Clinical Psychology Commons^™

Delivery Of Parent-Child Interaction Therapy In A Telehealth Format: Reducing Disruptive Behaviors In Pediatric Traumatic Brain Injury, Emily D. Pogue

Dissertations, 2020-current

Traumatic brain injuries (TBIs) in childhood have been associated with disruptive behaviors and attentional problems that may worsen over time and are often experienced as challenging for those in caregiving roles. Parents of children with TBI may evoke negative interactions to manage their child’s behavior through reliance on ineffective parenting practices. This results in increasingly maladaptive parent-child interactions that maintain or worsen problem behaviors of the child and further disrupt family functioning. Despite the importance of family functioning on child post-injury outcomes, the availability of family-based treatments for children with TBI is extremely limited. Parent-Child Interaction Therapy (PCIT) is an …

Predictors Of Intensive Supervision Placement Among Committed Youths Within A Maximum-Security Residential Facility, Tiffany Harris

Master's Theses

Some youths committed to juvenile justice residential facilities struggle to adjust and may exhibit institutional rule violations that necessitate an intensive supervision placement (ISP). ISPs require substantial institutional resources and may result in additional negative outcomes for these committed youths (e.g., additional charges, longer commitment). To date, only two studies have examined factors that place committed youths at greater risk of ISPs, and it was found that commitment length, number of arrests, age at admission, impulsive/reactive and psychopathic traits, and anger-irritability were predictive of ISPs (Taylor et al., 2007; Butler et al., 2007). The present study considered additional predictors that …

The Association Between Adolescent Dating Violence And Internalizing Symptoms: Insecure Attachment As A Moderator, Jasmine Blake

Psychological Science Undergraduate Honors Theses

This study examines whether insecure attachment styles moderate the relationship between adolescent dating violence (ADV) victimization and internalizing symptoms. It was hypothesized that an insecure attachment style would strengthen the existing relation between ADV victimization and internalizing symptoms. It was also hypothesized that this association would be stronger for girls than boys. One hundred and fifty-two adolescents participated in this study (M age = 15.61 years, SD = 1.086, 74.3% girls) and were asked to complete a survey that assessed ADV victimization, internalizing symptoms, and attachment style. Bivariate correlations did not reveal a significant associations between ADV victimization and …

Examining Parenting Practices And Routines As Possible Mediators Of Parenting Inflexibility And Child Behaviors, Lauren S. Erp

Master's Theses

Due to the high prevalence rates of child behavioral problems, considerable research has focused on factors that contribute to child behavioral problems. Parenting inflexibility has been shown to relate to child internalizing and externalizing behaviors through ineffective parenting practices. However, child routines, another related yet distinct parenting behavior, has yet to be explored in this relationship. The primary purpose of this study was to examine parenting practices and child routines as mediators of the relationship between parenting inflexibility and child behavioral outcomes. Mothers of school-aged children (N = 157) were recruited through Amazon’s Mechanical Turk and completed self-report measures of …

Humanitarian Workers' Perspectives On Mental Health And Resilience Of Refugee Youth: Implications For School Psychology, Diana Maria Diaków

Graduate Student Theses, Dissertations, & Professional Papers

Almost half of the 79.5 million forcibly displaced persons worldwide are youth under the age of 18, including refugees. Refugee youth face deliberate threats across all migration stages including violence, abuse, exploitation, poor living conditions, limited or no access to healthcare and education, interrupted family structure, and discrimination. Noteworthy, school psychologists who practice in host countries face new challenges as these diverse youth enroll in public schools. During the migration stage, humanitarian workers are a primary source of psychosocial and educational support for refugee youth and their families. Therefore, the aim of this research study was to inform school psychology …

Parent-Prompted Dysregulation: Do Parents Serve As Cues For Dysregulation In Some Children?, Daniel Lee

Pitzer Senior Theses

Children occasionally encounter dysregulation when interacting with their parents in relatively neutral or positive scenarios. Given that the cause of dysregulation is usually relational, meaning it is often cued by someone who is seen to have power or control over the person, children could be particularly susceptible to dysregulation in the presence of their parents. However, when examining the existing literature, there appeared to be a lack of research and knowledge concerning this topic, with much of the literature focusing on the effect of child stressors on parental dysregulation. As a result, the term parent-prompted dysregulation was developed to refer …

