Clinical Psychology Commons^™

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 …

Weplay Denver: The Why And How: Background And Implementation Manual, Lauren Gross

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

WePlay Denver (WePlay and Nosotros Jugamos; see glossary) is a program providing caregiver-infant playgroups designed to teach families with young children the value of play as well as provide information and resources on topics related to child development, family wellbeing, and mental health. WePlay and Nosotros Jugamos are a collaboration between the University of Denver’s Graduate School of Professional Psychology (GSPP) and the Children’s Museum of Denver, Marsico Campus, and are based on a similar program from the Chicago Children’s Museum. WePlay offered its first playgroup in 2019, while Nosotros Jugamos began in 2020.

Perinatal Through 5-Years-Old Referral List, And Full Referral Flow Process For The Professional Psychology Clinic And Associated Clinics, Lauren V. Cruz

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Referrals are an important and underacknowledged component of ethical clinical practice. While clinical care is understandably the core focus for most organizations, effective and efficient referrals can aide in improving client outcomes through successful connections to services, effective use of conjunctive services, and increased trust in mental health and healthcare systems/providers. In addition, improvements in the referral process can serve to decrease undue burden on providers and organizations. This document aims to review the literature on the need for and use of referrals, as well as elements of successful referrals, to inform the development of a referral self-assessment and flow …

Affirming Care: Lessons From Minority Stress Model To Bolster Mental Health Outcomes For Lgbtq+ Youth In Primary Care, Kyrie Lampert

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Individuals in positions of power influence youth wellbeing, self-perception, and overall mental health. According to the minority stress model, individuals who hold marginalized identities, such as LGBTQ+ youth, face unique, chronic, and socially based additive stressors. Research shows that these additive stressors contribute to LGBTQ+ youth experiencing disproportionate rates of mental health concerns. Queer youth are more than four times as likely to attempt suicide than their non-queer identifying peers. Additive stressors that LGBTQ+ youth face include prejudiced events, stigma, decisions of concealment or disclosure, and internalized homophobia and transphobia. This paper will review and integrate research, utilizing the minority …

Examining The Malleability And Influence Of Attributions On Discipline Responses To Child Misbehavior, Jenna E. Russo

Theses and Dissertations

Attributions of child behavior have been shown to influence discipline responses and ultimately, child developmental trajectories. Research highlights various social-psychological factors in the formation of attributions, largely characterized as stable. However, research also demonstrates the efficacy of attribution retraining (AR) programs in restructuring individuals’ explanations for various outcomes. This study examined a trauma-informed training intervention with an AR component designed to evoke balanced and contextual attributions of child behavior among child-serving professionals. Of particular interest was the malleability and stability of attributions, and their influence on discipline responses. From pre- to post-training, there was a significant decrease in hostile attributions …

Associations Between Childhood Sexual Abuse And Binge Eating, Kristen Krogh

Psychology Capstone Projects

Childhood sexual abuse is the subject of many studies and analyses. Eating disorders, specifically bulimia nervosa, are also frequently studied to help clinicians gain an understanding of how they develop and the risk factors that make a person more susceptible than their peers. However, binge-eating disorder and its relationship to childhood sexual abuse is not as commonly researched. This paper seeks to investigate the literature available on the overlap between the two topics, childhood sexual abuse and binge-eating disorder. Then articles examining the relationship between the two will be identified and reviewed to determine the state of the literature. Finally, …

Validating An Internet Gaming Disorder Measure During Covid-19: Video Game Use, Distance Learning, And Impacts Of Covid-19 On Gaming Behavior, Christin Collie

Electronic Theses and Dissertations

For most students, playing video games is a popular, enjoyable activity to do in their leisure time. While many people play video games for fun, some do develop problems associated with their play. Excessive engagement in video game play can lead to significant impairment and clinically significant levels of harm. However, there are several important gaps in the research literature which limit understanding of potential harm. First, little is known about the gaming behavior of students, ranging from middle-school to graduate school, specifically as it relates to their reasons for playing video games and their time spent playing. Second, concerns …

The Impact Of Attention-Deficit Hyperactivity Disorder (Adhd) On Learning In Children, Jessica J. Shaw

The Confluence

Children with Attention-Deficit Hyperactivity Disorder (ADHD) commonly struggle in academic institutions as they face symptoms of hyperactivity, impulsivity, and other traits that prohibit them from succeeding in academics. Children with ADHD may also exhibit behavioral issues such as hostility and aggression towards their peers that may diminish interpersonal relationships with peers and parents. Such issues can cause learning difficulties in children with ADHD as it is difficult to stay still, focus, and listen to teachers in academic settings. Interviews conducted by a clinician are the first step towards an ADHD diagnosis. An ADHD diagnosis is important because the disorder can …

