Clinical Psychology Commons^™

Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan

2025 Fall Honors Capstones Projects - Archive

Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …

Assessing The Relationship Between Treatment Quality, Matching And Dosage And Juvenile Justice Outcomes Among Youth With Co-Occurring Substance Abuse And Mental Health Disorders, Kevin T. Wolff, Michael T. Baglivio, Joshua A. Lang

Publications and Research

This study examined differences among youth in deep-end juvenile justice residential placement who did, and did not, present with co-occurring disorders. The prevalence of cooccurring mental health and substance use/abuse issues was found to be 19%, far lower than that of prior work. Researchers demonstrated more similarities than differences between youth with and without co-occurring disorders, both in terms of their criminal histories and the prevalence of their criminogenic needs. Additionally, the residential programs across Florida appear to provide treatment at similarly high levels of integrity, as measured by 1) matching treatment services to the highest three dynamic risk assessed …

Motor And Phonic Tic Severity And Its Relationship To Social, Emotional, And School Functioning In Children With Tourette Syndrome From The Caregivers’ Perspective, Courtney C. Thompson

Dissertations

Abstract

Tourette Syndrome (TS) is a neurodevelopmental disorder characterized by motor and phonic tics that is frequently associated with functional impairments. The present study examined the relationship between motor and phonic tic severity, comorbid conditions, academic accommodations, and the social, emotional, and school functioning of children with TS. Caregiver data were collected on tic severity, comorbid conditions, social, emotional, and school functioning, academic accommodations, and grades. Overall, social, emotional, and school functioning fell within the moderate range, with school functioning positively associated with social and emotional functioning. Phonic tics were linked to social functioning, whereas both motor and overall tic …

Investigating The Relationship Between Noun Classes And Plant Folk Taxonomy In Chasu Language Of Kilimanjaro Region In Tanzania, Peter Rabson Mziray

Journal of Humanities and Social Sciences

The current study investigates the relationship between noun classes and plant folk taxonomy in Chasu (G 22). The study focuses on two objectives: the first objective is to describe the plant folk taxonomy in Chasu and the second objective is to determine the relationship between noun classes and plant folk taxonomy in Chasu. Data were collected from rural villages in Same and Mwanga districts by using free listing, field interviews (jungle-walk-and-identify), and written texts containing Chasu plant names. The findings reveal that Chasu folk taxonomy reflects different ethnobotanical categories; including a unique beginner which is mmea/mimea ‘plant(s)’, and three life …

Therapeutic Outcomes Of Racially Matched Families And Clinicians In Parent-Child Interaction Therapy With Toddlers, Emily B. Frey, Julia L. Kiefer, Lauren B. Quetsch, Rebecca S. Bradley, Emma I. Girard

Inquiry: The University of Arkansas Undergraduate Research Journal

Abstract

Parent-Child Interaction Therapy (PCIT) is an evidence-based therapy for children aged 2.5-7 with disruptive behavioral problems. In recent years, the PCIT protocol has been adapted for use as a preventative model with toddlers (PCIT-T) aged 12-24 months. Given the recency of the PCIT-T adaptation, research has not yet examined the similarity of PCIT-T attrition rates compared to PCIT, though it is speculated rates are similar (between 30-69%; Ufford et al., 2022). Previous research suggests that racial dissimilarity between a treatment provider and the family may influence treatment dropout. Therefore, the current study explored the effect of racial matching between …

Playing Catch Up: A Brief Look Into Modern Internet Culture And Its Impact On Adolescent Male Development, Xavier Bird

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This doctoral paper argues that the internet, particularly the "manosphere," poses three significant threats to the development of adolescent males in the U.S.: the influence of misogynistic online personalities, the normalization of risky online behavior, and the spread of right-wing misinformation. The paper highlights the role of the COVID-19 pandemic in exacerbating these issues due to increased internet usage. Furthermore, it proposes a research study to investigate the link between exposure to online misogynistic content and aggressive behavior in schools, emphasizing the unique challenges of studying adolescents and their online culture. Finally, the paper stresses the urgent need for updated …

Supporting Healthy Siblings In Pediatric Cancer: Advancing Relational Interventions To Heal Invisible Wounds, Kristen K. Wederski

