Psychology Commons^™

Racial Discrimination Increases The Risk For Nonremitting Posttraumatic Stress Disorder Symptoms In Traumatically Injured Black Individuals Living In The United States, Lucas Torres, Timothy J. Geier, Carissa W. Tomas, Claire M. Bird, Sydney Clare Timmer-Murillo, Christine L. Larson, Terri A. Deroon-Cassini

Psychology Faculty Research and Publications

Traumatic, life-threatening events are experienced commonly among the general U.S. population, yet Black individuals in the United States (i.e., Black Americans) exhibit higher prevalence rates of posttraumatic stress disorder (PTSD) and more severe symptoms than other populations. Although empirical research has noted a range of symptom patterns that follow traumatic injury, minimal work has examined the role of racial discrimination in relation to PTSD symptom trajectories. The current study assessed racial discrimination and PTSD symptom trajectories at 6 months postinjury across two separate samples of traumatically injured Black Americans (i.e. emergency department (ED)–discharged and hospitalized). Identified PTSD symptom trajectories largely …

Translational Approaches To The Neurobiological Study Of Conditional Discrimination And Inhibition: Implications For Psychiatric Disease, Susan Sangha, Jacklynn M. Fitzgerald

Psychology Faculty Research and Publications

There is a growing number of studies investigating discriminatory fear conditioning and conditioned inhibition of fear to assess safety learning, in addition to extinction of cued fear. Despite all of these paradigms resulting in a reduction in fear expression, there are nuanced differences among them, which could be mediated through distinct behavioral and neural mechanisms. These differences could impact how we approach potential treatment options in clinical disorders with dysregulated fear responses. The objective of this review is to give an overview of the conditional discrimination and inhibition findings reported in both animal models and human neuropsychiatric disorders. Both behavioral …

Investigating The Bed Nucleus Of The Stria Terminalis As A Predictor Of Posttraumatic Stress Disorder In Black Americans And The Moderating Effects Of Racial Discrimination, Kevin Petranu, E. Kate Webb, Carissa W. Tomas, Farah Harb, Lucas Torres, Terri A. Deroon-Cassini, Christine L. Larson

Psychology Faculty Research and Publications

Altered functioning of the bed nucleus of the stria terminalis (BNST) may play a critical role in the etiology of posttraumatic stress disorder (PTSD). Chronic stressors such as racial discrimination and lifetime trauma are associated with an increased risk for PTSD, but it is unknown whether they influence the relationship between BNST functioning and PTSD. We investigated acute post-trauma BNST resting-state functional connectivity (rsFC) as a predictor of future PTSD symptoms in Black trauma survivors. We also examined whether racial discrimination and lifetime trauma moderated the relationship between BNST rsFC and PTSD symptoms. Black adults (N = 95; 54.7% female; …

Navigating Identity: An Examination Of Intersectional Discrimination And Suicidal Ideation Among Lgbq Latinx Individuals, Jaclyn Pachicano

Dissertations (1934 -)

Suicide is one of the leading causes of death in the United States, with LGBQ Latinx adults showing higher risk for suicidality and related mental health outcomes. Experiences of discrimination, including heterosexism and ethnic discrimination, are often connected to increased risk for suicidal ideation. In addition to intersectional experiences of discrimination, LGBQ Latinx people often feel an incompatibility between their sexuality and ethnic identity, known as conflicts in allegiances (CIA), possibly increasing risk of suicidal ideation. It remains unclear what mechanisms connect intersectional discrimination and suicidal ideation. The current study expands on intersectional research by utilizing the Interpersonal Theory of …

Effects Of Posttraumatic Cognitions, Working Alliance, And Relational Intimacy Skills In Ptsd Treatment, Xiaonan Zhang

Dissertations (1934 -)

Cognitive theories have been proposed to explain the development and maintenance of posttraumatic stress disorder (PTSD). Social-cognitive theories, as one of two major categories of cognitive theories (Brewin et al., 1996), emphasize the role of trauma-related beliefs in the development of PTSD, which led to the incorporation of modifying maladaptive trauma-related cognitions in psychological treatments of PTSD. Although extant studies have provided empirical evidence for the efficacy of these treatments, questions regarding active therapeutic components still exist. To that end, this study examined the effects of social-cognitive factors (i.e., posttraumatic cognitions, relational intimacy skills, and working alliance) on PTSD symptomatology …

The Impact Of Tic Suppression On Speaking Ability, Nicolas Brooklyn Merl

Master's Theses (2009 -)

