Psychology Commons^™

Cognitive Behavioral Therapy Complemented With Emotion Regulation Training For Patients With Somatic Symptom Disorder: 3-Year Follow-Up To A Randomized Controlled Trial, John Barr

All Graduate Theses and Dissertations, Fall 2023 to Present

This manuscript is a 3-year follow-up analysis of a multicenter, randomized, parallel group, controlled trial (N = 254) employed with individuals struggling with somatic symptom disorder (SSD; Kleinstäuber et al., 2019) comparing the effects of cognitive behavioral therapy (CBT) alone and enriching cognitive behavioral therapy with emotion regulation training (ENCERT). Results from Kleinstäuber et al. (2019) suggested that both of these interventions were similarly efficacious for SSD for symptom severity (primary outcome), with moderate to large effects at post treatment and 6-month follow-up. Further analysis of secondary outcomes and moderation effects demonstrated results suggesting ENCERT was superior to CBT-SOMA …

"...Anything My Friend Shares, I Would Want To Support Them By Clicking On It": Co-Designing Story-Based Interventions Against Clickbait For Teenagers, Ankit Shrestha, Audrey Flood, Bryson Hackler, Mahdi Nasrullah Al-Ameen

Computer Science Student Research

Teenagers' lack of digital sophistication and cyber hygiene makes them vulnerable to social engineering attacks, especially as they start using social media. Clickbait, one of such attacks, is primarily performed through social media to trick users into clicking on malicious links. With teenagers' increasing use of social media, clickbait poses a substantial threat to their online safety. The existing online safety measures for teens mainly focus on parental mediation, which can be perceived as restrictive and privacy-invasive. To this end, researchers recommended empowering teens to deal with online risks. In order to design such interventions for clickbait, we conducted co-design …

Nature's Medicine? The Associations Of Organized Youth Sport, Unstructured Physical Activity, And Land-Use Recreation With Children's Mental Health, Emotional Control, And Social Well-Being, Natalie Stagnone, Katherine Alexander, Kat V. Adams, Travis Dorsch

Human Development and Family Studies Student Research

Physical activity is well-established as beneficial for children’s physical and mental health, yet limited research has explored how different activity types impact psychosocial outcomes. This is a cross-sectional study that examined associations between youth participation in organized sport, unstructured physical activity, and land-use recreation and their psychosocial health. Survey data were collected from 3246 caregivers of children in the Intermountain West region of the United States. Respondents reported on children’s physical activity engagement and psychosocial outcomes, including mental health, emotional control, and social well-being. All three activity types were significantly associated with improved psychosocial health (p < 0.001). Compared to organized sport, unstructured physical activity and land-use recreation were associated with significantly higher levels of mental health and emotional control (p_adj < 0.001), although with a small effect size (η^{2 …}

The Paradox Of Choice: User Preferences And Completion Rates In Single-Session Vs. Multi-Session Digital Mental Health Interventions, Emily M. Bowers, Korena S. Klimczak, Ty B. Aller, Michael E. Levin

Psychology Faculty Publications

Digital mental health interventions (DMHIs) offer scalable solutions for addressing mental health needs, but low adherence remains a significant challenge. Single session DMHIs may offer a feasible alternative to address this issue, providing an accessible and low-effort option for users. The present study examines whether adding the choice of a single session DMHI in addition to a multi-session DMHI provides a feasible alternative for users who might otherwise disengage. This study examined naturalistic data from 509 university students who registered for a 12-session DMHI, single session DMHI, or both. The majority (58%) chose only the multi-session DMHI, while 24.2% chose …

Adapting The Comprehensive Assessment Of Acceptance And Commitment Therapy Processes (Compact) Questionnaire For Contextual Relevance In Uganda: A Comprehensive Approach, Joseph Mugarura, Khamisi Musanje, Michael E. Levin, Ronald Asiimwe, Morris Ndeezi, Simon Kizito, Ross G. White, Rosco Kasujja

Psychology Faculty Publications

The global utility of acceptance and commitment therapy highlights the need for adapting measures that can effectively capture the richness of psychological flexibility. One such instrument is the Comprehensive Assessment of Acceptance and Commitment Therapy Processes (CompACT). We translated the CompACT into Luganda and adapted it for use in Uganda. The original CompACT was translated into the Luganda language and reviewed through a series of evaluations. Nine mental health professionals participated in one-on-one interviews, while a focus group of eight culturally competent laypersons provided further insights. Their feedback resulted in revisions to enhance the instrument’s clarity, relevance, acceptability and completeness. …

Enhancing Digital Accessibility For Deaf Or Hard Of Hearing Learners- Innovative Strategies For Inclusive Education, Felicia Rutledge Ph.D.

