Clinical Psychology Commons^™

Cultural Barriers To Mental Health Support: Exploring Stigma In Childhood Trauma Survivors In Aruba, Ralitsa I.C. Hart

Honors Undergraduate Theses

This study explored whether negative attitudes towards seeking professional psychological help among people in Aruba who reported experiencing childhood trauma were predicted by perceived social stigma and the intensity of the trauma. An online survey measuring childhood trauma, attitudes towards seeking professional psychological help, and perceived stigma was administered to 162 participants using a cross-sectional correlational design. To determine the predictive relationship among these variables, a multiple regression analysis was performed. Results showed that perceived stigma significantly predicted more negative attitudes towards seeking professional psychological help, while the severity of childhood trauma did not. Among the trauma subscales, emotional abuse …

Psychometric Evaluation: Extending The Reliability And Validity Of The Teacher Attribution Measure For Early Elementary (Tam-Ee), Kerensa R. Nagle

Theses and Dissertations

Teacher attributions of student challenging behavior have the potential to influence teacher-student relationships. However, the literature on teachers’ attributions of challenging behavior is sparse and lacks measurement standardization. This limits the replicability and generalizability of research findings. To determine if teacher attributions of student challenging behaviors influence teacher-student relationships, a measure demonstrating a specific score reliability and validity profile is needed. The present study evaluated the item- and scale-level score reliability and validity of a measure of teacher attribution of student challenging behavior, the Teacher Attribution Measure for Early Elementary (TAM-EE; Nemer, 2019), within a sample of teachers (N …

Utilizing The Spatial Evaluation Of Language And Flexibility For Youth (Self-Y) In Clinical Case Conceptualization, Katelyn Frahm

Graduate Theses/Dissertations

Individuals diagnosed with autism spectrum disorder (ASD) often experience challenges with restricted and repetitive behaviors, relating directly to challenges with psychological flexibility (Hyman et al., 2020; Hayes et al., 2006). Unfortunately, the history of applied behavior analysis has extended harmful implications of treatment that have focused on compliance training and punishment, often worsening psychological flexibility (Sandoval-Norton et al., 2019). Research is calling behavior analysis to combine flexible approaches, such as Acceptance and Commitment Therapy, with technologies exploring the intricacies of individual relational networks (Hayes et al., 1999; Hayes et al., 2022; Hayes & King, 2024). The present study introduced the …

Juvenile Arthritis, Body Image, And Disordered Eating: An Exploration Of Experiences, Katelyn Ann Melcher

Graduate Student Theses, Dissertations, & Professional Papers

This qualitative study examined eating and body experiences among youth with juvenile arthritis (JA). JA, an autoimmune condition affecting nearly 300,000 youth in the United States, poses significant challenges including chronic pain, disability, and psychological concerns such as anxiety and depression. Adolescence is a critical developmental time for body image and disordered eating concerns to emerge. However, no qualitative research has explored the interactions of JA, body image, and eating behaviors among youth. Twelve youth with a JA diagnosis participated in a semistructured qualitative interview examining their experiences with JA and their feelings about their bodies and food as they …

Resilience After Prenatal Substance Exposure: Exploring The Role Of Cumulative And Specific Protective Factors In Predicting Toddlerhood Temperament Profiles, Anjeli Elkins

Theses and Dissertations--Psychology

Objective

Prenatal exposure to common substances, including nicotine, marijuana, cocaine, methamphetamine, opiates, and alcohol, has been linked to a wide range of psychiatric disorders and neurodevelopmental impairments. Identifying protective factors that may improve temperament profiles in toddlers who have experienced prenatal substance exposure may protect against these adverse outcomes and is crucial for developing targeted early interventions.

Methods

Participants (n=92; Mage = 28.7 years; 47.0% White) were biological mothers of toddlers (Mage = 22.6 months) with prenatal substance exposure. Mothers responded to an online survey that gathered information on substance use during pregnancy, proposed perinatal protective factors, and child temperament. …

Resilience And Grit In Children And Adolescents With Autism Spectrum Disorder, Danielle Oehring

College of Graduate Studies: Theses & Dissertations

Resilience is the way in which an individual positively adapts to challenging or difficult life experiences. This process is marked by adjustments to external and internal demands through mental, emotional, and behavioral flexibility. Grit is perseverance and passion for long-term goals. Although grit and resilience have been researched in children and adolescents, there is a gap in the literature for how these variables relate to developmental disorders, like autism spectrum disorder, in children and adolescents. This study aimed to explore the relationship between autism spectrum disorder and internalizing and externalizing symptoms and whether grit and resilience moderates these relationships. Based …

