Clinical Psychology Commons^™

Depression Among African American Midlife Women: Delineating The Role Of Stress, Heather Page

Theses and Dissertations

Recent multi-ethnic epidemiologic studies indicate an increased risk for the onset of new as well as recurrent episodes of clinical depression among midlife women. However, little is known about the risk factors that influence the occurrence, severity, and course of depression in midlife among African American women (AAW). The purpose of the current study was to statistically model three prevailing conceptual views of stress and depression: 1) life course, 2) stress exposure, and 3) stress generation). The research investigated the abilities of these conceptual models to predict depressive symptoms severity, current depressed days, and major depression among midlife AAW. Data …

Getting To Outcomes® In Clinical Practice An Empirical Exploration Of A Framework That Supports Quality For Graduate Student Therapy Training, Jennifer Castellow

Theses and Dissertations

Getting To Outcomes® in Clinical Practice is an innovation being developed and disseminated in a clinical training center for psychology doctoral students. The innovation is a step-wise framework posited to enhance clinical practice by supporting the planning, implementation, and evaluation of specific evidence-based practices in psychology. The current study introduces and defines the innovation and uses a multiple case study, mixed method analysis to evaluate current innovation use behaviors as well as attitudes about the innovation. The guiding research themes for this study include: (1) innovation use behaviors, (2) attitudes about the innovation, and (3) influential contextual factors that impact …

Promoting Positive Academic Beliefs And Performance: Exploring The Impact Of An Academic Enrichment Program, Melanie Avery

Theses and Dissertations

First generation and low income college students experience unique achievementrelated barriers not typically experienced by their counterparts whose parents attended college and/or are of higher socioeconomic status (Hahs-Vaugn, 2004; Kahlenberg, 2004; Mortensen, 2003; Prospero & Vohra-Gupta, 2007). Academic enrichment programs that target first generation and low income college youth are one strategy that has helped to address these concerns. To extend literature in this area, the current study sought to identify factors that may be promotive of and/or barriers to first generation and low income youths’ achievement-related outcomes. Furthermore, this investigation sought to explore whether an academic enrichment program, namely …

“More To Life Than Mental Health”: Investigating The Roles Of Community Mental Health Case Managers In Promoting Community Integration For Adults With Psychiatric Disabilities, Betsy A. Davis

Theses and Dissertations

The recovery movement in the field of community mental health has brought attention to more holistic outcomes of services for adults with psychiatric disabilities, including community integration. However, there is a lack of empirical investigations of the roles that service providers, and case managers (CMs) in particular, can play in promoting such outcomes for their clients. The present study took an exploratory, hypothesis-building approach to describing the ways in which CMs supported the community integration of their clients with serious mental illness. A cross-sectional design was used with qualitative and quantitative data collected from 6 CMs and a sampling of …

Help-Seeking And Intimate Partner Violence Re-Victimization Of Sexual Minority And Heterosexual College Students, Andrew T. Schramm

Theses and Dissertations

Recent estimates indicate that 18.5% of heterosexual college students and 30.3% of sexual minority college students are victims of physical intimate partner violence (IPV; Edwards, Sylaska, Barry, et al., 2015). Research among adult women in oppositesex relationships has shown that once an individual is victimized by IPV she is subsequently at high risk for future IPV victimization. Re-victimization is associated with more severe physical and mental health consequences of IPV. No prior study has assessed the rate of re-victimization among sexual minority adults. Help-seeking behavior, which refers to accessing a range of sources of support (e.g., family and friends, law …

Exploring The Relationship Between Church Level Predictors Of Status And Obesity Risk In African American Women Of Faith, Kinjal Pandya

Theses and Dissertations

Although obesity is a nationwide epidemic, there are large racial, gender, socioeconomic, and geographical disparities in the rates of this condition. Specifically, African American women are more likely to be classified as obese as compared to all other gender and racial groups. Scholars have targeted African American churches to implement dietary and physical activity interventions in an attempt to combat the racial disparity in obesity rates. One of the main correlates studied in regards to obesity has been individual level markers of status such as socioeconomic status and subjective social status. Even though we focus on churches as a place …