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Healthy siblings of children diagnosed with cancer occupy a uniquely vulnerable position within the pediatric oncology landscape. Individuals within this population often demonstrate significant emotional distress and can experience long-term psychological challenges. Despite their risk, healthy siblings remain under-researched and under-supported compared to pediatric patients and caregivers. Existing interventions tend to prioritize individual coping skills and psychoeducation and often overlook the critical relational dynamics that shape healthy siblings' psychological adjustment. Grounded in systematic and relational theories, this paper proposes a paradigm shift toward relationally focused interventions that strengthen the caregiver-sibling bond as a core mechanism of change to foster resilience …

A Clinical Pathway For Differential Diagnosis Of Adhd Vs Trauma: Early Childhood Recognition And Intervention, Maria Neiers

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Distinguishing Attention-Deficit/Hyperactivity Disorder (ADHD) from Complex Posttraumatic Stress Disorder (C-PTSD) presents significant diagnostic challenges due to overlapping symptom presentations, shared neurobiological impacts, and frequent comorbidities. This paper explores the nuanced clinical differentiation between ADHD and C-PTSD, and other trauma disorders, in pediatric populations, emphasizing the importance of trauma-informed assessment, early identification, and integrative clinical reasoning. The discussion highlights how structured diagnostic reasoning can reduce uncertainty, enhance diagnostic clarity, and support effective treatment planning. As a central contribution, this paper introduces an original clinical reasoning flowchart and a case conceptualization to illustrate its practical application in real-world diagnostic dilemmas. The need …

A Qualitative Exploration Of Sibling Relationships Impacted By Autism: “We’Ll Be Brothers Forever”, Julia M. Linger

Dissertations, 2020-current

The current study used a desire-based research framework to explore the lived experiences of siblinghood in families in which one child is autistic and one child is neurotypical. Their experiences were investigated through semi-structured interviews with eight children (four sibling pairs) between the ages of 11 and 18. Interpretative phenomenological analysis (IPA) was used to analyze and interpret the data. Seven shared experiential themes were constructed that helped describe the experiences of siblinghood for the participants: 1) Siblinghood includes both enjoyment and annoyance, 2) Shared activities and quality time facilitate sibling connectedness, 3) Siblings celebrate differences and use their different …

Peer Functioning And Risk For Co-Occurring Adhd And Anxiety Symptoms In School-Aged Children: A Cross-Sectional And Longitudinal Analysis., Helena F. Alacha

Electronic Theses and Dissertations

Background. Youth with Attention-deficit/hyperactivity disorder (ADHD) often have higher rates of anxiety in comparison to their peers without ADHD. Children with co-occurring ADHD and anxiety exhibit a unique clinical presentation that poses challenges to both assessment and treatment. Consequently, children with comorbid ADHD and anxiety experience increased impairment, and often have poorer long-term outcomes than children with either ADHD or anxiety alone. Preliminary evidence suggests that different psychosocial phenomena commonly experienced by children with ADHD—such as peer functioning—may increase susceptibility to anxiety. Considering that children with ADHD encounter a range of peer difficulties, the present study proposed and evaluated different …

A Brief Cognitive-Behavioral Intervention For Emotion Regulationand Aggression In Justice-Involved Adolescents: Preliminary Outcomes From A Non-Randomized Trial In Short-Term Juvenile Detention, Cassidy L. Tennity

Dissertations

Justice-involved youth are at risk for a variety of psychosocial difficulties, including anger, aggression, and emotion regulation challenges. Short-term juvenile detention settings offer a unique opportunity to provide psychological interventions to youth before they are returned to the community or sentenced to long-term placements. However, implementation barriers within these settings often hinder the delivery of evidence-based care. This study developed and tested a brief, two-session anger management intervention for adolescents detained in a short-term juvenile detention center in the Southeastern United States, drawing on evidence-based practices from prior work with justice-involved youth. The present study examined implementation outcomes (i.e., feasibility, …

Anxiety's Impact On Autism Spectrum Disorder Symtomology: An Investigation Into The Relationship Between Two Comorbities, Michaela Brown

LSU Doctoral Dissertations

Autism spectrum disorder (ASD) has been found to be frequently comorbid with many medical and psychological disorders, one of which is anxiety disorders. Research has shown that, when anxiety is present within ASD, various areas of the child’s functioning may be impacted, such as ASD symptom severity, emotional regulation skills, adaptability, social skills and daily living skills. The current study aimed to investigate this relationship of anxiety and ASD. First, within a sample of children and adolescents with ASD, the magnitude of the correlation between specific ASD symptoms parent-reported anxiety was compared to determine if certain ASD symptoms were more …

