Child Psychology Commons^™

Resilience After Prenatal Substance Exposure: Exploring The Role Of Cumulative And Specific Protective Factors In Predicting Toddlerhood Temperament Profiles, Anjeli Elkins

Theses and Dissertations--Psychology

Objective

Prenatal exposure to common substances, including nicotine, marijuana, cocaine, methamphetamine, opiates, and alcohol, has been linked to a wide range of psychiatric disorders and neurodevelopmental impairments. Identifying protective factors that may improve temperament profiles in toddlers who have experienced prenatal substance exposure may protect against these adverse outcomes and is crucial for developing targeted early interventions.

Methods

Participants (n=92; Mage = 28.7 years; 47.0% White) were biological mothers of toddlers (Mage = 22.6 months) with prenatal substance exposure. Mothers responded to an online survey that gathered information on substance use during pregnancy, proposed perinatal protective factors, and child temperament. …

Links Between Perceived Mother-Adolescent And Father-Adolescent Conflict And Low Self-Control: A Cross-National Comparative Study, Tory Thomas

Theses and Dissertations--Family Sciences

The influence of parent-adolescent relationships and adolescent adjustment have been well-documented. Self-control has emerged as a key probabilistic construct in understanding adjustment, well-being, and life success. The present study tests the links between adolescent perceptions of maternal and paternal conflict and self-control. In addition, to understand the extent to which cultural developmental context impacts these associations, the study will employ a cross-cultural comparative lens to test whether cultural context moderates these links. Self-report data were collected from N = 4,924 adolescents (Mage = 16.97 years, 54.08% female) across four countries (China, Czech Republic, Turkey, and the United States). In by …

Early Childhood Language And Literacy Development Programs For Autism Spectrum Disorder And D/Deaf And Hard-Of-Hearing Students, Mayson Spillman

Lewis Honors College Thesis Collection

This paper examines several popular approaches in the United States for enhancing early childhood literacy and language development in two special education populations— d/Deaf or hard-of-hearing (d/DHH) students and students with autism spectrum disorder (ASD). In addition to examining the effectiveness of these approaches, I adopt an educational equity lens to describe how variability in implementation can impact outcomes for these children. Based on my critical reading of the literature, I offer three broad recommendations for school psychologists: (1) Carefully consider dosage and fidelity of implementation, (2) Use caution when modifying existing interventions for these populations, and (3) Increase in-service …

Assessing 4-H And Its Circle Of Courage In A Psychiatric Residential Treatment Facility: A Case Study, Elizabeth Steering

Theses and Dissertations--Family Sciences

This 4-H case study takes place in a psychiatric residential treatment facility (PRTF) in Kentucky. The PRTF provides clinical services to youth that are not able to be safely maintained in their homes due to having demonstrated unsafe or harmful behaviors. Youth admitted to the PRTF stay for an average of three to six months while they receive intensive therapeutic and psychiatric care as well as medical treatment and public schooling. The current case study incorporates programming from 4-H, which is the youth development program of the Cooperative Extension System (CES) and the National Institute of Food and Agriculture (NIFA), …

Mitigating Compounded Barriers To Independence: Improving Outcomes Post Emancipation For Foster Youth With Secondary And Tertiary Barriers To Success, Corletha Norman

DSW Capstone Projects

A total of 407,493 children were identified as foster children by the U.S. Department of Health and Human Services, Administration for Children and Families (2021) at the completion of their 2020 fiscal year. The reason for entry into foster care is just as varied as the way in which the children exit. It is expected that many foster youth will experience poor outcomes as a result of their foster care experiences. Poor outcomes continue to be an ever-present undesired rite of passage for foster youth preparing to leave foster care at or after the age of 18. Research conducted over …

Longitudinal Dynamics Between Parenting And Adolescent Deviance: Direct Links And Underlying Mechanisms, Dan Liu

Theses and Dissertations--Family Sciences

The current dissertation, based on three separate and yet closely related studies, tested the longitudinal dynamic relationships of maternal and paternal parenting factors with adolescent deviance, the direct links as well as underlying mechanisms. Study 1, based on longitudinal data collected from 570 early adolescents, part of the Brno Longitudinal Study of Youth (BLSY), used latent growth modeling and tested the development of three parenting measures, including parental solicitation, knowledge, and peer approval, and deviance during early adolescence, as well as the developmental (i.e., growth to growth) links of these three parenting measures with adolescent deviance over time. Results indicated …

