Clinical Psychology Commons^™

Bully-Victimization, Depression, And School Connectedness In Early Adolescent Students, Irene Gonzalez-Herrer

Cal Poly Humboldt theses and projects

During early adolescence, schools play a significant role in the development of students. An issue that continues to be a serious concern for students, parents, teachers, and school officials in the U.S. and around the world is bullying. The primary purpose of this study was to examine school connectedness as a mediator between bully-victimization and depressive symptomatology in early adolescence. The secondary purpose of the study was to explore how gender and bullying classification groups (i.e., bully, victim, bully-victim, and non-involved) may relate to levels of reported school connectedness. The current study found low school connectedness partially mediated the relationship …

Associations Between Expressed Emotion, Mental Health, And Functioning In Families: Child Asthma Status As A Moderator, Katherine W. Dempster

Theses and Dissertations

Expressed emotion (EE), the affective attitudes and behaviors of one toward another, can affect caregivers’ behaviors toward their child. Research examining associations between EE and child/family outcomes is mixed; these associations may be affected by other influences such as the presence of a chronic disease or parent mental health. In this study of families living in an urban area, we examined associations between EE and child outcomes (anxiety/depressive symptoms) and family functioning, with parent anxiety as a covariate. We evaluated child asthma status as a moderator as the presence of a chronic illness may strengthen the association between EE and …

Empirical Assessment Of Callous-Unemotional Traits In Preschool: A Comparison Of Confirmatory Factor Analysis And Network Analysis, Pevitr Singh Bansal

Theses and Dissertations--Psychology

Callous – unemotional (CU) traits are a key factor in understanding the persistence and severity of conduct problems. The factor structure of CU traits has been primarily examined through confirmatory factor analysis (CFA) in childhood and adolescent samples, yet little research has examined the structure of CU traits in preschool. Further, current CFA models have yielded poor – to – marginally acceptable fit, suggesting the need for a more nuanced approach in understanding the structure of CU traits in early childhood using an interitem approach (i.e., network analysis). Within a sample of 109 preschool children (M age = 4.77, …

Executive Functions As Moderators Of Response To Behavioral Interventions For Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor

Theses and Dissertations

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) experience significant academic impairment and multiple interventions have been developed to address common academic problems, such as difficulties with homework, organization, and planning skills. Given cost and resource constraints, research is needed on factors that mental health providers can use to select the most appropriate interventions. To date, there has been minimal research evaluating moderators of response to ADHD interventions. Further, many of the variables that have been studied do not have strong theoretical ties to the mechanisms of change invoked by the interventions. This study examined potential moderators of treatment response to two academic …

Do Sluggish Cognitive Tempo Symptoms Improve With School-Based Adhd Interventions? Outcomes And Predictors Of Change., Zoe Smith

Theses and Dissertations

Sluggish cognitive tempo (SCT) is a construct that includes symptoms of slowness, mental confusion, excessive daydreaming, low motivation, and drowsiness/sleepiness. SCT is often co-morbid with attention-deficit/hyperactivity disorder (ADHD), and SCT symptoms are associated with significant academic and interpersonal impairment above and beyond the influence of ADHD symptoms. Despite the overlap between ADHD and SCT and associated impairments, no studies have evaluated how evidence-based psychosocial interventions for adolescents with ADHD impact symptoms of SCT. This study examined whether SCT symptoms improved in a sample of 274 young adolescents with ADHD who received either an organizational skills or a homework completion intervention. …

Examining The Impact Of Treatment Fidelity On Client Outcomes In A Statewide Implementation Of Parent-Child Interaction Therapy, Mira D H Snider

Graduate Theses, Dissertations, and Problem Reports (ETD)

Clinician treatment fidelity, consisting of treatment adherence and clinician competence, is commonly assessed during the implementation of evidence-based treatments to ensure that clinicians are delivering care according to an intended service model. Although resources are often expended in fidelity measurement, associations between fidelity and client outcomes has not been well established in the psychotherapy literature. The relationship between clinician fidelity and treatment outcomes was investigated in a longitudinal sample of clinicians (n = 17) and parent-child dyads (n = 32) following a statewide implementation of Parent-Child Interaction Therapy. Observer-rated measures of adherence and coaching competence collected from early …

