Clinical Psychology Commons^™

Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perinatal substance use (PSU) is a serious and growing public health concern. It is associated with a variety of adverse health outcomes for both mother and child and has been shown to negatively impact the parent-child relationship. Despite the growing prevalence of PSU, there are notable deficits in provider knowledge regarding, and comfortability with, PSU. Moreover, providers report feelings of judgment, resentment, fear, and hesitancy related to their work with women with PSU. Subsequently, women with PSU struggle to find appropriate, compassionate, and effective treatment for their substance misuse. Widespread and accessible training is needed to bolster provider knowledge base, …

An Examination Of The Relation Between Memory Self-Efficacy And Working Memory Within The Cognitive Reserve Framework, Genna Marie Mashinchi Ma

Graduate Student Theses, Dissertations, & Professional Papers

Dementia has been found to negatively affect multiple aspects of cognitive functioning. Despite an increasing prevalence of cognitive decline, many aging adults do not experience reduced cognitive functioning. The reason as to why some experience cognitive decline and others do not is still unclear. One leading theory thought to explain this phenomenon is the cognitive reserve theory (CR), which proposes that certain lifestyle factors (e.g., educational attainment, occupational attainment, and leisure activity participation) prolong one’s cognitive functioning and reduce the risk of cognitive decline. Memory self-efficacy (MSE), defined as one’s beliefs in their memory ability, was found to be positively …

The Effects Of Acculturation, Marianismo, And Religiosity On Pregnancy Related Anxiety In Latina Women, Jennifer M. Zanoli

Doctoral Dissertations

There is a dearth of information about pregnancy related anxiety (PRA) in Latina women, yet a growing body of literature demonstrates adverse birth outcomes for mother and infant due to PRA. This study examined the association between acculturation, religiosity, marianismo, parity, and a Latina pregnant woman’s relationship with her healthcare provider with PRA in Latina women aged 18 and above. Acculturation was expected to be the more robust factor amongst the independent variables.

Participants in this study (n = 53) were Hispanic, Chicano, Latino or had a Latin or Spanish heritage, over the age of 18, pregnant at the …

Dyadic And Ecological Associations With Intimate Partner Violence (Ipv): Using Hierarchical Linear Modeling To Differentiate Ipv From Community Crime, Rachel Carpenter

Electronic Theses and Dissertations

Research on intimate partner violence (IPV) and intimate partner sexual violence (IPSV) has largely focused on individual and dyadic-level risk factors, but recently studies have explored how the surrounding environment is associated with IPV/IPSV. Studies that have explored community-level variables typically only use IPV/IPSV samples and do not first compare indicators of IPV/IPSV to those of general crime in those same communities. To address these gaps, this study was conducted in two parts. Data were retrieved from the Tennessee Bureau of Investigation Reporting System, County Health Rankings and Roadmaps System, the US Census Bureau, and other sources. Study 1 first …

An Inaugural, Qualitative Examination Of The Relationships Between People With Gender Nonconforming Expression And Social Anxiety, Chrystiana Jones

Dissertations

The focus in this research was on the experience of social anxiety associated with people with gender nonconformity. The study involved consideration of the issues people with gender nonconformity face as well as the mental impact that often occurs as a result of the rejection of other people in their lives, including their family and friends, as well as how and in what ways gender nonconforming people are affected by negativity in their environment. Data related to the problems that develop with such people, in particular the impact of stigmatization, discrimination, and social anxiety on people with gender nonconformity were …

Adverse Childhood Experiences(Aces) And Nonverbal Reasoning Skills, Monika Malinowska

Dissertations

Severe stress and interpersonal traumatic experience in childhood have a cascade effect on an individual's physical and mental health. There is evidence that people with complex adverse childhood experiences have diminished cognitive abilities. However, there are few studies on the effects of Adverse Childhood Experiences (ACE) on non-verbal reasoning skills. This study aimed to assess the relationships between ACEs, non-verbal reasoning skills, and academic achievement.

