Clinical Psychology Commons^™

Autism, Comorbidities, And Adaptive Functioning: A Potential Moderator, Joshua J. Montrenes

LSU Doctoral Dissertations

Deficits in adaptive functioning and the presence of comorbid symptomatology are both commonly associated with autism spectrum disorder (ASD). Previous research has identified relationships between functional level (e.g., intellectual quotient [IQ], adaptive functioning [AF]) and comorbid symptomatology in ASD. However, further insight into the relationship between AF, comorbid psychopathology, and ASD is unclear. Specifically, how AF affects the relationship between ASD and comorbid conditions is not well understood. Whether AF moderates the relationship between autism symptom severity and comorbid symptom severity in toddlers with ASD was examined. ASD symptom severity positively correlated with comorbid symptom severity across domains and negatively …

Further Refinement Of An Asd-Subscale For The Childhood Behavior Checklist, Kimberly Ellison

LSU Doctoral Dissertations

The early diagnosis of autism spectrum disorder (ASD) is tied to receiving the earliest possible intervention services that can influence a child’s development (Filipek et al., 1999). There are different measurement tools utilized to aid in the diagnostic assessment process, including broadband behavioral rating scales. The Childhood Behavior Checklist (CBCL; Achenbach & Rescorla, 2001) is a parent/caregiver completed questionnaire about one’s child (typically or atypically developing). The CBCL is one of the most utilized broadband measures at the initial stages of a diagnostic assessment or screening to aid in understanding the symptom presentation (Hyman et al., 2020). Currently, there …

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.

Dissociative Identity Disorder: A Literature Review, Savannah M. Demicoli

University Honors Theses

Dissociative Identity Disorder (DID), previously referred to as Multiple Personalities Disorder, has been historically misrepresented in the media and excluded from professional training. This literature review describes the information presented in various research studies to illustrate what DID is, the theoretical models that have been used in application to DID, the role of childhood trauma, as well as successful treatment methods and accessibility of resources. In understanding DID, it is necessary to look at the disorder’s prevalence, background, and major symptoms of amnesia and switching between personality states. The theoretical models that will be covered include the Sociocognitive/Fantasy Model and …

Talking With Horses: Equine Assisted Activities To Promote Social Engagement In Individuals With Autism Spectrum Disorder, Amy Ezhaya

Doctor of Nursing Practice Final Manuscripts

Purpose of Project: The purpose of this evidenced-based project is to gather data on how therapeutic horseback riding (THR) facilitates social engagement in individuals with autism spectrum disorder (ASD). The project aims to provide alternative treatment options and disseminate information to providers on the importance of community partnerships.

Background: In 2020, it was estimated that 1 in 54 children had ASD, which is a 170% increase since 2000. Often, those diagnosed with ASD also experience co-occurring mental health diagnoses placing a large burden of care on our healthcare system. THR is a growing alternative treatment option and has been found …

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 …

Exploratory Analysis Of The Attachment-Caregiving Scale And Its Association With Child Attachment Patterns, Robert Whelan

Educational Specialist, 2020-current

The assessment of child and caregiving attachment patterns produce data that can inform relational and family interventions. Currently, the supported and widely used methods of assessing these attachment patterns (observational and interview procedures) require extensive training and testing to use, making them less accessible to providers. Valid and reliable caregiver self-report questionnaires for attachment assessment, which generally require less training to interpret, have proven difficult to design in the past. The Attachment Caregiving Scale (ACS) is a caregiver self-report questionnaire that looks at caregiver attributions (i.e., to what do caregivers attribute their child’s behaviors and emotions). This exploratory study seeks …

Embodied Fatness In Boys: A Critical Phenomenological Study, Sean Leadem

Electronic Theses and Dissertations

This dissertation was an exploratory study of experiences of fatness in boyhood using a hermeneutic phenomenological qualitative method. The author conducted in-depth, open-ended interviews with participants who identify as men and for whom fatness or related body-difference was an issue in childhood or adolescence to gather data on the meanings of fatness for boys and the men they become. Data analysis was organized around the existential dimensions of embodiment, temporality, and relationality. Themes emerging from this analysis included a) the discovery of fatness as ambiguous meanings mediated by others, b) fatness as a problem in a horizon that does not …

