Psychology Commons^™

Effects Of Violent And Nonviolent Life Stressors Among Urban Early Adolescents: Testing Competing Models Of Comorbid Distress And Externalizing Symptoms, Erin Thompson

Theses and Dissertations

The strong association between stressful life events and the wide-ranging spectrum of psychopathology has led some to advocate for the reconceptualization of traumatic stress. There has been a longstanding debate on whether these symptoms are best represented by using dimensional versus categorical approaches. Moreover, further understanding of the risk factors associated with various dimensions or patterns of comorbid emotional and behavioral problems could inform future research and intervention efforts. The current study tested competing variable- and person-centered approaches and examined how stressful life events are associated with different patterns of distress and externalizing symptoms among a predominantly African American and …

The Trauma Of Dishonor: Exploring The Ramifications Of Dishonor In Classical And Modern Society, Tamara Wachsman

Scripps Senior Theses

Exploratory in nature, this thesis investigated whether dishonor can be categorized as traumatic. With a foundation of existing research in trauma and honor, primary source analyses were conducted on classical texts, and a psychological study was conducted with participants living in the United States. The main primary source analyses were based on case studies, centering on Achilles, an ancient Greek hero, and Dido, an ancient Roman queen, who both experienced severe dishonor. Specifically, the narratives of Achilles and Queen Dido served as portrayals of dishonor in the form of a male hero who has his honor seized, and a woman …

The Strong Families Program: Differential Impacts Of Resilience And Parent Management Training, Katie Slusher

College of Graduate Studies: Theses & Dissertations

Childhood behavior problems are pervasive with 50% of non-referred families citing noncompliance and behavior problems as an issue (Achenbach & Edelbrock, 1981). Many behavioral parent trainings (BPTs) treat these behaviors at an early age. Recently, adaptions to BPTs include group formats increasing accessibility and decreasing cost, especially for rural families with limited resources (Niec, Barnett, Prewett, & Stanley Chatham, 2016). Beyond BPTs, Alvord, Zucker, and Johnson Grados (2011) developed the Resilience Builder Program to enhance children’s social, emotional, and behavioral skills through a cognitive behavioral framework. The Resilience Builder Program improves anxious and depressive symptoms and reduces behavior problems in …

An Examination Of The Relationship Between Community Engagement And Military Spouse Marital Satisfaction, Alexandra N. Gilbert

College of Graduate Studies: Theses & Dissertations

The goal of this research study is to assist in filling the gap in research on military spouses, beyond deployment and employment issues. Marital satisfaction is a known factor in service member retention and job performance, however very little research on what aspects may be related to military spouse marital satisfaction has been conducted. Military communities have been shown to be an important source of social support for military spouses, however few studies have considered spouses’ involvement in their larger communities. This study’s hypothesis states that a relationship between military spouses’ marital satisfaction and their community engagement off-base exists. The …

Understanding The Relationships Between Combat-Related Ptsd Symptoms And Drinking Motives On Military Parental Satisfaction, Melissa C. Hinely

College of Graduate Studies: Theses & Dissertations

As of 2017, over 1.3 million Americans are enlisted in the U.S. Armed Forces (Department of Defense, 2017). Military personnel, particularly those exposed to combat, are significantly more likely to experience Posttraumatic Stress Disorder (PTSD; Xue et al., 2015). Furthermore, persons with PTSD are more likely to misuse alcohol, particularly when motivated to drink as a means to cope with negative emotions related to their PTSD symptoms (Simpson et al., 2014). Both PTSD and alcohol misuse have been found to contribute negatively to parental satisfaction and distress (Chesmore et al., 2018; McGraw et al., 2018). Veterans/service members who were parents …

Separating Rope Strands: An Unraveling Of Shame In Gay Men, Chad Allen Lazzari

Antioch University Dissertations & Theses

This theoretical dissertation uses self psychology, Lacanian theory, and neuropsychoanalysis to explore shame in gay men and formulate an integrative understanding for how this master affect effects self and psyche for same-sex attracted men. Brief introductions to the theories used are provided with links to existing scholarship that informs theoretical leanings. A scholarly case is made for the significance of understanding the origin and lifecycle of shame, as well the importance of differentiating between early relational trauma shame (understood as an “inside out” experience), and a later, socially informed “outside in” experience. An argument is made for how shame “attaches” …