Preliminary Evaluation Of "Footprints": Motivational Interviewing To Promote Cognitive-Behavioral Skills, Academic Outcomes, And Academic Protective Factors In Middle School Students, John Terry

Theses and Dissertations

There are high levels of unmet need in youth mental health services. To address this gap there is an increasing emphasis on multi-tiered systems of support involving promotion/prevention (Tier 1), early intervention (Tier 2) and intervention (Tier 3) to promote positive emotional/behavioral functioning in students. While research on these multi-tiered frameworks is increasing, there remains a relative dearth of empirically supported and feasible early intervention Tier 2 programs. To help address this gap, we developed the Tier 2 program, Footprints, which utilizes two Motivational Interviewing sessions to promote engagement in six group-based modularized Cognitive-Behavioral Therapy sessions and aims to enhance …

Exploring Teacher Readiness: What Features Of Professional Development Enhance Motivation To Implement Technology Innovations?, Robert S. Markle

Theses and Dissertations

Several studies suggest that if evidence-based school innovations are to be successful, schools must possess adequate capacity to implement them with quality. This paper utilizes a framework of organizational readiness called R=MC2, positing that readiness to implement with quality consists of three components: general capacities, innovation-specific capacities, and motivation. Specifically, this paper investigates whether certain key characteristics of professional development (active learning, integration, time for practice, collaboration, tailoring, coaching, and provision of feedback) can impact teacher motivation to implement novel educational practices. The paper answers two major research questions: 1) Which characteristics of quality professional development (PD) are related to …

Adaptive Skill Trajectories In Infants With Fragile X Syndrome, Kelly Elizabeth Caravella

Theses and Dissertations

This study examined longitudinal trajectories of adaptive behavior in infants with fragile X syndrome (FXS), compared to typical development (TD) and infant siblings of children diagnosed with autism (ASIBs). Additional analysis were conducted to examine the differences in trajectories for males and females with FXS, and to identify if a profile of strengths and weaknesses appeared across domains by 24 months in males with FXS. Participants included 76 male infants assessed up to 4 times between 6 and 24 months of age. A sample of 12 females with FXS was also included for the comparative sex analysis. Infants with FXS …

Building Capacity Through The Use Of A Strategic Prevention Framework System In Communities, Duncan Meyers

Theses and Dissertations

The Strategic Prevention Framework (SPF) is a planning and implementation model that mobilizes communities to collaborate on developing and implementing an evidence-based prevention system. This model follows a structured five-step process with two cross-cutting elements (cultural competence and sustainability) that emphasizes building capacity of coalitions to strategically plan, implement, and sustain evidence-based prevention services to reduce adolescent substance use. This study utilized a repeated cross-sectional design. Participating youth were in grades 6, 8, 10, and 12 and lived in one of 27 counties in a Southeastern state that was funded through the Center for Substance Abuse Prevention’s SPF State Incentive …

The Impact Of Sports Dropout On Adolescent Functioning, Brittany Skiles Cook

Theses and Dissertations

Sports is the most commonly participated in extracurricular activity during adolescence. Aligned with the Positive Youth Development theoretical framework, previous research has shown that sports participation offers youth a context rich in resources found to promote positive adjustment into adulthood. However, around one third of the youth participating in sports drop out each year, and little research has examined the impact of sports dropout on indicators of youth adjustment. This study examines the relation between sports dropout and academic achievement, self-esteem, depression, perceived school climate, perceived support from adults in school, and alcohol use. The moderating effect of sports engagement …

Do Discipline Style And Parenting Self-Efficacy Interact To Predict Observed Child Behavior? Outcomes From A Representative Sample Of Mothers With Young Chilren, Emily Noel Neger

Theses and Dissertations

Both parenting style and parents’ sense of their own parenting self-efficacy (PSE) have been found to predict child behavior outcomes in young children. Parents who engage in lax or overreactive parenting practices or who lack confidence in their parenting abilities are more likely to have children who display disruptive and noncompliant behavior. Until now, very little research has examined whether an interaction exits between these two constructs in predicting child behavior outcomes. The current study looked to fill this gap and assess whether a significant moderation relationship exists between parents’ parenting style and PSE in predicting observed child behavior. A …

