Psychology Commons^™

The Relationship Between Youth Adult Sexual Communication And Risky Sexual Behavior In Adolescence, Erin Geary

College of Science and Health Theses and Dissertations

Adolescents are engaging in risky sexual behavior at high rates which is impacting the rise of sexually transmitted infections in the United States. Risky sexual behavior in adolescence is related to both negative health and psychological outcomes. Sexual health communication between adolescents and adults might serve as a protective factor to prevent adolescents in participating in risky sexual behavior, however the specific factors that could contribute to this impact are less known. This thesis has two aims: 1) to determine how sexual health communication between adolescents and adults impacts risky sexual behavior and 2) to explore how sex, race/ ethnicity, …

Structural Brain Alterations Associated With Suicidal Thoughts And Behaviors In Young People: Results From 21 International Studies From The Enigma Suicidal Thoughts And Behaviours Consortium, Laura S Van Velzen, Maria R Dauvermann, Lejla Colic, Luca M Villa, Hannah S Savage, Yara J Toenders, Alyssa H Zhu, Joanna K Bright, Adrián I Campos, Lauren E Salminen, Sonia Ambrogi, Rosa Ayesa-Arriola, Nerisa Banaj, Zeynep Başgöze, Jochen Bauer, Karina Blair, Robert James Blair, Katharina Brosch, Yuqi Cheng, Romain Colle, Colm G Connolly, Emmanuelle Corruble, Baptiste Couvy-Duchesne, Benedicto Crespo-Facorro, Kathryn R Cullen, Udo Dannlowski, Christopher G Davey, Katharina Dohm, Janice M Fullerton, Ali Saffet Gonul, Ian H Gotlib, Dominik Grotegerd, Tim Hahn, Ben J Harrison, Mengxin He, Ian B Hickie, Tiffany C Ho, Frank Iorfino, Andreas Jansen, Fabrice Jollant, Tilo Kircher, Bonnie Klimes-Dougan, Melissa Klug, Elisabeth J Leehr, Elizabeth T C Lippard, Katie A Mclaughlin, Susanne Meinert, Adam Bryant Miller, Philip B Mitchell, Benson Mwangi, Igor Nenadić, Amar Ojha, Bronwyn J Overs, Julia-Katharina Pfarr, Fabrizio Piras, Kai G Ringwald, Gloria Roberts, Georg Romer, Marsal Sanches, Margaret A Sheridan, Jair C Soares, Gianfranco Spalletta, Frederike Stein, Giana I Teresi, Diana Tordesillas-Gutiérrez, Aslihan Uyar-Demir, Nic J A Van Der Wee, Steven J Van Der Werff, Robert R J M Vermeiren, Alexandra Winter, Mon-Ju Wu, Tony T Yang, Paul M Thompson, Miguel E Rentería, Neda Jahanshad, Hilary P Blumberg, Anne-Laura Van Harmelen, Enigma Suicidal Thoughts And Behaviours Consortium, Lianne Schmaal

Faculty, Staff and Student Publications

Identifying brain alterations associated with suicidal thoughts and behaviors (STBs) in young people is critical to understanding their development and improving early intervention and prevention. The ENIGMA Suicidal Thoughts and Behaviours (ENIGMA-STB) consortium analyzed neuroimaging data harmonized across sites to examine brain morphology associated with STBs in youth. We performed analyses in three separate stages, in samples ranging from most to least homogeneous in terms of suicide assessment instrument and mental disorder. First, in a sample of 577 young people with mood disorders, in which STBs were assessed with the Columbia Suicide Severity Rating Scale (C-SSRS). Second, in a sample …

Moderators And Processes Of Change In A Pilot Randomized Controlled Trial Of Acceptance-Enhanced Behavior Therapy For Trichotillomania In Adolescents, Julie M. Petersen, Leila K. Capel, Michael E. Levin, Michael P. Twohig