The Effects Of Parental Engagement In Early Childhood On Academic Achievement In Adolescence, Alex Velez

Murray State Theses and Dissertations

Parental involvement and engagement have been used interchangeably in research regarding the academic outcomes of children. The current study assessed parental engagement and its relationship to academic achievement in adolescence. Specifically, the study looked at parental engagement with children aged 3 and its effects on academic achievement at age 15 in 1-parent and 2-parent homes. Exploratory analyses were also conducted to examine the effect of ethnicity on the relationship between parental engagement and academic achievement. Data were taken from participants (N = 3350) who were a part of the Fragile Families and Child Wellbeing study, a longitudinal dataset. Findings showed …

Provider-Patient Communication And Transition Readiness Among Adolescents With Type 1 Diabetes, Corrine N. Ahrabi-Nejad

Graduate Theses, Dissertations, and Problem Reports (ETD)

The majority of adolescents with type 1 diabetes do not maintain a glycemic control within the recommended range. Poor diabetes control can yield both short term and long term acute health complications, making it critical for adolescents to achieve diabetes control. During this same time in development, adolescents are preparing for the transition from pediatric to adult diabetes care. Adolescents often transition to adult care based on their age rather than their transition readiness, which may result in a lack of support from their pediatric provider, potentially exacerbating their already poor glycemic control. Transitioning from pediatric care to adult care …

The Utility Of Neuropsychological Measures On The Differential Diagnosis Of Adhd-Inattentive Type Versus Anxiety In A Pediatric Outpatient Behavioral Health Population, Emily Stapleton

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This study examined the differences in inattention and executive function between a group of children diagnosed with ADHD and a group diagnosed with anxiety disorders to establish differential profiles for these two disorders. This study evaluated the differences among children with ADHD and anxiety disorders, using parent-report and performance-based measures of inattention and anxiety. A retrospective chart review was completed for a total of 58 patients who met the criteria for an anxiety disorder or for ADHD-C and ADHD-I at the completion of the neuropsychological assessment. Analyses compared the ADHD group and the Anxiety group on select scales and subscales …

Adverse Childhood Experiences, Neuroadaptation, And Resilience: Does Trauma Focused Cognitive Behavioral Therapy Go Far Enough?, Tracie Abbott

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Adverse childhood experiences (ACEs) pose a significant public health risk. Current literature suggests ACEs have the potential to significantly disrupt sensitive periods of neurodevelopment. These neuroadaptations can result in social, emotional, and cognitive impairments that place a child at a significantly greater risk for adopting health risk behaviors and lifestyle factors that lead to the major causes of disease, disability, social problems, and early death in adults. Mental health clinicians have a unique opportunity to intervene by working with families to alter the trajectories of the child’s health risk behaviors and lifestyle factors. Trauma Focused Cognitive Behavioral Therapy (TF-CBT), a …

Structural Model Of Child Routines And Self-Regulation In Relation To Parenting And Externalizing Behavior Problems In Young Children, Lovina R. Bater

Dissertations

The relationship between parenting practices and externalizing behavior problems in preschool children is well established; however, the mechanisms that explain this relationship are less understood. It is suggested that the structure and predictability created by child routines allow children the opportunity to become aware of and learn to regulate their behaviors accordingly, yet only a couple of studies have examined this relationship. Therefore, this study examined competing models (i.e., direct, indirect, and serial mediation models) to help determine which model captures the relationship between the variables of interest. It was hypothesized that each model would have good model fit but …

Overcoming Exposure To Complex Stressors: An Examination Of Protective Coping Mechanisms For Low-Income Urban African American Youth, Molly Cory

College of Science and Health Theses and Dissertations

Low-income urban African American youth experience multiple uncontrollable stressors (e.g. community violence) that may then impact the severity of controllable stressors (e.g. school stressors) and combine to produce negative life outcomes. In light of these negative outcomes, it is important to understand individual protective factors, and the coping response in particular. Past research has emphasized the advantages of primary control engagement coping, but recent evidence suggests that low-income urban African American youth facing complex and uncontrollable stressors may benefit more from disengagement strategies in response to uncontrollable stressors. Although it is expected this population would additionally benefit from applying engagement …

