Clinical Psychology Commons^™

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …

The Nature Of Defenses Used By School-Aged Children With Adhd, Laurie G. Slodounik

Dissertations, Theses, and Capstone Projects

This study sought to develop a more nuanced clinical picture of children with ADHD by examining the relationship between their emotional dysregulation and their use of defense mechanisms—the unconscious mental processes that guard against strong emotions. Children’s responses to the Thematic Apperception Test (TAT) were examined for evidence of defense mechanisms using an empirically validated scale, the Defense Mechanism Manual. The study employed a mixed between-within nonequivalent group design to examine the responses of 37 children ages 7-10. It was hypothesized that children with ADHD would use more frequent and more immature defenses than their peers without the disorder. Additionally, …

Fear Of Missing Out, Social Media Abuse, And Parenting Styles, Kylie Richter

Electronic Theses and Dissertations

With the increasing rise in technology use, particularly engagement in social media, it is important for researchers to gain a better understanding of the usage patterns along with the antecedents and consequences of heavy social media usage. In addition to the rise in social media usage, a new anxiety driven phenomenon is storming the research world, FoMO (Fear of Missing Out). To date, there has been little empirical research on the relationship between social media usage and psychological adjustment. This study aimed to investigate the relationships between FoMO, social media abuse, and parenting styles. It is theorized that because FoMO …

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

The Role Of Stressors And Academic Competence In Adolescent Depression By Race, Ishani R. Deo, Hazel M. Prelow

Journal of Adolescent and Family Health

This study used a sample of 260 African American and European American adolescents to investigate whether adolescents' perceptions of academic competence serve as a mediator of the relationship between different interpersonal stressors and depression symptoms, and whether the utility of this model changes with race. The association between exposure to violence and depression symptoms was mediated by academic competence, and race moderated the indirect paths from both discrimination experiences and violence exposure to depression. In addition to the significant differences by race, there was a significant indirect effect for African Americans exposed to violence. These findings suggest that African American …

The Relationship Between Maternal Distress And Adjustment Problems In Adolescents With Attention-Deficit/Hyperactivity Disorder: An Examination Of Family Routines And Communication As Moderators, Ryan Nicole Cummins

LSU Master's Theses

Attention-Deficit/Hyperactivity Disorder (ADHD) is a common disorder in youth. The presence of comorbid internalizing and externalizing symptoms is a frequent occurrence in ADHD youth; comorbid symptoms are associated with poor adjustment into adolescence and negative trajectories into adulthood. There are many contributing factors in the development of comorbid symptoms (e.g., parental distress and family environment). Thus, it is important to understand the relationship between contributing factors and the ways in which family consistency helps to manage problem behaviors in adolescents with ADHD. One way to increase consistency is through the use of routines and positive communication. The present study examined …

Practice Standards For Initial Adhd Assessment: A Review, Lauren Spencer

Masters Theses & Specialist Projects

There are many challenges that come with diagnosing attentiondeficit/ hyperactivity disorder (ADHD), including shared symptoms with many similar disorders, high comorbidity of other mental disorders, and subjective bias from informant reports. Three clinical guidelines for diagnosing ADHD currently exist, published by the American Academy of Pediatrics (AAP), the National Institute for Health and Care Excellence (NICE), and the American Academy of Child and Adolescent Psychiatry (AACAP). However, these guidelines are outdated as they are based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) and do not include more recent research. This project was intended to update …

Summer Treatment Program For Adhd And Asd: The Role Of Physical Activity, Sleep And Inhibitory Control, Erin G. Underbrink

Clinical Psychology Dissertations

The purpose of this study was to identify pathways that lead to improved behavioral outcomes in children with symptoms of Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD), and/or related social and behavioral difficulties. Specifically, this study sought to understand the relationship between physical activity, sleep, and inhibitory control and their impact on behavior in children participating in a Summer Treatment Program. This research analyzed the potential mediating effect of sleep and inhibitory control between physical activity and behavioral outcomes. This research examined the separate mediation models, as well as the overall serial mediation model, to inclusively examine the …