Examining The Moderating Effects Of Adult Social Support On The Relationship Between Adverse Experiences And Psychosocial Adjustment, Zachary Wilde

Master's Theses

Exposure to adverse experiences during childhood place adolescents at a disproportionately high risk of developing physical and mental health problems later in life (Anthony et al., 2019; Basto-Pereira et al., 2016; Brown & Shillington, 2016; Felitti et al., 1998). Further, at-risk adolescents, conceptualized as children and adolescents who lack resources for upward mobility, are more likely to be exposed to adverse experiences and thus are at greater risk for these negative outcomes when compared to adolescents who are not considered at-risk (Fernandes-Alcantara, 2018). To obtain better specificity of what outcomes adverse childhood experiences (ACEs) predict in a sample of vulnerable …

Personality And Psychopathology Correlates Of Institutional Misconduct Among Juvenile Offenders, Paula Floyd

Dissertations

Juvenile delinquency is a national concern, as delinquent behavior is associated with a host of poor psychosocial outcomes during later adolescence and adulthood. To address delinquency, it is important to understand psychological adjustment among adolescents who have already made contact with the juvenile justice system. One way to explore adjustment within this population involves examining personality and psychopathology correlates of institutional misconduct (i.e., behavioral infractions while incarcerated). While there is a robust body of literature regarding personality and psychopathology correlates of misconduct in adult inmate samples, there has been far less work devoted to these relationships among justice-involved youth. Furthermore, …

Stress Arising From The Covid-19 Pandemic: Impacts On Coparenting Quality And Child Internalizing And Externalizing Problems, Michelle R. Ebrahim

Honors Program: Senior Projects (Public)

Since emerging in late 2019, the highly contagious coronavirus disease (COVID-19) has caused worldwide disruptions, with major shutdowns in school, work, and other aspects of life. These stressors uniquely impacted families with young children. The present study investigated the impact of the pandemic on family functioning and risk for child internalizing and externalizing problems during the first year after the pandemic. The study included three waves of data collection from a larger longitudinal study aimed at understanding how couples navigate the prenatal-postpartum transition and the impacts of the family on early child development. We found that family pandemic-related stress was …

Associations Between Childhood Sexual Abuse, Adult Sexual Assault Experiences, Psychological Distress, And Substance Use, Diamonde Mccollum

The Pegasus Review: UCF Undergraduate Research Journal

This study evaluates the potential mechanisms underlying the association between childhood sexual abuse (CSA) and substance use among adult women. Moreover, CSA, adult sexual assault (ASA), and psychological distress (including symptoms of depression and perceived stress) was evaluated to determine how it contributes to substance misuse. Past research shows that individuals who experience CSA are more likely to experience ASA, which results in psychological distress. Individuals may use substances to cope with psychological distress from CSA and ASA, consistent with the self-medication hypothesis. Women (N = 225) were recruited from Mechanical Turk (Mturk) and completed an online survey. Results indicate …

Impact Of Parental Substance Misuse On Attachment In Young Adults: A Qualitative Approach, Susan E. Hardman

Dissertations, 2020-current

This study examined the impact of parental substance misuse on young adult development and relationships by interviewing young adults about their experience being raised by a parent who misused substances. A qualitative design based on constructivist grounded theory and informed by constructs from attachment theory was used. Participants consisted of 10 young adults, ages 18-26, who endorsed being raised by a parent who misused substances. The interview questions developed for the study were informed by a measure of adult attachment. Analysis of the data included identification of emergent categories/themes as well as a priori constructs from attachment theory (safe haven, …

A Randomized Controlled Trial Of Telehealth Mindful Parenting Training On Executive Function In Autistic Children And Their Parents, Vanessa Zhou

Clinical Psychology Dissertations

This randomized controlled trial study explored the effect of telehealth mindful parenting group intervention on executive function in autistic children and their parents. Participants included 83 caregivers (29-54 years) of autistic children (5-18 years) in the United States who were randomized into either the immediate (n = 40) or waitlist-control group (n = 43). Of the participants randomized, 55 caregivers (immediate = 33; waitlist = 22) followed the protocol and were included in the primary analysis. Caregivers in the sample (mean age of 42.97 years) were mostly white (73%), married (76%), female (80%), biological mothers (67%), from Washington …

Examining The Impact Of Attachment And Parent Socialization Of Emotion In Childhood On Emotion Regulation In Maltreated Adults, Nikki Major

USC Aiken Psychology Theses

Objectives: The aim of the current study was to examine the relationship between child maltreatment and adult emotion regulation by examining parenting processes of emotion socialization and attachment security as possible mechanisms accounting for this relationship. It was hypothesized that maltreated adults would retrospectively report more unsupportive responses from parents/caregivers, greater attachment insecurity, more difficulty with emotion regulation, and using expressive suppression more than cognitive reappraisal. It was also hypothesized that unsupportive responses to emotions and attachment security would both indirectly effect the relationship between child maltreatment and adult emotion dysregulation.