Risk Factors For Executive Functioning Development In Preschool Children With Type 1 Diabetes, Victoria L. Ledsham

Electronic Theses & Dissertations (2024 - present)

Links between Type 1 diabetes (T1D) and decreased cognitive functioning in children are well documented, but research on executive functioning (EF) in this population is more limited. Multiple T1D-related risk factors (e.g., hypoglycemia, hyperglycemia, glycemic variability, diabetic ketoacidosis) for EF have been established throughout the literature, but their individual effects have been difficult to determine given their interrelated nature. In result, cumulative risk has been proposed as a more robust predictor of EF differences in children with T1D. Moreover, despite the importance of early T1D onset as a risk factor for EF impairment, no studies have previously investigated EF in …

Contributions Of Birthing People’S Prenatal Parasympathetic Nervous System Functioning And Postnatal Sensitivity On Infant Temperament, Amanda M. Flagg

Electronic Theses & Dissertations (2024 - present)

Grounded in developmental psychobiology, this research aimed to elucidate how birthing people’s physiological regulation during pregnancy may shape the early emergence of socioemotional development in early infancy. The present study examined how birthing people’s prenatal parasympathetic nervous system (PNS) activity, specifically baseline high-frequency heart rate variability (HF-HRV) and HF-HRV withdrawal, and postnatal sensitivity contributes to infant temperamental reactivity at six months of age. The study aimed to clarify early developmental mechanisms through which birthing people’s PNS shapes emerging infant temperament. Data were drawn from a longitudinal cohort of Black and African American birthing people, a population underrepresented in psychophysiological research, …

The Role Of Ethnic-Racial Centrality On Exposure To Microaggressions And The Mental Health And Academic Success Of Second-Generation Latiné Adolescents, Lisette Munoz

Theses and Dissertations

People holding racially minoritized identities are frequently subjected to racial-ethnic microaggressions, a form of everyday racism and discrimination. Acculturative stress and microaggressions have a direct impact on immigrants' mental health (Gee et al., 2007; Finch & Vega, 2003; Hovey, 2000). The increase in conservative immigration policies has led to increased anti-immigrant sentiments and microaggressions (Sissoko & Nadal, 2021). The impact of microaggressions can detrimentally affect psychological and physiological wellbeing, as well as academic performance and cognitive function (Solórzano & Pérez Huber, 2020). Because of their experiences with discrimination, Latino children may become more aware of biases in their social interactions …

A Network Analysis Of Social Determinants Of Health And Youth Suicidal Ideation And Suicide Attempts At The Neighborhood-Level In Houston, Tx, Tyler Hendley

LSU Master's Theses

Youth suicide is a complex, multi-faceted human phenomenon that has no singular cause but instead is theorized to be a result of an interplay of psychological, biological, and social risk and protective factors. To best identify youth suicide risk and possible avenues for intervention, a social-ecological model approach may prove beneficial. As community-level risk factors (i.e., social determinants of health (SDOH)) have shown to impact health outcomes, it is important to understand the association between community-level risk and youth suicide-related behaviors. Utilizing a network analytic approach, this study developed an estimated partial correlation network to understand the relationship between youth …

A Latent Profile Analysis Of High-Risk Children's Problematic Sexual Behavior, Claudia Campbell

Dissertations

As research and intervention regarding children’s problematic sexual behavior (PSB) have broadly defined PSB, including all forms of developmentally atypical sexual behavior and all potential etiological factors, limited work to date has identified subtypes or unique patterns of PSB. The aim of the current study was to examine the presence of unique patterns of PSB and etiological factors among high-risk children utilizing latent profile analysis (LPA) based on children’s self-focused PSB, interpersonal PSB (IPSB), maltreatment factors, co-occurring symptoms, adaptive functioning, and family functioning. The present study included 689 8-year-old children (50.1% male, 50.2% Black) with potential PSB and their caregivers …

Unraveling The Impact Of Cognitive Test Anxiety On Academic Performance Among Adolescents: The Case Of Minority And Majority Communities, Zulfiqar Ullah Siddiqui, Wael M. F. Abuhassan