Developmental Disabilities Network Journal

This research-to-practice brief explores innovative strategies to enhance digital accessibility for Deaf or Hard of Hearing (D/HH) learners, focusing on practical applications for inclusive K-12 education. Despite advances in digital learning, D/HH learners face unique barriers due to auditory-centered designs. Accessibility legislation such as the ADA, Section 504, and IDEA mandate educational inclusion for these learners. Key strategies include the integration of assistive technologies (e.g., captioning, ASL video interpretation), the application of the Universal Design for Learning (UDL) 3.0 guidelines, and adherence to WCAG 2.1 principles for accessible content design. The research-to-practice brief provides actionable insights for educators, administrators, and …

Optimizing Accessibility Training By Prioritizing Cognitive Needs Of Students With Disabilities, Lio Jones, Kari Goin, Megan Mcfarland

Developmental Disabilities Network Journal

Despite the significant enrollment of students with disabilities in higher education, research and practice rarely center the voices and leadership of these students, particularly in accessibility training efforts. This paper addresses this gap by presenting an autoethnographic study of a digital accessibility training initiative co-led by a student with multiple disabilities. Using a process that combines participatory research and first-person narrative, this study outlines the development and implementation of faculty training on accessibility that centers the experiences of a student with cognitive disabilities. We propose a new framework for understanding "dynamic disability," a concept that recognizes the complex and evolving …

Editorial: Digital Accessibility Practices Guided By Past Models And Modern Research, Cynthia Curry, Jared Smith

Developmental Disabilities Network Journal

No abstract provided.

Digital Accessibility: A Critical Imperative For Inclusive Information Access, Matt Wappett

Developmental Disabilities Network Journal

No abstract provided.

Identifying And Addressing Current Gaps In Knowledge And Treatment Dissemination For Individuals With Trichotillomania, Leila K. Capel

All Graduate Theses and Dissertations, Fall 2023 to Present

Trichotillomania is an impairing and debilitating mental health condition, and while the research in this area is growing, this population is underserved. The aim of this project was to identify gaps in the research that may be contributing to lack of treatment access and begin filling those gaps. The first gap is knowledge of how treatments work and for whom they work best. While there are a variety of treatment options and ways of delivering treatment, individual factors that predict who will benefit most are not well investigated. We explored the individual factors, and aspects of treatment that we believe …

A Model Of Changeover Behavior In Concurrent Schedules Of Reinforcement, Matias A. Avellaneda

All Graduate Theses and Dissertations, Fall 2023 to Present

Animals in the wild have access to a variety of food sources, and they must allocate their time between them in an efficient manner. This requires deciding when to depart from the source currently being exploited to travel to a different one. A general model of this decision process can be derived from three assumptions well supported by the learning literature. The first one is the so-called matching law, which says that the proportion of time allocated to any one behavior equals the proportion of total value obtained from that option. The second one is that the dwell times (i.e., …

A Randomized Controlled Trial Of Self-Help Acceptance And Commitment Therapy And Cognitive Behavioral Therapy For Perfectionism, Emily M. Bowers

All Graduate Theses and Dissertations, Fall 2023 to Present

Many college students are struggling with perfectionism, a tendency to set extremely high standards for themselves, which can lead to stress and dissatisfaction. We looked at whether self-help books based on two different types of therapy, acceptance and commitment therapy (ACT) and cognitive behavioral therapy (CBT), can help reduce unhelpful perfectionism. We looked at how well ACT and CBT self-help books worked for reducing perfectionism, compared to students who did not receive either book. College students in the study completed surveys at the beginning, halfway through, after finishing the book, and again one month later. We found that students who …

A Pavlovian, Conditioned-Reinforcement Approach To Reducing Impulsive Choice, Katherine Garland

