceived Stress Scale. …

Exploring Patterns Of Resilience In Individuals Who Identify As Native American, Kimberly Ann Landrau

Walden Dissertations and Doctoral Studies

Native Americans experience a higher rate of homicide, suicide, and injury, on average, than do others in the United States. There has been little research, however, on turning point and epiphany experiences as factors that contribute to resilience in Native Americans. The purpose of this study was to add to this body of knowledge, and promote social change such as greater engagement and dialogue within Native American communities. The theory that informed the study was resilience theory. Two questions were answered: (a) the ways in which turning point life experiences have correlated with resilience in Native American individuals, and (b) …

Examining The Retention Of African American Young Adults In Their Childhood Church, Stacia Lynn Alexander

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine the reasons for the decline of young adult church attendance after an affiliation with church during childhood. Religion plays an important role in the lives of African Americans as a coping mechanism for loss, adversity, racism, and trauma. In addition, spiritual exploration is a component of psychological development during maturation. Using the social identity theory, the study explored the impact of childhood church affiliation and coping styles of young adults. African American Youth between 18 and 30 years old were randomly selected to complete a combination of questions from the Lasting Faith …

Predictors Of Attitudes Towards Mental Health Treatment In The Orthodox Jewish Population, Shlomo Bineth

Walden Dissertations and Doctoral Studies

Within the Orthodox Jewish (OJ) community, there is a hesitation among those in need of mental health services to seek treatment, primarily due to stigmatized views toward mental illness. The theory grounding this study was Goffman's theory of social stigma, which defines social stigma as the result of an attribute, behavior, or reputation being discredited by others in a way that puts a person or group of people in an undesirable light. The purpose of this study was to examine the reasons underlying negative attitudes toward mental health treatment in the OJ community by examining variables that might explain those …

The Lived Experiences Of Men Attracted To Minors And Their Therapy-Seeking Behaviors, Heather Cacciatori

Walden Dissertations and Doctoral Studies

This study explored the lived experiences of men attracted to minors who believed they would benefit from therapy but did not seek out or attend therapeutic services; and sought to gain an understanding of how the decision to seek help or not impacted their well-being. Participants included 7 men who were recruited through the B4U-ACT online forum, which provides peer support for the minor attracted community. Participants were interviewed over Skype. Data from these interviews was analyzed and coded according to the interpretative phenomenological method as outlined by Smith et al. (2012). Five main themes emerged, providing insight as to …

Relationship Between Mental Health Facilities' Pre-Intake Practices And Children's First Appointment Attendance Rates, Christine Marie De Santis-Collis

Walden Dissertations and Doctoral Studies

Between 20% and 57% of patients at community mental health centers miss their first mental health appointment, resulting in wasted resources and longer wait times for other patients. To date, only one peer-reviewed quantitative study examined the relationship between appointment reminder practices and children's and adolescents' first appointment attendance rates for community mental health centers. The purpose of this quantitative study was to examine the relationship between first appointment wait times, electronic appointment reminders, phone appointment reminders, and first appointment attendance for U.S. community mental health centers, along with the potential moderating effects of age, ethnicity, and gender. Blumer's symbolic …

Static-99, Mnsost-R, And Pcl-R In Predicting Recidivism Among Texas' Sexual Violent Predators, Diana Jefferson Jefferson

Walden Dissertations and Doctoral Studies

Recidivism within the sexually violent predator (SVP) population has gained worldwide attention because of the lack of protection offered to the victims that may lead to loss of life. Behavioral theory suggests that accuracy of predictive behaviors based on empirical judgement is more reliable than that based on clinical judgement. The purpose of this research was to see whether three actuarial assessment tools, Static-99, PCL-R, and MnSOST-R, could predict recidivism and whether the combination of the three-increased predictive value in the Texas SVP population. As yet, the literature provides no evidence. The Texas Open Record System provided assessment scores and …

The Development Of Narcissism Among Lawyers And Farmers: A Quantitative Study, Steve Murdock Murdock