Autism And Down Syndrome: An Examination Of The Baby And Infant Screen For Autism Traits In Toddlers With Down Syndrome, Celeste Tevis

LSU Doctoral Dissertations

Current research suggests that children with Down Syndrome (DS) are at an increased risk for autism spectrum disorder (ASD) compared to the general population. Detecting ASD early in children with DS is crucial to providing access to additional treatment services and supports that may be necessary. Despite a critical need to identify ASD as early as possible, diagnoses of ASD are often delayed in individuals with DS. It can be especially difficult for clinicians to differentiate between symptoms attributed to intellectual developmental disorder (IDD), a primary feature of DS, and possible ASD symptoms. Only two research studies have evaluated the …

Invisible Intersections: Race, Adhd, And The Role Of Disciplinary Actions In Academic Outcomes, Miles Feller

Clinical Psychology Dissertations

Race is a marginalized identity linked to significant achievement gaps for Black and Latino students in the USA (de Bray et al., 2019). These students experience higher rates of exclusionary school discipline (ESD) than White and Asian peers (Aud et al., 2010; de Bray et al., 2019), with suspensions correlating to lower academic performance (Del Toro & Wang, 2022; Wang et al., 2023; Owens & Hinshaw, 2016). Additionally, developmental disabilities like ADHD intersect with these issues; despite narrowing racial disparities in diagnoses (Cénat et al., 2022; Fairman et al., 2020), access to treatment remains uneven (Baglivio et al., 2017; Coker …

Minority Stressors And Internalizing Symptoms In Sexual And Gender Minority Adolescents: A Systematic Review And Meta-Analysis, Anni R. Subar

Electronic Theses and Dissertations

Sexual and gender minority (SGM) adolescents are at elevated risk for internalizing symptoms, such as anxiety and depression, due in part to chronic exposure to minority stress. To provide a comprehensive synthesis of this literature, we conducted a meta-analysis of 32 studies, yielding 162 effect sizes from 41,360 participants aged 8– 22. All included studies examined the association between minority stress, defined as stigma-related stressors such as discrimination, victimization, and internalized stigma, and internalizing outcomes in SGM youth. The random-effects meta-analysis revealed a small but significant association (r = .25) between minority stress and internalizing symptoms, consistent across stressor …

Building Media Literacy In Adolescence: A Cognitive Behavioral Clinician's Manual To Combat Misinformation And Misdiagnosis During Sessions, Patricia Sacchetti

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper examines the role of Cognitive Behavioral Therapy (CBT) in countering misinformation that youth encounter on social media and other informal sources, with the goal of creating a manual for mental health clinicians. The use of CBT by clinicians working with adolescents to combat the issue of misinformation and misdiagnosis has received little attention in the literature. Mental health clinicians’ knowledge of media literacy as a psychological construct can foster an effective treatment style by building upon the foundation of well-established theory and practice, such as CBT. CBT is a multifaceted treatment that can help guide mental health clinicians …

Inhibitory Control: A Mediator Between Sensory Responsivity And Externalizing Behaviors In Children On The Autism Spectrum, Kaitlyn M. Drafton

Clinical Psychology Dissertations

Sensory differences are among the most commonly reported symptoms in children on the autism spectrum and have been linked to both externalizing behaviors and executive functioning challenges. However, few studies have explored the potential mechanisms that underlie these relationships. The present study examined whether inhibitory control mediates the relationship between sensory responsivity and externalizing behaviors in young autistic children, each rated via caregiver-report measures. Participants included 107 caregivers of autistic children between the ages of 5-10 years old. It was hypothesized that higher levels of sensory responsivity would predict greater difficulty with inhibition, which in turn would be associated with …

Examining Components Of The Interpersonal Psychological Theory Of Suicide In A Clinical Sample Of Children With Suicidal Thoughts And Behaviors, Alana Brixner Nunes

Theses and Dissertations

Suicide is the second leading cause of death among 10- to 14-year-olds. Despite a need to identify risk factors for suicide among children, there is limited research on suicidal thoughts and behaviors (STBs) in childhood. The interpersonal psychological theory of suicide (IPTS) suggests that the desire for suicide emerges from perceived burdensomeness and thwarted belongingness and that the transition from suicide ideation (SI) to a suicide attempt (SA) results from an acquired capability for suicide. However, no research has examined whether the IPTS applies to suicidal thoughts and behaviors among children. The present research examined components of the IPTS in …