An-Najah University Journal for Research - B (Humanities)

Background: Within the Indian society and its many communities, adolescents exhibit a wide range of individual differences, including cognitive abilities, learning styles, and personality traits. These differences can influence how students perceive and cope with test anxiety and related stress. Objective: The primary goal of this research study was to investigate the influence of cognitive test anxiety on academic performance in adolescents from both minority (Muslims) and majority (Hindus) communities in India. Method: Based on descriptive-inferential research design, a sample of 450 students was selected, with 223 students representing the majority community and the remaining 227 students representing the minority …

The Psychological Impacts Of Algorithmic And Ai-Driven Social Media On Teenagers: A Call To Action, Sunil Arora, Sahil Arora, John Hastings

Research & Publications

This study investigates the meta-issues surrounding social media, which, while theoretically designed to enhance social interactions and improve our social lives by facilitating the sharing of personal experiences and life events, often results in adverse psychological impacts. Our investigation reveals a paradoxical outcome: rather than fostering closer relationships and improving social lives, the algorithms and structures that underlie social media platforms inadvertently contribute to a profound psychological impact on individuals, influencing them in unforeseen ways. This phenomenon is particularly pronounced among teenagers, who are disproportionately affected by curated online personas, peer pressure to present a perfect digital image, and the …

Voices From The Classroom: A Qualitative Study Of Teachers' Perspectives On Student Depression, Naomi Brinton, Jacqlyn Zarabba, Linda Mcwhorter, Linda Knauss

Journal of Human Services: Training, Research, and Practice

Rising levels of depression among adolescents is an important issue to teachers and school administrators, as teenagers spend the majority of their time in the school environment. By analyzing individual interviews with 15 public high school teachers using a modified grounded theory approach, this qualitative study examines the role high school teachers might play in identifying and referring students who exhibit signs and symptoms of depression. Results provide guidance for high school teachers in connecting students with appropriate services and identifying common barriers and facilitating factors in this process. Specific recommendations are outlined to help aid schools in the identification …

Childhood Adversity's Impact On Criminal Behavior, Isobel Marie Avento

Theses and Dissertations

Adverse childhood experiences (ACEs), such as abuse, neglect, and family criminal history, have been identified as potential risk factors for negative physical, psychological, and behavioral health outcomes. Emerging literature suggests that ACEs are also among the primary factors leading to delinquency and adult criminal behavior. However, there is limited applied research that provides practitioners with appropriate insight to intervene when ACEs are identified among juvenile delinquents to reduce recidivism risk. This study adds to the existing literature by examining how cumulative ACEs shape criminal behavior of individuals from the onset until its desistance over the span of twenty years. Using …

Do Parents Know Best: The Impact Of Parental Sleep Knowledge And Related Factors On Sleep In Children With Neurodevelopmental Disorders, Rachel Nicole Chavez

Theses and Dissertations

Sleep problems are a common concern reported by parents of children with neurodevelopmental disorders (NDD). The prevalence of sleep disorders in those with NDD have been reported as high as 86% compared to 25% of typically developing children (Horwood et al., 2019, Robin-Shelton, 2016). These sleep problems can have detrimental effects on cognition, development, behavior, emotion regulation, and physical health. Existing research demonstrates a significant relationship between a child’s sleep disturbances and their parents’ sleep quality and level of parenting stress. This study aimed to identify the gaps in parental sleep knowledge and examined how parent sleep quality and parental …

High Beta Brainwaves And Emotion Dysregulation In A Sample Of Children With Attention Deficit/Hyperactivity Disorder, Rebecca Carr

Theses and Graduate Projects

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity. The current study investigated the relationship between high beta brain wave activity, anxiety, emotion dysregulation, and comorbid mental health diagnoses in children with ADHD. Utilizing archival data from the Clinic for Attention, Learning, and Memory (CALM) in Minneapolis, MN, the study included 184 participants aged 6-14 years who underwent quantitative electroencephalogram (qEEG) assessments. The study utilized linear and logistic regressions to test three hypotheses: whether high beta activity predicted (1) increased anxiety symptoms, (2) emotion dysregulation, and (3) the likelihood of comorbid mental health …