A Pathway For Inclusive Innovation In Pediatric Mental Health: Prevention And Intervention Using Technology, Kate Corinne Bennett

DSW Capstone Projects

It is no secret that access to quality healthcare is difficult for citizens to achieve in the United States. Racism, discrimination, and oppression further exist at the root of compounding social problems, including limits in minority access to mental health services. The COVID-19 pandemic has also exacerbated mental health problems for young children, especially those who are already underserved and at risk. For these reasons, it is imperative that the social work profession emphasizes innovative approaches to equitable treatment access, including a focus on early intervention and the use of technology. Product one of this capstone engages a systematic review …

Clinical Interventions For Developmental Trauma Disorder: How Evidence-Based Practice And Attachment Theory Can Inform Therapeutic Approach, Victoria Deveau

DSW Capstone Projects

Approximately two-thirds of U.S. children and adolescents report having experienced a traumatic event. A posttraumatic stress disorder (PTSD) diagnosis requires that the youth has directly experienced a traumatic event, witnessed a traumatic event occur to others, or learned that a traumatic event has occurred to someone close. The clinician is in a diagnostic quandary, however, when the youth presents with the PTSD hallmarks of hyperarousal, avoidance, and emotional dysregulation, in absence of such life experiences. The answer to this quandary lies in an understanding of developmental trauma disorder (DTD). Clinical interventions for DTD are the focus of this capstone.

Product …

Transforming Hurt Boys Into Restored Men: The Lack Of Mental Health Treatment For Black Male Trauma Survivors, Shericka Danielle Smith

DSW Capstone Projects

Trauma affects individuals differently, but the prevalence of trauma and its impact on Black males is detrimental. Black males are at higher risk for posttraumatic stress disorder (PTSD), depression, substance abuse, and violent crimes when trauma is left untreated by a mental health professional. As the number of traumatic events experienced by Black males continues to rise, the number of these males who seek mental health treatment remains stagnant and painfully low. Many factors play into these behaviors, yet very little data exists on what is being done to change them.

Product one is a systematic literature review in which …

The Role Of Affective Heterogeneity On Treatment Effects For Youth With Conduct Problems, Pevitr Singh Bansal

Theses and Dissertations--Psychology

Conduct problems (CP) are a class of disruptive and aggressive behaviors (e.g., aggression, vandalism) comprised of both oppositional defiant and conduct disorder. CP are highly heterogenous and one vital factor that parses out this heterogeneity is affect, specifically the affective traits of irritability (IRR) and limited prosocial emotions (LPE). The current study examined how IRR and LPE predict distinct aspects of treatment efficacy including (1) treatment response (i.e., magnitude of change from week 1 to week 5); (2) trajectories (i.e., shape of symptom change); and (3) time-out (i.e., behavioral and emotional reactions to time-out). Participants were 49 youth aged 7-12 …

Addressing The Mental Health Disparities Among Black Children During Natural Disasters: A Clinical Perspective And Response To The Covid-19 Pandemic., Brittany Reed

DSW Capstone Projects

The experiences of Black children resulting from the events surrounding the Covid-19 pandemic present a projection to create long-term mental health effects at higher rates than their peers of other races. While the long-term effects of this pandemic are still considered ongoing, the disparities within the Black community will subsequently develop into a trickle-down effect of secondary traumatic experiences faced by Black children. Then, where does that leave Black children and their mental health? This capstone project aims to examine how the Covid-19 pandemic will affect Black children, explore the mental health challenges and disparities faced by Black children resulting …

Toward An Understanding Of Treatment Moderators Based On Etiological Models Of Disruptive Behavior Disorders, Tess E. Smith

Theses and Dissertations--Psychology

Extant research suggests negative outcomes associated with Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD) can be avoided with early intervention, with the most efficacious being behavioral parent training. However, parent training suffers from limitations including high drop-out rates, adherence, and long-term maintenance. Yet, consistent predictors of differential outcomes among individuals have not been identified. Etiological work suggests traits may be an early marker of disruptive behaviors. The goal of the current study is to examine child traits as a moderator of treatment outcomes for ADHD and ODD, using an efficacious short parent training treatment, Brief Behavioral Intervention (BBI). Twenty-six …

The Effects Of Parental Divorce And Remarriage On Emerging Adult’S Romantic Attachment Styles, Bailey Mortis