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

Graduate Theses and Dissertations (2019 - present)

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 …

An Evaluation Of Therapeutically Applied Role-Playing Games For Psychological And Social Functioning Amongst Youth/Young Adults, Adam Thomas Soleski

Electronic Theses, Projects, and Dissertations

Tabletop role-playing games (TTRPGs) are “a collaborative narrative game where group members role-play a character that they create in order to solve puzzles, uncover treasure, and defeat monsters in a fictional environment that is created together using formal rules and participation structures'’ (Davis & Kilmer, 2020). TTRPGs have begun to increase in popularity and evoke new interest in exploring whether these new treatment modalities result in positive mental health outcomes. Specifically, therapeutically applied role-playing games (TARPGs) are TTRPGs that integrate therapeutic mechanisms in order to promote improved psychological and social functioning. The goal of the present study was to examine …

Children’S Disclosure Of School Bullying: The Relation Between Peer Victimization, Internalizing Symptoms, Negative Affect, And Gender, Julia L. Kiefer

Graduate Theses and Dissertations

Children who are bullied by their peers are at risk for several negative developmental outcomes and are therefore advised to tell an adult when they are. However, victims of school bullying are often reluctant to disclose to adults that they are being bullied. Some bullied children also experience symptoms of anxiety or depression, which could further reduce their likelihood of telling an adult. In this study, I tested the degree to which children’s internalizing symptoms predicted their likelihood of telling adults about being bullied at school, and if this relation was exacerbated by children’s negative feelings associated with telling an …

Breaking Into Bon Air Juvenile Correctional Center: A Lesson In (Non) Quantitative Research, Mackenzie Seward

Honors Theses

Gaps in the literature on juvenile justice and mental health within a juvenile correctional center prompted a study that focused on self-esteem, emotions, and empathy in residents living in a juvenile correctional center related to their participation in a storytelling course. First-year students from a local university visited the correctional center as part of a community-based learning component. They met with residents to swap stories about their lives. Several limitations and obstacles complicated the data collection process, forcing the researchers to pivot their study from quantitative analyses to qualitative observations. The experience of conducting a study within a juvenile correctional …

Job Stress Moderates The Effects Of A Mindfulness Intervention On Early Childhood Teachers' Emotion Dysregulation, Emily J. Starr

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Addressing the current crisis of early childhood (EC) teacher turnover is essential for supporting the development of young children. Teacher attrition remains a concern for policymakers globally, and in the United States, early childhood teachers frequently cite job stress and lack of support as reasons for leaving the field. For over 40 years, researchers who study childcare have been concerned about the consequences of work-related stressors. Even if these stressors do not result in turnover, EC teachers’ psychological well-being may be impacted, leading to increased emotion regulation difficulties and more frequent negative teacher-child interactions. Young children’s emotional development is significantly …

Mechanisms Linking Threat- And Deprivation-Related Childhood Adversity And Depression: The Biopsychosocial Model, Cut N. Kemala, Marijtje L.A. Jongsma, Donny Hendrawan, Eni Becker

Psychological Research on Urban Society

Childhood adversity involves a wide range of negative experiences that pose a serious threat to a child’s wellbeing. It has been consistently shown to predict (chronic) depression in subsequent stages of development, but mechanisms underlying the relationship are still less clear. Moving from a cumulative approach of lumping heterogeneous categories of childhood adversity to a dimensional approach of classifying negative experiences into two major dimensions (threat and deprivation) has facilitated the identification of specific processes by which childhood adversity can predict depression. This review aims to provide an integrative overview of how childhood adversity increases the risk for depression using …

Gender Differences In Personality Dysfunction And Aggression In A Sample Of At-Risk Youth, Chloe O'Dell

Master's Theses

Youth with antisocial and borderline traits in adolescence have been found more likely to commit violence and experience negative outcomes later in life. There is evidence for gender differences in the manifestations of dysfunctional personality features (antisocial and borderline traits) and functions of aggression, but little research has sought to assess unique gender differences that may help unravel the sequelae of personality dysfunction in youth. Accordingly, this exploratory study examines gender differences in associations between antisocial features, borderline features, and proactive and reactive functions of aggression in a sample of at-risk youth. Four hundred and sixty-four adolescents (M_age = …