All Graduate Theses and Dissertations, Fall 2023 to Present

Persistent impulsive choice (the preference for a smaller-sooner over a larger-later reward) is associated with consequential life outcomes. Procedures that reduce nonhuman impulsive choice have long training durations that may reduce their translational utility. The purpose of this experiment was to test a new behavioral intervention to reduce impulsivity that requires few sessions to implement. Delay-bridging stimuli (stimuli presented during the delay to a reward) have been shown to reduce impulsive choice, but delay-bridging stimuli may also be aversive. Conditioned stimuli (CS) established through Pavlovian training are, on the other hand, attractive, potentially even functioning as a conditioned reinforcer (CR). …

A Systematic Review Of Acceptance And Commitment Therapy In Sub-Saharan Africa: Understanding The Cultural Adaptations, Miriam N. Mukasa

All Graduate Theses and Dissertations, Fall 2023 to Present

Acceptance and Commitment Therapy (ACT) is a type of therapy that helps people handle difficult thoughts and feelings by staying present, accepting what they cannot control, and focusing on what truly matters to them. Despite its growing global popularity, the implementation and effectiveness of ACT in sub-Saharan Africa remains underexplored.

We evaluated the current evidence on the application, effectiveness, and cultural adaptation of ACT in sub-Saharan Africa, identifying gaps and providing recommendations for future research.

18 unique studies that met the inclusion criteria were found. Studies on improving athletic performance were the most common, with ACT also being evaluated for …

Dissemination Trial Of Provider Training Of Act-Enhanced Behavior Therapy (A-Ebt) For Trichotillomania: A Waitlist Controlled Study, Mercedes G. Woolley

All Graduate Theses and Dissertations, Fall 2023 to Present

Trichotillomania is a mental health disorder where individuals compulsively pull on their hair, leading to distress and life challenges. Although effective treatments like habit reversal training (HRT) and ACT-enhanced behavior therapy (A-EBT) exist, many health providers lack knowledge about these approaches. This study aimed to close that gap by training therapists in A-EBT through an online workshop and follow-up consultations. Over 100 therapists participated, and those who completed the training gained more knowledge about trichotillomania, felt more confident in their ability to treat the condition, and were more likely to promote their services, leading to more people getting the care …

The Impact Of General And Religious/Spiritual Minority Stressors On Lgbtq Spiritual Health, Adlyn Perez-Figueroa

All Graduate Theses and Dissertations, Fall 2023 to Present

A great deal of research has focused on the impact of minority stress on the mental and physical health of lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals, but little is known about how minority stress impacts spiritual health. The purpose of this study was to develop a new theory of LGBTQ spiritual health. Another purpose was to explore how the impact of minority stress, such as discrimination, differs in everyday settings vs religious/spiritual (R/S) settings. A total of 227 LGBTQ participants were recruited online using a Prolific Survey Panel. Multiple regression analyses were used to determine: (a) if minority …

The Impact Of Visually Presented Distractor Taboo Words During A Bilateral Attention Task, Chloe Taylor

All Graduate Theses and Dissertations, Fall 2023 to Present

Attention is a limited resource. Some events are able to capture one’s attention more efficiently than others, such as swear or sexual words. These events have preferential access to attentional resources and increase our arousal levels due to the activity of a neurotransmitter called norepinephrine. We investigate how well swear/sexual words capture peoples’ attention and interpret these effects in terms of norepinephrine activity.

Participants performed a visual task where they responded to different shapes presented while ignoring neutral or swear/sexual words presented on opposing sides of the computer screen.

Participants were significantly more inaccurate in identifying the shape present when …

Effects Of Self-Control Variables On Nicotine Vaping In A Pre-Clinical Model, Lucy Scribner

Student Research Symposium

Tobacco use is the leading cause of preventable death in the United States, and nicotine compounds in tobacco products perpetuate this issue (Reitsma et al., 2021; United States Department of Health and Human Services [USDHHS], 2014). Although nicotine use began to decline along with the use of cigarettes, nicotine consumption has started to increase dramatically since the introduction of electronic cigarettes and vaping.

Is Modern Day Dating Damaging Our Mental Health?, Kamilla Rayann Stone

Student Research Symposium

In contemporary society, dating has undergone significant transformations, with modern dating practices increasingly influenced by technology, shifting social norms, and evolving expectations. This study seeks to answer the question: Is modern-day dating damaging our mental health? Given the rising concerns about relationship satisfaction, anxiety, and self-esteem in the digital dating era, this research aims to explore the potential psychological implications of modern dating trends.