Exploring Secondary Teachers’ Mental Health Self-Efficacy, Perceptions Of Supporting Student Mental Health And Well-Being, Sherilyn A. Kile

Education (PhD) Dissertations

Research has indicated that over half of all lifetime cases of mental health conditions begin before the age of 14 years (NAMI, 2024a), making the adolescent period a critical and formative time. The unprecedented effect of the COVID-19 pandemic has been linked to more mental health problems in children and adolescent youth (Sayed et al., 2024), particularly affecting southern California school districts that implemented distance or hybrid learning models (K. Brann et al., 2022). Secondary teachers are essential referral sources and gatekeepers for linking adolescent children to mental health support (Owens et al., 2014). Given the essential role teachers play …

Does Resilience Moderate The Relation Between Caregiver Behaviors And Post-Traumatic Symptoms In Young Adults?, Akila Uma Gopalkrishnan

Master's Theses

Exposure to a potentially traumatic event (PTE) is not an uncommon experience for children and adolescents. After exposure to adverse events, youth may experience significant maladjustment and posttraumatic stress symptoms (PTSS). As such, researchers continue investigating potential risk and protective factors contributing to youth post-trauma adjustment. Considering their critical role in children’s development, caregivers likely play a key role in youth post-trauma adjustment. However, the field lacks studies on caregiver behaviors following youth PTE exposure and on factors, such as resilience, that could influence how children respond to stress and caregiver environments. I aimed to evaluate: (a) how perceived caregiver …

Evaluating The Effects Of Parental Serious Mental Illness On Life Functioning Of Adult Offspring: A Longitudinal Study, Lena E. Leyva

Electronic Theses, Projects, and Dissertations

Background: Parental mental illness greatly impacts a child’s development by posing great risks to their physical and mental health, academic success, and overall functioning (Naughton et al., 2019; Adjej et al., 2023). It remains clear that exposure to parental mental illness has short-term implications. However, long-term impacts on offspring while entering and managing adulthood has not been thoroughly examined. Objective: This longitudinal study proposes to determine the effects of parental mental illness on life functioning of adult offspring at baseline and then occur every two years over the course of eight years. Method: Quantitative data will be collected from 120 …

Measuring The Effects Of Adverse Childhood Experiences (Aces) On Adolescents’ Self-Esteem And Self-Appraisal: How Can School-Based Interventions Help?, Kayla M. Moses

Undergraduate Theses and Capstone Projects

This paper explores the lasting impact of Adverse Childhood Experiences (ACEs) on adolescents’ self-esteem and self-appraisal, with a focus on the role of school-based interventions in mitigating these effects. Adverse Childhood Experiences (ACEs) encompass various forms of trauma such as physical, emotional, or sexual abuse, neglect, and familial dysfunction during childhood. Due to adolescence being a critical period of identity formation and emotional development, Adverse Childhood Experiences (ACEs) can significantly undermine adolescents' self-esteem, leading to lasting negative effects. These effects include various emotional, social, and psychological challenges, ultimately changing one’s life trajectory. Based on numerous theoretical foundations, it is supported …

Adolescent Externalizing Symptoms And Parent Emotion Socialization: An Examination Of Longitudinal Effects And Differences By Adolescent Sex, Cheston West

Electronic Theses and Dissertations

Adolescence is an important developmental context with several changes in social and emotional functioning. Though adolescents are gaining independence from their caregivers, they still engage in dynamic interactions with their caregivers who remain key figures in their lives. When adolescents express emotions, caregivers engage in various behaviors in response to these expressions, a process known as emotion socialization. This process has mostly been examined as a parent-driven construct in which parent emotion socialization impacts child-level outcomes, namely internalizing symptoms, with limited research on externalizing symptoms. However, available literature demonstrates that child-level characteristics (e.g., externalizing symptoms) are linked to differences in …

Attachment Theory In Adult Romantic Relationships: The Influence Of Childhood Trauma On Adult Attachment Styles And Romantic Relationship Satisfaction, Shelby Bock

Senior Honors Theses

Attachment theory provides a key framework for understanding adult romantic relationships, especially for individuals with a history of childhood trauma. Early adverse experiences, such as emotional abuse and neglect, as well as broader categories of Adverse Childhood Experiences (ACEs), can disrupt attachment development, contributing to insecure attachment styles—anxious or avoidant—that influence relationship dynamics in adulthood. This review synthesizes current literature on how childhood trauma contributes to attachment patterns and emotional intimacy, trust, and relationship satisfaction in adult romantic relationships. It also highlights the role of attachment in mediating the effects of childhood trauma on romantic relationships. Finally, the review proposes …