Psychology Faculty Publications

Treatments for trichotillomania in adolescence have historically been under-researched. This paper presents secondary analyses of treatment moderators and processes of change from a pilot trial assessing the efficacy of teletherapy acceptance-enhanced behavior therapy (AEBT) in adolescents (N = 28). All participants received 10 sessions of AEBT and completed questionnaires at baseline, post-treatment, and longitudinal follow-up from three-, six-, and twelve-months. The moderation effects of baseline general psychological inflexibility, baseline trichotillomania-specific psychological inflexibility, age, and comorbid diagnoses were explored via multilevel modeling using longitudinal outcomes. Comorbid conditions significantly moderated treatment outcome, indicating that more comorbidity was associated with better outcome, even …

Masculinity, Affirmations, Belongingness, And Resiliency In Male Adolescents: Effects On School Engagement, Kelsey Burt

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study focused on male adolescent students within 7^th and 8^th grade and how endorsement of masculine stereotypes impacts their school engagement and feelings of belonging. The study also examines how peers maintain masculine conformity and how individual resiliency change outcomes. This research is based on two main theories, inclusive masculinity and social learning theory. These theories describe how behaviors are largely learned from the social environment and maintained due to reinforcement or punishment. There were 127 adolescent males who participated in this study and were recruited through an online survey system. Results of the study show that …

Factors Associated With Racial And Ethnic Minority Youths' Mental Health Help-Seeking At School, Sam Allouche

LSU Doctoral Dissertations

Despite the high prevalence and associated consequences of mental health problems in youth, adolescents with these problems are often left untreated. This service gap is even greater in racial and ethnic minority youth who not only engage in treatment less frequently, but also experience far greater discrimination and systemic inequality than non-ethnic or racial minority students; factors further contributing to a need for service. Schools may provide an ideal location to treat mental health problems in youth, in part because schools eliminate structural barriers, but also because school staff have an opportunity to observe students across a range of functioning. …

Development And Initial Validation Of The Adolescent Social Media Use Inventory, Johannah Smith

LSU Master's Theses

Adolescents are the largest population group that accesses social media applications (Boneva et al., 2006; Gross, 2004; Subrahmanyam, Reich, Waechter, & Espinoza, 2008). However, there is little known on how to measure the positive (i.e., enabling privacy settings, friending parents and other family members on social media platforms) and negative (i.e., public social media account, hiding posts from parents) adolescent social media use. This is an important oversight given the relationship between negative uses of social media and increased delinquency, aggression, and decreased parent-adolescent communication (Coyne et al., 2014). The present study sought to address this limitation in the research …

United States Healthcare Burden Of Pediatric Functional Gastrointestinal Pain Disorder Hospitalizations From 2002 To 2018, John M Hollier, Jason L Salemi, Robert J Shulman

Faculty, Staff and Students Publications

BACKGROUND: The healthcare burden of pediatric functional gastrointestinal pain disorders (FGIDs) is unclear. Our study aimed to characterize the burden of these hospitalizations in the United States (US).

METHODS: We utilized the US National Inpatient Sample from 2002 to 2018 to capture pediatric hospitalizations (ages 4 to 18 years old) with a primary discharge diagnosis of abdominal pain, constipation, irritable bowel syndrome, dyspepsia, abdominal migraine, cyclic vomiting syndrome, or fecal incontinence. We calculated the FGID hospitalization prevalence rate, length of stay (LOS), and inflation-adjusted costs annually and assessed for statistically significant trend changes using joinpoint analyses.

KEY RESULTS: 22.3 million …

Evaluating The Moderating Effect Of Gender On Adolescents’ Internalizing Symptoms Throughout The First Wave Of Covid-19, Naomi C. Curran

Lawrence University Honors Projects

In 2020, the COVID-19 pandemic sent adolescents home to shelter-in-place in relative social isolation, potentially disrupting support networks, and compromising youth mental health. This may particularly impact already vulnerable groups, such as girls and transgender/gender diverse (TGD) adolescents, who experience a greater risk for depression and anxiety disorders than their peers. The present study investigated the moderating effect of gender on adolescents’ internalizing symptoms throughout the first wave of COVID-19. I hypothesized that the onset of the pandemic would increase TGD adolescents’ internalizing symptoms to a greater degree than their cisgender peers, and girls’ internalizing symptoms more than boys’. Data …

