Psychology Commons^™

Working Memory In Children With Neurocognitive Effects From Sickle Cell Disease: Contributions Of The Central Executive And Processing Efficiency, Kelsey Erin Smith

Theses and Dissertations

Children with sickle cell disease (SCD) are at risk for neurocognitive impairment due to disease effects including stroke, sleep disordered breathing, anemia-induced hypoxia, and small vessel occlusion. In particular, problems in working memory are an area of concern due to the importance of this construct in determining intelligence and academic functioning. According to Baddely’s model, working memory is composed of verbal and spatial working memory, but it is unclear whether one aspect of working memory is more impacted than another in children with SCD. In addition, little is known about the role of two key components in SCD-related working memory …

What Do We Know About Technical Assistance? Enhancing The Science And Practice Of Technical Assistance Via A Research Synthesis, Jason S. Katz

Theses and Dissertations

Introduction. Each year billions of dollars are spent on providing technical assistance (TA) to build the capacity of host settings (e.g., organizations, communities) to implement innovations, but there is little consensus (or even discussion) about: what the essential features of TA are, how to provide TA with quality, and how a quality-based accountability perspective can help us to enhance the science and practice of TA. To begin to address these needs, a research synthesis methodology was used for conducting a content analysis of the current evidence base for TA using three frames: (1) applying a conceptual and operational model (Getting …

Profiles Of African American College Students’ Risky Behaviors: General And Culturally-Specific Stress And Social Support As Factors Of Risk And Resilience?, Isha Walwina Metzger

Theses and Dissertations

Studies show that, while alcohol use and risky sexual activities increase during emerging adulthood, college students are more likely to engage in these behaviors than their non-student counterparts (Slutske et al., 2004). Researchers should explore risk behavior participation among African American youth, as they often face health disparities and more severe consequences of engaging in these acts than their White American counterparts (Sharma & Atri, 2006; Jackson, Hodge, & Vaughn, 2010). Although epidemiological and variable-centered studies often examine the drinking and sexual behavior of African American college students, there is a need for research utilizing a profile-oriented approach to explore …

Mindfulness And Cognitive Aging, Elise J. Herndon

Theses and Dissertations

Mindfulness meditation involves the cultivation of a focused, pre-conceptual consciousness that enables increased present-centered awareness of internal states, cognitive processes, and external stimuli (Mikulas, 2011; Kornfield, 2010). Studies suggest that mindfulness practice affects the brain structures and cognitive processes related to fluid intelligence, and may affect fluid intelligence itself among highly experienced practitioners (e.g., Gard, Taquet, et al., 2014; Lazar et al., 2005; Ritskes et al., 2003). Fluid intelligence includes higher-order reasoning and problem-solving abilities that are independent of cultural and environmental influences. These abilities peak in young adulthood, then begin to decay (Cattell, 1987; Goldberg, 2005).

The current study …

Beyond Grades: The Impact Of Race And Academic Disidentification On Social Functioning And Academic Outcomes Among At-Risk High School Students, Brian K. Colar

Theses and Dissertations

An extant literature has supported the notion that black students perform poorly in comparison to white students on frequently used indicators of academic functioning, known as the academic gap between races. Although previous studies have identified this academic inequity between White and Black high school students, there is a dearth of literature examining the context and processes which may contribute to this gap. The current study further examines this educational disparity by evaluating the role of students’ social functioning, the impact of race, and academic outcomes among at-risk high school students. Although analytical evidence reports a positive correlation between social …

The Association Of Gender, Age, And Coping With Internalizing Symptoms In Youth With Sickle Cell Disease, Laura Reinman

Theses and Dissertations

Youth with sickle cell disease (SCD) are at an elevated risk for having internalizing symptoms. Prior studies have suggested unique age by gender patterns of internalizing symptoms may be present in this population, however this pattern has not been thoroughly examined and the mechanisms underlying this pattern are not known. We examined rates of depression and anxiety symptoms between males and females with SCD across childhood and into adolescence in a cross-sectional design. We also considered the potential role of coping styles and health related locus of control for SCD morbidity that could account for age or gender patterns for …

Investigating The Role Of Cognitive Biases As A Risk Factor For Depression, Daniel Aaron Dickson