Chronic Life Stress And Change In Stress Response Functioning In Urban Youth: The Role Of Social Support And Gender, Heather M. Marshall

College of Science and Health Theses and Dissertations

Salivary alpha-amylase (sAA) has been established as a bio-marker of stress reactivity in acute stressor tasks. Much less research exists exploring whether sAA is bio-marker for chronic stress exposure, and therefore, allostatic load. Extant research is inconsistent with some evidence to support chronic stress exposure having an impact on sAA reactivity and diurnal levels of sAA, while other studies have failed to support this theory. Social support is regarded as a protective factor against stress, mental health, and physical health consequences. It has been suggested that gender may play a role in the utilization and benefits of social support networks. …

Early Childhood Stressors And Negative Personality Behaviors, Kyler Joachim

Scholars Week

Early Childhood Stressors and Negative Personality Behaviors

Research is moving away from static to contextual models of understanding personality development, making it imperative to consider daily occurrences, not just biology or significant traumatic events, in personality formation. Temperament has long been considered the innate source of behaviors that later solidify into personality, but behaviors themselves and the conditions that produce and reinforce them are shaped by the daily environment. This behavior-environment interaction is especially important for children experiencing childhood stressors like poverty, food insecurity, and parental aggravation. Non-clinical personality related behaviors may arise from these stressors, which can lead to …

Parent Perception Of The Working Alliance, Parent Self-Efficacy, And Parent Locus Of Control As Predictors Of Child Therapy Outcome, Christopher Glenn Chandler

Dissertations

The purpose of this study is to examine the impact that parent-therapist working alliance, parent self-efficacy, and parent locus of control have on child therapy outcomes. Bordin’s model of the working alliance provides a framework for measuring the collaboration between the parents and therapists while Social Cognitive Theory informs the decision to assess parent self-efficacy and parent locus of control.

The research questions were as follows: 1) Does a strong parent and therapist working alliance, as perceived by the parent, predict improved outcomes in child counseling? 2) Does parent self-efficacy predict outcomes in child counseling? 3) Does parent locus of …

Adults’ Perceptions Of Children With Mental Illness Labels Who Tell Truths And Lies, Jessica Lynn Mccurdy

Dissertations, Theses, and Capstone Projects

This study examined whether children’s truth- and lie-telling is perceived differently by adults when the children have mental illness labels (MIL). Participants (N= 432) read a vignette and watched a video from each of four veracity/motivation (i.e., prosocial truth, antisocial truth, prosocial lie, antisocial lie) and child label (i.e., control, ADHD, depression, asthma) conditions. After each video/vignette combination, participants rated their impressions of and responses towards the child. Participants also completed measures of their implicit and explicit attitudes towards mental illness. The results indicated participants had more negative perceptions of children they rated higher on dangerousness and lower …

Parent Childhood Abuse And Neglect And Offspring Mental Health: An Examination Of Potential Mediators, Joanna Young

Dissertations, Theses, and Capstone Projects

Child maltreatment has been associated with difficulties in parenting (Bailey, DeOliveira, Wolfe, Evans, & Hartwick, 2012) and children of abused mothers have been found to be at risk of more negative emotional and behavioral mental health outcomes compared to children of mothers with no abuse history (Collishaw, Dunn, O’Connor, & Golding, 2007; Delker, Noll, Kim, & Fisher, 2014). However, research is limited in terms of studies that investigate mediators in the relationship between parental abuse and child psychopathology. In addition, the majority of past research has focused only on self-reported, maternal histories of abuse and on limited offspring outcomes (i.e. …

The Intergenerational Transmission Of Mentalization: How Parental Reflective Function On The Parent Development Interview Relates To Child Mentalization On The Thematic Apperception Test, Kira Boesch

Dissertations, Theses, and Capstone Projects

Mentalization is defined as the metacognitive ability to think about one’s own and other’s thoughts and feelings, with the goal of comprehending behavior (Benbassat & Priel, 2012). Mentalization is associated with secure attachment, and is both directly and indirectly linked to multiple social and emotional outcomes. This study looked at the correlation between parent and child mentalization as a means of exploring the impact of parent reflectiveness on children’s’ mentalization capacities.

