Clinical Psychology Commons^™

An Overview Of Suicide And The Impact Of Interacting Factors On Current Suicide Trends, Shawna Burrow

Undergraduate Honors Theses

Approximately 44,965 people committed suicide in 2016 in the United States, and the rate has been rising for a decade and a half. Suicide has far-reaching consequences which affect not only the victim, but those close to the person as well. For every suicide, an estimated six people are futher traumatized, bringing the current loss survivor estimate to over 5 million. Additionally, suicide costs tax payers about 70 billion dollars annually. Despite outranking homicide as a leading cause of death, the long-standing stigma associated with suicide creates a barrier for open and effective communication about the issue. This paper investigates …

Drama Therapy And Transgender Adolescents, Ryan Lisman

Expressive Therapies Capstone Theses

Transgender adolescents in the United States are currently a vulnerable population that often regularly face discrimination and are at a high risk for hate crimes (Center of Excellence for Transgender Health, 2016). Developing and implementing therapeutic interventions and models for working with transgender adolescents is essential at this time. In American society, there has recently been a cultural shift towards a greater sense of acceptance for the LGBTQ community (Benson, 2013), but within that, the transgender community has been consistently left behind in many aspects of progress that LGB (Lesbian, Gay, and Bisexual) people have benefited from (Benson, 2013). There …

Detecting Suicide Risk From Wristworn Activity Tracker Data Using Machine Learning Approaches, Pallavi Atluri

Electrical Engineering Theses

Suicide is a prevalent cause of death worldwide and depression is a primary concern of many suicidal acts. It is possible that an individual during depression never has any suicidal thoughts at all. On the other hand, some individuals in stable condition with no apparent symptoms of depression feel urges to commit suicide (suicidal ideation). Many such individuals never let anyone know what they are feeling or planning. Suicidal ideation considered an important precursor to suicidal acts.

Detecting the suicide risk in individuals with mood disorders is a major challenge. The current clinical practice to assess suicide risk in these …

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 …

Collaborative Documentation For Behavioral Healthcare Providers: An Emerging Practice, Suzanne Maniss Ph.D., Lcdc, Ncc, Amanda G. Pruit Lpc

Journal of Human Services: Training, Research, and Practice

This article considers the practice of collaborative documentation (CD) for behavioral healthcare providers; the legislative, technological, and philosophical milieu in which it developed; the attributed benefits for providers and clients; and the peer-reviewed research supporting its use. Collaborative documentation has emerged following significant legislative and technological changes in healthcare delivery and shifts toward client-centered healthcare practices including more shared decision-making between clients and practitioners.

The Development Of A Community-Based Drug Intervention For Filipino Drug Users, Ma. Regina Hechanova, Arsenio S. Alianan, Mendiola Teng-Calleja, Isabel E. Melgar, Avegale Acosta, Angelique Pearl Virtue Villasanta, Kay Bunagan, Camille Yusay, Angelica Ang, Jane Flores, Nico A. Canoy, Ervina Espina, Gayle A. Gomez, Elena Samonte Hinckley, Antover P. Tuliao, Miriam P. Cue

Psychology Department Faculty Publications

This article documents the development of a community-based drug intervention for low- to mild-risk drug users who surrendered as part of the Philippine government's anti-drug campaign. It highlights the importance of developing evidence-informed drug recovery interventions that are appropriate to the Asian culture and to developing economies. Interviews and consultations with users and community stakeholders reveal the need for an intervention that would improve the drug recovery skills and life skills of users. Evidence-based interventions were adapted using McKleroy and colleagues’ (2006) Map of Adaptation Process (MAP) framework. The resulting intervention reflected the country's collectivist culture, relational values, propensity for …

Male Gender Equality Ideology, Empathy, And Prosocial Bystanding Behaviors And Intentions: A Path To Intimate Partner Violence Prevention On College Campuses, Virginia Diane Woodbrown