The Incremental Validity Of Parent-Reported Executive Functioning In Attention-Deficit/Hyperactivity Disorders And Reading Achievement, Ilayna Krysten Mehrtens

LSU Master's Theses

Attention-Deficit/Hyperactivity Disorder (ADHD) is a commonly diagnosed neuropsychological disorder in childhood. Children with ADHD are at an increased risk for comorbid learning disorders, particularly in reading. Attempts to understand the factors that contribute to the high co-occurrence of these disorders have identified Executive Functioning (EF) as a potential explanatory mechanism for this relationship. However, previous findings regarding the role of EF have been mixed. Additionally, much of the research regarding the influence of EF on reading achievement among children with ADHD has been limited to performance-based measures of EF. Subsequently, there is little research regarding the relative influence of behavioral …

The Development Of Affect And Defense In Childhood And Adolescence, Kari Gray

Dissertations, Theses, and Capstone Projects

The purpose of this study is to further determine the nature of the relationship between how defense mechanisms affect and are affected by the ways in which feelings are modulated and regulated in children and adolescents. This study has been built upon an IRB-approved research project conducted under primary investigator Steven Tuber, Ph.D. at the Psychological Center and the City College of New York (From Child Assessment to Child Treatment; A Preliminary Investigation). The study data are pre-existing, collected from 5 – 16 year old children and adolescents presenting for treatment and/or assessment at the Psychological Center, a …

Anxiety And Depression During Childhood And Adolescence: Testing Theoretical Models Of Continuity And Discontinuity, Joseph R. Cohen, Arthur R. Andrews, Megan M. Davis, Karen D. Rudolph

Department of Psychology: Faculty Publications

The present study sought to clarify the trajectory (i.e., continuous vs. discontinuous) and expression (i.e., homotypic vs. heterotypic) of anxiety and depressive symptoms across childhood and adolescence. We utilized a state-of-the-science analytic approach to simultaneously test theoretical models that describe the development of internalizing symptoms in youth. In a sample of 636 children (53% female; M age = 7.04; SD age = 0.35) self-report measures of anxiety and depression were completed annually by youth through their freshman year of high school. For both anxiety and depression, a piecewise growth curve model provided the best fit for the data, with symptoms …

Utilizing Animal Metaphors In Child Psychotherapy: An Integrative Approach For Therapists, Tricia J. Gordon

The Graduate Review

Despite a plethora of therapeutic approaches utilized when working with children, there is still a need for empirically based, child-centered, developmentally appropriate methodologies. This research aims to provide a greater understanding of the use of action-based metaphors when working with clients in early to middle childhood, while integrating various treatment modalities. While there are a countless number of metaphorical possibilities, there is a lack of research with a focus on the specific use of animal metaphors in child therapy. This child-friendly integrative approach proposes that therapists adjust their current working model to see the client as a whole, while integrating …

Social And Emotional Adjustment Across Aggressor/Victim Subgroups: Do Aggressive-Victims Possess Unique Risk?, Kelly E. Oconnor

Theses and Dissertations

Both theory and empirical evidence support the existence of “aggressive-victims,” a subgroup of youth who have been found to experience the negative outcomes associated with being an aggressor and being a victim. It remains unclear, however, if aggressive-victims possess risk factors that are unique from youth who are either aggressive or victimized. The present study sought to: (a) identify subgroups of seventh grade adolescents who differ in their patterns of aggression and victimization, (b) determine the number and structure of subgroups differ by school or sex, and (c) investigate whether aggressive-victims differ from all other subgroups in their social and …

Generalization Of Ipad®-Learned Skills In Children With Autism Spectrum Disorder, Claire Klein