Therapist Self-Disclosure With Children And Adolescents: A Guide, Katia Goga

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Therapist self-disclosure is a multifaceted aspect of psychotherapy that holds significant implications for therapeutic rapport, alliance, and client outcomes. The use of self-disclosure by therapists in working with children and adolescents has received little attention in the literature. This paper examines the theoretical underpinnings and therapeutic rationale behind therapist self-disclosure, highlighting its potential benefits and risks in the context of child and adolescent therapy. It delves into developmental considerations, exploring different factors that may influence the appropriateness and effectiveness of self-disclosure interventions. Building upon this foundation, the paper offers a practical guide to assist clinicians in judiciously incorporating self-disclosure into …

Examining Associations Between Parental Meta-Emotion, Child Adhd Symptoms, And Socioemotional Impairments., Meaghan Flynn

Electronic Theses and Dissertations

Children with elevated attention-deficit/hyperactivity disorder (ADHD) symptoms are at increased risk for social and emotional problems compared to typically developing peers. Emerging research has suggested targeting parental emotion socialization practices to enhance socioemotional development among this population. Interventions have explored how targeting specific emotion socialization behaviors may promote emotional and social functioning for youth with ADHD; however, little research has evaluated how underlying parental attitudes may influence these behaviors and outcomes. Parental meta-emotion philosophy (PMEP) refers to an organized set of thoughts and beliefs on how parents view the purpose of emotions, expression of emotions, and how these beliefs are …

Factors That Help And Hinder Experience Of Reflective Functioning In An Attachment-Based Intervention: An Enhanced Critical Incident Technique Analysis Of Parents’ Experiences, Shelly-Ann Peart James

Dissertations, 2020-current

This study explored parents’ experiences as it relates to their capacity to think about their child’s thinking and feeling, Parental Reflective Functioning (PRF), an attachment theory construct. PRF was explored in the context of an attachment-based intervention, the Secure Child Program (SCP), that focuses on children and their families. Parents’ voices were centered in this study through the employment of narrative research methodology, specifically, the Enhanced Critical Incident Technique. Participants consisted of seven parents within the SCP. A semi-structured interview developed for the study was informed by extant measures of PRF. Findings indicate helping and hindering categories with the vast …

Factors Impacting Treatment Decisions In Caregivers Of Autistic Children, Tiffany Harris

Dissertations

Caregivers of autistic children are not only tasked with deciding upon various treatment options for their children’s symptoms but must also navigate the initial crisis that is experienced after receiving a diagnosis of ASD for their children (Blancher, 1984; Ellis, 1989). Leventhal’s Common Sense Model of Self-Regulation (the CSM; Leventhal et al., 1980) is a theoretical framework developed to understand the self-regulatory processes involved in adapting to and managing health threats and posits that cognitive and emotional illness perceptions influence illness outcomes through coping behaviors. This is the first study to examine all major components of the CSM (i.e., cognitive …

Understanding The Relations Between Parental Psychological Distress And Child Emotional And Behavioral Problems: A Path Analysis, Lauren S. Erp

Dissertations

Maternal psychological distress has consistently been linked to emotional and behavioral problems in school-aged children. Given the high prevalence and negative outcomes of child emotional and behavioral problems, parenting variables have been examined as mechanisms underlying this relation. Research has demonstrated that mothers who endorse high psychological distress report high parenting stress, which contributes to the use of more negative parenting practices. Moreover, parenting stress has been shown to relate to negative parenting practices through parenting inflexibility. Yet, no known study has examined parenting stress, negative parenting practices, and parenting inflexibility as pathways through which parental psychological distress relates to …

Self-Harm In Female Youth With Undiagnosed Adhd: Implementing American Academy Of Pediatrics Screening Guidelines, Roselie M. Woodard

Dissertations

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. If undiagnosed or untreated, ADHD can lead to severe psychosocial issues such as academic failure, substance abuse, unplanned pregnancy, and incarceration. The financial burden in the U.S. from diagnostic errors creates an immense, rising fiscal impact. Early diagnosis and management are crucial to prevent these complications.