Tics are rapid, recurrent, sudden movements or vocalizations. Recent research has found that (a) children can suppress tics for short durations if this suppression is reinforced, (b) suppression can lead to stress, and (c) the suppression of tics can lead to simultaneous activities being disrupted. The present study attempts to replicate and extend prior findings. An attempt was made to replicate the finding that tics can be suppressed using a DRO procedure and that suppression leads to stress. The experiment then investigated whether the suppression of tics led to a reduction in the ability to speak. Four conditions were compared: …

Navigating Identity: An Examination Of Intersectional Discrimination And Suicidal Ideation Among Lgbq Latinx Individuals, Jaclyn Pachicano

Dissertations (1934 -)

Suicide is one of the leading causes of death in the United States, with LGBQ Latinx adults showing higher risk for suicidality and related mental health outcomes. Experiences of discrimination, including heterosexism and ethnic discrimination, are often connected to increased risk for suicidal ideation. In addition to intersectional experiences of discrimination, LGBQ Latinx people often feel an incompatibility between their sexuality and ethnic identity, known as conflicts in allegiances (CIA), possibly increasing risk of suicidal ideation. It remains unclear what mechanisms connect intersectional discrimination and suicidal ideation. The current study expands on intersectional research by utilizing the Interpersonal Theory of …

Is Telehealth Equivalent To In-Person Intervention? A Replication And Extension Of Peers For Adolescents, Elyse Jeannine Adler

Dissertations (1934 -)

One commonly requested area of support for autistic youth centers around teaching and maintaining social skills, as social communication differences are a core feature of autism spectrum disorder. During the COVID-19 pandemic, many healthcare services transitioned to telehealth, and some caregivers were concerned about if telehealth services were efficacious. There is a growing body of literature supporting the effectiveness of in-person social skills interventions, however research on telehealth administration of social skills intervention is more limited. This study aimed to evaluate if the telehealth version of PEERS for Adolescents has similar effects for autistic youth as the originally developed in-person …

Understanding Foster Parents' Experiences Of Secondary Traumatic Stress, Sarah Marie Boeding

Dissertations (1934 -)

Secondary traumatic stress, which has been studied across many helping professions, refers to symptoms similar to posttraumatic stress disorder which an individual may develop as a result of indirect exposure to another individual’s trauma (Sprang et al., 2019). Foster parents may be particularly susceptible to developing secondary traumatic stress due to their exposure to their foster child’s trauma history and trauma symptoms, which has been confirmed in recent studies (Bridger et al., 2020; Whitt-Woosley et al., 2020). Importantly, foster parents’ experiences of secondary traumatic stress may differ from those of other helping professionals given their unique role. The purpose of …

Narrating The Self: An Intervention For Nurturing The Whole Person, William S. Futch

Dissertations (1934 -)

The aim of this study was to design, implement, and test a novel intervention for nurturing the whole person. The intervention and its theoretical framework were envisioned as a counterbalance to the scientistic medical model that currently dominates clinical psychology. It was asserted that, to recover and nourish the holistic, subjective, and self-actualizing nature of the human person, it is critical to invoke both richer, phenomenological perspectives that appreciate the constructive character of personal identity, as well as positive psychological approaches that regard human flourishing. The intervention itself consisted of seven content modules—Narrative Identity, Narrative Identity and Wellness, Dominant Narratives, …

Intense, Repeated, And Ever-Present: An Initial Investigation Of Traumatic Invalidation Among Sexual Minorities, Zane Browning Ballard

Dissertations (1934 -)

Lesbian, gay, bisexual, and queer individuals have been shown to experience significantly more negative health outcomes than do heterosexuals, commonly attributed to sexual minority stress. Research to date has insufficiently explained the processes by which stigma exposure becomes felt, internalized stigma and has not accounted for resemblance between presentation of mental health effects of sexual minority stress and of post-traumatic responses. Researchers have posited traumatic invalidation may partially explain the development and manifestations of reactions to sexual minority stress. The current study proposed and tested a measure of traumatic invalidation, conceptualized as instances of interpersonal, identity-based invalidation among sexual minorities. …

Childhood Maltreatment And Amygdala-Mediated Anxiety And Posttraumatic Stress Following Adult Trauma, Farah Harb, Michael T. Liuzzi, Ashley A. Huggins, E. Kate Webb, Jacklynn M. Fitzgerald, Jessica L. Krukowski, Terri A. Deroon-Cassini, Christine L. Larson

Psychology Faculty Research and Publications

Background

Childhood abuse (physical, emotional, and sexual) is associated with aberrant connectivity of the amygdala, a key threat-processing region. Heightened amygdala activity also predicts adult anxiety and posttraumatic stress disorder (PTSD) symptoms, as do experiences of childhood abuse. The current study explored whether amygdala resting-state functional connectivity may explain the relationship between childhood abuse and anxiety and PTSD symptoms following trauma exposure in adults.