Minority Stress: A Model For Understanding Sexual Minority Adolescents’ Mental Health, Sean N. Weeks

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Taken together, the three papers included in this dissertation offer an investigation of sexual minority adolescents’ stress as a predictor of adverse mental health outcomes (Paper 1), as being influenced by school and home climates (Paper 2), and as a measurable model for stress across levels (Paper 3). Results from this series of studies generally support theory and findings from other studies in that minority stress was found to be a meaningful predictor of mental health in sexual minority youth and that school and home climates were found to be important for understanding sexual minority youth wellbeing. However, the current …

Typologies Of Stress Appraisal And Problem-Focused Coping: Associations With Compliance With Public Health Recommendations During The Covid-19 Pandemic., Justin F. Landy, Aya Shigeto, Daniel J. Laxman, Lawrence M. Scheier

Faculty Articles

BACKGROUND: Given prior research finding that young adults are less likely to engage in recommended public health behaviors (PHBs) than older adults, understanding who is and is not likely to engage in PHBs among young adults is crucial to mitigating the effects of the COVID-19 pandemic. Drawing on the Transactional Theory of Stress and Coping, this study examined how typologies of stress appraisal (SA) and problem-focused coping (PFC) among young adults were associated with compliance with public health recommendations during the pandemic.

METHODS: An online sample of young adults in the United States, ages 18-35, was recruited during the early …

Pornography: Social, Emotional And Mental Implications Among Adolescents, William K. Canady

National Youth Advocacy & Resilience Conference

This presentation will explain the historical development of pornography. It will highlight four segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention. 4- A review of interventions available to assist clients in navigating a lifestyle away from pornography.

Mindfulness In The Sport Academy Classroom: Exploring Benefits And Barriers Of A Low-Dose Intervention, Andrew Augustus, Sam Zizzi

Faculty & Staff Scholarship

This study evaluated the feasibility and effectiveness of a low-dose mindfulness program with student–athletes (SA) at a
sport academy in the USA. First, SAs were introduced to mindfulness in their health class with conceptual lessons and guided
meditations from the Headspace ‘Guide to Meditation’ series. Following each episode, SAs reflected on their experience
via guided prompts led by their teacher. The second phase shifted towards applying mindfulness within their sport through
app-based guided meditations and sport-based reflections led by teachers in their mental skills classes. Student–athlete
perceptions of these experiences were captured through the reflection exercises and a post-program evaluation …

Learning By Playing: A Curriculum Utilizing Improvisational Theater To Develop Prosocial Behavior Skills And Self-Efficacy In Young Adolescents, Lynn Lovett Barr

Regis University Student Publications (comprehensive collection)

Prosocial behavior requires competency in social-emotional skills including interpersonal skills, conflict resolution, and emotional regulation. During the developmental stage of early adolescence, youth are learning these skills and are more likely to engage in prosocial behavior if they feel efficacious in them. However, most social-emotional learning programs focus on conceptual knowledge in these areas without providing sufficient opportunities for practice, which does not allow students to develop sufficient procedural knowledge and self-efficacy. Improvisational theater offers a solution to this problem; used in concert with social-emotional lessons, it provides practice scenarios and procedural learning opportunities. This project consists of a curriculum …

Predictors Of Treatment Outcome In A Family-Based Hospitalization Program For Adolescents With Anorexia Nervosa, Kellsey Launius

Master's Theses and Doctoral Dissertations

Family-based treatment (FBT) is the first-line treatment for adolescents with anorexia nervosa (AN). Although FBT works for many, it does not work for everyone. The current study explored variables that are believed to impact treatment outcome in FBT, (a) initial weight gain, (b) parental criticism, and (c) obsessive-compulsive features, and investigated three additional factors expected to predict positive treatment outcome, (d) fear of food, (e) exposure to feared foods, and (f) parent-child concordance. Participants were 240 children, adolescents, and young adults with AN or other specified feeding or eating disorder (OSFED) enrolled in a family-based partial hospitalization program (PHP). Pearson …

Autonomy Restriction As A Predictor Of Adolescent Social Difficulties, Abigail R. Carlson, David E. Szwedo Ph.D.