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 …

Progression And Protectiveness Of Social Bonds And Play In A Captive Group Of Western Lowland Gorillas, Madeline L. Vandevere

West Chester University Doctoral Projects

The current study aims to bring to light the critical role that play has on healthy development, not only for nonhuman primates, but also for humans. In addition to building the literature concerning social and play development among gorillas and humans, this study also hopes to promote the observation and welfare of captive gorillas. The present study conducted longitudinal observational research of a troop of captive western lowland gorillas (Gorilla gorilla gorilla) to gain insights into primate play development and how it relates to social bonding and zoological enrichment. The study followed the early infancy and juvenile years …

Early Intervention In Pediatric Obsessive-Compulsive Disorder: A Longitudinal Study, Chloe Boxer

Scripps Senior Theses

Obessive-Compulsive Disorder (OCD) is a psychological disorder that causes significant distress for millions of people, but it is under-researched and often misunderstood by both the general population and clinicians. In pediatric OCD, life outcomes like symptom severity and duration of the disorder are typically negatively impacted. Previous research has demonstrated that early intervention of pediatric OCD has positive outcomes, but the adverse side effects of common medications along with the lack of comprehensive effectiveness in traditional psychotherapies for OCD suggest that new and potentially better options must be explored. A 2x4 Mixed Model ANOVA design will compare CBT and EMDR …

Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr

Theses and Dissertations

Pediatric asthma disproportionately affects children living in urban areas and within families reporting an income below the poverty threshold. Home interventionist models of care, utilizing interventionists from the communities they serve, have been found to improve pediatric asthma symptoms and reduce Medicaid costs. Home interventionists, such as community health workers (CHWs) and Healthy Homes assessors (HHAs), focus on connecting care among schools, providers, and homes, and empowering families in accessing resources to overcome barriers to care. However, research is just beginning to understand how home interventionists create positive change among families within low-income, urban communities. This dissertation study used a …

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 …

Focusing On Friendship: Online Supported Activities For Adolescents On The Autism Spectrum, Molly King

Psychology Doctoral Specialization Projects

A core feature of Autism Spectrum Disorder (ASD) is social skills differences. Social skills groups have received support as an intervention that fosters social skills of those with ASD. However, there is limited information about the use of telehealth-based social skills groups. The proposed ASD adolescent social group design is formatted for telehealth services, and has been conducted virtually since 2020. This ASD social group program features unique virtual teaching and recreational activity curriculum as well as some program evaluation data methods and responses from participants.

The Impact Of Perceived Social Support On Complex Posttraumatic Stress Disorder, Elizabeth Eng

Dissertations and Theses

Individuals who have experienced repeated and interpersonal trauma often develop symptoms of Posttraumatic Stress Disorder (PTSD), along with additional features relating to disturbances in self-organization (DSO), which is now known as Complex Posttraumatic Stress Disorder (CPTSD). CPTSD has been seen to be associated with adverse outcomes such as somatic symptoms, attachment insecurity, and overall lower life satisfaction (Karatzias et al., 2018; Kuhar & Zager Kocjan 2022; Maercker et al, 2022). Due to these additional features relating to DSO, CPTSD has been identified as distinct from PTSD, and so it has been important to investigate these unique symptoms. One such symptom …

An Exploration Of The Relation Between Psychological Functioning And Reactions To Global Climate Change For Late Adolescents In New York City, Emma Routhier

Dissertations and Theses

Climate change poses a potentially unique generational crisis, as it threatens the viability of the very world that the current adolescent generation stands to inherit. While some studies have begun to appreciate the specific experience of adolescents as it pertains to climate change, they attend to young people’s behavior or self-reported feelings. The present study aims to employ psychoanalytic constructs, with attention to the unconscious determinants of psychic life and behavior, in an empirical examination of this topic, and to introduce a level of sensitivity to the vicissitudes of the adolescent period that have not previously been addressed in the …

Using A Single Measure To Assess Adherence And Differentiation In Family Therapy For Adolescent Externalizing Problems, Stephanie Violante