CMC Senior Theses

The present study investigated the effects of learning from an iPad® to real-world skills for children with autism spectrum disorder (ASD). Research has demonstrated that for some children with ASD, electronic media such as an iPad® is highly motivating, highly preferred, and increasing in popularity in homes and in classrooms (Chen & Bernard-Opitz, 1993; Rideout, 2017; Shane & Albert, 2008). Because academic skills are often difficult for children with ASD due to problems with motivation, the current study used the motivating features of iPad® apps to teach real-world academic skills to children with ASD, with the hypothesis that skills would …

The Imprint Of Childhood Abuse On Trauma-Related Shame In Adulthood, Joan A. Reid

Dignity: A Journal of Analysis of Exploitation and Violence

Research has consistently linked residual trauma-related shame among child sexual abuse (CSA) survivors to sexual revictimization, health risk behaviors, and poorer response to mental health treatment. However, questions remain regarding the imprint of childhood maltreatment on trauma-related shame including which CSA characteristics or types of childhood maltreatment contribute to residual shame in adulthood. Using data drawn from a prospective study of 174 primarily African American women with histories of CSA and a matched comparison group, this study explores whether specific characteristics of CSA (familial CSA, CSA with penetration, force used by CSA perpetrator), repeat sexual victimization in adolescence, childhood physical …

Early Adversity And Executive Dysfunction In Children With Attention Deficit Hyperactivity Disorder, Jennifer Amato

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation was designed to inform the existing literature gap regarding variability in Executive Dysfunction on neuropsychological assessment tasks in children with attention deficit/hyperactivity disorder (ADHD). The two primary objectives of the study included: (a) evaluation of the relationship between number of adverse childhood events (ACEs) and performance on neuropsychological tasks of executive functions (EF; as measured by neuropsychological test results on Color–Word Interference, Verbal Fluency, Trail Making Test, and Semantic Clustering) for children with ADHD; and (b) evaluation of the relationship between number of ACEs and behavioral impairment on parent ratings of EFs (as measured by the Inhibit, Task …

Person-Centered Analysis Of Adhd Comorbidities And Differential Characteristics And Outcomes, Christine Anne Lee

Theses and Dissertations--Psychology

Attention-deficit/hyperactivity disorder (ADHD) is one of the most prevalent and impairing childhood disorders (5%; American Psychiatric Association, 2013), yet it is often studied in isolation. Such an approach is at odds with the clinical reality, where ADHD has a high comorbidity with oppositional defiant disorder, anxiety, and depression (Jensen, Martin, & Cantwell, 1997). Based on the possible presentations of ADHD with both externalizing and internalizing symptoms, there may be differences in associated characteristics, areas of impairment, and resulting assessment interventions. Therefore, the present study investigated how ADHD comorbidities manifested in a population of 233 elementary age children and how these …

A Practice Elements-Based Approach To Adherence Measurement, Stephanie Violante

Theses and Dissertations

The measurement of treatment adherence (i.e., the frequency and thoroughness with which a therapist delivers a treatment as designed) is critical to the field of implementation science, as adherence is often considered an indicator of successful implementation. Most existing instruments of treatment adherence are treatment protocol specific; however, this approach is costly, inefficient, and disallows cross-treatment and cross-study comparisons. Thus, there is a need for adherence instruments that can be used across treatment protocols. It has been suggested that an instrument that captures adherence at the practice element level would meet this need, as it would have utility across protocols …

Towards Better Outcomes For Families With Transition-Age Youth Or Young Adults With Asd: A Mixed Methods Study From A Parent’S Perspective, Wing Hang Wong

Theses and Dissertations--Educational, School, and Counseling Psychology

The after-high-school outcomes for individuals with autism spectrum disorder (ASD) and their families are less than desirable. The current study employed an exploratory sequential mixed methods design in order to enhance understanding of the family adaptation process during transition. First, a qualitative study was conducted in order to understand the stressors, external and internal support, coping strategies, and family adaptation outcomes during transition, from a parent’s perspective, using the ABCX model. Thirteen parents of adolescents and young adults with ASD were interviewed. These parents reported a continually high level of stress due to normative strains and ASD-related demands. They clearly …

Emotion Socialization And Families Of Children With And Without Adhd., Danielle M. Walerius