Department of Psychology - Faculty Scholarship

Parental autonomy inhibition and psychological control during early adolescence were investigated as predictors of teens’ passive behaviors in later peer and romantic relationships. Furthermore, such passivity was examined as a predictor of social anxiety in early adulthood. Participants (n = 184) were assessed at ages 13, 18, and 22 by multi-reporter surveys and observations. Autonomy inhibition from parents, including psychological control and negative autonomy and relatedness, generally predicted more avoidance behaviors in peer and romantic relationships. Interestingly, effects were more frequently observed from fathers, suggesting paternal roles may have a stronger impact on the level of avoidance their teens display …

Psychological Functioning And Community Support In Adolescents Exposed To A School Shooting, Jessica Taylor Kelly

Dissertations and Theses

This study evaluated the impact of community support, specifically the impact of a trauma-related community-led campaign, on high school youth following a school shooting. Adolescents are at risk for the adverse impacts of trauma exposure (Katsiyannis et al., 2018; Rajan et al., 2019; Heleniak et al., 2016; McDermott & Cobham, 2012; McLean et al., 2013; Schonfeld & Demaria, 2020). However, social support from one’s community has been found to protect against the psychological and functional consequences of exposure to trauma (Bal et al., 2003; Cheng et al., 2014; Derivois et al., 2014. The purpose of this study was to assess …

Adherence To Dietary Recommendations For Adolescents With Cystic Fibrosis, Kristine M. Durkin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Adhering to dietary recommendations and nutritional supplements to ensure adequate absorption of nutrients and malnutrition plays an important role in the health of patients with cystic fibrosis (CF). Non-adherence to the CF care regimen, including nutritional recommendations, is high in adolescents. Therefore, the overall goal of this study was to identify factors related to adherence to nutritional recommendations in adolescents with CF.

Method: A total of 42 adolescents (ages 12-18) were recruited from 5 CF centers across the US. Adolescents completed surveys measuring body image/satisfaction, health literacy, perceived barriers to enzyme use, and self-efficacy, as well as the quality …

Assessment Of Adolescent Anxiety, Anna E. Martinez-Snyder

Graduate Research Theses & Dissertations

Anxiety disorders are the most prevalent of any group of disorders among adolescents. Further, the prevalence of anxiety disorders has been shown to increase from adolescence to young adulthood, underscoring the importance of researching adolescent anxiety. Screening for anxiety in adolescents is necessary to identify and treat these disorders, which requires measures with good psychometric properties. One aim of the present study was to examine and compare the psychometric properties of the separation anxiety, social anxiety, panic, and generalized anxiety scales of the Screen for Child Anxiety-Related Emotional Disorders (SCARED), the Spence Children’s Anxiety Scale (SCAS), and the Youth Anxiety …

Associations Between Body Dissatisfaction And Relationship Functioning Among Same-Sex Female Couples: An Actor-Partner Interdependence Model, Cassidy M. Sandoval, Kelly A. Romano, Kristin E. Heron, Charlotte A. Dawson, Tiphanie G. Sutton, Barbara A. Winstead, Robin J. Lewis

Psychology Faculty Publications

Nearly all past research about body dissatisfaction and romantic relationship factors is among heterosexual couples; little is known about these associations in sexual minority couples. The present study aimed to fill gaps in the current literature by using actor-partner interdependence models (APIMs) to examine dyadic patterns of association between body dissatisfaction and different aspects of relationship functioning among same-sex female couples. Participants were 163 same-sex female romantic dyads (326 women) between the ages of 18-35 years who completed measures of body dissatisfaction and relationship factors. Results from significance testing of actor and partner effects indicated higher levels of women's own …

The Acute And Persisting Impact Of Covid-19 On Trajectories Of Adolescent Depression: Sex Differences And Social Connectedness, Sabrina R. Liu, Elyssia Poggi Davis, Anton M. Palma, Curt A. Sandman, Laura M. Glynn

Psychology Faculty Articles and Research

Background

The COVID-19 era is a time of unprecedented stress, and there is widespread concern regarding its short- and long-term mental health impact. Adolescence is a sensitive period for the emergence of latent psychopathology vulnerabilities, often activated by environmental stressors. The present study examined COVID-19′s impact on adolescent depression and possible influences of different domains of social connectedness (loneliness, social media use, social video game time, degree of social activity participation).