Investigating Construct Validity Of The Cyber--Peer Experiences Questionnaire, Kendall Moore

Theses and Dissertations

With electronic technology becoming increasingly important in all aspects of modern life, traditional forms of relating with others have crossed into the cyber realm. Within that context, both positive and negative aspects of relational behavior have advanced in ways still largely underexplored in the research literature. One such area, termed “cyberaggression,” has recently gained momentum as a research focus. Given the numerous mental health sequelae from being involved in cyberaggression, such as anxiety, depression, and suicidal ideation, there is a clear and compelling need for more research in this area. To date, however, there remains little consensus on the conceptualization …

Implementation Of A Staff Management System To Increase Consumer Engagement In Group Homes, Jeana L. Koerber

Dissertations

A multi-component staff management system was implemented in three residential group homes for adults with disabilities to examine if it would increase consumer (resident) engagement in leisure activities. The design was a non-concurrent and concurrent multiple baseline design across homes. Participants included consumers who lived in the homes and the direct care staff (DCS) who worked with them: a total of 35 participants. Sessions were an hour in length and occurred twice a day, Monday through Friday. The study lasted approximately 17 weeks in each group home.

There were four phases: (phase A) baseline assessment of consumer engagement and affect, …

Onset Patterns Of Chronic Fatigue Syndrome And Myalgic Encephalomyelitis: A Mixed Method Approach, Meredyth Evans

College of Science and Health Theses and Dissertations

Chronic fatigue syndrome (CFS), Myalgic Encephalomyelitis (ME) and Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS) refer to a debilitating illness without a universally accepted or well-understood etiology. Some experts have suggested that there are multiple pathways to the development of ME and CFS, which may also indicate multiple onset patterns. Due to unanswered questions regarding etiology, the onset of ME and CFS is considered a key area of inquiry.

Case criteria for ME and CFS and much of the academic literature suggest that patients typically experience one of two possible onset patterns: sudden or gradual. Many experts consider the mode of ME …

Construct Validation Of The Psychosocial Costs Of Racism To Whites Scale For Ashkenazic Jews In The United States, Emile Tobias Berk

Seton Hall University Dissertations and Theses (ETDs)

This study is a construct validation of the Psychosocial Costs of Racism to Whites Scale (Spanierman & Heppner, 2004) with Orthodox and non-Orthodox Ashkenazic (of European descent) American Jews. While Jewish-American biculturalism has been explored at length, there is a dearth of psychological research on Jewish-White biculturalism (Langman, 1999). Furthermore, the literature has yet to explore the impact of Jewish religious diversity on Ashkenazic-American self-perception as racially White beneficiaries of unearned privilege.

The Psychosocial Costs of Racism to Whites Scale (PCRW) measures three dimensions of White racial attitudes: White Empathic Reactions Towards Racism, White Guilt, and White Fear of Others. …

Suicidal Thoughts And Behavior Among Black College Students: Examining The Impact Of Distress Tolerance And Social Support On Suicidality, Anisha L. Thomas

Masters Theses & Specialist Projects

The purpose of this investigation was to examine the role of distress tolerance in suicidality among Black college students. It was hypothesized that (1) individuals with low levels of distress tolerance would report higher levels of suicide ideation; (2) individuals with high levels of distress tolerance would report greater suicide attempts; (3) social support would moderate the relationship between distress tolerance and suicide ideation; (4) social support would moderate the relationship between distress tolerance and suicide attempts; and that (5) family and peer support would act as distinct buffers against suicidality. These hypotheses were tested by surveying 47 undergraduate university …

The Role Of Guilt, Shame, And Self-Compassion In Promoting Racial Justice Engagement For White Students, Elizabeth A. Mcconnell