Method: A sample of 226 participants from Amazon Mechanical …

Trauma Treatment For Youth In Foster Care: A Mixed-Methods Study Of Clinician Perspectives And Treatment Model Use, Allison Blake Smith

Graduate Theses and Dissertations

Youth in foster care experience trauma exposure and subsequent trauma-related disorders at much higher rates than their peers, with prevalence rates comparable with veterans of war. Although youth in foster care appear to receive services at higher rates than their peers, little is known about what outpatient care consists of, particularly for trauma-related disorders. Furthermore, although several evidence-based treatments exist for the treatment of child and adolescent trauma, little is known about how appropriate and effective existing treatment approaches are for youth in foster care. The current study used a mixed methods approach to examine a) the range of evidence-based …

Look, But Don’T Touch: Impact Of Covid-19 On The Nicu Caregiver, Rebecca C. Otwell-Dove

Electronic Theses and Dissertations

Admission of an infant into the neonatal intensive care unit (NICU) is an experience that has been associated with a variety of both positive and negative health outcomes for parent and child. While both the setting name and the admitted population alludes to a sole focus on the affected infant, what often remains underrecognized is the impact on the ones who care for the newborn long before and longer after their NICU stay. Given the recency and unprecedented impact of the COVID-19 pandemic, very little research has examined the impact of COVID-19-specific stress on the experience of parents of infants …

Examination Of Autism Symptoms Across Ethnic Groups: Cross-Cultural Validation Of The Baby And Infant Screen For Children With Autism Traits (Biscuit), Esther Hong

LSU Doctoral Dissertations

Autism spectrum disorder (ASD) a neurodevelopmental disorder characterized by impairments in social communication and interaction and the presence of restricted and repetitive behaviors (American Psychiatric Association, 2013). Variations in prevalence across different racial and ethnic groups have been reported. Though the reason for these variations is unclear, racial and ethnic disparities in access to early screening services, cultural differences in ASD presentation, and the use of culturally insensitive screening tools appear to contribute to disparities in ASD diagnosis. Thus, cultural validation studies of ASD screening tools are needed to investigate the cultural utility of these instruments for use with diverse …

Exploring Components For A Family-Focused Intervention For Families With A Child Diagnosed With Cancer And Other Chronic Illnesses, Nicole Kubinec

Psychology ETDs

Chronic illnesses are often life-long and affect academic performance, social development, psychological well-being, and family functioning. The broad effects of childhood chronic illnesses are often assessed using measures of child health-related quality of life (HRQL). Parent factors (parental distress, perceptions of child vulnerability, overprotection) and family factors (maintaining rituals, open communication, positive coping) have been associated with changes in child HRQL. This study sought to discover how parent and family factors were associated with child HRQL, and how such factors were perceived by families for inclusion in future interventions. Results demonstrated that parental perceptions of child vulnerability were associated with …

The Relationship Between Family Environment And Specific Phobias, Jerrica Renee Guidry

LSU Doctoral Dissertations

Specific phobias are the most prevalent disorder among adults and highly common among children. Additionally, specific phobias diagnosed in childhood has been associated other serious mental illnesses later in life (de Vrie et al., 2019). Research pertaining to parenting factors associated with anxiety disorders has been extensive, including parental psychopathology, parent-child relationships, parental control, and parental stress. However, less emphasis has been placed on familial factors which may contribute to the development and maintenance of specific phobias. According to the limited literature focusing on the family factors associated with specific phobias, parent psychopathology and parent over-control are important factors. Multiple …

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 …

Pediatric Seizures: Access And Utilization Of Specialty Care And Mental Health Care, Samantha Delos Santos

Theses and Graduate Projects

Epilepsy is the leading neurological disorder among children, and requires specialized health care (Zack & Kobau, 2015). However, many patients with seizures do not receive appropriate specialized care (Begley et al., 2009; Burneo et al., 2009). This study examined the impact of health insurance type on access to and use of specialty care and mental health care among pediatric patients, ages 3-17, whose parents reported that they had experienced at least one seizure in the last year. This study was a secondary analysis of data collected in the 2011 (n = 77) and 2016 (n = 87) National Health Survey …

Evaluating Outcome Factors Of Childhood Emotional Neglect: An Exploratory Factor Analysis, Taylor Levitt