Dissertations

Consistent with the combined cognitive bias hypothesis (Hirsch, Clark, & Mathews, 2006), cognitive biases in attention, memory, and interpretation have been posited as an underlying vulnerability to the maintenance and recurrence of depressive episodes. While research supports the presence of these biases during current depressive episodes, there is limited evidence that these biases persist following the remission of depression symptoms. However, there is some initial data that suggest that these biases persist in remitted depressed individuals, indicating that these biases may serve as a vulnerability factor for subsequent depressive episodes. In addition, there is little research that has evaluated these …

Predictors And Profiles Of Antiretroviral Therapy Adherence Among African-American Adolescents And Young Adult Males Behaviorally-Infected With Hiv: A Classification Tree Analysis Approach, Israel Moses Gross

Dissertations

Adherence to antiretroviral therapy is crucial for thwarting disease progression and reducing secondary transmission, yet HIV+ youth struggle with adherence. The highest rates of new HIV infections occur in young African American men (YAAM), thus understanding reasons for non-adherence in this group is critical. Reasons for non-adherence can be complex and multifactorial, and innovative methods of exploration are needed for advancing prevention and treatment efforts. A sample of 387 HIV+ YAAM who reported currently taking HIV medications were selected from a cross-sectional assessment of 2,226 HIV+ youth from sites within the Adolescent Trials Network for HIV/AIDS Interventions (ATN) from 2009-2012 …

The Role Of Neighborhood And Parenting In The Development Of Effortful Control And Subsequent Social Competence During Early Childhood, Edna Y. Romero

Dissertations

The current study examined ecological predictors of the trajectory of effortful control (EC) across ages 4, 5, and 6 in a community sample of young children (N = 796). The specific goals of the study were to examine poor neighborhood quality as a predictor of EC development, to evaluate the moderating role of supportive and hostile parenting in relation to poor neighborhood quality and EC development, and to determine if the interaction between poor neighborhood quality and parenting predicted change in children’s social competence through the mediating role of EC. Data were analyzed using latent growth curve modeling (LGM). Results …

A Multi-Method Analysis Of Body Mass Index, Physical Activity, And Executive Functions Among Urban Minority Girls, Amanda K. Ward

Dissertations

Recent evidence suggests that the summer months represent an especially vulnerable time of year for weight gain, inactivity, and cognitive decline, particularly among adolescent girls. To explore these issues, this study examined the relations between changes in physical activity (PA), body mass index (BMI), and executive functions (EFs) among a sample of sixty-eight, 10-to 14-year-old girls participating in a four-week, community-based summer camp. Objectively measured PA data (i.e., accelerometer), BMI measurements, and EF neuropsychological assessments were conducted prior to the first week of camp and during the last week of camp. Results revealed that girls increased in all measurements of …

A Comparison Of The Factor Structure Of The Short Form Liberal Feminist Attitude And Ideology Scale (Lfais) For Women And Men In A University Survey, V. Diane Woodbrown

Theses and Dissertations

The current study compares the factor structure of the short form Liberal Feminist Attitude and Ideology Scale (LFAIS; Morgan, 1996) for males and females in a University survey. We first provide a discussion of feminism, a brief narrative review summarizing previous and co-existing measures of the construct “feminist attitudes” for males and females, and then conduct confirmatory factor analyses (CFA) and exploratory structural equation modeling (ESEM) to test Morgan’s own theory that there may exist a single general factor underlying the Liberal Feminist Attitudes Ideology Scale for males and for females, and that the latent construct/s underlying this scale are …

Development Of The Personal And Professional Self-Care Scale, Katherine Elizabeth Dorociak

Master's Theses

In recent years, there has been an increased emphasis on the importance of self- care for psychologists and other mental health professionals. However, the research on self-care is limited because of the lack of an empirically based, psychometrically sound measure of this construct. Thus, the purpose of this project was to develop a measure of personal and professional self-care. The preliminary phase involved the development of a self-care definition and a two-factor framework that divided self-care into personal and professional activities. Based on this definition and framework, self-care items were generated for expert evaluation. After incorporating the expert feedback, 52 …

The Impacts Of Family Environment And Stress Reactivity On Daily Mood For Low-Income Latino Adolescents, Stephanie K. Brewer