Posttraumatic Stress Disorder Rates Among Children In Foster Versus Family Kinship Care, Rashanda Allen

Walden Dissertations and Doctoral Studies

Children in foster care represent a highly traumatized population. However, trauma researchers studying this population have focused primarily on maltreatment rather than the full spectrum of posttraumatic stress disorder (PTSD) attributes and symptoms for children living in nonkinship foster homes versus kinship foster homes. The purpose of this study was to address this gap in the literature, as well as examine the benefits and limitations of children placed in kinship and nonkinship foster homes. Attachment theory was the theoretical framework. The research questions centered on the prevalence of specific types of posttraumatic stress symptoms for a sample of children living …

Understanding The Relationship Between Dental Fear, Behavior Management Problems, And Caregiver-Child Interactions During Young Child Dental Appointments, Christopher Kyle Owen

Graduate Theses, Dissertations, and Problem Reports (ETD)

Positive oral health practices should begin early in life (AAPD; 2013; 2014; 2015); however, dental care-related fear and anxiety and behavior management problems are prevalent among young children in oral health (Klingberg & Broberg, 2007). The study explored caregiver and child dental care-related fear and anxiety, child behavior, and caregiver-child interactions during early childhood dental appointments. Caregiver-child dyad participants (N = 140) were collected from dental practices in West Virginia, Ohio, and Tennessee. Children (n = 139) in the sample were largely White (69.8%) and male (54.0%), with an average age of 3.05 years. Video-taped dental appointments for children under …

Mnemonic Discrimination And Social Anxiety: The Role Of State Anxiety, Gabriella T. Ponzini

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Mnemonic Similarity Task (MST) measures mnemonic discrimination, or the ability to correctly identify new stimuli from highly similar, old stimuli. Neuroscientific and theoretical suppositions suggest that poor mnemonic discrimination may represent a potential risk or maintenance factor for anxious individuals. However, state affect appears to moderate the relation between mnemonic discrimination abilities and trait anxiety. The current study aimed to elucidate the nascent research on mnemonic discrimination and anxiety by evaluating the MST in a specific subtype of anxiety (i.e., social anxiety) and utilizing a clinically relevant stressor task (i.e., knowledge of a future speech). Participants (N = …

Exploring Predictive Variables Of Burnout In Students Attending Eastern Caribbean Medical Schools, Denise Deloris Lewis

Walden Dissertations and Doctoral Studies

The medical students of the Eastern Caribbean medical schools form a cohort of international students completing their clinical years of training on the Islands. They experience a degree of burnout though to a lesser extent than indicted in the literature. The Maslach Burnout Inventory General Survey Student (MBI-GS(S) and a structured questionnaire of sociodemographic qualities and the medical education process items, were used to assess the relationship between the predictive variables and burnout. An N=96 was obtained from the student population. The data collected was analyzed using a series of multiple linear regression. The findings of the linear regression were …

An Exploration Of Graduate And Medical Students’ Perception And Knowledge Of Other Healthcare Disciplines Contributions To Patient Care, Ashley Poole

PCOM Psychology Dissertations

Multidisciplinary teams have been identified as an effective approach to improving patient treatment outcomes for a number of health conditions, including cancer and depression. Interprofessional education (IPE) facilitates learning opportunities for health professional students to gain exposure to the ways different healthcare professions can work together to provide patient care. The objective of this study was to assess graduate and medical students’ ratings of health care professional characteristics after engaging in an IPE experience. A survey using the Student Stereotypes Rating Questionnaire (SSRQ), which consists of a five-point Likert-type scale was utilized to carry out the study goals. Each student …

Impaired Self-Awareness And Brain Injury Outcomes: Comparing The Awareness Questionnaire And Patient Competency Rating Scale In A Post-Acute Rehab Setting, Sitara Shanmugam

PCOM Psychology Dissertations

The aim of the present study was to examine impaired self-awareness among persons with moderate-to-severe brain injuries, and how it related to functional outcomes in a post-acute rehabilitation setting. Specifically, two self-report measures, the Awareness Questionnaire (AQ) and the Patient Competency Rating Scale (PCRS), were used to assess deficits in awareness by comparing the patients’ ratings with the clinicians’ ratings. In addition, the study also explored impaired self-awareness as it related to poorer community reintegration (as measured by the MPAI-4 Participation Index Subscale). Of the 40 participants in this study, 40% of participants were found to have impaired self-awareness (based …