Walden Dissertations and Doctoral Studies

Narcissism has been identified as a threat to society and the individual. Individuals with high levels of narcissism (narcissistic personality disorder) struggle to maintain jobs, stable relationships, and healthy life perspectives. Without knowledge about the origins of narcissism, mental health professionals may only be treating the symptoms of narcissism and not the factors that perpetuate its development. The purpose of this study was to measure narcissism in farming and law careers and to determine whether career is a factor in the development of narcissism. It was predicted that career would be an important developmental event and process that would have …

Examining Differences Between Foster Parents Who Continue To Foster Children And Those Who Do Not, Jacqueline L. Farris

Walden Dissertations and Doctoral Studies

Foster parents are often not equipped to address the difficulties and challenges they face with their foster children. Research has identified the importance of providing foster children with a safe and secure environment. Guided by the theory of adoption and attachment, the purpose of this study was to identify the differences between foster parents who continue with foster child placements and those who do not by examining their perceptions of foster parenting behaviors and their foster parent/child relationships. Participants were recruited using online foster parent forums and foster care agencies. A total of 31 foster parents participated: 13 licensed and …

The Relationship Between Emerging Adulthood And Communication Patterns, Eli Felt

Walden Dissertations and Doctoral Studies

Adults who have not developed effective communication skills are at an increased risk of

having unsuccessful relationships. Children of divorce are less likely to have communication behaviors modeled to them, resulting in undeveloped communication and therefore a higher likelihood to get divorced themselves. The purpose of this quantitative quasi-experimental study was to determine if there was an association between the successful transition to emerging adulthood and the development of communication behaviors among adults. The research question focused on whether successful transition through emerging adulthood positively discriminates communication patterns among adults, specifically using Gottman's framework of the Four Horsemen of the …

Rumination And Self-Medication Among Women With Posttraumatic Stress And Alcohol Use Disorders, Deeann Dawn Lizarraga

Walden Dissertations and Doctoral Studies

Women with posttraumatic stress disorder (PTSD) often develop alcohol use disorders (AUD) resulting from the use of alcohol to self-medicate from negative affect. Research supports the relationship between comorbid PTSD and AUD, and studies with women additionally identify the role of rumination, or excessive thinking about distress and its causes, as a precipitating aspect leading to self-medication. Female-based data is sparse, however, regarding specific thought patterns and factors which trigger the need to self-medicate with alcohol. Numerous researchers have studied the relationship between stress, anxiety, and alcohol use, although, there exists a need for qualitative studies providing thick, rich information. …

Symptom Changes In Children And Adolescents With Internalizing Conditions During Treatment, Rachel Samantha Bertelson

Walden Dissertations and Doctoral Studies

Mental health conditions, such as internalizing disorders, in children and adolescents have been attributed to higher than expected levels of high school dropouts, juvenile crimes, and suicide. Previous research studies provide limited information on factors influencing treatment success for children and adolescents diagnosed with internalizing disorders. This study utilized a nonequivalent comparison group design gathered from an archived data set from a sample of children and adolescents (N = 215) who participated in an intensive outpatient managed mental health care treatment program. Self-report data were retrieved from previous responses to the Children's Depression Inventory and Revised Children's Manifest Anxiety Scale …

The Relationships Among Kindergarten Entrance Age, Preschool Experience, And Reading Achievement, Courtney Lynne Kowalczyk

Walden Dissertations and Doctoral Studies

Children participating in kindergarten programming across the United States are expected to perform at a higher level than ever before. Many of these children are unprepared and developmentally unready for the academic tasks that await them. Researchers have shown that an older age at the start of kindergarten is a predictor of academic achievement. Researchers have also shown that prior preschool experience impacts academic achievement. What has been unknown though is how the relationship between both beginning kindergarten at an older age and attending preschool prior to beginning kindergarten impacts academic success. Using Piaget's theory of development as a foundation, …

Emotional Eating In The Work Place: The Eating Patterns Of Mental Health Workers, Carly Rene Zies