Master's Theses

Low-income Latino adolescents are at an increased risk for developing psychopathology, as the chronic stressors faced by those who grow up in poverty have an adverse cumulative effect, and the relationship between exposure to poverty and negative mental health outcomes is intensified for ethnic minority youth. One of the most impactful ways in which poverty causes deteriorations in adolescent mental health is through heightened levels of parent-child conflict. Another harmful result of the multiple stressors faced by poor youth is the dysregulation of the stress reactivity system. For Latino adolescents, problems with mood are a particular concern, as Latino adolescents …

Latino Youth With Spina Bifida: Psychosocial Functioning, Family Functioning, And Acculturation, Jaclyn M. Lennon

Master's Theses

Objective: Research on Latino youth with spina bifida (SB) is sparse. However, SB rates are highest in this ethnic group, and typically-developing (TD) Latino youth are at risk for poor psychosocial functioning. The aims of this study were to examine: (1) differences in psychosocial and family functioning between Latino and non-Latino Caucasian youth with SB; (2) family functioning as a predictor of youth psychosocial functioning as moderated by ethnicity; (3) the impact of acculturation on youth psychosocial and family functioning in Latino youth with SB. Methods: Participants were recruited as part of a larger, longitudinal study (Devine et al., 2012). …

Positive Peer Pressure Among Black American Youth And The Roles Of Ethnic Identity And Gender, Dakari Quimby

Master's Theses

Peer pressure is a phenomenon that affects many youth due to the importance of peer relations during adolescence (Brinthaupt, 2002). Consequences associated with negative peer pressure have been well documented, but the extant literature on positive peer pressure is sparse though it may be an untapped source of positive development (Padilla-Walker & Bean, 2009). The current study examined whether positive peer association, a form of peer pressure involving the indirect modeling of behaviors, can have a role in promoting healthy youth development longitudinally among African American adolescents living in low-income, urban, high violence neighborhoods. A sample of 316 African American …

Stakeholder Views On Behavioral Health Care In The Pediatric Primary Care Setting: A Qualitative Approach Towards Integration Of Care, Alexis Quinoy

Theses and Dissertations

The pediatric primary care setting has been discussed as playing a central role for the identification and treatment of behavioral and mental health disorders in youth. Although this setting is in a unique position to provide these services, there are many barriers to the integration of mental health care and pediatric primary care. The aim of this study is to examine perspectives of multiple stakeholders (i.e., patient, parent, nurse, resident, faculty, clinic director) in a pediatric primary care setting to explore barriers, behavioral and mental health needs, and facilitators to the integration and provision of mental health care for children …

Using Structural Equation Modeling To Understand The Role Of The Family In Pediatric Asthma Contexts, Nour Al Ghriwati

Theses and Dissertations

Family factors have long been associated with the psychosocial adjustment of children with chronic illnesses, such as asthma (Minuchin, 1975; Rapee, 1997). Research indicates that negative family factors may also contribute to child disease severity, via bio-behavioral mechanisms of effect (Wood et al., 2006); however, these pathways have yet to be examined with a comprehensive focus on more positive family factors. This study sought to examine whether factors such as family cohesion, problem solving abilities, and communication influence asthma symptom severity in children via their effects on child depression and anxiety symptoms. Using structural equation modeling, we identified significant indirect …

The Role Of Psychology In Integrated Primary Care For Complex Patients: Effects On Mental Health, Utilization Of Medical Services, And Physiological Markers Of Health, Danielle C. Worthington

Theses and Dissertations

This study served as an initial evaluation of integrated psychology services within a clinic designed to serve uninsured patients with complex medical concerns and high utilization histories at the Medical College of Virginia in Richmond, Virginia. The current study evaluates patient outcomes, and more specifically, it further quantifies and describes the role that psychologists play in the primary care setting and their impact on utilization of medical care and in improved health outcomes. Additionally, the study evaluates psychologists’ success at treating mental and behavioral health conditions within the primary care model. The present study demonstrates that patients with complex medical …

Decreased Sound Tolerance (Dst): Prevalence, Clinical Correlates, And Development Of A Dst Assessment Instrument, Therese Verkerke Cash