Theses and Dissertations--Family Sciences

This study shined light on the gap in literature about the impact of communication and involvement of stepparents has on emerging adult’s romantic attachment styles. A sample of 289 college students between the ages of 18 and 22 at the University of Kentucky was recruited to complete an online survey about their perceived experience with their stepparent and parental figures and the effects on their romantic attachment styles. Parental involvement in children’s lives and having good communication, sets the foundation for individuals to have secure attachment styles. Emerging adults who experience parental figures and stepparents as being uninterested or passive …

Beyond Telling: A Phenomenology Of Adoptive Parents' Adoption Communication Openness With Early Adolescents, Jane D. Samuel

Theses and Dissertations--Family Sciences

Despite calls for increased Adoption Communication Openness (ACO) within the adoptive family, research indicates that families still struggle to accomplish the recommended elements and levels of openness. What could be holding families back from this key process? Three focus groups comprised of 17 adoptive parents of early adolescents (aged 10-14) who were age 0-2 at the time of placement were thematically coded. This inductive analysis revealed the complexity rooted in being —sometimes successfully and sometimes not—communicatively open. Four key themes emerged painting a vivid and rich picture of: a) the breadth and depth of this experience; b) the work entailed; …

Screen Time And The Effects On Attention Deficit Hyperactivity Disorder, Cassandra Starks

DNP Projects

PURPOSE: The purpose of this project is to determine if an educational intervention with families decreased overall screen time use in school-aged children with attention-deficit/hyperactivity disorder (ADHD).

METHODS: This study was a single group pre-test, post-test interventional study design. The sample population consisted of the parents/guardians of 30 school-aged children diagnosed with ADHD (5-12 years) recruited from the University of Kentucky Developmental and Behavioral Pediatrics Clinic between November 2019 and February 2020. Parents completed a survey about their child’s daily screen time exposure (tablets/cell phones, laptops/computers, video games, and television) and were educated how screen time can exacerbate ADHD symptoms, …

Empirical Assessment Of Callous-Unemotional Traits In Preschool: A Comparison Of Confirmatory Factor Analysis And Network Analysis, Pevitr Singh Bansal

Theses and Dissertations--Psychology

Callous – unemotional (CU) traits are a key factor in understanding the persistence and severity of conduct problems. The factor structure of CU traits has been primarily examined through confirmatory factor analysis (CFA) in childhood and adolescent samples, yet little research has examined the structure of CU traits in preschool. Further, current CFA models have yielded poor – to – marginally acceptable fit, suggesting the need for a more nuanced approach in understanding the structure of CU traits in early childhood using an interitem approach (i.e., network analysis). Within a sample of 109 preschool children (M age = 4.77, …

The Influence Of Parental Control And Parent-Child Relational Qualities On Adolescent Internet Addiction: A 3-Year Longitudinal Study In Hong Kong, Daniel T. L. Shek, Xiaoqin Zhu, Cecilia M. S. Ma

Pediatrics Faculty Publications

This study investigated how parental behavioral control, parental psychological control, and parent-child relational qualities predicted the initial level and rate of change in adolescent internet addiction (IA) across the junior high school years. The study also investigated the concurrent and longitudinal effects of different parenting factors on adolescent IA. Starting from the 2009/2010 academic year, 3,328 Grade 7 students (M_age = 12.59 ± 0.74 years) from 28 randomly selected secondary schools in Hong Kong responded on a yearly basis to a questionnaire measuring multiple constructs including socio-demographic characteristics, perceived parenting characteristics, and IA. Individual growth curve (IGC) analyses …

Self-Reported Risk And Delinquent Behavior And Problem Behavioral Intention In Hong Kong Adolescents: The Role Of Moral Competence And Spirituality, Daniel T. L. Shek, Xiaoqin Zhu

Pediatrics Faculty Publications

Based on the six-wave data collected from Grade 7 to Grade 12 students (N = 3,328 at Wave 1), this pioneer study examined the development of problem behaviors (risk and delinquent behavior and problem behavioral intention) and the predictors (moral competence and spirituality) among adolescents in Hong Kong. Individual growth curve models revealed that while risk and delinquent behavior accelerated and then slowed down in the high school years, adolescent problem behavioral intention slightly accelerated over time. After controlling the background socio-demographic factors, moral competence and spirituality were negatively associated with risk and delinquent behavior as well as problem …

Visual Scanning Of Males And Females In Infancy, Hannah B. White, Alyson J. Hock, Rachel L. Jubran, Alison Heck, Ramesh S. Bhatt