Methods: This study utilized archival data collected at The Psychological Center, a community mental health clinic at the City College of New York. The sample consisted of 15 parent-child …

Biological Stress Response And Cognitive Vulnerability To Depression In Adolescence, Bridget M. Brush

College of Science and Health Theses and Dissertations

Depression is the leading cause of worldwide disability. Rates of Major Depressive Disorder (MDD) increase exponentially over the adolescent transition, suggesting adolescence represents a key period of risk for the onset of depression. Previous research has associated both biological stress response and cognitive vulnerability with symptoms of depression; however, there is little research examining the joint effects of these two risk factors and symptoms of depression, especially during adolescence. The present study examined the association between symptoms of depression and two established risk factors for depression: cognitive vulnerability, as measured by negative cognitive style, and biological stress response, as measured …

Executive Functioning In Pediatric Youth: A Meta-Analysis, Draycen D. Decator

College of Science and Health Theses and Dissertations

Executive functioning (EF) represents a set of cognitive skills that are important for daily functioning. EF can be influenced by a number of biopsychosocial factors, many of which are present in the pediatric population (i.e., youth with at least one medical condition). It is important to understand EF in this population as it affects aspects of their physical health (e.g., treatment adherence). Previous meta-analyses have been conducted to examine EF in the pediatric population, and they have generally found deficits in EF compared to healthy peers. However, these previous meta-analyses have only focused on specific medical conditions (e.g., pediatric youth …

An Attachment-Based Group Intervention, Shannon Dillon

Doctoral Dissertations

This mixed method study aimed to understand and describe the effectiveness of an intervention and the experiences of mothers raising their children in a transitional living home. This was achieved through interviewing four mothers in Gilead House. Initially, participants completed the Depression, Anxiety and Stress scale (DASS-21), the Trauma History Screening (THS), the Adolescent Adult Parenting Inventory-2 (AAPI-2) and a demographics form. The first interview was also completed. Interview questions were based on the Working Model of the Child Interview (WCMI). Following this time 1 meeting an attachment-based group intervention was utilized for eight weeks. This intervention was based on …

Poor Sleep As A Predictor Of Nssi And Suicide Ideation In Adolescents, Shelby Leeann Bandel

Masters Theses & Specialist Projects

Despite becoming a greater public health concern, the suicide rate among adolescents has not decreased significantly in recent years (Center for Disease Control and Prevention [CDC], 2015). In fact, suicide is the second leading cause of death for individuals between 12-18 years (CDC, 2015). Nonsuicidal self-injury (NSSI), the deliberate destruction of one’s own body tissue without suicidal intent and for reasons not socially sanctioned (Nock, 2009), has been identified as a robust predictor of suicide, above and beyond other risk factors such as depression and hopelessness (Asarnow et al., 2011; Guan, Fox, & Prinstein, 2012). Therefore, understanding risk factors for …

The Impact Of Violence On The Emerging Development Of Emotion Regulation: The Role Of The Caregiver, Christina Caiozzo

Dissertations (1934 -)

Caregivers teach children how to navigate an emotional world (Thompson, 1994), and children’s ability to manage emotional reactions underlies their mental health as well as their social and academic performance (Zeman, Cassano, Perry-Parish, & Stegall, 2006). However, children who experience adverse life events are at risk for impaired development of emotion regulation (Maughan & Cicchetti, 2002). Little is known about how parents of at-risk youth can continue to foster healthy development of emotion regulation for their children. Therefore, the current study aims to identify specific parenting practices that promote adaptive emotion regulation in at-risk preschoolers. Multi-method, multi-informant data were collected …

Examining The Sex Ratio In Autism Spectrum Disorder, Maya N. Matheis

LSU Doctoral Dissertations

The higher prevalence of autism spectrum disorder (ASD) among males compared to females is well documented but poorly understood. The ASD sex ratio may provide valuable insight into the underlying neurobiological mechanisms of the disorder. A review of studies examining the prevalence in ASD published in the last 5 years was conducted, revealing a mean male/female (M/F) ratio of 4. Literature examining the ASD sex ratio in relation to risk factors and associated features of ASD was also summarized. The study aimed to examine the ASD sex ratio and its association to various risk factors among an early intervention sample. …