Parent–Child Interaction Therapy Adapted For Older Children, Luke W. Badley

Dissertations, 2020-current

Externalizing behavior problems in children refer to negative outward actions directed toward others and the environment (Liu, 2004; Maughan et al., 2005). Between 2013–2019, the CDC reported a prevalence of 8.9%, with the highest rates in children aged 6–11 (Bitsko et al., 2022). If untreated, these behaviors may worsen and impact broader psychological functioning (Masten & Cicchetti, 2010). A review of the literature regarding the treatment of child behavior problems using Behavioral Parent Training (BPT) interventions highlights the critical role that parents play in the development and treatment of childhood behavior problems. BPT interventions enable parents and other important adults …

Between Healing And Harm: An Analysis Of Residential Treatment Centers For Youth, Virginia B. Finch

Senior Theses

Residential treatment for children and adolescents has evolved greatly. Today, a therapeutic individualized treatment approach is standard. Despite past and present improvements in care, this paper examines the persistent challenges faced by residential treatment centers (RTCs) serving youth with mental health issues. This paper argues that residential treatment, while sometimes necessary, has the potential to cause more harm than good due to systemic issues like overdiagnosis, inappropriate medication, and the troubled teen industry’s (TTI) profit-focused approach.

Numbered Heads Together: Student Outcomes, Teacher Acceptability, Teacher Burnout, And Maintenance Of Implementation, Nicole Parker

Masters Theses & Specialist Projects

Numbered Heads Together (NHT) is a structured cooperative learning activity that supports active classroom participation from all students. The purpose of this study was to examine if NHT increased student cooperative behaviors and quiz scores, as well as whether teachers found the intervention acceptable and if teacher reported burnout improved. Three teacher participants and their respective students were recruited from a regional school based on teacher desire to improve classroom behavior management during cooperative learning times. A checklist of adherences to NHT steps was the primary measure. Classwide cooperative interactions were observed, and class average daily quiz scores were collected. …

Parental Stress, Child Negative Affect, And A Mediating Relationship With Negative Talk, Olivia Goodman

Masters Theses & Specialist Projects

This study aimed to establish if a relationship existed between parenting stress and their child’s depression, anxiety and somatization, referred to as negative affect. Alongside establishing this relationship, this study investigated if parent negative talk, as seen in Parent-Child Interactive Therapy (PCIT) sessions, affected that relationship. It was hypothesized that parenting stress would negatively impact their children’s negative affect, and that parenting stress would lead to increased negative talk towards their children, in turn negatively impacting their children’s negative affect. A total of 47 families from archival PCIT video sessions created the data set. Results found that there was no …

The Unintended Consequences Of Normalization: Unmonitored Mental Health Discourse Among Youth And Suicide Risk, Farley Morris

Social Work Theses - Archive

Suicide has become an increasingly common cause of death among U.S. children ages 10–14. In 2001, suicide accounted for 8% of deaths in this age group; by 2010 the proportion rose to 12%, and by 2020 it reached 22% (Centers for Disease Control and Prevention [CDC], 2020). Although factors such as adverse childhood experiences (Felitti et al., 1998; Jones et al., 2024), psychache (Shneidman, 1998), burdensomeness (Joiner, 2005; O’Connor, 2011), and hopelessness (Bat Tonkus et al., 2022; Qiu et al., 2017) are associated with suicide, these elements alone do not explain the significant rise in suicide deaths over the past …

Personalized Therapy To Meet Individual Children’S Needs And Improve Access: Identifying A “Goldilocks” Group Therapy Length For Children With Post Traumatic Stress (Pts), Rosa L. Boniface

West Chester University Doctoral Projects

Objectives. The present study investigated the incidence and correlates of early treatment response among youth participating in a school-based intervention for PTSD symptoms. Methods. 44 elementary school children who participated in the Bounce Back Program (BB) from 2017 to 2019 were included. A Reliable Change Index (RCI) score was calculated for each child on the UCLA-R for PTSD. Youths with a significant RCI score by session 5 of the 10-session protocol were classified as early treatment responders. Pretreatment characteristics were examined in relation to early responder status. Results. PTS means in this sample decreased significantly after 5 …