Electronic Theses and Dissertations

Emotional competence (EC) represents several distinct emotional skills found to be strongly associated with children’s socioemotional outcomes. EC is thought to develop through a process known as emotion socialization (ES), whereby children’s emotions and emotion-based behaviors are socialized through interactions with parents and/or other primary figures. The present study examined ES across families of children with and without ADHD in order to clarify the role ES plays in the development of EC in typically developing (TD) children versus children more prone to EC impairments due to intrapersonal characteristics (e.g., inattention, disinhibition, etc.). Forty-eight children 5 to 8-years-old (23 with ADHD, …

Diversity Of Diagnoses And Student Learning Experiences In An On-Campus School Psychology Assessment Center: Future Directions And Focus, Nina M. Ellis-Hervey Ph.D., N.C.S.P., L.S.S.P., P.L.P., Ashley Doss B.S., Maio-Cert, Deshae Davis-Gatti M.A., Juliet Aura Bs/P

Journal of Multicultural Affairs

School Psychology Assessment Centers (SPAC) developed at the University-level are crucial in developing competent school psychologists. While many models on how to develop mental health centers are in existence, a new model exists for creating a SPAC on a University campus that is specifically designed to serve the diverse surrounding community and postsecondary students (see Ellis-Hervey et al., 2016). The community’s needs were reviewed, including missing service links in the region, and identification of potential clients who would benefit most from services provided. Senior students who work with clients in the SPAC gain assessment skills and build supervision skills through …

Reported Child Sexual Abuse: Impact Of Adaptive Skills And Association With Psychological Adjustment, Seandra Jean Walker

LSU Doctoral Dissertations

The impact of sexual abuse on children’s psychological well-being is well recognized. Considerable research has evaluated the deleterious effects and various protective and risk factors to victimization. Research has shown intense and pervasive psychological symptoms preceding child sexual abuse; however, many studies solely report long-term effects of sexual abuse, or rely on retrospective accounts. Additionally, there is a lack of research on the relationship between psychological adjustment and adaptive skills shortly after child sexual abuse. This study investigated the relationship between psychological problems (i.e. posttraumatic symptomology, internalizing, and externalizing problems) and adaptive skills (i.e. adaptability, social skills, leadership, activities of …

Examining The Concurrent And Predictive Relations Of Working Memory In Childhood Attention-Deficit/Hyperactivity Disorder, Ashley N. Simone

Dissertations, Theses, and Capstone Projects

Attention-deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by developmentally inappropriate levels of inattention and/or hyperactivity/impulsivity which lead to impairment in multiple settings (American Psychiatric Association, 2013). Childhood ADHD has been concurrently associated with various neurocognitive deficits and one in particular that has been under examination over the past several years is working memory (WM). WM is a temporary storage system that is responsible for maintenance and/or manipulation of information in order to complete complex cognitive and behavioral tasks. Researchers have postulated that WM is one of several potential endophenotypes of ADHD (Castellanos & Tannock, 2002) and/or that WM is …

The Contributions Of Child And Romantic Attachment To Sleep Quality, Karen Estefane

Dissertations, Theses, and Capstone Projects

Little is known about the relation between attachment and sleep, although both develop around the first year of life and mutually influence each other. Furthermore, attachment styles and dimensions have been associated with sleep difficulties in both childhood and adulthood. However, these findings have not been consistent, especially among dismissing individuals. In addition, the specific contributions of both child and romantic attachment to sleep quality have not been investigated thus far. This cross-sectional study aims to examine the ways child and romantic attachment are associated with sleep quality. A sample of 671 heterosexual residents of the United States, aged 18 …

The Role Of Therapeutic Engagement, Oral Language Proficiency, And Core Learning Indicators On The Effects Of Therapy For Youth With Depression, Amanda E. Wagstaff