Methods

A community sample of 175 adolescents (51% boys, mean age = 16.01 years) completed questionnaires once before and twice during the COVID-19 pandemic. Piecewise growth modeling examined the …

Examining Associations Between Knowledge And Vaccine Uptake Using The Human Papillomavirus Knowledge Questionnaire (Hpv-Kq), Sayward Harrison, Valerie Yelverton, Yunfei Wang, Jan Ostermann, Laura J. Fish, Charnetta L. Williams, Lavanya Vasudevan, Emmanuel B. Walter

Faculty Publications

Objectives: Understanding the relationship between human papillomavirus (HPV) knowledge and vaccination behavior is important to inform public health interventions, yet few validated HPV knowledge scales exist. This study describes development of the Human Papillomavirus Knowledge Questionnaire (HPV-KQ) and its validation with parents residing in the southern United States (US). Methods: Drawing on previously published measures, we developed the 13-item HPV-KQ and administered the scale via Web-based survey to parents (N=1105) of adolescents ages 9 to 17 years. Dimensionality, internal consistency, model fit, and predictive validity were assessed. Results: The scale was bidimensional. One factor captured general HPV knowledge, and the …

Understanding And Improving Adhd Symptom Recall: An Investigation Of Temperament And Childhood Symptom Recall Over Time, Lea Elizabeth Taylor

Dissertations - ALL

Background: ADHD is characterized by a high prevalence, functional impairment across the lifespan, negative long-term consequences, and a heterogeneous etiology, rendering it of significant public health import. Despite this, there is still a significant delay to treatment as well as low rate of lifetime treatment contact in the ADHD population, which may potentially increase the associated personal and public health burdens. Due to this delay to treatment and requirement of symptom onset before the age of 12, adults seeking ADHD assessments provide a challenge to clinicians to determine if symptoms were present in childhood. The current study investigated the consistency …

Timing Of Childhood Adversities And Self-Injurious Thoughts And Behaviors In Adolescence, Samantha J. North, Kathryn R. Fox, Jenalee R. Doom

Graduate School of Professional Psychology: Faculty Scholarship

Greater childhood adversity predicts a higher likelihood of later self-injurious thoughts and behaviors (SITB). There is little research focused on whether the timing of childhood adversity predicts SITB. The current research examined whether the timing of childhood adversity predicted parent- and youth-reported SITB at age 12 and 16 years in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) cohort (n = 970). We found that greater adversity at age 11–12 years consistently predicted SITB at age 12 years, while greater adversity at age 13–14 years consistently predicted SITB at age 16 years. These findings suggest there may be sensitive …

Moderating Effects Of Parental Feeding Practices And Emotional Eating On Dietary Intake Among Overweight African American Adolescents, Mary Quattlebaum, Dawn K. Wilson-King, Allison M. Sweeney, Nicole Zarrett

Faculty Publications

This study examined the effects of parental feeding practices and adolescent emotional eating (EE) on dietary outcomes among overweight African American adolescents. Based on Family Systems Theory, it was hypothesized that parental feeding practices, such as parental monitoring and responsibility, would buffer the effects of EE on poor dietary quality, whereas practices such as concern about a child’s weight, restriction, and pressure-to-eat would exacerbate this relationship. Adolescents (N = 127; Mage = 12.83 ± 1.74; MBMI% = 96.61 ± 4.14) provided baseline data from the Families Improving Together (FIT) for Weight Loss trial and an ancillary study. Dietary outcomes (fruit …

Social Media, Stress And Sleep Deprivation: A Triple “S” Among Adolescents, Micajah Daniels, Manoj Sharma, Kavita Batra