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 …

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 …

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 …

A Multi-Method Evaluation Of Parent And Child Factors Associated With Child Abuse Potential, Lindsay R. Druskin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Child abuse is a pervasive, global problem impacting millions of children (Stoltenborgh et al., 2015). Researchers have largely relied on the use of parent-report questionnaires to examine a variety of risk factors for child abuse (see Azar, 2002; Stith et al., 2009), leaving a gap in the research regarding the link between observed parent and child behaviors and child abuse potential. Utilizing a sample of families clinically referred for child behavioral problems, the proposed study pursued a multi-method approach to explore relations between parent factors (parent attachment, emotion regulation, harsh behaviors, and stress), child factors (child disruptive behaviors), and the …

A Literature Resource For Those Supporting Patients With Autism Spectrum Disorder And Cancer, Kaylee James

Psychology Doctoral Specialization Projects

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that impacts both social interaction and patterns of behavior. ASD is rooted in genetic, biological, and environmental causes. Cancer begins when cells grow out of control and there is also a genetic and biological cause of cancer. There is an overlap between the genetic and biological causes of ASD and cancer. As a result, evidence supports an increased risk of developing some types of cancer as well as protective factors for some times of cancer for individuals with ASD. Therefore, individuals with ASD may be at a heightened risk to develop cancer, …

Early Risk Factors For School-Age Adhd And Irritability: The Roles Of Prenatal Risk, Intrusive Parenting Style During Preschool And Caregiver-Child Attachment Quality., Ashley M. Rainford

Dissertations and Theses

ADHD is a highly impairing neurodevelopmental disorder and the family context provides a critical early environment where children’s risk for the disorder may be heightened or reduced. A parent’s style, that is their approach to interacting and guiding the child may provide children with warmth and security, or elicit fear, distrust and disappointment, both of which in turn impact behavior. However, the parent-child relationship is not unidirectional; it is dynamic. Children with high ADHD-like behaviors have greater difficulty relating to and interacting with their caregivers, while caregivers become increasingly stressed and show greater hostility and less warmth in their parenting. …

Identification Of Adhd And Comorbid Disorders In Children: The Potential Role Of Minority Group Membership, Rachel H. Tayler

Dissertations and Theses

Identification of ADHD and Comorbid Disorders in Children: The potential role of minority group membership

by

Rachel Tayler, MSc, MA

Advisor: Sarah O’Neill, PhD

Attention-Deficit/Hyperactivity Disorder (ADHD) affects six million US children. Females, Latinx, and possibly Black children have lower rates of diagnosis than their Male and White non-Latinx peers. ADHD is behaviorally defined, and as such, clinicians' perceptions of symptoms and determination of diagnoses may be influenced by demographic factors such as race, ethnicity and sex.

This vignette study examined whether clinicians' implicit ethnic, racial, and sex biases affect diagnosis of ADHD and comorbid conditions. Psychiatry trainees and pediatricians …

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 …

Using Individual Determinants To Predict Behavioral Health Service Use In Integrated Pediatric Primary Care, Alfonso L. Floyd Jr.

Theses and Dissertations

Mental health problems (e.g., attention, externalizing, internalizing) are commonly observed in youth and are often associated with significant impairment and an increased need for mental health services. Conceptual frameworks, such as Andersen’s Behavioral Model of Health Service Utilization, have proposed that several individual determinants (e.g., predisposing, enabling, and need factors) may influence service use for mental health problems among youth. Despite the glaring need for mental health treatment among youth with mental health problems, studies indicate that many affected youths do not receive mental health care. Integrated pediatric primary care (IPPC) settings provide an ideal setting for youth and families …

Neo-Emancipatory Sex Education In Germany: Sexual Abuse And Gender Confusion, Bernd Ahrbeck, Karla Etschenberg, Marion Felder

Dignity: A Journal of Analysis of Exploitation and Violence

This article focuses on two related areas of concern with regard to sex education and implications for children and youth in Germany. The first one is the history of the currently dominant neo-emancipatory sexual education and its implications for today. This direction of sex education is highly influenced by theories of Helmut Kentler who with the help of the German city of Berlin youth protection services department sent homeless and troubled boys to known pedophiles for care. This experiment went on for 30 years, ending in 2001. Only now has the extend of this horrific practice been fully discovered. The …

Association Of Early Life Stressors With Deficits In Child And Adolescent Cognitive Functioning, Emily M. Deming

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study was to determine whether the ACEs questionnaire could be a viable screener tool for identifying children in need of neuropsychological testing. This study consisted of a sample of child participants aged 8-17 years (N=53) who were divided into a no ACEs group or the ACEs group (1 or more ACEs) depending on parental responses to the ACEs questionnaire. Participants completed a series of virtual neuropsychological tests that assessed overall neurocognitive functioning, memory, and attention. No significant differences between the no ACEs group and the ACEs group in performance of the overall Neurocognitive Index, …