Theses and Dissertations

Objective: The importance of involving young college males as prosocial bystanders who will step in to stop sexual violence on college campuses is acknowledged as an important next step in reducing violence against women. However, research revealing which factors influence males to become engaged in this way is nascent. Prior research designed to uncover which factors lead people to step in as prosocial bystanders has primarily focused on situational factors rather than personal characteristics, and has not explored males in the context of intimate partner violence (IPV) more specifically. Method: Survey data from 1,455 male participants, ages 18 through 25, …

Log Kya Kahenge: Psychological Well-Being And Perceived Stigma In The South Asian American Community, Khushboo Jain

Pomona Senior Theses

Current research has independently studied depression, stigma, and coping mechanisms in relation to culture, yet the effects of perceived stigma on the relationship between depression and control coping are heavily understudied. Typically, studies have broadly focused on comparing eastern and western cultures, but have not analyzed how populations with mixed cultural influences experience depression and stigma and further engage in control coping mechanisms. This study thus explores how perceived stigma moderates the relationship between depressive symptoms and control coping mechanisms for South Asian Americans. The study hypothesizes that the level of perceived stigma will moderate the relationship between depression and …

Predicting Post-Treatment Recurrence Of Child Maltreatment Among Substance-Abusing Parents, Emily Noel Neger

Theses and Dissertations

Approximately one quarter of parents identified by Child Protective Services (CPS) as having committed child maltreatment will be reidentified within a year. Children who are multiply victimized are at the greatest risk for detrimental outcomes across development. This study looked to determine whether four predictors of interest could help differentiate parents who recommitted maltreatment within an 18-month follow-up period from those who did not. Predictors assessed were the severity of a parents’ substance use, parents’ level of social conflict, parents’ belief in the use of harsh parenting practices and parents’ overall quality of life. Covariates of interest included a parent’s …

When We Say 'Physician Burnout,' We Really Mean Depression, Irvin Sam Schonfeld

Publications and Research

There has been controversy regarding the extent to which burnout overlaps depression. I enumerate eight reasons explaining to why depression is at the heart of burnout. Some of these reasons pertain to the highly similar work-related causes of burnout and depression, burnout adherents' faulty categorical and dimensional conceptualizations of burnout and depression, problematically high correlations between emotional exhaustion (the core of burnout) and depressive symptoms, research on physicians and dentists that underline burnout-depression overlap, and the problem of alexithymia being similarly related to burnout and depression. Suggestions for addressing the problem of burnout-depression among physicians are presented.

What Is The Difference Between Depression And Burnout? An Ongoing Debate, Irvin Sam Schonfeld, Renzo Bianchi, Stefano Palazzi

Publications and Research

Il burnout è concepito come una sindrome che si sviluppa in risposta a condizioni di lavoro cronicamente avverse. Si ritiene che il burnout comporti esaurimento emotivo, depersonalizzazione e riduzione della realizzazione personale. Storicamente, tuttavia, il burnout è stato difficile da separare dalla depressione. In effetti, i sintomi del burnout coincidono con i sintomi della depressione. L'evidenza della validità discriminante del burnout nei confronti della depressione è debole, sia a livello empirico sia a livello teorico. L'esaurimento emotivo, il nucleo del burnout, riflette una combinazione di umore depresso e affaticamento / perdita di energia e si correla molto bene con altri …

Burnout And Depressive Symptoms Are Not Primarily Linked To Perceived Organizational Problems, Renzo Bianchi, Eric Mayor, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

In this 257-participant study (76% female; mean age: 44.84), we examined two ideas that are widespread among burnout researchers: (a) the idea that burnout is primarily related to occupational-level factors; and (b) the idea that burnout should be considered a sentinel indicator in research on negative occupational outcomes. We investigated the links between burnout and a series of generic and work-related variables, namely, depressive symptoms, neuroticism, extraversion, effort-reward imbalance in the job (ERI), social support at work (SSW), and turnover intention. Burnout was assessed with the Shirom-Melamed Burnout Measure, depressive symptoms with the PHQ-9, neuroticism and extraversion with the NEO-Five …