The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe

Expressive Therapies Capstone Theses

Within the last ten years research on art therapy and its positive impact on oncology patients’ stress and anxiety during treatment has been minimal. Oncology patients whether they are children or adults when diagnosed experience similar reactions due to their diagnosis, treatment, and in some cases end of life care. The current question is whether or not art therapy does have a positive impact on decreasing the stress and anxiety with oncology patients while undergoing treatment. Deane, Fitch & Carmen (2000), discussed art therapy as a healing art that is “intended to integrate physical, emotional, and spiritual care by facilitating …

The Association Between Psychotic Symptoms And Romantic Relationship Quality Among Young Adult Ethnic Minorites, Tashagaye T. Mckenzie

Doctoral Dissertations

This study aimed to examine the association between psychotic symptoms and the quality of romantic relationships amongst ethnic minority young adults. Approximately 10.4 million people, which represents 4.2% of the adult population in the U.S, are currently diagnosed with severe mental illnesses, including psychotic disorders. Prior research found that ethnic minorities, in general, have an increased risk of developing psychotic disorders such as schizophrenia. People with SMI generally have issues being and maintaining romantic relationships. However, being in positive romantic relationships is associated with better physical and mental well-being. The final sample size for the study consisted of 411 young …

Is It Good To Be Bad? The Potential Buffering Role Of Callous-Unemotional Traits On The Relationship Between Trauma And Juvenile Offending, Kathryn Anne Mcgill

Theses and Dissertations

Juvenile offending is prevalent, costly, and often difficult to intervene in. Although there are a multitude of factors previously studied that contribute to offending, researchers are still unable to pinpoint all possible variables contributing to juvenile offending. More so, of explored and accepted factors leading to juvenile offending, predictive ability of any specific factor leading to offending is still weak. Thus, study of specific predisposing factors leading to juvenile offending, as well as mediational or moderational variables, is needed. This study explores two previously studied variables in the pathway to juvenile offending: trauma and callous-unemotional traits. Novel study of the …

Validation Of The Occupational Depression Inventory In Brazil: A Study Of 1,612 Civil Servants, Renzo Bianchi, Danísio Calixto Cavalcante, Cristina Queirós, Blezi Daiana Menezes Santos, Jay Verkuilen, Irvin Sam Schonfeld

Publications and Research

Objective: The Occupational Depression Inventory (ODI) assesses work-attributed depressive symptoms. The ODI has demonstrated robust psychometric and structural properties. To date, the instrument has been validated in English, French, and Spanish. This study examined the psychometric and structural properties of the ODI's Brazilian-Portuguese version.

Methods: The study involved 1612 civil servants employed in Brazil (MAGE = 44, SDAGE = 9; 60% female). The study was conducted online across all Brazilian states.

Results: Exploratory structural equation modeling (ESEM) bifactor analysis indicated that the ODI meets the requirements for essential unidimensionality. The general factor accounted for 91% of the common variance extracted. …

Childhood-Onset Attention-Deficit/Hyperactivity Disorder Exacerbates Opioid Use Disorder Consequences: Mediation By Impulsive Phenotypes, Liam R. Browning, Ciara Cannoy, Tabitha E. H. Moses, Leslie H. Lundahl Phd, David M. Ledgerwood Phd, Mark K. Greenwald Phd

Medical Student Research Symposium

Background: Attention deficit hyperactivity disorder (ADHD) is highly prevalent and associated with opioid use disorder (OUD). Yet, little is known about the mechanisms by which ADHD (which is a heterogeneous construct/diagnosis) might alter the trajectory of OUD outcomes.

Aim: This cross-sectional study examines relationships between childhood ADHD (inferred as predating substance use) and the extent to which the effects of ADHD on lifetime heroin-use consequences are mediated by foreshortened time perspective and drug-use impulsivity.

Methods: Individuals who report heroin use (N=214) were screened using the Assessment of Hyperactivity and Attention (AHA), Impulsive Relapse Questionnaire (IRQ), Stanford Time Perception Inventory (STPI), …

Replacing Adjunctive Medications For Treatment-Resistant Depression Using Repetitive Transcranial Magnetic Stimulation: Case Report, Anita Vaishampayan Bs, Bassem Saad Md, Daniel Amarasinghe Bs, Carly Brin Lmsw, Richard Balon Md, Nicholas Mischel Mdphd