Dissertations

Experiencing childhood maltreatment has been shown to have major implications on adult outcomes. Less is known about the outcomes of childhood emotional neglect (CEN). The purpose of this study was to identify factors related to psychological outcomes of CEN within the domains of depression, anxiety, and alexithymia as a precursor to the development of an inventory. One hundred and fifty participant responses on the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Toronto Alexithymia Scale-20 (TAS-20) were collected. Exploratory factor analysis was conducted where nine factors yielded significant results and were titled, “Depressive Symptoms,” “Difficulty Identifying Feelings,” “Usefulness of …

School Related Criminal Acts, Interpersonal Problems, And Classroom Behaviors As A Function Of The Proportion Of Black Students And Black Teachers, Leanne Zaire

Clinical Psychology Dissertations

This study’s purpose was to investigate school-level behavioral outcomes in relation to the proportion of Black teachers and students in U.S. schools. Negative school outcome and academic achievement gaps are well-documented. However, many of these studies utilized small, localized populations; my research used national data and focused on the problem behaviors in school. Drawing from Critical Race Theory, I hypothesized that a greater proportion of Black teachers would reduce school student problems and negative behaviors (e.g., student verbal abuse of teachers, widespread disorder in classrooms). After receiving a restricted-use license, I utilized data from 25,818 schools from the National Teacher …

Under The Skin Social Stress: Physiological Effects Of Racial Discrimination And Family Communication During Adolescence, Dana Mansfield

College of Science and Health Theses and Dissertations

Adolescence is a formative, developmental period that encompasses increased life stress. For youth of color, these stressors are amplified due to race-related experiences such as racial discrimination. Studies have shown that family communication greatly influences the physiological stress response in childhood development. The purpose of the current study was to examine how interpersonal and institutional discrimination impact the physiological stress response and how supportive family communication may influence the stress response in adolescents from various ethnic and racial groups. A sample of 379 ethnically diverse adolescents participated in this study and completed self-report questionnaires. Cortisol samples were collected in conjunction …

Latinx Parent-Child Acculturative Stress Profiles And Their Relation To Expressed Emotion And Academic Achievement, Laura Saldana

College of Science and Health Theses and Dissertations

A unique stressor among families of immigrant background is acculturative stress (AS), which is experienced by both adults and youth. AS results from difficulties with acculturation and is associated with negative youth outcomes. Past studies link AS to worse family functioning yet very few studies examine parent and youth AS together. The current study incorporates reports from 284 Latinx youth (M_age = 11.5; 55.6% females) and their parents to examine AS latent profiles. Four profiles emerged in this sample, characterized by high child-low parent (HLAS), low child-high parent (LHAS), moderate child-low parent (MLAS), and low child-low parent (LLAS), …

Applying Expressive Arts Therapy Interventions With Chinese Adolescents With Academic Maladjustment, Huaxin Wang

Expressive Therapies Capstone Theses

This thesis first explores the relationship between several concepts related to academic stress (academic burnout, academic weariness or school weariness, and school refusal) and their influencing factors, which are collectively referred to as academic maladjustment. It then reviews the empirical intervention research on academic maladjustment among Chinese adolescents. Study review has found that effective talk therapy interventions for Chinese adolescents with academic maladjustment often adopt a systematic perspective of family therapy and related techniques. Researchers worked with adolescents on their personal factors that contribute to academic maladjustment and work on the interpersonal level and obtained the cooperation of parents and …

Combining Non-Traditional Therapeutic Competencies With Dance/Movement Therapy In Response To Client Reactivity: The Development Of A Method, Nicole Koontz

Expressive Therapies Capstone Theses

Individuals with reactive attachment disorder present as guarded towards therapeutic care and respond passively to treatment or become combative and aggressive. Previous body-based interventions for individuals with reactive attachment disorder included dangerous and unethical approaches that led to traumatization, distrust, and even death. Historical attachment therapies focused on making the client feel powerless and hopeless to accept care rather than practitioners adjusting to individualized client-centered care. A dance/movement therapy-informed method was developed to provide a nonthreatening therapeutic space to foster genuine participation for clients who present with reactivity towards treatment. The method was implemented over the course of seven weeks …

Trauma Healing With The Neurosequential Model Of Therapy And Bal-A-Vis-X, Becky Johnston

Educational Specialist, 2020-current

Stigma related to childhood trauma is shifting with the help of advancements in the understanding of neurobiology and interventions that are proving to be effective for healing. There are immense costs and consequences for survivors of childhood trauma and their loved ones that were not so long ago considered irrelevant and the notion that kids bounce back from adversity was previously popular in the psychological community (Perry & Szalavitz, 2017). The broad strokes of Dr. Bruce Perry’s clinical intervention model, The Neurosequential Model of Therapy (NMT) describes a trauma-sensitive, sequential approach to changing the stress response within mental health counseling. …