Methods

Two weeks posttrauma, adult trauma survivors (n = 152, mean age [SD] = 32.61 [10.35] years; women = 57.2%) completed the Childhood Trauma Questionnaire and underwent resting-state functional magnetic resonance imaging. PTSD and anxiety …

Relationship Between Heart Rate Variability And Differential Patterns Of Cortisol Response To Acute Stressors In Mid-Life Adults: A Data-Driven Investigation, Meghan M. Bennett, Carissa W. Tomas, Jacklynn M. Fitzgerald

Psychology Faculty Research and Publications

Cortisol and heart rate variability (HRV) are well‐established biomarkers of the human stress response system. While a relationship between cortisol and HRV is assumed, few studies have found evidence of their correlation within single study designs. One complication for isolating such a relationship may lie in individual variability in the cortisol response to stress such that atypical cortisol responding (i.e., elevated or blunted) occurs. To‐date, studies on the cortisol response have employed traditional mean‐difference‐based approaches to examine average magnitude change in cortisol over time. Alternatively, data‐driven trajectory modelling, such as latent growth mixture modelling, may be advantageous for quantifying cortisol …

Bridging The Need-To-Access Gap: Examining Parents Who Perceive A Need For Their Youth To Receive Mental Health Services, Alexandra Bowling

Master's Theses (2009 -)

Parents often act as gatekeepers to their children and adolescents receiving mental health services. Youth help-seeking models propose that three parent-focused factors (perceptions of their youth’s illness profile, predisposing characteristics, and enabling resources) impact each stage of the help-seeking process: problem recognition (i.e., perceived needers), decision to seek help (i.e., treatment intenders), and service selection and utilization (i.e., treatment utilizers). Research is needed that examines how the above factors relate to parents getting “stuck” in the help-seeking process (i.e., do not become treatment utilizers). The current study investigated whether predisposing characteristics (i.e., family and demographic characteristics, mental health attitudes and …

Examining Adaptation To Diagnosis And Decisions About Medical Care Among Caregivers Of Children With Medical Complexity, Johanna Michlig

Master's Theses (2009 -)

Relatively little research has examined the experiences of caregivers of children with medical complexity (CMC). Additionally, it has been well documented that CMC, who are Neonatal Intensive Care Unit (NICU) graduates, have high healthcare utilization. As CMC often have ambiguous or multiple diagnoses, caregivers may face a period of adaptation to diagnosis differently from those with a singular diagnosis. Caregivers of CMC are at higher risk for anxiety, depression, and difficulties with the healthcare system. To date, no published studies have examined the experiences of caregivers of CMC, their adaptation to diagnosis, and their well-being. This study was conducted in …

Explaining Heterogeneity: Identifying Subgroups Of Adult Attention-Deficit/Hyperactivity Disorder, Laura Mcguigan

Master's Theses (2009 -)

Attention-deficit/hyperactivity disorder (ADHD) is a highly prevalent neurodevelopmental disorder that often persists into adulthood. Individuals with ADHD present with varied patterns of neurocognitive impairment, psychological comorbidities, and functional challenges. The current characterization of ADHD into three subgroups (primarily inattentive, primarily hyperactive/impulsive, combined inattentive-hyperactive/impulsive presentation) does not fully explain the heterogeneity of challenges experienced by this population. In this study, 259 adult patients [Mage= 25.94; SD=7.83; 78% Caucasian; 54% male] referred for an ADHD evaluation were investigated, and latent profile analysis was conducted. Self-reported ADHD symptoms, psychological functioning, and neuropsychological functioning were considered to identify subgroups. Results revealed four distinct classes: …

Comprehensive Behavioral Intervention For Tics Specialty Clinic Outcomes, Brandon Xavier Pitts

Master's Theses (2009 -)

Tics are abrupt, repetitive, and non-rhythmic movements (motor tics) and vocalizations (vocal tics). Persistent (Chronic) Tic Disorders (PTDs), which include conditions such as Tourette Disorder (TD), are characterized by involuntary motor and vocal tics. PTDs are associated with a myriad of adverse social repercussions, reduced quality of life, and concurrent psychiatric diagnoses, and occur in approximately 1.1% to 4.8% of the global population. Comprehensive Behavioral Intervention for Tics (CBIT) stands as the primary nonpharmacological therapeutic approach for tics. Although the efficacy of CBIT has been established in multiple large-scale randomized control trials (RCTs), there is a paucity of research scrutinizing …