Theses and Dissertations

Decreased sound tolerance (DST) conditions, including misophonia and hyperacusis, are emerging clinical conditions in behavioral medicine. Misophonia involves an extreme emotional response (often anger, disgust, or annoyance) to specific sounds (such as people chewing, swallowing, tapping their foot on the floor, etc.), while hyperacusis is defined by high sensitivity to sounds below normal sound sensitivity thresholds. Although research on these DST conditions is increasing, clearly defined prevalence rates, associations with other mental health conditions, and development of assessment tools that can identify and differentiate DST symptoms are needed. Research and clinical reports also suggest that DST problems are more likely …

Therapist Adherence To Cognitive Behavioral Therapy For Anxious Youth Across A Case, Julia R. Cox

Theses and Dissertations

The field has developed many evidence-based treatments (EBTs); the integrity of EBTs being delivered, however, has been studied less than rigorously. Because many treatment manuals are developed to be delivered session-by-session, one way to assess treatment adherence, specifically, is across the course of the case: do therapists deliver treatment components in the order prescribed? The goals of this study were to characterize how therapists deviate from prescribed order and how adherence to order relates to child characteristics. Therapy process data were collected from a subsample of children (N = 33, aged 7-15) that received cognitive behavioral therapy (CBT) to address …

Measuring The Coping Efforts Of Grieving Undergraduate Students: Developing The Gcope Through A Mixed-Method Design, Benjamin Dyson Lord

Theses and Dissertations

The current study used a three-phase mixed-methods design to produce a new self-report measure of the strategies that college students use to cope with the death of a loved-one. College students are commonly bereaved and may be in the process of undergoing important developmental tasks related to emerging adulthood. However, the application of grief-specific stress-and-coping theories (i.e., the Dual Process Model of Coping with Bereavement) to this population has been hampered by measurement issues.

The current study aimed to address the flaws asserted above through the use of a mixed-methods scale development design. To this end, the researcher made use …

Adherence To And Competence In Cognitive Behavioral Therapy For Youth Anxiety: Psychometric Evaluation, Cassidy C. Arnold

Theses and Dissertations

Treatment integrity—the extent to which a treatment is delivered as it was intended—has long been recognized as critically important in treatment evaluation research, but has garnered increased attention in recent years within the context of dissemination and implementation science. However, the field’s development has been hindered by inadequate measurement tools. This project is focused on developing and evaluating the psychometric strength of two measures of treatment integrity. To evaluate the psychometric strength of the Cognitive-Behavioral Therapy for Youth Anxiety Therapist Adherence Scale (CBAY-A)and the Cognitive-Behavioral Therapy for Youth Anxiety Therapist Competence Scale (CBAY-C), 954 psychotherapy sessions from two treatment evaluation …

Behavioral Adjustment In Children With Life Threatening Illness A Qualitative Study, E. Joseph Becher Jr.

Antioch University Dissertations & Theses

This study investigated factors that affect adjustment in children with life-threatening illness from the viewpoint of the parents/caregivers. The data were collected from parents/caregivers whose children have a life threatening diagnosis. Parents/caregivers were interviewed and asked to complete the Parent Request Questionnaire (PRQ) which was given to them after the in-person interview. This newly developed PRQ was utilized into prior research to predict the levels of adjustment in children. It includes age, whether the child has been informed of the diagnosis, whether the child engages in age-appropriate activities, the child's prior experience with death, the child's family's involvement in treatment, …

Understanding The "Refugee" Of Hurricane Katrina: An Exploration Of Titles, Time And Post-Traumatic Growth, Kandice L. Timmons

Antioch University Dissertations & Theses

This qualitative phenomenological study sought to understand the “refugee” experience of displacement from an individual perspective and the impact of trauma during a natural disaster through the lens of post-traumatic growth. It views survivors of Hurricane Katrina, who were displaced and returned home, and aims to investigate what changes, if any, have occurred since their return. The literature aids in understanding the complexities of the trauma endured in the aftermath, and seeks to better understand their refugee identity, the experience of displacement, the effects of trauma, and the changes that occurred in recovery. The data was collected through the Brief …

When The Heroes Become Less Super: Coping With Problems Of Professional Competence, Gregory Betz