Walden Dissertations and Doctoral Studies

More than a third of all adults in the United States are considered obese. Due to the high costs of health care for obese adults and children, obesity has become a national health crisis. Many government programs have been developed to curtail obesity in adults and children. Unfortunately, there has only been limited success. Past research has shown that obesity has been linked to stress and eating while stressed. Emotional eating occurs when individuals respond to certain emotions, such as stress, by eating to cope with the emotion. Research has shown a correlation between nursing and disordered eating. Given the …

Parental Stress And Parent-Child Relationships In Recently Divorced, Custodial Mothers, Kelly Lyn Murphy

Walden Dissertations and Doctoral Studies

Divorce creates significant stress that can have an impact on parent-child relationship satisfaction. Past researchers have indicated that in times of high stress, parents may not be available for their children due to their personal issues. Attachment theory demonstrates the importance of the parent-child bond for the child as he or she matures, so this bond needs to be protected. The purpose of this quantitative, nonexperimental study was to examine the predictive relationship between parental stress as measured by the Parenting Stress Index, 4th Edition, Short Form (PSI-4-SF) and the parent-child relationship satisfaction as measured by the Parent-Child Relationship Inventory …

The Relationship Between Infertility, Infertility Treatment, Psychological Interventions, And Posttraumatic Stress Disorder, Antoinette Corley-Newman

Walden Dissertations and Doctoral Studies

The number of women diagnosed as infertile continues to grow every year. The psychological impact of the infertility experience has been said to create distress equivalent to that associated with life-threatening illnesses and has been linked with posttraumatic stress disorder (PTSD). Using shattered assumption and stress-buffering theory, this quantitative causal comparative study explored the potential functional relationship between infertility and PTSD. The majority of the (all-female) participants were 24- to 34-year-old college graduates. A 2 X 3 factorial between-subjects ANOVA examined and compared the cause and effect of the independent variables, fertility treatment and psychological intervention, on the dependent variable, …

Quality Of Sibling Relationship And Age Spacing In Single-Parent Households Versus Two-Parent Households, Mari Varga Overlock

Walden Dissertations and Doctoral Studies

Sibling relationship quality is affected by several variables, such as gender, age spacing, marital conflicts, parenting, and parent-child relationship, which simultaneously influence personality and developmental outcomes. Furthermore, sibling relationships can significantly influence the social climate of the family and vice versa. The objective of this study was to examine the effects of household composition (1-parent home vs. 2-parent home) and the number of years between siblings ages on sibling relationship quality, and to determine whether parental conflict response management strategies differ between single-parent and 2-parent homes. The participants were 124 adult mothers with at least 2 children. Participants provided demographic …

Exploring Lay Conceptions Of Well-Being And Their Relationship To Experienced Well-Being In Chinese Undergraduate Students, Ada Jen

Walden Dissertations and Doctoral Studies

In 2012, the Chinese 18th Party Congress identified individual well-being and well-being of the nation as 2 of the most important goals for China. Well-being, the maintenance of a happy and meaningful life, is one of the major psychological health benchmarks in an individual's life. Empirical research on lay conceptions and experiences of well-being has been almost exclusively conducted in Western cultures. Understanding Chinese lay people's conceptions of well-being and the relationship of those conceptions to experienced well-being is important for optimizing individual and social well-being, and for providing a basis for positive social change in China. The primary objective …

Working Mothers, Work-Life Balance, Locus Of Control, And Perceived Supportive Factors, Natashia Gridiron

Walden Dissertations and Doctoral Studies

From 1948 to 2015, there was a dramatic increase of mothers in the workforce. The literature demonstrates that mothers tend to work outside of the home while also maintaining most of the domestic roles. However, the literature does not address how these women are able to balance their roles. There is a gap in the literature concerning the relationship between locus of control, perceived supportive factors, income size, and work-life balance for working mothers. The purpose of this cross-sectional quantitative study was to fill that gap as measured by Rotter's Internal- External Control Scale, Satisfaction with Work and Family Balance …

Examining Binge Eating Rates Between Caucasian-American And African-American Men, Elizabeth Anne Raky