Relation Of Child Feeding Behaviors & Caregiver Qualities To Adherence To Nutritional Therapy In Type 1 Diabetes Management, Corrine N. Ahrabi-Nejad

Graduate Theses, Dissertations, and Problem Reports (ETD)

Type 1 diabetes (T1D) is a chronic illness, typically diagnosed within childhood, that affects the ability of the pancreas to produce insulin. Significant daily self-management behaviors are required to maintain metabolic control for patients with T1D. Nutritional therapy, including adequate intake of macronutrients, is one self-management behavior necessary to optimize health. Adherence to such nutritional guidelines is associated with improved glycemic control, decreased instances of acute health complications (e.g., hyperglycemia, hypoglycemia), and can also prevent insulin resistance. Despite the critical importance of nutritional therapy, adherence to these guidelines remains low within pediatric populations. Therefore, it is important and necessary to …

A Missing Narrative: The Creation Of A Trauma-Informed Children’S Book For Children In The Foster Care System, Elizabeth Hoff Saunderson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This article includes a review of literature relevant to the experiences of children in the foster care system including demographics, trauma and stressful experiences, attachment challenges, and useful interventions. Limited research has been conducted to inform resource tools for children in foster care. The aim of the present study was to create a trauma-informed resource tool for children in the foster care system in the form of a children’s book. A review of children’s books related to foster care yielded four major themes including the importance of mindful language, the need for a resource tool, a focus on safety, and …

Sexism And Severity: An Examination Of Teacher's Attitudes About Autism Symptomology In The Classroom, Kaitlyn Niederstadt

Psychology and Counseling Theses

Girls continue to be underdiagnosed and under-researched in the study of autism spectrum disorder (ASD). This is the result of a systemized preference towards masculine symptomology of ASD examined and created to diagnose ASD. The ideas produced by the research trickle down to teachers who then are in charge of flagging students for signs of ASD, however this step is not only limited by understanding, but their own inherent gender biases on behaviors. Our sample consisted of 139 current or former teachers. Each participant received one of three, (varying from severity levels and gender), rating scale of behavior association, rating …

What Does Masculinity Have To Do With It? The Roles Of Fathers In The Socialization Of Children’S Emotions And Emotion Regulation, Kathryn Cherry

Dissertations

Emotion regulation skills are important in a variety of domains throughout the lifespan, including psychological, social, academic, and occupational functioning. Research on children’s emotion regulation skill development often examines the family, exploring caregiver approaches to emotion socialization. However, this research has predominantly been conducted with mothers. Fathering is of particular interest to children’s emotional development for a variety of reasons, including the role of traditional Western masculine norms in gendered differences in emotion expression and regulation techniques. Fathers’ conformity with masculine norms and difficulty with emotion regulation have potential to impact their emotion socialization practices, and therefore relate to their …

The Relationship Between Cognitive Functioning And Internalizing/Externalizing Behaviors In Children And Adolescents With Down Syndrome, Jessalin R. Good

USC Aiken Psychology Theses

Introduction: Down syndrome (DS) is a developmental disorder caused by a complete extra copy of chromosome 21. This genetic error results in a variety of other symptoms related to a range of medical and cognitive challenges. Although it has been reported that a significant relationship exists between cognitive functioning and both internalizing and externalizing behaviors in typically developing (TD) individuals, the literature is severely limited in investigating this relationship in those with DS.

Rationale: Internalizing and externalizing behaviors have been shown to have a negative relationship with cognitive functioning in TD children and adolescents (Shankman et al., 2010; Wood et …

The Predictive Influence Of Challenging Behavior On Parent Stress In Young Children With Autism Spectrum Disorder, Paige Weir

LSU Master's Theses

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social communication, restricted interest, and repetitive patterns of behavior. Individuals with ASD also exhibit challenging behaviors that affect parent and caregiver stress directly. However, researchers have not yet examined the predictive influence of specific challenging behaviors on parent stress, particularly in young children (i.e., infants and toddlers) with ASD. Therefore, the current study expands existing literature by a) investigating the influence that challenging behaviors of young children with ASD have on parent stress and b) examining the unique contribution that each behavior (i.e., aggressive/disruptive behavior, stereotypy, and self-injurious …

Parenting Stress And Language Development In Children: Associations In Angelman Syndrome And Down Syndrome, Annalise Bland, Zainab Husain, Breanna Martin-O'Dell, Sarah Gronceski