Antioch University Dissertations & Theses

This dissertation addresses the subject of problems of professional competency within clinical psychology. A review of the current literature on the subject begins with topics including recent changes in terminology, conceptualization, and prevalence of competency problems. Contributing factors, differences between practicing psychologists and trainees, and ethical issues are addressed. The review concludes with current perspectives for assessing and intervening for problems of professional competence. The second section provides the methodology for the study which was a mixed-methods design consisting of a quantitative and qualitative component. The primary procedure consisted of an educational intervention provided to first-year students of a clinical …

Common Psychosocial And Spiritual Factors Among Individuals Who Have Healed From Chronic Lyme Disease, Frederick Green

Antioch University Dissertations & Theses

This dissertation examined the subjective experience of individuals who have healed from Chronic Lyme Disease (CLD). Despite significant attention paid to the controversy over CLD diagnosis and treatment, scholarly research has neglected the psychosocial and/or spiritual factors that facilitate healing from the perspective of CLD sufferers. This study addressed this research gap by using Interpretive Phenomenological Analysis (IPA) to explore the barriers and facilitators of healing among those who have healed from CLD. Six participants who had suffered from CLD and considered themselves healed from the disease were recruited and interviewed. The qualitative data was reduced to meaning units, which …

Racial/Ethnic Status And Perceived Stigma For Breastfeeding In Public, Nicole I. Medina-Shewey

Antioch University Dissertations & Theses

The World Health Organization recommends babies be exclusively breastfed for at least six months. However, the Centers for Disease Control reported that only 18.8% of American mothers exclusively breastfed their children to six months in 2014. Past studies have indicated that Minority women breastfeed at rates lower than Caucasian women. The current study aimed to determine if perceived stigma associated with breastfeeding in public is a possible factor in this phenomenon. It utilized a hardcopy and online version of a survey that was distributed at Women Infant Children’s (WIC) offices in New Hampshire and online breastfeeding support groups. The sample …

The Relation Between Adiposity And Anxiety In Youth: Analysis Of Peer Victimization, Teasing, Sociocultural Influences, And Internalization Of Appearance Ideals As Explanatory Variables, Natasha L. Burke

USF Tampa Graduate Theses and Dissertations

The purpose of the current study was to examine putative mediators and moderators in the association between adiposity and anxiety in a sample of overweight and obese youth. In addition, anxiety was examined as a potential moderator between adiposity and health-related quality of life (HRQOL). Participants were youth (N = 137) between 8 and 17 years old (M = 13.09, SD = 2.61) and their legal caregivers recruited from four medical clinics affiliated with the University of South Florida. Youth were primarily overweight (28.5%) or obese (64.2%) and ethnically diverse. Data were analyzed by path analysis. Weight-related teasing significantly mediated …

An Experimental Evaluation Of The Relationship Between In-Vivo Stimuli And Attentional Bias To Smoking And Food Cues Among Female Smokers, John Bernard Correa

USF Tampa Graduate Theses and Dissertations

Background: Cross-sectional and experimental research has shown that female smokers more frequently report using cigarettes to control negative affect, manage dietary restraint, and suppress body image dissatisfaction. However, there has been little research to identify cognitive mechanisms that may underlie these effects. Cross-stimulus attentional bias is one such mechanism.

Aims and Hypotheses: We hypothesized that, when compared to neutral stimuli, in-vivo appetitive stimuli would enhance motivation to obtain a particular substance. More specifically, in-vivo smoking stimuli would increase attentional bias to smoking-related pictorial cues, whereas in-vivo food stimuli would increase attention to smoking-related and food-related pictorial cues. We also hypothesized …

The Role Of Anxiety Sensitivity In The Relationship Between Posttraumatic Stress Symptoms And Negative Outcomes In Trauma-Exposed Adults, Brittany Belle Kugler

USF Tampa Graduate Theses and Dissertations

Background: The development of posttraumatic stress symptoms (PTS) following a traumatic event is related to significant functional impairment, diminished quality of life, and physical health issues. Yet it is not entirely clear why some traumatized individuals experience negative outcomes while others do not. The purpose of this study is to determine the role of several influential factors related to PTS severity and negative outcomes, such as diminished quality of life and physical health issues, following traumatic events. Method: One hundred and twenty-two trauma-exposed adults were recruited through the University of South Florida’s SONA system and through flyers on campus. Subjects …