Walden Dissertations and Doctoral Studies

Eating disorders (ED) are maladaptive eating patterns that can have social, biological, health, and occupational consequences. The purpose of this study was to explore and compare binge eating episodes, locus of control, and body dissatisfaction between African-American men (n = 66; 53.70%) and Caucasian-American men (n = 57; 46.30%). There is a current gap in the existing literature regarding the study of men who BE and a sampling bias with regard to ethnic minorities. Based on Bandura's social learning theory model and Rotter's locus of control, the purpose of this research was to determine and compare the relationship between BE, …

The Relationship Between Depressive Symptoms And Levels Of Lifestyle Activity Among Community-Dwelling Older Adults, Michael D. Gatson

Walden Dissertations and Doctoral Studies

Identifying depressive symptoms in community-dwelling elders has been problematic, due to a lack of resources and training for health clinicians. Previous researchers have indicated that older adults who engage in physical activities can prevent, or mitigate depression, but no model has included this variable in conjunction with factors such as lifestyle or sociodemographic characteristics. In this study, a predictive design was used with a regression analysis. The purpose of this quantitative study was to investigate the relationship between depressive symptoms and the different factors identified in the literature as significant contributors to its prevalence among older community-dwelling adults. Erikson's theory …

Effectiveness Of Cognitive Rehabilitation As Memory Intervention For Elderly Adults With Dementia, Luzviminda Salamat Morrow

Walden Dissertations and Doctoral Studies

Although cognitive rehabilitation is not a new field of intervention, as it dates back to the treatment of brain-injured soldiers during World War I, the use of cognitive rehabilitation intervention therapies for individuals with dementia and mild cognitive impairment has yet to draw definite conclusions about its effectiveness. Based on the conceptual framework of biopsychosocial theoretical model, this study explored to what extend cognitive rehabilitation intervention was effective in improving the memory and mood functioning of elderly adults with mild cognitive impairments. An archived data set of 216 elderly adults collected at a midwestern agency in the United States during …

Recidivism Rates Among Juveniles With Mental Illness, Kia Chevon Russell

Walden Dissertations and Doctoral Studies

Treating mental illness is imperative to help reduce criminal justice involvement within the juvenile population. Receiving mental health care will help decrease the likelihood for youth to reoffend, ultimately reducing recidivism rates. Past studies showed there are risk factors associated with juveniles and recidivism; however, very few studies have examined what factors are prevalent after services have been received. The purpose of this study was to identify factors that increase the risk of recidivism among juveniles who have received psychiatric stabilization in Harris County, Texas. Risk factors that were assessed included age, gender, ethnicity, and criminal offense. The psychodynamic perspective …

Divorcing Couples' Experience With Child Custody Mediation And Litigation, Jessica Leonard Anderson

Walden Dissertations and Doctoral Studies

Couples who divorce are likely to experience increased levels of psychological distress, decreased levels of happiness, and increased levels of depression. To reduce these negative effects, litigators use mediation to resolve disagreements including child custody disputes. The purpose of this quantitative study was to compare divorcing parents' depression and satisfaction with the process after the use of mediation or litigation. Wexler's theory of therapeutic jurisprudence provided the theoretical framework. Data was collected from 170 participants who were recruited using convenience sampling through Facebook. Participants voluntarily completed a survey which included a researcher developed questionnaire, the Acrimony Scale, the Nonacceptance of …

The Effect Of Cognitive Behavioral Therapy And Chiropractic Care On Stress Reduction, Tracee Felice Williams

Walden Dissertations and Doctoral Studies

Decreasing the impact of stressors on the body remains an important area of study for the affected population. While there is evidence showing that cognitive behavior therapy (CBT), a psychotherapy approach, results in decreased stress, little was found about the effects of chiropractic treatment (CC) on stress. The purpose of this quantitative archival study was to determine whether the combination therapy of CC and CBT was more effective in decreasing stress than CBT independently. Cognitive neuropsychology served as the theoretical lens. Client data from a mental health and chiropractic care center on the West coast (N = 112) were divided …