The Journal of Purdue Undergraduate Research

One of the defining characteristics of neurogenetic syndromes such as Angelman syndrome (AS) and Down syndrome (DS) is delayed language development. Although it is commonly reported that parenting stress is associated with language development, these associations have not been widely studied in AS and DS despite other research showing elevated stress levels in the parents of these children. To fi ll this gap in research, the present study examined how parenting stress relates to language production in children with AS and DS. Daylong recordings were obtained from 72 participants using a Language Environment Analysis recording device, which was then processed …

Parental Accommodation As A Mediator Of Parenting Style On Changes In Pediatric Obsessive-Compulsive Disorder Symptoms, Jennifer Cataldi

Clinical Psychology Dissertations

Pediatric obsessive-compulsive disorder (OCD) is often a debilitating psychiatric condition. Despite the established efficacy of exposure and response prevention (E/RP) alone or in conjunction with serotonin reuptake inhibitor medication, up to half of youth with OCD do not experience symptom remission or return to baseline functioning after either treatment. Family accommodation (i.e., accommodating compulsive behaviors) is one factor associated with poor E/RP response, but less is known about how parent factors might predict response to E/RP via accommodation. The current study is the first to examine how parenting styles predict accommodation and subsequent E/RP response, specifically in an intensive outpatient …

Dance Movement Therapy For Clients With Attention Deficit Hyperactivity Disorder: A Literature Review, Holly Inman

Expressive Therapies Capstone Theses

The overall focus of this thesis study is to take a closer look at how dance movement therapy could beneficially impact people diagnosed with attention deficit hyperactivity disorder. The literature reviewed focuses on the history of dance movement therapy along with several methods of the therapeutic practice, the beginning stages of attention deficit hyperactivity disorder re- search as well as the current treatment methods, and the current work being done with dance movement therapy and clients with this diagnosis. Many of the symptoms considered within this diagnosis are supported by the structure of dance movement therapy, serving as a beneficial …

Racial And Gender Discrimination Predict Mental Health Outcomes Among Healthcare Workers Beyond Pandemic-Related Stressors: Findings From A Cross-Sectional Survey, Rachel Hennein, Jessica Bonumwezi, Max Jordan Nguemeni Tiako, Petty Tineo, Sarah R. Lowe

Department of Psychology Faculty Scholarship and Creative Works

Racial and gender discrimination are risk factors for adverse mental health outcomes in the general population; however, the effects of discrimination on the mental health of healthcare workers needs to be further explored, especially in relation to competing stressors. Thus, we administered a survey to healthcare workers to investigate the associations between perceived racial and gender discrimination and symptoms of depression, anxiety, posttraumatic stress, and burnout during a period of substantial stressors related to the COVID-19 pandemic and a national racial reckoning. We used multivariable linear regression models, which controlled for demographics and pandemic-related stressors. Of the 997 participants (Mean …

Mothers' Perceptions Of Ability In Children With Intellectual Disability And Mother-Child Connectedness, Nikhita Moolayil

Dissertations

The mother-child relationship is important in the development of children, especially for children with intellectual disabilities who may have specific needs. Understanding the nuances, such as the closeness of the mother-child relationship for children with intellectual disabilities, is often overlooked even though more than 3 million children under 18 were reported to have an intellectual disability in 2019. Still, very few studies have focused on the relationship between mothers with children with an intellectual disability. With the rise in services provided due to developmental disabilities in children, there was a need to examine mothers’ perceptions of the ability level in …

The Bidirectional Effects Of Serious Conduct Problems, Anxiety, And Trauma Exposure: Implications For Our Understanding Of The Development Of Callous-Unemotional Traits, Emily Lynne Robertson

LSU Doctoral Dissertations

The association of anxiety and trauma with childhood conduct problems has long been the focus of research, and more recently this area of research has become critical to understanding the development of callous-unemotional (CU) traits. Research in samples of children and adolescents has indicated that those elevated on both CU traits and anxiety seem to show more severe externalizing behaviors and are more likely to show histories of trauma. These findings have typically been interpreted as being indicative of a unique casual pathway to CU traits in those high on anxiety. However, an alternative explanation is that the higher rates …

Stigma And Social-Emotional Health In Youth With Learning Differences, Kelsey Maki

Doctoral Dissertations

Youth diagnosed with specific learning disorder (SLD) and/or attention deficit hyperactivity disorder (ADHD), defined collectively for the purposes of this study as youth with learning differences, experience poorer social-emotional health outcomes in comparison to their typically developing peers. These youth additionally experience stigma from their peers, teachers, and broader community, which may impact social-emotional health. As a secondary data analysis of a larger study, the present study investigated the role of stigma consciousness alongside demographic variables, self-esteem, and peer relationships in social-emotional health outcomes. Due to the possible differences between youth diagnosed with SLD, ADHD, and comorbid SLD/ADHD, group differences …