Children With Adha Or Anxiety Disorders: Are Common Or Specific Variables Associated With Decreased Performance On Intelligence Indices?, Franziska Noacklesage

LSU Doctoral Dissertations

Although overall psychopathology has been linked to lower intellectual functioning, research has yet to investigate whether one or multiple specific underlying symptom clusters significantly correlate with working memory (WM) and processing speed (PS) deficits. The current study investigated these relationships as they apply to Attention-Deficit/Hyperactivity Disorder (ADHD) and anxiety disorders. As such, one goal of this study was to investigate the extent to which common and specific symptom clusters would predict ADHD and anxiety diagnoses compared to a control group when PS and WM were partialled out. A further goal was to determine if one could differentially predict ADHD from …

The Potential Iatrogenic Effects Of Formal Vs. Informal Juvenile Justice System Processing: The Moderating Influence Of Callous-Unemotional Traits, Emily Lynne Robertson

LSU Master's Theses

Previous research has indicated that adolescents who are formally processed by the juvenile justice system are at a higher risk of worse outcomes, most notably increased risk for subsequent offending and arrests. However, it is unclear whether this effect is due to the processing decision and subsequent involvement with the justice system or whether it is due to characteristics of the adolescents who are formally processed. Further, it is unclear whether formal processing increases the risk for future offending in all adolescents or whether its effects are more pronounced for certain adolescents. In the current study, we tested the predictions …

Mind-Body Approach To Treating Developmental Trauma In Adolescents: A Group Therapy Manual For Residential Treatment Facilities, Kayla Prosser

Dissertations, Theses, and Projects

Among the most traumatized youth are those placed in residential treatment centers. This population reports exposure to abuse and neglect at an alarming rate in comparison with the general population. These youth are often described as irritable and angry and characterized by antisocial, delinquent and problematic behaviors. As such, they are assigned diagnostic labels based on checklists of surface level symptoms while trauma histories and chronic stress are ignored or minimized. As a result, treatment focuses on management of disruptive behaviors as opposed to addressing the root cause of the dysfunction, the trauma. Developmental trauma impacts an individual in a …

The Role Of Joint Attention In Pragmatic Language Development In Children With Autism Spectrum Disorders, Ellen F. Geib

Clinical Psychology Dissertations

All children with autism spectrum disorders (ASD) present with some form of impairment in social communication. Social cognitive learning theory suggests children’s early joint attention skills provide a foundation for future language development. Preliminary research suggests social cognitive behaviors such as joint attention in the context of parent scaffolding may serve as a mechanism for language development in children with ASD. The current study utilized a parent-child free play task to explore the relations among parent and child attention and responsivity and child pragmatic language in 26 children ages 3:1 to 6:11 and their parents. Parent supported joint attention was …

The Effect Of Community Violence Exposure On Self-Reported Anxiety Symptoms In Adolescents: The Role Of Social Support Versus Family Cohesion, Blair Burke Kreiger

LSU Doctoral Dissertations

Exposure to community violence is a prevalent and problematic occurrence for many adolescents. Previous research associates direct (i.e., victimization) and indirect (i.e., witnessing or knowledge of incidences) community violence exposure with numerous adverse externalizing and internalizing psychological symptoms, including aggression, post-traumatic stress, depression, and anxiety. The literature also has identified risk and protective factors in community violence exposure and its outcomes. This study examined the relationship between community violence exposure and self-reported anxiety symptoms in adolescents, while also evaluating the role of social support and family cohesion as moderating variables. Results did not indicate significant relationship between community violence exposure …

Parental Mindfulness And Stress As An Influence On Clinically Referred Children’S Emotional Competence, Ahmad Baiyasi

Honors College Theses

Children acquire the skills of emotional competence in a variety of contexts, and demonstrate through their behavior the skills evident of emotional competence. Such skills include a sense of well-being, adaptive resilience in the face of stressful circumstances, and the ability to manage their own emotions (Saarni, 2000). Mindfulness, a relatively new construct in the study of human development, is nonjudgmentally paying attention to relevant aspects of our experiences, including our own emotions and thoughts (Ludwig & Kabat-Zinn, 2008). Stress is emotional or mental strain resulting from adverse or very demanding life circumstances, such as our living environment (Lunney, 2006). …