Understanding Factors That Influence Black Caregivers' Ongoing Engagement In Behavioral Parent Training Programs, Jennifer L. Tomlin

Dissertations (1934 -)

Despite the efficacy of behavioral parent training programs (BPTs) in reducing young children’s challenging behaviors, ongoing caregiver engagement in these skill- based programs is poor, particularly in low-income Black populations. The existing literature relied heavily on associating client demographic variables with treatment attendance and focused almost exclusively on BPTs with older children. Contemporary conceptualizations of engagement view it as a multidimensional construct comprised of cognitive, attitudinal, and behavioral components, and prior research has called for continued investigation into the caregiver-therapist alliance and cultural relevance of these treatment programs when looking at ways to increase Black caregiver engagement. The purpose of …

Trainees' Experience Using Routine Outcome Monitoring (Rom) In Clinical Practice And Supervision, Craig Miller

Dissertations (1934 -)

Routine outcome monitoring (ROM) is the frequent and systematic collection of client outcome data to inform treatment. A great deal of research supports the use of ROM as part of routine care to enhance clinical outcomes, especially for clients at risk of deterioration. Yet, while ROM is increasingly being incorporated into professional psychology training settings (e.g., VAs, academic training clinics), little research has examined training and supervision in ROM. This qualitative study therefore examines professional psychology trainees’ experiences using ROM during their clinical training. For the present study, qualitative interviews were conducted with 13 doctoral-level psychology graduate students (11 female, …

Relational Uncertainty And Dyadic Synchrony Within The Interaction Of Couples, Lynne M. Knobloch-Fedders, Kelly Quirk, Leanne K. Knobloch

Psychology Faculty Research and Publications

Relational uncertainty refers to the questions people have about their perceptions of involvement within close relationships. To complement a wealth of research examining the link between relational uncertainty and people’s self-reported communication strategies, we investigate relational uncertainty as a predictor of behavioral sequences within interaction. We draw on both seminal and contemporary theorizing to hypothesize that relational uncertainty impedes dyadic synchrony, or the coordination between partners within interaction. Couples (N = 97) participated in a 5-minute discussion designed to facilitate expressions of intimacy; we coded these interactions using the circumplex-based Structural Analysis of Social Behavior (SASB) model. We …

Culturally Grounded Well-Being Assessment For Arab Americans, Rawan H. Atari-Khan, Lawrence H. Gerstein

Psychology Faculty Research and Publications

Recognizing the influence culture plays in shaping our understanding of various phenomena, scholars have posed questions about how well-being might be differentially defined across diverse racial/ethnic groups. In the field of psychology, frequently used instruments of well-being are grounded in individualistic cultural frameworks that assume factors such as greater autonomy/independence are associated with improved well-being. For minoritized groups in the United States, such as Arab Americans, who ascribe to collectivist values, these instruments may not be culturally relevant. The purpose of the present study was to use an etic–emic approach to identify what well-being means for Arab Americans. In doing …

What Makes A Liberal Feminist? Identifying Predictors Of Heterosexual Women And Men’S Liberal Feminist Ideology, Brenda Russell, Debra Oswald, Marykate Cotter

Psychology Faculty Research and Publications

In the wake of the #MeToo movement, liberal feminism has garnered the spotlight on equal rights for women. However, what factors contribute to men and women developing liberal feminist ideologies? This is important to understand as this ideology is predictive of support for political and social policies that are currently under debate in the United States. In this survey study (149 heterosexual men and 233 heterosexual women) we examined attitudinal and ideological variables that underlie liberal feminist ideology. The results of this study indicate that heterosexual men scored significantly lower on liberal feminist ideology and significantly higher on traditional attitudes …

What The Future Looks Like: Heralding The Unique Missions Of Translational Issues In Psychological Science, Jacklynn M. Fitzgerald

Psychology Faculty Research and Publications

No abstract provided.