The Effects Of Early Parental Loss To Death On Intimate Relationships In Adulthood: A Qualitative Study, Leslie Mauras Fernandez

PCOM Psychology Dissertations

The purpose of the current study was to examine the possible effects of early parental loss to death during childhood between the ages of 8 and 13 years old on adults and intimate relationships.  Intimate relationships are defined as relationships with a parent, sibling, relative, partner, or friend.  By using a qualitative approach, this study was designed to gather information on each participant's unique understanding of how early parental loss to death may have impacted his or her ability to form and maintain relationships with others throughout adulthood.  Moreover, the researcher explored changes in mood following the death of a …

The Lived Experience Of Monogamy Among Gay Men In Monogamous Relationships, Kellie L. Barton

Walden Dissertations and Doctoral Studies

Research on male gay relationships spans more than 50 years, and the focus of most of this research has been on understanding the development processes, consequences, and risk factors of nonmonogamous relationships. Few researchers have explored the nature and meaning of monogamy in the male gay community. Therefore, the purpose of this research was to explore the lived experience of monogamy to give voice to other expressions of gay male relationships and potentially add to the literature surrounding clinical implications of treatment. The framework for developing the research emerged from the construct of the monogamy gap, derived from theories of …

The Efficacy Of Ketamine In Adult Patients With Obsessive Compulsive Disorder With Symptoms Refractory To Standard Of Care Treatment., Brooke Thornton

Capstone Showcase

First line pharmacologic treatments for adult patients with Obsessive Compulsive Disorder (OCD) involve selective serotonin/norepinephrine reuptake inhibitors (SSRI/SNRIs). These drug classes often fail to deliver timely relief of symptoms as well as maintain longevity of symptom recurrence. This research analyzed the use of ketamine in adult patients suffering with OCD for the purposes of more efficacious management of symptoms. Although ketamine demonstrated a timelier relief of symptoms in some small clinical studies, its effects were ultimately unable to be sustained long term. Additionally, a wide range of adverse effects including dissociation, and rebound symptoms were observed. As a result, large …

Therapist Self-Disclosure And Recall Of Therapy Content, Shivani Mansharamani, Steven Robbins

Capstone Showcase

SHIVANI MANSHARAMANI

Therapist Self-Disclosure and Recall of Therapy Content

Research Mentor: Dr. Steven Robbins

Patients’ faulty memory of what they learned in therapy is often associated with poor outcomes. One way to improve therapeutic outcome is to improve patients’ memory of therapy content. Therapist Self-Disclosure (TSD) refers to a therapist’s disclosure of personal information to facilitate the client-therapist relationship. It has been employed as a tool to improve alliance and overall treatment outcome, and has often been used to prime more client disclosure. Past research on a memory support system has been unsuccessful at significantly improving client memory. In this …

Adhd: Not Overdiagnosed, Misdiagnosed, Krista Graham

Capstone Showcase

There has been much debate surrounding the over- or under- diagnoses of attention deficit hyperactivity disorder (ADHD). One reason for this debate is that ADHD is a commonly misdiagnosed disorder. This leads to negative consequences for those who have been misdiagnosed and receive stimulant medication management. Misdiagnosis of ADHD is likely due to the interaction of four main factors. First, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) has a lower validity for ADHD diagnosis than previous editions. Second, primary care physicians (PCPs) are responsible for the vast majority of ADHD diagnoses but have a …

Depression In Adolescence: Risk Factors, Prevention, And Intervention - An Argument For Trauma-Informed Care In The Community, Beauty Davis

Capstone Showcase

BEAUTY DAVIS

Depression in Adolescence: Risk Factors, Prevention, and Intervention - An argument for trauma-informed care in the community

Depression is an unfortunately common mental illness that can lead to negative life outcomes such as substance abuse, suicide, lower quality of life, and anxiety. The stage of adolescence is known as a pivotal, transitional time of life as there are many changes in an individual’s physical, cognitive, emotional, and social development. The research reviewed throughout this paper discusses risk factors that contribute to the development of depressive symptoms in adolescence. Observing how genetic, physiological, environmental, and social components contribute to …