Environmental & Global Health Faculty Research

This commentary is aimed to discuss the impact of social media or the internet and engagement on youth development and comprehend these complex interrelationships. The discussion will serve as an important basis for designing targeted interventions to promote the judicious use of social media and meaningful engagement among youth. Problematic social media use (SMU) among adolescents may be associated with sleep deprivation, emotional distress, and adoption of maladaptive behaviors. Depression and stress are most notably connected to online harassment from SMU or cyberbullying. Degradation, threats, fake profiles, cyberstalking and unwanted comments are some examples of cyberbullying. Given the critical developmental …

The Use Of Animal-Assisted Interventions To Treat Child Victims Of Sexual Abuse, Stephanie Johnston

Counseling Psychology | Master's Theses

This study examines the therapeutic benefits of incorporating dogs into the mental health treatment of child victims of sexual abuse in both formal and informal settings. In 1962, Dr. Boris Levinson began incorporating his dog into therapy sessions with his child clients. He noticed that incorporation of dogs into psychotherapeutic treatment encouraged communication in withdrawn children and published his results in 1969, initiating a widespread interest in animal-assisted therapy (AAT). Other variations of AAT soon followed in the form of animal-assisted activities (AAA). The human-animal bond can be a powerful tool that effectively improves mental health and can play a …

Prospective Patient-Reported Symptom Profiles Associated With Pediatric Acute Lymphoblastic Leukemia Relapse, Austin L Brown, Kimberly P Raghubar, Olga A Taylor, Melanie Brooke Bernhardt, Lisa S Kahalley, Wei Pan, Philip J Lupo, Marilyn J Hockenberry, Michael E Scheurer

Faculty, Staff and Students Publications

PURPOSE: Despite improvements in frontline pediatric acute lymphoblastic leukemia (ALL) treatment, relapse remains a concern. Research in adult cancer patients suggests that patient-reported symptoms may predict survival, but the relationship between symptoms and relapse for pediatric ALL has received little attention.

METHODS: Pediatric patients with ALL (age 2-18 years) and/or their primary caregivers completed symptom surveys at the end of induction, start of delayed intensification (DI), start of maintenance cycle 1 (MC1), and start of maintenance cycle 2 (MC2). Symptom clusters for co-occurring fatigue, pain, sleep disruptions, and nausea were defined using latent profile analysis. Hazard ratios (HR) and 95% …

The Impact Of Short Sleep On Food Reward Processes In Adolescents, Kara Mcrae Duraccio, K. N. Krietsch, N. Zhang, C. Whitacre, T. Howarth, M. Pfeiffer, D. W. Beebe

Faculty Publications

Short sleep has been linked to adolescent obesity risk, but questions remain regarding the dietary mechanisms by which this occurs. We tested whether mildly shortening sleep influences how rewarding and appealing healthy adolescents find several kinds of foods. Eighty-eight healthy adolescents completed a within-subjects crossover sleep experiment comparing 5 days of Short Sleep (6.5 hour sleep opportunity) vs. 5 days of Healthy Sleep (9.5 hour sleep opportunity). Following each condition, adolescents completed measures of food appeal and reinforcing value of food across five food types: sweets/desserts, fruits/vegetables, lean meats/eggs, fast food entrees, and processed snacks. Adolescents averaged 2.2 hours/night longer …

Pornography: Social, Emotional And Mental Implications Among Adolescents, William Kelly Canady

National Youth Advocacy & Resilience Conference

This presentation will explain the historical development of pornography. It will highlight four segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention. 4- A review of interventions available to assist clients in navigating a lifestyle away from pornography.

Does Social Media Use Increase Depressive Symptoms? A Reverse Causation Perspective, Andree Hartanto, Frosch Yi Xuan Quek, Yue Qi Germaine Tng, Jose C. Yong

Research Collection School of Social Sciences

According to the World Health Organization (1), 264 million individuals worldwide suffer from depression—a condition characterized by feelings of low self-worth, impaired concentration, and disturbed sleep, among various other maladaptive symptoms (2). Adolescents between 13 and 18 years of age are also vulnerable (3), with a 52% increase in the prevalence of depression among adolescents from 2005 to 2017 (4). Depression is tied to many serious problems including failure to complete education, higher unplanned parenthood rates, poorer interpersonal relations, and heightened risk of substance abuse and suicidality (5–7).