Contexts Of Recovery: Community Resilience Capacity As A Predictor Of Trauma Symptoms, Douglas J. Archie Iii

Theses and Dissertations

In October 2015, the state of South Carolina was devastated by effects related to hurricane Joaquin. The event set new state records for rainfall totals. Contemporary research highlights the need to increase community resilience so that populations can better adapt to the unique stressors presented by natural disasters. Using the framework provided by Norris et al. (2008) we measure four “capacities” of community resilience: Economic Development, Social Capital, Information and Communication, and Social Trust to determine their relationship to the development of PTSD symptoms and feelings of hope. Results revealed that overall perceived community resilience was a significant predictor of …

Temperament, Adhd Symptoms, And Impairment In Middle Childhood, Lauren Elizabeth Dattilo

Theses and Dissertations

Attention deficit/hyperactivity disorder (ADHD), a disorder first diagnosed in childhood that often persists into adulthood, is characterized by difficulty sustaining attention and controlling hyperactive and impulsive behaviors (Barkley & Murphy, 2006). ADHD is associated with impairment in numerous domains in both childhood (Hinshaw, 1992) and adulthood (Flory, Milich, Lynam, Leukefeld, & Clayton, 2003). Research suggests that temperament is associated with both ADHD and impairment (Martel, Gremillion, Roberts, Zastrow, & Tackett, 2014; Nigg, 2006), and the relation between ADHD and impairment is well established (Johnston & Mash, 2001). However, there has been very little research examining the relations among ADHD, temperament, …

The Relation Between Early Adolescent Physical Activity And Internalizing Problems: Variations In Exercise Motivations As A Critical Moderator, Stephen Taylor

Theses and Dissertations

Although research suggests there is a bidirectional relation between Physical Activity (PA) and internalizing symptomology, there are inconsistencies in the literature regarding this relation for early adolescents and little research exists that investigates potential moderators that may account for these discrepancies in underserved (i.e. low SES and minority status) populations. The current study was the first to utilize a Self-Determination Theory (SDT) framework to investigate the main effects five key motivations to exercise and their moderating effects between PA and internalizing problems in an underserved sample of early adolescents (N = 167; M age = 12.19 years; 58.1% female and …

Developing A Measure Of Empowerment In Schools, Abby Albright Bode

Theses and Dissertations

Youth empowerment is widely defined as youth being actively involved in and influencing their environment in such a way as to foster positive developmental trajectories. Youth empowerment is fostered by such external aspects as positive relationships with adults, having a safe and supportive environment, and being included as meaningful contributors to teams. Given these aspects that enhance empowerment, schools are poised to provide a natural context for fostering youth empowerment. Relatedly, there is a national movement toward more comprehensive school mental health (SMH) programs and services, and building youth empowerment within this field is a logical and needed step, but …

The Readiness Monitoring Tool: Investigating The Psychometric Evidence For Group-Level Aggregation In Two Samples, Samantha N. Hartley

Theses and Dissertations

Organizational readiness is an essential factor for successful implementation of a particular innovation. Although there is general consensus within the research literature on the importance of organizational readiness, there has been significantly less agreement on the nature of readiness as a construct and how it should be operationalized. Previous research has focused on organizational readiness for change at both the individual and organizational levels, but measures based on these theories of readiness have typically lacked evidence of reliability and validity.

The R=MC2 heuristic and its associated measure, the Readiness Monitoring Tool (RMT), offer a compelling and comprehensive approach by which …

Gene By Environment Interaction On Weight-Related Outcomes Over Time In Underserved African-American Adults, Tyler Coe Mcdaniel

Theses and Dissertations

Obesity research in the area of prevention has become a national priority given the increasingly high prevalence rate of this condition among US adults, and subsequent health risks that are associated. The etiology of obesity is complex, so a more comprehensive understanding of the interaction between genetic predisposition and the social environment in regards to obesity in adults would advance our knowledge for future public health and prevention efforts. This study’s aim was to assess the impact of a gene by neighborhood social environment interactions on weight-related (i.e., waist circumference) and stress-related (i.e. cortisol) outcomes in underserved African-American adults. A …