Medical Student Research Symposium

Repetitive transcranial magnetic stimulation (rTMS) is an effective treatment for depression. As the left prefrontal cortex activity is linked to depression, rTMS induces blood flow in the left dorsolateral prefrontal cortex (dlPFC). Long acting psychostimulants are sometimes prescribed as an adjunctive antidepressant treatment throughout rTMS therapy. We used rTMS to treat resistant depression in a middle-aged male patient over a twelve month period where a psychostimulant medication was also discontinued. He had been consistently taking duloxetine 60 mg BID, clonazepam 0.5 mg BID, and dextroamphetamine-amphetamine extended release 30 mg once daily prior to the onset of rTMS treatment. The patient …

Radical Youth Work: A Community Based Approach To Working With Youth, Young Adults And Families, Weston J. Robins

National Youth Advocacy and Resilience Conference

Eternal Strength Center for Radical Youth Work is a blended community center with customizable mental health therapeutic support for youth, young adults and families. Providing humanistic and person centered psychotherapy and counseling, alongside experiential therapies and community engagement we support families and youth struggling with anxiety, depression, substance abuse, self harm, suicidality and other challenges on their developmental growth journey.

Recruitment Of Young Black Men Into Trauma And Mental Health Services Research: Recommendations And Lessons Learned, Alexandria G. Bauer, Jannette Y. Berkley-Patton

Journal of Health Disparities Research and Practice

Young Black/African American men are more likely to experience repeated trauma that escalates throughout young adulthood, compared to young White men. Exposure to trauma has impacts on mental health outcomes, but young Black men face substantial barriers to mental health care. In order to begin to address these disparities, it is imperative to increase understanding of the needs, preferences, and priorities of young Black men for mental health care services following trauma. Yet, young Black men are often underrepresented in mental health services research. The purpose of the current study was to describe strategies for recruitment of young Black men …

Beliefs About Race Differences In Pain Vs. Actual Race Differences In Pain: An Experimental Investigation., Lauren E. Mehok, Samantha M. Meints, Megan M. Miller, Leslie Ashburn-Nardo, Adam Hirsh

Journal of Health Disparities Research and Practice

Objective: Race differences in pain are consistently reported, but the underlying mechanisms are not well understood. This study examined how beliefs about race differences in pain are related to actual differences in experimentally induced pain between Black and White individuals.

Methods: Black and White participants completed questionnaires (demographics, pain-related beliefs, pain coping, and mood) and a cold pressor task (CPT) in the laboratory. Beliefs about race differences in pain were tested as potential moderators of the relationship between race and pain tolerance on a CPT.

Results: Participants reported beliefs that White people are more pain sensitive (i.e., less pain tolerant) …

Perceptions Of Quality Of Healthcare Using A Trauma-Informed Care Perspective Among Trauma Survivors, Jane Axelle Komen

Theses and Dissertations

Trauma is an all-too-common occurrence with the potential for several farreaching, deleterious effects both mentally and physically. Several studies have found an association between exposure to trauma and cardiovascular, immune, and musculoskeletal system complications. It has also been linked to chronic pain, cancer, and obesity, in addition to several functional and structural neurological effects. Trauma survivors have also been found to utilize healthcare services at a higher rate than those who have not reported experiencing trauma. Trauma-informed care is a relatively novel concept that has been introduced to increase the sensitivity with which these individuals are treated when attending healthcare …

Classifying Severe And Enduring Anorexia Nervosa: A Literature Review, Phoenix Black

University Honors Theses

Little focus is placed on the subsection of the eating disorder patient population who struggle chronically with their illness. This review synthesizes research on the topic to identify gaps in knowledge and reflect on implications for diagnosis and classification of severe and enduring anorexia nervosa. There was some variability between both clinicians and researchers who focused on this patient population, which is discussed based on different classifying criteria used to include or exclude an individual into the study. This review considers traditional methods used for classifying psychiatric diagnoses in relation to this disorder.

Enhancing Emotional Safety In A Graduate School Setting, Jacob J. Ambrose, Tysheann S. Grant, Renee A. Joseph, Catherine E. Beer, Kenneth J. Thompson, Kristina R. Johnson, Constance J. Dalenberg

Journal of Graduate Education Research

In the United States, racial disparities in education can be seen in rates of graduation from high school through doctoral programs, with People of Color reporting rates that are significantly lower than their White peers. Academic success has been significantly predicted in prior research by the support of teaching staff. Our Safety in the Classroom (SITC) program was developed to close the support gap for several different, often-marginalized groups within graduate school classes at a university in southern California. Students within racial, religious, and sexual orientation groups reported stronger perceptions of prejudice when compared to their peers. The SITC program …

Nonpharmacological Interventions For The Reduction Of Post-Operative Pain After Ambulatory Surgery: A Systematic Review Of Randomised Controlled Trials, Kevin E. Tololiu, Jed Duff, Krisztina Csokasi

Journal of Perioperative Nursing

Aims: To examine the effectiveness of nonpharmacological interventions for the reduction of post-operative pain in patients undergoing ambulatory surgery (also known as day surgery).