Theses and Dissertations

Family therapy is considered a well-established treatment approach for adolescent externalizing problems; however, research examining its effectiveness when delivered in routine practice settings has produced mixed results. The accurate interpretation of these inconsistent results requires an understanding of what therapeutic techniques were delivered, including those that were prescribed (i.e., adherence) and those that were non-prescribed (i.e., differentiation), suggesting the need for a measure that can concurrently assess treatment adherence and differentiation. The current study examined the extent to which an observational measure of an array of therapeutic techniques for youth emotional and behavioral problems (the Therapy Process Observational Coding System …

Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall

Theses and Dissertations

This study aims to assess 1) patterns of family functioning and 2) longitudinal associations between family functioning patterns and well-being in a vulnerable cohort of children with chronic illness. Caregivers of hematology (16.4%) and oncology (83.6%) patients ages 7-20 (N=55; M_age = 13.3 [SD = 2.7]; 52.7% female; 45.5% non-Latinx White, 38.2% Black or African American, 12.7% Latinx, 1.8% Asian, and 1.8% multi-racial,) reported on family functioning via the Family Assessment Device. Cluster analyses identified three mutually exclusive clusters: one high adaptive group, one moderate adaptive group, and one maladaptive group. Group membership was not significantly …

Witnessing Community Violence And Its Consequences: Changes Across Middle School, Sarah Pittman

Theses and Dissertations

Community violence exposure is prevalent among youth residing in economically marginalized communities that have high rates of violence. Witnessing community violence has been concurrently associated with persistent adverse consequences. However, few studies have applied a developmental psychopathology framework and examined dynamic developmental processes between witnessing community violence and outcomes over time. Moreover, most prior studies have used analyses that assume that associations between witnessing violence and outcomes are the same for all adolescents, which is inconsistent with both developmental theories and theories specific to community violence exposure. The goal of this study was to apply a developmental psychopathological framework to …

"I Just Want To Be Me, Authentically": Identity Shifting Among Racially And Ethnically Diverse Young Adults, Aerika Brittian Loyd, Dulce Wilkinson Westberg, Lenisha Williams, Marisha Humphries, Alan Meca, Julie Carmen Rodil

Psychology Faculty Publications

Identity shifting represents a common but complex social, behavioral, and cognitive phenomenon. However, some forms of identity shifting originate in response to structural, institutional, and interpersonal marginalization enacted on lower status groups, such as people of color in the United States. The current study investigated ways young adults from diverse ethnic/racial groups discussed shifting to fit in with White Americans (a dominant group) in the United States and their own ethnic/racial group (a minoritized group) and elucidated self-reported motivations for shifting. Participants consisted of 764 young adults (ages = 18–23) recruited from two large public universities in the Southeast and …

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

College of Graduate Studies: Theses & 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 …

Associations Among Executive Functioning, Family Functioning, Adolescent Responsibility, And Adherence In Pediatric Inflammatory Bowel Disease, Cecily Newel Conour

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Inflammatory Bowel Disease (IBD) is a common cause of chronic pain for adolescents in the United States. Adherence to the treatment regimen is a significant concern, particularly for adolescents. Barriers to adherence are varied, but include cognitive factors, such as forgetting. Parent involvement is associated with increased adherence in this population, though adolescent involvement is less studied. Family functioning is associated with adherence to medication regimen across pediatric chronic illnesses, including IBD treatment regimen. To better inform clinical care, this study aims to understand the relations among adolescent’s responsibility, executive functioning, family functioning, and adherence. Methods: The current study …

Utility Of An Emotion Coding System For Parent-Child Interaction Therapy With Toddlers, Christopher Kyle Owen

Graduate Theses, Dissertations, and Problem Reports (ETD)

Numerous efficacious early interventions target and alter caregiver-child interactions to promote optimal social-emotional outcomes for young children (Bagner et al., 2014). However, research has primarily relied on the use of caregiver report to assess caregiver-child emotion-focused practices, revealing the need for a behavioral observation assessment (Zinsser et al., 2021). Preliminary evidence suggests that Parent-Child Interaction Therapy with Toddlers (PCIT-T) is a well-received and efficacious intervention for reducing disruptive behaviors, improving child internalizing and externalizing behavior, reducing parental stress, and increasing parental sensitivity (Kohlhoff et al., 2021; Kohlhoff, Cibralic, & Morgan, 2020). PCIT-T strives to train caregivers to interact with their …