A Systematic Review Of The Literature: Defining Child Sex Trafficking, Chelseanne Luella Davidson

All Graduate Theses, Dissertations, and Other Capstone Projects

Depression, anxiety, and other comorbid psychological conditions are commonly found in child sex trafficking victims (Basson et al., 2012; Cole et al., 2016; Cook et al., 2018; Hargreaves-Cormany & Patterson, 2016; Hossain et al., 2010; Hopper, 2017; Middleton et al., 2018; Pierce, 2012; Reid, 2018; Shaw et al., 2017). Given the likelihood that mental health professionals may encounter victims of child sex trafficking, it is necessary to have a comprehensive and universal understanding of sex trafficking in order to most effectively address victims’ needs through evidence-based practices and inventions. The purpose of this study was to gain a more informed …

Borderline Traits In Mothers And Their Adolescent Daughters: Associations Between Emotion Regulation, Relationship Quality, And Social Cognition, Tina Krolikowski

Master’s Theses

Borderline personality disorder (BPD) is categorized by impairing emotional dysregulation and other difficulties, with traits being more common in females and emerging in adolescence (British Psychological Society, 2009). The mother-daughter relationship has been shown to relate to trait expression (Cheavans et al., 2005), and it is believed social cognition may be impaired in individuals with BPD (Preibler et al., 2010). The current study evaluated how BPD levels, emotion regulation, and social cognition interact within an individual, how similarity between mother and daughter relate to their perception of the relationship, and whether social cognition is a potential moderator between mother and …

Problems With Adherence And Social Stigma In Adolescents With Type 1 Diabetes, Lauralee Davis

Master’s Theses

For adolescents with Type 1 Diabetes the clinical importance of both adherence to disease management and social support from family and friends is apparent. However, the role that family support or peer support plays on adherence to diabetes management or how stigma impacts adherence is still unclear. This study aims to determine differences between the type of support provided by family compared to peers, to examine how possible differences in the type of support impact adherence, to examine how social anxiety and stigma may be related to adherence, and to examine the types of barriers adolescents with Type 1 Diabetes …

Acute Sensitivity And Tolerance To Alcohol As Predictors Of At-Risk Drinking, Holley Allen

Theses and Dissertations--Psychology

Laboratory studies have reliably shown that reduced sensitivity to alcohol’s subjective intoxicating effect is associated with heavier drinking. More recently, there has been research to suggest that heightened sensitivity to the disinhibiting effects of alcohol might also contribute to at-risk drinking. Most research on the acute effects of alcohol has focused on drinking magnitudes averaged across participants with little attention to how individual differences influence abuse potential. This study overcomes previous limitations by testing the degree to which individual differences in acute sensitivity and tolerance to the subjective intoxicating and disinhibiting effects of alcohol predict drinking behavior in a large …

Mental Contamination, Coping, And Ptsd Symptom Severity Following Sexual Trauma, Jordyn M. Tipsword

Theses and Dissertations--Psychology

Mental contamination (MC) – an internal sense of dirtiness experienced without contact with a contaminant – has been linked to PTSD symptoms among sexual trauma survivors. However, existing work has been limited to cross-sectional or quasi-experimental designs – precluding conclusions concerning the directionality of associations among PTSD symptoms and MC – and little work has examined potential mediators of those associations. The present study utilized a prospective design to evaluate the directionality of associations between MC and PTSD symptoms and the role of avoidance and approach coping in mediating those associations. Participants included 41 women with a history of sexual …

Cancer Patients’ Tobacco Use And Tobacco Treatment Referral Response: Implementation Outcomes At A National Cancer Institute- Designated Cancer Center, Tia Borger

Theses and Dissertations--Psychology

Smoking after cancer diagnosis is linked to cancer-specific and all-cause mortality among other adverse outcomes. Yet, 10-20% of U.S. cancer survivors are current smokers. Implementation of evidence-based tobacco treatment in cancer care facilities is widely recommended, yet rarely accomplished. This study focuses on the early outcomes of a tobacco treatment program integrated within an NCI-designated cancer center. Participants consist of 26,365 patients seen at the cancer center during the first 18 months of implementation. The study is a retrospective chart review of patients’ tobacco use, and among current users, patients’ treatment referral response. Over 99% of patients were screened for …