Background: Post-surgical pain remains prevalent, especially in day surgery cases. When poorly managed, this acute pain can lead to chronic pain and delayed recovery. Nowadays, several nonpharmacological regimens are available for reducing pain after ambulatory surgery. Further investigation is required to assess the quality of these alternatives.

Design: Systematic review

Methods: An electronic search of PubMed, CINAHL (via EBSCOhost), Embase, and Cochrane library was undertaken to screen and assess the studies of nonpharmacological intervention in reducing …

How Did The Tamagotchi Become A Worldwide Phenomenon, Gianna V. Bona

CAFE Symposium 2023

The Tamagotchi is a popular Japanese toy by Bandai Co that pioneered virtual pets and led other companies to develop virtual toys and games that changed how children and consumers interacted with toys.

Effects Of Neighborhood Disadvantage And Peer Deviance On Conduct Problems: Interactions With Age Of Onset, Courtney Marie Goetz

LSU Master's Theses

Youth with conduct problems (CP) generally fall into two developmental classifications, child-onset and adolescent-onset, which exhibit different causal processes and life course trajectories. Research suggests that child-onset CP is more likely to be related to individual predispositions, while adolescent-onset CP is more associated with social factors, such as peer delinquency. Living in impoverished and disorganized neighborhoods increases the risk for associating with deviant peers. Thus, the current study tested the hypothesis that neighborhood factors would be more strongly associated with adolescent-onset CP than child-onset CP, which would be explained by a greater association with deviant peers. Linear and negative binomial …

Understanding Resilience: Investigating The Relationship Between Risk Factors, Resilience, And Psychological Well-Being, Paulyna Schulz, Jisook Park

Academic Leadership Journal in Student Research

Adversity in life is rarely considered positive. Adverse events can increase stress levels and decrease psychological well-being. However, experience of overcoming hardship can be the start of developing psychological resilience in life. Resilience is known to help regulate negative emotions and provides protection to one’s psychological well-being. The current study focused on contributing to present literature by further investigating the role of resilience on mitigating the negative impact of stress on psychological well-being. In the current study, resilience is expected to positively influence the relationship between perceived stress and psychological well-being by negating the direct negative effect of stress on …

From Exploration Of Classism To Anticlassist Counseling: Implications For Counselors And Counselor Educators, Lucy Parker-Barnes, Suzanne Degges-White, David A. Walker, Scott Wickman, Bellamy Linneman, Courtney Rowley, Robert Giansante, Noel Mckillip

Journal of Counselor Preparation and Supervision

Classism is a recently studied, but historically present, form of oppression. Despite much attention to inclusion of underrepresented clients in counseling literature, there has been little focus on the presence of classism in academic settings. In an effort to close this gap, a study of 202 individuals, aged 18 to 38, was conducted to explore the relationships among perceived classism, ethnicity, and socioeconomic status. Only 4.5% of the participants had never experienced any incidents of classism. African American individuals were more likely to experience interpersonal classism and working class/poor individuals were more likely to experience interpersonal and systemic classism. Recommendations …

Adaptive Functioning And Autism Spectrum Disorder Symptom Severity In Childhood: Parent Perception Vs Clinician Rating, Corin Lillian Osborn

Theses and Dissertations

Autism Spectrum Disorder (ASD) is a neurocognitive developmental disorder that impacts over one percent of the population. As of 2016, one in 64 children were diagnosed with ASD by four years of age, with males receiving the diagnosis 3.5 times more often than females (Shaw et al. 2020). Research also indicates that ASD prevalence varies by socioeconomic status (SES) and race/ethnicity (Diguiseppi et al., 2016). These differences may be a result of differential access to resources, a connection between SES and race/ethnicity, measure sensitivity to child sex, cultural differences in sensitivity to symptomatology, or a true difference in ASD presentation. …