Psychology Faculty Publications

This study addressed the development of attention to information that is socially relevant to adults by examining infants' (n = 64) scanning patterns of male and female bodies. Infants exhibited systematic attention to regions associated with sex-related scanning by adults, with 3.5-and 6.5-month-olds looking longer at the torso of females than males and longer at the legs of males than females. However, this pattern of looking was not found when infants were tested on headless bodies in Experiment 2, which suggests that infants' differential gaze pattern in Experiment 1 was not due to low-level stimulus features, such as clothing, and …

Development Of Body Emotion Perception In Infancy: From Discrimination To Recognition, Alison Heck, Alyson Chroust, Hannah B. White, Rachel Lynn Jubran, Ramesh S. Bhatt

Psychology Faculty Publications

Research suggests that infants progress from discrimination to recognition of emotions in faces during the first half year of life. It is unknown whether the perception of emotions from bodies develops in a similar manner. In the current study, when presented with happy and angry body videos and voices, 5-month-olds looked longer at the matching video when they were presented upright but not when they were inverted. In contrast, 3.5-month-olds failed to match even with upright videos. Thus, 5-month-olds but not 3.5-month-olds exhibited evidence of recognition of emotions from bodies by demonstrating intermodal matching. In a subsequent experiment, younger infants …

A Mixed Methods Analysis Of Gender Differences In Symptom Progression And Trauma Narratives During Trauma-Focused Cognitive Behavioral Therapy, Sarah A. Ascienzo

Theses and Dissertations--Social Work

An alarming portion of youth experience traumatic events during childhood, and there is a robust body of literature documenting the adverse consequences of trauma exposure on the developing child. Fortunately, numerous empirically-supported phase-based interventions have been developed for youth that target the deleterious effects of trauma. While several of these interventions have demonstrated symptom reduction from the baseline to completion of treatment, much less is known regarding the trajectory of posttraumatic stress symptoms (PTSS) during the course of treatment. Information in this regard may have important implications for service delivery and help to illuminate the mechanisms of change responsible for …

Towards Better Outcomes For Families With Transition-Age Youth Or Young Adults With Asd: A Mixed Methods Study From A Parent’S Perspective, Wing Hang Wong

Theses and Dissertations--Educational, School, and Counseling Psychology

The after-high-school outcomes for individuals with autism spectrum disorder (ASD) and their families are less than desirable. The current study employed an exploratory sequential mixed methods design in order to enhance understanding of the family adaptation process during transition. First, a qualitative study was conducted in order to understand the stressors, external and internal support, coping strategies, and family adaptation outcomes during transition, from a parent’s perspective, using the ABCX model. Thirteen parents of adolescents and young adults with ASD were interviewed. These parents reported a continually high level of stress due to normative strains and ASD-related demands. They clearly …

“Dad, Do You Want To Play With Me?” The Impact Of Fathers Who Make Time For Play, Michael S. Sitton

Theses and Dissertations--Family Sciences

With an increase in the pace of life in the United States, there comes a recognition of the importance of prioritizing time, especially for fathers. Of the two-thirds of children who live with their father, only a percentage of them have fathers who report regular play time with their children. However, literature in the field does not explain specifically whether or not this play between father and child influences the child’s later risk taking behaviors in high school. Using data from the 2003 Fragile Families and Child Wellbeing Study (FFCWS), waves 3, 4, and 6, this quantitative study sought to …

Examining An Asynchronous Group Discussion Board Adaptation Of A Parent-Mediated Behavior Intervention For Children With Autism Spectrum Disorders, Alexis D. Rodgers

Theses and Dissertations--Educational, School, and Counseling Psychology

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social and communication deficits, as well as restricted, repetitive, and stereotyped behaviors, interests, and activities (American Psychiatric Association, 2013). Although important relationships have been shown and described among the issues of challenging behavior, parent stress, and parenting sense of competence for families of children with ASD, there is a shortage of intervention programs appropriately suited for families which target these issues. Some programs have been developed and tested, but none is directly applicable for the target population. This is notable because of the connections drawn in the literature between families …

Looking The Part: An Examination Of Longitudinal Gender Presentation Among Children With Gay, Lesbian, And Heterosexual Adoptive Parents, Samuel T. Bruun