Motor Skill Performance And Physical Activity In Children With Features Of Autism Spectrum Disorder, Morgan K. Wright

Master's Theses and Doctoral Dissertations

Fifty to 100% of children with autism spectrum disorder (ASD) exhibit motor skills deficits. In addition to motor skill deficits, children with ASD have been reported to engage in less physical activity than their neurotypical peers. Motor skill deficits and limited physical activity may impact functioning in other domains, including physical fitness and adaptive skills. The present study examined the relationship between motor skills, physical activity, physical fitness, and adaptive skills in children with a range of ASD features. A sample of 41 children ages 7-12 years participated in the study. Participants and their parents completed assessments of motor skills, …

Could A Robot Be Your Psychotherapist?, Benjamin Huston

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

As technology has advanced over the years, it has been integrated into psychotherapy and changed the way that people receive mental health care (Schopp, Demiris, & Glueckauf, 2006). Many of these advances, such as telehealth practices, were seen as unsustainable until the public Internet offered broader access to technology-based care in the 1990s (Schopp, Demiris, & Glueckauf, 2006). These technology-based practices have since grown in popularity and with a recent increase in telehealth practices, text-based therapies, and applications to aid in mental health practices, modern therapy looks very different than it did even ten years ago (Fiske, Henningsen, & Buyx, …

Wood Or Steel? Six Practices For An Effective Learning Relationship From Martial Arts To Psychology, Jessica Luginbuhl

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Becoming a psychologist is founded on supervision, the practice of learning the craft by doing the craft under the watchful eye of an expert. Becoming a black belt in martial arts is based on a similar principle of endless practice with the guidance of a master. How a teacher, supervisor, or sensei navigates the relationship with their student is crucial to the student’s ability to arrive at mastery of the craft. Methods for creating an appropriate and effective teacher/student relationship are explored by examining parallels between teaching practices used by karate teachers, and teaching practices used by graduate-level supervisors. Relevant …

The Relationship Of Internship Setting To Internship Directors' Perspectives On Cultural Competence In Psychological Assessment, Micharra Joshua

Theses and Dissertations

Psychological assessment represents a core competency and a highly specialized skill in professional psychology that is central to the identity of many practicing psychologists. However, more research is needed on the quality of assessment training that psychology doctoral students receive, particularly in relation to developing competence in the assessment of diverse individuals and groups. Moreover, diversity-related considerations for assessment should be broad and incorporate dimensions that include age, gender, gender identity, ethnicity, religion, sexual orientation, disability, language, socioeconomic status, and other factors. This clinical dissertation consisted of an archival study that examined predoctoral internship directors' perspectives on their interns' preparation …

The Relationship Of Legal History To Mood And Substance Abuse Symptoms Among Homeless Men And Women In A Residential Recovery Program, Lily A. Mkhitarian

Theses and Dissertations

Homelessness is a devastating experience that impacts hundreds of thousands of individuals in the U.S. each day. It has been widely reported that homeless persons experience higher rates of mental disorder, substance abuse, and physical illness than domiciled individuals. Homelessness is also associated with increased risk of exposure to trauma. In addition, about a quarter of homeless individuals in the U.S. report a history of incarceration. Certainly there are multiple pathways to both homelessness and incarceration. More research is needed on the implications and consequences of having a legal history on homeless persons. The purpose of this archival study was …

Post-Traumatic Stress Symptoms In Sexual And Non-Sexual Trauma: Comparisons On Symptom Severity, Disgust, And Contamination Concerns., Jaime Murtagh

Electronic Theses and Dissertations

A number of emotions have been identified as contributing to the experience of Post-traumatic Stress Disorder (PTSD) and Obsessive Compulsive Disorder (OCD), including fear and disgust. Given the high rates of comorbidity between PTSD and OCD, research has suggested that disgust may be a likely link between these disorders. The current study examined the relation between contamination disgust, trauma symptom severity, and contamination related-OCD (C-OCD) symptoms in a sample of sexual and non-sexual trauma survivors (N = 206). Specifically, it was proposed that sexual trauma survivors would endorse more severe PTSD symptoms, higher levels of disgust, and more C-OCD symptoms. …