College of Science and Health Theses and Dissertations

Diversity courses and activities are a part of the multicultural mission of many institutions of higher education. However, universities, colleges, and diversity educators continue to grapple with how to increase participation and student engagement in these courses. The lens of privilege studies provides an important perspective for thinking about how to achieve this goal for White students learning about systems of racial inequity. In the current study, we conducted four studies to better understand how to decrease resistance to reflecting on White privilege (e.g., defensive affect or withdrawal) and to promote racial justice engagement (e.g., willingness to take diversity courses …

Understanding Change In A Therapeutic Community For People With Severe Mental Illness: An Interpretive Phenomenological Study, Julie Caroline Keys

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In order to gain better understanding of how therapeutic communities instigate change, this interpretative phenomenological study explores the recognized agents of change as reported by current and recent community members of a particular therapeutic community. Four superordinate themes were discovered: the structure of the program, engagement in the community, intentionality/mindfulness, and applied knowledge. While the results from this study are similar in several ways to the current literature, they also expand the literature about therapeutic communities in one important way. The change agents reported as leading to healing strongly resemble current best practice for the treatment of trauma. Limitations and …

Do Masculinity And Perceived Condom Barriers Predict Heterosexual Hiv Risk Behaviors Among Black Substance Abusing Men?, A, Kathleen Burlew, Jerika Wilson, Latrice Montgomery, Bridgette Peteet, Candace Johnson, Mary Hatch-Maillette

Journal of Health Disparities Research and Practice

Although HIV prevention during substance abuse treatment is ideal, existing HIV risk-reduction interventions are less effective among Black and other ethnic minority substance abusers. The Sexual Health Model (SHM) and the Person, Extended Family and Neighborhood-3 model (PEN-3) both highlight the importance of increasing our understanding of the relationship of sociocultural factors to sexual-decision making as a step towards developing more HIV prevention interventions for ethnic minorities. However, few studies examine sociocultural factors in the sexual decision-making process of Black substance abusing men. This secondary analysis of data collected in an evaluation of Real Men Are Safe (REMAS), a HIV …

Is It Time To Consider The "Burnout Syndrome" A Distinct Illness?, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

The "burnout syndrome" has been defined as a combination of emotional exhaustion, depersonalization, and reduced personal accomplishment caused by chronic occupational stress. Although there has been increasing medical interest in burnout over the last decades, it is argued in this paper that the syndrome cannot be elevated to the status of diagnostic category, based on (1) an analysis of the genesis of the burnout construct, (2) a review of the latest literature on burnout-depression overlap, (3) a questioning of the three-dimensional structure of the burnout syndrome, and (4) a critical examination of the notion that burnout is singularized by its …

Is Burnout Separable From Depression In Cluster Analysis? A Longitudinal Study, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Purpose: Whether burnout and depression represent distinct pathologies is unclear. The aim of this study was to examine whether burnout and depressive symptoms manifest themselves separately from each other or are so closely intertwined as to reflect the same phenomenon.

Methods: A two-wave longitudinal study involving 627 French schoolteachers (73 % female) was conducted. Burnout was assessed with the Maslach Burnout Inventory and depression with the 9-item depression module of the Patient Health Questionnaire.

Results: Burnout and depressive symptoms clustered both at baseline and follow-up. Cluster membership at time 1 (T1) predicted cases of burnout and depression at time 2 …

Burnout-Depression Overlap: A Review, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Whether burnout is a form of depression or a distinct phenomenon is an object of controversy. The aim of the present article was to provide an up-to-date review of the literature dedicated to the question of burnout–depression overlap. A systematic literature search was carried out in PubMed, PsycINFO, and IngentaConnect. A total of 92 studies were identified as informing the issue of burnout–depression overlap. The current state of the art suggests that the distinction between burnout and depression is conceptually fragile. It is notably unclear how the state of burnout (i.e., the end stage …

Predicting Antidepressant Treatment Without Controlling For Depression Is Ill-Advised, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

All in all, the link observed by Madsen et al. (2015) between burnout and antidepressant intake may well conceal an expected relationship between depression and antidepressant intake. The impossibility of ruling out this reasonable alternative hypothesis renders the study inconclusive. We recommend that future research on (psychotherapeutic or pharmacologic) treatments for burnout incorporate measures of depression in order to facilitate research advance on burnout's characterization and burnout-depression overlap.