Family Oriented Values, Emerging Adulthood, And Tobacco Use Among Hispanic Emerging Adults, Melek Yildiz Spinel

Theses and Dissertations

Theory and research on emerging adulthood (ages 18 to 25) have increased in the past two decades. However, few studies have assessed how different cultural values and experiences influence the experiences of ethnic minority emerging adults. The first objective of the current study was to expand the field of emerging adulthood research by exploring how familism, the belief that family is central to a person’s life, related to their experience of emerging adulthood. Specifically, the study assessed how familism related to Arnett’s proposed experiences of emerging adulthood (identity exploration, self focused, other-focused, feeling in between, the age of instability/negativity, and …

Cognitive Remediation Of Working Memory Deficits In Children With Chronic Health Conditions: Tailoring Cogmed Training To Address Barriers To Adherence, Kelsey Smith

Theses and Dissertations

Objective: Children with sickle cell disease (SCD) and cancer are at risk for working memory impairment due to the disease and treatment. However, inconsistency in adherence to cognitive training programs conducted with this population suggests that adaptations are necessary in order to improve the effectiveness of this intervention. In addition, it is unclear whether gains in working memory translate to improvement in classroom functioning.

Methods: Children engaged in cognitive training exclusively over the summer in order to improve adherence to Cogmed Working Memory Training. A total of 17 children ages 7- 17 with a diagnosis of SCD (n = 14) …

A Mixed Method Feasibility Assessment Of A Youth Participatory Action Research Program To Promote Physical Activity: Evaluating Implementation Within Two Pre-Existing Aftercare Programs Serving Middle School Youth, Michelle Abraczinskas

Theses and Dissertations

Obesity interventions to date have had small effects, which may be due to youth disengagement. In youth participatory action research (YPAR), youth become involved in research to make changes that impact their lives. Thus, integrating YPAR into a physical activity intervention, like we do in the current study, is a novel strategy to engage youth and increase empowerment for health behavior change. YPAR is typically implemented with high school youth, standalone, and within elective classrooms or focused after school programs; yet, YPAR can benefit all youth, so we expanded its reach into pre-existing aftercare programs. Participating youth were predominantly minority, …

Adhd Symptoms And Adult Romantic Relationships: The Role Of Partner Attachment Style, Emotion Recognition, And Personality, Katherine Knies

Theses and Dissertations

The purpose of this project was to examine the impact of ADHD within the context of adult romantic relationships more thoroughly than has previously been examined. Whereas symptoms of ADHD do seem to contribute to the quality of a relationship (Canu, 2014; Orlov, 2010; Pera, 2008), no prior research has examined the interaction between individual characteristics and partner ADHD symptoms in predicting relationship quality. The present study addressed this gap in the literature by examining the characteristics of both partners, specifically, how certain characteristics of one partner interact with the other partner’s ADHD symptoms in predicting relationship quality. Participants were …

Sustaining Evidence-Based Substance Use Prevention Interventions: A Five-And-A-Half Year Follow-Up Study, Tara Kenworthy

Theses and Dissertations

In the United States, extensive monetary resources are dedicated annually to support drug use prevention programs, but the sustainability of these interventions over time is often a neglected area of research. This study examines the moderating effect of capacity factors on the relationship between motivation factors and years interventions were sustained. We retained a sample of 29 evidence-based substance use prevention interventions implemented in 14 community coalitions as part of the Strategic Prevention Framework State Incentive Grant (SPF SIG) in Tennessee. Primary data were collected through interviews about each intervention conducted five-and-a-half years after SPF SIG funding ended. These interviews …

Mental Illness Stigma And Community Integration: Linking Perceived Experiences With Reported Behavior, Lauren L. Gonzales