The Association Of Blood Glucose With The Daily Self-Regulation Of Everyday Life Stress In Adolescents With Type 1 Diabetes, Laura Bethany Cohen

Graduate College Dissertations and Theses

Adolescents with type 1 diabetes must learn to balance the complexities of managing a chronic disease with managing non-disease-related experiences in their daily life that also contribute to stress. For example, in addition to diabetes management, these adolescents must also balance ongoing demands from everyday life stressors including school, social interactions, and home and family life. However, it remains unclear if daily diabetes management might contribute to experiences of everyday life stress. The present study assessed the association between daily everyday life stress and blood glucose regulation in adolescents with type 1 diabetes using both linear and nonlinear models. Thirty-nine …

An Intersubjective Approach To The Role Of Anger In Differentiation And The Development Of A Cohesive Self: A Case Study, Hannah Schriber

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The anger-turned-inward theory of depression has been extensively explored in psychodynamic literature. Still, little has been written about how modern relational approaches work with anger to aid patients in developing a healthy self-concept. This paper will first focus on a literature review of anger in Self Psychology and Intersubjective Systems Theory. These theories view anger as the manifestation of asserting one’s self after narcissistic injury. This paper will explore the relationship between anger and depression with an intersubjective lens utilizing the case study of Martha. Here I conceptualize depression as an introjective defense against misattuned early relational experiences. I explore …

The Strong Families Program: Utility Of Telehealth Parenting Skills Psychoeducation, Grace C. Prosperi

Electronic Theses and Dissertations

Externalizing behaviors in children are a common problem experienced by many parents. If untreated, externalizing behaviors are associated with more serious consequences (Hann, 2012). Parents of children with behavior issues also report higher levels of stress (Dumas et al., 2009). Parenting stress is related to lower life satisfaction for parents and increased negative outcomes for children living in the home. Parent training programs, incorporating attachment building and discipline strategies, combat childhood externalizing behaviors in clinical settings. While reducing childhood externalizing behaviors is the main aim of parent training, there are other benefits to gaining parenting skills such as increased familial …

Examining The Relationship Between Non-Suicidal Self-Injury And Attachment Styles, Larissa Grundmanis

Antioch University Full-Text Dissertations & Theses

Non-suicidal self-injury, or NSSI, can be defined as the “intentional, self-inflicted destruction of body tissue performed without suicidal intent using methods that are not socially sanctioned” (Martin et al., 2017, p. 425). Lifetime prevalence has been found to be between 5.9% and 18% (Cassels et al., 2019; Klonsky, 2011), indicating that there is a need to understand NSSI so that individuals can be helped to reduce the frequency of their harming behaviors. There is reason to believe that one’s attachment style is associated with the engagement of NSSI (e.g., Wrath & Adams, 2019). Research shows mixed results regarding the types …

The Association Between Covid-19 Exposure, Secondary Adversities, And Trauma Symptoms In Children, Maddi Gervasio

Theses and Dissertations

Natural disasters include direct exposure and secondary adversities (Chrisman & Dougherty, 2014). For youth, severity of disaster exposure and number of secondary adversities have been found to be positively associated with the severity of trauma-related psychopathology, including posttraumatic stress disorder (PTSD) and depression (Giannopoulou et al., 2006). Preliminary studies suggest an interaction between trauma exposure severity and number of secondary adversities in the prediction of psychopathology. Notably, youth who experienced secondary adversities without directly experiencing the trauma exhibited heightened psychopathology (Kar, 2019), yet these children tend to be excluded from studies and missed when identifying children in need of services. …

The Effects Of A Six-Week Mindfulness Intervention Designed For Adolescents On Emotion Regulation And Perceived Stress In College Students, Theodora Malinowski

West Chester University Doctoral Projects

College students are a vulnerable population to developing mental health problems. Without adequate emotion regulation abilities and adaptive coping skills to manage stress, college students are at risk of experiencing negative mental and physical health outcomes. Mindfulness has been shown to improve mental and physical health. Unfortunately, many mindfulness interventions are developed with the needs of adults in mind. Some features of common mindfulness programs, such as cost and required length of daily practice, make the interventions difficult for most college students to access. The present study investigated the effects of a six-week mindfulness intervention (Learning to BREATHE) that was …