Testing An Ecological Model Of Parent Involvement In Head Start: A Replication Study, Rebecca C. Horwitz

Theses and Dissertations

Parent involvement has been understood to elicit positive outcomes for school-age children, especially minority children and children from low socioeconomic families. Understanding the process by which parents engage in their child’s education may provide school staff with tools to develop interventions to increase parent involvement.

This investigation replicates a study that tested an ecological model of parent involvement in two Head Start programs (Waanders, 2002). Participants in the current study were 213 parents and/or caregivers of children who attended three Head Start programs in South Carolina. Two of the programs were located in a medium-sized city, while the third was …

The Relationship Between Religiousness And Intimate Partner Violence Risk And Protective Factors, Peter Warren

Theses and Dissertations

This paper proposes an integrated model illustrating the mechanisms by which religiousness may serve to influence individual beliefs regarding intimate partner violence (IPV) and the potential for subsequent abusive behavior. Intimate partner violence is a serious public health issue in the US, affecting over 25% of women at some point in their lives (CDC, 2010; Tjaden & Thoennes, 2000). Religion is a near ubiquitous aspect of American culture, with over 80% of Americans reporting some kind of belief in a higher power (Gallup, 2008. Overall, the literature shows that religiousness typically serves as a protective factor against IPV, but digging …

The Role Of Self-Efficacy In Mediating The Effect Of Physical Activity On Adolescent Depression, Nevelyn N. Trumpeter

Theses and Dissertations

Depression is a common psychiatric problem experienced in adolescence with nearly a quarter of all adolescents experiencing a major depressive episode before adulthood. Previous evidence indicates that physical activity (PA) is a known protective factor for depressive symptoms and major depressive disorder in adolescents and that PA self-efficacy (i.e., self-confidence) improves self-esteem, which in turn reduces depressive symptoms. Furthermore, PA self-efficacy may be more protective against depression for individuals who value or consider PA to be highly important. The proposed study aimed to determine the cross-sectional and longitudinal PA-depressive symptoms relation in adolescents. The study was designed specifically to test …

Interpersonal Rejection Sensitivity Predicts Burnout: A Prospective Study, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We examined whether interpersonal rejection sensitivity (IRS)—the hallmark of atypical depression – prospectively predicted burnout, controlling for baseline symptoms, history of depressive disorders, antidepressant intake, gender, age, and length of employment (mean between-assessment duration: 21 months; n = 578; 74% female). IRS was related to a 119% increased risk of burnout at follow-up. Three of four burned out participants reported to be affected by IRS, or 2.5 times the rate observed in participants with no (or subthreshold) burnout symptoms. Our study highlights a dispositional factor in burnout’s etiology also known to be a key component of atypical depression’s etiology. The …

Burnout Does Not Help Predict Depression In French Schoolteachers, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Objectives: Burnout has been viewed as a phase in the development of depression. However, supportive research is scarce. We examined whether burnout predicted depression among French school teachers.

Methods: We conducted a 2-wave, 21-month study involving 627 teachers (73% female) working in French primary and secondary schools. Burnout was assessed with the Maslach Burnout Inventory and depression with the 9-item depression module of the Patient Health Questionnaire (PHQ-9). The PHQ-9 grades depressive symptom severity and provides a provisional diagnosis of major depression. Depression was treated both as a continuous and categorical variable using linear and logistic regression analyses. We controlled …

Working Memory In Children With Neurocognitive Effects From Sickle Cell Disease: Contributions Of The Central Executive And Processing Efficiency, Kelsey Erin Smith

Theses and Dissertations

Children with sickle cell disease (SCD) are at risk for neurocognitive impairment due to disease effects including stroke, sleep disordered breathing, anemia-induced hypoxia, and small vessel occlusion. In particular, problems in working memory are an area of concern due to the importance of this construct in determining intelligence and academic functioning. According to Baddely’s model, working memory is composed of verbal and spatial working memory, but it is unclear whether one aspect of working memory is more impacted than another in children with SCD. In addition, little is known about the role of two key components in SCD-related working memory …