Experiences Of Racial Discrimination And Adverse Gene Expression Among Black Individuals In A Level 1 Trauma Center Sample, Claire M. Bird, E. Kate Webb, Steven W. Cole, Carissa W. Tomas, Jennifer M. Knight, Sydney C. Timmer-Murillo, Christine L. Larson, Terri A. Deroon-Cassini, Lucas Torres

Psychology Faculty Research and Publications

Up to 40% of individuals who sustain traumatic injuries are at risk for posttraumatic stress disorder (PTSD) and the conditional risk for developing PTSD is even higher for Black individuals. Exposure to racial discrimination, including at both interpersonal and structural levels, helps explain this health inequity. Yet, the relationship between racial discrimination and biological processes in the context of traumatic injury has yet to be fully explored. The current study examined whether racial discrimination is associated with a cumulative measure of biological stress, the gene expression profile conserved transcriptional response to adversity (CTRA), in Black trauma survivors. Two-weeks (T1) and …

The Dichotomy Of Threat And Deprivation As Subtypes Of Childhood Maltreatment: Differential Functional Connectivity Patterns Of Threat And Reward Circuits In An Adult Trauma Sample, Michael T. Liuzzi, Farah Harb, Kevin Petranu, Ashley A. Huggins, E. Kate Webb, Jacklynn M. Fitzgerald, Jessica L. Krukowski, Tara A. Miskovich, Terri A. Deroon-Cassini, Christine L. Larson

Psychology Faculty Research and Publications

Background

Childhood maltreatment is associated with reduced activation of the nucleus accumbens, , a central region in the reward network, and overactivity in the amygdala, a key region in threat processing. However, the long-lasting impact of these associations in the context of later-life stress is not well understood. The current study explored the association between childhood threat and deprivation and functional connectivity of threat and reward regions in an adult trauma sample.

Methods

Trauma survivors (N = 169; mean age [SD] = 32.2 [10.3] years; female = 55.6%) were recruited from a level I trauma center. Two weeks after …

Comparison Of Enhanced And Standard Data Sheets On Treatment Fidelity And Data Collection For Tact Training, Mary Halbur, Jessi Reidy, Tiffany Kodak, Landon Scott Cowan, Michael Harman

Psychology Faculty Research and Publications

Specifically designed data sheets have been recommended to assist with the fidelity of implementation of treatment procedures. The present study extended previous research (e.g., Bottini et al. Behavior Analysis: Research & Practice 21(2), 140–152, 2021; LeBlanc et al. Behavior Analysis in Practice 13(1), 53–62, 2020) by comparing an enhanced data sheet (i.e., the inclusion of randomized targets, prompts for treatment components of securing attending and reinforcement) to a standard data sheet (i.e., targets not preset, no prompts for treatment components) on the fidelity of tact training of features. Ten behavior therapists participated in each condition (n = …

Sexual Minority Behavioral Health Outcomes: The Role Of Identity Authenticity And Self-Regulation., Zane B. Ballard, Debra L. Oswald

Psychology Faculty Research and Publications

No abstract provided.

Genetic Risk For Alzheimer’S Disease Alters Perceived Executive Dysfunction In Cognitively Healthy Middle-Aged And Older Adults, Sarah A. Evans, Elizabeth R. Paitel, Riya Bhasin, Kristy A. Nielson

Psychology Faculty Research and Publications

Background:

Subjective cognitive complaints (SCC) may be an early indicator of future cognitive decline. However, findings comparing SCC and objective cognitive performance have varied, particularly in the memory domain. Even less well established is the relationship between subjective and objective complaints in non-amnestic domains, such as in executive functioning, despite evidence indicating very early changes in these domains. Moreover, particularly early changes in both amnestic and non-amnestic domains are apparent in those carrying the Apolipoprotein-E ɛ4 allele, a primary genetic risk for Alzheimer’s disease (AD).

Objective:

This study investigated the role of the ɛ4 allele in the consistency between subjective …

Editorial: Insights In Neurocognitive Aging And Behavior: 2022, Kristy A. Nielson, Annalena Venneri, Shin Murakami

Psychology Faculty Research and Publications

No abstract provided.

Intrusive Traumatic Re-Experiencing Domain: Functional Connectivity Feature Classification By The Enigma Ptsd Consortium, Benjamin Suarez-Jimenez, Amit Lazarov, Sigal Zilcha-Mano, Xi Zhu, Yoojean Kim, Jacklynn M. Fitzgerald

Psychology Faculty Research and Publications

Background

Intrusive traumatic re-experiencing domain (ITRED) was recently introduced as a novel perspective on posttraumatic psychopathology, proposing to focus research of posttraumatic stress disorder (PTSD) on the unique symptoms of intrusive and involuntary re-experiencing of the trauma, namely, intrusive memories, nightmares, and flashbacks. The aim of the present study was to explore ITRED from a neural network connectivity connectivity perspective.

Methods

Data were collected from 9 sites taking part in the ENIGMA (Enhancing Neuro Imaging Genetics through Meta Analysis) PTSD Consortium (n = 584) and included itemized PTSD symptom scores and resting-state functional connectivity (rsFC) data. We assessed the …