Psychological Inflexibility For Hearing Loss: A Description Of Patient Challenges, Bailey Sorensen

Student Research Symposium

Barriers to hearing healthcare can include stigma, cost, access, thoughts, and emotions. When audiologists talk about internal barriers with clients, this may improve the client's experience.

The Role Of Answer Justification In Multiple-Choice Testing: Effects On Performance And Metacognitive Accuracy, Spenser A. Clark, Michellle L. Rivers, Acacia L. Overono

Instructional Technology and Learning Sciences Student Research

Multiple-choice (MC) tests are widely used in educational settings but have been criticized for promoting passive recognition rather than active retrieval. Our research explores how adding a simple component to MC tests—answer justification—influences test performance and metacognitive accuracy. Across two experiments, university students studied a textbook chapter and completed either a standard MC test (MC-only group) or an MC test requiring them to justify their answers (answer justification group). Participants also provided predictive and postdictive metacognitive judgments. The results showed that the answer justification group significantly outperformed the MC-only group on an immediate test (Experiments 1 and 2) and scored …

Psychosocial And Audiological Characteristics In Misophonia: An Interdisciplinary Comparison Study Of Adults With Misophonia To Healthy Controls, Mercedes G. Woolley, Hailey E. Johnson, Emily M. Bowers, Doris Velasquez, Julie M. Petersen, Karen Muñoz, Michael P. Twohig

Psychology Student Research

Despite the increasing investigation into misophonia, its classification remains debated due to symptom overlap with audiological and psychological conditions, as well as methodological limitations in existing studies. In the present study, we compared a clinical sample of adults seeking treatment for misophonia with a non-treatment-seeking sample of age- and gender-matched healthy controls. In these two samples, we examined the psychological and audiological features of misophonia by assessing key psychological processes (anger, disgust, OCD symptoms, anxiety, depression, stress, wellbeing, and psychological inflexibility) and audiological features (hearing, hyperacusis, and tinnitus). We found that individuals with misophonia exhibit higher levels of psychological inflexibility …

Recognizing Individual Variability In Misophonia: Identifying Symptom-Based Subgroups With Gaussian Mixture Modeling, Mercedes G. Woolley, Amanda M. Ramos, Emily M. Bowers, Karen Muñoz, Julie M. Petersen, Michael P. Twohig

Psychology Student Research

Misophonia is characterized by intense emotional and physiological reactions to everyday sounds such as chewing and tapping. While previous researchers have focused on defining and characterizing the disorder, limited attention has been given to the variability in symptom presentations across individuals. In this study, we sought to identify distinct subgroups of individuals with misophonia by applying a Gaussian finite mixture model to explore the heterogeneity of symptom profiles. Sixty treatment-seeking participants completed the Duke Misophonia Interview, which assessed the presence and severity of various behavioral, affective, and cognitive symptoms. Items from this measure served as model indicators. Two clusters were …

Self-Perception As A Predictor Of Eating Disorder Severity In A Residential Sample Of Women And Girls With Eating Disorders, Emily M. Bowers, Julie M. Petersen, Tera Lensegrav-Benson, Benita Quakenbush, Michael P. Twohig

Psychology Faculty Publications

Eating disorders are serious mental health conditions with significant negative health outcomes, high mortality rates, and comorbid mental health conditions. Despite many available interventions for eating disorders, treatment remains challenging due to the difficulty in maintaining treatment gains. Understanding effective treatment processes is crucial. This study aimed to examine the role of self-perception components in predicting eating disorder severity in a residential sample of women and girls. Participants (N = 175) completed measures assessing eating disorder severity, self-kindness, self-judgment, and self-esteem at admission. Correlational analyses and structural equation modeling were used to explore these relationships. Results indicated that self-judgment and …

Culturally Considerate Trauma-Focused Post-Traumatic Stress Disorder Treatment In Latine/X Populations: A Scoping Review, Alejandra Kukuli Delgado, Ryan Holliday, Shira Maguen, Nicholas Holder