Dissertations, Theses, and Capstone Projects

This study examines the relationship between individual and neighborhood characteristics, stigmatizing experiences, and measures of community integration among individuals with mental illness. Surveys were administered to two samples: 608 community member participants and 343 participants with mental health diagnoses. Participants in both samples were recruited from 3 community sites in the New York City metropolitan area: East/Central Harlem in Manhattan, Crown Heights/East Flatbush in Brooklyn, and Yonkers and Mt. Vernon in Southern Westchester. Negative symptoms and perceived level of community microaggressions were strong predictors of community integration for participants with mental illness. Prior contact with mental illness predicted less stigmatizing …

Investigating Post-Exertional Malaise As A Core Symptom Of Myalgic Encephalomyelitis And Chronic Fatigue Syndrome: A Meta-Analytic Approach, Abigail A. Brown

College of Science and Health Theses and Dissertations

Efforts to establish a reliable and valid case definition for myalgic encephalomyelitis and chronic fatigue syndrome (ME and CFS) have been complicated by an over-reliance on clinical consensus, and inconsistent application of established case definitions by researchers across study sites. This has resulted in the absence of an empirically-based case definition for ME and CFS, as well as failed replication studies on potential diagnostic tests and biomarkers. One step toward an empirically-driven case definition is determining which symptoms best discriminate between patients with ME and CFS versus controls. Post-exertional malaise (PEM) is considered a cardinal symptom of ME and CFS …

The Lived Experience Of Recovery Home Residents: An Interpretative Phenomenological Analysis, Dina Chavira

College of Science and Health Theses and Dissertations

Substance use disorders have had an enormous impact on individuals, families, and communities in the United States. The societal cost of substance abuse in terms of health care, crime, and lost wages is over $700 billion annually. Despite advances in evidence-based treatments, the chronicity of substance use disorders underscores the need to explore and expand long-term aftercare options to prevent relapse after acute residential treatment. Oxford Houses offer an affordable alternative to more costly and limited forms of transitional housing. These self-sustaining, democratically-run recovery homes provide a safe and sober living environment with peer support and no professional staff. Provided …

An Examination Of Depression And Social Support Among African American Women In Substance Use Recovery, Jocelyn Rose Droege

College of Science and Health Theses and Dissertations

Depression is responsible for widespread functional impairment and disability in 16 million individuals across the United States, as well as societal costs that exceed $36 billion. There are numerous risk factors for depression, such as female gender, ethnic minority status, poverty, incarceration, and comorbid substance use disorders. Thus, low-income, criminal-justice-involved African American women in recovery from substance use problems represent a population that is particularly vulnerable to depression. Social support has been established as a protective factor against depression; however, the relationship between social support and depression has been understudied in such high-risk African American populations. The present study examined …

Corporate Social Responsibility (Csr) And Its Impact On Actions: Exploring Social Change Through College Students, Rachael Leigh Suffrin

College of Science and Health Theses and Dissertations

The present study has three goals. First, it validates a new Sensitivity to Employer Social Responsibility Scale, used to help understand how undergraduate students perceive their values related to corporate social responsibility (CSR) impact their prospective employment decisions. Second, this study examines whether students value working for a socially responsible employer and third, how (a) social justice experiences in college and/or (b) social justice attitudes and beliefs may predict how students perceive the impact their CSR values have on their prospective employment decisions. Results indicate that students who participated in the study overall positively endorsed a degree of sensitivity to …

Introduction To Dignity Special Issue: Freedom From Sexploitation, Lisa L. Thompson, Donna M. Hughes

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Understanding And Addressing Arab-American Mental Health Disparities, Sherief Y. Eldeeb

Scholarly Undergraduate Research Journal at Clark (SURJ)

The landscape of mental healthcare and focus on disparities research in the United States has vastly improved in recent years. However, Arab-Americans continue to be a commonly overlooked group within the scope of the research. This trend is especially worrisome given detrimental factors for Arab-Americans that have arisen as a factor of 9/11 and in the scope of the 2016 United States Presidential Election. This work explores barriers to accessing formal mental health care and offers recommendations to reconcile them for Arab-Americans. The present study completes this through a review of the literature and an interview conducted by the author …