College of Science and Health Theses and Dissertations

Youth with depression, particularly ethnic minority youth, have low rates of engagement in mental health services, indicating a large need to better understand the role of engagement in effective treatments for depression (Merikangas et al., 2011). Cognitive behavioral therapy (CBT) is one of the leading psychotherapeutic treatments available for youth with depression (Weisz, McCarty, & Valeri, 2006), but several questions still remain regarding why and in what circumstances this therapy is most appropriate. CBT posits that part of the positive treatment effects is accounted by learning certain cognitive and behavioral skills during and outside of session (i.e., through active homework …

Examining The Role Of Mentorship On Urban Youth: The Effect Of Locus Of Control On Academic Achievement, Stacy Alaina Stewart

College of Science and Health Theses and Dissertations

Positive academic effects of mentoring interventions have bee established, but little is known about how and why mentoring interventions are effective. Understanding the mechanisms or constructs that enable mentoring effects would allow researchers to better generalize these types of interventions across populations. This present study explored the construct, locus of control, and examined its effects on academic achievement in the context of mentorship. In the present study, 87 urban, low-income middle school youth participated in a randomized controlled trial intervention, entitled The Cities Mentor Project. Cities Mentor Project provides coping trainings, and access to mentors and community organizations, to further …

Maternal Trauma Experience On Infant Cortisol Reactivity At 12 Months, Michelle Anne Gilchrist

College of Science and Health Theses and Dissertations

Intimate Partner Violence (IPV) is a major public health concern in the United States (US). One third of women in the US have experienced rape, physical assault or stalking by a former or current partner (Black et al., 2011). Evidence suggests that women experience increased risk for IPV during the perinatal period and exposure to IPV during and after pregnancy increases risk for adverse physical and mental health outcomes for victims. The “fetal programming” hypothesis proposes that prenatal experiences are also particularly impactful for offspring development in the short and long term; prenatal poor nutrition and stress have been linked …

Universal Teacher-Child Interaction Training: A Pilot Study Examining Coaching With Random Assignment, Alexandra Lauren Barnett

College of Science and Health Theses and Dissertations

Classrooms are in dire need of teacher support services and effective child behavior management, particularly in low-income urban areas (Campbell & Ewing, 1990; Fantuzzo & Mohr, 1999; Hamre & Pianta, 2004; Visser, Bitsko, Danielson, Perou, & Blumberg, 2010). Teacher-Child Interaction Training - Universal (TCIT-U) is a preventive, classroom-wide teacher training protocol that shows promise for strengthening teacher and child behavior (Budd, Garbacz, & Carter, 2016; Fernandez, Gold, Hirsch, & Miller, 2015b; Garbacz, Zychinski, Feuer, Carter, & Budd, 2014; Lyon, Budd, & Gershenson, 2009a). To date, this is the first pilot study with random assignment to investigate TCIT-U; further, it is …

Perspectives On Personality Assessment Of Children With Limited Cognitive Ability, Jasmine Fayeghi Schnurstein

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Personality assessment can be an important part of diagnosis and treatment planning with children and adolescents. Consequently, research in personality assessment with children and adolescents has received attention; however, there is still limited research in this area with children of below average cognitive capacity. In order to gain better understanding of the current practice of personality assessment of children with below average IQ, this interpretative phenomenological study explores expert psychologists' experience and recommendations for future practice. Structured interviews were conducted with four clinical psychologists with an expertise in personality assessment with children, including children with below average intelligence. Five themes …

Bedtime Fading With Response Cost For Treatment Of Sleep Disturbances In Children With Autism Spectrum Disorder, Sela Ann Sanberg

Theses & Dissertations

As many as 82% of children with Autism Spectrum Disorders (ASD) experience numerous chronic sleep-related problems and at a much higher frequency and severity than their typically developing peers. Behavioral treatments are considered best practice and first-line treatment to address sleep problems. These treatments tend to address one specific sleep-related behavior at a time. Bedtime Fading with Response Cost (BFRC) is a promising intervention that targets a multitude of sleep problems concurrently and has yet to be replicated by more than one investigative team in the home setting with children on the autism spectrum. This study evaluated the effectiveness of …