Psychology Student Research

Background/Objectives: While theoretical articles describing cultural considerations for post-traumatic stress disorder (PTSD) treatment in Latine/x populations exist, empirical trials are less common. The present study aimed to review the existing literature for empirically tested, trauma-focused PTSD treatments among Latine/x samples to describe treatment outcomes, cultural considerations, and gaps in the existing literature. Methods: For this scoping review, we identified studies that met inclusion criteria as culturally considerate, trauma-focused PTSD treatments reporting symptom outcomes in Latine/x adults. We searched databases (n = 7) and collected 2176 unique records. Six reports met inclusion criteria. Studies enrolled 176 participants into five …

Exploring The Validity Of Adolescent Responses To A Measure Of Psychological Flexibility And Inflexibility, Caleb D. Farley, Tyler L. Renshaw

Psychology Student Research

Validating measures of psychological flexibility (PF) and psychological inflexibility (PI) has occurred in multiple adult samples, but little research has validated PF and PI measures with adolescents. This manuscript describes two studies exploring the validity of responses to the Multidimensional Psychological Flexibility Inventory (MPFI) with two samples of adolescents. The first study used exploratory factor analyses on responses to the MPFI with a sample of 16–17-year-olds (N = 249). The results yielded a reduced and simplified measurement model that consisted of two general factors: one for PF and the other for PI. These exploratory findings were further investigated with …

Act-Enhanced Peer Coaching For Online Act Self-Help: Feasibility And Acceptability With College Students, Korena S. Klimczak, Michael P. Twohig, Gretchen G. Peacock, Michael E. Levin

Psychology Student Research

Objective: This secondary analysis examined the feasibility and acceptability of a novel peer coaching model designed to improve adherence to an online self-help program based on Acceptance and Commitment Therapy (ACT), called ACT Guide. Participants: All participants (N = 152) and peer coaches were undergraduate students attending the same university. Methods: Participants were instructed to use ACT Guide for 10 weeks and were randomly assigned to receive weekly peer coaching through either phone calls or text messaging. Results: We found our peer coaching model to be feasible for delivery via phone and text, however acceptability …

“It Was Oddly Cathartic And Just Good - Freeing”: An Adaptation Of A Cognitive Restructuring Task For Non-Binary People Experiencing Sexual Objectification, Lee R. Pradell, Joshua G. Parmenter, Renee V. Galliher, Elizabeth Grace Wong, Kevin Chi, Hanna Huenemann, Lindsey Rowley, Sadie South

Psychology Student Research

The present study uses action research and critical trans theory frameworks to adapt a cognitive restructuring task to assist non-binary people in minimizing internalization from sexual objectification experiences (SOEs). Nine non-binary participants completed process charts documenting their experiences with SOEs. Participants also completed interviews about their experience with the process chart. Findings explored the nine categories of the process chart and the process of completing the process charts, highlighting the power participants reclaimed by interrogating objectifying sentiments and managing their environments in the wake of SOEs. We discuss utilizing our study’s process chart to better support marginalized people through SOEs.

The Restorative Design Scale (Rds) An Assessment Guide: Measuring The Potential For Mental Restoration In Urban Green Spaces, Corinne Bahr

All Graduate Reports and Creative Projects, Fall 2023 to Present

Mental health is a growing national priority, and green space has been proven to benefit mental health. There is a massive amount of recent research studying the influence of green space characteristics on mental health improvement and restoration. However, professional landscape architects, designers, and planners involved in creating physical spaces have not been able to assess and therefore prioritize mental health in their designs due to the sheer quantity of information that has not yet been synthesized and applied efficiently. The Restorative Design Scale (RDS) Assessment condenses this material into a scientifically inspired resource for professionals to easily understand and …

Development Of A Multidimensional Index Of Fall Risk For Older Adults: The Cache County Study, Alexandra G. Hammond

All Graduate Theses and Dissertations, Fall 2023 to Present

One out of four adults over the age of 65 are estimated to fall each year in the U.S. alone, with that number expected to rise to 52 million falls per year by the year 2030. Improving accuracy for identification of older adults at a higher risk of falling is increasingly important and may be integral in informing the distribution of limited resources and assist in preventing falls in older adults. This project examined the relationship between previously identified risk factors and fall risk to create multidimensional fall risk indexes for older adults, specific for each sex.

Factors best associated …