Females with ADHD, particularly those with the inattentive subtype, often face diagnostic challenges due to symptom masking and over-compensation. This results in poorer cognitive functioning and self-esteem compared to males with ADHD. ADHD is linked to autonomic nervous …

A Confirmatory Factor Analysis Of The Psi-4-Sf In Parents Of Children With Autism Spectrum Disorder, Paige Weir

LSU Doctoral Dissertations

The factor structure of the Parenting Stress Index - Short Form (PSI-4-SF) was evaluated among parents of children with autism spectrum disorder (ASD). Two hypotheses were tested: (1) the original PSI-4-SF model would yield an unsatisfactory fit, and (2) a three-factor alternative model would improve fit compared to the original and other models. A sample of 205 parent-child dyads was analyzed using confirmatory factor analysis (CFA) with the lavaan package in R Studio. Preliminary analyses included descriptive statistics, normality checks, and assessments of skewness and kurtosis. Results supported the first hypothesis, showing poor fit indices for the original PSI-4-SF model. …

Emotional Reactivity And Recognition Deficits In Individuals With Callous-Unemotional (Cu) Traits: A Multilevel Meta-Analysis, Emily C. Kemp

LSU Doctoral Dissertations

Youth and adults with antisocial behavior present a significant mental health concern. Elevated callous-unemotional (CU) traits, characterized by deficient empathy and remorse, distinguish clinically important subgroups of antisocial individuals who present with more severe behavior and distinct cognitive-affective characteristics that may help to explain the underlying causes of their antisocial behavior and inform more effective treatments. Specifically, two mechanisms theorized to underlie the development of elevated CU traits by way of atypical empathy development are deficient reactivity to and recognition of others’ emotions. Though a substantive literature base reports associations between CU traits and emotional processing deficits, significant inconsistencies remain. …

Evaluating The Relationship Between Parent-Adolescent Communication, Social Media Use, And Psychological Well-Being In Adolescents, Johannah Smith

LSU Doctoral Dissertations

Adolescents, particularly teenage girls, use social media substantially more than any other age group (Boneva et al., 2006; Gross, 2004; Padilla-Walker et al., 2020). Greater social media use has been linked to internalizing and externalizing problems; however, specific social media behavior and the relation to internalizing and externalizing problems is unknown. Additionally, how parent-adolescent communication impacts the relationships has not been explored. This is concerning as specific social media behavior, such as ruminating with peers and general social media addiction, has been linked to adolescents’ psychological well-being. (Sarmiento et al., 2020; Shensa et al., 2017; Nesi et al., 2020). The …

Grief Like Mine: A Literature Review Exploring Culturally Informed Grief Work For Black Youth Using Dance/Movement Therapy, Darrell Hyche

Expressive Therapies Capstone Theses

Black American youth are exposed to more death related circumstances than their peers yet are severely underrepresented in literature focused on the broader scope of children’s bereavement. More research and analysis are required to develop and implement culturally relevant interventions as they embark on their grief journey. Dance/movement therapy has the capacity for providing support that is culturally specific and able to meet the developmental levels of children, yet its grief focus work is limited. This literature review aims to bridge the gap between Black grief and dance/movement therapy as a culturally informed practice. An analysis of various forms of …

Music Therapy As A Support Model In Massachusetts Special Education: A Literature Review, Bonnie Diamond

Expressive Therapies Capstone Theses

Mental health directly impacts student propensity for making academic progress in the public education system. For children with disabilities, it is especially vital to develop and implement techniques within special education that deliver personally tailored benefits. According to the United States Department of Education, music therapy offers highly effective support to a wide range of students within the school setting so that they may achieve academic success and be supported in their social/emotional development (U.S Department of Education, 2011; AMTA, 2021). In examining the multifaceted ways that music therapy can offer support within the structure of education and mental health, …

Transition Skills Lab: A Telehealth Intervention For Improving Healthcare Transition In Youth With Special Health Care Needs, Angela Combs, Alaina Linafelter, Jordan Sevart, Michele H. Maddux

Research Days

The goal of this abstract is to evaluate youth skill-building and confidence across health care tasks through the virtual Transition Skills Lab.

The Relationship Between Amygdala And Orbitofrontal Cortex Volume In The Context Of Oppositional Defiant Disorder, Rahul Alla

Honors Scholar Theses

Disobedient and rebellious attitude in children is on the rise and this type of behavior is categorized as Oppositional Defiant Disorder (ODD). ODD in children can be identified as a persistent pattern of angry or irritable mood, argumentative or defiant behavior or vindictiveness toward others according to the Diagnostic and Statistical Manual (DSM-5, Fifth Edition) of Mental Disorders.1 Children with ODD typically have difficulty regulating and processing their emotions. Issues with regulating emotions is defined as the process by which individuals “influence which emotions they have, when they have them, and how they experience and express them”.2 Dysregulation of emotions …