Theses and Dissertations--Psychology

Gender presentation, appearing in a way that fits social expectations of one’s gender role, represents one of the most obvious ways in which one’s gender identity becomes salient to others. This quality is especially relevant to note given the continued controversy surrounding children’s gender role development when raised by non-heterosexual parents. The current study is an examination of how gender presentation develops in adopted children with lesbian, gay, and heterosexual parents across two time points (Wave 1: N = 106, M_age = 36.07 months; Wave 2: N = 90, M_age = 8.34). Children’s gender presentation was analyzed using …

Person-Centered Analysis Of Adhd Comorbidities And Differential Characteristics And Outcomes, Christine Anne Lee

Theses and Dissertations--Psychology

Attention-deficit/hyperactivity disorder (ADHD) is one of the most prevalent and impairing childhood disorders (5%; American Psychiatric Association, 2013), yet it is often studied in isolation. Such an approach is at odds with the clinical reality, where ADHD has a high comorbidity with oppositional defiant disorder, anxiety, and depression (Jensen, Martin, & Cantwell, 1997). Based on the possible presentations of ADHD with both externalizing and internalizing symptoms, there may be differences in associated characteristics, areas of impairment, and resulting assessment interventions. Therefore, the present study investigated how ADHD comorbidities manifested in a population of 233 elementary age children and how these …

An Initial Application Of A Biopsychosocial Framework To Predict Posttraumatic Stress Following Pediatric Injury, Meghan L. Marsac, Nancy Kassam-Adams, Douglas L. Delahanty, Jeffrey Ciesla, Danielle Weiss, Keith F. Widaman, Lamia P. Barakat

Pediatrics Faculty Publications

Objectives—Each year millions of children suffer from unintentional injuries that result in poor emotional and physical health. This study examined selected biopsychosocial factors (i.e., child heart rate, peritrauma appraisals, early coping, trauma history) to elucidate their roles in promoting emotional recovery following injury. The study evaluated specific hypotheses that threat appraisals (global and trauma-specific) and coping would predict subsequent posttraumatic stress symptoms (PTSS), that coping would mediate the association between early and later PTSS, and that heart rate would predict PTSS and appraisals would mediate this association.

Method—Participants were 96 children hospitalized for injury and assessed at 3 …

Odd Symptom Network During Preschool, Tess E. Smith, Christine A. Lee, Michelle M. Martel, Marni E. Axelrad

Psychology Faculty Publications

Several different conceptualizations of Oppositional Defiant Disorder (ODD) symptoms have been proposed, including one undivided set of symptoms (DSM-IV-TR; APA 2000); two domains of symptoms subdivided into affective and behavioral; and three domains of symptoms subdivided as angry/irritable, argumentative/defiant, and spiteful. The current study utilizes a novel approach to examining the division of ODD symptoms through use of network analysis. Participants were 109 preschoolers (64 male) between the ages of three and six (M = 4.34 years, SD = 1.08) and their parents and teachers/caregivers, who provided ratings of ODD symptoms. Results are consistent with one-, two-, and three- …

Evaluation Of A Community-Based Positive Youth Development Program For Adolescents With Greater Psychosocial Needs: Views Of The Program Participants, Daniel T. L. Shek, Cecilia M. S. Ma, Moon Y. M. Law, Zoe Zhao

Pediatrics Faculty Publications

The present study attempted to investigate the perceptions of Chinese secondary school students with greater psychosocial needs of the Tier 2 Program in the community-based phase of P.A.T.H.S. Project in Hong Kong (n=4245). Using a subjective outcome evaluation tool (Form C), the results revealed that a great majority of the students held positive attitudes toward the program, implementers and the effectiveness of the program. Also, the three domains of the program (“program quality”, “implementer quality” and “program effectiveness”) were significantly associated with each other. In line with previous findings, both program content and program implementer quality were significant predictors of …

Evaluation Of A Community-Based Positive Youth Development Program In Hong Kong: Views Of Program Implementers, Daniel T. L. Shek, Cecilia M. S. Ma, Xiaoqin Zhu

Pediatrics Faculty Publications

Using a subjective outcome evaluation method, the current study investigated program implementers’ perceptions of the Tier 1 Program of the community-based P.A.T.H.S. Project in Hong Kong. After completion of the program, 599 program implementers completed a valid and reliable scale (i.e. Form B) to give their ratings on program content, their own performance, and perceived program effectiveness. As expected, most program implementers perceived the program in a favorable way by giving very positive ratings on the three aspects measured in Form B. Grade differences on the ratings were observed, with implementers teaching the senior curriculum held more positive views on …